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INDONESIA
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal)
ISSN : 23548428     EISSN : 25988727     DOI : 10.33755
Core Subject : Health, Science,
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
The Effectiveness of Brogandi (A Combination of Broccoli and Centella Asiatica) on Cognitive Function Among Nursing Students Istiqomah, Vinanda; Anisa Fitriana, Lisna; Darmawati, Irma
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 1 (2025): 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.v11i1.781

Abstract

Aims: This study aimed to evaluate the effectiveness of Brogandi, a combination of Broccoli and Centella asiatica, in improving the cognitive function of nursing students. Methods: A quasi-experimental pre- and post-test design was conducted involving 40 nursing students, who were divided into an intervention group (n = 20) and a control group (n = 20). Cognitive function was assessed using the Trail Making Test-B (TMT-B), Visual Recall, and Backward Digit Span. The intervention group received Brogandi supplementation at a dosage of 1000 mg twice daily for 14 days, while the control group did not receive any supplementation. Statistical analysis was performed to compare pre- and post-test results between the groups. Results: The intervention group exhibited significant improvements in cognitive performance across all tests compared to the control group. TMT-B and Backward Digit Span scores in the intervention group improved significantly (p < 0.001), and Visual Recall also showed a significant enhancement (p = 0.001). In contrast, the control group did not demonstrate significant changes in any cognitive test (p ≥ 0.248). Conclusion: The bioactive compounds in Brogandi —sulforaphane, asiaticoside, vitamin C, and vitamin E—are believed to contribute to its neuroprotective and neuroplasticity-enhancing effects. These findings suggest that Brogandi is a promising nutritional intervention for improving cognitive function, particularly in college students with high academic demands. Further research with larger and more diverse samples is needed to confirm these results and explore potential mechanisms.
The Effectiveness of Audio-Visual-Based Education on Type 2 Diabetes Mellitus in Enhancing Self-Awareness Among Adolescents at Risk: A Quasi-Experimental Study Puspasari, Susy; Hardiani, Ina
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 1 (2025): 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.v11i1.784

Abstract

Aims: Aims of this study to determine the effect of providing audio-visual-based type 2 diabetes mellitus education on self-awareness in adolescents at risk of type 2 diabetes mellitus. Methods: A two-group quasi-experimental design is used in quantitative research, and G-Power 3.1 is used as a selection method. The 100 students in the study were split into two groups: the intervention group and the control group. The Public Awareness of Diabetes questionnaire was used. To be eligible, people had to be in the low to moderate risk group for DM and have a gadget. The Paired Sample T-test and Wilcoxon's rank were used to analyze the data. Results: The Paired Sample T-test analysis revealed a significant difference in the intervention group following education on type 2 diabetes mellitus, with a p-value of <0.001 and a t-value of 3.744. Simultaneously, the control group employed Wilcoxon's rank, yielding a p-value of 0.079 and an r-value of 1.756. Conclusions: There was an effect of providing type 2 diabetes mellitus education on self-awareness in adolescents at risk of type 2 diabetes mellitus in the intervention group. However, there was no effect of providing type 2 diabetes mellitus education on self-awareness in adolescents at risk of type 2 diabetes mellitus in the control group. This may be because there are differences in the treatment given to the two groups.
The Effect of the TEMAN SETIA Program Intervention on Immunosuppressant Medication Adherence in Post-Kidney Transplant Patients at RSCM Jakarta Suhartini, Euis; Nursanti, Irna; Natashia, Dhea; Irawati, Diana; Jumaiyah, Wati; Uly, Nilawati
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 1 (2025): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Aims: Chronic Kidney Disease (CKD) poses a significant global health challenge, with an increasing number of kidney transplantations in Indonesia. The success of kidney transplants hinges on adherence to immunosuppressant medications to prevent organ rejection. Non-adherence among post-transplant patients can lead to infections, graft loss, or a return to dialysis. This study evaluated the impact of the TEMAN SETIA program on adherence to immunosuppressant medications among post-kidney transplant patients at Dr. Cipto Mangunkusumo National Referral Hospital (RSCM) in Jakarta. Methods: A pre-post-test design with a control group was utilized. The sample included 28 post-transplant patients meeting inclusion criteria. The TEMAN SETIA program provided patient mentoring to improve adherence. Adherence was assessed before the intervention, one month after, and two weeks post-intervention using a validated questionnaire. Data were analysed using t-tests and repeated measures ANOVA. Results: The control and intervention groups were comparable in demographic and clinical characteristics, though the intervention group had more non-working participants. The program significantly improved adherence (Cohen’s d = 1.97) and knowledge (Cohen’s d = 1.99). While family support increased in both groups, differences were not significant (Cohen’s d = 1.02). A significant group-by-time interaction (F (1.246, 26) = 7.394, p = 0.007, η² = 0.221) demonstrated greater adherence improvements over time in the intervention group. Discussion: The findings demonstrate that the TEMAN SETIA program is an effective intervention for enhancing medication adherence and knowledge among post-transplant patients. The structured mentoring approach provided patients with the necessary support and education to improve their adherence behaviors. Although family support increased in both groups, the changes were not statistically significant, highlighting the need for further exploration of the role of familial involvement in adherence programs Conclusion: The TEMAN SETIA program effectively enhanced medication adherence and knowledge in post-transplant patients. This structured intervention offers a promising strategy to improve outcomes and reduce risks of organ rejection.
Cancer Care in the Community Setting: A Mixed Method Study Rahayuwati, Laili; Ibrahim, Kusman; Nurhidayah, Ikeu; Komariah, Maria; Amelia, Vira; Cabanes, Ria C
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 1 (2025): 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.v11i1.786

Abstract

Aims: This study evaluated palliative care services in Indonesia, focusing on proposing a community-based model to enhance cancer care. Method: A mixed-method approach was employed, involving quantitative analysis of 200 patients’ personal and treatment factors and qualitative insights from 21 stakeholders to FGDs and in-depth interviews. Results: The qualitative results highlight five themes: 1) illness as a subjective and culturally influenced concept, 2) family’s role in treatment decision-making, 3) perceptions of healing through multiple treatment modalities, 4) finding positive meaning in illness, and 5) hopes and aspirations for recovery. The quantitative results show that 55.5% of patients had inadequate knowledge, with 69.5% preferring modern therapy. A significant relationship was found between knowledge, perception, and treatment options, while no significant correlation was observed with self-confidence or diagnosis date. Conclusion: An integrated community-based palliative care model tailored to Indonesia’s healthcare system is proposed to improve the quality of life for cancer patients.
Health Belief as a Determining Factor in the Behavior of Complementary Therapy use in Cancer Patients Undergoing Treatment Werdani, Yesiana Dwi Wahyu; Sari, Nia Novita
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 1 (2025): 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.v11i1.788

Abstract

Aims: Analyzing the correlation between health beliefs and the behavior of using complementary therapies in cancer patients. Methods: The study was conducted at the Indonesian Cancer Foundation (YKI) East Java Branch, Surabaya in July 2024 using a correlation design and cross-sectional approach and added interview methods to support quantitative data results. The population of all cancer patients at YKI, 33 patients was obtained according to the inclusion criteria. The instruments used were the Health Belief Questionnaire, and the Scale for Attitudes Towards Complementary and Alternative Medicine (SACAM), and continued by in deep interview to support the quantitative data. Results: Mean of health belief score was 77.88 + 11.467 (good health belief category), and mean of the behavior of using complementary therapies was 42.48 + 8.758 (neutral behavior category). The results of the Kendal Tau test (p < 0.05) showed a significant correlation between health beliefs and behavior of using complementary therapies (p-value = 0.000). Conclusions: Health beliefs are an important factor for cancer survivors in determining their decision-making behavior regarding medical treatment and complementary treatments.
Gethok Tular: A Source of Self-Care Knowledge for Older Women with Hypertension in Rural Areas Rayanti, Rosiana Eva; Werfete, Rivaldy Alfrets; Sasi, Galuh Ambar; Raswandaru, Marsela Riska
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 1 (2025): 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.v11i1.789

Abstract

Aims: This study explores the role of gethok tular (oral tradition) in promoting self-care management among elderly Javanese women with hypertension in rural areas, where access to health information remains limited despite existing education programs. Methods: This study employed a qualitative ethnographic approach conducted between January and June 2022. Data were collected through in-depth interviews and observations involving five elderly women in Ngrawan Village, Semarang Regency. To ensure triangulation, additional insights were gathered from midwives and posbindu (integrated healthcare posts for non-communicable diseases) cadres. The participants were Javanese women aged 60 years or older, born and residing in Ngrawan Village, diagnosed with hypertension for more than two years, and actively participating in posbindu activities. Content analysis was used to interpret the data. Results: Gethok tular facilitates the informal exchange of hypertension-related knowledge, particularly during interactions at posbindu sessions. Despite limited understanding of hypertension, participants practiced self-care by staying active, attending check-ups, and using herbal remedies like soursop and avocado leaves to manage symptoms. Conclusion: The gethok tular tradition offers a culturally relevant method for disseminating health information and improving self-care practices in rural communities. This approach holds potential for integration into community-based health programs.
Knowledge, Attitude, and Practice Toward Infection Prevention Strategies Pre- and Post-COVID-19 Among Nursing Students: A Systematic Review Fithriyyah, Yayu Nidaul; Alim, Syahirul
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 1 (2025): 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.v11i1.790

Abstract

Aims: COVID-19 (Coronavirus Disease 2019) has significantly impacted infection control, highlighting the vulnerabilities of the global healthcare system. This study evaluates measurable outcomes and barriers in nursing students' knowledge, attitudes, and practices, and barriers to infection prevention before and after COVID-19. Method: systematic review, with the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) registered on PROSPERO: CRD42022322706. Using the PICO framework for article selection: Population (involving nursing students), Intervention/exposure (infection control or prevention), Compare and Outcome (knowledge, attitudes, and practice). We searched nine databases from March to June 2022, with inclusion criteria for full-text articles published in English from 2012 to 2022. The study quality used The Joanna Briggs Institute (JBI) Critical Appraisal tool and the National Institutes of Health (NIH). PICO synthesis for analysis. Results: Of 3,030 articles, only 15 met the criteria for inclusion: Cross-sectional (12/15, 80%), Descriptive study (2/12, 13%), and pre-post study (1/15, 6.67%). Infectious disease (4/15, 26.6%) and All disaster events (4/15, 26.6%), with the condition: pre-COVID-19 (11/15,73.3%), and during COVID-19 (4/15, 26.6%). The five themes were: (1) nursing students' knowledge level regarding infection control standards, (2) nursing students' attitudes towards infection control standards, (3) nursing students' practice on infection control standards, (4) factors affecting infection control in nursing students, (5) roles of nursing schools and hospitals in infection control. Conclusion: Nursing students showed increased knowledge, but gaps in attitudes and practice remain. Future efforts should develop standardized infection prevention curricula, integrate social media training, and strengthen academic-healthcare partnerships.
Unveiling Spousal Challenges and Expectations in Caring for Elderly Dementia Patients in Indonesia Pradana, Anung Ahadi; Rohayati, Rohayati
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 1 (2025): 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.v11i1.791

Abstract

Aims: Dementia is a progressive, terminal condition causing cognitive decline and dependency on caregivers, often spouses. Spousal caregivers face unique challenges, including physical, emotional, social, and financial burdens. However, limited research in Indonesia has explored the lived experiences, challenges, and expectations of spousal caregivers for elderly dementia patients. Objective: This study aims to uncover the challenges and expectations of spousal caregivers for elderly dementia patients in Bekasi, Indonesia, to inform tailored support interventions. Methods: Using a qualitative descriptive phenomenology approach, in-depth semi-structured interviews were conducted with 10 spousal caregivers. Participants were selected purposively, meeting inclusion criteria such as caregiving duration of over six months. Data were analyzed systematically through thematic analysis, validated via peer review and participant feedback. Results: Two main themes emerged: (1) Optimal conditions expected of a partner, including hopes for condition improvement and miraculous recovery; and (2) Improving self and family conditions, involving desires to maintain caregiving responsibilities, avoid burdening children, and foster harmonious household relationships. Participants emphasized the importance of societal and governmental support for dementia care. Conclusion: Spousal caregivers in Indonesia face significant challenges yet maintain optimistic expectations for their partners and families. This highlights the need for community-based monitoring systems and tailored interventions to reduce caregiver burden and improve dementia care quality.
Factors Associated with Resilience Family Caregiver of Patients with Dementia Rohayati, Rohayati; Pradana, Anung Ahadi
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 1 (2025): 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.v11i1.792

Abstract

Aims: Dementia represents a critical public health issue. Family caregivers play a vital role in providing care due to limited healthcare resources, yet they face significant bio-psycho-social challenges that impact their resilience. Understanding the factors influencing caregiver resilience is crucial for developing targeted interventions. Objective: This study aimed to analyze factors associated with the resilience of family caregivers of PwD in Bekasi City, Indonesia. Methods: A cross-sectional study was conducted among 42 family caregivers of PwD. Resilience was measured using the Connor-Davidson Resilience Scale (CD-RISC). Descriptive and bivariate analyses were performed to examine associations between demographic characteristics, caregiving duration, dementia knowledge, and resilience. Results: The majority of caregivers were female (71.4%), aged 18–59 years (83.3%), and unemployed (71.4%). Most caregivers had a moderate level of resilience (71.4%), while 28.6% demonstrated high resilience. Bivariate analysis showed no significant associations between resilience and demographic factors, including gender, age, education level, employment status, caregiving duration, and dementia-related knowledge (p > 0.05). Conclusion: Resilience among caregivers is not significantly influenced by demographic variables, highlighting the importance of focusing on psychosocial and environmental factors to strengthen resilience. Future efforts should prioritize community-based interventions, stress management programs, and social support systems to enhance the well-being of caregivers and the quality of care for PwD.
Factors Associated with Spirituality in Patient Undergoing Hemodialysis Panma, Yuanita
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 1 (2025): 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.v11i1.793

Abstract

Aims: Chronic Kidney Disease (CKD) is a global health burden, with hemodialysis being a critical yet life-altering therapy. Spirituality has emerged as an essential dimension influencing the well-being of patients undergoing hemodialysis. However, there is limited understanding of the factors associated with spirituality among Indonesian patients, necessitating culturally sensitive research. Objective: This study aimed to identify factors associated with spirituality in patients undergoing hemodialysis in Indonesia. Methods: A cross-sectional study was conducted in Jakarta's hemodialysis unit in 2017, involving 148 participants selected through consecutive sampling. Data were collected using validated instruments, including the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being (FACIT Sp12), the Beck Depression Inventory (BDI), the Medical Outcomes Study-Social Support Survey (MOS-SSS), and the Kidney Disease Quality of Life Short Form (KDQOL-SF36). Data were analyzed using univariate, bivariate, and multivariate logistic regression. Results: The majority of participants were female (52%), married (76.3%), and unemployed (75%), with an average age of 54.86 years. Half of the participants exhibited high spiritual levels (50.7%). Social support (OR = 1.052, p < 0.001) and depression (p < 0.05) were significantly associated with spirituality. Other variables, including HD frequency, duration of HD, and burden of kidney disease, were identified as confounders. Conclusion: Social support and depression significantly influence the spiritual well-being of hemodialysis patients, highlighting the need for comprehensive care approaches that address social and mental health alongside spiritual needs. Tailored interventions, including family-centered and spiritual counseling, can improve the quality of life for these patients.

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