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Jurnal Keperawatan Muhammadiyah
Published by Universitas Muhammadiyah Surabaya
ISSN : 25412396     EISSN : 25977539     DOI : -
Core Subject : Health,
Health Professions Nursing
Jurnal Keperawatan Muhammadiyah (JKM) adalah jurnal Ilmiah yang diterbitkan oleh Program Studi Ilmu Keperawatan Fakultas Ilmu Kesehatan Universitas Muhammadiyah Surabaya. Jurnal ini akan menerbitkan artikel penelitian, studi kasus, literature review dan update ilmu keperawatan meliputi seluruh departemen yang ada di Keperawatan. Jurnal ini akan diterbitkan secara online dan cetak. Jurnal Keperawatan Muhammadiyah terbit dua kali dalam satu tahun, yaitu bulan Juni dan Desember
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Articles 1,426 Documents
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Evaluasi Implementasi Metode Asuhan Keperawatan Profesional (MAKP): Scoping Review Lindawati Br Barus; Wida Kuswida Bhakti; Dinarwulan Puspita; Suriadi
Jurnal Keperawatan Muhammadiyah Vol 11 No 2 (2026): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

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Background: The Professional Nursing Care Model (PNCM) is a fundamental framework for organizing nursing delivery systems to enhance hospital operational efficiency and service quality. Despite its broad implementation in Indonesia, a comprehensive mapping of its evaluative outcomes and determining factors remains limited. This scoping review aims to systematically map scientific evidence regarding PNCM implementation, models, and determining factors within the Indonesian healthcare context. Methods: This review followed Arksey and O'Malley’s framework and PRISMA-ScR guidelines. A comprehensive literature search was conducted on PubMed, Scopus, ScienceDirect, and Google Scholar for studies published between 2016 to 2025. Eligibility was determined using the PCC (Population, Concept, Context) framework, focusing on studies evaluating PNCM impact in Indonesia. Results: Ten studies met the inclusion criteria. Findings indicate that PNCM implementation in Indonesia is largely adaptive, dominated by Team and Modified Team-Primary models. Overall implementation quality is categorized as "moderate," characterized by inconsistent execution of core managerial activities, including pre-conferences, post-conferences, and nursing rounds. Implementation success is significantly driven by organizational factors (head nurse leadership and job design) and psychological factors (nurse motivation), whereas individual factors showed no significant influence. Conclusion: PNCM implementation in Indonesian hospitals is adaptive yet partial, hindered by gaps in core managerial components. Achieving optimal implementation requires robust managerial support and enhanced professional motivation. Management interventions should prioritize leadership capacity building and the cultivation of conducive work environments to ensure high-quality nursing care delivery.
Evaluasi Pelaksanaan Clinical Pathway: Scoping Review Dwi Natalia Rustanti; Wida Kuswida Bhakti; Suriadi; Ramadhaniati
Jurnal Keperawatan Muhammadiyah Vol 11 No 2 (2026): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

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Abstract

Background: Improving the quality of healthcare and patient safety is a top global priority. Clinical Pathways (CP) are implemented as evidence-based management tools to reduce clinical practice variations and enhance efficiency. However, implementation success varies significantly across organizations, necessitating systematic evaluation to identify adherence barriers and the effectiveness of these instruments on hospital quality indicators. Objective: This study aims to map the literature regarding the evaluation of Clinical Pathway implementation in hospitals, including the instruments used and the dimensions focused on during the evaluation process. Methods: This scoping review follows the Arksey and O’Malley framework and JBI guidelines. Literature searches were conducted across PubMed, ScienceDirect, and Scopus databases for articles published between 2021 and 2025. The study selection process utilized the PRISMA-ScR flow diagram. Results: From 465 identified articles, 5 studies were selected for synthesis. The evaluation results demonstrate that CP implementation consistently reduces the risk of complications, such as decreasing C. difficile recurrence rates from 29.2% to 15.1% and reducing the incidence of delirium in elderly hip fracture patients. CPs were also effective in shortening the Length of Stay (LOS) and improving diagnostic accuracy through digital technology integration. The main challenges identified included low adherence (52%) in heterogeneous medical conditions and the perception of increased administrative workload for healthcare professionals. Conclusion: The evaluation of Clinical Pathway implementation proves its significant potential in transforming healthcare services to be safer and more efficient. CP success depends not only on the clinical design of the flow but also on implementation strategies, technological support such as Electronic Health Record (EHR) integration, and the acceptance of frontline healthcare workers.
Hubungan Dukungan Keluarga Dengan Kesehatan Mental Klien Yang Menjalani Pengobatan Diabete Melitus Di Puskesmas Telaga Biru Rona Febriyona; Andi Nuraina Sudirman; Dea Ananda Febriyanti Bone
Jurnal Keperawatan Muhammadiyah Vol 11 No 2 (2026): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

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Abstract

Objective: to identify people with diabetes mellitus easily experience mental disorders or internalization disorders such as patients feeling sad and unhappy, patients are easily desperate, experiencing feelings of anxiety. Diabetics need support from their families because the family is the closest person who can play an active role in achieving compliance and successful treatment in people with diabetes mellitus Methods: This article with an analytical survey approach and using a cross sectional research design. The object of the study people and 36 people using accidental sampling technique that meet the inclusion and exclusion criteria. The research instrument uses family Support Questionnaire and Mental Health Questionnaire of Clients Undergoing Diabetes Mellitus Treatment). The data were analyzed with Chi-square. Results: The results showed the highest family support is the support of 29 people while the mental health of the patients is healthy as many as 27 people with a value of Vpalue=0.000 (<α 0.05). Conclusion: There is a a relationship of family support with the mental health of clients who are undergoing diabetes mellitus treatment at the Telaga Biru Health Center
Hubungan Perilaku Prososial (Prosocial Behavior ) Dengan Kejadian Korban Bullying Pada Remaja DI SMP Diponegoro Tumpang Jamilatur Rohmah; Kurnia Laksana; Andi Surya Kurniawan
Jurnal Keperawatan Muhammadiyah Vol 11 No 2 (2026): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

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Bullying is widely considered a serious problem in schools in various countries, including in Indonesia. Factors that influence the emergence of bullying are emotional, referring to typical feelings and thoughts, a biological and psychological state of a series of tendencies to act, this is related to prosocial behavior. The purpose of this research is to connect prosocial behavior with the incidence of bullying victims in adolescents at Diponegoro Tumpang Junior High School. Data were taken using quantitative methods involving 88 respondents selected by proportionate stratified random sampling technique. Data were collected using prosocial behavior questionnaire sheet and bullying victims. Data analysis used the sperman rank correlation test with a value of α = 0.005. With a total of 88 respondents, almost all of them, namely 44 (50%) experienced moderate levels of prosocial behaviour and most of them, namely 42 (48%) respondents experienced moderate levels of bullying victims. The results of statistical tests showed that the value of p = 0.000 or p < 0.005 so that there is a significant relationship between prosocial behaviour and the incidence of victims of bullying in adolescents at SMP Diponegoro Tumpang. The better the prosocial behaviour, the lower the involvement as a victim of bullying. It is recommended for the school to provide deeper knowledge about prosocial behaviour in the school environment and outside of school.
Progresive Muscle Relaxation sebagai Terapi Keperawatan Non-Farmakologis untuk Ketidakstabilan Kadar Glukosa Darah pada Pasien Diabetes Tipe 2: Studi Kasus Novita Surya Putri; Andrik Hermanto; Meira Safira Salsabila; Atik Pramesti Wilujeng; Riyan Dwi Prasetyawan; Tria Anisa Firmanti; Sholihin
Jurnal Keperawatan Muhammadiyah Vol 11 No 2 (2026): JURNAL KEPERAWATAN MUHAMMADIYAH
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Background: Diabetes mellitus (DM) is a metabolic disease characterized by unstable blood glucose. Unstable blood glucose levels are influenced by psychological and physiological stress, which triggers the secretion of stress hormones, thus worsening glycemic control. Non-pharmacological therapy using relaxation techniques is needed to reduce stress, including progressive muscle relaxation. Objective: The aim of this study was to implementing progressive muscle relaxation as a non-pharmacological nursing therapy for blood glucose level instability in type 2 diabetes patients: a case study. Methods: The research method used is a case study; the nursing problem in DM clients is Unstable blood glucose levels. Treatment that can be carried out for DM clients in dealing with nursing problems of unstable blood glucose levels is PMR therapy. The participants selected were two clients with blood glucose levels ≥200 mg/dl (Hyperglycemia). The research used interview techniques, observation, physical examination, documentation studies, and questionnaires. The assessment format used is the Medical Surgical Nursing format. Results: Progressive Muscle Relaxation (PMR) is given once daily for three consecutive days, with the intervention lasting 15–20 minutes. PMR therapy can effectively reduce blood glucose levels within three days. Participants experienced a decrease in blood glucose levels by an average of 1-24 mg/dl. Conclusion: The PMR relaxation technique affects the neuroendocrine system by reducing the response to stres. When the body is in a relaxed state, the dominance of the parasympathetic system increases, which is able to suppress the secretion of stress hormones and increase insulin sensitivity, thus having a positive impact on regulating blood glucose levels.
Hubungan Perilaku Bullying dengan Kesehatan Mental Siswa Kelas VII SMPN 3 Limboto Barat Kabupaten Gorontalo Nur Uyuun I Biahimo; Firmawati; Egi Fatma Tuliabu
Jurnal Keperawatan Muhammadiyah Vol 11 No 2 (2026): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

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Objective: to identify the impact caused by bullying is very wide in scope, including depression, anxiety and sleep problems that may carry over into adulthood, physical health complaints, such as headaches, abdominal pain and muscle tension, insecurity when in the school environment and decreased enthusiasm for learning and academic achievement Methods: This article quantitative research design with a descriptive-correlation approach. The object of the study were all grade VII students at SMP Negeri 3 Limboto with totali 57 respondent using a total sampling technique. The research instrument uses Olweus Bully/Victim Questionnaire (OBVQ) and Mental Health Inventory (MHI). The data were analyzed with Chi-square. Results: The results showed that students who experienced high bullying behavior with a high level of malaise were good at 21 people and poor as many as 9 people. Students who experienced bullying behaviors were good at 4 people and not good as many as 4 people. In addition, students who experienced bullying behaviors were good at least 16 people and not good as many as 3 people. Known statistical value or pValuel = 0.003 (<α 0.05). Conclusion: There is a relationship of Bullying Behavior with Student Behavior at SMPN 3 West Limboto.
Hubungan Faktor Lingkungan Dengan Kejadian Diare Pada Balita Di Wilayah Kerja Puskesmas Langsat Kota Pekanbaru Purnawita Nazara; Fitra Mayenti; Rifa Yanti; Suci Amin
Jurnal Keperawatan Muhammadiyah Vol 11 No 2 (2026): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

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Latar Belakang: Diare pada balita tetap menjadi masalah kesehatan utama dan berkaitan erat dengan faktor lingkungan. Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan antara kualitas fisik air bersih, kepemilikan toilet sanitasi, pengelolaan sampah, dan sumber air minum dengan kejadian diare pada balita di wilayah kerja Puskesmas Langsat, Kota Pekanbaru. Metode: Penelitian ini menggunakan desain analitik kuantitatif dengan pendekatan cross-sectional. Populasi terdiri dari seluruh ibu dengan bayi berusia 0–59 bulan (77 orang), dengan sampel sebanyak 65 responden yang dipilih menggunakan purposive sampling. Data dikumpulkan menggunakan kuesioner terstruktur berdasarkan indikator dari WHO, UNICEF-JMP, dan Kementerian Kesehatan Indonesia, kemudian dianalisis secara univariat dan bivariat menggunakan uji Chi-square (α=0,05). Hasil: Hasil penelitian menunjukkan bahwa 70,8% balita mengalami diare. Mayoritas responden memiliki air bersih (61,5%), toilet (72,3%), dan pengelolaan sampah (75,4%) yang tidak memenuhi persyaratan, dan 64,6% menggunakan sumber air minum yang tidak layak. Uji bivariat menunjukkan hubungan yang signifikan antara kualitas fisik air bersih (p=0,000), kepemilikan toilet yang sehat (p=0,048), pengelolaan sampah (p=0,009), dan sumber air minum (p=0,001) dengan kejadian diare pada balita. Kesimpulan: Diharapkan Pusat Kesehatan Masyarakat akan meningkatkan upaya promosi dan pencegahan melalui pendidikan Kesehatan dan Keselamatan Kerja (PHBS) serta peningkatan sanitasi lingkungan dan akses air bersih untuk mengurangi kejadian diare pada balita.
Hubungan Durasi Penggunaan Gadget Dengan Interaksi Sosial Pada Remaja Kelas X Di SMK Diponegoro Tumpang Anita Mardiana; Risna Yekti Mumpuni; Kurnia Laksana
Jurnal Keperawatan Muhammadiyah Vol 11 No 2 (2026): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

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In today's digital era, gadgets have become an integral part of everyday life, especially among teenagers. Excessive use of gadgets can affect adolescents' social interactions, which are an important phase in their psychosocial development. This causes changes in the way teenagers interact. This study aims to analyze the relationship between the duration of gadget use and social interaction in grade X adolescents at SMK Diponegoro Tumpang. The method used is correlational with a quantitative approach using a cross-sectional design. The sample in this study was 58 students with a Purposive Sampling sampling technique. The independent variable in this study is the duration of gadget use and the dependent variable is social interaction which is measured using a questionnaire on the level of gadget use duration and social interaction. The data analysis used is the Spearman Rank Test, the results show a value of p = 0.000 where p (˂0.05) and the correlation coefficient value (r = -0.439) this indicates that there is a relationship between the duration of gadget use and social interaction in adolescents. And there is a moderate negative relationship between the duration of gadget use and social interaction, which means that the longer the duration of gadget use, the lower the social interaction in adolescents. With the increasing use of gadgets among teenagers which often has a negative impact on social interaction relationships, it is hoped that this study can provide useful information for parents, educators, and teenagers themselves to manage gadget use more wisely.
Prevalensi Dan Distribusi Tingkat Gejala Depresi Pada Lansia Di Wilayah Komunitas Rw 14 Citeureup Elisa Adelia do Carmo; Judika Rubi Marta Sirait; Rahmi Imelisa; Fifi Siti Fauziah Yani; Khrisna Wisnusakti; Astri Permatasari
Jurnal Keperawatan Muhammadiyah Vol 11 No 2 (2026): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

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Background: Depression is a common mental health problem among older adults and contributes to decreased quality of life, increased morbidity, and higher health care utilization. In community settings, depressive symptoms are often under-detected due to limited screening and the assumption that psychological changes are a normal part of aging. Objective: This study aimed to describe the prevalence and distribution of depressive symptom levels among older adults living in RW 14 Citeureup community area. Methods: This study employed a descriptive quantitative design with a cross-sectional approach. A total of 44 older adults were recruited using total sampling. Data were collected using the Geriatric Depression Scale (GDS). Univariate analysis was performed to describe respondent characteristics and the distribution of depressive symptom levels. Results: Most respondents were aged 66–84 years (54.5%) and female (56.8%). Based on GDS scores, the majority experienced mild depression (70.5%), followed by moderate depression (25.0%) and severe depression (4.5%). Conclusion: The prevalence of depressive symptoms among older adults in RW 14 Citeureup community area was relatively high, with mild depression as the dominant category. Routine community-based mental health screening is essential for early detection and prevention of depression progression among older adults.
Pengaruh Kombinasi Transcutaneous Electrical Nerve Stimulation (TENS), Quadriceps Setting Exercise, Dan Kinesio Taping Terhadap Aktivitas Fungsional Pada Osteoarthritis Genu Di RS Terpadu Di Bogor Muhamad Rafly Ar Rasyid; Yohanes Deo Fau; Achmad Fariz; Agung Hadi Endaryanto
Jurnal Keperawatan Muhammadiyah Vol 11 No 2 (2026): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

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Background: Knee osteoarthritis is a musculoskeletal disorder that commonly occurs in the productive age group and is associated with decreased functional ability and movement function. The combination of transcutaneous nerve stimulation, quadriceps setting exercise, and kinesio taping has been shown to improve functional outcomes. Objective: To determine the effect of a combination of transcutaneous nerve stimulation, quadriceps setting exercise, and kinesio taping on functional activity in patients with knee osteoarthritis at RS Terpadu Bogor. Methods: : This study employed a pre-experimental design with a pre-test and post-test approach. The study was conducted at RS Terpadu Bogor using a purposive sampling technique, with a total of 30 respondents. Functional outcomes were measured using the WOMAC questionnaire. Results: Hypothesis testing using the Wilcoxon test showed a significant result (p = 0.000), indicating that the combination of transcutaneous nerve stimulation, quadriceps setting exercise, and kinesio taping had a significant effect on functional activity in patients with knee osteoarthritis at RS TerpaduBogor. Conclusion: There is a significant effect of the combined intervention of transcutaneous nerve stimulation, quadriceps setting exercise, and kinesio taping on functional activity in patients with knee osteoarthritis at RS Terpadu Bogor.

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