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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 260 Documents
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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. 
The Effect of a Combination of Education and Spiritual Emotional Freedom Technique (SEFT) on Quality of Life Patients With Addressed Chronic Renal Failure Double Lumen Catheter Herman Herman; Amin Samiasih; Ernawati Ernawati
Media Keperawatan Indonesia Vol 8, No 4 (2025)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.8.4.2025.310-319

Abstract

Chronic kidney disease is a global health problem with increasing incidence and prevalence, long-term treatment, poor prognosis, and high treatment costs. Kidney failure patients face various complex issues, such as fluid and dietary restrictions, long-term treatments that result in loss of freedom, and dependence on healthcare services, affecting their quality of life. One effort to improve the quality of life in chronic kidney disease patients is the health education and Spiritual Emotional Freedom Technique (SEFT) program. SEFT is a psychological support technique focusing on holistic and spiritual well-being. This technique uses emotions and physical touch, often combined with prayer. The aim of this literature review is to determine the impact of the combination of education and the Spiritual Emotional Freedom Technique (SEFT) on the quality of life of chronic kidney disease patients with double-lumen catheter placement. This literature review was conducted by searching the results of publications in the Google Scholar, ProQuest, and Pubmed databases between 2019-2024 using the PRISMA method. The keywords used were self-management education AND spiritual emotional freedom technique AND quality of life AND CKD. The search for relevant articles included 13 sources that met the inclusion criteria. The conclusion is that the combination of education and the Spiritual Emotional Freedom Technique has an impact on the quality of life of chronic kidney disease patients with double-lumen catheter placement
Effective Leadership Towards Patient Safety Management At Unimus Hospital Tri Hartiti; Arief Yanto; Hanik Zahro Nabila
Media Keperawatan Indonesia Vol 8, No 4 (2025)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.8.4.2025.352-360

Abstract

Patient safety management is a fundamental indicator of hospital quality and reflects the effectiveness of healthcare service delivery. Effective leadership plays a critical role in fostering a patient safety culture, minimizing risks, preventing adverse events, and improving the quality of nursing care. This study aimed to examine the relationship between effective leadership and patient safety management at Universitas Muhammadiyah Semarang Hospital. A quantitative cross-sectional study was conducted involving 50 nurses working at the hospital. Data were collected using structured questionnaires assessing perceptions of effective leadership and patient safety implementation. Descriptive statistics and Pearson Product-Moment correlation analysis were used to analyze the data. The findings revealed that most respondents were female (82%) and held a diploma in nursing (54%), while 46% had a professional nursing degree. The mean age of respondents was 26.97 ± 6.78 years, and the mean work experience was 1.98 ± 3.62 years. Nurses perceived leadership effectiveness at the hospital to be high, with a mean score of 103 ± 13.54. In terms of patient safety management, 84% of respondents demonstrated good implementation of patient safety practices. Statistical analysis showed a significant positive correlation between effective leadership and patient safety management (r = 0.457, p = 0.001), indicating that stronger leadership effectiveness was associated with better implementation of patient safety practices. In conclusion, effective leadership is significantly associated with improved patient safety management in hospital settings. Strengthening leadership capacity may contribute to the development of a stronger patient safety culture and enhance the quality of healthcare services.
“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.
Factors Influencing Hospital Nurses’ Performance in Relation to Clinical Authority: A Literature Review Arief Yanto; Menik Kustriyani
Media Keperawatan Indonesia Vol 8, No 4 (2025)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.8.4.2025.292-309

Abstract

Hospital nurses’ performance within their clinical authority is essential for patient safety and care quality. Evidence from studies published between 2021 and 2025 indicates that performance is shaped by interactions between organizational, individual, and environmental factors rather than individual competence alone. This literature review synthesized empirical qualitative, quantitative, and mixed-methods studies examining determinants of nurses’ performance, including leadership, workload, empowerment, and work environment. Articles were systematically searched, screened, and thematically analyzed. Four key determinants emerged: supportive clinical leadership as the most influential factor; manageable workloads that reduce role conflict in clinical practice; structural empowerment and professional autonomy that encourage innovative behavior; and a positive organizational or team climate that supports collaboration. Major barriers included hierarchical organizational cultures, resource limitations, and lack of mentorship. Environmental considerations were frequently deprioritized due to time pressure and insufficient institutional support. Overall, nurses’ performance within their clinical authority is governed by a complex interplay of leadership, workload, empowerment, and organizational climate. Targeted organizational strategies and further research in diverse healthcare contexts are required to optimize nursing performance and maintain high-quality patient care.
Absorbent Dressings: Controlling Exudate And Supporting The Healing Of Infectious Wounds Suyanto Suyanto; Riska Wahyuni
Media Keperawatan Indonesia Vol 8, No 4 (2025)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.8.4.2025.344-351

Abstract

Infectious wounds are often accompanied by excessive exudate, which can increase the risk of infection spread, cause tissue maceration, and delay the healing process if not properly managed. This literature review aims to analyze the effectiveness of absorbent dressings in controlling exudate, reducing signs of infection, and supporting the healing of infectious wounds. Article searches were conducted through PubMed, ScienceDirect, and Google Scholar, with study selection based on the PICOS approach and the PRISMA flow diagram. A total of 10 relevant articles were analyzed, including randomized controlled trials, systematic reviews, and meta-analyses. The findings indicate that absorbent dressings such as hydrofiber, alginate, and superabsorbent dressings are effective in controlling excessive exudate and preventing tissue maceration. Absorbent dressings containing antimicrobial agents, particularly silver, were also reported to reduce signs of infection and bacterial burden. Overall, absorbent dressings are an effective option in the management of infectious wounds to support an optimal wound healing process
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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