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Nurse and Health: Jurnal Keperawatan
Published by Politeknik Kesehatan Kerta Cendekia
ISSN : 20889909     EISSN : 26232448     DOI : -
Core Subject : Health,
Nursing
Nurse and Health: Jurnal Keperawatan (NHJK) is a Scientific Journal managed by Community Service and Research Division of Kerta Cendekia Nursing Academy. The scope of this journal is articles in the fields of health, public health, and nursing (basic nursing, medical surgical nursing, pediatric nursing, maternity nursing, community health nursing, family nursing, emergency nursing, psychiatric and mental health nursing, gerontological nursing, and also nursing management). This journal is published in print and online every 6 months, namely June and December.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 266 Documents
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THE EFFECT OF AUTOGENIC RELAXATION ON PAIN RELIEF IN HYPERTENSION PATIENTS: A SYSTEMATIC REVIEW Listari, Risti Puji; Sulistyowati, Agus; Wijayanti, Dini Prastyo
Nurse and Health: Jurnal Keperawatan Vol 13 No 2 (2024): Nurse and Health: Jurnal Keperawatan
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/nhjk.v13i2.724

Abstract

Background: Hypertension can be treated with non-pharmacological treatment. Comprehensive chronic pain treatment involves a combination of methods and therapies. Relaxation effectively reduces muscle tension, improves well-being, and reduces symptomatic stress in individuals experiencing various situations. Autogenic relaxation therapy carried out for ± 10 minutes scientifically has a physiological impact on the body. Objective: This literature review aimed to identify the effect of autogenic relaxation on pain reduction in hypertensive patients Design: This research design was a literature review. Data Sources: Search for articles using three journal databases, namely Google Scholar, PubMed, and ScienceDirect. Reviews Methods: Used PRISM flow diagram to find a total of 6 articles that meet the inclusion criteria reviewed. Result: The literature search results found 2 articles that met the inclusion criteria that were published in 2023. Conclusion: One of types of relaxation is an autogenic relaxation on reducing pain in hypertensive patients. Continue to do relaxation routinely and regularly both independently and with guidance from experts, and continue to take medication according to doctor's recommendations and carry out routine checks with doctors, for symptom improvement.
EFFECTIVENESS OF DOUBLE LUMEN CATHETER WOUND CARE USING 0.9% NaCL, 7.5% CHLORHEXIDINE, 15% CETRIMIDE ON DOUBLE LUMEN CATHETER INFECTION IN REGULAR HEMODIALYSIS PATIENTS Andita, Heru Firman; Abidin, Zainal; Hamim, Nur
Nurse and Health: Jurnal Keperawatan Vol 13 No 2 (2024): Nurse and Health: Jurnal Keperawatan
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/nhjk.v13i2.731

Abstract

Background: The high incidence of double lumen catheter infections in Hemodialysis patients requires a solution including wound care using the antiseptic chlorhexidine 7.5% and cetrimide 15%. Objectives: The aim of this study is to identify the effect of double lumen catheter wound care using NaCL 0.9%, Chlorhexidine 7.5%, and Setrimide 15% on double lumen catheter infection in regular hemodialysis patients at Bhayangkara Lumajang Hospital. Methods: The research design used was quantitative research with a PreExperimental One-Group Pretest-Posttest Design approach. The population in this study was hemodialysis patients with double lumen access who meet the inclusion and exclusion criteria, with a sample of 31 respondents. The sampling technique uses accidental sampling. Results: The research results were obtained before wound treatment using NaCL 0.9%, Chlorhexidine 7.5%, and Setrimide 15%. From 31 respondents 12 (38.7%) respondents experienced infection and after wound treatment using NaCL 0.9%, Chlorhexidine 7.5%, and Setrimide 15%. From 31 respondents 7 (22.6%) respondents experienced infection. After statistical tests were carried out using the Willcoxon test, the result was P = (0.025 < α 0.05), which means that there is a significant effect between treating double lumen catheter wounds using Nacl 0.9%, chlorhexidine 7.5 %, and cetrimide 15% against double lumen catheter infections in regular hemodialysis patients.
THE EFFECT OF BRAIN GYM ON THE LEVEL OF INDEPENDENCE OF THE ELDERLY Nurcahyaningtyas, Widya; Widati, Amila; Rofiq, Muhamad Ainur
Nurse and Health: Jurnal Keperawatan Vol 13 No 2 (2024): Nurse and Health: Jurnal Keperawatan
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/nhjk.v13i2.741

Abstract

Background: The height ratio dependence elderly in Indonesia is very worrying. The ratio dependence elderly in Indonesia are increasing from 14.02% in 2017 to 16.76% in 2021. East Java including the top 5 province with dependence elderly and occupying ranking to 3 after Central Java Province. Objectives: To know the effect of brain gym on level independence elderly. Methods: This was pre-experiment with use approach one group pre-post test design. Population in the study is all over elderly people in the village Ringinsari, District Kandat Kediri Regency. Technique of taking sample done with technique Consecutive Sampling. Data analysis was carried out through two stages. Stage First that is analyzing pre and post independence data elderly using the pre post test design test. Stage second is analyze the effect of brain gym on level independence elderly using the Wilcoxon test. Results: Research results show that there is change in level of independence before and after given Brain Gym intervention. The results of data analysis using the Wilcoxon test (level of 95% confidence interval is p= 0.000<0.05) which means there is the effect of brain gym to level independence elderly in the village Ringinsari, District Kandat Kediri Conclusion: Brain gym influential to level independence in the elderly.
ANALYSIS OF POTENTIAL HAZARDS FOR GADUNG CHIPS WORKERS USING THE HIRARC METHOD IN RINGINSARI VILLAGE KEDIRI REGENCY Irianingtyas, Riza; Maryiantari, Ellyza Setya; Tigowati; Nuwa, Geovania Nage
Nurse and Health: Jurnal Keperawatan Vol 13 No 2 (2024): Nurse and Health: Jurnal Keperawatan
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/nhjk.v13i2.743

Abstract

Background: One of the industrial sectors that has a high risk of danger is the informal sector, one of which is the home industry of making chips. Knowledge about occupational health and safety is one of the factors that cause health problems and incidents in the workplace. Therefore, it is necessary to handle the problem of danger by identifying risks and controlling in minimizing the occurrence of accidents and occupational health disorders. Objectives: The purpose of this research was to determine the risk of work accidents, determine the level of work accident risk and provide suggestions for controlling the risk of work accidents that can occur in the cassava chips manufacturing industry. Methods: This study is a descriptive observational study, which is a research method that provides an in-depth description of the process of making gadung chips in a home industry which is then analyzed and compared based on existing reality. Observations are made directly to ensure that the process reflects daily practices in the home industry. The study was conducted with a cross-sectional approach, data will be collected at one time to understand the conditions at that time. The data analysis technique used in this study is descriptive analysis and risk identification with the HIRARC method, namely: 1) Hazard identification, 2) Risk Assessment (Risk Analysis), 3) Determining Controls, 4) Documentation Socialization and Implementing Controls Results: 33 work accident risks were found that could occur in the process of making combined chips. The level of work accident risk from 33 risks obtained 42% low risk hazards, 21% medium risk hazards, 30% high risk hazards and 7% very high risk hazards Conclusion: Based on the research results, it can be concluded that: 1) 33 work accident risks were found that could occur in the process of making combined chips. 2) the level of work accident risk from 33 risks obtained 42% low risk hazards, 21% medium risk hazards, 30% high risk hazards and 7% very high risk hazards. 3) there are 33 risk control studies consisting of substitution control, administration, and use of PPE
ERGONOMIC RISK ASSESSMENT OF GADUNG PEELERS USING NORDIC BODY MAP (NBM) AND OVAKO WORK POSTURE ANALYSIS (OWAS) METHODS Rahmania, Nima Eka Nur; Kuncoro, Achmat; Irianingtyas, Riza; Nuwa, Geovania Nage
Nurse and Health: Jurnal Keperawatan Vol 13 No 2 (2024): Nurse and Health: Jurnal Keperawatan
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/nhjk.v13i2.746

Abstract

Background: The activity of peeling gadung as a raw material for making gadung chips is done manually and repeatedly with an unnatural working posture and can cause musculoskeletal disorders (MSDs). Preventive measures need to be taken by carrying out ergonomic risk assessments. Objectives: The research aimed to analyze the level of ergonomic risk in MSDs using the Nordic Body Map (NBM) and Ovako Work Posture Analysis (OWAS) methods. Methods: The research method used was an analytical method with a cross-sectional research design. This research was conducted in the home industry gadung chips, Kediri in August 2024. The sampling technique was purposive sampling with a total sample of 10 gadung peeler workers. The variables in this study were the severity of muscle complaints and work posture (back, arm, leg, and load movements) as the risk level for MSDs. The type of data collection technique used was a field study by filling out the NBM questionnaire to determine the severity of MSDs. Working posture (back, arm, leg, and load movements) was also observed using the OWAS method by filling in a form. The results of the analysis will provide results as a reference for taking appropriate action to overcome ergonomic risks. Results: Based on data analysis using the NBM showed the percentage of MSDs, that are right shoulder, right wrist, and right hand had the highest proportion of scores for complaints of pain that always occurred (100%). The left wrist and shoulder area (96%), stiffness in the lower neck (92%), pain in the back (91%), pain in the waist (90%), and also pain in the right and left knee areas for lower limbs. The results of the ergonomic risk level analysis using the OWAS method showed that the working posture is included in the moderate risk category (score 2). Conclusion: Corrective action is needed to prevent musculoskeletal disorders such as improving work posture, doing stretching exercises before and after work and designing ergonomic work chairs.
RELATIONSHIP BETWEEN MICRONUTRIENT INTAKE AND HEMOGLOBIN LEVELS IN PREGNANT WOMEN IN DEPOK CITY WEST JAVA Fikriah, Sinta Aulia; Nurbaeti, Irma
Nurse and Health: Jurnal Keperawatan Vol 14 No 1 (2025): Nurse and Health: Jurnal Keperawatan
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/nhjk.v14i1.770

Abstract

Background: Anemia remains a public health issue among pregnant women in Indonesia, including in the city of Depok. One of the causes is insufficient intake of micronutrients such as iron, folic acid, vitamin B12, and vitamin C, which play a crucial role in hemoglobin production. Objectives: This study aims to investigate the relationship between micronutrient intake and hemoglobin levels among pregnant women Methods: This study employed a cross-sectional design in Depok city, West Java, in April to May 2025. A sample of 107 pregnant women was selected using accidental sampling. Data were collected through interviews using a 24-hour Dietary Recall questionnaire and hemoglobin level test results from medical records. The Spearman Rank test was used for data analysis Results: The results showed that the majority of respondents had an adequate intake of micronutrients (81.3%) and hemoglobin levels in the non-anemic category (70.1%). A significant association was found between iron, folic acid, vitamin B12, and vitamin C intake and hemoglobin levels (p = 0.0001). A history of anemia was also strongly associated with hemoglobin levels (p = 0.0001; r = 0.706). Conclusion: Adequate intake of iron, folic acid, vitamin B12, and vitamin C plays a role in maintaining hemoglobin levels in pregnant women. Nutrition education and monitoring of micronutrient intake need to be improved in nursing practice to prevent anemia and pregnancy complications.
DETERMINANT FACTORS ASSOCIATED WITH DIGITALIZATION OF LEADERSHIP COMMUNICATION AT HOSPITAL Agustini, Ni Luh Putu Inca Buntari; Wardana, Dewa Gede Wisnu; Negara, I Gusti Ngurah Made Gusti Kusuma; Yusniawati, Yustina Ni Putu; Israfil, Israfil; Suyasa, I Gede Putu Darma
Nurse and Health: Jurnal Keperawatan Vol. 14 No. 2 (2025): Nurse and Health : Jurnal Keperawatan
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/nhjk.v14i2.768

Abstract

Background: The digital era has accelerated the digitalization of organizational processes, including leadership communication. The emergence of digital leadership requires leaders to adapt their communication and leadership styles to dynamic, technology-mediated work environments. In hospital settings, effective digital leadership communication is essential to support coordination, decision-making, and quality nursing care. Purpose: This study aimed to identify determinants associated with the digitalization of leadership communication in hospitals. Methods: A cross-sectional study design was employed involving 131 nurses recruited through purposive sampling based on predefined inclusion criteria. Data were collected using structured questionnaires measuring leadership style, communication style, leadership skills, leader enthusiasm, and the implementation of digital leadership communication. Statistical analyses included the Spearman rho test, contingency coefficient, and multiple logistic regression to examine associations between variables. Results: The findings indicated that 94.7% of respondents perceived the implementation of digital leadership communication as good. Leadership style showed a moderate positive correlation with digital leadership communication (p = 0.000; r = 0.512). Communication style was not significantly associated with digital leadership communication (p = 0.434; r = 0.068). Leadership skills demonstrated a strong positive relationship (p = 0.000; r = 0.589), while leader enthusiasm showed the strongest association (p = 0.000; r = 0.698). Multivariate analysis confirmed that leadership skills and enthusiasm were the most influential determinants. Conclusion: Leader enthusiasm and leadership skills are key determinants of effective digitalization of leadership communication in hospital settings. Strengthening these competencies may enhance digital leadership practices and improve organizational communication in healthcare institutions.
THE EFFECTIVENESS OF AROMATHERAPY RELAXATION TECHNIQUES AND SLOW STROKE BACK MASSAGE STIMULATION ON CHANGES IN PAIN INTENSITY IN POST-HYDRONEPHROSIS SURGERY PATIENTS AT AMIRA GENERAL HOSPITAL IN 2024 Basahudin, Deri Afrido; Purnama, Agus; Koto, Yeni
Nurse and Health: Jurnal Keperawatan Vol. 14 No. 2 (2025): Nurse and Health : Jurnal Keperawatan
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/nhjk.v14i2.803

Abstract

Background: Post-hydronephrosis surgery patients may experience pain. The physical impacts of pain include rapid breathing, increased heart rate, elevated blood pressure, increased stress hormones, delayed healing, and decreased immune function. Pain reduction can be achieved through pharmacological and non-pharmacological approaches. One non-pharmacological method includes aromatherapy relaxation therapy, SSBM stimulation, and a combination of both aromatherapy relaxation and SSBM stimulation. Objectives: To identify the effectiveness of aromatherapy relaxation techniques and slow stroke back massage stimulation on changes in pain intensity among post-hydronephrosis surgery patients at Amira General Hospital Methods: This study utilized a quantitative research approach with a quasi-experimental design, specifically employing a pretest-posttest design with three intervention groups. The population consisted of post-hydronephrosis surgery patients at Amira General Hospital. The sample involved 21 respondents, divided into three groups: aromatherapy relaxation therapy (7 respondents), SSBM stimulation (7 respondents), and a combination of aromatherapy relaxation and SSBM stimulation (7 respondents). The sampling technique used was purposive sampling. The research instrument used for data collection was an observation sheet. Data analysis was conducted using dependent t-test and independent t-test. Results: The study found that changes in pain intensity before and after intervention in post-hydronephrosis surgery patients showed the following p-values: aromatherapy relaxation therapy p = 0.3711, SSBM stimulation p = 0.001, combination therapy (aromatherapy relaxation and SSBM stimulation) p = 0.017, and combination therapy p < 0.001. Based on the independent t-test results, p < 0.05 indicated a significant difference in pain intensity changes between aromatherapy relaxation, SSBM stimulation, and their combination in post-hydronephrosis surgery patients at Amira General Hospital. Conclusion: Slow Stroke Back Massage (SSBM) stimulation and the combination therapy (Aromatherapy + SSBM) demonstrated a significant effect on reducing pain intensity in post-hydronephrosis surgery patients. However, aromatherapy relaxation alone did not show a statistically significant effect. The combination therapy provided the most optimal reduction in pain intensity.   Keywords: Aromatherapy Relaxation, Combination, Hydronephrosis, Slow Stroke Back Massage
MULTIPLE CASE STUDY : PRE-ANESTHESIA ASSESSMENT IN AMBULATORY ANESTHESIA PATIENTS yusniawati, yustina ni putu; Lewar, Emanuel Ileatan; Oktaviani Tirta, Ni Putu Sapta
Nurse and Health: Jurnal Keperawatan Vol. 14 No. 2 (2025): Nurse and Health : Jurnal Keperawatan
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/nhjk.v14i2.804

Abstract

Background: Pre-anesthesia assessment is a procedure to assess the feasibility and preparation of a patient's medical condition before anesthesia. Ambulatory anesthesia is a medical service that does not require hospitalization after anesthesia. Purpose: To identify case study of pre-anesthesia assessment in ambulatory anesthesia patients Methods: This study employed descriptive qualitative with a case study approach with multiple case study design. The data were collected by using interview guide. There were 5 participants included in this study. The data were analyzed by using case analysis and cross-case analysis. Results: The finding showed that 5 participants described the pre-anesthesia assessment of ambulatory anesthesia patients, namely anamnesis including identity assessment, surgical indications, and anesthetic focus data. Physical examination includes breathing, blood, brain, bladder, bowel, and bone. Diagnostic examination analysis included laboratory and radiology, ASA physical status assessment, anesthetic considerations, and special considerations including distance and access to the hospital from the hospital, as well as the responsibility of the patient, but the history of obstructive sleep apnea and special considerations were not assessed in detail. Conclusion: The pre-anesthesia assessment of the outpatient anesthesia included participant anamnesis, physical examination, diagnostic examination, assessment of ASA physical status, and assessment of anesthesia, whereas a detailed study of obstructive sleep apnea and special considerations is not carried out.
IMPLEMENTATION OF THE KMB DIGITAL EDUCATION APPLICATION ON COMPLIANCE AND WOUND HEALING OF POST-ABDOMINAL SURGERY PATIENTS AT PEMANGKAT REGIONAL HOSPITAL Ardhana, Putra; Lautan, Lydia Moji; Presty, Marsela Renasari; Pipin, Apriliana; Pramulya, Asmaurina; Kristian, Eben Haezar
Nurse and Health: Jurnal Keperawatan Vol. 14 No. 2 (2025): Nurse and Health : Jurnal Keperawatan
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/nhjk.v14i2.815

Abstract

Background: Health education is a crucial component in improving patient adherence to wound care, particularly among individuals recovering from abdominal surgery. Improper wound care can increase the risk of infection and delay the healing process. The integration of digital technology in healthcare provides innovative solutions for patient education. The KMB Digital Education Application serves as a medium to enhance patients’ understanding of postoperative wound management, enabling them to follow care instructions more consistently and achieve faster recovery. Objectives: This study aimed to determine the effect of the KMB Digital Education Application on patient adherence and wound healing among post-abdominal surgery patients at Pemangkat Regional Hospital. Methods: This research employed a quasi-experimental design with a pretest-posttest control group approach. A total of 50 post-abdominal surgery patients were selected using purposive sampling and divided equally into intervention and control groups. The intervention group received education through the KMB Digital Application, while the control group received standard education. Data were collected using observation sheets and analyzed using Repeated Measure ANOVA. Results: The findings revealed a significant improvement in patient adherence within the intervention group, increasing from 31.12 ± 1.20 to 46.44 ± 1.56, compared to the control group, which only rose from 28.68 ± 1.07 to 33.24 ± 0.97 (p < 0.001). Wound healing outcomes also showed significant differences between groups, where the intervention group’s healing scores improved from 42.32 ± 2.19 to 21.84 ± 2.19, while the control group improved from 42.36 ± 1.87 to 36.48 ± 1.16 (p < 0.001). Conclusion:The implementation of the KMB Digital Education Application significantly enhances patient adherence to wound care and accelerates wound healing among post-abdominal surgery patients. The use of digital education technology can therefore be an effective innovation to support postoperative recovery and improve the quality of nursing care.

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