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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 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.
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.
Exploring the Impact of Family, Social Support, and Health Workers on Reproductive Health Behaviors Among 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

Aims: The purpose of this study is to investigate how family support, social support, and the involvement of health workers affect the reproductive health of blind teenagers in Sukabumi City and Regency. Methods: This study is correlational and uses a cross-sectional technique. The population is made up of 42 teenagers from Sukabumi City and Regency who have visual problems. They were chosen via complete sampling. Multiple linear regression was used to do the statistical analysis. Results: The results demonstrated that the sources of information had a considerable impact on the reproductive health behavior of teenagers with visual difficulties (p-value = 0.000). There was a relationship between knowledge and reproductive health behavior (p-value = 0.000), as well as a connection between attitudes and reproductive health behavior (p-value = 0.000). Furthermore, the reproductive health behaviors of teenagers with visual difficulties were simultaneously influenced by information sources, knowledge, and attitudes (p-value = 0.000). Conclusion: The way teenagers with visual difficulties approach reproductive health is greatly impacted by their sources of information, knowledge, and attitudes. In order to better safeguard and assist teenagers with visual impairments, relevant authorities and the government can use the results of this study as a reference.
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.

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