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Jurnal Keperawatan Respati Yogyakarta
Published by Universitas Respati Yogyakarta
ISSN : 20888872     EISSN : 25412728     DOI : 10.35842/jkry
Core Subject : Health,
Health Professions Nursing
Jurnal Keperawatan Respati Yogyakarta (p-ISSN: 2088-8872; e-ISSN:2541-2728 http://nursingjurnal.respati.ac.id/) adalah peer-reviewed journal yang mempublikasikan artikel-artikel ilmiah dari berbagai disiplin ilmu keperawatan. Artikel-artikel yang dipublikasikan di Jurnal Keperawatan Respati Yogyakarta meliputi hasil-hasil penelitian ilmiah asli (prioritas utama), artikel ulasan ilmiah yang bersifat baru (tidak prioritas), atau komentar atau kritik terhadap tulisan yang ada di Jurnal Keperawatan Respati Yogyakarta. Jurnal Keperawatan Respati Yogyakarta diterbitkan oleh Progam Studi S1 Ilmu Keperawatan & Profesi Ners, Fakultas Ilmu Kesehatan, Universitas Respati Yogyakarta.
Arjuna Subject : -
Articles 452 Documents
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Oxygenation Status, Mean Arterial Pressure, and Level of Consciousness as Determinants of the Glasgow Outcome Scale in Traumatic Brain Injury Yudi Triguna; Dewi - Aryanti; Peni Cahyati; Maya Lestari
Jurnal Keperawatan Respati Yogyakarta Vol. 13 No. 3 (2026): SEPTEMBER 2026
Publisher : Universitas Respati Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35842/jkry.v13i3.895

Abstract

Raised intracranial pressure (ICP) threatens survival after traumatic brain injury (TBI) because cerebral perfusion pressure equals mean arterial pressure (MAP) minus ICP, yet Indonesian emergency departments manage this without ICP monitoring. The routine response is high-flow oxygen through a non-rebreather mask, but the hypocapnia it induces constricts cerebral vessels and may lower cerebral blood flow, so which bedside parameter signals outcome afterwards remains unclear. This study contributed to evaluating peripheral oxygen saturation (SpO₂), MAP, and Glasgow Coma Scale (GCS) score at a fixed point 30 minutes after the initial emergency bundle, contributing the first evidence from an Indonesian district emergency department linking post-intervention bedside physiology to functional outcome. A prospective cohort of 23 consecutive patients with moderate-to-severe TBI was analysed using Kruskal–Wallis tests and backward binary logistic regression against the one-month Glasgow Outcome Scale (GOS). SpO₂ was significantly associated with GOS (p = 0.013), whereas MAP (p = 0.251) and GCS score (p = 0.201) were not; SpO₂ alone was retained in the final model (OR 0.62, 95% CI 0.38–1.03; p = 0.065). Oxygenation carries the most outcome information in the first 30 minutes and should be protected within a target range rather than maximised.
Self Compassion and Self Care in Chronic Kidney Disease Patients Undergoing Hemodialysis a Correlational Study Nur Widayati; Rizki Yahya Fahrezi; Ana Nistiandani; Muhamad Toha
Jurnal Keperawatan Respati Yogyakarta Vol. 13 No. 3 (2026): SEPTEMBER 2026
Publisher : Universitas Respati Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35842/jkry.v13i3.896

Abstract

Patients with chronic kidney disease (CKD) undergoing hemodialysis (HD) frequently experience psychological distress that may compromise their ability to perform adequate self-care. Self-compassion may serve as an important psychological resource by helping patients respond to illness-related difficulties with kindness and emotional balance. However, evidence regarding its relationship with self-care among HD patients remains limited. This study contributed to examining the relationship between self-compassion and self-care among CKD patients undergoing HD. A correlational cross-sectional design was employed involving 143 respondents. Data were collected using the Self-Compassion Scale and the Self-Care of Chronic Kidney Disease Index. The relationship between the variables was analyzed using Kendall’s tau-b test with a significance level of 0.05. The findings showed that 55.2% of respondents had a high level of self-compassion, while 65.0% demonstrated partly compensatory self-care. A significant positive correlation was identified between self-compassion and self-care (p < 0.001; τb = 0.544), indicating that patients with greater self-compassion tended to demonstrate better self-care. These findings highlight self-compassion as a relevant psychological factor in the self-management of CKD. Integrating strategies to strengthen self-compassion into nursing care and patient education may help optimize self-care among CKD patients undergoing HD.
Correlation Between Knowledge and Peer Support with Participation of Women of Reproductive Age in Early Detection of Cervical Cancer Using the VIA Method Sri Utami
Jurnal Keperawatan Respati Yogyakarta Vol. 13 No. 3 (2026): SEPTEMBER 2026
Publisher : Universitas Respati Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35842/jkry.v13i3.902

Abstract

Cervical cancer remains a primary cause of morbidity and mortality among women globally and represents a significant public health challenge in Indonesia, where screening coverage via Visual Inspection with Acetic Acid (VIA) remains critically low (0.18% in the target region). This study contributed to examining the correlation between knowledge and peer support and the participation of women of reproductive age (WRA) in early detection. A descriptive correlational research design with a cross-sectional approach was conducted in the operational coverage area of the RI Sido Mulyo Community Health Center, Pekanbaru. A representative sample of 99 WRA aged 30–50 years was selected using purposive sampling based on Slovin's formula. Data were collected using validated structured questionnaires: the Cervical Cancer Knowledge Questionnaire, the Peer Support Scale, and the VIA Screening Participation Form. Univariate and bivariate analyses were executed using Chi-square tests. Univariate analysis revealed that 53.4% of respondents were in late adulthood (35–45 years), 55.6% completed senior high school, 57.6% were homemakers, 64.6% married in late adolescence (17–25 years), and 79.8% were multiparous. Bivariate analysis demonstrated a statistically significant correlation between knowledge and VIA screening participation (p = 0.010), as well as between peer support and VIA screening participation (p = 0.002). This study underscores the critical interplay between individual cognitive awareness and social reinforcement in driving preventive health behaviors. Strengthening community-based health education and establishing peer support networks are essential strategic contributions to increasing VIA screening rates and improving reproductive health outcomes in primary care settings.
Knowledge of HIV Pre Exposure Prophylaxis and Related Factors Among Men Who Have Sex With Men in Yogyakarta Indonesia Dwi Kartika Rukmi; Johnbosco Chika Chukwuorji; Yuni Very Anto
Jurnal Keperawatan Respati Yogyakarta Vol. 13 No. 3 (2026): SEPTEMBER 2026
Publisher : Universitas Respati Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35842/jkry.v13i3.906

Abstract

This study assessed HIV pre-exposure prophylaxis (PrEP) knowledge among men who have sex with men (MSM) in Yogyakarta, Indonesia, and examined differences in knowledge according to sociodemographic and behavioral characteristics. A cross-sectional survey was conducted among 92 MSM recruited from an HIV outreach foundation in Yogyakarta between May and July 2022. Participants completed a self-administered online questionnaire that included a 10-item PrEP knowledge scale. Data were analyzed using descriptive statistics, Pearson’s correlation, and an independent-samples t-test. This study found that PrEP knowledge among MSM in Yogyakarta was variable, with stronger knowledge observed for PrEP’s role in reducing HIV risk and the need for regular HIV testing, but persistent misconceptions regarding PrEP safety and effectiveness. Older age was positively associated with higher PrEP knowledge, while no significant differences in PrEP knowledge scores were observed by educational attainment, employment status, or awareness of partner HIV status. Homosexual MSM had significantly higher PrEP knowledge scores than bisexual MSM. These findings highlight the need for inclusive, community-based PrEP education strategies that address knowledge gaps, correct misconceptions, and ensure access to accurate HIV prevention information among diverse groups of MSM, particularly younger and bisexual MSM.
Effect of Moringa Leaf Crackers (Telur Gabus) on Anthropometric Outcomes Among Toddlers a Quasy Experimental Study Dyah Muliawati; Ratna Wulan Purnami; Mudiono
Jurnal Keperawatan Respati Yogyakarta Vol. 13 No. 3 (2026): SEPTEMBER 2026
Publisher : Universitas Respati Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35842/jkry.v13i3.930

Abstract

Malnutrition and stunting remain major public health challenges among children under five in Indonesia. Locally available nutrient-dense foods, such as Moringa oleifera, have potential as complementary foods to improve children’s nutritional status. This study contributed to evaluated the effect of Moringa-leaf crackers (Telur Gabus) on body weight and height among toddlers. A quasi-experimental study with a pretest-posttest control group design involved 60 toddlers aged 24-60 months from two community health posts (Posyandu) in Bantul Regency, Yogyakarta, Indonesia. The intervention group (n=30) received Moringa-leaf crackers daily for one month, while the control group (n=30) received the standard supplementary snack without Moringa-leaf. Body weight and height were measured before and after the intervention. Data was analyzed using paired t-tests, independent t-tests, and analysis of covariance (ANCOVA). Both groups showed improvements in body weight and height (p<0.05). The intervention group demonstrated greater mean increases in body weight (0.31 kg) and height (1.14 cm) than the control group (0.15 kg and 0.74 cm, respectively). However, between-group differences were not statistically significant for body weight (p=0.114) or height (p=0.240). ANCOVA showed no significant intervention effect on post-intervention body weight (p=0.118) or height (p=0.226) after baseline adjustment. Moringa-leaf crackers may have potential as locally produced supplementary food; however, longer interventions and larger samples are needed to establish their effectiveness in supporting toddler growth.
Mothers Lived Experiences from Preconception to Caring for Children with Stunting a Phenomenological Study Deni Lusiana; Riski Wulandari; Angela Chiesa Vidyananda Christi; Ni Luh Putu Nanda Anggira Pasek
Jurnal Keperawatan Respati Yogyakarta Vol. 13 No. 3 (2026): SEPTEMBER 2026
Publisher : Universitas Respati Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35842/jkry.v13i3.948

Abstract

Stunting is a consequence of chronic nutritional problems that can make children more susceptible to illness and experience impaired brain development and cognitive function, which may ultimately affect their quality of life. This study contributed to exploring and gaining an in-depth understanding of mothers’ lived experiences from the preconception period through pregnancy, childbirth, and the child’s growth and development, including their experiences of caring for a child with stunting, to strengthen the role of families in the prevention and management of stunting and inform implications for nursing practice. This study used a qualitative phenomenological approach. Data were collected through interviews and observations of five informants selected based on the research objectives. This study used the member check method as a data credibility process, which was then followed by data transcription. The findings of this study revealed three major themes and seven subthemes. The three major themes were (1) maternal pregnancy identified as high risk, (2) vulnerable infant development after birth, and (3) suboptimal nutritional fulfillment. The seven subthemes were: (1) unrecognized pregnancy resulting in a lack of preparation, (2) high-risk pregnancy, (3) preterm delivery, (4) infants born prematurely or preterm, (5) infants requiring special care in the Neonatal Intensive Care Unit (NICU), (6) lack of exclusive breastfeeding, and (7) inadequate nutritional intake among toddlers due to feeding difficulties. The researchers explored the mothers lived experiences of caring for children with stunting and identified three major themes.
Improving Breastfeeding Self Efficacy and Maternal Mental Health through a Digital Nursing Intervention a Quasi Experimental Study Siti Rochana; Septi Tri Aksari
Jurnal Keperawatan Respati Yogyakarta Vol. 13 No. 3 (2026): SEPTEMBER 2026
Publisher : Universitas Respati Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35842/jkry.v13i3.962

Abstract

Exclusive breastfeeding rates in Indonesia remain low, while one in four postpartum mothers is at risk of psychiatric disorders that may affect milk production. This highlights the need for innovative interventions to enhance breastfeeding self-efficacy and reduce maternal depressive symptoms. The “Lancar ASI Sehat Ibu Riang Anak dan Happy” (LASIRAH) application was developed as a digital education tool providing structured guidance on self-efficacy and maternal depression. This study contributed to developing and evaluating the effectiveness of the "Lancar ASI Sehat Ibu Riang Anak dan Happy" (LASIRAH) digital application on breastfeeding self-efficacy and maternal depressive symptoms among postpartum mothers. This research and development study used the ADDIE model. It was tested for feasibility using the USE Questionnaire with 30 respondents, achieving an overall score of 84.54%, indicating that the application was highly feasible. Effectiveness was further assessed using a quasi-experimental pre- and post-test with a control group design involving 60 postpartum mothers in Cilacap Regency, selected through consecutive sampling. Instruments included the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF) and the Edinburgh Postnatal Depression Scale (EPDS). Data were analyzed using independent t-tests and paired t-tests. Results showed that LASIRAH significantly increased breastfeeding self-efficacy and reduced postpartum depression scores. The LASIRAH application proved effective as a digital health education medium to support breastfeeding practices and maternal mental health. This study contributes evidence for integrating systematically developed, user-tested digital interventions into routine postpartum care in Indonesia
The Impact of Depression on Older Adults with Chronic Illness Tiwi Sudyasih; Meidiana Dwidiyanti; Alifiati Fitrikasari
Jurnal Keperawatan Respati Yogyakarta Vol. 13 No. 3 (2026): SEPTEMBER 2026
Publisher : Universitas Respati Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35842/jkry.v13i3.963

Abstract

Depression is a mental health problem that frequently affects older adults with chronic illnesses and impacts various aspects of health. This scoping review aims to map the latest scientific evidence regarding the impact of depression in older adults with various chronic illnesses. A search was conducted through the PubMed, Scopus, ProQuest, and EBSCO databases for English-language articles published between 2019 and 2025. A total of 17 articles met the inclusion criteria and were analyzed descriptively. The results indicate that depression is closely associated with the worsening course of chronic diseases, including cardiovascular disease, chronic pulmonary disease, diabetes, tuberculosis, chronic kidney disease, musculoskeletal disorders, and neurological disorders. The findings indicate that depression is associated with adverse outcomes across various chronic conditions, including cardiovascular disease, chronic lung disease, diabetes, tuberculosis, chronic kidney disease, musculoskeletal disorders, and neurological conditions. Depression was associated with poorer treatment adherence, reduced physical and cognitive functioning, decreased quality of life, worsening disease outcomes, and an increased risk of hospitalization and mortality, especially among older adults with multimorbidity or cognitive impairment. Low social support and limitations in daily activities were identified as factors that amplify the impact of depression. These findings suggest that depression should be prioritized in the management of chronic diseases in older adults through early screening, psychological interventions, and the integration of mental health services into comorbidity care
Association Between Family Support and Coronary Heart Disease Risk Among Individuals with Type 2 Diabetes Mellitus a Study of PERSADIA Members at Ibu Fatmawati Sukarno Hospital Suyanto; Sri Lestari Dwi Astuti; Teguh Pribadi
Jurnal Keperawatan Respati Yogyakarta Vol. 13 No. 3 (2026): SEPTEMBER 2026
Publisher : Universitas Respati Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35842/jkry.v13i3.966

Abstract

One of the risk factors of coronary heart disease (CHD) is family support. Evidence regarding this relationship, particularly among PERSADIA members, remains limited. This gap in the evidence highlights the need for research specifically examining the association between family support and CHD risk in this population. The findings contribute to providing a basis for developing family-based promotive and preventive strategies to control CHD risk factors among individuals with diabetes. Strengthening family support may help manage these risk factors among individuals with diabetes. This study examined the association between family support and CHD risk levels among members of PERSADIA (Persatuan Diabetes Indonesia) at Ibu Fatmawati Soekarno Hospital, Surakarta, Indonesia. We conducted a cross-sectional study among PERSADIA members with type 2 diabetes mellitus (T2DM). We assessed CHD risk using the Jakarta Cardiovascular Score (JAKVAS) and measured family support with a standardised family support questionnaire. We analysed data using the chi-square test and Cramer's V to determine the association and strength of association between components of family support and CHD risk levels. The results demonstrated a significant association between overall family support and CHD risk levels among individuals with diabetes (p = .006). A moderate strength of association was observed across all components of family support, except for instrumental support (Cramer's V = .176). Strengthening emotional and informational support and reinforcing positive family value systems may help reduce CHD risk in this population.
Analysis of Risk Factors for Chronic Kidney Disease in the Elderly Population a Cross Sectional Study Ni Wayan Kesari Dharmapatni; Ida Ayu Suptika Strisanti; Ni Wayan Erviana Puspita Dewi; Nadya Treesna Wulansari
Jurnal Keperawatan Respati Yogyakarta Vol. 13 No. 3 (2026): SEPTEMBER 2026
Publisher : Universitas Respati Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35842/jkry.v13i3.970

Abstract

Chronic kidney disease (CKD) is one of the major health problems in the elderly, the risk of which increases not only due to the aging process but also due to the accumulation of metabolic risk factors. The scientific contribution of this study lies in providing a community-based profile of the clustering of multiple modifiable clinical risk factors within individual elderly participants. The study used a cross-sectional design with a quantitative approach in 142 elderly people aged ≥65 years selected through purposive sampling. Data were obtained through demographic questionnaires, Food Frequency Questionnaires (FFQ), and International Physical Activity Questionnaires (IPAQ), as well as measurements of blood pressure, random blood glucose, uric acid levels, and body mass index. The analysis was descriptive. The results showed that most elderly people had a high-risk profile, with 41.5% having three risk factors and only 3.5% having none. The dominant risk factors included hypertension, abnormal blood glucose levels, hyperuricemia, and excessive nutritional status. These findings confirm that modifiable clinical factors mainly influence the risk of CKD in the elderly. Therefore, routine screening and risk factor management are important strategies in the prevention of CKD in the elderly population.

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