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INDONESIA
JURNAL MUTIARA NERS
Published by Universitas Sari Mutiara Indonesia
ISSN : 20853130     EISSN : 26204061     DOI : -
Core Subject : Health,
Nursing
Jurnal Mutiara Ners merupakan kumpulan Jurnal hasil dari penelitian dosen lingkup Keperawatan maupun dari yang diterbitkan oleh Program Studi Ners Universitas Sari Mutiara Indonesia. Jurnal ini terbit 2 kali dalam satu tahun.
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Articles 238 Documents
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PATIENT KNOWLEDGE AS DETERMINANT OF MEDICATION ADHERENCE IN TYPE 2 DIABETES MELLITUS AT SIMARMATA PRIMARY HEALTH CENTER, SAMOSIR REGENCY Laura Mariati Siregar; Nurpina Simarmata; Vierto Irennius Girsang; Asima Sirait
Jurnal Ilmiah Keperawatan Vol 9 No 1 (2026): Jurnal Mutiara Ners
Publisher : Program Studi Ners UNIVERSITAS SARI MUTIARA INDONESIA

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Abstract

Background: Diabetes mellitus management includes dietary restrictions, increased physical activity, an appropriate medication regimen, regular medical follow-up, and periodic metabolic monitoring through laboratory examinations. Adherence of diabetes mellitus patients to therapy that has been indicated and prescribed by physicians will lead to positive therapeutic effects. Purpose: The aim of this study is to identify the relationship between patient knowledge and medication adherence among type 2 diabetes mellitus patients at Simarmata Primary Health Center, Samosir Regency. Methods: This study employed a quantitative research approach with a cross-sectional design. The population consisted of all diabetes mellitus patients who were undergoing routine medical follow-up at the health center, totaling 32 individuals. The sample was selected using a total sampling technique, resulting in 32 respondents. Results: The study findings showed that 56.3% of respondents had good knowledge, with 34.4% demonstrating adherence to medication and 21.9% non-adherence. Respondents with moderate knowledge accounted for 37.5%, of whom 34.4% were non-adherent and only 3.1% adherent. The statistical test resulted in a significance value of Sig. = 0.001, which was lower than 0.005, indicating a significant relationship between knowledge and medication adherence. Conclusion: It can therefore be concluded that there is a significant relationship between patient knowledge and medication adherence among people with type 2 diabetes mellitus. Respondents are encouraged to further improve their adherence to prescribed medication in order to increase the likelihood of successful treatment outcomes and achieve a higher rate of recovery.
RELATIONSHIP BETWEEN PSYCHOLOGICAL FATIGUE AND WORK STRESS WITH PERFORMANCE AMONG MOTHERS WORKING AT ALASA PUBLIC HEALTH CENTER, NORTH NIAS REGENCY Taruli Rohana Sinaga; Rinawati Sembiring; Seri Asnawati Munthe; Mido Ester J Sitorus; Enjel Siska Dewita Hulu
Jurnal Ilmiah Keperawatan Vol 9 No 1 (2026): Jurnal Mutiara Ners
Publisher : Program Studi Ners UNIVERSITAS SARI MUTIARA INDONESIA

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Abstract

Working mothers in the health sector, particularly in community health centers, face the challenge of playing dual roles as professionals and homemakers. This situation has the potential to cause psychological fatigue and work stress, which can impact their performance. This study aims to analyze the relationship between psychological fatigue and work stress and their effects on the performance of working mothers at the Alasa Public Health Center (PHC) in North Nias Regency. This study is quantitative and cross-sectional. The sample comprised 36 married women employed at the Alasa PHC. Data were collected using a questionnaire that had been tested for validity and reliability. Data analysis was performed using univariate and bivariate analysis using the chi-square test. The results showed a significant relationship between psychological fatigue and performance (p = 0.0005 < α = 0.05) and a significant relationship between work stress and performance (p = 0.001 < α = 0.05). Mothers who experienced psychological fatigue and high work stress tended to show low performance. This situation is exacerbated by heavy workloads, significant domestic responsibilities, particularly within the family environment, lack of rest time, and minimal social support. This study recommends managerial efforts to identify and manage psychological factors affecting working mothers, including emotional support from superiors, colleagues, and family, adequate rest time, more flexible work schedules, and improved welfare. The implementation of these strategies is expected to reduce psychological fatigue and work stress, thereby significantly and measurably improving the performance of female health workers, particularly working mothers, thereby positively impacting overall performance.
FOOT CARE ADHERENCE AND ITS ASSOCIATION WITH DIABETIC FOOT ULCER SEVERITY AMONG PATIENTS WITH DIABETES MELLITUS Marthalena Simamora; Henny Syapitri; Janno Sinaga; Listi Hasugian
Jurnal Ilmiah Keperawatan Vol 9 No 2 (2026): Jurnal Mutiara Ners
Publisher : Program Studi Ners UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/jmn.v9i2.6203

Abstract

Background: Diabetic foot ulcers are a major complication of diabetes mellitus that increase the risk of infection, amputation, and poor quality of life. Adherence to foot care plays an important role in preventing ulcer progression, yet many patients have poor adherence. Objective: This study aimed to examine the association between foot care adherence and diabetic foot ulcer severity among patients with diabetes mellitus at the Asri Wound Care Center Clinic, Medan, Indonesia.   Methods:This analytical cross-sectional study included 52 patients with diabetic foot ulcers selected through purposive sampling from a population of 109 patients. Foot care adherence was assessed using the Nottingham Assessment of Functional Footcare (NAFF) questionnaire, while ulcer severity was evaluated using the Wagner Classification. Data were analyzed using descriptive statistics and Spearman rank correlation. Results: More than half of the participants (53.8%) had poor foot care adherence, and Wagner Grade 1 was the most common ulcer severity (36.5%). Spearman rank correlation analysis showed a very strong negative correlation between foot care adherence and ulcer severity (r = −0.870, p < 0.001), indicating that better adherence was associated with lower ulcer severity. Conclusion: Foot care adherence was significantly associated with diabetic foot ulcer severity. Strengthening structured and continuous foot care education may improve adherence and reduce ulcer severity among patients with diabetes mellitus.
THE THE EFFECT OF BOOKLET MEDIA ON IMPROVING STUDENTS KNOWLEDGE AND ATTITUDES TOWARD SEXUAL HARASSMENT Rosita Rosita; Neng Yulia Ernawati; Sri Hennyati; Dyah Triwidiyantari; Lina Herlina
Jurnal Ilmiah Keperawatan Vol 9 No 2 (2026): Jurnal Mutiara Ners
Publisher : Program Studi Ners UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/jmn.v9i2.6217

Abstract

Background: Sexual harassment against women is a form of gender-based violence with serious impacts on mental, physical, and financial health, as well as on victims' daily activities. Its effects include anxiety disorders, depression, sleep disturbances, and sexual dysfunction. In 2023, there were 2,078 reported cases of sexual violence, and by January 2025, 2,681 cases were reported in higher education institutions. Purpose: This study aims to determine the effect of booklet media on adolescents' knowledge and attitudes regarding sexual harassment at SMP Pasundan I Banjaran. Methods: A pre-experimental design with a one-group pretest-posttest approach was used, involving 146 female students selected through simple random sampling. Primary data were analyzed using the Wilcoxon Signed Rank Test due to the non-normal data distribution. Results: The results showed a significant increase in knowledge (Z = -10.492; p < 0.05) and attitudes (Z = -10.311; p < 0.05) after the booklet intervention. Conclusion: Booklet media appeared effective in improving adolescents' knowledge and attitudes and may be suitable as an educational intervention to help prevent sexual harassment.
THE EFFECTIVENESS OF CHICKEN FEET NUGGETS ON THE GROWTH OF CHILDREN AGED 1–3 YEARS AT TPMB U, CIMENYAN VILLAGE, BANDUNG REGENCY, 2025 Dyah Triwidiyantari; Upit Upit
Jurnal Ilmiah Keperawatan Vol 9 No 2 (2026): Jurnal Mutiara Ners
Publisher : Program Studi Ners UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/jmn.v9i2.6218

Abstract

Background: Nutritional problems among toddlers in Indonesia remain a serious concern. The 2024 Indonesian Nutritional Status Survey (SSGI) reported an increase in the prevalence of wasting and underweight, by 0.6% and 0.1% respectively. This condition highlights the urgent need for nutrition interventions based on local food sources to help meet the nutritional needs of children, especially in areas with limited access to nutritious food. Purpose: This study aims to analyze the differences in weight and height of children aged 1– 3 years between the intervention group and the control group after receiving chicken feet nugget supplementation Methods: A quantitative research design was used, specifically a quasi-experimental post-test only with control group. The sample consisted of 78 children aged 1–3 years, divided equally between the intervention and control groups. Data were analyzed using an independent T-test. Results: The results showed statistically significant differences between the intervention and control groups in both weight (p = 0.044; mean difference = 828.21 grams) and height (p = 0.049; mean difference = 3.15128 cm) Conclusion: In conclusion, the consumption of chicken feet nuggets was effective in improving the weight and height of children aged 1–3 years, and thus can serve as an alternative local food-based intervention to support child growth
THE RELATIONSHIP BETWEEN SPIRITUAL WELL-BEING AND THE RISK OF DEPRESSION IN THE ELDERLY AT THE TRESNA WERDHA SOCIAL CARE HOME IN EAST JAKARTA Adeline Adeline; Lucia Utami; Jesika Pasaribu
Jurnal Ilmiah Keperawatan Vol 9 No 2 (2026): Jurnal Mutiara Ners
Publisher : Program Studi Ners UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/jmn.v9i2.6241

Abstract

Background: The physical decline of elderly people often causes them to experience loneliness, hopelessness, and feelings of vulnerability, which can contribute anxiety or depression.  The level of spiritual well-being plays a significant role in enhancing the mental health of the elderly.  Key strategies to improve the mental health of the elderly include religious activities such as attending religious services, receiving sacraments, private prayer, reading holy books, meditation, scripture study, religious retreats, and other religious activities.  Purpose: The purpose of this study was to determine the relationship between spiritual well-being and the risk of depression in the elderly. Methods: The research is quantitative descriptive correlation method using a cross-sectional approach.  The sample in the study consisted of 106 elderly people. Data analysis was performed using the Chi-square test Results: The results showed a correlation between spiritual well-being and the risk of depression among elderly residents at the Tresna Werdha Social Welfare Institution in East Jakarta, with a p-value of 0.000 (p<0.05).  Conclusion: The level of spiritual wellbeing in older adults has an influence on the risk of depression in older adults. Older adults who have high spiritual well-being have better coping mechanisms and this has a positive impact on health and can reduce the risk of depression that may experience.
THE RELATIONSHIP BETWEEN FLUIDS RESTRICION COMPLIANCE AND INTERDIALYTIC WEIGHT GAIN (IDWG) IN CKD PATIENTS ON REGULER HD IN HEMODIALYSYS ROOM Nuril Chofifah Ardwina Fatah; Rif'atul Fani
Jurnal Ilmiah Keperawatan Vol 9 No 2 (2026): Jurnal Mutiara Ners
Publisher : Program Studi Ners UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/jmn.v9i2.6299

Abstract

Background: Interdialytic Weight Gain (IDWG) is an important indicator of fluid management in patients with chronic kidney disease (CKD) undergoing hemodialysis. Poor fluid restriction adherence may contribute to excessive fluid accumulation and complications. Purpose: This study aimed to examine the association between fluid restriction adherence and IDWG among patients with CKD undergoing regular hemodialysis at Husada Utama Hospital, Surabaya, Indonesia. Methods: This cross-sectional study included 30 patients recruited using total sampling. Fluid restriction adherence was assessed using the End-Stage Renal Disease Adherence Questionnaire (ESRD-AQ), while IDWG was determined from body weight measurements between consecutive hemodialysis sessions. The association was analyzed using Fisher’s exact test with statistical significance set at p < 0.05. Results: Most participants were aged ≥46 years (76.7%) and had undergone hemodialysis for more than 12 months (90.0%). Overall, 76.7% adhered to fluid restriction and had normal IDWG. All adherent participants had normal IDWG, whereas all non-adherent participants had high IDWG. A significant association was observed between fluid restriction adherence and IDWG (p < 0.001). Conclusion: Fluid restriction adherence was significantly associated with IDWG, highlighting the importance of supporting adherence as part of fluid management in hemodialysis care.
DEVELOPMENT AND FEASIBILITY OF "TUKI": AN ANDROID-BASED EDUCATIONAL APPLICATION FOR CHILD GROWTH AND DEVELOPMENT SCREENING Novita M Kana Wadu; Sondang Ratnauli Sianturi
Jurnal Ilmiah Keperawatan Vol 9 No 2 (2026): Jurnal Mutiara Ners
Publisher : Program Studi Ners UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/jmn.v9i2.6359

Abstract

Background: The first five years of life represent a golden age for optimal child growth and brain development. Inadequate stimulation during this critical period can lead to permanent developmental delays across multiple domains, including motor, language, cognitive, and social skills, necessitating accessible screening solutions. Purpose: This study aimed to develop and evaluate the user-perceived quality of the "TUKI" (Tumbuh Kembang Anak Indonesia) Android-based application as an educational medium for child growth and development screening. Methods: This study used a Research and Development design based on the ADDIE framework. A total of 30 mothers of toddlers in an urban primary healthcare catchment area in Jakarta were recruited using purposive sampling. The application was developed using child growth monitoring and developmental pre-screening features based on growth charts and the Developmental Pre-Screening Questionnaire. Application quality was assessed using the Mobile App Rating Scale (MARS), and data were analysed using descriptive statistics and Pearson Product-Moment correlation test. Results: The results demonstrated an excellent overall quality score of 4.34 (SD=0.59). All individual dimensions scored consistently in the 'excellent' category: engagement (M=4.53, SD=0.49), aesthetics (M=4.39, SD=0.63), information quality (M=4.29, SD=0.62), functionality (M=4.25, SD=0.62), and subjective quality (M=4.24, SD=0.61). Pearson analysis indicated significant positive correlations among all dimensions (p<0.01). Conclusion: The TUKI application demonstrated excellent user-perceived quality and is feasible as a supportive digital educational tool for mothers in monitoring child growth and development. Paediatric and community health nurses may use this application to strengthen family-centered care and digital health literacy.
IDENTIFYING PRIORITY DOMAINS OF CLINICAL LEADERSHIP COMPETENCY AMONG NURSING PROFESSION STUDENTS: IMPLICATIONS FOR NURSING EDUCATION Contriana Yusinta Bere; Catharina Dwiana Wijayanti
Jurnal Ilmiah Keperawatan Vol 9 No 2 (2026): Jurnal Mutiara Ners
Publisher : Program Studi Ners UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/jmn.v9i2.6362

Abstract

Background: Being a key competency for nurses to deliver quality care to patients, clinical leadership is important for providing safe, high-quality, and patient-centered care. Nonetheless, information on the clinical leadership competencies specific to domains for nursing profession students has been scanty, especially in Indonesia. Purpose: The purpose of this research is to ascertain the priority domains of competencies in clinical leadership among students of the nursing profession through CLCF and explore its implications in nursing education. Methods: In the current research, a quantitative descriptive study with a cross-sectional design was carried out on 123 students of nursing profession in Jakarta, Indonesia, employing total sampling technique. Competence of clinical leadership was measured through 40 items Clinical Leadership Competency Framework (CLCF) which is made up of five domains. These domains include; Demonstrating Personal Qualities, Working with Others, Managing Services, Improving Services, and Setting Direction. Results: The nursing students demonstrated moderate proficiency in the aspect of clinical leadership. The mean scores for the five domains of CLCF ranged from 2.33 to 2.67; the mean score of 2.67 was achieved in the domain of Managing Services, while 2.65 in Demonstrating Personal Qualities, 2.59 in Working with Others, 2.56 in Improving Services, and 2.33 in Setting Direction. None of the subjects demonstrated high proficiency in all five domains. Conclusion: Clinical leadership proficiency is uneven in different domains and therefore calls for more emphasis on strategic leadership education. It would be useful to develop competencies in the aspect of Setting Direction through leadership learning and competency-based education.
THE RELATIONSHIP BETWEEN KNOWLEDGE AND THE HABIT OF WASHING HANDS WITH SOAP IN STUDENTS AT PUBLIC ELEMENTARY SCHOOLS 013 SIMANGARONSANG Taruli Rohana Sinaga; Kesaktian Manurung; R. Alyakin Dachi; Mido Ester Sitorus; Sri Dearmaita Purba; Putrina T. Olivia Purba
Jurnal Ilmiah Keperawatan Vol 9 No 2 (2026): Jurnal Mutiara Ners
Publisher : Program Studi Ners UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/jmn.v9i2.6375

Abstract

Handwashing with soap represents the mechanical sanitization of dermal surfaces using cleansing agents and clean running water to eradicate pathogens, bacteria, and virus strains that potentially trigger various infectious clinical conditions. The primary goal behind promoting handwashing with soap is to suppress the transmission velocity of communicable agents. This empirical investigation was executed to chart the operational correlation between knowledge levels and the behavioral habit of handwashing with soap among learners at Public Elementary School 013 Simangaronsang, Doloksanggul District, Humbang Hasundutan Regency. Methodologically, This study adopts a quantitative approach using a cross-sectional model, drawing from a target population that simultaneously served as the total sample of 69 students from grades IV and V. Primary and secondary data collection was conducted utilizing a structured questionnaire instrument to evaluate the depth of student comprehension and determine the performance of the habit of handwashing with soap variable among the participants. Statistical hypotheses were verified using a bivariate Chi-Square test. The final research outcomes confirmed a highly significant relationship between health awareness and the practical habit of handwashing with soap, supported by an empirical p-value of 0.001. Based on these dynamics, there is an eye-opening need for tangible interventions to revitalize health infrastructure and deploy systematic educational schedules detailing accurate handwashing with soap steps through visual posters and audio-visual media, supplemented by furnishing robust sanitary assets and ensuring a stable supply of clean water within the school premises

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