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Nursing Competency Test Guidance Training For Nursing Students In The Nursing Department By Implementing The Ruang Ukom Application Rudini, Dini; Ekawaty, Fadliyana; Sulistiawan, Andika
International Journal Of Community Service Vol. 5 No. 3 (2025): August 2025 (Indonesia - Rusia - Malaysia)
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijcs.v5i3.880

The National Nursing Competency Examination (UKOM) is a crucial requirement for obtaining a Registration Certificate (STR) for professional nursing practice in Indonesia. Despite its importance, many nursing students face challenges in preparing for the exam, particularly in understanding case-based questions, applying critical thinking, and accessing effective learning support. This community service program aimed to improve students’ readiness for UKOM by implementing a digital-based training and guidance strategy using the Ruang Ukom application at the Nursing Department of Jambi University. A blended learning approach was employed, combining face-to-face sessions, small group mentoring, and independent practice using the application. The Ruang Ukom platform featured interactive case-based questions, real-time feedback, exam simulations, and learning progress tracking. A total of 86 students participated, divided into intervention and mentoring groups. Quantitative analysis showed a significant increase in knowledge scores, with the mean pre-test score of 104.84 rising to 160.22 in the post-test. The intervention also enhanced students’ confidence, exam readiness, and critical thinking skills. The program encouraged digital transformation in academic guidance and demonstrated that integrating technology into nursing education can effectively support competency development. This model has potential for broader application and sustainability in preparing future nursing graduates for professional certification.

Effectiveness of create sensitivity model on glycemic control and quality of life among patients with type 2 diabetes Rudini, Dini; Sari, Yulia Indah Permata; Sari, Putri Irwanti; Oktarina, Yosi
Jurnal Keperawatan Padjadjaran Vol. 13 No. 2 (2025): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v13i2.2608

Background: Type 2 diabetes significantly affects patients' quality of life (QOL). The "Create Sensitivity" model, integrating cognitive restructuring, patient discharge planning, self-care, and hope cultivation, offers a holistic approach to address these patients' psychological and emotional challenges. Purpose: This quasi-experimental study aimed to evaluate the effectiveness of the "Create Sensitivity" treatment model in improving glycemic control and quality of life in patients with type 2 diabetes compared to standard care. Methods: Seventy adults with type 2 diabetes were randomly assigned to either the "Create Sensitivity" intervention group (n=35) or a standard care control group (n=35). The intervention consisted of 12 weekly 2-hour group sessions. HbA1c levels, mean blood glucose, and QOL scores were measured at baseline and 12 weeks post-intervention. Data were analyzed using ANOVA with a significance level of p<0.05. Results: The "Create Sensitivity" intervention group showed significant improvements in HbA1c levels (8.7% to 5.88% vs. 8.03% to 7.71%, p<0.001), mean blood glucose levels (203.25 mg/dL to 122.12 mg/dL vs. 184.05 mg/dL to 175.02 mg/dL, p<0.001), and quality of life scores (31.63 to 58.54 vs. 37.14 to 39.8, p<0.001) compared to the control group receiving standard care, with large effect sizes for all outcomes. Conclusions: The "Create Sensitivity" program effectively improved glycemic control and QOL in patients with type 2 diabetes. Integrating psychological and behavioural strategies into diabetes management may enhance patient outcomes. Further research is needed to assess long-term impacts and broader applicability.

“Perbedaan Rata-Rata Ankle-Brachial Index (ABI) Sebelum Dan Sesudah Dilakukannya Senam Kaki Diabetik Di Wilayah Kerja Puskesmas Simpang Kawat Kota Jambi”. Hafifah, Hafifah; Rudini, Dini; Sari, Lisa Anita
Jurnal Keperawatan Universitas Jambi Vol 9 No 3 (2025): Jurnal Keperawatan Universitas Jambi
Publisher : Program Studi Keperawatan Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jkuj.v9i3.47133

Peripheral artery disease (PAD) is one of the chronic complications of type 2 diabetes mellitus that can be identified through the Ankle-Brachial Index (ABI). A low ABI score indicates impaired blood flow in the lower extremities. Diabetic foot exercise is a non-pharmacological intervention that can improve peripheral circulation. This study aimed to determine the difference in average ABI before and after the implementation of diabetic foot exercise in type 2 diabetes patients at the Simpang Kawat Public Health Center in Jambi City. This quantitative research used a quasi-experimental one-group pretest-posttest design. A total of 35 respondents were selected through purposive sampling based on specific inclusion and exclusion criteria. The intervention involved diabetic foot exercises performed twice weekly over a period of one week. ABI values were measured using a vascular Doppler device before and after the intervention, and data were analyzed using the paired sample t-test. The results showed a significant increase in mean ABI scores from 0.89 to 0.94 in both lower limbs. Statistical analysis revealed a significant difference (p < 0.001), and the effect size was large (d = 1.39 for the right extremity, d = 1.28 for the left), indicating the strong effectiveness of the intervention. In conclusion, diabetic foot exercise significantly improves peripheral blood circulation in patients with type 2 diabetes mellitus and can be recommended as part of routine diabetes self-care management.

“Perbedaan Rata-Rata Ankle-Brachial Index (ABI) Sebelum Dan Sesudah Dilakukannya Senam Kaki Diabetik Di Wilayah Kerja Puskesmas Simpang Kawat Kota Jambi”. Hafifah, Hafifah; Rudini, Dini; Sari, Lisa Anita
Jurnal Keperawatan Universitas Jambi Vol 9 No 3 (2025): Jurnal Keperawatan Universitas Jambi
Publisher : Program Studi Keperawatan Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jkuj.v9i3.47133

Peripheral artery disease (PAD) is one of the chronic complications of type 2 diabetes mellitus that can be identified through the Ankle-Brachial Index (ABI). A low ABI score indicates impaired blood flow in the lower extremities. Diabetic foot exercise is a non-pharmacological intervention that can improve peripheral circulation. This study aimed to determine the difference in average ABI before and after the implementation of diabetic foot exercise in type 2 diabetes patients at the Simpang Kawat Public Health Center in Jambi City. This quantitative research used a quasi-experimental one-group pretest-posttest design. A total of 35 respondents were selected through purposive sampling based on specific inclusion and exclusion criteria. The intervention involved diabetic foot exercises performed twice weekly over a period of one week. ABI values were measured using a vascular Doppler device before and after the intervention, and data were analyzed using the paired sample t-test. The results showed a significant increase in mean ABI scores from 0.89 to 0.94 in both lower limbs. Statistical analysis revealed a significant difference (p < 0.001), and the effect size was large (d = 1.39 for the right extremity, d = 1.28 for the left), indicating the strong effectiveness of the intervention. In conclusion, diabetic foot exercise significantly improves peripheral blood circulation in patients with type 2 diabetes mellitus and can be recommended as part of routine diabetes self-care management.

Phenomenological Study of Emergency Ambulance Transport Referral Process at RSUD Raden Mattaher Jambi Province Gustina, Ravia; Subandi, Andi; Rudini, Dini
West Science Interdisciplinary Studies Vol. 2 No. 11 (2024): West Science Interdisciplinary Studies
Publisher : Westscience Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58812/wsis.v2i11.1397

As a regional general hospital, Raden Matthaer Regional Hospital is of course the main destination for people to go for treatment. Limited facilities are one of the obstacles to patient service, quite a few patients who have received treatment at Raden Mattaher Hospital are referred to other hospitals to continue treatment. Referrals are not only made within the city but also to hospitals outside the city. Referral of patients to hospitals outside the city when services are not available at hospitals in Jambi. During the referral process, of course, ambulance transportation is required. Using an ambulance also depends on the patient's needs. The aim of this research is to analyze the referral process for emergency ambulance transportation at Raden Mattaher Regional Hospital, Jambi Province. This research is descriptive qualitative research. There were four participants. The verbatim transcript interview results were processed and produced 3 main themes, namely the referral process, transportation and Integrated referral information system. From this research it can also be seen how the referral process, use of ambulances, and use of SISRUTE are.

Phenomenological Study of Emergency Ambulance Transport Referral Process at RSUD Raden Mattaher Jambi Province Gustina, Ravia; Subandi, Andi; Rudini, Dini
West Science Interdisciplinary Studies Vol. 2 No. 11 (2024): West Science Interdisciplinary Studies
Publisher : Westscience Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58812/wsis.v2i11.1397

As a regional general hospital, Raden Matthaer Regional Hospital is of course the main destination for people to go for treatment. Limited facilities are one of the obstacles to patient service, quite a few patients who have received treatment at Raden Mattaher Hospital are referred to other hospitals to continue treatment. Referrals are not only made within the city but also to hospitals outside the city. Referral of patients to hospitals outside the city when services are not available at hospitals in Jambi. During the referral process, of course, ambulance transportation is required. Using an ambulance also depends on the patient's needs. The aim of this research is to analyze the referral process for emergency ambulance transportation at Raden Mattaher Regional Hospital, Jambi Province. This research is descriptive qualitative research. There were four participants. The verbatim transcript interview results were processed and produced 3 main themes, namely the referral process, transportation and Integrated referral information system. From this research it can also be seen how the referral process, use of ambulances, and use of SISRUTE are.

Hubungan Health Locus of Control dengan Kepatuhan Minum Obat Pasien Hipertensi di Puskesmas Sidorejo Kota Pagaralam Anggriani, Yayu; Rudini, Dini; Oktarina, Yosi
Malahayati Nursing Journal Vol 6, No 1 (2024): Volume 6 Nomor 1 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i1.10324

ABSTRACT Hypertension is a condition where blood pressure increases relentlessly. Pharmacological treatment is the primary management of hypertension to control blood pressure and prevent complications. Adherence to taking medication is necessary for the goal to be achieved, but a number of studies have found that adherence to treatment is still low. The purpose of this study was to determine the relationship between health locus of control and adherence to taking medication for hypertensive patients at Sidorejo Health Center in Pagaralam city. This study used quantitative methods and a cross sectional approach with a population of 428 people and 90 samples calculated using the Yamane formula. The sampling technique was consecutive sampling. The measuring instruments used were multidimensional health locus of control scales and morisky medical adherence scale-8 items with univariate data analysis in the form of frequency distribution and bivariate with Spearman Rank test. This research was conducted at Sidorejo Health Center in Pagaralam city. The results of this study obtained hypertensive patients with high health locus of control 41 people (45.6%) and low 49 people (54.4%). While the level of compliance with taking medication is high 20 people (22.2%), moderate 25 people (27.8%) and low 45 people (50%). The results of the Spearman Rank statistical test obtained a p value = 0.000 (p <0.05) and r = 0.671, meaning that there is a positive and strong relationship between health locus of control and compliance with taking medication for hypertensive patients at the Sidorejo Health Center in Pagaralam city. Health locus of control and compliance with taking medication in hypertensive patients is still relatively low. Health locus of control has a strong relationship and affects adherence to taking medication for hypertensive patients, it is hoped that this research can be an evaluation and policy basis as well as a source of reading for Sidorejo Health Center, Education and Nursing Profession and further researchers. Keywords: Health Locus of Control, Medication Adherence, Hypertension ABSTRAK Hipertensi merupakan keadaan dimana tekanan darah meningkat tanpa henti. Pengobatan farmakologis merupakan penatalaksanaan utama hipertensi guna untuk mengontrol tekanan darah dan mencegah komplikasi. Kepatuhan minum obat diperlukan agar tujuan tercapai, namun sejumlah penelitian menemukan kepatuhan terhadap pengobatan masih rendah. Tujuan penelitian ini adalah untuk mengetahui hubungan health locus of control dengan kepatuhan minum obat pasien hipertensi di Puskesmas Sidorejo kota Pagaralam. Penelitian ini menggunakan metode kuantitatif dan pendekatan cross sectional dengan populasi sebanyak 428 orang dan 90 orang sampel yang dihitung menggunakan rumus Yamane. Teknik pengambilan sampel ialah consecutive sampling. Alat ukur yang digunakan adalah multidimensional health locus of control scales dan morisky medical adherence scale-8 items dengan analisa data univariat berupa distribusi frekuensi dan bivariat dengan uji Spearman Rank. Penelitian ini dilakukan di Puskesmas Sidorejo kota Pagaralam. Hasil penelitian ini didapatkan pasien hipertensi dengan health locus of control tinggi 41 orang (45,6%) dan rendah 49 orang (54,4%). Sedangkan tingkat kepatuhan minum obat tinggi 20 orang (22,2%), sedang 25 orang (27,8%) dan rendah 45 orang (50%). Hasil uji statistik Spearman Rank didapatkan nilai p value=0,000 (p<0,05) dan r=0,671, artinya terdapat hubungan positif dan kuat antara health locus of control dengan kepatuhan minum obat pasien hipertensi di Puskesmas Sidorejo kota Pagaralam.Health locus of control dan kepatuhan minum obat pada pasien hipertensi masih tergolong rendah. Health locus of control mempunyai hubungan yang kuat dan mempengaruhi kepatuhan minum obat pasien hipertensi, diharapkan penelitian ini dapat menjadi evaluasi dan dasar kebijakan serta sumber bacaan bagi Puskesmas Sidorejo, Pendidikan dan Profesi Keperawatan serta Peneliti selanjutnya. Kata Kunci: Health Locus of Control, Kepatuhan Minum Obat, Hipertensi

Hubungan Dukungan Keluarga dengan Kualitas Hidup Pasien Diabetes Mellitus Tipe 2: Literatur Review Nanda, Vika Ayu; Rudini, Dini; Martawinarti, Rts Netisa; Sulistiawan, Andika; Irwanti Sari , Putri
Jurnal Inovasi Global Vol. 3 No. 11 (2025): Jurnal Inovasi Global
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/jig.v3i11.455

Diabetes Mellitus (DM) is a chronic disease that requires long-term management and strong social support, particularly from the family. Family support plays a major role in patients’ ability to control the disease, adapt to lifestyle changes, and improve their quality of life. This review aims to examine research findings from the last five years (2020–2025) regarding the relationship between family support and the quality of life of patients with Type II Diabetes Mellitus. Based on an analysis of 15 national and international journals, all studies indicate a significant relationship between the level of family support and the improvement of patients’ quality of life. Emotional, informational, instrumental, and appraisal support are key factors in enhancing treatment adherence and patients’ psychological well-being.

Hubungan Health Literacy dengan Kepatuhan Minum Obat pada Pasien Hipertensi di Puskesmas Simpang IV Sipin Ariani, Dhea; Rudini, Dini; Sari, Yulia Indah Permata; Martawinarti, Rts Netisa; Sari, Putri Irwanti
Jurnal Pustaka Keperawatan (Pusat Akses kajian Keperawatan) Vol 4 No 2 (2025): Jurnal Pustaka Keperawatan
Publisher : Pustaka Galeri Mandiri

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

Hypertension is classified as a non-communicable disease that necessitates prolonged therapeutic management. Adherence to antihypertensive medication is a key determinant in achieving controlled blood pressure levels and preventing potential complications. Health literacy likewise plays a critical role in shaping an individual’s capacity to comprehend medical information and make informed decisions related to treatment. This study was conducted to examine the association between health literacy and medication adherence among individuals with hypertension in the operational area of Puskesmas Simpang IV Sipin. This research employed a quantitative approach with a cross-sectional design. A total of 150 participants were recruited using a purposive sampling technique. Data collection utilized the HLS-EU-Q16 and MMAS-8 instruments, while data analysis was performed using Pearson correlation. The findings revealed that the average health literacy score was 10.61, and the average medication adherence score was 5.86. Pearson correlation testing showed a significant relationship between health literacy and medication adherence (p < 0.001) with a correlation coefficient (r = 0.65). These results indicate that higher levels of health literacy are associated with better adherence to antihypertensive therapy. Enhancing patients’ health literacy may therefore serve as an effective strategy to improve adherence to antihypertensive treatment.

Analisis Skor APACHE II dalam Memprediksi Lama Rawat pada Pasien Kritis Suryani Manurung, Kristina; Subandi, Andi; Sulistiawan, Andika; Irwanti Sari, Putri; Rudini, Dini
Jurnal Pustaka Keperawatan (Pusat Akses kajian Keperawatan) Vol 4 No 2 (2025): Jurnal Pustaka Keperawatan
Publisher : Pustaka Galeri Mandiri

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

Critically ill patients treated in the Intensive Care Unit (ICU) and Intensive Cardiac Care Unit (ICCU) present varying levels of disease severity, which may influence length of stay. The APACHE II score is a widely used scoring system to assess the severity of illness in critically ill patients; however, data describing its association with length of stay at RSUD Raden Mattaher Jambi remain limited. This study aimed to analyze APACHE II scores and length of stay among critically ill patients in the ICU and ICCU. A descriptive quantitative study with a retrospective approach was conducted involving 83 adult critically ill patients treated between January and December 2023. Data were obtained from medical records, and APACHE II scores were calculated using the MDCalc application based on physiological parameters recorded within the first 24 hours of admission. Data analysis was performed using descriptive statistics. The results showed a mean APACHE II score of 16.37±6.68, with a range of 4–31, while the mean length of stay was 3.55±3.29 days, ranging from 1 to 20 days. The longest average length of stay was observed in patients with APACHE II scores of 11 and 12, and no consistent increase in length of stay was found with higher APACHE II scores. Variations in length of stay were also observed across individual physiological parameters of the APACHE II score. In conclusion, APACHE II scores among critically ill patients were predominantly in the moderate to severe category with relatively short lengths of stay, and APACHE II cannot be used as a single predictor of length of stay without considering other clinical factors.

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