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Pengaruh Media Edukasi Leaflet terhadap Keterampilan Ibu dalam Merawat Bayi BBLR Dwi Astutik; Kurnia Wijayanti; Indra Tri Astuti
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 3 No. 4 (2025): Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran,
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/termometer.v3i4.5483

Abstract

Proper care of LBW is crucial, as LBW infants are susceptible to illnesses such as infections, unstable body temperature, and respiratory disorders. Mothers' unpreparedness in caring for LBW infants is due to a lack of knowledge regarding infant care. Knowledge can be improved by providing interventions in the form of providing information using media, one of which is leaflets. This study aims to determine the effect of educational leaflets on mothers' skills in caring for LBW infants. This study used a quasi-experimental  study with a pretest-posttest with control group design. The sample size was 38 postpartum mothers who gave birth to LBW infants, consisting of 19 mothers in the intervention group and 19 mothers in the control group obtained through purposive sampling technique. Data were collected using a questionnaire on mothers' skills in caring for LBW infants and leaflets. Data analysis was performed using the Wilcoxon test to examine the effect of educational leaflets on mothers' skills in caring for LBW infants and the Mann-Whitney test to find differences in mothers' skills in caring for LBW infants between the intervention and control groups. There is an influence of leaflet educational media on mothers' skills in caring for LBW babies at Dr. H. Soewondo Kendal Regional General Hospital p-value = 0.000 (<0.05). There is a difference in mothers' skills in caring for LBW babies between the intervention group and the control group p value (0.002), where the average value of mothers' skills between the intervention group and the control group shows a difference of 2.31. Education about LBW care through leaflet media improves parents' skills in caring for LBW at home, because leaflets provide informative visualization of knowledge as a medium that is easy to understand.
Pengaruh Pemberian Metode Kangaroo Mother Care (KMC) terhadap Respon Fisiologis pada Bayi BBLR Intan Triyanti; Kurnia Wijayanti; Indra Tri Astuti
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 3 No. 4 (2025): Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran,
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/termometer.v3i4.5485

Abstract

In general, LBW infants do not have a mature immune system to adapt due to the immaturity of the infant's organ systems. Improving the physiological response of LBW infants can be done using an inexpensive, easy-to-do, and effective intervention, namely the Kangaroo Mother Care (KMC) method. This study aims to determine the effect of the Kangaroo Mother Care (KMC) method on the physiological response of LBW infants. This study used a quasi-experimental study with a pretest-posttest with control group design. The sample size was 34 LBW infants born at Dr. H. Soewondo Kendal Regional General Hospital, obtained through an infinite population technique. Data were collected using observation sheets and bedside monitors. Data analysis was performed using a paired t-test to determine the effect of the Kangaroo Mother Care (KMC) method on the physiological response of LBW infants. The results showed that there was an effect of Kangaroo Mother Care (KMC) on temperature (p-value 0.000), respiratory rate (p-value 0.000), pulse rate (p-value 0.000) and oxygen saturation (p-value 0.000) in LBW babies. There was an effect of standard care on temperature (p-value 0.000), respiratory rate (p-value 0.006), pulse rate (p-value 0.028) and oxygen saturation (p-value 0.000) in LBW babies. There was a difference in the physiological response of LBW babies between those given KMC and the nesting care control group, where KMC showed a better physiological response with a temperature difference of 1,230C, respiratory rate of 5.41 x/minute, pulse rate of 9.65x/minute and 1,230C, respiratory rate of 5.41 x/minute, pulse rate of 9.65x/minute and oxygen saturation of 2.23%.
Pengaruh Bermain Terapeutik Storytelling Menggunakan Media Buku Cerita Bergambar terhadap Tingkat Kecemasan Anak Hospitalisasi Rizqi Khalaliyah; Nopi Nur Khasanah; Kurnia Wijayanti
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 3 No. 4 (2025): Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran,
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/termometer.v3i4.5488

Abstract

Hospitalization in preschool children often causes anxiety due to separation from parents, frightening medical procedures, and the unfamiliar hospital environment. Anxiety at an early age can have both short- and long-term negative impacts, such as refusal of medical treatment, difficulty cooperating with health professionals, and even traumatic experiences related to hospitals. One nursing intervention to reduce anxiety is play therapy, and storytelling is considered effective because it allows children to express their feelings and fears through imagination and enjoyable narratives. Objective: This study aimed to determine whether preschool children hospitalized in the Flamboyan Ward of Harapan Anda Islamic Hospital, Tegal, experienced a reduction in anxiety levels after being given therapeutic storytelling interventions using picture storybooks. Method: This study used a one-group pre-test–post-test design. Purposive sampling was employed to recruit 40 preschool children aged three to six years. Anxiety levels were measured using the DASS-42 questionnaire, consisting of 14 items related to anxiety. Data were analyzed using the Wilcoxon Signed Rank Test to compare pre- and post-intervention scores. Results: The findings showed that the majority of children after the intervention were in the normal category (67.5%), compared to 40% who experienced significant anxiety before the intervention. The Wilcoxon test produced a p-value of 0.000 (p < 0.05), indicating that therapeutic storytelling using picture storybooks significantly reduced anxiety levels in hospitalized preschool children. Conclusion: Therapeutic storytelling can be considered a simple, enjoyable, and effective non-pharmacological intervention for pediatric nurses to reduce anxiety among preschool children during hospitalization.
Hubungan Motivasi dan Kepatuhan Penilaian Risiko Jatuh dengan Kejadian Jatuh di Ruang Rawat Inap Anak RS QIM Batang Khairun Nisak; Nopi Nur Khasanah; Kurnia Wijayanti
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 2 No. 4 (2025): Oktober : Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v2i4.2315

Abstract

Patient safety is one of the main components in determining the quality of hospital services. Every hospital is required to minimize incidents that may harm patients. Among various patient safety incidents, falls in children rank second after medication errors, making them a serious issue that requires attention. This study aims to evaluate the relationship between nurses’ motivation and compliance in conducting fall risk assessments with the incidence of falls among pediatric patients in the inpatient ward of QIM Hospital Batang. This study employed a descriptive quantitative design with a correlational approach. A total of 44 nurses who met the inclusion criteria were recruited as respondents. Research instruments included a motivation questionnaire, an observation sheet on compliance, and records of patient fall incidents. Data were analyzed using the Spearman Rank test to measure the strength of the relationship between variables. The findings showed that most respondents (84.1%) had a high level of motivation, and all nurses (100%) demonstrated full compliance in performing fall risk assessments according to standard operating procedures. During the study period, no cases of pediatric falls were reported in the inpatient ward, indicating the effectiveness of fall risk assessment implementation. Statistical analysis produced a p-value of 0.011, indicating a significant relationship between motivation and nurses’ compliance. These findings emphasize that work motivation plays an important role in maintaining nurses’ consistency in adhering to safety procedures. Motivation can be enhanced through managerial support, continuous training, and the establishment of a strong patient safety culture, thereby reducing the risk of falls and improving the overall quality of healthcare services.
Hubungan Kepatuhan Penerapan Pediatric Early Warning Score (PEWS) dengan Kepatuhan Menjaga Keselamatan Pasien di RSUI Harapan Anda Kota Tegal Devi Apriliyani; Nopi Nur Khasanah; Kurnia Wijayanti
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 2 No. 4 (2025): Oktober : Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v2i4.2322

Abstract

In order for hospitals to detect and intervene early, pediatric patient care must be of high quality. When making clinical decisions, assessing the risk of clinical deterioration, and providing appropriate emergency and critical care, the Pediatric Early Warning Score (PEWS) can be an excellent tool for nurses. This study aims to determine how Harapan Anda Hospital in Tegal City applies patient safety compliance and adherence to PEWS implementation. A cross-sectional approach was used in this quantitative study. A complete sampling approach was used to generate a sample size of 88 nurses from various healthcare facilities, including pediatric inpatient wards, PICU, NICU, and the emergency department. Patient safety surveys and PEWS compliance surveys were used to collect data. Spearman's test was used to analyze the data. The results showed that the majority of individuals (45 out of 63) were categorized as compliant in the implementation of the Pediatric Early Warning Score (PEWS). Meanwhile, the majority of nurses, 41 out of 106, or 46.6%, were compliant in their efforts to ensure patient safety. There was a significant relationship between the compliance of PEWS implementation and patient safety at RSU Islam Harapan Anda Tegal City with a p-value of 0.000. The results of this study are expected to be applied by healthcare workers to implement PEWS according to procedure, in order to ensure pediatric patient safety quickly and accurately.
Hubungan Tingkat Pengetahuan Pasien Hipertensi dengan Kepatuhan Minum Obat pada Lansia di Poliklinik Rumah Sakit Islam Sultan Agung Banjarbaru Rahmadi; Herry Susanto; Kurnia Wijayanti
Protein : Jurnal Ilmu Keperawatan dan Kebidanan.  Vol. 3 No. 4 (2025): Oktober : Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/protein.v3i4.1757

Abstract

Hypertension is a non-communicable disease that significantly contributes to morbidity and mortality, particularly among the elderly. Patient knowledge about hypertension plays a crucial role in determining their adherence to medication, especially in taking antihypertensive drugs regularly. This study aims to analyze the relationship between the level of hypertension knowledge and medication adherence in elderly patients at the Sultan Agung Islamic Hospital Banjarbaru Polyclinic. This study used a quantitative correlational approach with a cross-sectional design. A sample of 35 respondents was obtained using accidental sampling technique. Data were collected using standardized questionnaires to measure knowledge (correct/incorrect scores) and adherence (using the modified MMAS-8 score 0–8). Data analysis included descriptive statistics, chi-square test, and Odds Ratio (OR) calculation at α = 0.05. The results showed a significant relationship between the level of knowledge and medication adherence (p = 0.002). The OR value of 17.33 (95% CI: 2.17–138.18) indicates that elderly patients with low knowledge have a much higher chance of non-adherence to medication compared to those with good knowledge. Based on these findings, it is recommended to develop targeted educational programs for the elderly focusing on increasing knowledge about hypertension and the importance of medication adherence, along with involving families to support medication adherence in hypertensive patients. This educational program could help improve the quality of life for the elderly by better managing hypertension.
Hubungan Kepatuhan Minum Obat dengan Terkontrolnya Kadar Gula Darah pada Pasien Diabetes Melitus Tipe II di RSU Islam Harapan Anda Kota Tegal Mae Septiana; Herry Susanto; Kurnia Wijayanti
Protein : Jurnal Ilmu Keperawatan dan Kebidanan.  Vol. 3 No. 4 (2025): Oktober : Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/protein.v3i4.1759

Abstract

Diabetes Mellitus is a complication caused by severe disturbances, particularly in the metabolic composition of carbohydrates, fats, and proteins in the body. The level of patient compliance in taking medication is one of the factors that determine the success of diabetes mellitus therapy. Compliance with treatment plays a crucial role in controlling metabolic conditions, especially in diabetes mellitus patients. The impact of non-compliance with medication in type II diabetes mellitus patients will increase uncontrolled blood sugar levels, which can lead to various complications of organ damage. The purpose of this study was to examine the relationship between medication compliance and blood sugar levels in type 2 diabetes mellitus patients at Harapan Anda Islamic Hospital in Tegal City. This study used a quantitative cross-sectional approach. The sample size was 58 respondents using a purposive sampling technique. Data analysis techniques used univariate and bivariate analysis (chi-square). Characteristics of 58 patients suffering from type 2 diabetes mellitus at Harapan Anda Islamic General Hospital, Tegal City, most of them are aged 46-60 years, with female gender, with most of them having junior high school education, some with working status, with a duration of suffering for >5 years, most with moderate medication adherence and most with normal blood sugar levels. There is a relationship between medication adherence and blood sugar levels in type 2 diabetes mellitus patients at Harapan Anda Islamic General Hospital, Tegal City (0.000). It is hoped that it can provide valuable information for diabetes sufferers about the importance of medication adherence to blood sugar levels so that blood sugar levels can be controlled.
Perbandingan Efektifitas Water Tepid Sponge dan Cool Patch terhadap Penurunan Suhu Tubuh Anak dengan Demam di Ruang Parkit Rumah Sakit QIM Batang Nurul Atikah; Heri Susanto; Kurnia Wijayanti
Protein : Jurnal Ilmu Keperawatan dan Kebidanan.  Vol. 3 No. 4 (2025): Oktober : Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/protein.v3i4.1760

Abstract

Fever in children, if not properly managed, can lead to several negative effects such as excessive fluid loss through evaporation, dehydration, seizures, decreased consciousness, and even death if left untreated. Non-pharmacological interventions to reduce fever include water tepid sponge therapy and cool patch therapy. This study used a quasi-experimental design with a pretest and posttest three-group approach. Respondents were divided into three groups: water tepid sponge, cool patch, and control. Data were analyzed using the Wilcoxon test and the Mann-Whitney test. The Wilcoxon test showed a significance value of 0.000 in the Water Tepid Sponge group, 0.000 in the Cool Patch group, and 0.002 in the control group. The Mann-Whitney test showed no significant difference between the pre-test body temperature of the Water Tepid Sponge group and the control group (p = 0.063 > 0.05), while a significant difference was found in the post-test (p = 0.000 < 0.05). For the Cool Patch group, there was no significant difference in the pre-test compared to the control (p = 0.672), but a significant difference was found in the post-test (p = 0.001). The Mann-Whitney test comparing the pre-test and post-test temperature differences between the Water Tepid Sponge and Cool Patch groups showed a significance value of 0.000. The mean rank for temperature reduction in the Water Tepid Sponge group was 35,27, while in the Cool Patch group it was 17,73. Both Water Tepid Sponge and Cool Patch therapies have an effect on reducing fever in pediatric patients in the Parkit Ward of QIM Hospital Batang. Water Tepid Sponge therapy is more effective than Cool Patch therapy in reducing fever.
Hubungan Tingkat Pengetahuan dengan Kepatuhan Minum Obat pada Pasien TB Paru di RSUI Harapan Anda Kota Tegal Rina Fatmawati; Herry Susanto; Kurnia Wijayanti
Protein : Jurnal Ilmu Keperawatan dan Kebidanan.  Vol. 3 No. 4 (2025): Oktober : Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/protein.v3i4.1761

Abstract

  Medication adherence among pulmonary TB patients is crucial to prevent recurrence and ensurecomplete recovery. Patient knowledge of tuberculosis treatment and adherence to prescribed dosages andadministration methods are key components to successful treatment. This study aimed to determine therelationship between knowledge and medication adherence in pulmonary TB patients at Harapan Anda IslamicHospital, Tegal City. This study used a quantitative cross-sectional design. A sample size of 60 pulmonary TBpatients at Harapan Anda Islamic Hospital, Tegal City, was selected through purposive sampling. Data werecollected using a knowledge questionnaire and a medication adherence questionnaire. Data were analyzed usingthe chi-square test. Based on the analysis results, it was found that of the 60 patients with pulmonary TB atHarapan Anda Islamic Hospital, Tegal City, most were in the early elderly age (46-55 years), most were malebecause they were men, the majority were married, most had graduated from high school and most had privateemployment status. The level of compliance with taking medication in patients with pulmonary TB at HarapanAnda Islamic Hospital, Tegal City was in the high category. There was a relationship between the level ofknowledge and compliance with taking medication in patients with pulmonary TB at Harapan Anda IslamicHospital, Tegal City. There was a relationship between the level of knowledge and compliance with takingmedication in patients with pulmonary TB at Harapan Anda Islamic Hospital, Tegal City. Patients who had goodknowledge tended to be more compliant in undergoing treatment. These results serve as input for health servicesto provide health service programs to improve knowledge and compliance with taking medication in patients withpulmonary TB better.
Gambaran Kecemasan Efek Hospitalisasi pada Anak Prasekolah di Ruang Parkit Rumah Sakit Qolbu Insan Mulia Batang Okie Pujianti, Okie Pujianti; Herry Susanto; Kurnia Wijayanti
Protein : Jurnal Ilmu Keperawatan dan Kebidanan.  Vol. 3 No. 4 (2025): Oktober : Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/protein.v3i4.1762

Abstract

Hospitalization in preschool children often causes anxiety due to several factors, such as unfamiliar environments, uncomfortable medical procedures, and separation from parents. This condition can negatively affect the child’s psychological state, which may influence both the healing process and adaptation during hospital care. Therefore, it is important to understand the description of anxiety experienced by children during hospitalization so that health workers can provide appropriate interventions. This study aimed to describe the anxiety caused by hospitalization among preschool children admitted to the Parkit Ward of Qolbu Insan Mulia (QIM) Hospital Batang. The study employed a descriptive quantitative design with a purposive sampling technique. A total of 65 preschool children aged 3–6 years who met the inclusion criteria were recruited as samples. The instrument used was the Spence Children’s Anxiety Scale (SCAS) Preschool Parent Report, which was completed by parents to assess the children’s level of anxiety. Data analysis was carried out using frequency distribution to present both the respondents’ characteristics and the level of anxiety. The results showed that most respondents were 5 years old (36.9%) and predominantly male (61.5%). A majority of the respondents had never been hospitalized before (63.1%), making hospitalization a first-time experience that could trigger anxiety. The highest proportion of anxiety levels was in the mild category (38.4%), followed by moderate anxiety (30.7%). Only a small proportion of children experienced severe anxiety. In conclusion, preschool children undergoing hospitalization in the Parkit Ward of QIM Hospital Batang mostly experienced mild to moderate anxiety. These findings provide an important overview for nursing staff in designing interventions to reduce children’s anxiety. Suggested approaches include play therapy, effective communication, and active parental involvement in the care process. With such strategies, it is expected that children’s anxiety can be reduced, making hospitalization a more adaptive experience that supports the recovery process.