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Pengaruh Dukungan Sosial Terhadap Kepatuhan Pengobatan dan Kualitas Hidup Pasien dengan Penyakit Ginjal Kronis Tahun 2024 Achmad Fauzi; Megawarni Antonia Napitupulu; Zulan Sari; Zul Qaedah Atthahirah
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.42611

Abstract

Chronic Kidney Disease (CKD) is a condition characterized by a significant and gradual decline in kidney function over a long period. Social support is crucial for CKD patients as their physical and mental conditions tend to deteriorate compared to when they were healthy. A lack of social support impacts patient compliance in undergoing hemodialysis (HD). Besides treatment compliance, the quality of life of CKD patients must also be considered. Many CKD patients feel fearful of undergoing hemodialysis therapy due to the lifelong dependency it entails. To determine the influence of social support on treatment compliance and quality of life in patients with Chronic Kidney Disease. This study used a quantitative research type and a “Quasi Experimental Pre-Post Test” design. The sample size was calculated using the Slovin’s formula. Statistical test methods included univariate tests, normality tests, and the Wilcoxon test. There is an influence of social support on treatment compliance and quality of life in patients with Chronic Kidney Disease, with p-values of 0.028 and 0.001 < 0.005, respectively. The research conducted found that social support influences treatment compliance and quality of life in patients with Chronic Kidney Disease. It is evident that there is a significant impact of social support on treatment compliance and quality of life before and after intervention. Additionally, it was found that the majority of respondents were young adults aged 40 – 59 years, predominantly male, and most respondents were employed.
Implementation Of Time Out Procedure To Reduce Operation Side Identification Errors At St Elisabeth Hospital Bekasi Achmad Fauzi; Maharani Dyah Kusumawardani
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.47635

Abstract

Background: In response to this, WHO has launched a global movement to promote safe surgery, which gave birth to the surgical safety checklist. The use of this checklist has been shown to reduce mortality by 50% and reduce complications from 11% to 7%. Objective: The effect of the Implementation of Time Out Procedure on Reducing Errors in Identification of the Surgical Site at St. Elisabeth Hospital, Bekasi Research Method: cross-sectional research method, with data analysis carried out univariately and bivariately with the chi square test. Research Results: Description of the results of the characteristics of respondents based on age, the most are in patients who underwent with the age of 46-55 years, the most gender is in patients who underwent surgery, the female gender is 36 respondents (56.2%), the most type of surgery in patients with major surgery is 41 respondents (64%). Based on the results of the chi square statistical test in this study, the results of the p-value were 0.000 <0.05 H0 was rejected and Ha was accepted, meaning that there was a significant relationship between the Time Out Procedure operation and the occurrence of errors in identifying the side of the operation in the surgical room of St. Elisabeth Hospital, Bekasi in 2025. Conclusion: There is an influence between Time Out Procedure surgery and the incident of error opening the surgical side in the ST Elisabeth Bekasi Hospital surgical room with a p-value of 0.000
Efektivitas Musik Lullaby Terhadap Stabilitas Hemodinamik Pada Bayi Prematur di Ruangan NICU Siloam Bekasi Timur Achmad Fauzi; Jelita Sirait
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.49545

Abstract

Bayi prematur rentan mengalami ketidakstabilan hemodinamik akibat imaturitas organ, terutama sistem pernapasan dan kardiovaskular. Pemantauan hemodinamik penting untuk mencegah komplikasi. Terapi music lullaby merupakan intervensi nonfarmakologis yang dipercaya dapat menstabilkan frekuensi jantung, pernapasan, dan saturasi oksigen. Untuk mengetahui Efektivitas musik Lullaby terhadap stabilitas hemodinamik pada bayi prematur di Ruangan NICU Siloam Bekasi Timur. Desain penelitian ini adalah Quasi Eksperimen dengan pendekatan Pretest-Posttest With Control Group dengan. Sampel dalam penelitian ini adalah 20 bayi prematur yang dibedakan menjadi 2 kelompok yaitu 10 bayi prematur yang diberikan musik Lullaby dan 10 bayi prematur yang tidak diberikan musik Lullaby. Teknik pengambilan sampel yaitu purposive sampling. Analisa data dilakukan secara univariat dan bivariat menggunakan uji Independen Sampel T-Test. Hasil penelitian ditemukan bahwa bayi prematur yang diberikan musik lullaby memiliki stabilitas hemodinamik yang stabil. Bayi prematur yang tidak diberikan musik lullaby memiliki stabilitas hemodinamik yang kurang stabil. Ada efektivitas musik lullaby terhadap stabilitas hemodinamik bayi prematur dengan p-value <0,05. Ada perbedaan efektivitas stabilitas hemodinamik pada kelompok yang diberikan dan tidak diberikan musik Lullaby pada bayi prematur di Ruangan NICU Siloam Bekasi Timur. Diharapkan pihak rumah sakit, khususnya di ruang NICU, hasil penelitian ini bisa menjadi masukan untuk mulai menerapkan terapi musik sebagai bagian dari perawatan rutin bagi bayi prematur.
Efektifitas Terapi Zink Dibandingkan Dengan Terapi Standard Dalam Penanganan Diare Pada Anak Di Puskesmas Jatisampurna Tahun 2025 Tuti Rosmiyati; Achmad Fauzi
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.49944

Abstract

Diare menjadi ancaman serius bagi kelangsungan hidup anak. WHO mengestimasikan bahwa insiden tahunan diare pada anak-anak mendekati 1,7 miliar kasus secara global. Tidak tercapainya target tersebut disebabkan karema masih belum optimalnya pemberian oralit dan zink sesuai pedoman tata laksana diare oleh tenaga kesehatan di puskesmas. Untuk mengetahui Efektifitas terapi zink dibandingkan dengan terapi standard dalam penanganan diare pada anak di Puskesmas Jatisampurna tahun 2025. Penelitian ini menggunakan desain quasi experimental dengan pendekatan Pretest–Posttest Control Group Design. Sampel penelitian adalah balita dengan diare sebanyak 30 responden dengan teknik consecutive sampling. Instrumen penelitian menggunakan lembar observasi. Gambaran rata-rata frekuensi diare anak sebelum diberikan terapi standar adalah sebesar 5,20 kali per hari. Setelah diberikan terapi standar menurun menjadi 2,80 kali per hari. Pada anak yang sebelum diberikan terapi zink rata-rata frekuensi diare adalah sebesar 6,67 kali per hari dan setelah diberikan zink menurun menjadi 2,33 kali per hari. Hasil analisis bivariat menunjukkan Terdapat perbedaan yang signifikan antara pengaruh terapi standar dan terapi zink dalam penanganan diare pada balita. Didapatkan nilai p-value sebesar 0,002 (p < 0,05). terdapat pengaruh zink dalam menurunkan kejadian diare pada balita dengan diare. Dengan demikian, para ibu yang memiliki balita didorong untuk aktif mencari informasi mengenai diare dan pencegahannya, tidak hanya dari tenaga kesehatan tetapi juga dari berbagai media. Dengan demikian, diharapkan ibu dapat berpartisipasi aktif dalam pemberian zinc sebagai salah satu upaya pencegahan diare
Efektifitas Edukasi Self Care Management Terhadap Perilaku Kepatuhan Pengendalian Hipertensi Pada Pasien Hipertensi di Rumah Sakit Primaya Hospital Bekasi Utara Achmad Fauzi; Alika Putri
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.49958

Abstract

Background: Hypertension has become one of the important health problems and the most common vascular disease in developed countries, and specifically in developing countries. Hypertension is referred to as a degenerative disease and a non-communicable disease; this condition often occurs and has a relatively high mortality rate, as well as affecting the quality of life and productivity of individuals. Providing self-management education can also enhance patients' abilities to manage the signs and symptoms that arise, improve cognitive, behavioral, and emotional responses necessary to maintain quality of life, thus preventing complications and minimizing the disturbances caused in bodily functions, emotions, and interpersonal relationships with others that can disrupt the client's life. Objective: To determine the Effectiveness of Self-Care Management Education on Adherence Behaviors in Managing Hypertension in Hypertensive Patients at Primaya Hospital Bekasi Utara. Method: This research is a quantitative study using Quasi-Experimental research methods with the technique employed being Two Group Pre Test-Post Test Control Group Design. The sample in this study was taken from all hypertensive patients receiving outpatient care in the Internal Medicine Clinic at Primaya Hospital Bekasi Utara. Thus, there are 17 patients for the intervention group and 17 patients for the control group. Results: The analysis of the chi-square test showed that in the control group, a p-value of 0.010 was obtained (<α 0.05). This means that there is a significant effect in the control group that did not receive treatment. In the analysis of the chi-square test in the intervention group, a p-value of 0.012 was obtained (<α 0.05). This means that there is a significant influence on the intervention group that received the treatment. Conclusion: Self Care Management education affects hypertension control behavior in hypertensive patients. Suggestion: The research results can serve as a discussion material to continue developing and implementing effective and efficient educational interventions that can improve health behavior changes for the better.
Literature Review Kaitan Hasil Skrining Sindrom Metabolik Dengan Risiko Kardiovaskular Jangka Menengah Aulia Adis Salsabila; Achmad Fauzi
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.50870

Abstract

Latar Belakang: Sindrom metabolik (SM) merupakan kumpulan faktor risiko metabolik yang meliputi obesitas abdominal, hipertensi, hiperglikemia, dan dislipidemia. Keberadaan SM telah lama dihubungkan dengan peningkatan risiko penyakit kardiovaskuler (CVD). Namun, terdapat variasi hasil penelitian terkait sejauh mana SM dapat menjadi prediktor yang kuat terhadap kejadian kardiovaskuler dalam jangka menengah (lima tahun).Tujuan: Penelitian ini bertujuan untuk melakukan telaah sistematis literatur mengenai hubungan antara hasil skrining sindrom metabolik dalam medical check-up dengan prediksi risiko kardiovaskuler jangka menengah. Metode Penelitian: Studi ini menggunakan desain literature review dengan pendekatan sistematis. Pencarian artikel dilakukan melalui database PubMed, Scopus, ScienceDirect, dan Google Scholar dengan kata kunci “metabolic syndrome”, “cardiovascular risk”, dan “mid-term cardiovascular outcome”. Seleksi artikel mengikuti protokol PRISMA, dengan kriteria inklusi: artikel dalam rentang tahun 2010–2024, menggunakan desain kohort prospektif, retrospektif, maupun cross-sectional, dan melibatkan populasi dewasa yang menjalani medical check-up. Dari 520 artikel yang diidentifikasi, 8 artikel memenuhi kriteria inklusi dan dianalisis. Hasil Penelitian: Hasil sintesis menunjukkan bahwa keberadaan SM secara konsisten meningkatkan prediksi risiko kardiovaskuler dalam lima tahun, meskipun kontribusi masing-masing komponen bervariasi. Faktor hipertensi, obesitas abdominal, dan dislipidemia (terutama kadar HDL rendah) terbukti menjadi prediktor paling kuat. Beberapa studi multinasional melaporkan bahwa penggunaan skor risiko seperti Framingham, SCORE, dan QRISK menjadi lebih akurat bila memasukkan variabel SM. Namun, terdapat perbedaan antar populasi, di mana prevalensi dan dampak SM cenderung lebih tinggi di negara berkembang dibanding negara maju. Kesimpulan dan Saran: Literatur review ini menegaskan bahwa hasil skrining sindrom metabolik dalam medical check-up memiliki nilai prediktif penting terhadap risiko kardiovaskuler jangka menengah. Oleh karena itu, deteksi dini SM perlu diintegrasikan secara rutin dalam pemeriksaan kesehatan populasi dewasa untuk mencegah komplikasi kardiovaskuler di masa depan.
Hubungan Beban Kerja dengan Kejadian Low Back Pain dan Burnout Pada Perawat di Ruang Operasi RSUD Kabupaten Bekasi Maryati Maryati; Achmad Fauzi
Malahayati Nursing Journal Vol 6, No 3 (2024): Volume 6 Nomor 3 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i3.11080

Abstract

ABSTRACT Burnout is a psychological condition characterized by symptoms of emotional exhaustion, cynicism and inner inadequacy finish the job. Burnout Syndrome among the nursing profession has been widely studied abroad. In Andalusia, Spain, it was reported that 674 (80%) of the nurses studied had an average high rate of burnout syndrome. Nurses are health workers who directly interact with patients for a long time, so nurses have twice the risk of experiencing burnout. Nurses with a high workload are not only at risk of suffering from burnout, they are also at risk of developing Low Back Pain determine the relationship between workload and the incidence of low back pain and burnout among nurses. Analytic with cross sectional approach. The sample in this study were all nurses on duty in the operating room of the Bekasi District Hospital, totaling 40 people. The sampling technique uses total sampling. the majority of nurses with mild stress 48.9%, and self-disclosure moderate nurses 68.2%. There is the influence of self-disclosure on the stress level of nurses in the Mental Ward of the Duren Sawit Mental Hospital, East Jakarta (p value. 0.001). There is a relationship between workload and the incidence of low back pain and burnout among nurses in the operating room. It is hoped that the hospital can pay attention to the workload of nurses by providing opportunities for nurses to attend training to optimally support the nursing process and provide appropriate rest hours. Keywords: Workload, Burnout, Low Back Pain  ABSTRAK Burnout merupakan kondisi psikologis yang ditandai dengan dengan gejala kelelahan emosional, sikap sinisme dan ketidakmampuan diri dalam menyelesaikan pekerjaan. Burnout Syndrome dikalangan profesi perawat banyak diteliti di luar negeri. Di Andalusia Spanyol dilaporkan dari 674 (80%) perawat yang diteliti rata-rata memiliki tingkat burnout syndrome yang tinggi. Perawat merupakan tenaga kesehatan yang secara langsung berinteraksi dengan pasien dalam jangka waktu yang lama, sehingga perawat memiliki risiko dua kali lebih besar untuk mengalami burnout. Perawat dengan beban kerja yang tinggi selain berisiko menderita burnout juga berisiko terkena Low Back Pain. mengetahui hubungan beban kerja dengan kejadian low back pain dan burnout pada perawat. Analitik dengan pendekatan cross sectional. Sampel dalam penelitian ini adalah seluruh perawat yang bertugas di Ruang operasi RSUD kabupaten Bekasi sebanyak 40 orang. Teknik pengambilan sampel menggunakan total sampling. Distribusi frekuensi sebagian besar perawat tidak mengalami low back pain (85,2%) burnout ringan (65,0%), lama kerja 5 tahun (63,3%) dan beban kerja sedang (60,0%). Ada hubungan beban kerja dengan kejadian low back pain pada perawat di Ruang Operasi (p value 0,003). Ada hubungan beban kerja dengan kejadian burnout pada perawat di Ruang Operasi (p value 0,004)  Ada hubungan beban kerja dengan kejadian low back pain dan burnout pada perawat di Ruang Operasi. Diharapkan pihak rumah sakit dapat memperhatikan beban kerja perawat dengan cara memberikan kesempatan perawat untuk mengikuti pelatihan untuk menunjang proses keperawatan dengan optimal serta memberikan jam istirahat yang sesuai. Kata Kunci: Beban kerja, Burnout, Low Back Pain
The Effect Of Workload On Nurses' Mental Health At Duren Sawit Drug Surgery, East Jakarta Arif Rahman; Mahyar Suara; Achmad Fauzi
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.54279

Abstract

Background: Nurses are among the healthcare workers who play a crucial role in the healthcare system. High workloads, long hours, shift systems, and limited staffing often result in nurses having to handle excessive workloads. This can lead to physical exhaustion, emotional stress, and a reduced quality of life. The pressure of workload not only impacts the physical but also significantly impacts the mental health of nurses. Research Objective: To determine the influence of workload on the mental health of nurses. Research Method: This study used a cross-sectional analytical design. The sample in this study were some of the nurses working in Building A of the Duren Sawit Regional Specialist Hospital, East Jakarta, in November 2025, with a total sample size of 58 people. The sampling technique used was random sampling. Research Results: The majority of respondents were aged 26-35 years (72.4%), had a Diploma III in Nursing (84.5%), were female (58.6%), had mild/moderate disorders (70.7%), and had a heavy workload (48.3%). There was an effect of workload on nurses' mental health, with a p-value of 0.002. Conclusions and Recommendations: Workload impacts nurses' mental health. Nurses are expected to improve their stress management skills, maintain a balance between work and personal life, and utilize available mental health support facilities.
THE Relationship Between Cargiver Burden And Mental Health Of Elderly Families At Duren Sawit Dosage Care Surgery, East Jakarta Zatmiko Hery Prasetyo; Mahyar Suara; Achmad Fauzi
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.54280

Abstract

Background: The elderly are an age group experiencing declines in physical, psychological, and social function, requiring special attention in terms of health and well-being. Most elderly people in Indonesia are cared for by their own family members. Families play a crucial role as caregivers, providing physical, emotional, and social support to the elderly. Long-term caregiving responsibilities can cause stress and exhaustion in family members, known as caregiver burden. This burden refers to the physical, emotional, social, and economic burden experienced by caregivers while caring for the elderly. This burden can negatively impact the caregiver's mental health, including stress, depression, and anxiety. Research Objective: Knowing the relationship between caregiver burden and the mental health of elderly families. Research Method: This study used a cross-sectional analytical design. The sample in this study was a portion of the elderly family who accompanied the elderly for treatment at the Duren Sawit Regional General Hospital, East Jakarta in November 2025, with a total sample of 60 people. The sampling technique used was asidental sampling. Research Results: The majority of respondents were aged 36-45 years (36.7%), had secondary education (71.7%), and were female (63.3%), had mild mental health disorders (56.7%), and had moderate caregiver burden (60.0%). There was a relationship between caregiver burden and the mental health of elderly family members (p-value 0.001). Conclusions and Recommendations: There is a relationship between caregiver burden and the mental health of elderly family members. It is hoped that families can divide the roles in caring for the elderly so that the burden does not fall solely on one caregiver.
Pengaruh Peran Bidan Pada Pengetahuan Kesehatan Pencegahan Anemia Remaja Siswi Kelas X Di SMAN 1 Cibuaya dan SMKN 1Karawang Achmad Fauzi; Windi Dwi Astuti; Tari Asmarita Boka
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.54968

Abstract

Latar Belakang : Remaja putri merupakan kelompok berisiko tinggi mengalami anemia defisiensi besi akibat meningkatnya kebutuhan zat besi dan kehilangan darah saat menstruasi. Rendahnya pengetahuan remaja yang dipengaruhi oleh kurangnya peran tenaga kesehatan menunjukkan pentingnya peran bidan dalam pencegahan anemia. Tujuan : Untuk mengetahui pengaruh peran bidan terhadap pengetahuan kesehatan dalam pencegahan anemia pada siswi Kelas X di SMAN 1 Cibuaya dan SMKN 1 Karawang. Metode : Penelitian ini menggunakan metode pre-eksperimental dengan desain one group pretest–posttest, yaitu pengukuran dilakukan dua kali pada kelompok yang sama sebelum dan sesudah diberikan perlakuan. Jumlah sampel dalam penelitian ini sebanyak 71 responden, dan analisis data dilakukan menggunakan uji statistik Wilcoxon. Hasil : Rata-rata skor pengetahuan meningkat dari 7,70 sebelum edukasi menjadi 12,44 setelah edukasi oleh bidan, dengan hasil uji statistik menunjukkan adanya pengaruh signifikan peran bidan terhadap pengetahuan remaja dalam pencegahan anemia (p < 0,05). Kesimpulan dan Saran: Edukasi oleh bidan berpengaruh signifikan terhadap peningkatan pengetahuan remaja putri dalam pencegahan anemia. Diperlukan peningkatan edukasi berkelanjutan oleh bidan serta penerapan pengetahuan oleh remaja dan pengembangan penelitian selanjutnya.