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INDONESIA
Journal Of Nursing Practice
Published by Universitas Strada Indonesia
ISSN : 26143488     EISSN : 26143496     DOI : 10.30994
Core Subject : Health,
Nursing
The Journal Of Nursing Practice focuses its article in the field of nursing, which is the branch of health sciences. The scope of this journal articles are: • Medical and Surgical Nursing • Emergency • Maternity And Pediatric Nursing • Psychiatric • Family and Community Nursing • Geriatric Nursing • Education and Management in Nursing
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 25 Documents
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Search results for , issue "Vol. 9 No. 3 (2026): April" : 25 Documents clear
Diagnostic Accuracy of the Roll Over Test (ROT) and Mean Arterial Pressure (MAP) for Early Detection of Preeclampsia in Pregnant Women Pusparini Dwi Arisanti; Lumastari Ajeng; Rahajeng Siti Nur Rahmawati; Koekoeh Hardjito
Journal Of Nursing Practice Vol. 9 No. 3 (2026): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i3.1005

Abstract

Background: Preeclampsia remains a leading cause of maternal mortality. Early identification of pregnant women at risk is essential to prevent severe maternal and fetal complications. While Mean Arterial Pressure (MAP) and the Roll Over Test (ROT) are used for early detection, there is a need to compare their diagnostic performance in low-resource clinical settings to optimize screening protocols. Purpose: This study aimed to determine the sensitivity and specificity of ROT and MAP in screening for preeclampsia among pregnant women. Methods: This diagnostic observational study used a prospective approach involving 46 pregnant women (gestational age >30 weeks at the Puhjarak Community Health Center, Kediri District. Participants were selected using simple random sampling from a population of 52 eligible pregnant women. Screening was conducted using MAP and ROT, and the occurrence of preeclampsia was evaluated at ≥36 weeks of gestation based on clinical diagnosis. Data were analyzed to calculate sensitivity, specificity, and predictive values. Results: The prevalence of preeclampsia in this study was 17.3%. Both MAP and ROT showed a sensitivity of 75%. However, ROT showed higher specificity (94%) compared to MAP (63%). The PPV for ROT (75%) was also higher than for MAP (30%), Conclusion: There The findings suggest that the ROT may have higher specificity than MAP in screening for preeclampsia. However, further studies with larger samples are needed to confirm these findings.
The Impact of Peer Verbal Aggression on Automatic Negative Thoughts in Adolescent Bullying Victims Yunita, Rizka; Widya Addiarto
Journal Of Nursing Practice Vol. 9 No. 3 (2026): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i3.1020

Abstract

Background: Adolescence is a crucial period for psychosocial development, with peer acceptance playing a central role. Peer verbal aggression, manifested through threats, offensive language, and insults, can act as a stressor for adolescents. These experiences may shape dysfunctional cognitive schemas. Recurrent and persistent negative thoughts can impact long term psychological development. Purpose: This study aims to analyze the relationship between peer verbal aggression and automatic negative thoughts in adolescent victims of bullying. Methods: This study employed a quantitative design with a cross-sectional approach. The sample consisted of 92 adolescents who were victims of bullying, selected through purposive sampling. Data were collected using a verbal victimization questionnaire adapted from an indicator of the Multidimensional Peer Victimization Scale (MPVS) and the Children’s Automatic Thoughts Scale (CATS). Data analysis was performed using the Spearman rank correlation test. Results: Most respondents were adolescents aged 15-17 years (91.3%), with 42.4% experiencing bullying for more than six months. Bivariate analysis revealed a significant correlation between peer verbal violence and automatic negative thoughts (p=0.001), encompassing physical threat (r=0.524), social threat (r=0.788), personal failure (r=0.703), and hostility (r=0.500). This suggests that higher exposure to peer verbal aggression is associated with a higher prevalence of automatic negative thoughts in bullying victims, which can disrupt their cognitive processes. Conclusion: Peer verbal aggression is a strong predictor of automatic negative thoughts in adolescent victims of bullying. The implications of this study underscore the need for psychological interventions, such as cognitive restructuring therapies, to reduce automatic negative thoughts.
Stroke Rehabilitation Trends: A Bibliometric Analysis Patima; Fitri Arofiati
Journal Of Nursing Practice Vol. 9 No. 3 (2026): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i3.756

Abstract

Backround: Stroke is one of the leading causes of irreversible brain damage and functional disability. Purpose: Explore stroke rehabilitation research trends through bibliometric analysis. Methods: Publication searches from 1997 to 2024 were conducted using the Scopus database. Furthermore, the data obtained was analyzed bibliometrically using VOSviewer version 1.6.20. This analysis includes visualization analysis, co-occurrence analysis, and stroke rehabilitation publication trend analysis. Results: The results of the bibliometric analysis identified 247 publications that met the search criteria in the field of stroke rehabilitation trends. The distribution of publications by country shows that the United States dominates with 83 publications (33.6%), followed by China with 29 publications (11.74%), and Canada with 19 publications (7.69%). This distribution pattern indicates that research on stroke rehabilitation trends remains concentrated in developed countries with high research capacity. These findings confirm that stroke rehabilitation is a topic receiving significant academic attention and continues to evolve globally; therefore, further studies on research trends in this field are considered important to provide direction for the development of more effective stroke rehabilitation interventions in the future. Conclusion: this article provides a comprehensive overview of stroke rehabilitation trends.
The Effectiveness of Nurses’ Independent Interventions: Benson Relaxation and Five-Finger Hypnosis in Reducing Anxiety among Elderly Individuals in the Service Area of UPT. Puskesmas Lawawoi, Sidenreng Rappang Regency Nurdin, Sulkifli; Yuly Peristiowati; Prima Dewi Kusumawati
Journal Of Nursing Practice Vol. 9 No. 3 (2026): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i3.831

Abstract

Background: The growing elderly population has increased concerns regarding geriatric mental health, particularly anxiety disorders. Anxiety in older adults is often associated with declining physical function, chronic illness, social isolation, and reduced social support, which can negatively affect psychological well-being and quality of life (Beard et al., 2016; World Health Organization, 2022). If untreated, anxiety may worsen physical health conditions and reduce functional independence. Non-pharmacological nursing interventions are therefore needed due to their safety and accessibility. The novelty of this study lies in integrating Benson relaxation and five-finger hypnosis as nurse-led complementary interventions to reduce anxiety among community-dwelling elderly individuals. Purpose: This study aimed to analyze the effectiveness of Benson relaxation and five-finger hypnosis in reducing anxiety levels among elderly individuals in the service area of UPT Puskesmas Lawawoi, Sidenreng Rappang Regency, Indonesia. Methods: A quasi-experimental study with a pretest–posttest design was conducted among 54 elderly participants selected through simple random sampling. Participants were assigned to Benson relaxation (n = 27) and five-finger hypnosis (n = 27) groups. Anxiety levels were measured using a standardized instrument and analyzed using paired t-tests. Results: The findings showed a significant reduction in anxiety levels after the interventions (p < .001). This study provides evidence that combining relaxation response therapy with hypnosis-based techniques can effectively reduce anxiety among older adults. Conclusion: Benson relaxation and five-finger hypnosis are effective nurse-led complementary interventions that can be applied in community nursing programs to improve mental health among the elderly.
Differences in the Effectiveness of Video and Booklet Education on Early Detection, Prevention, and Management of Preeclampsia in Pregnant Women among Health Workers Puspitasari, Yenny; Anggraeni, Suci; Nur Yeny Hidajaturrokhmah
Journal Of Nursing Practice Vol. 9 No. 3 (2026): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i3.949

Abstract

Background: Preeclampsia is one of the leading causes of preventable maternal and fetal deaths in Indonesia if detected early. Lack of understanding about the symptoms, risk factors, and early treatment of preeclampsia remains a challenge at the community level, especially in areas with limited access to information and health services. Purpose: The purpose of this study was to analyze the differences in the effectiveness of video and booklet education on cadres' understanding of early detection, prevention, and management of preeclampsia in pregnant women. Methods: The research design was quasi-experimental, in which the researcher divided the respondents into two groups, namely video intervention and booklet intervention. The research sample consisted of 58 health cadres in Manisrenggo Village, using total sampling technique. The measurement tool used was a questionnaire on understanding early detection, prevention, and management of preeclampsia in pregnant women, which had been tested for validity and reliability. The research media used were videos and booklets. The research analysis was univariate, paired t-test, and independent t-test using SPSS 23. Results: The results showed that the mean score for cadres' understanding before the booklet intervention was 40.17, which increased to 43.41 after the booklet intervention. The p-value was 0.000, indicating that the booklet intervention had an effect on cadres' understanding of early detection, prevention, and management of preeclampsia in pregnant women among health cadres before and after the intervention. Conclusion: There is a difference in the effectiveness of video and booklet education on early detection, prevention, and management of preeclampsia in pregnant women among health cadres. Based on the mean value, video intervention is more effective than booklet intervention.
The Effectiveness of Buerger Allen Exercise and Hydrotherapy on Changes in Peripheral Blood Circulation and Neuropathic Pain Intensity in Preventing Diabetes Mellitus Complications in the Elderly Yammar; Ratna Wardani; Prasetyo, Joko; Asnuddin; Darwis, Nirmawati; Ruslang
Journal Of Nursing Practice Vol. 9 No. 3 (2026): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i3.1025

Abstract

Background: Type 2 Diabetes Mellitus (T2DM) is a major health problem in the elderly, often leading to complications, including impaired peripheral circulation, often accompanied by neuropathic pain. Therefore, foot activity therapy, including Buerger Allen exercises and hydrotherapy, is necessary to improve peripheral blood circulation. Purpose: This study aims to prevent complications of T2DM by improving peripheral blood circulation, as indicated by changes in Ankle Brachial Index(ABI) valuesand the intensity of neuropathic pain in the elderly. Methods: This quantitative study used a True Experimental Design with a pretest-posttest control group design. The study was divided into three groups: Buerger Allen exercise, hydrotherapy, and a control group. The sample consisted of 45 elderly individuals with type 2 diabetes mellitus (T2DM), selected using a simple random sampling method. This study was conducted in the Tempe District, Wajo Regency. Data analysis used a paired t-test to determine the effect of the three foot activity therapies. Data were analyzed using SPSS with a significance level of p < 0.05. Results: The study showed that the Buerger Allen exercises and hydrotherapy groups experienced significant changes in ABI valuesand neuropathic pain intensity before and after therapy (p-value 0.000). Meanwhile, the control group showed no significant changes in ABI values or neuropathic pain intensity from the pretest to the posttest (p-value  1.000). Conclusion: It can be concluded that the Buerger Allen exercises and hydrotherapy groups can improve peripheral blood circulation compared to the control group, thereby preventing complications associated with type 2 diabetes in the elderly.
Factors Influencing Pre-Hospital Delay in Acute Coronary Syndrome Patients Rofi'ah, Ika Ainur
Journal Of Nursing Practice Vol. 9 No. 3 (2026): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i3.1038

Abstract

Background: Acute Coronary Syndrome (ACS) is a major cause of morbidity and mortality worldwide, with delayed hospital presentation contributing to poor outcomes. Pre-hospital delay, defined as the time from symptom onset to seeking definitive care, is influenced by patient, symptom, and system-related factors. Evidence from Indonesia on determinants of such delays remains limited. Purpose: This study aimed to analyze factors associated with pre-hospital delay among ACS patients in the Emergency Department of Dr. Wahidin Sudiro Husodo Regional Hospital, Mojokerto City. Methods: An observational, analytic, cross-sectional study was conducted in 2024, with 70 adult ACS patients recruited through consecutive sampling. Data were collected via standardized questionnaires and medical record review, including demographic, clinical, transportation, attack type, symptom onset timing, health insurance, and ACS knowledge. Bivariate and multivariate logistic regression analyses were performed to identify predictors of pre-hospital delay. Results: The mean age of respondents was 61.67 years, with 60% male and 61.4% lacking knowledge of ACS. Most arrived by private vehicle (87.1%) and experienced a new attack (77.1%). Pre-hospital delay occurred in 77.1% of respondents. Multivariate analysis showed that the type of attack had the highest odds ratio (OR = 5.55) for pre-hospital delay, although not statistically significant (p = 0.115). Transportation, time of onset, and ACS knowledge did not demonstrate significant associations but suggested potential confounding effects. Conclusion: Pre-hospital delay is highly prevalent among ACS patients in this setting. No significant predictors were identified, suggesting delays reflect complex behavioral and system factors. Given the limited sample size, the findings should be interpreted with caution. Improving public awareness and emergency access remains essential.
Cognitive Development in Children Aged 2-3 Years with Stunting in Kediri Suharto, Idola Perdana Sulistyoning; Susmiati; Endang Mei Yunalia; Devangga Darma Karingga; Angeline Bushy; Ines Septiya Prayogi
Journal Of Nursing Practice Vol. 9 No. 3 (2026): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i3.1085

Abstract

Background: In the first 1,000 days of life, children are vulnerable to chronic malnutrition, known as stunting, which impacts cognitive development. An initial survey in Blabak Village, Kediri City, on several stunted children showed language delays, difficulty concentrating, motor delays and understanding commands, which means they tend to experience cognitive disorders. Purpose: The study aim is to analyze the relationship between stunting and cognitive development in children aged 2–3 years. Methods: This research using correlation analytical research design with cross-sectional approach. Sample of 54 children aged 2-3 years, selected using proportionate stratified random sampling. The research was conducted at 6 integrated health service post (posyandu), Blabak Village, Kediri City in September 2024. Stunting as an independent variable, while cognitive development as a dependent variable. Data were analyzed using Spearman rho test. Results: The results of Spearman's rho between stunting and cognitive development in learning and problem solving category, logical thinking, symbolic thinking sequentially have P values of 0.000; 0.000; and 0.005. The correlation coefficient between Stunting and Cognitive Development in Learning and Problem Solving Category, Logical Thinking, Symbolic Thinking sequentially is 0.651; 0.650; 0.374. Conclusion: There is a significant relationship between stunting and cognitive development in learning and problem solving category (strong relationship), logical thinking (strong relationship), symbolic thinking (quite strong relationship).
Effect of Mindfulness-Based Stress Reduction with 40 Hz Music on Anxiety and Quality of Life in Prolanis Patients with Diabetes Mellitus Muhammad Akbar Sobarna; Mendrofa, Fery Agusman Motuho; Iswanti, Dwi Indah
Journal Of Nursing Practice Vol. 9 No. 3 (2026): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i3.1089

Abstract

Background: Anxiety is a common psychological problem experienced by patients with Diabetes Mellitus and can negatively affect disease management and quality of life. Mindfulness-Based Stress Reduction (MBSR) combined with 40 Hz music frequency is that may help reduce anxiety and improve quality of life in patients with chronic diseases. Purpose: This study aimed to analyze the effectiveness of MBSR with 40 Hz music frequency on anxiety and quality of life among Prolanis patients with Diabetes Mellitus. Methods: Study design used a quasi-experimental pretest–posttest control group. The sample consisted of 60 respondents, divided into intervention and control groups. The intervention group received an 8-week MBSR program combined with 40 Hz music frequency, while the control group received standard Prolanis care. Anxiety levels using the DASS-21 questionnaire, and quality of life was assessed using WHOQOL-BREF. Data were analyzed using Wilcoxon and Mann–Whitney tests. Results: The anxiety levels significantly decreased in the intervention group (mean difference = −10.15; p < 0.001), while no significant change was observed in the control group (p > 0.05). In addition, quality of life significantly improved in the intervention group (median increase = +16; p < 0.001), whereas the control group showed only a slight and non-significant improvement (p > 0.05). Conclusion: Mindfulness-Based Stress Reduction combined with 40 Hz music frequency is effective in reducing anxiety and improving quality of life among Prolanis patients with Diabetes Mellitus. This intervention can be integrated into primary healthcare services as a complementary nursing intervention to support holistic diabetes management.
The Asosociation between Consumptive Behavior and Depresion Levels among Students Enggaging in Online Loan (Pinjol) Service Nurlela, Lela; Kertapati, Yoga; Sukma Ayu Candra Kirana; Selly Indria Cahyani
Journal Of Nursing Practice Vol. 9 No. 3 (2026): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i3.1100

Abstract

Background: High consumptive behavior among students can influence their decision to use online loan services, which are often used to meet consumptive needs. Uncontrolled use of online loans can lead to financial stress and trigger psychological disorders. Purpose: This study aims to determine the relationship between consumptive behavior affecting online loans (pinjol) and the depression levels among students Methods: This study uses an analytical observational design with a cross-sectional approach. The study population consists of 256 students. A simple random sampling technique was used with the Slovin formula, resulting in 156 respondents. The independent variable is consumptive behavior affecting online loans (pinjol), measured using a consumptive behavior instrument, while the dependent variable is depression level, measured using a depression level instrument. Data analysis was performed using the chi-square test. Results: The results show that 140 participants (89.7%) exhibit high consumptive behavior affecting online loans (pinjol), while 86 participants (55.2%) have severe depression. The chi-square test results indicate a significant relationship between consumptive behavior affecting online loans (pinjol) and depression levels among students, with a p-value of (0.000) and ρ-value < 0.05. Conclusion: This study indicates that consumptive behavior affecting online loans (pinjol) is a factor influencing depression levels among students. Therefore, it requires attention from lecturers, educators, and students to address this issue.

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