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arief yanto
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Media Keperawatan Indonesia
Published by Universitas Muhammadiyah Semarang
ISSN : 27222802     EISSN : 26151669     DOI : https://doi.org/10.26714/mki
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health
Media Keperawatan Indonesia is intended to be the university journal for publishing articles reporting the results of research in nursing. Media Keperawatan Indonesia invites manuscripts in the areas of medical-surgical nursing, emergency and disaster nursing, critical nursing, pediatric nursing, maternity nursing, mental health nursing, gerontological nursing, community health nursing, management and leadership nursing.
Arjuna Subject : Keperawatan - Riset dan Teori
Articles 10 Documents
 1 
Search results for , issue "vol 9, no 2 (2026)" : 10 Documents clear
Preliminary Evaluation of a Needle-Free Sensor-Based Device for Blood Glucose Measurement in Patients with Type 2 Diabetes Mellitus Arwani Arwani; Budi Widiyanto; Sugih Wijayati; Sunarto Sunarto; Afifah Salsabila
Media Keperawatan Indonesia Vol 9, No 2 (2026)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.9.2.2026.159-169

Abstract

Type 2 diabetes mellitus is a major public health problem with a continuously increasing prevalence, requiring accurate and continuous blood glucose monitoring. Venous blood glucose measurement using enzymatic methods remains the clinical gold standard; however, it is invasive and less practical for routine monitoring. Recent advances in sensor technology provide opportunities to develop more practical and user-friendly glucose monitoring devices. This preliminary pilot study aimed to develop and validate a needle-free sensor-based device for blood glucose monitoring and to evaluate the agreement of its measurement results with venous blood glucose examination using enzymatic methods as the reference standard. This study employed a research and development approach. The initial stage involved designing and developing a prototype sensor that monitors blood glucose without a needle. Device validation was conducted by experts to assess technical performance, safety, and usability. Subsequently, a pilot measurement of random blood glucose levels was performed among 25 patients with type 2 diabetes mellitus in a primary healthcare setting, and the measurement results were compared with venous blood glucose values obtained using enzymatic methods. The validation results indicated that the device was technically feasible, safe to use, and easy to operate. Pilot testing demonstrated that the sensor-based device produced blood glucose measurements comparable to those from the reference method (Wilcoxon Signed Ranks Test: Z = 0.000, p = 1.000), providing preliminary evidence of statistical similarity. However, further refinement is required, particularly in the interpretation and display of measurement results. These findings represent initial proof-of-concept for the device as an alternative tool for blood glucose monitoring, especially in primary healthcare settings and for patient self-monitoring. Comprehensive studies with larger, more diverse samples and advanced clinical agreement analyses (Bland-Altman plots, and MARD) are needed to confirm clinical accuracy and reliability.
Relationship Between Parenting Styles, Posyandu Visit Compliance, and Stunting in Toddlers: A Cross-Sectional Study Anis Dwi Kristianingrum; Lilis Maghfuroh; Harnina Samantha Aisyah
Media Keperawatan Indonesia Vol 9, No 2 (2026)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.9.2.2026.128-140

Abstract

Stunting is a chronic growth disorder in children under five years old caused by prolonged malnutrition and inadequate nutritional intake. Several factors contribute to stunting, including poor parenting practices, low maternal education, limited family income, and irregular attendance at community health services such as Posyandu. This study aimed to analyze the relationship between parenting patterns and adherence to Posyandu visits with the incidence of stunting among children aged 12–59 months in Putatkumpul Village, Turi District, Lamongan Regency. This study employed a quantitative correlational design with a cross-sectional approach. The sample consisted of 127 parents with toddlers selected using simple random sampling. Data were collected using questionnaires assessing parenting patterns and adherence to Posyandu visits, while stunting status was determined using child growth charts. Data analysis was performed using the Spearman rho test in SPSS version 22.0 with a significance level of p < 0.05. The findings revealed that 14.5% of respondents with an authoritative parenting style had stunted children. Statistical analysis showed a significant relationship between parenting patterns and stunting incidence (p = 0.010; rs = 0.228), indicating a weak correlation. Furthermore, all respondents with high adherence to Posyandu visits had non-stunted children. A significant relationship was also found between adherence to Posyandu visits and stunting incidence (p = 0.009; rs = 0.230), indicating a weak correlation. Although parenting practices and Posyandu attendance are not direct causes of stunting, both contribute to early detection of growth problems and support optimal child nutrition. Therefore, health education regarding appropriate parenting and the importance of regular Posyandu visits is essential to improve stunting prevention efforts at the community level.
Ergonomic Interventions for Preventing Musculoskeletal Disorders among Nurses: A Systematic Review in Occupational Health Settings Asri Sukmaning Tias; Desiyani Nani
Media Keperawatan Indonesia Vol 9, No 2 (2026)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.9.2.2026.196-204

Abstract

Musculoskeletal disorders (MSDs) are a major occupational health concern among nurses, contributing to pain, disability, absenteeism, and increased healthcare costs. This systematic review aimed to evaluate the effectiveness of ergonomic interventions in preventing MSDs among nurses and to identify key implementation factors. The review followed PRISMA 2020 guidelines. A systematic search was conducted across four databases (Scopus, PubMed, ScienceDirect, and CINAHL) for studies published between 2019 and 2025. Randomized controlled trials and quasi-experimental studies were included, and methodological quality was assessed using the Joanna Briggs Institute (JBI) checklist. Due to heterogeneity in interventions and outcomes, findings were synthesized narratively. Ten studies involving 1,875 nurses were included. Multimodal ergonomic interventions combining training, assistive devices, and organizational support demonstrated the strongest effects. Equipment-based interventions significantly reduced back injuries when compliance was high, while educational programs improved ergonomic knowledge with variable clinical outcomes. Technology-assisted interventions showed promising results in reducing MSD incidence. Overall, ergonomic interventions are effective in reducing MSD risk among nurses, particularly when implemented through comprehensive and well-supported programs. Organizational readiness and resource availability are critical for successful implementation. Future research should focus on long-term outcomes and implementation strategies.
A Descriptive Study of Nurses’ Implementation of Pressure Ulcer Prevention Bundle Care in Total Care Patients Yeni Irfiyanti; Eka Sakti Wahyuningtyas
Media Keperawatan Indonesia Vol 9, No 2 (2026)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.9.2.2026.141-149

Abstract

Pressure ulcers are a serious health problem that serve as an indicator of hospital service quality. Proper management and prevention are important for reducing the impact and supporting infection control. If not handled appropriately and promptly, pressure ulcers can become a serious threat to patients, especially for those in total care. There is a need for an efficient and effective innovation to prevent pressure ulcers, one of which is the application of pressure ulcer prevention bundle care. This study aims to describe how well nurses implement a care bundle designed to prevent pressure ulcers in patients who require total care. This research belongs to a quantitative study with a descriptive design. The sample consisted of 34 respondents using a total sampling technique. Data analysis used univariate analysis and frequency distribution tables. The frequency distribution of respondents’ age was mostly in the adult category, with 29 respondents (85.3%). Gender was mostly in the female category with 31 respondents (91.2%). Education was mostly in the Diploma III in Nursing category, with 28 respondents (82.4%). Work experience was mostly in the category of more than 3 years, with 32 respondents (94.1%). The category of bundle care implementation for pressure ulcer prevention was mostly in the good category with 23 respondents (67.6%) and fairly good in 11 respondents (32.4%). The implementation of bundle care for pressure ulcer prevention among total care patients at RSUD Muntilan was mostly carried out well by nurses. To ensure that all nurses implement bundle care optimally, we need to improve consistency and conduct periodic evaluations.
Non-pharmacological Interventions for Postoperative Pain Management after Benign Prostatic Hyperplasia Surgery: A Systematic Review Dwie Andrie Setyawan; Desiyani Nani
Media Keperawatan Indonesia Vol 9, No 2 (2026)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.9.2.2026.205-215

Abstract

Benign prostatic hyperplasia (BPH) affects aging men. Transurethral resection of the prostate (TURP) represents the standard surgical management for moderate to severe conditions. Postoperative pain remains a significant clinical problem. Conventional analgesic management demonstrates adverse effects. Variable patient responses remain evident. Non-pharmacological strategies require evaluation. This systematic review evaluates the effectiveness of non-pharmacological nursing interventions in postoperative pain management following BPH surgery. A systematic search was conducted in PubMed, Scopus, Web of Science, CINAHL, and Cochrane CENTRAL. The publication period is from January 2017 to December 2024. Inclusion criteria comprised randomized controlled trials, quasi-experimental studies, adult patients undergoing BPH surgery, non-pharmacological interventions, and pain outcomes using validated instruments. PRISMA 2020 guidelines guided study selection. Joanna Briggs Institute appraisal tools assessed methodological quality. Narrative synthesis was applied due to heterogeneity. A total of 1,086 records were identified. Ten studies met inclusion criteria. Seven randomized controlled trials. Three quasi-experimental studies. Interventions included relaxation techniques, transcutaneous electrical acupoint stimulation, acupuncture, pranic healing, enhanced recovery after surgery protocols, and integrative approaches. Relaxation techniques reduced pain intensity (p < 0.001). Transcutaneous electrical acupoint stimulation decreased catheter-related bladder discomfort and reduced analgesic consumption. Acupuncture demonstrated sustained improvement in chronic pelvic pain (p < 0.001). Enhanced recovery after surgery protocols reduced catheterization duration and decreased early postoperative pain. Evidence quality ranged from moderate to high. Non-pharmacological nursing interventions demonstrate effectiveness in postoperative pain reduction. Improved recovery outcomes observed. Further multicenter trials required. The development of standardized clinical guidelines is recommended.
Differences in Bullying Incidence Among Perpetrators and Victims Across Three Educational Levels: A Quantitative Comparative Study Susi Muryani; Kamil Kustiarso; Theodora Rosaria
Media Keperawatan Indonesia Vol 9, No 2 (2026)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.9.2.2026.150-158

Abstract

Bullying is a mental and social health problem that significantly affects the psychosocial development of children and adolescents. Differences in developmental characteristics across educational levels may influence individuals' involvement as perpetrators and victims. This study examines variations in bullying incidence from the viewpoints of both perpetrators and victims across three educational tiers (elementary, junior high, and senior high) in Tegal City, Indonesia. This quantitative study used a descriptive comparative design involving 90 students selected through purposive sampling (30 elementary, 30 juniors high, and 30 seniors high). Bullying perpetration and victimization were measured using the Peer Relations Questionnaire (PRQ). Data were analyzed using one-way ANOVA with a significance level of 0.05. There was a significant difference in bullying victim scores across educational levels (F=3.935, p=0.023), with higher victimization among junior high (mean=9.07) and senior high students (mean=8.87) compared to elementary students (mean=7.37). Perpetrator scores showed variation between levels (elementary mean=7.87, junior high mean=8.67, and senior high mean=8.83), but differences did not reach strong statistical significance. These findings support Erikson's psychosocial developmental theory that adolescents in the identity versus role confusion stage are more vulnerable to relational conflict and social pressure, increasing victimization risk. Bullying incidence, particularly from the victim perspective, differs significantly across educational levels, indicating the need for developmentally tailored prevention strategies in schools. 
“A Ray of Hope” A Phenomenological Study of Family Caregiver Experiences in Caring for Patients with Parkinson’s Disease Ekananda Sugandi; Ni Komang Ari Sawitri; Komang Menik Sri Krisnawati; Ni Luh Putu Eva Yanti
Media Keperawatan Indonesia Vol 9, No 2 (2026)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.9.2.2026.115-127

Abstract

Patients with Parkinson's disease require long-term care, and family members provide most of this care. This study aims to explore the experiences, feelings, and significance of family members caring for patients with parkinson's disease. This study utilized a qualitative research design with a descriptive phenomenological approach, conducted in Bali in 2025. Semi-structured interviews were performed with six participants, selected through purposive and snowball sampling methods. The data analysis process incorporated interactive analysis, which comprised data collection, condensation, data display, and the formulation of conclusions. The results consist of five main interrelated themes. These themes are family burden vs responsibility, adaptation to a new life, surrender, many roads to Rome, and life expectancy. As the main caregiver, the family experiences many trials, obstacles, emotional changes, financial difficulties, fatigue, and increasing burdens; however, they were able to recover and did not give up on continuing their lives. Medical personnel and local health facilities are expected to collaborate in conducting physical and psychological health assessments for families and providing information about available resources, such as health services and Parkinson's community groups. Healthcare workers are expected to understand, implement preventive measures, and provide solutions to reduce caregiver burden and improve the quality of life for patients with Parkinson's disease and their families.
Web Application-Based Health Education Effect in Reducing Preoperative Anxiety Among Orthopaedic Surgery Patients: A Systematic Review Agus Gunawan; Arif Setyo Upoyo
Media Keperawatan Indonesia Vol 9, No 2 (2026)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.9.2.2026.182-195

Abstract

Preoperative anxiety is highly prevalent among patients undergoing Orthopaedic surgery and is associated with adverse postoperative outcomes, including increased pain, delayed functional recovery, and prolonged hospital stay. Digital and web-based preoperative health education has emerged as a potential strategy to address these challenges; however, evidence regarding its effectiveness remains heterogeneous. This systematic review aimed to synthesize current evidence on the effectiveness of digital and web-based preoperative education interventions in reducing preoperative anxiety and related outcomes among Orthopaedic surgery patients. This review followed PRISMA 2020 guidelines. A thorough search was performed on ScienceDirect, PubMed, Scopus, EBSCOhost, and Wiley Online Library for studies released from January 2020 to September 2025. Eligible studies included randomized controlled trials, feasibility or pilot randomized studies, and trial protocols. The outcomes of interest encompassed preoperative anxiety, pain levels, opioid consumption, functional recovery, and patient satisfaction. Methodological quality was assessed using the Joanna Briggs Institute's critical appraisal tools. Six studies met the inclusion criteria, involving diverse Orthopaedic populations, including elective and trauma surgeries. Interventions varied and included web-based education, digital behavioral programs, and AI-based chatbot support. Several studies reported reductions in preoperative anxiety, although results were heterogeneous. Digital behavioral interventions demonstrated more consistent benefits for postoperative pain and pain catastrophizing, while education-only platforms showed mixed findings. Patient satisfaction was consistently higher in digital intervention groups. Digital preoperative education shows promising potential to reduce anxiety and enhance patient experience in Orthopaedic surgery. However, heterogeneity in interventions and study designs limits generalizability, indicating the need for larger, methodologically robust trials.
The Correlation between Islamic Mindfulness with Anxiety, Stress and Depression Among Women in the Menopausal period Siti Sarah Azzahra; Irma Nurbaeti; Puspita Palupi; Ernawati Ernawati
Media Keperawatan Indonesia Vol 9, No 2 (2026)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.9.2.2026.170-181

Abstract

Menopause is a natural phase in a woman's life marked by the cessation of ovarian function and hormonal changes in estrogen and progesterone, often accompanied by physical and psychological symptoms such as anxiety, stress, and depression. One possible way to deal with these changes is to practice mindfulness, especially Islamic mindfulness, which is in line with Islamic values. This study aims to examine the correlation between Islamic mindfulness and levels of anxiety, stress, and depression among menopausal women. This study employed a quantitative method with a cross-sectional design. The sample consisted of 82 menopausal women selected using accidental sampling. The Islamic Mindfulness Questionnaire-16 was used to measure Islamic mindfulness, and the DASS-21 questionnaires were used to measure depression, anxiety, and stress. Data were analyzed using univariate and bivariate analyses with the Spearman rank correlation test. The results indicated that the women were aged 45–59 years, with a mean age of 54 years. Most respondents had been menopausal for 3–4 years and were married (52.4%). The average Islamic mindfulness score was 37 points. Respondents experienced very severe anxiety (12.2%), very severe stress (18.3%), and very severe depression (8.5%). There was a weak but significant negative correlation between Islamic mindfulness and stress (r = -0.244; p = 0.027) and between Islamic mindfulness and depression (r = -0.327; p = 0.003). While there is a very weak and non- significant negative correlation between Islamic mindfulness and anxiety (r = -0.156; p = 0.151). Higher levels of Islamic mindfulness were associated with lower levels of stress and depression. We recommended that menopausal women enhance Islamic mindfulness to reduce stress and depression.
Optimization of Cashew Gel (Anacardium Occidentale L) In The Wound Treatment In Mice (Mus Muscullus) Test Animal Sahuri Teguh Kurniawan; Azhari Arum Pramesti; Noerma Shovie Rizqiea
Media Keperawatan Indonesia Vol 9, No 2 (2026)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.9.2.2026.107-114

Abstract

A wound is a condition where the structure and function of the skin are damaged. Wounds on the skin often appear in daily life and are considered trivial, although the injuries that occur tend to be minor but require immediate treatment. Cashew (Anacardium occidentale L.) contains saponins, tannins, alkaloids, flavonoids, and ascorbic acid, which can accelerate the wound healing process during treatment. This research aimed to identify the effect of cashew gel (Anacardium occidentale L.) in the wound treatment of test animals (mice, Mus musculus). This research used a true experiment method with a post-test-only control group design in the Integrated Laboratory at Kusuma Husada University of Surakarta. This research used 18 mice as test animals, divided into three groups: an intervention group with cashew extract gel (200 mg), an intervention group with cashew extract gel (300 mg), and a negative intervention group with NaCl (0.9%). An incision wound with a length of 10.00 mm was made using a scalpel, number 11. The parameters observed were wound size, wound healing time, and healing percentage. The data was analyzed using the one-way ANOVA test. The research results showed that cashew extract gel 300 mg had a wound healing percentage of 51.91%, and the wound treatment process was better than the other intervention groups. Based on the one-way ANOVA test, a significant result with a p-value of 0.005 < 0.05 was obtained. It can be concluded that cashew gel (Anacardium occidentale L.) has an effect on the wound treatment in mice (Mus musculus) test animals.

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