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All Journal Manuju : Malahayati Nursing Journal Jurnal Keperawatan Priority Journal of Telenursing (JOTING)
Azhar Zulkarnain Alamsyah
Universitas Muhammadiyah Sukabumi
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Pengaruh Pemberian Edukasi Preoperatif terhadap Tingkat Kecemasan Pasien Pre Operasi di Ruang Instalasi Bedah Sentral RSUD Jampang Kulon Dasep Dasep; Mustopa Saepul Alamsah; Azhar Zulkarnain Alamsyah; Asep Suryadin
Malahayati Nursing Journal Vol 7, No 8 (2025): Volume 7 Nomor 8 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i8.20489

Abstract

ABSTRACT Preoperative anxiety is a common response experienced by patients before undergoing surgical procedures. High levels of anxiety can negatively impact anesthesia processes and postoperative recovery. One effort that can be made to reduce anxiety is by providing preoperative education. This study aims to determine the effect of preoperative education on the anxiety level of preoperative patients in the operating room at RSUD Jampang Kulon. The research design used was a pre-experimental method with a one-group pretest-posttest approach. The sample consisted of 32 respondents selected using purposive sampling. The instrument used to measure anxiety levels was the Hamilton Anxiety Rating Scale (HARS). Data were analyzed using the Wilcoxon test, which showed a significant result with a p-value of 0.000 (p 0.05). This indicates a decrease in anxiety levels after the provision of preoperative education. Therefore, it can be concluded that preoperative education has a significant effect in reducing patients’ anxiety before surgery. Preoperative education should be part of the standard pre-surgical care to enhance patients’ preparedness and comfort. Keywords: Preoperative Education, Anxiety, Preoperative Patients  ABSTRAK Kecemasan preoperatif merupakan respons umum yang sering dialami pasien sebelum menjalani tindakan pembedahan. Tingkat kecemasan yang tinggi dapat berdampak negatif terhadap proses anestesi dan pemulihan pascaoperasi. Salah satu upaya yang dapat dilakukan untuk mengurangi kecemasan adalah dengan memberikan edukasi preoperatif. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian edukasi preoperatif terhadap tingkat kecemasan pasien pre operasi di Ruang Instalasi Bedah Sentral RSUD Jampang Kulon. Desain penelitian yang digunakan adalah pra-eksperimen dengan pendekatan one group pretest-posttest. Sampel dalam penelitian ini berjumlah 32 responden yang dipilih menggunakan teknik purposive sampling. Instrumen yang digunakan untuk mengukur tingkat kecemasan adalah kuesioner Hamilton Anxiety Rating Scale (HARS). Data dianalisis menggunakan uji Wilcoxon dan menunjukkan hasil yang signifikan, yaitu p-value sebesar 0,000 (p 0,05). Hasil ini menunjukkan adanya penurunan tingkat kecemasan setelah diberikan edukasi preoperatif. Dengan demikian, dapat disimpulkan bahwa pemberian edukasi preoperatif berpengaruh signifikan dalam menurunkan tingkat kecemasan pasien sebelum menjalani operasi. Edukasi preoperatif sebaiknya menjadi bagian dari standar pelayanan praoperasi untuk meningkatkan kesiapan dan kenyamanan pasien. Kata Kunci: Edukasi Preoperatif, Kecemasan, Pasien Pre Operasi
Pengaruh Edukasi Berbasis E-Booklet terhadap Manajemen Perawatan Diri pada Pasien Diabetes Mellitus Tipe 2 di RSI Assyifa Mila Nirmalasari; Erna Safariyah; Burhanuddin Basri; Azhar Zulkarnain Alamsyah
Malahayati Nursing Journal Vol 8, No 4 (2026): Volume 8 Nomor 4 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i4.24683

Abstract

ABSTRACT Patients with Type 2 Diabetes Mellitus require optimal self-care management abilities to prevent long-term complications and maintain their quality of life. However, preliminary findings at RSI Assyifa indicated that several patients were not yet able to perform self-care consistently, particularly in regulating diet, monitoring blood glucose levels, engaging in physical activity, adhering to medication therapy, and performing foot care. This study aimed to determine the effect of e-booklet–based education on self-care management among patients with Type 2 Diabetes Mellitus at RSI Assyifa Sukabumi. This research employed a quantitative approach with a quasi-experimental design using a pretest-posttest control group model, involving 36 respondents divided into an intervention group (n = 18) and a control group (n = 18), selected through purposive sampling. The research instrument used was the Summary of Diabetes Self-Care Activities (SDSCA). The Kolmogorov-Smirnov normality test indicated that all data were not normally distributed (p = 0.001). The Wilcoxon test showed a significant difference in self-care management between the intervention and control groups after the e-booklet–based education was provided (p = 0.001), with a mean rank of 26.14 for the intervention group and 10.86 for the control group. These findings demonstrate that e-booklet–based education is effective in improving self-care management among patients with Type 2 Diabetes Mellitus. Structured, clear, and easily accessible digital educational media help enhance patients’ understanding and independence in managing chronic conditions. Keywords: E-Booklet–Based Education, Self-Care Management, Type 2 Diabetes Mellitus, SDSCA.  ABSTRAK Pasien Diabetes Mellitus Tipe 2 memerlukan kemampuan manajemen perawatan diri yang optimal untuk mencegah komplikasi jangka panjang dan mempertahankan kualitas hidup. Namun, hasil studi pendahuluan di RSI Assyifa menunjukkan bahwa sebagian pasien belum mampu melakukan perawatan diri secara konsisten, terutama dalam hal pengaturan pola makan, pemantauan gula darah, aktivitas fisik, kepatuhan obat, dan perawatan kaki. Penelitian ini bertujuan untuk mengetahui pengaruh edukasi berbasis e-booklet terhadap manajemen perawatan diri pada pasien Diabetes Mellitus Tipe 2 di RSI Assyifa Sukabumi. Desain penelitian menggunakan pendekatan kuantitatif dengan metode quasi eksperimen dan model pretest-posttest control group design, melibatkan 36 responden yang terbagi menjadi kelompok intervensi (n = 18) dan kelompok kontrol (n = 18), dipilih menggunakan teknik purposive sampling. Instrumen penelitian menggunakan Summary of Diabetes Self-Care Activities (SDSCA). Hasil uji normalitas Kolmogorov-Smirnov menunjukkan bahwa seluruh data berdistribusi tidak normal (p = 0,001). Analisis Wilcoxon menunjukkan perbedaan signifikan manajemen perawatan diri antara kelompok intervensi dan kelompok kontrol setelah edukasi berbasis e-booklet diberikan (p = 0,001), dengan mean rank kelompok intervensi sebesar 26,14 dan kelompok kontrol 10,86. Temuan ini menunjukkan bahwa edukasi berbasis e-booklet efektif dalam meningkatkan manajemen perawatan diri pasien Diabetes Mellitus Tipe 2. Media edukasi digital yang terstruktur, jelas, dan mudah diakses membantu meningkatkan pemahaman dan kemandirian pasien dalam pengelolaan penyakit kronis. Kata Kunci: Edukasi Berbasis E-Booklet, Manajemen Perawatan Diri, Diabetes Mellitus Tipe 2, SDSCA.
The Effect of Progressive Muscle Relaxation Technique on Pain Hendra Irawan; Hadi Abdillah; Azhar Zulkarnain Alamsyah; Mustopa Saepul Alamsah
Jurnal Keperawatan Priority Vol. 9 No. 1 (2026)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v9i1.7773

Abstract

Pain is a common clinical problem that can be managed through both pharmacological and non-pharmacological approaches, including progressive muscle relaxation. This study aimed to examine the effect of progressive muscle relaxation technique on pain among patients in the Fatmawati Ward of RSUD Sekarwangi. A pre-experimental study with a one-group pretest–posttest design was conducted involving 25 respondents selected through purposive sampling, consisting of patients experiencing mild to moderate pain. Progressive muscle relaxation was administered once daily for approximately 15–20 minutes over the intervention period. Pain intensity was measured using the Numeric Rating Scale (NRS) before and after the intervention, and data were analyzed using the Wilcoxon Signed Rank Test. The results showed that prior to the intervention, most patients experienced moderate pain (84%), while after the intervention all patients (100%) reported mild pain. Statistical analysis revealed a significant difference in pain levels before and after the intervention (p = 0.001; < 0.05). These findings indicate that progressive muscle relaxation is effective in reducing pain among hospitalized patients. This technique can be considered a complementary nursing intervention in hospital pain management, and future studies are recommended to involve larger samples, control groups, and longer follow-up periods to evaluate its long-term effectiveness and broader clinical applications.
Kualitas Layanan Rawat Gabung dengan Tingkat Kepuasan Keluarga di Kamar Bayi Sehat Ani Kurniasari; Irawan Danismaya; Egi Mulyadi; Azhar Zulkarnain Alamsyah
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/bx009z43

Abstract

This study aims to analyze the relationship between the quality of outpatient care services and family satisfaction levels, providing a basis for hospitals to improve service quality. The research method used was a quantitative cross-sectional approach. Purposive sampling was used with 60 respondents. The results showed a p-value of 0.010, meaning p<0.050. The majority of respondents (93.3%) rated the quality of outpatient care services as high quality, and the majority (93.3%) were satisfied with the outpatient care they received. In conclusion, there is a relationship between the quality of outpatient care services and family satisfaction levels at the Healthy Baby Room.   Keywords: Family Satisfaction, Service Quality, Outpatient Care
Analisis Pengaruh Pemberian Posisi Semi Fowler 30 Derajat dan 45 Derajat terhadap Frekuensi Pernapasan pada Pasien TB PARU Wulanda Ayuni; Lutiyah Lutiyah; Azhar Zulkarnain Alamsyah; Hendri Hadiyanto
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/t1yyxr57

Abstract

This study aimed to analyze the effect of the 30-degree and 45-degree Semi-Fowler positions on respiratory rate in patients with pulmonary tuberculosis (TB). The method used was a quasi-experimental approach with a pre-post test. The results showed a significant effect (p-value 0.000) in the second position. Respiratory rate in the 30-degree position decreased from an average of 25 to 22 breaths/minute, while in the 45-degree position, the decrease was more effective, from 26 to 21 breaths/minute. The 45-degree position proved more optimal in reducing shortness of breath because it maximizes the force of gravity to reduce pressure on abdominal organs against the diaphragm, resulting in maximum lung expansion. In conclusion, the 45-degree Semi-Fowler position is more effective in stabilizing respiratory rate in patients with pulmonary tuberculosis than the 30-degree position.   Keywords: Respiratory Rate, Breathing Pattern, Semi-Fowler, Pulmonary TB  
Pengetahuan Perawat tentang Sasaran Keselamatan Pasien dengan Kepatuhan Melakukan Identifikasi Pasien dengan Benar Reska Budi Saptomo; Amir Hamzah; Anggun Fajar Ramadhani; Azhar Zulkarnain Alamsyah
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/kjyvgq88

Abstract

This study aims to analyze the relationship between nurses' knowledge of patient safety goals and correct patient identification. The method used is a quantitative study with a cross-sectional approach, sampling was carried out using purposive sampling of 92 respondents, data were collected through questionnaires and analyzed using the Chi-Square test. The results of this study showed a p-value of 0.000 (p < 0.05), which means there is a significant relationship between the level of knowledge and nurse compliance. Nurses with good knowledge tend to be highly compliant (83.6%), while those with sufficient knowledge are more likely to be non-compliant (8.8%). In conclusion, there is a relationship between nurses' knowledge of patient safety goals and compliance in correct patient identification.   Keywords: Patient Identification Compliance, Nurse Knowledge, Patient Safety Goals
Co-Authors Amir Hamzah Anggun Fajar Ramadhani Ani Kurniasari Asep Suryadin Burhanuddin Basri Dasep Dasep Egi Mulyadi Erna Safariyah Hadi Abdillah Hendra Irawan Hendri Hadiyanto Irawan Danismaya Lutiyah, Lutiyah Mila Nirmalasari Mustopa Saepul Alamsah Reska Budi Saptomo Wulanda Ayuni