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Journal of Applied Nursing (Jurnal Keperawatan Terapan)
Published by Politeknik Kesehatan Kementerian Kesehatan Malang
ISSN : 24431125     EISSN : 24426873     DOI : https://doi.org/10.31290/jkt.v8i2.3717
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Nursing Public Health
Jurnal Keperawatan Terapan (e-Journal) is the official publication of Poltekkes Kemenkes Malang which contains articles of research results in the field of Applied Nursing. Jurnal Keperawatan Terapan (e-Journal) is published twice a year, in March and September. For writers who want to publish their work in Jurnal Keperawatan Terapan (e-Journal) is free of charge. If the author has difficulties to submit his work in this journal please contact admin (see contact support).
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 156 Documents
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The Relationship of Physical Condition and Quality Of Life In Breast Cancer Survivors In Malang City Widodo, Dyah
Jurnal Keperawatan Terapan Vol 7 No 1 (2021): Vol 7 No 01 (2021): Jurnal Keperawatan Terapan (e-journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v7i1.5166

Abstract

Carcinoma Mammae or breast cancer is a malignancy in breast tissue. Breast cancer in women is most frequently diagnosed throughout the world and is one of the most common types of cancer in Indonesia. The aims of this study were 1) to explore physical condition and quality of life in breast cancer survivors; 2) analyze the relationship between physical condition and quality of life in breast cancer survivors; The research method is correlation, with a sample size of 158 people according to the inclusion criteria, research was conducted in East Java, using questionnaire research instruments, interview sheets and observation sheets. The data analysis is descriptive statistical analysis and correlation with alpha 0.5. The results showed that the majority of respondents experienced physical problems, hair loss (77.2%), feeling weak or easily tired (72.8%), nausea, vomiting (45.6%), blackened skin and nails, 46.8% and 41.1% respectively, and sleep disorders. (38.6%); Quality of life in breast cancer survivors shows an average score of 80.94, which is in a good quality of life position. It was concluded that there was a relationship between physical condition and quality of life in breast cancer survivors (sig.0.003). Physical condition needs to be maintained so that the quality of life of breast cancer survivors remains good.
THE LEVEL OF DEPRESSION IN DIABETES MELLITUS PATIENTS WHO EXPERIENCE DIABETIC FOOT ULCERS Widodo, Dyah
Jurnal Keperawatan Terapan Vol 7 No 2 (2021): Jurnal Keperawatan Terapan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v7i2.5274

Abstract

Diabetes mellitus is a condition that causes increased blood sugar levels. Diabetes mellitus can cause complications, one of which is diabetic foot ulcers, and can affect psychological changes, one of which is depression. The aim of this study was to determine the level of depression in diabetes mellitus sufferers who experience diabetic foot ulcers. The research design used was a descriptive survey using total sampling techniques. The results of the study showed that almost half of the respondents, namely 16 people (47%) experienced mild levels of depression, almost half of the respondents 13 people (38%) experienced minimal levels of depression, and a small number of respondents 5 people (15%) experienced moderate levels of depression. It is hoped that the clinic can create a psychological counseling program for diabetic foot ulcer sufferers so that it can reduce the risk of depression.
The Effectiveness of Back Adipose Vibration Therapy on Blood Pressure Homeostasis and Autonomic Nervous System Activation in Adolescents with Hypertension Utomo, Agus Setyo
Jurnal Keperawatan Terapan Vol 7 No 2 (2021): Jurnal Keperawatan Terapan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v7i2.5275

Abstract

Adolescent hypertension is an increasing health issue that poses a risk of cardiovascular complications in adulthood. Back adipose vibration therapy is a non-pharmacological approach aimed at regulating blood pressure homeostasis by modulating the autonomic nervous system. This quasi-experimental study employed a pre-test and post-test design involving 30 hypertensive adolescents divided into an intervention group (n=15) and a control group (n=15). The intervention group received back adipose vibration therapy for four weeks, while the control group received no intervention. Blood pressure was measured before and after treatment using a digital sphygmomanometer, and autonomic nervous system activity was assessed through heart rate variability (HRV). The results showed that the intervention group experienced an average reduction in systolic blood pressure of 10 mmHg and diastolic blood pressure of 5 mmHg, whereas the control group only showed a decrease of 2 mmHg and 1 mmHg, respectively (p=0.02). Additionally, the intervention group exhibited a 15% increase in HRV, indicating enhanced parasympathetic activity and reduced sympathetic dominance. These findings suggest that back adipose vibration therapy is effective in lowering blood pressure and improving autonomic nervous system balance in hypertensive adolescents. Through mechanoreceptor stimulation and increased nitric oxide release, this therapy has the potential to serve as a non-pharmacological alternative for adolescent hypertension management in primary healthcare settings.
HUBUNGAN GAYA HIDUP DENGAN TEKANAN DARAH PADA LANSIA DI WILAYAH KERJA PUSKESMAS KENDALKEREP KOTA MALANG Amelia, Revanda Rera; Wiyono, Joko; Ernawati, Naya; Suprajitno, Suprajitno
Jurnal Keperawatan Terapan Vol 11 No 1 (2025): Jurnal Keperawatan Terapan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v11i1.4528

Abstract

High blood pressure is a cardiovascular syndrome characterized by increased arterial blood pressure which often occurs in the elderly. An unhealthy lifestyle will worsen the health condition of the elderly, especially regarding their blood pressure. The aim of this research is to determine the relationship between lifestyle and blood pressure in the elderly in the Kendalkerep Community Health Center Working Area, Malang City. This research uses a correlative design with a cross sectional study approach. The sample in this study was all 80 elderly people >60 years old who were selected using purposive sampling techniques. Data collection was carried out using a lifestyle questionnaire. The data analysis method uses univariate and bivariate analysis. Bivariate analysis in this study used the Spearman Rank correlation test. The results of the research show that there is a relationship between lifestyle (physical activity p value = 0.000, diet p value = 0.000, resting habits p value = 0.000, smoking habits p value = 0.027, caffeine consumption habits p value = 0.001) and blood pressure. An unhealthy lifestyle can cause an increase in blood pressure, especially in the elderly. It is recommended that seniors always follow good lifestyle recommendations such as sufficient physical activity, avoiding excessive consumption of salt, coconut milk and fat, getting enough rest, reducing smoking and caffeine consumption. Keywords: Lifestyle, Blood Pressure, Elderly
Peningkatan Motivasi Perawat Melalui Faktor Upah Berdasarkan Model Effektivitas Organisasi Mc Kinsey 7s Framework di Kabupaten Sampang Madura M.Kep, Achmad Masfi; Rahmatika, , Qory Tifani; Ramadhan, , Muhammad Putra; Afiani, Nurma; Evi, Nurul; Widjayanti, Yhenti; Sunaryo, Yanuar Akhmad Budi
Jurnal Keperawatan Terapan Vol 11 No 1 (2025): Jurnal Keperawatan Terapan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v11i1.5343

Abstract

Introduction : Banyak persoalan yang dihadapi oleh Pusat Kesehatan Masyarakat salah satunya adalah motivasi perawat. Motivasi petugas kesehatan berpotensi mempengaruhi pemberian pelayanan kesehatan. Moral yang rendah di antara tenaga kerja dapat merusak kualitas penyediaan layanan dan mendorong pekerja menjauh dari profesinya. Methode: Penelitin ini menggunakan desain penelitian explorative survey dengan pendekatan cross sectional, untuk mengetahui Gaji dan jasa pelayanan sebagai variabel independent yang di tinjau melalui Model Mc Kinsey 7S Framework dan motivasi sebagai variabel dependent yang . Sampel sebanyak 208 perawat yang tersebar di 21 Pusat Kesehatan Masyarakat dengan teknik sampling random dan cluster. Sedangkan uji analitik yang digunakan adalah spearman rank dengan tingkat kesalahan 5%. Result: Gaji yang diterima perawat hampir seluruh dari respoden terkatagori cukup sebesar 143 (68,8%), jasa pelayanan yang diterima oleh perawat hampir seluruh dari respoden terkatagori cukup sebesar 131 (63%) dan motivasi perawat tekatagori hampir seluruh dari respoden kurang sebesar 109 (52%). Hasil uji spearman rank menunjukkan bahwa nilai signifikan baik gaji dan jasa pelayanan terhadap motivasi sebesar 0,000 yang artinya ada hubungan antara gaji dan jasa pelayanan terhadap motivasi perawat. Conclusion : implementasi variabel gaji dan jasa pelayanan dengan pendekatan model MC Kinsey 7S frameworkadalah suatu system yang menjadi faktor timbal balik antara organisasi dan staff dalam menjalani organisasi. Gaji dan jasa pelayanan berhubungan erat dengan structure dalam pembagian tugas dan tanggung jawab dan skill yang dimiliki oleh staff dalam menjalankan organisasi untuk mencapai motivasi yang optimal sehingga dapat mempengaruhi pencapain kinerja.
Pengaruh Musik Instrumental Modern Kitaro Terhadap Tingkat Kecemasan dan Frekuensi Nadi Pasien Preoperatif di Ruang Premedikasi: Quasy-Experiment Study Solikhah, Fitriana Kurniasari; Arief, Taufan; Maharani, Jenar Nadya; Sulastyawati, Sulastyawati
Jurnal Keperawatan Terapan Vol 11 No 1 (2025): Jurnal Keperawatan Terapan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v11i1.5527

Abstract

Abstrak: Latar Belakang: Kecemasan preoperatif merupakan respons psikofisiologis yang umum dialami pasien menjelang operasi. Tanpa pengelolaan yang tepat, kecemasan ini dapat meningkatkan risiko komplikasi serta memperpanjang masa pemulihan. Intervensi nonfarmakologis seperti musik instrumental menunjukkan potensi dalam mengurangi stres tanpa efek samping signifikan. Metode: Desain penelitian menggunakan pendekatan quasi-eksperimental dengan rancangan pretest-posttest two group design . Sebanyak 58 responden dibagi menjadi kelompok perlakuan (n=29) dan kontrol (n=29). Pengukuran tingkat kecemasan menggunakan skala STAI dan frekuensi nadi menggunakan pulse oximeter sebelum dan setelah intervensi. Analisis data dilakukan menggunakan uji paired t-test, independent t-test, dan regresi logistik biner. Hasil: Hasil menunjukkan penurunan bermakna pada tingkat kecemasan kelompok perlakuan (mean difference = -5,79; p = 0,000) dan frekuensi nadi (mean difference = -5,48; p = 0,000). Uji independent t-test menunjukkan perbedaan signifikan antar kelompok pada post-test (p < 0,05). Analisis odds ratio (OR) membuktikan bahwa kelompok perlakuan memiliki peluang lebih rendah mengalami kecemasan tinggi (OR = 0,18; 95% CI 0,06–0,55) dan peningkatan frekuensi nadi (OR = 0,41; 95% CI 0,20–0,83). Kesimpulan: Musik instrumental modern Kitaro efektif dalam menurunkan tingkat kecemasan dan frekuensi nadi pasien preoperatif. Intervensi ini layak diterapkan sebagai bagian dari asuhan keperawatan preoperatif sebagai metode nonfarmakologis yang aman dan mudah diimplementasikan.
Implementasi Senam B-Fit Bagi Pekerja Rumah Sakit Di Kota Malang Fanani, Erianto; Andyastanti, Tisnalia Merdya; Iftitahurroza, Hilma Tsurayya; Rahmayanti, Fida; Gelaner, Nauval Akhmadian; Fulviansyah, Zaidhan Lucano; Wibowo, Farhan Rahadi; Suhartanti, Ajeng Sri
Jurnal Keperawatan Terapan Vol 11 No 1 (2025): Jurnal Keperawatan Terapan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v11i1.5351

Abstract

Musculoskeletal disorders (MSDs) are one of the main factors causing reduced productivity of workers, especially medical personnel. Hospital employees, have a high risk of experiencing health problems, especially in the muscles and joints as a result of their static work positions and postures that last for a long time. A prevention effort is needed so that hospital employees can avoid muscle and joint problems that can affect their productivity. This can be prevented by the application of B-Fit exercises between the work activities of medical personnel. Based on the Ministry of Health's recommendation, the B-Fit exercise is done in 4 movements with a duration of no more than 3 minutes. The main targets of B-fit exercise are Brimedika General Hospital’s personnel who spend most of their time sitting while facing patients. This activity was attended by 28 participants consisting of doctors, nurses, administrative staff, cleaning service RSU Brimedika. The results showed that the implementation of B-fit exercises was felt to increase flexibility, muscle strength, and reduce the risk of injury due to poor posture. In addition, B-fit exercises can also improve mood, reduce stress, and increase work productivity. B-fit exercise is an effective and efficient intervention to improve the health and well-being of medical personnel at Brimedika General Hospital. It is recommended to make a sustainable program in the form of implementing the B-Fit exercise routine according to the Ministry of Health's recommendations which is 2 times B-Fit in a day.
Pengaruh Konseling Kalori terhadap Kadar Glukosa Darah Pada Pasien Diabetes Melitus di Dusun Semanding Widyaningtyas, Ryka
Jurnal Keperawatan Terapan Vol 11 No 1 (2025): Jurnal Keperawatan Terapan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v11i1.5345

Abstract

International Diabetes Federation (IDF) memperkirakan terdapat 537 juta orang yang hidup dengan diabetes di dunia pada tahun 2021 dan 206 juta orang berada di wilayah western pacific serta diperkirakan tahun 2045 jumlah tersebut diperkirakan akan meningkat menjadi 260 juta orang. Untuk mengurangi terjadinya masalah lebih lanjut, perlu dilakukan pemaparan informasi melalui konseling kalori yang menjadi pilar manajemen diet pasien diabetes melitus agar kadar glukosa darah terkontrol. Penelitian ini bertujuan untuk menganalisis pengaruh konseling kalori terhadap kadar glukosa pada pasien diabetes melitus di Dusun Semanding, Desa Sumbersekar, Kabupaten Malang. Metode yang digunakan adalah true eksperimental dengan desain pre -post test. Intervensi yang dilakukan adalah konseling kalori sedangkan observasi adalah pengukuran kadar glukosa darah puasa. Hasil penelitian menunjukkan: Kadar Glukosa Darah Puasa (GDP) responden sebelum konseling kalori antara kelompok intervensi dan kontrol. Setelah konseling kalori, kadar GDP untuk kelompok intervensi sebesar 158,94 mg/dL sedangkan kelompok kontrol sebesar 254,37 mg/dL. 3) Terdapat perbedaan signifikan kadar GDP setelah intervensi antara kelompok intervensi dan kelompok kontrol dengan nilai t hitung (2,042) > t tabel (2,2042) dan nilai signifikansi (0,000) < alpha (0,050). Hasil menunjukkan adanya penurunan GDP pada kelompok intervensi setelah konseling kalori, sedangkan kelompok kontrol mengalami peningkatan.
Education of Breast Milk Complementary Food Provides Knowledge and Skills for Mothers Septyasih, Rossyana; Prastiwi, Swito; Wahyuni, Eko Sari
Jurnal Keperawatan Terapan Vol 11 No 1 (2025): Jurnal Keperawatan Terapan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v11i1.5475

Abstract

Malnutrition that occurs in infants can be fatal, which can inhibit growth and development and can even occur in the long term. The age period of 6-24 months in children is the golden period for complementary feeding, because this is the critical phase for providing interventions related to child nutrition. Mothers' ability to provide complementary feeding is very important to prevent nutritional problems in children. This study aims to determine the ability of mothers to provide complementary food after being given education. This study used a descriptive case study method conducted on two mothers who acted as research subjects. Data collection in the study was carried out through interviews, questionnaires, and observations, namely before and after being given education. The results of this study showed that before education, the ability of the two research subjects was still lacking in aspects of knowledge, attitudes and actions related to complementary feeding. After being given education, there was a significant increase in all three aspects. The conclusion that can be drawn from the study is that education is proven to be effective in improving mothers' ability to provide complementary foods. Subjects are expected to consistently apply the knowledge that has been obtained related to complementary feeding properly and correctly. Future research is expected to develop a more in-depth observation method to examine mothers' ability to provide complementary foods, including the process of preparing, making, serving, and feeding complementary foods.
The Effect Of Hot Pack Administration On The Incidence Of Shivering Postoperative Laparatomy With Spinal Anesthesia at Wava Husada Hospital: Pengaruh Pemberian Hot Pack Terhadap Kejadian Shivering Post Operasi Laparatomi Dengan Spinal Anestesi Di Rs Wava Husada Fatwarini, Aulia; Budiono, Budiono; Hidayah, Nurul; Sepdianto, Tri Cahyo; Suyanto, Edy
Jurnal Keperawatan Terapan Vol 11 No 1 (2025): Jurnal Keperawatan Terapan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v11i1.5373

Abstract

Shivering, which often occurs after spinal anesthesia if left unchecked can worsen postoperative conditions, causing perioperative hypothermia. The purpose of this study was to determine the effect of giving hot packs on the incidence of shivering after laparatomy surgery with spinal anesthesia. The research method used Quasi Experimental Two Group Pretest-Posttest Design. Non-probability sampling technique with accidental sampling type totaling 38 respondents, with Shapiro wilk normality test and wilcoxon rank-sum test. The research instrument used an electric hot pack, the intervention was given once for 15 minutes on the right and left forearms. Research in the treatment group showed that most of them experienced shivering. The results of the Wilcoxon rank-sum test in the intervention group were (p = 0.000), in the Mann Whitney test with the results (p = 0.000) which means there is an effect of giving before and after hot packs on the degree of shivering in patients post laparatomy surgery with spinal anesthesia. Giving hot packs is proven to have an effect in reducing shivering and increasing body temperature in postoperative laparatomy patients with spinal anesthesia. This simple intervention can help improve patient comfort and recovery after surgery. It is expected that health workers use hot packs as an action to overcome shivering.

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