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Jurnal Keperawatan Padjadjaran
Published by Universitas Padjadjaran
ISSN : 23385324     EISSN : 24427276     DOI : -
Core Subject : Health, Science,
Health Professions Neuroscience Nursing Public Health
Jurnal Keperawatan Padjadjaran (JKP) or The Padjadjaran Nursing Journal is a peer review journal providing an open access facility for scientific articles published by the principles of allowing free research available for public to support global scientific exchange. Padjadjaran Nursing Journal (JKP) is published three times a year, specifically in April, August, and December.
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Articles 400 Documents
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Spiritual mindfulness combination with self-regulation on the effect to vital sign and anxiety reduction among pneumonia survivors Ayatulloh, Daviq; Prayoga, Dimas Hadi; Priyantini, Diah
Jurnal Keperawatan Padjadjaran Vol. 12 No. 3 (2024): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v12i3.2619

Abstract

Background: Pneumonia has become a scary disease since the emergence of the COVID-19 pandemic. The severity of pneumonia often causes sufferers to experience fear and causes the disease to worsen, resulting in the patient's hemodynamics becoming unstable, this condition need an intervention to make the condition better. Purpose: The purpose of this study was to analyze the effect of spiritual mindfulness combined with self-regulation in dealing with anxiety and improving vital signs in pneumonia patients. Methods: A experimental quantitative research using a quasi-experimental with pre and post-test control group design between August - October 2024 in the regional hospitals in Gresik Regency, East Java, Indonesia. Total 62 respondents recruited using consecutive sampling which were then divided into intervention and control groups. Spiritual mindfulness intervention combined with self-regulation was given with a frequency of 2 times a day for 7 full days. Vital signs measured included blood pressure, respiratory rate, pulse and SpO2 which were observed through the researcher's observation sheet and anxiety was measured using the Zung Self-Rating Anxiety Scale (SRAS). Data were analyzed using paired t-test and independent t-test, also Wilcoxon signed rank test and Mann Whitney test. Results: Spiritual mindfulness combination with self-regulation has effect to vital sign included blood pressure, respiration rate, pulse, oxygen saturation and anxiety of patient with pneumonia (p=0.000). The measurement showed the best changes or decreases in the intervention group, while the control group did not show much difference. Conclusions: Spiritual mindfulness combination with self-regulation is the effective intervention for vital sign and anxiety in pneumonia patients.
The effect of psychoeducation-based on transtheoretical model on depression in patients with coronary heart disease Lindayani, Linlin; Yosep, Iyus; Purnama, Heni; Mutiar, Astri; Putri, Anisa Dwi
Jurnal Keperawatan Padjadjaran Vol. 12 No. 3 (2024): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v12i3.2629

Abstract

Background: Depression is the most common psychological condition among patients with coronary heart disease (CHD). Although psychoeducational programs (PEPs) based on the Transtheoretical Model (TTM) have shown promise for psychiatric patients, their application among individuals with medical conditions, particularly cardiovascular disease, remains limited—especially in Indonesia. Purpose: This study aimed to assess the effectiveness of a TTM-based PEP intervention in reducing depression among CHD patients. Methods: A quasi-experimental design was employed, involving 80 CHD patients hospitalized in the coronary care unit (CCU) of a private hospital in West Java, Indonesia, in 2022. Participants in the intervention group attended seven sessions, each lasting 60 to 90 minutes. Depression symptoms were measured using the Hamilton Depression Rating Scale (HDRS). An ANOVA was performed to compare pre- and post-intervention mean HDRS scores and subscale scores between the two groups. After accounting for attrition, the final analysis included data from 76 patients. Results: The participants had a mean age of 59.39 years (SD = 11.10) and a mean disease duration of 4.05 years (SD = 1.69). A paired t-test showed a significant reduction in the mean HDRS score of the intervention group, from 13.79 ± 2.84 pre-intervention to 10.16 ± 2.16 post-intervention (p < 0.0001). Most HDRS subscale scores also decreased significantly, except for insomnia, somatic/genital symptoms, and weight loss. ANCOVA confirmed significant differences between the two groups in overall HDRS scores. Conclusions: The findings suggest that TTM-based PEP is effective in reducing depression among CHD patients. Incorporating such programs alongside standard treatments is recommended for enhanced patient outcomes.
Thrombosis of the inferior vena cava and acute kidney injury in dengue shock syndrome: A rare case with unique nursing challenges Prabowo, Nurhasan Agung; Sari, Yulia; Putri, Desy Puspa; Habibah, Sopia Nur; Rachmah, Azkia; Hartono, Hartono
Jurnal Keperawatan Padjadjaran Vol. 12 No. 3 (2024): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v12i3.2641

Abstract

Background: Dengue Shock Syndrome (DSS) is a severe complication of dengue fever that can lead to life-threatening conditions such as thrombosis and acute kidney injury (AKI). These rare complications highlight the importance of early recognition and multidisciplinary management to improve clinical outcomes. Purpose: This case study aims to report and discuss the clinical management and outcomes of a patient with DSS complicated by inferior vena cava thrombosis and AKI, focusing on nursing interventions and therapeutic strategies. Methods: This manuscript reports a case by utilizing the patient’s baseline data, clinical progression, and treatment outcomes. A middle-aged male patient presented to the emergency department with high fever, shock, and signs of plasma leakage. Laboratory and imaging findings confirmed DSS with AKI and inferior vena cava thrombosis. The patient received fluid resuscitation, inotropic support, anticoagulation therapy, and multidisciplinary care, including close nursing monitoring. Results: After seven days of hospitalization, the patient showed significant improvement, with resolution of shock, normalization of platelet count, and recovery of renal function. Comprehensive nursing care, including vital sign monitoring, medication management, and patient education, played a pivotal role in the recovery process. At a follow-up visit on day 12, the patient demonstrated full recovery with no complications. Conclusions: This case highlights the importance of early diagnosis and a multidisciplinary approach, including cautious anticoagulation therapy, to effectively manage DSS with thrombosis and AKI. Integrating nursing interventions and strict monitoring were crucial to achieving positive clinical outcomes. This report provides valuable insights into managing similar cases in endemic areas.
Embracing innovation framework and transformative paradigm: A practical application in the ultralight project Widiasih, Restuning; Pramukti, Iqbal; Aini, Farah Huwaida Qurrota; Popoola, Tosin
Jurnal Keperawatan Padjadjaran Vol. 12 No. 3 (2024): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v12i3.2679

Abstract

Higher education, as a centre for research and innovation in the era of transformative learning, is encouraged to conduct research and innovation that can lead to innovation and impact in the areas of health, economy, and sustainability. Innovation requires a framework that functions as an essential guide for development. However, limited innovation frameworks can be applied in nursing, including maternity nursing. This study discusses the M-Motion framework as an alternative framework for developing maternity nursing innovation research. M-Motion comprises of three steps of: pre-innovation, innovation, and post-innovation and it is applied to the Ultralight Project. The project aims to improve pregnancy and fetal health by using the DetectMe device to integrate mothers’ self-monitoring data into online health systems so that the condition of pregnant women and their babies is promptly and accurately monitored. The application of the M-Motion framework to the Ultralight Project is a step in the right direction as it helps in illustrating the sequence between research and innovation, especially as it relates to the acceleration of reducing maternal and fetal mortality rates.
Validating a mobile application for anemia prevention: Insights from expert feedback on AneMia_Prev® Rahayu, Sri; Said, Mohamed Saifulaman Mohamed; Sansuwito, Tukimin Bin; Mulyono, Sigit
Jurnal Keperawatan Padjadjaran Vol. 13 No. 1 (2025): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v13i1.2365

Abstract

Background: Anemia remains a critical public health issue among adolescents, particularly in developing countries such as Indonesia. Poor nutritional knowledge and limited awareness of anemia-related symptoms, etiology, and prevention exacerbate this condition. Mobile health (mHealth) technologies have the potential to address these gaps through accessible, engaging, and scalable education tools. This study aimed to validate the content of AneMia_Prev®, a mobile application designed as an educational tool to enhance adolescent knowledge on the prevention of anemia. Methods: A Delphi technique was employed involving two rounds of expert panel review. Twelve experts with clinical and academic backgrounds in nursing and public health evaluated the content of AneMia_Prev® based on relevance, clarity, layout, illustrations, language, and motivational features. The Content Validity Index (CVI) and modified kappa statistics were used to assess inter-rater agreement and content adequacy. Data were collected through an online survey using a 17-item validated questionnaire. Results: In the first round, all 17 items achieved excellent content validity with I-CVI values ranging from 0.87 to 1.00 and kappa values above 0.87. Following minor expert recommendations, a revised version of the application was re-evaluated, resulting in unanimous ratings of excellence (I-CVI = 1.00; kappa > 0.92 for all items). Experts emphasized the application’s innovation, relevance, and potential to promote anemia awareness among adolescents. Conclusion: AneMia_Prev® demonstrated excellent content validity and is considered suitable for educational interventions targeting anemia prevention among adolescents. Future research is recommended to assess semantic validation, cognitive impact, and learning outcomes among adolescent users to further refine the tool and evaluate its effectiveness in real-world settings.
Effect of combined lateral and supine positioning on oxygen saturation in ICU patients during the mechanical ventilator weaning process: A randomized controlled trial Purnawan, Iwan; Susetya, Putut Anggara; Hidayat, Arif Imam; Awaludin, Sidik; Alivian, Galih Noor; Chanshintop, Sawinee; Wirakhmi, Ikit Netra
Jurnal Keperawatan Padjadjaran Vol. 13 No. 1 (2025): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v13i1.2431

Abstract

The self–directed learning readiness and self–efficacy of nursing students in synchronous learning: A cross–sectional study Harjanto, Totok; Gautama, Made Satya Nugraha; Sumunar, Dimas Septian Eko Wahyu
Jurnal Keperawatan Padjadjaran Vol. 13 No. 1 (2025): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v13i1.2445

Abstract

Background: Beyond the pandemic, synchronous online learning was found to be a reliable approach in undergraduate nursing education. The students' self-directed learning readiness and online self-efficacy are key to the successful implementation of this approach. Readiness determines the learner’s needs based on contextual education, while efficacy refers to the students' confidence when completing online learning tasks. Purpose: The current study aims to investigate the relationship between self-directed learning readiness and self-efficacy among undergraduate nursing students. Methods: A descriptive correlational study was carried out to measure the undergraduate nursing students’ readiness and efficacy using the Self-Directed Learning Readiness (SDLR) Scale and the Online Learning Self-Efficacy Scale. Upon completing data collection using a web-based survey, univariate descriptive and bivariate analysis with Pearson correlation were conducted. Results: A total of 188 undergraduate nursing students participated in this study with an average age of 20.12 years old. The majority of nursing students (72.9%) within the program had a moderate SDLR level, while the mean (SD) SDLR was 149.95 (±12.24). Similarly, moderate self-efficacy was reported by the present study participants. The self-efficacy subscale of strength was categorized as high, while moderate levels of generality and magnitude were interpreted from the findings. The bivariate statistical analysis indicated a significant correlation between SDLRS and online self-efficacy (r=0.298, p<0.001). SDLR had significant correlations with each online self-efficacy subscale, including strength (r=0.259, p<0.001), generality (r=0.259, p<0.001), and magnitude (r=0.259, p<0.001). Conclusions: In synchronous learning, the undergraduate nursing student’s SDLR was found to have a positive relationship with self-efficacy. Provisioning the students’ individual learning skills is necessary to enhance their readiness and consequently improve their acquisition of the educational outcomes.
The effect of awake prone position in non-intubated patients with COVID-19: A feasibility randomized controlled trial Indawati, Eli; Fauzi, Achmad; Farida, Siti Ida
Jurnal Keperawatan Padjadjaran Vol. 13 No. 1 (2025): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v13i1.2450

Abstract

Introduction: The duration of discomfort and clinical benefits of lying prone in Indonesian clinical settings remain unknown, with the accumulation of prone hours potentially impacting results. The study aimed to test the effect of awake prone position in non-intubated patients with covid-19. Methods: This study used a feasibility randomized control trial. The research was conducted at two general hospitals in Jakarta, Indonesia. This study used a computerized random number generator was used to assign patients to intervention and control groups.  The sample is adult patients who admitted to the hospital with hypoxic respiratory failure due to a positive COVID-19 test. A total of 70 patients were randomly assigned to each group, with 35 individuals being included in the analysis. The intervention involved bed-side nurses encouraging patients to lie prone for at least 6 hours daily, with additional pillows provided for comfort. Significant prone position sessions were recorded if they lasted more than 30 minutes in both arms, lasting for 7 days. Results: The intervention group of patients achieved 65.7% adherence to the intervention protocol. After 2 hours, the P/F ratio was significantly different across the groups, but no significant different between intervention and control group, in term of respiratory escalation, length of stay, or mortality. However, 5.7% of patients in intervention group and 11.4% of patients in control group died due to respiratory failure. Conclusions: Clinical trial conditions have shown that non-intubated patients can be placed in an awake prone position without harm, and this information could be used to help design protocols for future large randomized controlled trials.
The impact of interactive video-based exercise on quality of life among pregnant women in Indonesia: A pilot study Marfuah, Dewi; Sansuwito, Tukimin bin; Ayakannu, Rathimalar
Jurnal Keperawatan Padjadjaran Vol. 13 No. 1 (2025): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v13i1.2565

Abstract

Background: Pregnant women experience lower quality of life compared to the general population and experience a decrease in their quality of life as their pregnancy progresses. Video interactive provides an interesting and interactive environment, so participants would be more likely to enjoy completing their physical activity regimen. Objectives: This study aimed to determine the impact of video interactive-based exercise on quality of life among pregnant women in Indonesia. Methods: A quasi-experimental study was carried out in Bandung, West Java, Indonesia from August 2023 to January 2024. The intervention and control groups involved healthy pregnant women aged above 18 years old, second trimester pregnant, advised by healthcare, literate, and willing to participate in physical activity. The study involved 264 pregnant women, with a response rate of 96%. Data was collected before (T0), immediately after (T1), and 2 weeks after the intervention (T2). The videos covered combination of exercise program for pregnant women, including warm-up, main phase (with an aerobic element, followed by strength and endurance exercises) and final stretching and relaxation. quality of life was measure using quality of life Gravidarum. The analysis was evaluated using repeated ANOVA test and difference-in-difference estimate. Results: After a two-week follow-up, the intervention group showed a substantial increase in quality of life scores, with a moderate level of impact (effect size= 0.39). The difference-in-difference estimate showed a modest increase of 3.57 percentage points between groups. Conclusion: The study demonstrated that video interactive exercise significantly improved the quality of life for pregnant women, indicating the potential for encouraging their participation in such activities.
Milk-sharing experiences: Perspective among Malaysian donors and rexipient mothers Jamil, Nurul Akma; Khuan, Lee; Ai Theng, Cheong; Muda, Siti Mariam
Jurnal Keperawatan Padjadjaran Vol. 13 No. 1 (2025): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v13i1.2571

Abstract

Background: Shared breastmilk has been a longstanding tradition in many cultures throughout history through wet nursing, cross nursing, and the donation of expressed breastmilk to a milk bank. However, social media has introduced some new dynamics to this practice, making it more visible and accessible; and it is known as milk-sharing. Research on milk sharing is still in its infancy and focused on western perspectives. Therefore, the sociocultural dimensions of milk sharing have not been adequately explored across different settings and cultures.   Purpose: This qualitative study aims at understanding the milk-sharing experiences among donor and recipient mothers in Malaysia.   Methods: We conducted a social media analysis on milk-sharing postings from four Facebook Groups Pages. This was followed by a detailed exploration of individual experiences throughout the milk-sharing journey using a semi-structured, online interview with thirty mothers. Thematic analysis was applied in the data analysis process using ATLAS.ti 9 software.   Results: A total of 252 postings were retrieved from four Facebook Groups Pages. Of these, 151 postings referred to donating milk, 70 referred to requesting milk, and 31 focused on issues related to milk-sharing. Thirty mothers with various milk-sharing experiences were involved in this study. Fifteen donors, six recipients, and nine fell into both categories. The mothers in the study had an average age of 32.9 years and the majority were Malay. In terms of their relationship with the infants, 93.3% were biological mothers with the majority having two to five children. Thematic analysis identified five themes: 1) point of reference, 2) communication platform, 3) altruism for mutual benefit, 4) faith and 5) challenges and problem-solving methods.   Conclusions: Milk sharing is a personal and sociocultural-bounded practice where mothers negotiate their understanding of the need to breastfeed and the use of donated breastmilk. Despite its specific focus on the Malaysian context, this research offers a complementary understanding of milk sharing within a non-Western framework and transferable to similar sociocultural backgrounds. The findings are important for intercultural nursing and midwifery practice, where nurses can incorporate sociocultural perspectives into breastmilk donation initiatives to increase public acceptance.

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