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All Journal Jurnal Ilmiah Ilmu Keperawatan Indonesia (Indonesian Nursing Scientific Journal) Jurnal Kreativitas PKM Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Jurnal Perawat Indonesia Jurnal Ilmiah Kebidanan Indonesia (Indonesian Midwifery Scientific Journal) JOURNAL EDUCATIONAL OF NURSING(JEN) Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Journal of Telenursing (JOTING) KESANS : International Journal of Health and Science An Idea Health Journal AACENDIKIA: Journal of Nursing Mestaka: Jurnal Pengabdian Kepada Masyarakat Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) JUKEJ: Jurnal Kesehatan Jompa Jurnal Sains, Teknologi dan Kesehatan Indonesian Jurnal of Nursing Sciences and Practice Malahayati International Journal of Nursing and Health Science Nursing Arts
Nursanti, Irna
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Effectiveness of Digital Self-Management Toward Fluid Restriction on Interdialytic Weight Gain Among Patients Undergoing Hemodialysis in Jakarta Islamic Hospital Wahdaniyah, Wahdaniyah; Nursanti, Irna; Irawati, Diana; Natashia, Dhea; Resnayati, Yeti
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 3 (2024): 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.v10i3.644

Abstract

Aims: Controlling interdialytic weight gain (IDWG) in hemodialysis (HD) patients requires a key component of fluid restriction. If IDWG rises, complications related to chronic renal failure may arise. Digital self-management improves fluid restriction in IDWG by empowering patients, increasing data monitoring, and simplifying communication with healthcare providers, perhaps leading to better hemodialysis patient outcomes. Objective: This study aims to determine the effectiveness of digital self-management toward fluid restriction on interdialytic weight gain among patients undergoing hemodialysis in Jakarta Islamic Hospital. Method: The study was quasi-experimental, using a pretest-posttest and control group. Convenience sampling was employed to select 25 intervention and 25 control group members. IDWG digital self-management can track fluid intake, weight, and symptoms, and patients can communicate openly with the health team. The data analysis used in this research is the T-test.  Results: In this study, respondents were categorized by gender, mean age, and duration of HD (months) in the intervention group (men 60%, 49.1 and 27.2) and control group (women 52%, 48.1 and 42.1). IDWG decreased in the intervention group, from 4.06 to 2.45, while it increased in the control group before 3.84 and after 4.34. The paired and independent t-tests demonstrated that digital-based fluid restriction management self-care interventions reduced IDWG with a p-value of 0.001. Conclusion: The digital self-management toward fluid restriction showed a promising impact on improving interdialytic weight gain among patients undergoing hemodialysis in Jakarta Islamic Hospital
The Effect of the TEMAN SETIA Program Intervention on Immunosuppressant Medication Adherence in Post-Kidney Transplant Patients at RSCM Jakarta Suhartini, Euis; Nursanti, Irna; Natashia, Dhea; Irawati, Diana; Jumaiyah, Wati; Uly, Nilawati
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 1 (2025): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Aims: Chronic Kidney Disease (CKD) poses a significant global health challenge, with an increasing number of kidney transplantations in Indonesia. The success of kidney transplants hinges on adherence to immunosuppressant medications to prevent organ rejection. Non-adherence among post-transplant patients can lead to infections, graft loss, or a return to dialysis. This study evaluated the impact of the TEMAN SETIA program on adherence to immunosuppressant medications among post-kidney transplant patients at Dr. Cipto Mangunkusumo National Referral Hospital (RSCM) in Jakarta. Methods: A pre-post-test design with a control group was utilized. The sample included 28 post-transplant patients meeting inclusion criteria. The TEMAN SETIA program provided patient mentoring to improve adherence. Adherence was assessed before the intervention, one month after, and two weeks post-intervention using a validated questionnaire. Data were analysed using t-tests and repeated measures ANOVA. Results: The control and intervention groups were comparable in demographic and clinical characteristics, though the intervention group had more non-working participants. The program significantly improved adherence (Cohen’s d = 1.97) and knowledge (Cohen’s d = 1.99). While family support increased in both groups, differences were not significant (Cohen’s d = 1.02). A significant group-by-time interaction (F (1.246, 26) = 7.394, p = 0.007, η² = 0.221) demonstrated greater adherence improvements over time in the intervention group. Discussion: The findings demonstrate that the TEMAN SETIA program is an effective intervention for enhancing medication adherence and knowledge among post-transplant patients. The structured mentoring approach provided patients with the necessary support and education to improve their adherence behaviors. Although family support increased in both groups, the changes were not statistically significant, highlighting the need for further exploration of the role of familial involvement in adherence programs Conclusion: The TEMAN SETIA program effectively enhanced medication adherence and knowledge in post-transplant patients. This structured intervention offers a promising strategy to improve outcomes and reduce risks of organ rejection.
Penguatan Kapasitas Keluarga melalui Edukasi untuk Mendorong Komunikasi Efektif dan Mengurangi Beban Perawatan Pasien Hemodialisis Irawati, Diana; Slametiningsih, Slametiningsih; Fitria, Dian; Nursanti, Irna; Natashia, Dhea
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 9, No 1 (2026): Volume 9 Nomor 1 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v9i1.23740

Abstract

ABSTRAK Pasien yang menjalani hemodialisis membutuhkan dukungan keluarga yang optimal. Namun, keluarga sering menghadapi beban perawatan dan keterbatasan dalam memahami kondisi pasien serta berkomunikasi secara efektif, sehingga dapat memengaruhi kualitas dukungan yang diberikan. Menguatkan kapasitas keluarga melalui edukasi untuk meningkatkan pemahaman penyakit, keterampilan komunikasi terapeutik, manajemen stres, serta mengurangi beban perawatan. Metode: Kegiatan pengabdian kepada masyarakat ini dilaksanakan melalui edukasi terstruktur mengenai penyakit dan perawatan hemodialisis, pelatihan komunikasi efektif, latihan teknik manajemen stres, dan diskusi kelompok. Sebanyak tiga puluh empat keluarga pasien berpartisipasi. Evaluasi dilakukan menggunakan pre-test dan post-test pengetahuan serta pengukuran beban perawatan menggunakan instrumen beban keluarga. Terdapat peningkatan pengetahuan keluarga sebesar 20% setelah intervensi. Selain itu, terjadi penurunan beban perawatan yang ditunjukkan oleh penurunan rerata skor dan pergeseran kategori beban menuju tingkat yang lebih ringan. Kesimpulan: Edukasi komprehensif efektif dalam meningkatkan kapasitas keluarga, memperbaiki kualitas komunikasi keluarga–pasien, dan mengurangi beban perawatan. Program ini memiliki dampak positif dan berpotensi menjadi model pendampingan keluarga di unit hemodialisis. Kata Kunci: Edukasi Keluarga, Hemodialisis, Beban Perawatan, Komunikasi Terapeutik, Manajemen Stres, Dukungan Keluarga.  ABSTRACT Patients undergoing hemodialysis require strong family support, yet family caregivers often experience a heavy caregiving burden and limitations in understanding the patient’s condition and communicating effectively. To strengthen family capacity through education aimed at improving disease understanding, therapeutic communication skills, stress management, and reducing caregiving burden. Methods: This community engagement program consisted of structured educational sessions on hemodialysis care, effective communication training, stress-management exercises, and group discussions. Thirty-four family caregivers participated. Evaluation included pre- and post-test knowledge assessments and caregiving burden measurements using a standardized family burden instrument. Results: Family knowledge increased by 20% following the intervention. A reduction in caregiving burden was observed, reflected by decreased mean burden scores and a shift toward lighter burden categories. Conclusion: Comprehensive education effectively enhances family capacity, improves patient–family communication, and reduces caregiving burden. This program demonstrates positive outcomes and may serve as a model for family-support interventions in hemodialysis units. Keywords: Family Education, Hemodialysis, Caregiving Burden, Therapeutic Communication, Stress Management, Family Support.
THEORY CONCEPT OF DOROTHEA ELIZABETH OREM'S NURSING MODEL DOROTHEA ELIZABETH OREM: SELF-CARE IN NURSING CARE FOR MR. S WITH NON-HEMORRHAGIC STROKE AT MAYAPADA HOSPITAL Tasya, Chindyca Anna; Nursanti, Irna
JOURNAL EDUCATIONAL OF NURSING(JEN) Vol 8, No 2 (2025): Journal Educational of Nursing (JEN)
Publisher : STIKes RSPAD RSPAD Gatot Soebroto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37430/jen.v8i2.300

Abstract

This study aims to implement nursing care in a non-hemorrhagic stroke case in an inpatient setting, using Dorothea Orem's nursing model theory. The focus of this case study is to provide comprehensive nursing care to Mr. S based on Orem's conceptual framework. The research method used is a case study with a nursing care approach based on Orem's theory. Data were collected through interviews, observations, physical examinations, and using an assessment format adapted to Orem's nursing theory.The initial assessment of Mr. S revealed a blood pressure of 180/100 mmHg, a pulse rate of 80 beats/min, SpO2 of 95% with 3 lpm of oxygen, and a respiratory rate of 26 breaths/min. From this data, two primary nursing problems were identified: the risk of decreased cerebral tissue perfusion and an ineffective breathing pattern. Nursing interventions aligned with the Indonesian Nursing Outcome Standards (SLKI). After three days of nursing care for Mr. S, it was concluded that both nursing interventions had partially resolved the problem. This study recommends that nurses consistently implement and improve the quality of nursing care using Dorothea Orem's self-care theory.
THEORY CONCEPT OF HILDEGAR E PEPLAU’S NURSING MODEL IN MENTAL NURSING CARE WITH THE RISK OF VIOLENT BEHAVIOR IN THE KUTILANG WARD OF THE PROVINCIAL MENTAL HOSPITAL BENGKULU IN 2025 Fitri, Riza; Nursanti, Irna
JOURNAL EDUCATIONAL OF NURSING(JEN) Vol 8, No 2 (2025): Journal Educational of Nursing (JEN)
Publisher : STIKes RSPAD RSPAD Gatot Soebroto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37430/jen.v8i2.301

Abstract

Analysis of the interpersonal relationship theory by Hildegard E Peplau explain the basic concepts of the theory that focuses on human, health, nursing and environmental aspects. This theory is also one of the most influential nursing models in psychiatric nursing practice, especially in treating patient at risk of violent behavior.  In its application, this theory forms a dynamic and continuous interpersonal relationship between nurses and patients. This interpersonal relationship is divided into four phases of therapeutic relationship between nurses and patients, namely the orientation phase, the identification phase, the exploitation phase and the resolution phase. Here we discuss the concept of Peplau’s theory and its application to psychiatric nursing care in the kutilang ward of the Bengkulu Provincial Mental Hospital for patient with medical diagnosis of schizophrenia who experiences auditory hallucination and is at risk of violent behavior. The application of the theory focuses on therapeutic communication, assessing, triggers of aggression, establishing trusting relationships and developing adaptive coping through. Structured interventions based on the SDKI-SLKI-SIKI. The result of the application show a decrease in improvement in patient’s self-esteem. The theoretical analysis shows that the Peplau model has advantages in building effective interpersonal relationships and increasing patient involvement in the recovery process. However, this theory has limitations in patients with severe psychosis who find it difficult to establish optimal therapeutic contact, and it underemphasizes the biological aspects often needed in the acute phase. Overall, Peplau’s theory has proven relevant and effective as humanistic, relationship-oriented approach to psychiatric nursing.
THEORY CONCEPT OF DOROTHEA ELIZABETH OREM'S NURSING MODEL: IN NURSING CARE FOR TYPE 2 DIABETES MELLITUS Hidayanti, Putri; Nursanti, Irna
JOURNAL EDUCATIONAL OF NURSING(JEN) Vol 8, No 2 (2025): Journal Educational of Nursing (JEN)
Publisher : STIKes RSPAD RSPAD Gatot Soebroto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37430/jen.v8i2.302

Abstract

Type 2 Diabetes Mellitus requires long-term management and patient involvement in self-care. Dorothea Elizabeth Orem's Self Care Theory provides a comprehensive approach to facilitating patient independence through identifying self-care needs, self-care agency capabilities, and determining appropriate nursing systems. This study aims to provide a comprehensive overview of the conceptual model and theory of Dorothea Elizabeth Orem and analyze the application of Orem's theory in nursing care for type 2 diabetes mellitus patients through a case study on Mrs. S, a patient with poor blood sugar control, non-adherence to medication, dietary ignorance in diabetics, and difficult-to-heal foot wounds. The research method uses a case study approach, through requisites assessment, self-care deficit identification, nursing system determination, and the preparation of interventions based on SIKI-SLKI standards. The results show that Mrs. S experiences knowledge deficits, ineffective health management and infection risks. The nursing system required includes supportive-educational and partly compensatory systems. The interventions provided improved patient understanding, medication adherence, wound care, and general self-care skills. The application of Orem's theory has been shown to provide a systematic framework for improving the independence of patients with Type 2 DM and preventing complications.
Jean Watson's Nursing Model Theory Concept: Caring Theory in Nursing Care for Patients with Diabetes Mellitus at Jakarta Cempaka Putih Islamic Hospital Qiyan, Ain Atta; Nursanti, Irna
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 4 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i4.541

Abstract

Diabetes mellitus (DM) is a chronic metabolic disease characterized by high blood glucose levels (hyperglycemia) due to impaired insulin secretion. From the nursing model, according to Jean Watson, nursing interventions are applied with ten characteristic factors. This article aims to improve the quality of the nurse-client relationship through the process of caring, encouraging holistic healing, both physical and spiritual. The method in the concept of Jean Watson's model theory is the quantitative method. Assess the perception of caring nurses or patients using quasi-experimental surveys. The impact on nurses Jean Watson's nursing intervention findings significantly improved empathy and humanity, nurses' emotional well-being, and improved therapeutic communication skills. Jean Watson's study recommendations in the future include the development of a caring model in the digital era and health technology related to the application of caring in telemedicine and the causative factor applied when interactions are not face-to-face.
Model Konsep Teori Keperawatan Hildegard Elizabeth Peplau pada Celulitis Ante Brachii Osteomielitis dan DM II Kurniati, Kurniati; Nursanti, Irna
Journal of Telenursing (JOTING) Vol. 8 No. 1 (2026): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/mymb7244

Abstract

This study aims to analyze the application of Hildegard E. Peplau's Nursing Model Theory in the nursing care of patients with Cellulitis Ante Brachii Osteomyelitis and Diabetes II, where patients experience not only anxiety but also other physical problems such as pain and unstable blood sugar levels. The research method used a qualitative approach by conducting case studies on patients. The results showed that nurses who apply Peplau's theory by implementing therapeutic communication in building interpersonal relationships with patients can overcome anxiety and physical problems experienced by patients. Nurses and patients develop emotionally through four stages of the relationship: orientation, identification, exploitation, and termination. Each stage describes a mutually reinforcing and flexible relationship with intervention options tailored to SIKI and SLKI. In conclusion, this contributes to the development of understanding of the application of Peplau's theory in nursing care, which not only focuses on emotional issues such as anxiety but can also be modified to address other physical and health problems holistically. Keywords: Hildegard Peplau, Interpersonal Relationships, Nursing Theory
Penerapan Teori Betty Neuman dalam Asuhan Keperawatan Anak yang Mengalami Hospitalisasi di Rumah Sakit Mersilia, Wina; Nursanti, Irna
JUKEJ : Jurnal Kesehatan Jompa Vol 5 No 1 (2026): JUKEJ: Jurnal Kesehatan Jompa
Publisher : Yayasan Jompa Research and Development

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57218/jkj.Vol5.Iss1.2292

Abstract

Model Sistem Neuman menekankan pendekatan holistik dan strategi pencegahan terhadap stresor yang memengaruhi kondisi klien. Penelitian ini bertujuan untuk menganalisis penerapan Model Sistem Neuman dalam pemberian asuhan keperawatan pada seorang anak dengan luka robek di kepala yang menjalani perawatan di rumah sakit. Penelitian ini menggunakan desain studi kasus yang melibatkan An. F, seorang anak perempuan berusia lima tahun yang dirawat di unit gawat darurat dan ruang bedah di sebuah rumah sakit di Jakarta. Data dikumpulkan melalui observasi, wawancara dengan orang tua, serta peninjauan rekam medis selama periode perawatan 3×24 jam. Instrumen yang digunakan meliputi lembar pengkajian berdasarkan lima variabel teori Neuman, identifikasi stresor, serta standar keperawatan Indonesia yaitu SDKI, SLKI, dan SIKI. Hasil penelitian menunjukkan bahwa kondisi An. F dipengaruhi oleh stresor intrapersonal seperti rasa nyeri dan ketakutan. Stresor interpersonal berasal dari kecemasan orang tua, sedangkan stresor ekstrapersonal berkaitan dengan keterbatasan finansial. Proses keperawatan difokuskan pada pencegahan primer, sekunder, dan tersier untuk mengurangi dampak stresor tersebut. Intervensi yang diberikan meliputi penurunan kecemasan, manajemen nyeri, dukungan emosional, serta bantuan dalam pengambilan keputusan terkait penggunaan jaminan kesehatan BPJS. Hasil yang diperoleh menunjukkan penurunan tingkat kecemasan, berkurangnya tingkat nyeri, serta peningkatan kemampuan keluarga dalam mengatasi masalah. Model Sistem Neuman terbukti bermanfaat dalam menangani aspek fisik, emosional, sosial, dan spiritual secara bersamaan, sehingga menjadi pedoman praktik yang tepat untuk kasus yang melibatkan respons fisik dan psikologis terhadap stresor.
Co-Authors Agustin, Marini Aprilya, Dea Arniti, Arniti Arofiati, Fitri Asra, Fauzi Azzahra, Sabrina Budiyati , Dwi Damai Yanti Damayanti, Sri Utami Dewi Anggraini Dewi, Silviani Elfira Husna, Elfira Eni Widiastuti, Eni Erian Fatria Fadhillah, Harif Fahmi, Asrul Farizal , Rinezia Rinza Febrianti, Winda Firmansyah, Doddy Fitri Handayani Fitri Haryanti Fitria, Dian Giri Widakdo Haeruman Haeruman Hartati, Yeni Hartika Rani, Amelia Haryanti, Noviana Herawati, Eva Hidayanti, Putri Humairah, Faradila Idriani, Idriani Iis Sri Hardiati Irawati, Diana Jumaiayah, Wati Jumaiyah, Wati Karmi, Rudi Khaier, Nurhayati Kurniati Kurniati Kusmayadi, Yadi Masliha, Masliha Mersilia, Wina Mila mila Muhammad Hadi Mustopa Mustopa Natashia, Dhea Nurhayati Nurhayati Nursalam Nursalam Pakpahan, Risdo Prabawati, Dewi Purwati, Nyimas Heny Qiyan, Ain Atta Rani, Amelia Hartika Resnayati, Yeti rita, erni Riza Fitri Samsiah, S Saputri, Rosaliana Ayu Sari, Irma Permata Slametiningsih, Slametiningsih Somana, Aan Sri Wahyuni Stella, Nendra Elaya Azra Suhaemi, Suryati Suhartini, Euis Sukma, Bagja Angga Sunardi Sunardi Supra Saba, Iba Surani, Sri Susanti, Yuanita Tasya, Chindyca Anna Tintin Sukartini Sukartini, Tintin Sukartini Tuti Nuraini Uly, Nilawati Uswatun Hasanah Wahdaniyah Wahdaniyah, Wahdaniyah Wahidi, Kemala Desy Wahyu Hidayati Widagdo, Giri Yanny Trisyani Yeni Purnamasari, Yeni Yuniarsih, Winda