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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 376 Documents
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The Length of Use of Panty Liner with the Incidence of Vaginal Discharge in Adolescent Girls Syamson, Meriem Meisyaroh; Ade Srywahyuny; Asnuddin; Muhammad Tahir; Wilda Rezki Pratiwi
Journal Of Nursing Practice Vol. 9 No. 2 (2026): January
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i2.758

Abstract

Background: The phenomenon in women and adolescent girls has experienced vaginal discharge in 60% of adolescents (15-22 years old) and 40% of women (23-45 years old); if left, vaginal discharge can have bad impacts on health, one of which is cervical cancer, it was found that the main cause of cervical cancer in Indonesia is poor quality sanitary napkins. Physiological vaginal discharge usually occurs before and after menstruation, and abnormal vaginal discharge is called pathological vaginal discharge, which occurs due to an infection in the vagina. Purpose: The purpose of the study was to determine the relationship between the length of wearing panty liners and the incidence of vaginal discharge in adolescent girls. Methods: The quantitative method with the correlation analysis method and using a cross-sectional design, the research instrument used a questionnaire. The population was 95 students, and the number of samples was 79 people with purposive sampling techniques; the data were analyzed with univariate and bivariate analysis. Results: The results showed that there was a relationship between the length of wearing panty liners and the incidence of vaginal discharge in adolescent girls. The results showed that there was a significant relationship between the duration of panty liner use and the incidence of vaginal discharge among adolescent girls. A total of 44 respondents (55.7%) used panty liners in the abnormal category, while 35 respondents (44.3%) were in the normal usage category, with a p-value of 0.001 < 0.05. Conclusion: This indicates that wearing panty liners for an extended period can increase the risk of vaginal discharge in adolescent girls. It is recommended that the use of panty liners be limited and replaced periodically to prevent vaginal discharge and maintain the health of the intimate organs.
The Effectiveness of M-Health on Self-Efficacy, Self-Management, and Self-Care of Patients Undergoing Maintenance Hemodialysis: A Systematic Review and Meta-Analysis Hardhanti, Rizqi; Erna Rochmawati
Journal Of Nursing Practice Vol. 9 No. 2 (2026): January
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i2.759

Abstract

Background: M-Health is the use of mobile digital technology to support health and well-being by extending education, communication, health interventions, and research beyond the reach of traditional clinical care. Research has developed and tested M-Health, demonstrating its effectiveness in enhancing the self-efficacy of cancer patients. However, there has been no synthesis on the effectiveness of M-Health in enhancing self-efficacy in patients with chronic kidney disease. Purpose: The purpose of this systematic review and meta-analysis is to determine the effectiveness of M-Health on self-efficacy, self-management, and self-care in chronic kidney disease patients undergoing maintenance hemodialysis. Methods: The study method is a systematic review and meta-analysis reported according to PRISMA guidelines. We conducted this systematic review across six databases. We included randomized controlled trials, quasi-experimental studies, and cohort studies evaluating self-efficacy, self-management, and self-care in patients with chronic kidney disease. We performed the critical appraisal using the Joanna Briggs Institute Critical Appraisal Checklist. Review Manager version 4.5 synthesized the data. Results: In this study, a database search was conducted to obtain 1,115 articles. Then, 46 duplicates were identified, and 1,109 articles were excluded for not meeting the inclusion criteria, leaving 6 articles for review. After reviewing the six articles, M-Health was found to be effective for self-efficacy and self-management, but not for self-care, due to the study's short duration. Conclusion: The conclusion of this study is that M-Health intervention can improve self-efficacy and self-management in patients with chronic kidney disease. However, the effectiveness of self-care results is reduced due to the relatively short observation time. Therefore, it is essential to take into account the duration of the intervention to achieve more optimal outcomes.
Immune Response Indicators in Term and Preterm Premature Rupture of Membranes: A Leukocyte Profile Evaluation Septiyono, Eka Afdi; Luthfiana Zaki, Nissa; Rahmawati, Iis; Kurniawati, Dini
Journal Of Nursing Practice Vol. 9 No. 2 (2026): January
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i2.929

Abstract

Background: Premature rupture of membranes (PRM) occurs when membranes rupture spontaneously before delivery. PRM is categorized into preterm PRMor preterm premature rupture of membranes (PPROM), occurring before and at 37 weeks of gestation, and term PRM or premature rupture of membranes (PROM), occurring after 37 weeks. Objective: This study aimed to determine differences in leukocyte profiles between term and preterm PRM cases at RSD dr. Soebandi Jember. Methods: This research used an observational analytic design. This research involved two groups of pregnant women with term and preterm PRM. A total of 55 participants were included, with 28 in the preterm PRM group and 27 in the term PRM group. Data were collected from medical records between January 2023 and July 2024 using a purposive sampling technique. Normality tests were conducted using the Shapiro-Wilk Test. For normally distributed data (p > 0.05), the Independent T-Test was applied, while the Mann-Whitney Test was used for non-normally distributed data (p < 0.05). Results: The results showed no significant differences in lymphocyte (p-value=0,725) and neutrophil (p-value=0,893) levels. Similarly, no significant differences were found in leukocyte, monocyte, eosinophil, and basophil levels (p-values=0,987, 0,666, 0,949, and 0,979, respectively). Conclusion: The study showed no significant differences in the leukocyte profiles between term and preterm PRM. However, increased neutrophil counts in preterm cases may suggest an ongoing infection, highlighting the importance of monitoring leukocyte levels in PRM for potential infection risk management. Further studies are needed to assess how factors such as occupation and daily fatigue affect the incidence of PRM, especially in the preterm group.
Influence Rational Emotive Behavior Therapy (REBT) & Acceptance Commitment Therapy (ACT) on Self-Efficacy of HIV Patients Sugiyanto, Emilia; Chandra Hadi Prasetya; Livana PH; Wijanarko Heru Pramono
Journal Of Nursing Practice Vol. 9 No. 2 (2026): January
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i2.945

Abstract

Background: Self-efficacy is a determining factor and predictor of successful treatment for HIV patients. Self-efficacy contributes to a person's ability to overcome the challenges they face. Efforts to manage self-efficacy in HIV patients are needed to support treatment success. One approach is to use a combination of Acceptance Commitment Therapy (ACT) and Rational Emotive Behavior Therapy (REBT). Purpose: The aim of this study was to determine the effect of providing combination therapy of ACT and REBT on increasing self-efficacy in HIV patients. Methods: This study used a quantitative, semi-experimental, one-group pre-test and post-test method. The study population consisted of 31 respondents. The sampling method was total sampling. The study was conducted on 31 HIV patients with at least adequate self-efficacy scores. The Wilcoxon test was used for analysis because the data used were ordinal. Results: There was an effect of combined ACT and REBT therapy on improving self-efficacy in HIV patients, as indicated by a significant value of 0.00. Respondents experienced an increase in efficacy values before and after with an average increase of 16 with a sig value of 0.00 where the value is less than 0.05, which means there is a difference in value between the efficacy values before and after. There is an effect of administering ACT and REBT therapy on the efficacy level of HIV patients. Conclusion: ACT and REBT therapy have been shown to improve self-efficacy in HIV patients. Self-efficacy in HIV patients is influenced by several factors, including patient demographics and stigma. The development and implementation of therapy, particularly for vulnerable groups, is needed, taking into account each patient's characteristics.
Analysis of Hemodialysis Duration as a Determining Factor of Quality of Life in Patients with Chronic Kidney Disease : A Cross-Sectional Study at Regional General Hospital, Bandung Regency, 2024 Kusmiran, Eny; Tentry Fuji Purwanti; Hani Hanafiah
Journal Of Nursing Practice Vol. 9 No. 2 (2026): January
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i2.953

Abstract

Background: Chronic kidney disease (CKD) is a progressive global health problem, with hemodialysis serving as a vital life-sustaining therapy. The therapy duration potentially impacts patients’ quality of life due to physical, psychological, and social challenges. Purpose: This study aimed to investigate the relationship between the duration of hemodialysis and quality of life among CKD patients at Regional General Hospital, Bandung Regency, Indonesia. Methods: A cross-sectional correlational design was employed in May 2024 involving 80 CKD patients undergoing hemodialysis, recruited by accidental sampling. Duration of hemodialysis was obtained from medical records, while quality of life was measured using the validated Kidney Disease Quality of Life Short Form (KDQOL-SF36). Data were analyzed using descriptive statistics and the Chi-Square test, with significance set at α = 0.05. Results: The mean age of participants was 46.3 ± 8.9 years; 56.3% were male. Patients undergoing hemodialysis for more than 24 months constituted 45.0% of the sample. Quality of life was reported as good by 57.5% of respondents, moderate by 30.0%, and poor by 12.5%. A significant association was found between hemodialysis duration and quality of life (p < 0.001), with longer treatment durations correlating with better quality of life 86.1% of patients treated over 24 months reported good quality of life compared to 35.5% in those treated under 12 months. Conclusion: Longer duration of hemodialysis is significantly associated with improved quality of life among CKD patients, potentially reflecting enhanced coping and adaptation mechanisms. These findings highlight the necessity for holistic nursing care programs tailored to treatment duration to optimize patient outcomes.
Screening Mental, Social, and Health Readiness Among Prospective Brides and Grooms Zauhani Kusnul; Nugroho, Christianto; Yuly periostiowati; Herin Mawarti; Wiwik Afridah
Journal Of Nursing Practice Vol. 9 No. 2 (2026): January
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i2.958

Abstract

Background: Entering marriage is a crucial developmental phase, requiring thorough preparation to achieve the goals of marriage. The mental, social, and health readiness of prospective brides and grooms is crucial for the well-being of future generations. Purpose: The purpose of this study was to screen prospective brides and grooms for their mental, social, and health readiness. Methods: This observational study was conducted on 30 prospective brides and grooms in the Pare District Office of Religious Affairs (KUA) area, the samples take by with accidental sampling without inclusion and exclusion criteria. The variables included mental and social readiness, healthy lifestyle habits, blood pressure, and upper arm circumference for prospective brides and grooms. Results: The results showed that the prospective brides and grooms' mental and social readiness was relatively good. Regarding health readiness, two prospective brides had a low upper arm circumference (MUAC) and three prospective grooms had high blood pressure. Regarding smoking habits, the majority of the 15 prospective grooms, except for two, were smokers. Conclusion: The conclusion of this study are expected to provide important information in identifying issues in the health readiness of prospective brides and grooms that require strengthening.
Analysis of the Influence of Community Cultural Factors on the Movement of Dengue Haemorrhagic Fever Mosquitoes in Malang Regency Febriani, Reny Tri; Nurwijayanti; Jalu, Prastyantoko Kukuh
Journal Of Nursing Practice Vol. 9 No. 2 (2026): January
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i2.968

Abstract

Background: Dengue Haemorrhagic Fever (DHF) remains a serious threat in tropical regions, including Indonesia, with a significant increase in cases. Purpose: The spread of this disease is influenced by community cultural factors and behaviours related to environmental sanitation. Cultural differences between rural and urban communities affect dengue prevention efforts. Through the measurement of the House Index (HI) and Container Index (CI), the relationship between community behaviour and mosquito density can be determined. Methods: This study analysed the influence of community cultural factors on the movement and breeding behaviour of Aedes aegypti mosquitoes in Malang Regency. Using a quantitative analytical observational design (cross-sectional), the research was conducted in three subdistricts with the highest DHF cases: Dau, Kepanjen, and Singosari. Results: The results showed that family support for DHF prevention was generally positive but not significantly related to mosquito density (p = 0.796). Conversely, community leader support showed a significant effect (p = 0.044), as residents were more obedient to local leaders’ guidance. Community leaders play a crucial role in dengue control, while family involvement needs to be strengthened through education and active participation. Conclusion: Nurses are advised to empower families and collaborate with community leaders in implementing the 3M Plus movement and culturally based education to reduce mosquito density and Dengue Haemorrhagic Fever cases.
A School-based Suicide Prevention Programme with Peer Support to Prevent Suicidal Ideation in Adolescents: A Cross-Sectional Study Rohmi, Faizatur; Agustiningsih, Nia; Setiawan, Arik Agung; Supriono
Journal Of Nursing Practice Vol. 9 No. 2 (2026): January
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i2.981

Abstract

Background: Suicide is a significant public health concern among school-aged adolescents. Suicidal ideation (SI) in adolescents are robustly associated with greater risk of concurrent and succeeding suicide attempts. Evidence suggests that suicidal ideation in adolescents is influenced by peer support at school. Purpose: Our aim was to investigate the influence of peer support on school-based suicidal ideation in adolescents. Methods: A cross-sectional study was conducted in Malang, Indonesia. A total of 179 Adolescents aged 13-15 years were recruited from six classes at junior high schools in Malang by stratified random sampling. An anonymous self-report questionnaire was used to collect demographic characteristics, suicidal ideation, and peer support. Logistic regression was used to test the hypotheses. Results: The results of the multiple logistic regression showed that peer support and protection against suicidal ideation had a significance value of 0.008. This means that peer support influences protection against suicidal ideation. The results also showed that peer support and suicide vulnerability had a significance value of 0.840. This means that peer support did not influence vulnerability to suicidal ideation. Conclusions: Suicide vulnerability is a risk factor for suicidal ideation. Peer support can enhance protective factors against suicidal ideation. Public health nurses can collaborate with school nurses to regularly detect symptoms of suicidal ideation and provide early intervention. Educating peers and teachers about methods to enhance protective factors in adolescents can be beneficial in reducing suicidal ideation.
The Relationship Between Stress, Depression, and Suicidal Ideation among Adolescents in Gresik Regency Widiyawati, Wiwik; Musfara, Deah Dwi
Journal Of Nursing Practice Vol. 9 No. 2 (2026): January
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i2.996

Abstract

Background: Mental health disorders have become a serious concern due to their wide-ranging impacts, including the rising incidence of suicide. Suicide is an intentional act to end one’s life, influenced by both internal factors such as psychological and biological conditions, and external factors such as economy, environment, and technology. Adolescents and young adults represent vulnerable groups prone to stress and depression triggered by academic and social demands. When left unaddressed, these conditions may lead to the emergence of suicidal ideation. This situation underscores the need for mental health awareness and early prevention efforts among adolescents and young adults. Purpose: This study aimed to determine the relationship between stress and depression with suicidal ideation among adolescents in one of the districts of Gresik Regency. Methods: This study employed quantitative cross-sectional design. Data was collected using the Depression Anxiety Stress Scale (DASS-42) to assess stress and depression levels, and the Mini Plus 5.0.0 Questionnaire to measure suicidal idea. The study population consisted of 462 adolescents, with 215 respondents selected through simple random sampling. Ethical approval was obtained under No. 005/KET/II.3.UMG/KEP/A/2024. Data was analyzed using the Spearman Rank correlation test. Results: The correlation analysis between stress and suicidal ideation yielded a significance value of 0.01 (r=0.358, p-value < 0.05). Similarly, the correlation between depression and suicidal ideation also showed a significant value of 0.01 (r= 0.376, p-value < 0.05). Conclusion: The findings indicate that both stress and depression are significantly correlated with suicidal ideation among adolescents in Gresik Regency. Mental health problems, particularly stress and depression, can severely affect daily functioning among adolescents and young adults, leading to discomfort and vulnerability to suicidal thoughts due to inadequate coping mechanisms and environmental support.
Cognitive Behavioral Therapy to Reduce Academic Stress among Nursing Students: A Quasi-Experimental Study Sustrami, Dya; Susanti, Ari; Ardhy Wahyu Ramadhana Putra; Suhardiningsih, A.V. Sri
Journal Of Nursing Practice Vol. 9 No. 2 (2026): January
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i2.997

Abstract

Background: Academic stress was commonly experienced by university students as a result of high academic demands and workload.  Cognitive Behaviour Therapy (CBT) is one of the methods that can help individuals identify irrational thought and replace them with adaptive cognitions so they can assess academic situation more realistically and rationally. Purpose: The purpose of this study was to analyze the effectiveness of CBT in reducing academic stress among nursing students. Methods: A quasi-experimental pre–post-test design was applied with 141 participants selected through simple random sampling, consisting of 70 respondents in the experimental group and 71 in the control group. The intervention group received a two-week CBT program based on the ABCDE model and cognitive restructuring techniques. The Student Life Stress Inventory (SSI) was administered before and after the intervention. Data were analyzed using the Wilcoxon Signed Rank Test and Mann–Whitney U Test. All procedures of this study were approved by the Research Ethics Committee of STIKes Hang Tuah Surabaya Number PE/50/II/2025/KEP/SHT Results: The Wilcoxon test showed a significant reduction in stress levels in the experimental group (Z = –3.088, p = 0.002), while no significant difference was found in the control group (Z = –0.765, p = 0.444). The Mann–Whitney U Test revealed a significant difference in post–pre score changes between groups (U = –3.017, p = 0.003), indicating that CBT was effective in decreasing stress levels. Conclusion: CBT effectively reduced academic stress among nursing students.CBT also can be used as an effective non-pharmacological nursing intervention in stress management.

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