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Journal of Nursing Care
Published by Universitas Padjadjaran
ISSN : -     EISSN : 26141698     DOI : -
Core Subject : Health, Science,
Health Professions Nursing Physics Public Health
Journal of Nursing Care (JNC) is a journal of scientific publications that publish every four months (quarterly) using a peer review system for article selection. JNC intended for practitioners, academics, professionals, students or among the general public who are involved and interested in the development of Health and Nursing Science. It can receive relevant articles in the field of health and nursing, which includes research articles.
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Articles 221 Documents
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The Correlation between Sleep Hygiene and Sleep Disorders among Adolescents Arizsyah, Dliyaul Awlia; Awalin, Fischa; Hakim, Nuraini; Setyawati, Anita
Journal of Nursing Care Vol 9, No 1 (2026): Journal of Nursing care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v9i1.68808

Abstract

Sleep difficulties are prevalent among adolescents and can impact physical and mental health, along with academic performance. Prior research has demonstrated a correlation between sleep hygiene, a set of measures designed to create a regular sleep regimen, and sleep problems. This study seeks to ascertain the correlation between sleep hygiene and sleep problems in teenagers. This study employed a quantitative research design utilizing a cross-sectional technique and was done with 50 adolescents at a school in Tangerang. The sampling was conducted with a simple random sampling method facilitated by a spinner program. Data were collected by the administration of the Sleep Hygiene Index (SHI) and the Children's Sleep Habits Questionnaire (CSHQ), and subsequently analyzed utilizing a chi-square test. The findings indicated a correlation between sleep hygiene and sleep problems in teenagers (α = 0.008). A significant proportion of respondents exhibited inadequate sleep hygiene and sleep disorders, with rates of 86% and 80%, respectively. The psychological state of teenagers transitioning to adulthood also influences sleep hygiene and sleep disorders. Parents, educators, and school health professionals must educate teenagers about managing sleep disorders through the enhancement of sleep hygiene practices.
Effectiveness Diabetic Foot Exercises with Video in Reducing Risk of Diabetic Foot Ulcer in Patients with Diabetes Mellitus Type 2 Ramadhan, Muhamad Alfin; Nuraeni, Ani; Aprianti, Tutty
Journal of Nursing Care Vol 9, No 1 (2026): Journal of Nursing care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v9i1.65053

Abstract

Type 2 diabetes is a chronic metabolic disorder characterized by elevated blood glucose due to impaired glucose uptake or insulin production. This condition can lead to complications, namely diabetic foot ulcers. Handling diabetic foot wounds can be done by doing activities such as foot exercises. This study aims to determine the effectiveness of diabetic foot exercises using video in reducing the risk of foot wounds in patients with type 2 DM. The research method was quasi-experiment with pretest-postest with control group. Sampling using purposive sampling technique. A total of 64 participants were enrolled and divided into an intervention group (n = 32) and a control group (n = 32); the intervention group performed diabetic foot exercises using video guidance for 3 weeks, three times per week, with a duration of 10 minutes per session. Measurements were made with ABI and monofilament test before and after intervention. The data analysis used was the Independent T-Test test. The was that the Monofilament of the right foot and left foot has a P-Value of 0.001 as well as the ABI value data on the right foot has a P-Value of 0.002 and the left foot P-Value of 0.001. Diabetic foot exercises with video media are proven to be effective in reducing the risk of diabetic foot wounds in patients with type 2 diabetes mellitus. For future research, we recommend a longer study duration to allow for a larger sample size and the analysis of additional relevant variables
Development of Self-Awareness and Self-Management Instruments for Children to Support Physical Bullying Intervention Wirahandayani, Marthalisa; Octavia, Dian; Kurniawati, Kurniawati; Nadilla, Hana Syalwa
Journal of Nursing Care Vol 9, No 1 (2026): Journal of Nursing care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v9i1.64764

Abstract

Physical bullying in school-age children hurts emotional development and self-regulation skills. Self-awareness and self-management are two core competencies in building children's psychological resilience. However, contextually relevant measurement instruments remain limited. This study aimed to develop and validate a culturally appropriate instrument to measure self-awareness dan self-management in school-age children based on the CASEL framework. A Research and Development (R&D) approach was employed, involving indicator development grounded in relevant theory and literature, content validity assessment by two experts (a pediatric nursing expert in child pyschosocial development and an educational psychology expert in psychosocial measurement), and psychometric testing. The instrument was tested on 210 children aged 9-11 years. Construct validity was examined using Exploratory Factor Analysis, and internal consistency reliability was assessed using Cronbach's Alpha. The final isntrument comprises 58 valid and reliable items grouped into two main constructs and ten underlying factors. This instrument is suitable for further application in assessing self-awareness and self-management among school-age children who experience bullying. 
Application of Virgin Coconut Oil (VCO) Massage and Repositioning in Decubitus Ulcers of Patients with Multiple Complications: A Case Study Yasmine, Hanna Alya; Rahayu, Urip; Pahria, Tuti
Journal of Nursing Care Vol 9, No 1 (2026): Journal of Nursing care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v9i1.64868

Abstract

Patients with peritoneal abscesses who are immobilized are at risk of decubitus ulcer. Various complications in patients such as malnutrition and anaemia in patients cause a decrease in body immunity, causing a high risk of decubitus ulcers and difficulty in wound healing. Massage using Virgin Coconut Oil (VCO) and repositioning are combined interventions to reduce the risk and healing of decubitus ulcers. The study aims to determine the results of massage using VCO and repositioning patients with decubitus ulcers in healing and efforts to prevent decubitus ulcer effectively. The study is a case report of the application of massage using VCO and repositioning in a patient with decubitus ulcer with intraperitoneal abscess, pneumonia, malnutrition, and anaemia at Sumedang Regional Hospital. The patient is a 33-year-old woman with grade 2 decubitus ulcers in the sacrum area which appeared red, serum, skin peeling, and shallow holes. The patient was selected for treatment due to the decubitus ulcers, high risk of decubitus ulcers, and the absence of any interventions. Massage with VCO and repositioning were performed twice daily for 6 days. The interventions were carried out consistently by researchers, nurses, patients, and their families. There were a decrease in degree 2 to degree 1 in the patient’s sacrum decubitus ulcers after massage using VCO and repositioning.
The Effect of Progressive Muscle Relaxation for Fatigue in a Patient with Tuberculosis and Pneumonia Rahmania, Sina Sabila; Nugraha, Bambang Aditya; Sari, Eka Afrima
Journal of Nursing Care Vol 9, No 1 (2026): Journal of Nursing care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v9i1.64860

Abstract

Fatigue is a common and persistent symptom in patients with tuberculosis (TB), particularly in recurrent cases and when accompanied by pneumonia. Increased systemic inflammation and reduced activity tolerance often lead to functional decline, while pharmacological treatment alone may not sufficiently address fatigue. Progressive muscle relaxation (PMR) is a non-pharmacological intervention that reduces muscle tension and stress, support physiological recovery. This study describes the effect of PMR to reduce fatigue in a patient with recurrent tuberculosis and pneumonia. This study is a case review involving a 65-year-old female patient diagnosed with pulmonary TB and pneumonia. PMR was administered over four consecutive days, with one session lasting 15–20 minutes per session. The sessions were conducted at varying times, including in the morning, afternoon, or before bedtime. Fatigue levels were measured after each session using the Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) Scale. The patient showed improvement in vital signs, with blood pressure increasing from 108/65 mmHg to 116/61 mmHg, heart rate decreasing from 111 to 62 beats per minute, and the FACIT-F score improved from 12 (severe fatigue) to 36 (mild fatigue), indicating a reduction in fatigue severity. Functionally, the patient was able to walk to the bathroom independently and no longer experienced weakness or dyspnea post-activity. These findings indicate that PMR contributed to a reduction in the patient’s fatigue level. This intervention has potential as a supportive rehabilitative strategy, with adjustments in duration and frequency based on patient condition.
Prevalent Complications Following Spinal Anaesthesia in Perioperative Clinical Practice: A Scoping Review Indriani, Ria; Solichah, Nur Umi Aminatus; Setyawati, Anita
Journal of Nursing Care Vol 9, No 1 (2026): Journal of Nursing care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v9i1.68818

Abstract

Spinal anesthesia is among the most often employed regional anaesthetic procedures in perioperative clinical practice. Notwithstanding its multiple benefits, including swift onset of action and effective pain management, this approach remains associated with the potential for post-procedural problems that may affect patient recovery and the quality of anesthesia care. This study aimed to delineate the numerous common problems that arise following spinal anesthesia in adults, utilising findings from current studies via a scoping review methodology. This research employed a scoping review methodology in accordance with the PRISMA-ScR criteria. Fifteen articles were retrieved from the PubMed, Scopus, and Garuda databases utilising pertinent keywords within the publication period of 2020–2025. The inclusion criteria comprised full-text papers authored in either Indonesian or English that addressed issues following spinal anesthesia. Fifteen publications were selected and analysed according to their objectives, methodologies, populations, and findings. The research identified that the most commonly reported problems comprised hypotension, bradycardia, post-dural puncture headache, nausea, shivering, urine retention, and modest neurological sequelae. Factors influencing the occurrence of problems encompass gender, age, hydration condition, technique, and the utilisation of spinal needles. The majority of issues are temporary and can be addressed with supportive or pharmaceutical measures. Complications following spinal anesthesia are prevalent and should be anticipated in the practice of anaesthesiology nursing. A comprehensive grasp of problem types and their associated risk factors might enhance nurse anaesthetists’ efficacy in monitoring, patient education, and post-anesthesia treatment. This study underscores the necessity of enhancing clinical practice standards and education to reduce adverse occurrences
Management of Dietary Education for Children with Thalassemia at the Thalassemia Polyclinic Bakar, Shabilla Fasa Noor; Yudianto, Kurniawan; Eriyani, Theresia
Journal of Nursing Care Vol 9, No 1 (2026): Journal of Nursing care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v9i1.65090

Abstract

Dietary education in thalassemia major is often neglected due to high nursing workloads. This case report evaluates a structured dietary education intervention using management frameworks to address this gap. The methods are a descriptive study was conducted on a family with three siblings diagnosed with thalassemia major and severe hyperferritinemia. The 3M (Man, Method, Material) analysis identified primary barriers: high procedural workload, lack of SOPs, and absence of educational media. Consequently, a POAC (Planning, Organizing, Actuating, Controlling) intervention using digital videos and leaflets was implemented to overcome these constraints. The results that the intervention effectively bypassed clinical time constraints. Family health literacy improved substantially, with dietary knowledge scores increasing from 2 out of 5 to a perfect 5 out of 5, sustained over a five month follow-up. Behavioral changes in meal preparation were reported, although immediate serum ferritin reduction was not yet observed. Structured education utilizing digital media effectively bridges the gap between patient needs and limited nursing resources. Integrating digital tools into routine practice and establishing SOPs are recommended to ensure comprehensive management and improve long-term patient outcomes.
Enhanced Recovery After Surgery (ERAS)Terkait Waktu Pemulihan Pasien Pasca Operasi Elektif:Analisis Bibliometrik 2010–2025 Aryani, Linda; Arofiati, Fitri
Journal of Nursing Care Vol 9, No 2 (2026): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v9i2.69582

Abstract

Enhanced Recovery After Surgery (ERAS) is an evidence-based perioperative care approach aimed at accelerating patient recovery, reducing complications, and shortening the length of hospital stay. As ERAS implementation expands across various surgical specialties, scientific publications on the topic continue to grow. However, there is limited mapping of global research trends, key themes, and the developmental trajectory of ERAS research. This study aims to analyze the global development of research on Enhanced Recovery After Surgery (ERAS) regarding postoperative recovery using a bibliometric approach covering the period from 2016 to 2025. A bibliometric method was employed using data from the Scopus database. A total of 460 articles meeting the inclusion criteria were analyzed. Data were exported in CSV format and processed using VOSviewer software to map publication trends, scientific productivity, country distribution, and keyword relationships through co-occurrence, network, overlay, and density visualization analyses. The number of publications on ERAS showed an upward trend during the study period, rising from 26 articles in 2016 to 75 articles in 2025. The United States was the leading contributor to publications. VOSviewer analysis revealed that the “ERAS protocol” was the primary research theme, showing strongassociations with postoperative recovery, length of stay, perioperative care, enhanced recovery, and guidelines. Overlay visualization indicated a shift in research focus toward the evaluation of clinical outcomes, while density visualization identified patient satisfaction, quality of recovery, health economics, and opioidsparing strategies as themes with low research density, representing potential directions for future research. The increasing number of publications indicates that ERAS has become an important evidence-based perioperative care approach worldwide. However, the limited contribution from Indonesia and the relatively 122 Journal of Nursing Care - Volume 9 Issue 2 June 2026 low research density on patient-centered outcomes, health economics, and opioid-sparing strategies suggest substantial opportunities for future research and broader implementation of ERAS in developing countries. Research on ERAS has evolved significantly between 2016 and 2025, dominated by themes such as ERAS protocol implementation, postoperative recovery, and the reduction of hospital stay duration. Bibliometric analysis highlights research opportunities regarding patient outcomes, healthcare service efficiency, and ERAS implementation in nursing practice, particularly in developing countries like Indonesia.
Barriers, Facilitators, and Implementation Strategies of Enteral Nutrition in Critically Ill Children in Pediatric Intensive Care Units: A Scoping Review Hendrawati, Sri; Maryam, Nenden Nur Asriyani; Permana, Septa
Journal of Nursing Care Vol 9, No 2 (2026): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v9i2.71560

Abstract

Enteral nutrition (EN) is the preferred route of nutritional support for critically ill children, yet its implementation in pediatric intensive care unit (PICU) remains challenging. Clinical instability, feeding interruptions, workforce-related issues, and variability in local practices may contribute to optimal EN delivery. This scoping review aimed to map the available evidence on barriers, facilitators, and implementation strategies for EN delivery in critically ill children in PICU and other critical care settings. This review followed the Joanna Briggs Institute methodological framework and was reported in accordance with PRISMA-ScR. Literature searches were conducted in PubMed, Scopus, EBSCOHost, and ScienceDirect for studies published between 2021 and 2026. Eligible studies included primary empirical research involving critically ill infants, children, or adolescents in PICU or pediatric critical care settings that addressed barriers, facilitators, implementation strategies, interruptions, or adequacy of EN delivery. Data were extracted using a structured charting form and synthesised narratively. Ten studies were included. Findings were grouped into three themes: barriers, facilitators, and implementation strategies. Barriers included patient instability, feeding interruptions, limited clinician confidence, inadequate dietitian support, limited feeding resources, and inconsistent documentation. Facilitators included feeding protocols, multidisciplinary collaboration, nursing competency, dietitian involvement, and routine monitoring of nutrition goals. Implementation strategies included standardised EN protocols, quality improvement initiatives, documentation-based interventions, and guideline uptake. EN delivery in critically ill children is influenced by clinical, professional, and organisational factors. The findings suggest that pediatric critical care nursing should prioritise routine monitoring of nutritional goals, early identification of feeding interruptions, adherence to EN protocols, and multidisciplinary collaboration to support more consistent and effective nutritional care in critically ill children. Further PICU specific research is needed to evaluate EN implementation strategies and their clinical outcomes.
Analysis of Family Knowledge about Health Diet and Nutritional Status among The Elderly Pertiwi, Gracia Herni; Sastrini, Yovita Erin; Jiu, Cau Kim; Ariyanti, Sri
Journal of Nursing Care Vol 9, No 2 (2026): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v9i2.67105

Abstract

The increasing number of elderly people has an impact on the increase in specific problems that occur in the elderly, one of which is nutritional problems. An important aspect that families must have is adequate knowledge in preparing balance nutritional needs. If nutritional needs are not met in a balanced manner, health problems can occur in the elderly. Diseases or health problems among the elderly can lead them to limit their food intake, thereby worsening their condition. Restricting food due to dietary restrictions imposed by their condition will lead to a lack of nutrients the body needs. This study aims to determine families’ knowledge about healthy diets and nutritional, status in the elderly This research method used a descriptive-analytic design with a cross-sectional approach. The study population consisted of families with elderly members aged ≥ 55 years who voluntarily participated. The sample included families who accompanied or lived with the elderly. The respondents’ ages ranged from ≥ 26 years, and a total of 57 families with elderly members aged ≥ 55 years or older voluntarily participated in this study. The analysis in this study used univariate analysis to determine the frequency distribution and bivariate analysis using the Chi-Square test. The analysis was conducted for each family knowledge category and the Mini Nutritional Assessment (MNA). Based on the distribution of family knowledge about healthy diets, 39 respondent were in the good category, 33 respondent had a normal nutritional status. Family is also an important factor in the lives of the elderly. Statistical analysis results show that there is a relationship between family knowledge about healthy diets and nutritional status fulfillment in the elderly. The results of this study indicate that there is a correlation between the level of knowledge possessed by families and the nutritional status of elderly individuals. Families with sufficient knowledge are able to provide meals that take into account the types of food, frequency of meals, and daily menus for elderly individuals in order to maintain their nutritional status within the good or normal range. 

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