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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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Association Between Family Support and Breastfeeding Success in a Neonatal Care Unit: A Study at Islam Hospital Surabaya Jemursari Purwandira, Lina; Nurjanah, Siti; Hidaayah, Nur; Sari, Ratna Yunita
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 3 (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.v11i3.602

Abstract

Background: Successful breastfeeding is influenced by various factors, one of which is family support. Support from a husband, mother, or other close family members plays a crucial role in building a mother’s confidence and commitment to exclusive breastfeeding. Lack of emotional, informational, or instrumental support may lead to early weaning or the use of formula milk.Objective: This study aimed to analyze the relationship between family support and the success of breastfeeding in the neonatal room of Islam Hospital Surabaya Jemursari.Methods: A cross-sectional design was employed involving 48 postpartum mothers whose neonates were admitted to the neonatal room. Participants were selected using simple random sampling. The independent variable was family support, and the dependent variable was the success of breastfeeding. Data were collected using a validated structured questionnaire assessing the level of family support and breastfeeding outcomes. Statistical analysis was conducted using the Spearman rho correlation test with a significance level of α = 0.05.|Results: Among the 27 respondents who reported successful breastfeeding, the majority received sufficient family support, while a smaller proportion reported low support. Interestingly, among 21 respondents who also reported breastfeeding success, nearly half received less family support. The Spearman rho test yielded a p-value of 0.211, indicating no statistically significant relationship between family support and breastfeeding success (p > 0.05).Conclusion: This study found no significant relationship between family support and breastfeeding success in the neonatal unit. Further research with larger sample sizes and more detailed measurement tools is recommended to explore this relationship further.
Effectiveness of Ginger Aromatherapy on Blood Pressure Among Hypertensive Patients in a Community Health Center in Indonesia: A Quasi-Experimental Study Long, Andre Liang; Marlina, Th. Titin; Rina S, Fransisca Anjar
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 3 (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.v11i3.844

Abstract

Background: Hypertension is a disease caused by several factors including genetic factors, physical changes, unhealthy lifestyles, the presence of certain medical conditions. One way to manage hypertension in a non-pharmacological way is using aromatherapy. Objective: This research was conducted to determine the effect of ginger aromatherapy on blood pressure in hypertensive patients at the Ngemplak II Health Center, Sleman Regency. Methods: The research design used was quasy experimental design with a non-equivalent control pre-posttest design approach. The study population was all hypertensive patients who conducted examinations at the Ngemplak II Health Center, Sleman Regency. The number of samples in this study were 50 respondents who were divided into 2 groups, namely 25 intervention groups and 25 control groups taken by purposive sampling technique. The intervention group was given ginger aromatherapy with a duration of 30 minutes per day for 3 days using a diffuser, while the control group only measured blood pressure on the first day and the third day. Results: The results showed that a small proportion of hypertensive patients were elderly (38%), mostly female (64%), and mostly worked as farmers (52%). Data analysed using the Mann-Whitney test showed that there was a significant difference in mean systolic blood pressure between the intervention and control groups (p value <0.001), however, between the intervention group and the control group, there is no significant difference in diastolic blood pressure(p = 0.460). Conclusion: Ginger aromatherapy has been proven effective as a non-pharmacological therapy for controlling blood pressure in hypertensive patients. Further research with a more accurate design and stricter control of confounding factors is recommended to follow up on the results of this study
Factors Influencing Excessive Daytime Sleepiness among Undergraduate Nursing Students: A Cross-Sectional Study from North Sulawesi, Indonesia Saluy, Priscillia M.; Lainsamputty, Ferdy; Wu, Bo-Hsun
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 3 (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.v11i3.873

Abstract

Background: Excessive daytime sleepiness (EDS) is a common yet underrecognized concern among nursing students, potentially impairing academic performance and clinical readiness. Identifying factors associated with EDS is essential to inform preventive strategies and promote optimal student functioning. Objective: This study aimed to identify the factors influencing EDS among undergraduate nursing students in North Sulawesi, Indonesia. Methods: A descriptive correlational, cross-sectional design was employed. This study involved 101 students from a university in North Sulawesi Province, Indonesia, selected through consecutive sampling. Data were collected using the Epworth Sleepiness Scale (ESS) and analyzed using descriptive statistics, the Mann–Whitney U test, Kruskal–Wallis H test, Spearman’s correlation, and multiple linear regression. Results: The mean ESS score was 12.98 (SD=4.07), with 71 respondents (70.3%) classified as experiencing EDS. Caffeine consumption (B=3.458, β=0.295, 95% CI [1.232, 5.684], p=0.003) significantly predicted EDS, accounting for 14.9% of the variance. Conclusion: These findings highlight the need to address modifiable lifestyle factors, particularly caffeine intake, to reduce EDS among nursing students. Nurse educators and academic institutions should implement sleep health education and promote healthy coping strategies to mitigate daytime sleepiness. Early intervention may enhance students’ academic performance and clinical competence, ultimately improving patient safety and quality of care in future nursing practice.
Prosocial Behavior and Psyhcological Difficulties as Predictors of Depressive Symptomps in Adolescents: A Cross-Sectional Study Yuliastuti, Estin; Istiqomah, Nurul
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 3 (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.v11i3.876

Abstract

Background: Adolescence is a crucial transitional period marked by significant changes and increased vulnerability to mental health problems, including depression. Objective: This study aimed to examine the relationship between prosocial behavior and psychological difficulties with depressive symptoms in adolescents. Methods: A quantitative correlational study with a cross-sectional approach was conducted among 155 adolescents aged 12–18 from a public senior high school in Surakarta, Indonesia. Data were collected using the Strengths and Difficulties Questionnaire (SDQ) and the Patient Health Questionnaire-9 (PHQ-9), and analyzed using Spearman’s correlation. Results: There was a strong positive correlation between psychological difficulties and depressive symptoms (r=0.656, p<0.001), while prosocial behavior was also significantly associated but with a weaker correlation (r=0.168, p=0.037). Conclusion: Psychological difficulties are more strongly associated with depressive symptoms than prosocial behavior. These findings highlight the importance of interventions that address both risk factors and strengths.
The Relationship Between Peer Social Support and Anxiety in Final Year Students Who Are Writing Their Thesis Yani, Fifi Siti Fauziah; Nurmansyah, Andri; Bola, Ibrahim N.; Imelisa, Rahmi; Wisnusakti, Khrisna; Fazrianti, Rizma Piarsihan
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 3 (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.v11i3.878

Abstract

Background: The demands of completing a final project, coupled with an individual's lack of preparedness, can give rise to psychological problems such as anxiety, stress, and depression. Factors influencing anxiety include social support, trust, and modeling. Among these, peer social support plays a particularly significant role in the academic environment. Objective : This study aimed to examine the relationship between peer social support and anxiety among final-year students preparing their undergraduate thesis in the Nursing Study Program. Methods: This study employed a quantitative research design with a cross- sectional approach. A total of 110 final-year students were selected using stratified random sampling. Data were collected using standardized questionnaires: the Hamilton Rating Scale for Anxiety (HRS-A) to measure anxiety levels and the Peer Social Support Scale to assess peer social support. Data were analyzed using univariate and bivariate techniques, with the chi-square test applied to determine the relationship between variables. Results: The results of the study showed that out of 110 respondents, 10 (9.1%) had panic anxiety, 30 (27.3%) were severe, 20 (18.2%) were mild, and 24 (21.8%) had no anxiety. Peers were found to be 28 (25.5%) low, 53 (48.2%) moderate, and 29 (26.4%) high. The results of the relationship analysis obtained a P value of 0.0001 (α <0.05), which shows that there is a relationship between peer social support and anxiety. Conclusion: Based on the results of research and discussion regarding the Relationship between Peer Social Support and Anxiety in final-year students Who Are Writing Their Thesis in the Nursing Study Program (S-1), Faculty of Health Science and Technology, Jenderal Achmad Yani University
The The Relationship Between Internet Addiction and Academic Procrastination in Nursing Bachelor Students Who Are Compiling Thesis in Bandung Nurmansyah, Andri; Fauziah, Fifi Siti; Supriadi, Dedi; Tauba, Ahmad Mumtaz
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 3 (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.v11i3.879

Abstract

Background: Academic procrastination is a widespread issue affecting university students, often linked to behavioral factors such as uncontrolled internet use. Among final-year nursing students, extended time spent on non-academic online activities—exceeding four hours daily—may contribute to delays in completing academic responsibilities. Objective: This study aimed to explore the relationship between internet addiction and the tendency to procrastinate academically among undergraduate nursing students. Method: A correlational quantitative approach was utilized in this study. The target population included 90 final-year students, with 86 respondents selected using an accidental sampling method. Data were collected through two standardized questionnaires—one measuring internet addiction levels and the other assessing academic procrastination. Statistical analyses included both univariate and bivariate procedures, with Spearman's rank correlation used to examine the association between the two variables. Results: Of the 86 participants, 60 students (69.8%) demonstrated moderate internet addiction, while 56 students (65.1%) reported moderate levels of academic procrastination. Analysis showed a statistically significant positive correlation between internet addiction and procrastination behavior (p = 0.007; r = 0.288). These findings suggest that higher levels of internet dependency are associated with an increased likelihood of delaying academic tasks. Conclusion: There is a meaningful association between excessive internet use and academic procrastination. It is recommended that students develop better time management strategies by limiting recreational internet use and allocating focused periods for academic work to reduce procrastination tendencies and improve academic outcomes.
Effect of Roleplay Tabletop Disaster Simulation on Flood Preparedness Attitudes Among Junior High School Students Prasetyawan, Riyan Dwi; Rudiyanto, Rudiyanto; Rahmawan, Fajri Andi; Rosuli, Ahmad; Rosiana, Angela Febiana Dewinta
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 3 (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.v11i3.882

Abstract

Background: Disaster preparedness training is essential for junior high school children as a vulnerable group to increase awareness and preparedness for disasters. RTDS is an appropriate intervention in improving disaster preparedness. Objective: This study aims to determine the effect of tabletop roleplay disaster simulation on students' flood disaster preparedness attitude at SMPN 1 Muncar in 2024. Methods: A pre-experimental one-group pre-test and post-test design was used in this study, involving 30 respondents selected through a purposive sampling technique. A role-playing tabletop disaster simulation was used as the independent variable instrument to measure its effect on students' preparedness attitudes as the dependent variable. To measure the attitude of flood disaster preparedness in junior high school students using a questionnaire on the attitude of student preparedness in facing flood disasters. The questionnaire has been tested for validity and reliability. The data analysis method used is the Wilcoxon test. Results: The results of the analysis showed that after being given the Roleplay Tabletop Disaster Simulation (RTDS), students' disaster preparedness attitudes increased significantly. Before the intervention, 63.0% of respondents were in the low category, while after the intervention, 87.0% of respondents were in the very high category. Wilcoxon test showed that this difference was significant (P = 0.000 < 0.05), indicating the effect of RTDS on students' disaster preparedness. Conclusion: RTDS helps students understand safety procedures and improves their adaptability during disaster events.
Effectiveness of the Kalkulating Platform (Stunting Detection Calculator) for Increasing Hemoglobin Levels in Adolescents Suminar, Ratna; Perdana, Isma Madya; Mulayana, Ridwan; Heriyanti, Silvia Widyani; Hindiarti, Yudita Ingga
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 3 (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.v11i3.899

Abstract

Background: Anemia in adolescents is one of the contributing risk factors to stunting in early adulthood. Early detection and community-based interventions are essential for promotive and preventive efforts, particularly within school settings. One strategy implemented is the use of the adolescent stunting risk detection feature in the Kalkulating platform, applied by the Youth Information and Counseling Center (PIK R) at SMAN 1 Baregbeg. Objective: This study aimed to determine the effectiveness of the adolescent stunting risk detection feature in reducing anemia cases among adolescents. Methods: This study employed a quantitative descriptive design with a pre-post intervention approach. The subjects were students from SMAN 1 Baregbeg actively engaged in PIK R activities. Hemoglobin (Hb) levels were measured twice by the Baregbeg Public Health Center (Puskesmas Baregbeg), in October 2024 and May 2025. Initially, 44 adolescents were identified with anemia. After interventions including education and routine monitoring using the Kalkulating feature, a follow-up test showed only 10 cases of anemia. Results: There was a reduction of 34 anemia cases from a total of 44, indicating an effectiveness rate of 77.27% and Cohen’s 3,34. According to the effectiveness classification based on percentage change, this intervention falls under the effective category. Conclusion: The implementation of the adolescent stunting risk detection feature in the Kalkulating platform was effective in reducing anemia rates among adolescents. This model can be replicated in school-based health programs with multisectoral support, including primary healthcare providers such as community health centers.
Think Aloud Testing in Usability Evaluation of the Love Your Breast Application to Enhance Self-Examination Behavior in Adolescents Anggraini, Dian; Rifayanti, Lidya
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 3 (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.v11i3.901

Abstract

Background: Adolescents are a key demographic for promoting early breast cancer detection through Self-Breast Examination (SADARI). Mobile health (mHealth) applications offer potential to increase awareness and encourage preventive behaviors, but their effectiveness depends on usability and user experience. Objective: This study aimed to evaluate the usability of the Love Your Breast mobile application using the Think Aloud method and to identify design improvements to enhance its effectiveness for adolescent users. Methods: A descriptive qualitative design was employed. Ten female high school students in Bandung participated in Think Aloud usability testing, performing seven task scenarios while verbalizing their thoughts. Quantitative data were analyzed through task success rate calculations, while qualitative data were examined using thematic analysis. Results: The application achieved an average success rate of 86%. Thematic analysis revealed three main usability themes: (1) general observation—issues with font size, color brightness, and background images; (2) performance expectancy—users could not access the video feature; and (3) effort expectancy—some users experienced slow downloads due to poor internet access. Although the app was considered informative and easy to use, these issues negatively affected the overall user experience. Conclusion: The Love Your Breast app shows promise as a tool for adolescent breast cancer awareness and early detection. Future updates should address visual consistency, enable offline video access, and improve performance under limited connectivity. These changes will enhance usability and align with user-centered mHealth design principles, supporting its broader adoption in adolescent health promotion.
Effectiveness of Virtual Reality–Based START (Simple Triage and Rapid Treatment) Triage Education on Earthquake Preparedness Among Community Members Nina Putri Calisanie, Nyayu; Ramdani, Ramdani; Fatimah, Sansa Anisa Nur
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 3 (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.v11i3.902

Abstract

Background: Indonesia’s position along the Pacific Ring of Fire exposes it to frequent seismic events. The recent magnitude 5.6 earthquake in Cianjur highlighted notable deficiencies in community preparedness, especially in areas such as knowledge, disaster education, and emergency response planning. Insufficient public awareness remains a major obstacle to effective disaster risk management. Objective: This study aimed to determine the impact of Virtual Reality (VR)-based education using the Simple Triage and Rapid Treatment (START) method on enhancing earthquake preparedness among community members. Methods: A quasi-experimental design with pre- and post-tests and a control group was employed. A total of 112 participants were selected via purposive sampling and divided into intervention and control groups. The intervention group engaged in VR simulations focused on the START triage process as part of their disaster education curriculum. Knowledge improvement was measured using the N-Gain Score to evaluate pre- and post-intervention changes. Results: The VR-based START triage training led to a 64.47% increase in participants’ knowledge, reflecting a moderate level of effectiveness. Compared to the control group, those in the intervention group showed significantly greater improvements in earthquake preparedness. Conclusion: Incorporating START triage into VR-based educational programs can substantially boost community members’ understanding of earthquake preparedness. This interactive and scalable method holds promise for enhancing public disaster education and fostering greater resilience in vulnerable populations.

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