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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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Factors Affecting Academic Burnout Among Nursing Students Novianty, Lia; Said, Faridah Mohd; Nambiar, Nisha
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.v11i1.795

Abstract

Aims: Students undergoing lectures will be faced with various demands and pressures in the academic field. Demands and pressures that cannot be overcome can cause students to be vulnerable to academic burnout which will have an impact on academic success. Academic self-efficacy, academic engagement, and social support are all factors that can help students avoid academic burnout. The purpose of this study was to see how academic self-efficacy, academic engagement, and social support affected academic burnout in nursing students. Methods: The nursing students at STIKes Sukabumi participated in a Cross Sectional Study for this research. 310 nursing students were selected at random using stratified sampling for this study. The data collection tools using questionnaires. The instruments used are the Maslach Burnout Inventory-Stundent Survey (MBI-SS), Academic Engagement Scale (AES), multidimensional scale of perceived social support (MSPSS) and College Academic Self-Efficacy Scale (CASES). Statistical analysis uses multiple linear regression Results: The results of this study show that academic self-efficacy affects academic burnout (b=-1,736, p=0,000), academic engagement affects academic burnout (b=-1,043, p=0,000), social support can affect academic burnout (b=-1,021, p=0,000) Conclusions: Academic self-efficacy, academic engagement, Social support, has an influence on academic burnout
The Direct and Indirect Effect of Spirituality and Self-Care on Quality of Life Among Patients with Chronic Kidney Failure Budhiana, Johan; Elengoe, Asita; Said, Mohamed Saefulaman Mohamed
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.v11i1.796

Abstract

Aims: Chronic kidney failure (CKF) is a significant global health issue, with profound impacts on patients' quality of life (QoL). Self-care and spirituality have been identified as key determinants influencing QoL among CKF patients undergoing hemodialysis. However, the interactive effects of these factors remain underexplored, particularly in Indonesia. Objective: This study aims to investigate the direct and indirect effects of spirituality and self-care on QoL among CKF patients undergoing hemodialysis at Sekarwangi Hospital, Sukabumi Regency. Methods: A correlational research design was employed, involving 71 CKF patients undergoing routine hemodialysis. Participants were selected using purposive sampling based on inclusion criteria. Data were collected using validated instruments: the Hemodialysis Patients’ Self-Care Measurement Scale (HPSCMS), Spiritual Well-Being Scale (SWBS), and Kidney Disease Quality of Life Short Form (KDQOL-SF™ v1.3). Path analysis was conducted to assess the direct and indirect effects of spirituality and self-care on QoL. Results: Spirituality exhibited a significant direct effect on QoL (β = 0.381, p < 0.001) and an indirect effect through self-care (β = 0.384), with a total effect of 0.765. Self-care also had a significant direct effect on QoL (β = 0.547, p < 0.001). Higher spirituality and better self-care practices were associated with improved QoL in CKF patients. Conclusion: The findings underscore the importance of spirituality and self-care in enhancing QoL among CKF patients undergoing hemodialysis. Integrating spiritual support and promoting self-care behaviors into patient care could significantly improve outcomes. Future interventions should adopt a holistic approach, addressing both physical and spiritual dimensions of care.
Effectiveness of Diaphragmatic Breathing Exercises in Enhancing Pulmonary Recovery and Expediting Water Seal Drainage (WSD) Removal in Pleural Effusion Patients at Persahabatan Hospital Sumedi, Sumedi; Rayasari, Fitria; Santosa, Puji Raharja
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.v11i1.798

Abstract

Aims: Pleural effusion, characterized by the abnormal accumulation of pleural fluid, poses significant health risks and often necessitates interventions such as water seal drainage (WSD) placement. Diaphragmatic breathing exercises (DBE) are non-invasive techniques that may enhance pulmonary recovery and expedite WSD removal by optimizing respiratory mechanics. Despite the potential benefits, limited research has explored their effectiveness in patients with pleural effusion. Objective: This study aimed to evaluate the effectiveness of diaphragmatic breathing exercises in enhancing pulmonary recovery and expediting WSD removal in pleural effusion patients at Persahabatan Hospital, Jakarta, Indonesia. Methods: A quasi-experimental, single-group pretest-posttest design was employed. Seventeen adult patients diagnosed with pleural effusion undergoing WSD placement were recruited through purposive sampling. Participants performed DBE twice daily for 15 minutes over seven days. Pulmonary recovery and WSD outcomes were assessed using a validated Pulmonary Recovery Assessment Questionnaire. Data were analyzed using paired t-tests, with statistical significance set at p < 0.05. Results: The mean age of participants was 51.71 years (±10.12), with 64.7% female. Peak current respiration significantly improved from 103.53 L/min (±36.22) pre-intervention to 165.52 L/min (±75.28) post-intervention (p = 0.000). DBE also reduced the duration of WSD placement, indicating enhanced pulmonary recovery. Participants reported high feasibility and acceptability of the intervention. Conclusion: Diaphragmatic breathing exercises significantly improve pulmonary recovery and expedite WSD removal in pleural effusion patients. These findings highlight the potential of DBE as a cost-effective, non-invasive adjunct in respiratory rehabilitation. Further research with larger sample sizes and long-term follow-up is recommended to validate these results.
Understanding the Needs of Patients’ Families in the Intensive Care Unit: A Comprehensive Literature Review Hafifah, Ifa; Rahmi, Siti; Nasution, Tina Handayani
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.v11i1.800

Abstract

Aims: Families of patients in intensive care units (ICUs) face significant psychological and emotional challenges, with diverse needs spanning assurance, information, proximity, support, and comfort. Understanding and addressing these needs is crucial for enhancing family well-being and satisfaction with ICU care. Objective: This study aims to synthesize existing evidence on the needs of ICU patients’ families, identify priority domains, and explore factors influencing these needs. Methods: A systematic literature review was conducted following PRISMA guidelines. Searches across PubMed, Scopus, CINAHL, Web of Science, and PsycINFO identified studies published between January 2015 and December 2024. Inclusion criteria focused on peer-reviewed articles addressing the emotional, informational, or practical needs of ICU patients’ families. Data extraction and quality assessment were performed using the Joanna Briggs Institute Critical Appraisal Tools. Thematic synthesis was applied for qualitative data, while quantitative findings were analyzed descriptively. Results: From 11 studies, assurance emerged as the most critical need across diverse populations, followed by information, proximity, support, and comfort. Sociodemographic factors such as age, education level, and gender, as well as contextual factors like cultural norms and length of ICU stay, significantly influenced family needs. Assurance and information were universally prioritized, while proximity and support varied based on regional and cultural contexts. Conclusion: ICU families’ needs are multidimensional and influenced by individual, clinical, and sociocultural factors. Assurance and information consistently rank as top priorities, highlighting the need for family-centered, culturally sensitive care strategies. Tailored interventions, effective communication, and policies facilitating family presence can address these needs and improve family satisfaction. Future research should explore real-time strategies and the role of technology in meeting family needs.
The Effects Of Family Support, Social Support, And The Role Of Health Workers On The Reproductive Health Behavior Of Blind Adolescents In Sukabumi City And Regency Haryani, Hana; Said, Faridah Mohd; Umar, Nur Syazana
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.v11i1.801

Abstract

Adolescents with disabilities or special needs are very vulnerable to various health problems including reproductive health. In helping to maintain reproductive health, of course, there needs to be other factors that can support the achievement of reproductive health maintenance such as family support, social support and the role of health workers. The purpose of this study is to determine the influence of family support, social support and the role of health workers on the reproductive health of blind adolescents in the Sukabumi City Area and Sukabumi Regency. This type of research is correlational with the cross sectional approach. The population and s ampel as many as 42 adolescents with visual disabilities in sukabumi city and sukabumi regency used total sampling. Statistical analysis uses multiple linear regression. The results showed that there was a significant influence of information sources on the reproductive health behavior of adolescents with visual disabilities (p-value 0.000), there was a relationship of knowledge on the reproductive health behavior of adolescents with visual disabilities (p-value 0.000), and there is knowledge of attitudes towards reproductive health behaviors of adolescents with visual disabilities (p-value 0.000). and there is a simultaneous influence of sources of information, knowledge and attitudes towards reproductive health behaviors of adolescents with visual disabilities (p-value 0.000). It can be concluded that sources of information, knowledge and attitudes have an influence on the reproductive health behavior of adolescents with visual disabilities. The findings in this study can be used as a reference for relevant agencies and the government regarding the protection of adolescents with visual disabilities
Effect of Telemonitoring and Nurse-Led Collaboration on Self-Management and Quality of Life in Heart Failure Patients in West Java Lindayani, Linlin; Nurdina, Gina; Anggraini, Dian; Herdiman, Herdiman; Darmawati, Irma; Mutiar, Astri
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.v11i1.808

Abstract

Aims: This study aimed to assess the combined effects of telemonitoring and nurse-led collaborative care on self-management, medication adherence, QoL, and hospital readmission rates among HF patients in West Java, Indonesia. Methods: A randomized controlled trial (RCT) was conducted with 120 HF patients randomized into an intervention group (telemonitoring and nurse-led collaborative care) and a control group (standard education). The intervention included health education, telemonitoring of clinical parameters, and regular nurse follow-ups. The primary and secondary outcomes—hospital readmissions, self-management, medication adherence, and QoL—were measured using validated instruments. Data analysis was performed using multivariate regression and chi-square tests. Results: Participants in the intervention group demonstrated significant improvements in self-management (mean score increased from 62.4 to 78.3), medication adherence (mean core increased from 4.3 to 6.8), and QoL (mean score decreased from 51.8 to 38.4) compared to the control group (p < 0.001). Additionally, the 180-day hospital readmission rate was significantly lower in the intervention group (30.0%) compared to the control group (60.0%, p < 0.001). Telemonitoring and nurse-led care independently reduced the odds of readmission by 3.8 times (OR: 3.8, 95% CI: 1.9–7.4, p < 0.001). Conclusion This scalable and effective model for HF management highlights the importance of culturally tailored interventions in low- and middle-income countries, offering a practical approach to overcoming resource limitations.
Empowering Communities: The Impact of Digital Health Education Modules on Disaster Preparedness Nina Putri Calisanie, Nyayu; Mastriyani, Nindi; Permana, Septa; Ramdani, Ramdani
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.v11i1.812

Abstract

Aims: The primary aim is to raise catastrophe awareness and preparedness, especially in disaster-prone areas. Health education and consulting by nurses using digital media like modules to teach disaster planning, first aid, and recovery can assist communities recover from disasters. Method: This research is a Quasi Experiment research with a research design. Quasi-Experimental Two Group pretest-posttest design . The number of respondents was 60. Inclusion criteria in this study were aged 17-35 years . Results: Mann-Whitney Test Analysis . The average value of the intervention group was greater than the control group. The Sig. (2-tiled) value shows that there is a significant influence of the Digital Module intervention on the level of disaster preparedness in the community with a p-value of 0.000 <0.05. Conclusion: In this study, it can be concluded that the Digital Module has an influence on increasing community preparedness in the intervention and control groups, there is a significant difference.
The Effect Of Assertive Training For Reducing Violence Behavior In Skizofrenia Patients: Literature Review Anak Agung Ayu Ratih Satya Utami; Ibrahim, Masdum; Heni Purnama
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 7 No. 3 (2021): 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.v7iSpecial Edition.255

Abstract

Aims : Violent behavior is one of the positive signs and symptoms that appear in schizophrenic patients. One of the actions that can be done on schizophrenic patients with violent behavior problems is by conducting assertive training. The purpose of this study was to analyze previous research on the effect of Asertive Training in Reducing Symptoms in Violent Behavior: Literature Review   Methdos : This study was a literature review. The journal obtained from two data based, namely Google Scholar and Pubmed. The keywords used in the data based on Google Scholar were combination between assertive training, assertive training, schizophrenia, and violent behavior. Meanwhile, the keywords used in the data based on Pubmed were assertive training, assertive skills, schizophenia, mental illness, violence behavior. The inclusion criteria were studies conducted on patient with schizophrenia, with assertive training interventions. Journal in bahasa Indonesia and English included, randomized control trial or quasi experimental studies, and free full text. Results The results were obtained as many as 676 journals based on a combination of keywords, then screened through titles, abstracts, and also inclusion criteria, only six journals were reviewed.   Conclusions : Based on the results showed that assertive training was able to reduce violent behavior in schizophrenic patients.
Self-efficacy of people who are at risk of tuberculosis in the work area of the garuda public health center in Bandung Hadiyani, Wini; Muhamad Dony Faturrahman; Rizal Ilbert
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 7 No. 3 (2021): 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.v7iSpecial Edition.256

Abstract

Aims : This study aims to determine self-efficacy in individuals who are at risk for tuberculosis. Design : This study used a descriptive method and was conducted in August 2019 with 119 respondents who were sellected by using random s The number of samples is 119 respondents with inclusion criteria: respondents in their area there are TB cases, aged 18-45 years, can read and write, and do not have hearing or vision impairments. Exclusion criteria: have a mental disorder. Sampling was obtained through random sampling. Methdos : This research is a quantitative descriptive research. Results : this study has shown that more than half of the respondents have low self-efficacy as many as 63 people (52.9%). Conclusions : self-efficacy in individuals who are at risk for tuberculosis is still low. The lack of knowledge that contributes to the prevention of tuberculosis is still a problem. Support from the environment and the closest people is needed so that family empowerment can increase self-efficacy
Comparison the use of pure jelly lubricant with xilocain gel in the installation of urine chateters for the patient’s level Kumala, Tria Firza; Oyoh; Asep Badrujamaludin; Yully Yanny
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 7 No. 3 (2021): 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.v7iSpecial Edition.257

Abstract

Aims : This research aims to compare the use of pure jelly with xilocain gel in the installation of urine catheter for the patient’s pain level. Design : The research design used was a quasy experiment using a post test only control group design technique. Methods : This method compared two intervention groups without a pretest. Sample collection using purposive sampling technique. A sample of 60 respondent. The instrument used is numeric ratting scale. Data analysis using Mann Withney test. Results : The results of the research pure jelly mean rank is 44.18 and xilocain gel mean rank is 16.82, with result p-value 0.001 this shows there is a difference in thelevel of pain of patients on the use of pure jelly with xilocain gel in the installation of urinary catheter in General Hospital Soreang Conclusions : It is expected that the result of this study can be considered as one form of development of science based on the evidance of based practice in the management of catheter insertion than the use of xilocain gel can be input into the SPO ( Standard Operating Procedure) in order to reduce pain in patients who have urine catheter, and can be inserted in the one pain management carried out by nurses.

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