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All Journal Jurnal Keperawatan Florence Nightingale Citra Delima Scientific journal of Citra Internasional Institute
Retno Anggraeni Puspita Sari
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Health Professions Nursing Public Health

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Pengaruh Terapi Bermain Paper toys terhadap Peningkatan Perkembangan Motorik Halus pada Anak dengan Retardasi Mental Andini Rahma Diyanti; Riska Wati; Retno Anggraeni Puspita Sari; Previarsi Rahayu
Jurnal Keperawatan Florence Nightingale Vol 8 No 2 (2025)
Publisher : Sekolah Tinggi Ilmu Kesehatan Stella Maris Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52774/jkfn.v8i2.393

Abstract

Children with mental retardation commonly experience developmental delays, including impairments in fine motor skills that play a crucial role in academic readiness and daily functional independence. The limited use of engaging and structured interventions in special education settings often results in suboptimal fine motor stimulation. This study aimed to analyze the effect of paper toy play therapy on improving fine motor development in children with mental retardation. A pre-experimental one-group pretest–posttest design was employed involving 37 students at SDLB Ananda Mandiri Tambun, Bekasi Regency. Fine motor development was assessed using a 12-item observational checklist administered before and after four intervention sessions. The findings showed an increase in the mean score from 20.16 to 26.43. The Wilcoxon Signed-Rank test yielded a p-value < 0.001, indicating a statistically significant difference between pretest and posttest scores. Before the intervention, most children were categorized as poor or adequate; however, post-intervention assessments demonstrated an increase in the number of children who achieved good fine motor performance. This study concludes that paper toy play therapy is effective in enhancing fine motor skills in children with mental retardation. Its implications highlight the potential for integrating this therapy into individualized education programs in sp
Faktor-Faktor yang Berhubungan dengan Perilaku SADARI sebagai Deteksi Dini Kanker Payudara pada Remaja Putri Arum Ayomi Ningtias; Sulistya Hartono Putri; Asih Swarsih; Retno Anggraeni Puspita Sari; Aprilina Sartika; Tri Wahyuni Ismoyowati
Jurnal Keperawatan Florence Nightingale Vol 8 No 2 (2025)
Publisher : Sekolah Tinggi Ilmu Kesehatan Stella Maris Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52774/jkfn.v8i2.402

Abstract

Breast cancer is a malignant neoplasm of the breast tissue and remains one of the leading health problems among women worldwide. Early detection can be performed through Breast Self-Examination (BSE), which is considered simple, cost-effective, and non-invasive. However, the level of knowledge and practice of BSE among adolescent girls remains low. This study aims to analyze the factors associated with BSE behavior among female students at SMA Nurul Yaqin, Bekasi Regency. A quantitative approach with a cross-sectional design was employed, involving 35 students from grades X–XII selected through total sampling. A structured questionnaire was used to measure knowledge, attitudes, information exposure, family support, and healthcare provider support. The results showed that knowledge (p = 0.003; OR = 13.500), attitude (p = 0.005; OR = 8.250), information exposure (p = 0.027; OR = 6.476), family support (p = 0.008; OR = 10.286), and healthcare provider support (p = 0.046) were significantly associated with BSE behavior, whereas age was not significant (p = 0.565; OR = 2.923). These findings highlight the need to strengthen school- and family-based health education through structured interventions that enhance health literacy, motivation, and social support to encourage consistent early detection practices.
The Relationship between UPF (Ultra Processed Food) Consumption, Stress Levels, Quality of Life with CKD (Chronic Kidney Disease) Grade Ari Lestari; Tri Rahayu Hikmah Kurniatin; Yulidian Nurpratiwi; Retno Anggraeni Puspita Sari
Citra Delima Scientific journal of Citra Internasional Institute Vol. 9 No. 2 (2026): Citra Delima Scientific journal of Citra Internasional Institute
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/df2rkq53

Abstract

Chronic Kidney Disease (CKD) is one of the top 5 most common inpatient diseases at Sentra Medika Cisalak Hospital in 2024, with a high prevalence of 3.49%. This high disease burden indicates the urgency of identifying lifestyle and psychological factors, such as UPF consumption and stress, that influence the disease grade. This study aims to analyze the relationship between UPF consumption, stress levels, and quality of life in Chronic Kidney Disease patients. This research method uses a quantitative research type with a cross-sectional approach. The population is all Chronic Kidney Disease patients from grades 1-5 with a total of 121 respondents, and a sample of 93 respondents using a random sampling technique. The instruments used are FFQ (Food Frequency Questionnaire), PSS (Perceived Stress Scale), and WHOQOL (World Health Organization Quality of Life) questionnaires. The results of univariate analysis showed that the majority of respondents were men aged 40-60 years with a college education, where most of them consumed excessive UPF and had low stress levels, but their quality of life was assessed as poor. The results of the bivariate analysis using the Chi-Square Test with a p-value <0.05 indicate a relationship between UPF consumption (p-value 0.016) and stress levels (p-value 0.044) with Chronic Kidney Disease patients. However, no relationship was found between quality of life and CKD grade patients at Sentra Medika Cisalak Hospital (p-value 0,061). Suggestions for further research should consider studies that last for a longer period and include biochemical data to obtain more comprehensive analysis results.
Co-Authors Andini Rahma Diyanti Aprilina Sartika Ari Lestari Arum Ayomi Ningtias Asih Swarsih Devi Triana Ika Kania Fatdo Wardani Ismoyowati, Tri Wahyuni Previarsi Rahayu Riska Wati Rosi Kurnia Sugiharti Sulistya Hartono Putri Tri Rahayu Hikmah Kurniatin Yulidian Nurpratiwi