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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 735 Documents
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Effect of Intradialytic Resistance Exercise on Restless Legs Syndrome Among Hemodialysis Patients: A Pilot Randomized Controlled Trial Fauzi, Achmad; Ahmedy, Fatimah
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 12 No. 1 (2026): 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.v12i1.955

Abstract

Background: Restless legs syndrome (RLS) is common and burdensome among patients undergoing hemodialysis (HD). Intradialytic exercise provides a pragmatic opportunity for symptom management; however, evidence on resistance exercise during HD remains limited. Objective: This pilot study evaluated the effect of intradialytic resistance exercise on RLS severity in adults receiving maintenance HD. Methods: A two-arm, parallel-group pilot randomized controlled trial was conducted in two HD units (January–April 2025). Adults on thrice-weekly HD for ≥3 months with at least moderate RLS (IRLS ≥11) were randomized 1:1 to intradialytic resistance exercise (IRE) or usual care. The IRE group performed supervised elastic-band exercises during the first 2 hours of HD, three times weekly for 8 weeks. Outcomes were assessed at baseline, week 4, and week 8. The primary outcome was the International Restless Legs Syndrome Scale (IRLS) score, analyzed using mixed-effects models. Results: Forty-two participants were enrolled (IRE n=21; control n=21), with 90.5% completing the study. A significant group×time interaction was observed (p<0.001). At week 8, the IRE group demonstrated a clinically meaningful reduction in IRLS compared with controls (mean difference −8.4; 95% CI −11.7 to −5.0; Cohen’s d=1.11). Adherence was high and no serious adverse events occurred. Conclusions: An 8-week intradialytic resistance exercise program was feasible, safe, and effective in significantly reducing RLS severity among HD patients. Larger trials are warranted to confirm long-term benefits and implementation potential.
The Meaning of Burnout in Nursing Practice: An Interpretative Phenomenological Study among Emergency Department Nurses Linda, Silvana Evi
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 12 No. 1 (2026): 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.v12i1.956

Abstract

Background: Burnout is a multidimensional occupational phenomenon that disproportionately affects nurses working in high-intensity environments such as emergency departments (EDs). While quantitative studies have documented its prevalence and determinants, limited research has explored how nurses themselves interpret and make meaning of burnout within their professional and cultural contexts. Objective: This study aimed to explore the lived meaning of burnout among emergency department nurses in Indonesia. Methods: An interpretative phenomenological analysis (IPA) was conducted with ten ED nurses recruited through purposive sampling. Participants self-identified as experiencing burnout and had a minimum of one year of ED experience. Data were collected through in-depth semi-structured interviews and reflective field notes. Analysis followed established IPA procedures, including case-by-case examination, development of emergent themes, and synthesis into superordinate themes. Reflexivity, audit trails, peer debriefing, and member reflection were employed to ensure rigor, in line with COREQ guidelines. Results: Four superordinate themes were identified: (1) burnout as relentless moral and physical overload, (2) burnout as erosion of self and emotional presence, (3) burnout as tension between professional duty and personal life amid limited organizational support, and (4) burnout as a professional test reinterpreted through spirituality and peer solidarity. Burnout was understood not merely as exhaustion, but as a meaning-laden experience involving identity disruption, moral distress, and adaptive resilience. Conclusion: Emergency nurses interpret burnout as a complex lived experience shaped by systemic demands, cultural values, and personal meaning-making processes. Addressing burnout therefore requires organizational reform alongside interventions that acknowledge nurses’ moral, emotional, and spiritual dimensions.
Effectiveness of a Health Belief Model–Based “Smart Social Media” Module in Reducing Social Media Addiction Among Indonesian Adolescents: A Quasi-Experimental Study Sofyana, Ana; Widodo, Arif
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 12 No. 1 (2026): 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.v12i1.959

Abstract

Background: Adolescent social media addiction has become a growing public health concern in Indonesia, particularly in semi-urban areas, and is linked to negative mental health and academic outcomes. Previous intervention studies often lacked rigorous control designs and contextual relevance, limiting their generalizability. Objective: This study evaluated the effectiveness of a structured Health Belief Model (HBM)–based “Smart Social Media” module in reducing social media addiction and improving knowledge among Indonesian adolescents. Methods: A quasi-experimental non-equivalent control group design was conducted among 70 senior high school students in Sukoharjo, Indonesia. Participants were assigned to an intervention group (n = 35) or control group (n = 35). The intervention consisted of a single 45-minute session including an educational presentation, interactive HBM-based discussion with a Kahoot quiz, and completion of a social media diary worksheet. Social media addiction and knowledge were measured using a validated 20-item questionnaire (Cronbach’s α = 0.927). Data were analyzed using Wilcoxon signed-rank and Mann–Whitney U tests (α < 0.05). Results: The intervention group showed a significant increase in knowledge (median change +16.0, p < 0.001) and a significant reduction in social media addiction scores (median change −4.0, p < 0.001), with large effect sizes. The control group showed minimal changes. Between-group post-test differences were statistically significant for both outcomes. Conclusion: The HBM-based “Smart Social Media” module was effective in reducing social media addiction and improving knowledge among adolescents. Larger multi-site and longitudinal studies are recommended to assess sustained behavioral effects
Effectiveness of Board Game–Based Education in Enhancing Knowledge and Intention Toward HPV Vaccination Among Adolescent Girls Hamka, Hamka; Elsanti, Devita; Dewiyanti, Dewiyanti; Pranata, Gst. Kade Adi Widyas; Sumarmi, Sumarmi
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 12 No. 1 (2026): 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.v12i1.960

Abstract

Background: Human papillomavirus (HPV) infection is a major cause of cervical cancer, and HPV vaccination is recommended for girls aged 11–12 years. However, HPV vaccination coverage in Indonesia remains low, partly due to limited knowledge and low intention to receive vaccination among preadolescent girls. Innovative educational strategies are needed to improve HPV vaccine acceptance. Objective: This study aimed to evaluate the effectiveness of board game–based HPV vaccine education in improving knowledge and intention to receive HPV vaccination among adolescent girls. Methods: A quasi-experimental study was conducted involving 144 girls aged 11–12 years, with 72 participants in the intervention group and 72 in the control group. The intervention group received HPV vaccine education through a board game–based approach, while the control group received conventional education. Knowledge and intention toward HPV vaccination were measured using validated questionnaires before and after the intervention. Data were analyzed using descriptive statistics, paired sample t-tests, and ANCOVA. Results: After adjustment for baseline scores and age using ANCOVA, the intervention group showed significantly higher post-test knowledge (F(1,140) = 9.65, p = 0.002, partial η² = 0.065) and intention (F(1,140) = 8.69, p = 0.004, partial η² = 0.058) compared with the control group, indicating moderate intervention effects. Conclusion: Board game–based HPV vaccine education was associated with significant improvements in knowledge and intention toward HPV vaccination among adolescent girls after controlling for baseline differences. However, these improvements were comparable to those achieved through conventional education. Interactive educational approaches may therefore serve as viable and engaging alternatives, rather than superior strategies, for supporting HPV vaccination promotion in school-based programs
Instrumental Activities of Daily Living and Quality of Life Among Older Adults with Hypertension: A Cross-Sectional Study in Grogol, Indonesia Aulia, Syifa; Sudaryanto, Agus
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 12 No. 1 (2026): 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.v12i1.962

Abstract

Background: Global population aging is accelerating, including in Indonesia, and is accompanied by an increasing burden of chronic conditions such as hypertension. Older adults with hypertension are vulnerable to functional decline, particularly in instrumental activities of daily living (IADL), which may adversely affect their quality of life (QoL). However, empirical evidence examining the relationship between IADL and QoL in primary healthcare settings remains limited. Objective: This study aimed to examine the association between instrumental activities of daily living and quality of life among older adults with hypertension attending a primary health center. Methods: A cross-sectional study was conducted involving 382 older adults with hypertension registered at the Grogol Health Center. IADL was assessed using the Lawton Instrumental Activities of Daily Living scale, while QoL was measured using the Kualitas Kehidupan Lansia (KKHL) questionnaire. Descriptive statistics were presented as medians and interquartile ranges (IQRs) due to non-normal data distribution. The association between IADL and QoL was analyzed using Spearman’s rank correlation test. Results: The median QoL score was 56 (IQR: 50–58), indicating relatively homogeneous quality of life among participants. Most respondents demonstrated functional independence in IADL. A statistically significant but weak positive correlation was found between IADL and QoL (ρ = 0.131; p = 0.010; 95% CI: 0.03–0.23). Conclusion: Functional independence in IADL was positively associated with QoL among older adults with hypertension, although the strength of the relationship was weak. Other contributing factors should be explored to better understand determinants of QoL in this population.
Comparative Effectiveness of Pamphlet and Video Media in Enhancing Breast Self-Examination Knowledge Among High School Students Widyaswara, Anggie; Putri, Melani; Sartika, Mila; Nurpratiwi, Yulidian
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 4 (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.v11i4.963

Abstract

Background: Adolescence represents a critical developmental stage during which health-related knowledge and preventive behaviours begin to form. Limited awareness of breast health and breast self-examination (BSE) among adolescent girls may reduce opportunities for early detection of breast abnormalities. Educational interventions delivered through accessible media may play an important role in improving adolescents’ understanding of BSE. Objective: This study aimed to evaluate the effectiveness of health education delivered through pamphlets and video media on the level of knowledge regarding breast self-examination among female adolescents. Methods: A quantitative study with a quasi-experimental design using a two-group pretest–posttest approach was conducted at SMAN 3 Tambun Selatan. The study population comprised 598 female students, of whom 592 participated using a total sampling technique. Knowledge of breast self-examination was assessed using a structured questionnaire administered before and after the educational intervention. Data were analysed using the Wilcoxon nonparametric test. Results: The findings demonstrated a statistically significant improvement in adolescents’ knowledge of breast self-examination following education delivered through pamphlets and video media (p < 0.001). Prior to the intervention, most participants showed limited concern for breast health. Post-intervention results indicated increased awareness and understanding of the importance of regular breast self-examination. Conclusion: Health education using pamphlets and video media is effective in enhancing adolescents’ knowledge of breast self-examination. Integrating structured and media-based educational strategies within school health programmes may strengthen preventive health behaviours and promote early breast health awareness among adolescents.
Knowledge and Smoking Behavior Among High School Students : A Cross-Sectional Study Dendi, Dendi; Pramudya, Handika; Sartika, Mila; Sohilait, Hana Priscilla Frudence
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 4 (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.v11i4.964

Abstract

Background: Smoking involves the combustion of tobacco products, producing smoke that is inhaled by the smoker and can also be passively inhaled by individuals in the surrounding environment. Adolescence is a vulnerable period during which smoking behaviors may develop, influenced by knowledge, attitudes, and social factors. Limited awareness of the health risks associated with smoking may contribute to the persistence of smoking behavior among adolescents. Objective: This study aimed to examine the relationship between knowledge and smoking-related behavior among adolescent students at State Senior High School 3 Tambun Selatan in 2025. Methods: A quantitative study with a descriptive correlational design and a cross-sectional approach was conducted. The study population consisted of all male students enrolled at State Senior High School 3 Tambun Selatan (n = 452). A total of 440 respondents participated in the study. Data collection was carried out on January 31, 2025, using structured questionnaires. Statistical analysis was performed using the Chi-square test to assess associations between variables. Results: The analysis revealed a statistically significant relationship between adolescents’ knowledge and smoking behavior (p = 0.005). In addition, a significant association was found between behavioral factors and smoking incidence (p < 0.001), indicating that lower knowledge levels and unfavorable behaviors were associated with higher smoking prevalence. Conclusion: This study demonstrates that adolescents’ knowledge and behavior are significantly associated with smoking habits. Strengthening school-based health education programs focusing on the dangers of smoking is essential to reduce smoking prevalence and promote healthier behaviors among adolescents
Determinants of Leprosy Incidence in West Bekasi, Indonesia: A Cross-Sectional Study Agustin, Nadya; Haerudin, Haerudin; Sari, Retno Anggraeni Puspita; Bratajaya, Cicilia Nony Ayuningsih
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 4 (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.v11i4.965

Abstract

Background : Leprosy remains a chronic infectious disease that can lead to long-term disability when diagnosis and treatment are delayed. Caused by Mycobacterium leprae, the disease primarily affects the skin and peripheral nerves and continues to pose public health challenges in several endemic regions, including parts of Indonesia. Understanding the factors associated with leprosy incidence is essential for developing effective prevention and control strategies. Objective : This study aimed to identify factors associated with the incidence of leprosy at the Danau Indah Cikarang Barat Community Health Center, Bekasi Regency. Methods : A quantitative study with a cross-sectional design was conducted involving 90 respondents selected through purposive sampling. The independent variables examined included age, sex, socioeconomic status, educational level, knowledge, history of contact with leprosy patients, personal hygiene practices, environmental conditions, and access to health information media. Data were collected using structured questionnaires and analyzed using the Chi-square test with a significance level set at 0.05. Results : The analysis revealed statistically significant associations between leprosy incidence and contact history, socioeconomic status, personal hygiene, and environmental conditions (p < 0.05). In contrast, age, sex, educational level, and access to information media were not significantly associated with leprosy incidence. Conclusion : The findings indicate that leprosy incidence is strongly influenced by social, behavioral, and environmental factors. Strengthening health education, improving environmental sanitation, and enhancing early detection and treatment programs are essential to reduce leprosy transmission in endemic areas. These results may serve as valuable input for healthcare providers and policymakers in developing targeted leprosy prevention and control initiatives.
Effectiveness of Ergonomic Training in Reducing Musculoskeletal Disorders Among Farmers: An Agricultural Nursing Program Wardany, Nadia Sintia; Rohaedi, Slamet; Darmawati, Irma; Wahdini, Ridha; Perdani, Agni Laili
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 4 (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.v11i4.973

Abstract

Background : Musculoskeletal disorders (MSDs) represent a major occupational health concern among agricultural workers in Indonesia. These conditions commonly arise from repetitive workloads, awkward or non-ergonomic body positions, and insufficient understanding of ergonomic practices. As a result, farmers may experience ongoing discomfort, reduced work capacity, and a decline in overall well-being. Objective : The purpose of this study was to assess the effectiveness of an Ergonomics Exercise Program (EEP) in alleviating musculoskeletal complaints among farmers. Methods : This study applied a pre- and post-intervention design involving 85 farmers. Symptoms related to musculoskeletal disorders were evaluated before and after the intervention using the Visual Analog Scale (VAS) and the Nordic Body Map (NBM). The Ergonomics Exercise Program was carried out over a two-week period, with participants performing 10-minute exercise sessions each day prior to starting work. The intervention focused on flexibility training, strengthening of core muscles, and correction of working posture. Changes in MSD symptoms were analyzed statistically to determine the effect of the program. Results : Before the intervention, 54% of participants reported mild pain, while 46% experienced moderate pain levels. The most commonly affected body areas included the calves (62.3%), lower back (45.8%), arms (40%), and shoulders (28.2%). Following the implementation of the Ergonomics Exercise Program, a statistically significant reduction in musculoskeletal complaints was observed (p < 0.05), particularly in the lower back, shoulders, and calves. Conclusion : The findings indicate that the Ergonomics Exercise Program effectively reduced musculoskeletal disorder symptoms among farmers. Incorporating ergonomics-based exercise routines into agricultural nursing and occupational health initiatives may offer a practical and sustainable approach to improving worker health and preventing MSDs in rural farming populations in Indonesia.
Understanding Gender Patterns in Knowledge, Attitudes, and Practices of Anemia Prevention Among Junior High School Students Niansyah, Sheilla Rahma; Permana, Bhakti
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 12 No. 1 (2026): 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.v12i1.975

Abstract

Background: Anemia remains a prevalent nutritional problem among adolescents, influenced by rapid growth, dietary patterns, and in females menstrual blood loss. Understanding whether gender differences exist in anemia-related knowledge, attitudes, and preventive practices is essential for designing effective school-based interventions. Objective: To describe and compare knowledge, attitudes, and preventive practices related to anemia among male and female junior high school students. Methods: A descriptive comparative study was conducted among 134 junior high school students (grades 7–9) in West Bandung, Indonesia. Participants were selected through random selection within classes at a single school. Knowledge, attitudes, and preventive practices were assessed using structured questionnaires. Gender differences were analyzed using the Mann–Whitney U test due to non-normal data distribution. Results: Female students demonstrated higher proportions in the high-knowledge category compared with males; however, the difference in knowledge scores between genders did not reach statistical significance (p = 0.060). No statistically significant gender differences were observed in attitudes (p = 0.160) or preventive practices (p = 0.285). Most students of both genders exhibited moderate attitudes and moderate anemia prevention practices. Conclusion: No statistically significant gender differences were identified in knowledge, attitudes, or preventive practices related to anemia among junior high school students. Although female students tended to show higher knowledge levels, this pattern represents a non-significant trend rather than a confirmed difference. These findings suggest that anemia prevention programs should target both male and female adolescents equally, with emphasis on translating knowledge into consistent preventive behaviors through comprehensive school-based interventions.

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