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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 739 Documents
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The Effectiveness of a Combination of Slow Breathing Exercises and Progressive Muscle Relaxation on Anxiety Levels in Pre-elderly People with Hypertension Permana, Adit; Rahmi, Upik; Wahdini, Ridha; Rohaedi, Slamet
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.v12i1.977

Abstract

Background: Pre-elderly individuals often suffer from hypertension, a chronic condition that often causes anxiety due to increased sympathetic nervous system activity. By increasing parasympathetic activity and muscle relaxation, non-pharmacological techniques such as Progressive Muscle Relaxation (PMR) and Slow Breathing Exercises (SBE) have been shown to reduce anxiety levels. Objective: The purpose of this study was to determine the impact of progressive muscle relaxation and slow breathing exercises on anxiety levels in pre-elderly individuals with hypertension in Depok Village, Pakenjeng District, Garut Regency. Methods: This study used a quasi-experimental, non-randomized pre-post-test design with two groups (intervention vs. control). 100 pre-elderly participants were selected using purposive sampling. The intervention lasted for one month and consisted of two 30-minute sessions per week. The Hamilton Anxiety Rating Scale (HARS) was used to assess anxiety symptoms. Results were analyzed statistically using the paired samples t test and the independent samples t test for samples with a significance level of p < 0.05. Results: The results of the study found that after the intervention, anxiety scores in the intervention group decreased significantly from a mean of 27.88 (SD 8.47) to a mean of 12.80 (SD 4.82) (p < 0.001), with a substantial effect size (Cohen's d = 2.21). In the control group, the decrease from a mean of 28.82 (SD 9.10) to a mean of 21.94 (SD 7.18) was less pronounced. A significant difference remained between the two groups after the intervention (mean difference = 9.14; 95% CI: 6.72–11.56; p < 0.001), indicating that the combination of SBE and PMR was effective in reducing anxiety. Conclusion: The combination of slow breathing exercises and progressive muscle relaxation is effective in reducing anxiety levels in pre-elderly people with hypertension. This intervention can be recommended as a non-pharmacological supportive therapy in public health services.
Adolescents’ Narratives of Trauma, Violence, and Identity Development: A descriptive–exploratory approach Rudianty, Vena Annisa; Luthfiah, Gina; Purnama, Rifana
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.v12i1.978

Abstract

Background: Past traumatic experiences are associated with psychosocial challenges and mental health outcomes. In nursing practice, trauma particularly sexual violence may have long-term psychological effects that shape individuals’ well-being and self-perception, including aspects of identity. Concurrently, sexual orientation diversity has become increasingly visible within Indonesian society, underscoring the need for trauma-informed, non-judgmental nursing care that supports psychological health without pathologizing sexual orientation Objective: This study aims to explore adolescents lived experiences of trauma and violent behavior and how these experiences influence their perceptions and understanding of sexual orientation. Methods: This qualitative study used a descriptive–exploratory approach. Data were collected through in depth interviews with 6 informants selected using snowball sampling. Data analysis was conducted using the Colaizzi’s method to identify emerging themes from participants lived experiences Results: Participants described past traumatic experiences, including loss of loved ones, parental separation, sexual violence, and perceived lack of parental support, as important contexts shaping their psychological well-being, interpersonal relationships, and self-understanding during adolescence. These findings reflect participants’ personal perceptions and lived experiences rather than causal changes in sexual orientation. Conclusion: This study highlights adolescents’ narratives of how traumatic experiences inform their psychosocial well-being and identity-related reflections. The findings underscore the importance of trauma-informed, non-pathologizing nursing care that acknowledges adolescents’ lived experiences and supports holistic psychological development
The Effect of Student-Centered Learning using the Make a Match Model on Students’ Knowledge in the Nursing Management and Patient Safety Course Among Second-Year Undergraduate Program Rejeki , Yunita Fiti; Hasanah, Adinda Triani Nur; Erawan, Annisa Nur
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.v12i1.980

Abstract

Background: Active learning strategies are essential to improve nursing students’ understanding of Nursing Management and Patient Safety, which are critical for preventing adverse events in clinical practice. Student Centered Learning (SCL) using the Make a Match model is an interactive cooperative learning approach that promotes active engagement and conceptual understanding. However, evidence regarding its effectiveness in improving nursing students’ knowledge remains limited. Objective: This study aimed to determine the effect of Student Centered Learning using the Make a Match model on students’ knowledge in the Nursing Management and Patient Safety course among second-year undergraduate nursing students. Methods: A pre-experimental one-group pretest–posttest design was conducted involving 69 second-year undergraduate nursing students at STIKes Dharma Husada, selected through purposive sampling. Students’ knowledge was assessed using a 34-item patient safety knowledge questionnaire developed by Dhewa (2017). All enrolled participants completed both the pretest and posttest. Data normality of the pre–post difference scores was confirmed, justifying the use of a paired t-test. Statistical analysis was performed at a 0.05 significance level. Effect size was calculated using Cohen’s d, and 95% confidence intervals were estimated. Results: Prior to the intervention, most students demonstrated a moderate level of knowledge (63.8%). After the implementation of the Make a Match learning model, the majority of students achieved a good level of knowledge (91.3%). The paired t-test showed a statistically significant increase in knowledge following the intervention (p = 0.001), with a large effect size and a 95% confidence interval indicating a meaningful educational impact. Conclusion: Student Centered Learning using the Make a Match model is effective in significantly improving nursing students’ knowledge in the Nursing Management and Patient Safety course. This approach may be considered as an alternative instructional strategy to enhance learning outcomes in nursing education.
Quality of Nursing Work Life (QNWL): A Scoping Review of Concepts, Determinants, and Outcomes Suryani, Lilis
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.v12i1.981

Abstract

Background: Quality of Nursing Work Life (QNWL) is increasingly recognized as a critical determinant of nurses’ well-being, retention, and performance. However, heterogeneity in conceptualization, measurement, and methodological approaches limits comparability and practical application. Objective: This scoping review aimed to map and synthesize contemporary evidence on QNWL, focusing on its definitions, measurement instruments, determinants, outcomes, and research gaps. Methods: A scoping review was conducted following the Joanna Briggs Institute (JBI) methodological framework and reported in accordance with PRISMA-ScR. Searches were performed in PubMed/MEDLINE, Scopus, Web of Science, CINAHL, and PsycINFO for studies published in English between January 2019 and February 2025. Google Scholar (first 200 results, sorted by relevance) and reference list screening were used as supplementary sources. Eligibility was defined using the Population–Concept–Context (PCC) framework. Data were charted descriptively and synthesized narratively. Methodological appraisal using JBI tools was conducted to describe study quality, not to exclude evidence. Results: Fifteen studies met inclusion criteria, encompassing cross-sectional surveys, psychometric validation studies, and contextual reviews from diverse geographic settings. The Brooks Quality of Nursing Work Life scale and the Work-Related Quality of Life instrument were most frequently used, reflecting continued conceptual heterogeneity. Key determinants of QNWL included leadership quality, workload, staffing adequacy, and organizational climate. Higher QNWL was consistently associated with greater job satisfaction, organizational commitment, and intention to stay, whereas lower QNWL was linked to burnout and turnover intention. Most studies were cross-sectional, limiting causal inference. Conclusions: QNWL is a multidimensional, context-sensitive construct shaped primarily by organizational and leadership factors. While evidence consistently links QNWL with workforce stability and well-being, methodological limitations and conceptual variability remain. Future research should prioritize longitudinal and interventional designs, standardized measurement, and broader contextual coverage to inform sustainable nursing workforce policies
Hand-Held Fan Therapy and Changes in Respiratory Parameters in Hospitalized Patients with Congestive Heart Failure: A Nursing Case Series Imelda, Ria Ika; Sitorus, Rusmawati; Novitasari, Fitri; Katu, Helena Nila; Angelica, Apriani
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.v12i1.987

Abstract

Background: Congestive heart failure (CHF) is a progressive clinical syndrome characterized by impaired cardiac function and reduced ability to meet metabolic demands. Dyspnea is one of the most frequent symptoms and is commonly identified in nursing practice as an ineffective breathing pattern. Supportive non-pharmacological interventions may assist in relieving respiratory distress. Hand-held fan therapy delivers airflow to the facial area and has been suggested as a simple method to reduce breathlessness. Objective: To describe changes in respiratory rate and oxygen saturation among patients with CHF following the application of hand-held fan therapy as part of inpatient nursing care. Methods: A descriptive case series was conducted using the nursing process framework. Three hospitalized CHF patients with ineffective breathing patterns were observed in a cardiovascular ward at RSUD Koja Hospital, North Jakarta. Hand-held fan therapy was applied for approximately five minutes per session. Respiratory rate and oxygen saturation were monitored before and after the intervention period. Results: All patients showed tachypnea at baseline (28 breaths/min). After repeated application of hand-held fan therapy, respiratory rates decreased consistently to 22 breaths/min. Oxygen saturation improved modestly from 93–94% to approximately 95%. Conclusion: Hand-held fan therapy was associated with improved breathing patterns and oxygenation in patients with CHF. This intervention may be considered a supportive nursing strategy for managing dyspnea
Motivations and Behavioral Patterns of Sexual Harassment Perpetrators: A Qualitative Study in Bandung City, Indonesia Simbolon, Keysha Januarita Anandita; Sulastri, Afianti; Darmawati, Irma
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.v12i1.983

Abstract

Background: Sexual harassment is a persistent social and public health problem, particularly in urban contexts where complex social interactions and power relations are prevalent. While existing research has largely centered on victims’ experiences, limited attention has been directed toward understanding the motivations and behavioral patterns of perpetrators, especially within the Indonesian sociocultural context. Objective: This study aimed to explore the motivations, behavioral processes, and cognitive patterns underlying sexual harassment perpetration based on perpetrators’ own perspectives in Bandung City, Indonesia. Methods: A qualitative study employing a phenomenological approach was conducted among individuals convicted of sexual harassment and currently serving sentences in a correctional facility in Bandung City. Data were collected through in-depth, semi-structured interviews. Reflexive thematic analysis was used to identify recurring themes related to motivations, behavioral development, rationalization strategies, and moral awareness. Results: Six interrelated themes emerged from the analysis. Sexual harassment behavior was driven by internal psychological factors, including sexual desire, curiosity, emotional dysregulation, and low self-control. Social and cultural environments that normalized harassment reinforced these behaviors. Power imbalances between perpetrators and victims facilitated domination and reduced resistance. Harassing behaviors typically developed gradually, starting with minor boundary violations and escalating over time. Perpetrators employed cognitive rationalization and strategic risk management to justify their actions and avoid detection. Moral awareness and remorse varied and often emerged only after legal consequences were experienced. Conclusion: Sexual harassment perpetration is shaped by a complex interaction of individual, social, and structural factors. Understanding perpetrators’ motivations and behavioral patterns is crucial for informing comprehensive prevention strategies, rehabilitation programs, and policy development. Integrating perpetrator-focused education on consent, emotional regulation, and ethical behavior alongside victim-centered approaches is essential to effectively reduce sexual harassment
Pomelo (Citrus maxima) Peel Ethanolic Extract Mitigates Isoniazid–Rifampicin–Induced Hepatotoxicity in a Male Wistar Rat Model Azalia, Luna Raisya; Anggraeni, Sabrina Dewi; Mawati, Arin Tentrem
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.v12i1.985

Abstract

Background: Tuberculosis continues to pose a substantial public health challenge in Indonesia, which currently ranks second worldwide in disease burden. Although first-line antituberculosis drugs such as isoniazid and rifampicin are highly effective, their prolonged use is frequently associated with hepatotoxicity, which may disrupt treatment continuity and compromise patient safety. Identifying adjunctive strategies capable of reducing liver injury during antituberculosis therapy therefore remains an important research priority. Objective:  This study aimed to examine the concurrent hepatoprotective effect of pomelo (Citrus maxima) peel ethanolic extract in a male Wistar rat model exposed to isoniazid–rifampicin–induced liver injury. Methods: An experimental posttest-only control group design was applied using thirty-two male Wistar rats distributed into five groups: a normal control, a negative control receiving isoniazid and rifampicin, and three treatment groups administered pomelo peel ethanolic extract at doses of 100, 200, and 400 mg/kg body weight. Hepatotoxicity was induced with isoniazid and rifampicin, followed by extract administration two hours after drug exposure from day 4 to day 10. Liver function was assessed by measuring serum alanine aminotransferase (SGPT) and aspartate aminotransferase (SGOT). Phytochemical screening was conducted to identify major secondary metabolites present in the extract. Results: Phytochemical analysis revealed the presence of flavonoids, tannins, alkaloids, triterpenoids, and quinones in pomelo peel extract. Rats receiving isoniazid–rifampicin exhibited marked elevations in SGPT and SGOT levels compared with the normal control group. Concurrent administration of pomelo peel extract significantly reduced these enzyme levels across all treatment doses relative to the negative control. The 400 mg/kg body weight dose produced the greatest attenuation of hepatic enzyme elevation, indicating a dose-related protective response. Conclusion: Pomelo (Citrus maxima) peel ethanolic extract demonstrates dose-dependent hepatoprotective activity during concurrent exposure to isoniazid and rifampicin in male Wistar rats. These findings suggest that pomelo peel extract may have potential as a supportive agent to mitigate antituberculosis drug–induced liver injury, although further mechanistic, pharmacokinetic, and clinical investigations are required prior to translational application
Emotional Mental Health Among Adolescents: A Profiling Psychosocial Risk Distribution Hastuti, Emma Aprilia; Rudianty, Vena Annisa; Mutiudin, Ade Iwan; Deris Riandi Setiawan
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.v12i1.988

Abstract

Background: Adolescents are a vulnerable population to emotional and mental health problems due to rapid biological, psychological, and social changes. National surveys have reported increasing levels of anxiety, loneliness, and behavioral problems among adolescents; however, local evidence describing the distribution of adolescent emotional and mental health problems remains limited, particularly in school settings. Objective: This study aimed to describe the distribution and profile of emotional and mental health problems among adolescents based on school-based psychosocial screening in Bandung Regency, Indonesia. Methods: A descriptive quantitative study with a cross-sectional design was conducted involving 1,304 adolescents who participated in a school-based mental health screening program in 2025. Emotional and behavioral problems were assessed using the Strengths and Difficulties Questionnaire (SDQ), covering five domains: emotional symptoms, conduct problems, hyperactivity, peer relationship problems, and prosocial behavior. Data were analyzed descriptively using frequencies and percentages. Results: Most adolescents were classified as normal in the domains of emotional symptoms (67.9%), conduct problems (67.2%), hyperactivity (81.8%), and prosocial behavior (57.8%). However, a relatively high proportion of abnormal scores was observed in peer relationship problems (27.1%) and emotional symptoms (20.6%). Based on the total difficulties score, 3.4% of adolescents were categorized as abnormal, indicating the presence of a psychosocial risk burden within the adolescent population. These findings suggest that peer relationship difficulties and emotional problems constitute prominent areas of concern. Conclusion: This study provides a descriptive overview of emotional and mental health problems among adolescents identified through school-based psychosocial screening. The findings underscore the potential role of routine screening in supporting early identification of adolescents at risk of psychosocial difficulties. Further evaluative and longitudinal studies are needed to assess the effectiveness of screening programs and related interventions in improving adolescent mental health outcomes
Hemodialysis Adherence and Quality of Life Among Patients with Chronic Kidney Disease in Indonesia: A Cross-Sectional Study Alfiani, Desi Rusiana; Agustin, Ema; Haryati, Fransiska; Permaini, Titi; Rodiyanah, Rodiyanah; Perdani, Agni Laili
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.v12i1.989

Abstract

Background: Chronic kidney disease requires long-term hemodialysis, yet adherence to treatment remains a persistent challenge that may influence patient-reported outcomes. Objective: This study aimed to examine the relationship between hemodialysis adherence and quality of life among patients with chronic kidney disease in Indonesia. Methods: A cross-sectional study was conducted from January to February 2025 in a public hospital. Fifty-two patients undergoing maintenance hemodialysis were recruited using convenience sampling. Adherence was assessed through medical record review, including session attendance and completion. Quality of life was measured using the Kidney Disease Quality of Life Short Form-36 (KDQOL-SF36). Data were analyzed using Pearson’s correlation and linear regression. Results: The mean quality of life score was 67.06 ± 9.82. Hemodialysis adherence was positively correlated with overall quality of life (r = 0.36, p = 0.05). Higher adherence was particularly associated with symptom-related and disease impact domains. Regression analysis indicated that adherence significantly predicted quality of life with (β = 0.20, p < 0.05, R² = 0.04), indicating that adherence explained 4% of the variance in quality of life scores Conclusion: Adherence to hemodialysis is significantly associated with better quality of life among patients with chronic kidney disease. These findings highlight the importance of adherence monitoring and patient-centered interventions in hemodialysis care.

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