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Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal)
Published by Sekolah Tinggi Ilmu Keperawatan PPNI Jawa Barat
ISSN : 23548428     EISSN : 25988727     DOI : 10.33755
Core Subject : Health, Science,
Health Professions Medicine & Pharmacology Nursing Physics Public Health
Jurnal Keperawatan Komprehensif (JKK) of STIKep PPNI Jawa Barat has mission to provide information regarding nursing science for students, teachers, and for public community who have concern in nursing. Jurnal Keperawatan Komprehensif published twice a year on every July and Januari.
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Articles 699 Documents
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Effect of Ultra Filtration Rate (UFR) on Blood Sugar in Diabetes Mellitus Patients with Complications of Chronic Rental Failure Undergoing Hemodialysis Fera Marliana Sari; Siti Aminah
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 9 No. SpecialEdition (2023): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v9iSpecial Edition.587

Abstract

Aims: Diabetes Mellitus is a disease that has a very high prevalence every year throughout the world. Data in America, about 38% of end-stage chronic kidney failure is caused by diabetes mellitus. While data in Asia, almost 60% of people with diabetes mellitus have chronic kidney disease. It is estimated that 30 - 40% of people with Diabetes Mellitus Type I and 20 - 30% Diabetes Mellitus Type II will experience complications of Chronic Kidney Disease. Currently, it is estimated that 25% of patients with chronic renal failure undergoing hemodialysis are caused by type II diabetes mellitus Objective : Knowing the effect of UFR on blood sugar in diabetes mellitus patients with complications of chronic kidney failure undergoing hemodialysis. Methods: Quasi-experimental with a pre-experimental one group pretest-posttest design. The sample in this study were all DM patients with CKD complications undergoing hemodialysis in the Jakarta Hajj Hospital Hemodialysis Room in November 2022 as many as 64 people, the sampling technique was total sampling. Results: Most of the respondents were female 51.6%, aged ≥ 50 years 78.1%, and the standard UFR rate was 68.8%. The average difference in blood sugar levels before and after hemodialysis was 188.7 mg/dl. There is an effect of UFR hemodialysis on blood sugar in diabetes mellitus patients with complications of chronic kidney failure undergoing hemodialysis (p.value 0.000). Conclusions: There is an effect of UFR hemodialysis on blood sugar in diabetes mellitus patients with complications of chronic kidney failure undergoing hemodialysis. Need to improve the quality of independent nursing care in patients with chronic kidney disease undergoing hemodialysis.
Factors Influencing the Giving of Early MP ASI to Infants 0-6 Months in the Work Area of Campaka Puskesmas, Purwakarta District Fitri Nurfaridah; Lia Idealistiana
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 9 No. SpecialEdition (2023): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v9iSpecial Edition.588

Abstract

Aims: This study was to determine the factors of early complementary breastfeeding in infants 0-6 months in the Working Area of ​​the Community Health Center, Campaka District, Kab. Purwakarta Year 2022. Method: The research design is analytic descriptive with a cross sectional approach. The sample of this study were all mothers who had babies aged (0-6) months who were in the working area of ​​the Puskesmas, Campaka District, Kab. Purwakarta, amounting to 30 people. This study uses univariate and bivariate analysis. Result: The results of the univariate analysis of this study showed that of the 30 respondents, almost half (53%) had a supportive attitude, more than half (60%) worked, almost some (40%) had supportive husbands and more than half provided early MP ASI. The results of the bivariate analysis obtained attitudes with a value of p = 0.003 ≤ α = 0.05, thus indicating that attitude factors have an influence in giving MP ASI to infants aged 0-6 months at the Campaka District Health Center, Kab. Purwakarta in 2022. Conclusion: The results of this study indicate that the attitude variable is most related to early complementary breastfeeding to infants aged 0-6 months at the Campaka District Health Center, Kab. Purwakarta in 2022. It is hoped that the puskesmas will increase the dissemination of information through outreach to the community through the role of cadres in order to increase knowledge about the importance of exclusive breastfeeding.
The Effect of Yoga Exercise on the Sleep Quality of Trimester III Pregnant Women Nurmala Panjaitan; Achmad Fauzi
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 9 No. SpecialEdition (2023): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v9iSpecial Edition.589

Abstract

Aims: Pregnancy is a special situation for a woman as a prospective mother, because during pregnancy there will be many changes. Entering the third trimester, physical and psychological changes occur. This condition causes pregnant women to experience sleep disturbances. The purpose of this study was to determine the effect of yoga exercise on the sleep quality of third trimester pregnant women at BPM Nurmala Cibarusah. Methods : This study employs a pre-experiment one group pre-post test design. This study's population included all pregnant women aged 28-36 weeks at BPM Nurmala Cibarusah, with a total of 20 pregnant women and a total sample of 20 pregnant women utilizing a proportional random sampling technique. The independent variable is yoga exercise, while the dependent variable is third trimester pregnant women's sleep quality. The PSQI was employed as the study instrument, and the Willcoxon statistical test (a = 0.05) was used to analyze the results. Results : According to the findings of this study, 19 pregnant women (95.0%) had poor sleep quality prior to the implementation of yoga, but the quality of sleep improved to 19 pregnant women (95.0%) after the implementation of yoga. The Willcoxon test yields p=0.000, indicating that p0, 05, i.e. H1, is accepted. Conclusions : The conclusion from the results of this study indicates that there is an effect of yoga exercise on the sleep quality of third trimester pregnant women at BPM Nurmala Cibarusah.
Effectiveness of Acupressure and William Flexion Exercise on Reducing the Intensity of Mental Pain in Adolescent Women at Guna Bangsa Vocational School, Banjarsari, Lebak, Banten Nur Anita; Dini Resha Oktavia
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 9 No. SpecialEdition (2023): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v9iSpecial Edition.590

Abstract

Aims: Dysmenorrhea is pain or cramps in the lower abdomen that appear before or during menstruation. The problem of menstrual pain in young women if not addressed immediately can have a bad impact on adolescent productivity including learning activities. Data from the Lebak Regency Health Office in 2021 reported dysmenorrhea cases in adolescents by 62.4% of the 5,000 adolescents surveyed and 35% of them complained that their activity was limited due to dysmenorrhea. Method: The research method uses quasi-experiments with a pre-posttest two group design. Sample of this study was 30 young women in grades X, XI, XII who experienced dysmenorrhea with sampling technique uses total sampling. Instruments use questionnaires. Bivariate analysis uses the paired t-test and independent t-test. Results: The average dysmenorrhea intensity of young women in the intervention group before being given acupressure massage was 6.60 and after being given acupressure massage decreased to 2.80, while in the control group before being given physical movement william's flexion exercise was 6.53 and after being given acupressure massage decreased to 3.87. The results of statistical tests showed that there was an effectiveness of acupressure and william flexion exercise against reducing the intensity of dysmenorrhea in young women (p = 0.000). Conclusion : Acupressure massage is more effective at reducing the intensity of dysmenorrhea compared to giving William's flexion exercise. It is hoped that young women will treat dysmenorrhea in a non-pharmacological way, namely by acupressure massage or doing physical movements in William's flexion exercise.
Factors Affecting Perineal Wound Healing in Postpartum Women at Puskesmas X Ai Desti; Tuti Yanuarti
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 9 No. SpecialEdition (2023): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v9iSpecial Edition.591

Abstract

Aims: There were 2.7 million cases of perineal lacerations or lesions among birthing mothers worldwide in 2019. This number is projected to reach 6,300,000 by 2050. In Indonesia, 75% of vaginally birthing women encounter perineal lacerations or wounds. 57% of mothers who had spontaneous vaginal births in the year 1951 obtained perineal sutures (28% due to episiotomy and 28% due to spontaneous tears). Objectives: To determine the effect of knowledge, personal hygiene and early mobilization, family environment, and culture on the healing of perineal wounds in postpartum mothers at Puskesmas X in 2022. Methods: The research design utilized a cross-sectional, analytic survey methodology. Cross-sectional methodology. There were as many as 28 postpartum women in this study who suffered perineal injuries. The data technique is incorporated into the SPSS program's univariate statistical calculations.. Results: The results of this study indicate that there are influences of knowledge, personal hygiene, early mobilization, family environment and culture on the healing of perineal wounds in postpartum mothers. With a value of p = 0.005, p = 0.034, p = 0.014, p = 0.001, p = 0.004. Conclusion : Knowledge, personal hygiene, early mobilization, family environment, and culture impact perineal wound healing in health centers in 2022, with a significant relationship.
Effectiveness of Health Education Through Video and Leaflet Media on the Level of Knowledge of Mothers about the Prevention of Dengue Fever in Toddlers Sulistyawati Sulistyawati; Siti Aminah
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 9 No. SpecialEdition (2023): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v9iSpecial Edition.592

Abstract

Aims: According to WHO, 3.9 billion people in 128 countries are at risk of contracting the dengue virus. It is predicted that there are 100 million cases of dengue fever in Southeast Asia, with 500,000 cases requiring hospitalization. According to WHO, Indonesia has the greatest number of DHF cases in Southeast Asia, with 52,313 cases reported since early 2022 and 448 deaths. Objective: Understanding the impact of health education by video media and booklets on mothers' knowledge of preventing dengue hemorrhagic fever in toddlers. Methods: A quasi-experimental one-group pretest-posttest design was used. This study included up to 40 moms of toddlers whose children were treated at the Cilandak Jakarta Marine Hospital in October-November 2022. Total sampling is the sampling technique used. Results: Prior to receiving health education, the majority of respondents had sufficient knowledge (37.8) and subsequently had good knowledge (73.0). There is an effect of health education by video media and booklets on the degree of awareness of mothers on preventing dengue hemorrhagic fever in toddlers (p.value 0.000). Conclusions and Suggestions: There is evidence that health education through video media and brochures improves mothers' awareness of preventing dengue hemorrhagic fever in toddlers. To combat the spread of dengue fever, it is hoped that they would always live a clean and healthy life by doing 3M in each dwelling.
The Effect of Therapeutic Communication on the Intensity of Labor Pain in Active Phase I at Cengkareng Hospital Lia Idealistiana; Trias Ayu Nugraheny
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 9 No. SpecialEdition (2023): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v9iSpecial Edition.593

Abstract

Aims: A study of birth mothers in England showed that 93.5% of women described severe or unbearable pain. Pain that cannot be handled alone will result in anxiety and stress. Anxiety can cause labor to go slow. Stress increases catecholamine and interferes with the release of oxytocin resulting in decreased blood flow to the uterus resulting in acidosis and hypoxia in the fetus. For mothers giving birth, it can reduce uterine contractions, so that labor will take longer. The gate control theory states that many factors influence an individual's perception of pain intensity, and some of these factors are psychological, not physiological. One of the factors that can be done is that midwives can provide mental support by providing good communication to mothers during labor, which is known as Therapeutic Communication. Methods: This research employs a Quasy Experimental research design with a Pretest-Posttest Control Group Design. The sampling technique used is purposive sampling, with a total sample size of 44 respondents. The T-Test is used to process data. Results: The results showed that there was an effect of providing therapeutic communication in reducing the intensity of labor pain in mothers in the first active phase of labor at Cengkareng Hospital with a p value <0.005, namely a p value obtained 0.000. Conclusions : There is an effect of the application of therapeutic communication on reducing labor pain in mothers in the active phase of the first stage of labour. Suggestion: It is expected to be able to apply therapeutic communication to mothers in labor.
Effect of Green Nuts (Vigna radiata L.) Extract on Blood Hemoglobin (Hb) Levels in Adolescent Women During Menstruation Yesi Dian Pratiwi; Dian Priharja Putri
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 9 No. SpecialEdition (2023): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v9iSpecial Edition.594

Abstract

Aims: The most common nutritional problem in adolescents, especially young women, is iron deficiency or anemia. The World Health Organization (WHO) in 2015 reported that more than 30% or 2 billion adolescents in the world are anemic and in developing countries, one of them is Indonesia. Riskesdas data (2018) shows 32% have anemia in the 15-24 year age group. The cause of anemia is due to lack of iron and the impact of anemia is stunted growth, the body is susceptible to infection, reduced body fitness, and decreased enthusiasm for learning. Mung bean essence is a drink that contains 13.41 mg of iron in 100 gr/100 ml. Objective: To analyze the effect of green bean extract (Vigna radita L.) on blood hemoglobin (Hb) levels during menstruation in female adolescents at SMA Negeri I Ketapang Method: Pre-experimental design with one group pre-post test. The sampling technique used a purposive sample, namely 44 young women at SMA N 1 Ketapang. Data analysis with Wilcoxon test Results: Hb levels before being given mung beans, the average value was 11.31 gr/dL, the lowest Hb level was 9 and the highest was 13. Meanwhile, after being given mung beans, the average respondent's Hb level was 12.90 gr/dL with the lowest level is 11 gr/dL and the highest is 14 gr/dL. The results of the Wilcoxon test found a p-value of 0.000 <0.05 meaning that there was an effect of giving green bean extract (Vigna Radita L.) on blood hemoglobin (Hb) levels during menstruation in young women at SMA Negeri I Ketapang. Conclusions : mung bean extract affects the Hb level of female adolescents during menstruation. It is hoped that teenagers can use mung bean extract as an option in an effort to increase Hb to prevent anemia in adolescents, especially young women.
Determinant of Overload Occurrence in Clients Chronic Kidney Failure with Hemodialysis Tri Mochartini
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 9 No. SpecialEdition (2023): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v9iSpecial Edition.595

Abstract

Aims: Patients with renal failure who are in the final stage require replacement therapy for kidney function to maintain their survival such as kidney transplantation, hemodialysis and Continuous Ambulatory Peritoneal Dialysis (CAPD) therapy. Failure of kidney function can cause overload complications. In order to avoid complications from overload, good precautions must be taken, namely adherence to limiting fluid. Compliance must be based on the level of knowledge of the individual itself. The higher the level of knowledge is more open by carrying out compliance in limiting fluid in chronic renal failure with hemodialysis. Main Objectives: Knowing the Determinants of Overload Occurrence in Chronic Kidney Failure with Hemodialysis at the Indonesian Christian University Hospital in 2019. Research Method: Analytical Method, the sample in this study were all chronic renal failure patients who performed routine hemodialysis in the UKI Hemodialysis Hospital in February 2019 and the instruments used in this study used a questionnaire of 56 respondents. So the sampling method in this study is incidental sampling. Results: From the results of the Chi Squere test, the researchers obtained p-value <0.05, meaning that there was a relationship between age, type, sex, education, duration of hemodialysis, knowledge and adherence to overload. Suggestion: It is expected that health workers in the HD room of the Christian University Hospital will provide knowledge to clients and families through routine counseling and education about overloaded kidney failure and risks if they do not comply with fluid restrictions. If the client has knowledge about overload, the liquid compliance will be greater.
Effectiveness of Using Misoprostol and Oxytocin in the Management of Post Partum Haemorrhage Rayung Andadari Yoelandha; Tuty Yanuarti
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 9 No. SpecialEdition (2023): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v9iSpecial Edition.596

Abstract

Aims: In 2020, the WHO estimated that as many as 295,000 women died during and after pregnancy and childbirth. Ninety percent of maternal deaths are caused by complications that arise during and after delivery, including hemorrhaging. Misoprostol, a prostaglandin analogue, is useful for treating postpartum hemorrhage for a number of reasons, including its efficiency, low cost, stability in heat, user-friendliness, and low risk of adverse effects. Oxytocin is a medication frequently used to induce labor. Methods : Quasi experimental with one group pretest-posttest design. The sample in this study were all 18 pregnant women who experienced postpartum hemorrhage at TPMB "I" in June-December 2022, the sampling technique was total sampling. Results : The average postpartum bleeding in laboring mothers before misoprostol and oxytocin was 406.39, and it was 141.67 afterward. Misoprostol and oxytocin are beneficial in reducing postpartum hemorrhage in TPMB "I" patients from June to December 2022 (p.value 0.000). Conclusions : There is an effectiveness of using misoprostol and oxytocin in postpartum hemorrhage. It is expected that midwives can provide services in normal delivery using misoprostol and oxytocin safely.

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