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All Journal Jurnal Pengabdian Masyarakat Kedokteran TRILOGI: Jurnal Ilmu Teknologi, Kesehatan, dan Humaniora Prosiding University Research Colloquium Jurnal HUMANIS Termometer: Jurnal Ilmiah Ilmu Kesehatan Dan Kedokteran Jurnal Keperawatan Jurnal Ilmiah Sultan Agung JOURNAL OF Mother and Child Health Concerns Journal Healthcare Education Sanitas: Journal of Health, Medical, and Psychological Studie Journal of Golden Generation Health International Journal of Health Science Hippocratica: Journal of Modern Medicine and Healthcare Practice
Kurnia Wijayanti
Fakultas Ilmu Keperawatan, Universitas Islam Sultan Agung
Religion Humanities Civil Engineering, Building, Construction & Architecture Computer Science & IT Dentistry Economics, Econometrics & Finance Education Electrical & Electronics Engineering Engineering Environmental Science Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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Hubungan Penerapan Bundle Ventilator-Associated Pneumonia (VAP) dengan Kejadian VAP dan Durasi Ventilator di Picu Ana Wahyuni; Nopi Nur Khasanah; Kurnia Wijayanti
TRILOGI: Jurnal Ilmu Teknologi, Kesehatan, dan Humaniora Vol 7, No 1 (2026)
Publisher : Universitas Nurul Jadid

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/trilogi.v7i1.14448

Abstract

Ventilator-Associated Pneumonia (VAP) is a nosocomial infection that manifests in patients following mechanical ventilation for ≥ 48 hours. This incidence significantly contributes to the escalation of morbidity, mortality, prolonged length of stay, and the financial burden of care. The implementation of the VAP Bundle as an evidence-based practice is projected to reduce VAP prevalence while optimizing the duration of ventilator use. This study aims to analyze the correlation between the implementation of the VAP Bundle and the incidence of VAP, as well as the duration of mechanical ventilation among patients in the Pediatric Intensive Care Unit (PICU) at RSUP Dr. Kariadi Semarang. This study employed a descriptive-analytic design with a cross-sectional approach. A total of 44 respondents were selected using a total sampling technique. Data were collected using VAP Bundle implementation observation sheets, medical records, and the Clinical Pulmonary Infection Score (CPIS). Data analysis was performed univariately and bivariately using the Chi-Square statistical test. The findings indicated a significant relationship between the implementation of the VAP Bundle and the incidence of VAP, as well as a relationship between the VAP Bundle implementation and the duration of ventilator use. Adherence to VAP Bundle implementation according to Standard Operating Procedures (SOP) contributed to a decrease in VAP incidence and a tendency toward a ventilator duration of ≤4 days. Compliance with the VAP Bundle protocol plays a crucial role in preventing VAP and enhancing the efficiency of ventilator use. This study recommends increasing nursing compliance with VAP Bundle standards to improve the quality of critical care nursing services.
Pengaruh Pemberian Minyak Zaitun terhadap Penurunan Skala Pruritus pada Pasien yang Menjalani Hemodialisa Fitri Nur’aini; 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 : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/termometer.v3i4.5480

Abstract

Pruritus, or itching, varies in duration, location, and severity, and can occur in specific areas or across the entire body surface. Common pharmacological treatments include antihistamines, emollients, topical capsaicin, opioid antagonists, gabapentin, immunomodulators, immunosuppressants, tacrolimus ointment, and oral activated charcoal. Itching in patients undergoing hemodialysis is a common problem that significantly impacts patient comfort, making effective management necessary. Olive oil is known for its anti-inflammatory and moisturizing properties, which may help alleviate pruritus. This study aims to examine the effect of olive oil administration on the reduction of pruritus scores in hemodialysis patients at RSI Sultan Agung Semarang. The study used a quantitative design with a quasi-experimental pre-post two-group comparison model. The sample consisted of 42 hemodialysis patients divided into two groups: the intervention group, which received olive oil and antihistamine, and the control group, which only received antihistamine. The results showed that the average pruritus score before treatment in the intervention group was 5.625, and after administration of olive oil + antihistamine, it decreased to 3.375. Statistical analysis using the Paired Samples Test showed a significant effect of olive oil + antihistamine administration on pruritus reduction (p = 0.000 < 0.05). Furthermore, there was a significant difference in effectiveness between the intervention group (olive oil + antihistamine) and the control group (antihistamine only), with a p-value of 0.000 < 0.05. In conclusion, the administration of olive oil combined with antihistamines is more effective than antihistamine alone in reducing pruritus scores in hemodialysis patients at RSI Sultan Agung Semarang.
Hubungan Pengetahuan tentang Manajemen Laktasi dengan Sikap Ibu dalam Pemberian Asi Indah Wahyuni; 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 : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/termometer.v3i4.5482

Abstract

Breast milk is the best nutrition for babies because it contains complete nutrients and antibodies that support immunity and optimal growth and development. However, the rate of exclusive breastfeeding in Indonesia is still low, even though its benefits have been proven to reduce the risk of stunting, obesity, and infectious diseases. Mothers' lack of knowledge about lactation management is one of the inhibiting factors, so educational efforts are needed to improve mothers' attitudes towards breastfeeding and support their babies' health. This study aims to determine the relationship between knowledge about lactation management and mothers' attitudes towards breastfeeding at Dr. H Soewondo Kendal Hospital. This study used a quantitative research design with a descriptive correlation and cross-sectional approach. The number of respondents was 38 mothers selected using purposive sampling. The data collection instruments were questionnaires on knowledge about exclusive breastfeeding (15 items) and attitudes towards breastfeeding (16 items). Data analysis was performed using Spearman's rank correlation test. The results of the study showed that most of the breastfeeding mothers were aged 20-35 years (30 respondents), most of them had a high school/vocational school education (25 respondents or 65.8%), and most of them were housewives (21 respondents or 55.3%). Knowledge about lactation management was mostly adequate among 25 respondents (65.8%), and good among 13 respondents (34.2%). Attitudes toward breastfeeding were mostly adequate and good among 19 respondents (50.0%) each. There was a relationship between knowledge about lactation management and mothers' attitudes towards breastfeeding at Dr. H Soewondo Kendal Hospital with a p-value of 0.000. The Spearman correlation test also showed a relationship strength value (rho value) of 0.721, which means that there is a positive relationship: the better the level of knowledge about lactation management, the better the mothers' attitudes towards breastfeeding. It is recommended that nurses be more active in providing comprehensive and structured education on lactation management, not only limited to basic breastfeeding theory, but also covering practical skills, breastfeeding time management, and techniques for dealing with lactation problems commonly experienced by breastfeeding mothers.
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 : Lembaga Pengembangan Kinerja Dosen

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 : Lembaga Pengembangan Kinerja Dosen

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 : Lembaga Pengembangan Kinerja Dosen

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.
Factors Associated with the Occurrence of Fever-Associated Seizures in Children in the Emergency Department of Harapan Anda Islamic General Hospital Maretta Arries Sekarsari; Kurnia Wijayanti; Nopi Nur Khasanah
Hippocratica : Journal of Modern Medicine and Healthcare Practice Vol. 1 No. 2 (2026): : June: Hippocratica: Journal of Modern Medicine and Healthcare Practice
Publisher : CV SCRIPTA INTELEKTUAL MANDIRI

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

Abstract

Febrile seizures are commonly encountered in children aged 6 months to 5 years and are clinically classified as simple febrile seizures (SFS) or complex febrile seizures (CFS). This study aimed to identify factors associated with febrile seizure classification among children presenting to the Emergency Department of Harapan Anda Islamic General Hospital, Tegal City. A quantitative observational analytic study with a cross-sectional design was conducted from May to July 2026, involving 35 children selected using total sampling. The independent variables included age, gender, body temperature, previous febrile seizure history, and leukocyte, neutrophil, and lymphocyte counts, while the dependent variable was febrile seizure classification as SFS or CFS. Data were analyzed using univariate and bivariate analyses with the Chi-square test at a 5% significance level. CFS occurred in 19 participants (54.3%), while SFS occurred in 16 (45.7%). Significant associations were found between seizure classification and age (p=0.003), body temperature (p=0.012), and previous febrile seizure history (p=0.030), whereas gender (p=0.945), leukocyte count (p=0.070), neutrophil count (p=1.000), and lymphocyte count (p=0.659) were not significantly associated. Age, body temperature, and previous febrile seizure history were associated with febrile seizure classification and may provide useful information for the initial assessment and monitoring of children with febrile seizures in emergency care.
The Relationship Between Types of Health Insurance (BPJS Kesehatan and Private Insurance) and Patient Satisfaction with Digitalization Teryna Lorenzita Setiawan; Kurnia Wijayanti; Nopi Nur Khasanah
Hippocratica : Journal of Modern Medicine and Healthcare Practice Vol. 1 No. 2 (2026): : June: Hippocratica: Journal of Modern Medicine and Healthcare Practice
Publisher : CV SCRIPTA INTELEKTUAL MANDIRI

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

Abstract

The advancement of digital technology has transformed healthcare delivery in Indonesia, including the way patients access and evaluate services provided through BPJS Kesehatan and private insurance. This study aimed to examine the relationship between health insurance type and patient satisfaction in a digitally supported private hospital in Semarang City. A quantitative correlational analytical design was conducted from April to September 2026 among patients who had utilized digital healthcare services in 2025. From a population of 1,230 patients, 96 respondents were selected using purposive sampling. Data were collected through structured questionnaires measuring health insurance type and patient satisfaction and were analyzed using univariate analysis and the Spearman Rank test. Most respondents were aged 26–35 years (35.4%), female (56.3%), had higher education (51.0%), and used outpatient services (65.6%). The largest proportion had a moderate duration of insurance use (42.7%), while low healthcare utilization frequency was most common (45.8%). BPJS Kesehatan users represented 53.1% of respondents, and overall patient satisfaction was predominantly moderate (54.2%). Spearman Rank analysis demonstrated a statistically significant, strong, and positive relationship between health insurance type and patient satisfaction (p = 0.000; r = 0.602). The findings indicate that insurance type is meaningfully associated with differences in patient satisfaction and should be considered in efforts to strengthen equitable, patient-centered, and digitally supported healthcare services.
The Relationship Between Adherence to Antihypertensive Medication and Quality of Life Among Hypertensive Patients in the Service Area of the Tlogosari Kulon Community Health Center Winda Luthfiana; Kurnia Wijayanti; Nopi Nur Khasanah
Hippocratica : Journal of Modern Medicine and Healthcare Practice Vol. 1 No. 2 (2026): : June: Hippocratica: Journal of Modern Medicine and Healthcare Practice
Publisher : CV SCRIPTA INTELEKTUAL MANDIRI

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

Abstract

Hypertension is a chronic condition requiring long-term pharmacological management, yet patients’ quality of life may be influenced by multiple physical, psychological, social, and environmental factors beyond medication adherence. This study aimed to determine the relationship between antihypertensive medication adherence and quality of life among hypertensive patients in the service area of Tlogosari Kulon Community Health Center. A quantitative analytical correlational study with a cross-sectional design was conducted among 83 hypertensive patients selected according to predetermined inclusion and exclusion criteria. Data were collected using the 8-item Morisky Medication Adherence Scale (MMAS-8) and the WHOQOL-BREF questionnaire and analyzed using univariate and bivariate analyses with the Pearson Chi-Square and Contingency Coefficient tests. The results showed that 39 respondents (47.0%) had high medication adherence, 29 (34.9%) had moderate adherence, and 15 (18.0%) had low adherence. Regarding quality of life, 48 respondents (57.8%) had good quality of life, 35 (42.1%) had moderate quality of life, and none had poor quality of life. The Pearson Chi-Square test yielded χ² = 1.480 with p = 0.236 (>0.05), indicating no significant relationship between antihypertensive medication adherence and quality of life. The Contingency Coefficient of 0.132 indicated a very weak association. These findings suggest that quality of life among hypertensive patients is influenced by factors beyond medication adherence.  
The Relationship Between Stress and Motivation, Burnout, and Performance Among Nurses in the Emergency Department of Soewondo Regional General Hospital in Kendal Ani Putri Irine; Kurnia Wijayanti; Nopi Nur Khasanah
Hippocratica : Journal of Modern Medicine and Healthcare Practice Vol. 1 No. 2 (2026): : June: Hippocratica: Journal of Modern Medicine and Healthcare Practice
Publisher : CV SCRIPTA INTELEKTUAL MANDIRI

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Abstract

Work stress is an occupational concern among Emergency Department (ED) nurses because of workloads, time pressure, unpredictable patient conditions, and demands for rapid clinical responses. This study examined the relationships between work stress and work motivation, burnout, and performance among ED nurses at Soewondo Regional General Hospital, Kendal. A quantitative descriptive-correlational study with a cross-sectional approach involved 32 ED nurses recruited through total sampling. Data were collected using the Work Stress Questionnaire and questionnaires measuring work motivation, burnout, and nursing performance. Descriptive statistics summarized study variables, while bivariate relationships were analyzed using Spearman’s rank correlation. Moderate work stress was observed in 13 nurses (40.6%), while low and moderate work motivation were each identified in 11 nurses (34.4%). High burnout was found in 12 nurses (37.5%), and 14 nurses (43.8%) demonstrated adequate performance. Work stress was strongly and negatively associated with work motivation (rho = −0.954; p = 0.000) and nursing performance (rho = −0.872; p = 0.000), while a strong positive association was identified with burnout (rho = 0.935; p = 0.000). These findings indicate that higher work stress is associated with lower motivation, greater burnout, and poorer nursing performance, highlighting the importance of occupational stress management to support psychological well-being and performance among ED nurses.
Co-Authors Aliyatul Khusna Ana Mundhawaroh Ana Wahyuni Ananda Rahma Khoirun Nisa Ani Putri Irine Arrohman Mahfudz Aslikhatul Umriyah Chanindya Anggita Putri Dhona Salsabilla Purwa Nanda Dimas Aqila Dwi Astutik Febri Ayu Hidayati Fitri Nur’aini Heni Susanti Herry Susanto Herry Susanto Indah Sri Wahyuningsih Indah Wahyuni Indra Tri Astuti Indra Tri Astuti Intan Triyanti Janitra, Fitria Endah Kartini Isnaini Khasanah, Nopi Nur Maretta Arries Sekarsari Muhamad Andri Setyawan Retno Issroviatiningrum Rizqi Khalaliyah Sigit Aji Putranto Teryna Lorenzita Setiawan Umay Matuz Zahro Salsabilla Uni Wulandari Winda Luthfiana Yuni Karomah