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All Journal Syntax Literate: Jurnal Ilmiah Indonesia JURNAL KESEHATAN INDRA HUSADA Jurnal Kreativitas PKM Ensiklopedia of Journal JURNAL KESEHATAN MERCUSUAR Edu Masda Journal Journal of Nursing Practice and Education INDOGENIUS Cerdika: Jurnal Ilmiah Indonesia Jurnal Mahasiswa Ilmu Kesehatan Al Makki Health Informatics Journal Jurnal Kesehatan Mahardika MEJORA Jurnal Keperawatan Profesional Sustainable Applied Modification Evidence Community Journal of Health Service Administration and Hospital Management
Karlina, Nonok
Institut Teknologi Dan Kesehatan Mahardika
Arts Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Physics Public Health Social Sciences Veterinary Other

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Pelaksanaan Five Moment Hand Hygiene Pada Perawat Di Ruang Jimbaran: Studi Kasus Yulianingsih; Karlina, Nonok; Najihah, Umi; Budianti, Dian
MEJORA Medical Journal Awatara Vol 2 No 3 (2024): Juli
Publisher : Awatara Publisher

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

Abstract

Hand hygiene is a term for cleaning hands. The World Health Organization formulated an innovative strategy for implementing hand hygiene, namely for health workersin five moments of hand hygiene, namely before contact with patients, before carrying out nursing actions, after exposure to patient body fluids, after contact with patients, and after contact with the environment. The aim for this research is that researchers want to observe and describe the implementation of five moment hand hygiene among nurses.The number of samples in this study was 18 nurses in the Jimbaran ward at Sumber Kasih Hospital, Cirebon. Data collection carried out by researchers in managing this case study included observation,interviews and documentation studies.The research results showed that 11 respondents (61,11%) had poor implementation of five moment hand hygiene and 7 respondents (38.89%) had good implementation of five moment hand hygiene. The conclusion is that the implementation of five moment hand hygiene is not good due to the lack of knowledge and awareness of nurses about the benefits of five moment hand hygiene and the impacts caused when it is not implemented.
Hubungan Mekanisme Koping dengan Kepatuhan Minum Obat Pada Penderita TB Paru Di Wilayah Puskesmas Sukra Kabupaten Indramayu Karlina, Nonok; Erna Marisa , Dewi; Nurhaeni, Ani
Cerdika: Jurnal Ilmiah Indonesia Vol. 2 No. 12 (2022): Cerdika: Jurnal Ilmiah Indonesia
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/cerdika.v2i12.490

Abstract

Berdasarkan hasil Riskesdas (2018), prevalensi kasus TB di Indonesia sebanyak 0,42% dari total seluruh provinsi di Indonesia. Jawa Barat masuk pada peringkat ke-3 untuk prevalensi kasus TB Paru tertinggi. Masalah yang dihadapi pasien tuberkulosis dalam pengobatan adalah waktu pengobatan tuberkulosis yang lama, dan banyak pasien tuberkulosis yang sudah bosan minum obat, serta 10,06% pasien tuberkulosis berhenti berobat karena merasa sudah sembuh. Tujuan dari penelitian ini adalah untuk mengetahui Hubungan mekanisme koping dengan kepatuhan minum obat pada penderita TB Paru di Puskesmas Sukra Kabupaten Indramayu. Penelitian ini menggunakan  metode  korelasional, dengan sampel penelitian sebanyak 30 orang yang diambil secara total sampling dari semua semua  pasien  penderita  TB  paru  yang  tercatat  di  Puskesmas  Sukra  Kabupaten  Indramayu, pada tahun 2021. Hasil penelitian menunjukan Responden penderita TB Paru di Puskesmas Sukra Kabupaten Indramayu mempunyai Mekanisme koping yang adaptif sebesar 57% dan 43 % dalam kategori maladaptif. Responden penderita TB Paru di Puskesmas Sukra Kabupaten Indramayu Kepatuhan penderita TB paru mempunyai kepatuhan yang tinggi sebesar 47%, kepatuhan sedang 23% dan kepatuhan rendah 30%.  Hasil analisis Chi-Square dengan hasil p-value sebesar 0,001 lebih kecil dari nilai signifikan 0,05 (p-value <0,05). Kesimpulan dari penelitian menunjukan terdapat Hubungan Mekanisme Koping dengan kepatuhan minum obat pada penderita TB Paru di Puskesmas Sukra Kabupaten Indramayu. Saran diberikan pada keluarga untuk memberikan dukungan yang maksimal pada penderita TB paru terutama yang sedang menjalankan terapi pengobatan, sehingga responden mempunyai koping yanga daptif dan patuh minum obat untuk mendukung kesembuhan
Nursing Care for Mrs. W Diagnosed with Hypertensive Urgency using Foot Massage Therapy in the Emergency Department Najihah, Umi; Ekawati, Indi; Budiati, Dian; Yulianingsih, Yulianingsih; Karlina, Nonok
Al Makki Health Informatics Journal Vol. 2 No. 3 (2024): Al Makki Health Informatics Journal
Publisher : Al Makki Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57185/hij.v2i3.27

Abstract

Hypertensive emergency is a hypertensive crisis characterized by a sudden increase in blood pressure of 180/110 mmHg without organ damage. Hypertensive disease has increased every year due to low awareness of compliance in taking medication and maintaining a healthy lifestyle in hypertensive patients. The purpose of this case study is to provide nursing care to patients experiencing hypertension urgency. This research method uses a qualitative approach with case studies as the main method, using observation sheets, interviews, and documentation studies. This case study chose one patient as the research subject, namely a patient with hypertensive urgency in the emergency room of Gunung Jati Hospital, Cirebon City. Nursing care management is based on meeting the needs of patients carried out in 1 day. The results of the case study showed that after being given nursing care there was a decrease in blood pressure from 195/110 mmHg to 187/104 mmHg. The conclusion is that the nursing care provided is effective in emergency hypertension patients and meets the needs of patients. The implication of this study is the importance of nursing care in managing hypertension emergencies, which can help in the effective monitoring and management of this disease. In addition, this study also strengthens the understanding of the importance of patient compliance in managing hypertension to prevent complications that can arise.
Health Education and Diabetes Wound Care for the Elderly in Padang Pasir Village Community Yannerith Chintya; M Ramadhani Firmansyah; Jenti Sitorus; Nonok Karlina; Nuraini
Sustainable Applied Modification Evidence Community (SAMEC) Vol 2 No 1 (2025): June, 2025
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/samec.v2i1.155

Abstract

Diabetes mellitus (DM) is a chronic disease that has increased significantly in the last two decades, especially in the elderly population. This study aims to design and implement a comprehensive health education and diabetic wound care program for the elderly in urban communities. Methods. This study involved 30 elderly people who suffer from type 2 diabetes mellitus and live in the Padang Pasir Village area. The research instruments consisted of a knowledge questionnaire on diabetic wound care and a foot care skills observation sheet, which had been tested for validity and reliability in a previous study. Data was collected through questionnaires that were completed before and after the intervention. Results. The average overall knowledge score increased from 57.9  10.5 at the pre-test to 82.6  8.4 at the post-test, with a difference of +24.7 points. The knowledge aspect of foot wound prevention showed the highest increase, from 58.0  9.8 to 85.5  7.5, which reflects that after education, the elderly are more aware of the importance of preventive measures such as the use of appropriate footwear and regular foot examinations. Statistical analysis using paired t-test showed that the increase in knowledge and skills of the elderly after education was significant (p = 0.000). Conclusion. The educational intervention designed in this study was statistically and clinically effective, and can be recommended for wider implementation as part of a strategy to improve the quality of life of elderly people with diabetes.
Efektivitas penggunaan telehealth di ruang rawat inap terhadap caring: literature review Asti, Arnika Dwi; Karlina, Nonok; Haniyah, Siti; Purbaningsih, Endah Sari; Sukesih, Sukesih; Puspanegara, Aditiya; Siswanti, Heny; Nani, Desiyani
Jurnal Praktik Dan Pendidikan Keperawatan Vol 6 No 01 (2025): Journal of Nursing Practice and Education
Publisher : Lembaga Penelitian Sekolah Tinggi Ilmu Kesehatan Garawangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34305/bw1jj405

Abstract

Latar Belakang: Perkembangan teknologi digital mendorong perubahan signifikan dalam praktik keperawatan, termasuk penerapan telehealth untuk mempertahankan kualitas pelayanan di ruang rawat inap diperlukan bukti ilmiah untuk menilai sejauh mana telehealth dapat mendukung atau bahkan memperkuat perilaku caring perawat terhadap pasien.Metode: Systematic Literature Review dilakukan mengikuti pedoman PRISMA 2020 dengan pencarian artikel melalui database Scopus, PubMed, dan Google Scholar. Kriteria inklusi meliputi studi empiris tahun 2015-2025 yang mengevaluasi efek intervensi telehealth terhadap caring perawat di fasilitas rawat inap. Kualitas metodologi artikel dinilai menggunakan JBI Critical Appraisal Tools.Hasil: Dari 1.476 artikel yang diidentifikasi, dua penelitian memenuhi kriteria inklusi dan dinyatakan layak dianalisis. Studi menunjukkan bahwa intervensi telehealth yang dilakukan secara sinkron, seperti panggilan video atau teleedukasi rutin selama 8–16 minggu, efektif meningkatkan dimensi caring, khususnya empati, dukungan emosional, dan kontinuitas hubungan perawat-pasien. Kelompok intervensi menunjukkan penurunan distress emosional hingga 50% dibanding kontrol (p < 0,05).Kesimpulan: Telehealth terbukti efektif mendukung praktik caring keperawatan di ruang rawat inap dengan efektivitas moderat (effect size 0,3-0,5). Teknologi ini mampu memperkuat hubungan terapeutik dan kontinuitas pelayanan bila dilaksanakan dengan prinsip empatik dan humanistik. Diperlukan penelitian lanjutan dengan desain randomized controlled trial dan penggunaan instrumen caring terstandar seperti Caring Behaviors Inventory untuk memastikan validitas hasil.
Asuhan Keperawatan Pada An.N Dengan Diagnosa Medis Gastroentritis Akut (Gea) Budiati, Dian; Karlina, Nonok; Yulianingsih; Najihah, Umi
MEJORA Medical Journal Awatara Vol 2 No 4 (2024): October
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61434/mejora.v2i4.252

Abstract

Acute gastroenteritis is a disease caused by viral, bacterial, or parasitic infections affecting the gastrointestinal tract. Its main symptoms are diarrhea and/or vomiting. Cases of acute gastroenteritis should be managed comprehensively to prevent dehydration and maintain the patient's fluid and electrolyte balance. The objective of this study is to understand nursing care for children diagnosed with acute gastroenteritis. The research method used is a case study. The subject of the study is Child N, diagnosed with acute gastroenteritis. The research was conducted in the Anyelir Ward at Waled Regional Hospital in Cirebon. The nursing intervention for the child with acute gastroenteritis included fluid and electrolyte administration for three days. Evaluation showed that the problem was resolved, and the family was advised to continue providing oral fluids to maintain fluid balance in the body.
Nurse-to-Patient Ratios and 30-Day Readmission in Heart Failure: A National Big Data Analysis Using the NRD Database Nonok Karlina
Journal of Health Service Administration and Hospital Management Vol. 2 No. 1 (2026): January, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/laceri.v2i1.545

Abstract

Purpose: This study investigates the association between nursing workforce dynamics and 30-day readmission risks among heart failure patients, examining the hypothesis that excessive workloads correlate with compromised clinical surveillance and discharge efficacy. Methods: Utilizing a retrospective cohort design, we executed a large-scale data linkage between the National Readmission Database (NRD, 2021) and CMS Provider Data, encompassing a representative sample of 685,210 heart failure hospitalizations. Multivariate logistic regression and XGBoost algorithms were employed to analyze the association between the Nurse-to-Patient Ratio (NPR) and readmission, adjusting for the Charlson Comorbidity Index, socioeconomic status, and institutional characteristics. Results: Findings demonstrate a significant correlation; patients in hospitals with the lowest staffing levels (ratio > 1:6) exhibited a readmission rate of 29.2%, compared to 15.1% in optimally staffed facilities (ratio ≤ 1:4). Every additional patient per nurse was associated with a 7% increase in readmission odds (OR = 1.07; 95% CI: 1.05–1.09; p < .001), while the XGBoost model achieved high discriminative performance (AUC = 0.82). Conclusion: The study concludes that nurse staffing represents a significant organizational factor associated with patient safety and readmission outcomes, suggesting that inadequate nursing capacity may hinder effective discharge education and institutional financial viability. Implications: These findings suggest that health policymakers consider transitioning toward acuity-based staffing models and integrating nursing metrics into value-based reimbursement frameworks to mitigate the national burden of heart failure readmissions.
Determinasi Dukungan Sosial Dan Kepatuhan Terapi Terhadap Kualitas Hidup Pasien Hemodialisis Berbasis Aplikasi Digital Hd-Care Karlina, Nonok; Sri Nurcahyati; Munawaroh, Magfirohtul; Tantri Maulani Putri; Terry Melany
Jurnal Kesehatan Mahardika Vol. 13 No. 1 (2026): Jurnal Kesehatan Mahardika
Publisher : LPPM ITEKES Mahardika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54867/jkm.v13i1.300

Abstract

Introduction: Chronic kidney disease is a global health problem that significantly affects the quality of life of hemodialysis patients. Social support and therapy adherence are key determinants, particularly with the use of digital applications such as HD-Care. Purpose: To analyze the determinants of social support and therapy adherence on the quality of life among hemodialysis patients using the HD-Care digital application. Methods: A quantitative observational analytic study was conducted on 83 hemodialysis patients at Permata Kuningan Hospital in 2025. Data were collected using MSPSS, ESRD-AQ, and WHOQOL-BREF. Multiple linear regression analysis was applied with a significance level of 0.05. Results: Social support (p=0.003) and therapy adherence (p=0.000) significantly influenced quality of life. Therapy adherence was the dominant factor (β=0.498). Both variables explained 37.4% of the variance in quality of life (R²=0.374). Conclusions: Social support and therapy adherence play an important role in improving quality of life. Digital-based nursing interventions may enhance patient outcomes.
Pengaruh Relaksasi Napas Dalam Terhadap Kecemasan Ibu Preoperatif Sectio Caesarea Di Rumah Sakit utami, rina; Nonok Karlina; Pipit Indra Lestari; Rosiyana Amila
Jurnal Kesehatan Mahardika Vol. 13 No. 1 (2026): Jurnal Kesehatan Mahardika
Publisher : LPPM ITEKES Mahardika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54867/jkm.v13i1.303

Abstract

Introduction: Preoperative anxiety in mothers undergoing sectio caesarea is a common psychological condition that may negatively affect maternal readiness and surgical outcomes. Midwifery care requires effective non-pharmacological interventions to manage this condition. This study aimed to determine the effect of deep breathing relaxation on anxiety levels among preoperative sectio caesarea mothers. Method: A pre-experimental design with a one group pretest-posttest approach was applied. A total of 40 respondents were selected using total sampling. Anxiety levels were measured using the Amsterdam Preoperative Anxiety and Information Scale (APAIS). Data were analyzed using the Wilcoxon test. Result: The results showed that prior to the intervention, most respondents experienced panic-level anxiety (45%), while after the intervention, the majority reported mild anxiety (82.5%). Statistical analysis indicated a significant effect (p-value = 0.000; p<0.05). Conclusion: Deep breathing relaxation effectively reduces anxiety and can be integrated into holistic midwifery care to improve maternal psychological readiness before surgery.
Co-Authors Aditiya Puspanegara Afif Alwan Izuddin, Mohamad Ahmad Syaripudin Aini, Cica Fikrotuan Amaliyah Ani Nurhaeni Anisa Arie Ardiyanti Rufaedah Aris, Muhammad Arnika Dwi Asti Askur, Askur Budianti, Dian Budiati, Dian Budihartiningrum, Fitriani Citra Setyo Dwi Andhini Desiyani Nani Dewi Erna Marisa Dwiyanti Purbasari Ekawati, Indi Erida Fadila Erna Marisa , Dewi Erna Marisa, Dewi Fadila, Erida Fauziyatu Alfiyah, Suci Fega Nurpuji Khairiyah Gama Bagus Kuntoadi Heny Siswanti Herniyatun, Herniyatun Ica Wahyuni Inesta, Indi Jenti Sitorus Kamila, Sri Kartadarma, Supriyatni Laily Hidayah, Nur Lestyani, Lestyani Lia Amelia Lisa Rizky Amalia M Ramadhani Firmansyah Marisa , Dewi Erna Marisa, Dewi Erna Marisca Jenice Sanaky Mega Yulia Mirani, Tessa Vera Muadi, Muadi Muadi, Rafif Munawaroh, Magfirohtul Najihah, Umi Nur Gilang Fitriana Nuraini Nurcahyana, Yayan Nurhaeni, Ani Pipit Indra Lestari Prihatini, Nur Purbaningsih, Endah Sari Putri Gayuh Uthami Qur’aeni, Devi Nurul Ratna Kuning Budi Rahayu, Atik Riah, Suci Rina Utami Rondonuwu, Rolly Harvie Stevan Rosalia Rahayu Rosiyana Amila RR. Ella Evrita Hestiandari Sendra, Eny Siska Siska Siti Haniyah Siti Nuraina Inayah Siti Utami Dewi, Siti Utami Sri Nurcahyati Sukesih Sukesih, Sukesih Tantri Maulani Putri Terry Melany Wulandari, Angernani Trias Yannerith Chintya Yulianingsih Yulianingsih, Devi Yulianingsih, Yulianingsih