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Real in Nursing Journal
Published by Sekolah Tinggi Ilmu Kesehatan Fort De Kock
ISSN : 26859068     EISSN : 26851997     DOI : -
Core Subject : Health,
Nursing
RNJ ini fokus memublikasi hasil penelitian orisinal yang belum diterbitkan di manapun, isu yang dipublikasi oleh RNJ meliputi pengembangan ilmu pengetahuan dan kajian ilmiah di seluruh area bidang keperawatan, yakni, keperawatan dasar, keperawatan medikal bedah, keperawatan maternitas, keperawatan anak, keperawatan jiwa, keperawatan gerontik, keperawatan keluarga, keperawatan komunitas, manajemen keperawatan, dan pendidikan keperawatan.
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Articles 169 Documents
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Hubungan Pengetahuan Dan Sikap Keluarga Terhadap Tingkat Kecemasan Dalam Merawat Anggota Keluarga Dengan Gangguan Jiwa (ODGJ) Gusdiansyah, Edo; Welly, Welly
REAL in Nursing Journal Vol 7, No 3 (2024): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v7i3.3212

Abstract

Background: The problem often experienced by families of people with mental disorders (ODGJ) is increased anxiety in caring for them, such as tension, worry, fear, sleep disturbance, impaired intelligence, and depression. Family knowledge and attitudes towards ODGJ are considered important factors that can affect the level of family anxiety in caring for them. This study aims to examine the relationship between family knowledge and attitude towards the level of anxiety in caring for family members with mental disorders (ODGJ). Methods:This study used a quantitative method with a cross-sectional approach. Data were collected through questionnaires, namely knowledge referring to Maromon's research (2020), attitudes referring to Safitri's research (2022) and anxiety levels using the HARS (Hamilton Anxiety Rating Scale) questionnaire with a sample of 97 families who have members with ODGJ in the andalas puskemas area. Data analysis was performed using the Chi Square test. Results: The results obtained were more than half, namely 56 (57.7%) respondents had a mild level of anxiety, more than half, namely 54 (55.7%) respondents had low knowledge, more than half, namely 58 (58.9%) respondents had a negative attitude in caring for people with mental disorders (ODGJ). There is a relationship between knowledge (p = 0.000), attitude (p = 0.000) with family anxiety level in caring for ODGJ. Conclusion: It is expected that nurses at the health centre can provide health education on how to care for ODGJ at home and can help reduce their anxiety in daily care.
PENGARUH TERAPI GUIDED IMAGERY TERHADAP TINGKAT NYERI PASIEN POST OPERASI CHOLELITIASIS Juwita, Lisavina; Rahmiwati, Rahmiwati; Putri, Rysadilla Cemrony; Dewi, Ratna; Febrina, Wiwit
REAL in Nursing Journal Vol 7, No 3 (2024): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v7i3.3296

Abstract

Nyeri pascaoperasi adalah salah satu gejala yang umumnya dialami pasien setelah menjalani pembedahan, sebagai respons tubuh terhadap kerusakan jaringan yang terjadi selama operasi. Penelitian ini bertujuan untuk menganalisis pengaruh terapi imajinasi terbimbing (Guided Imagery) terhadap tingkat nyeri pada pasien pascaoperasi kolelitiasis di RSUD Dr. Achmad Mocthar Bukittinggi pada tahun 2023. Penelitian menggunakan metode kuasi-eksperimen dengan desain pretest-posttest one group. Pelaksanaannya dilakukan pada Desember 2022, melibatkan 30 responden yang menerima terapi imajinasi terbimbing. Teknik pengambilan sampel adalah purposive sampling. Data dikumpulkan secara terkomputerisasi menggunakan Uji Wilcoxon Sign Test. Tingkat nyeri diukur berdasarkan Standar Luaran Keperawatan Indonesia (SLKI), dengan skala skor 6-30: 6-10 (meningkat), 11-15 (cukup meningkat), 16-20 (sedang), 21-25 (cukup menurun), dan 26-30 (menurun). Hasil analisis univariat menunjukkan rata-rata tingkat nyeri sebelum terapi adalah 23,3 (cukup menurun), sementara setelah terapi meningkat menjadi 28,067 (menurun) dengan nilai p sebesar 0,000. Kesimpulan dari penelitian ini adalah terapi imajinasi terbimbing (Guided Imagery) memiliki pengaruh terhadap penurunan tingkat nyeri pasien pascaoperasi kolelitiasis. Peneliti merekomendasikan agar penelitian selanjutnya melibatkan keluarga pasien dalam proses terapi untuk mendukung penerapan dan efektivitasnya
Deskripsi Tingkat Pengetahuan Guru dan Orang Tua Tentang Bullying Pada Anak Usia Prasekolah Puspitasari, Tarissa Widhi; Diahsari, Armenia; Rahmadewi, Triani
REAL in Nursing Journal Vol 7, No 3 (2024): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v7i3.3169

Abstract

Background: Bullying is an aggressive behavior that is deliberately carried out by a person or group to hurt physically or emotionally repeatedly. Preschool education is given to build children’s characters who are still difficult to socialize and control emotions. The phenomenon of bullying was found in the environment of preschool children which was considered a normal thing by teachers and parents of students. To determine the level of knowledge of teachers and parents about bullying behavior in preschool children. Methods: This study is a quantitative descriptive study with a cross-sectional approach. Samples were taken from 10 kindergartens in the Banyuraden Village area. The teacher sampling technique used total sampling with 39 samples and parents used simple random sampling with 208 samples. The research instrument used a questionnaire. Results: The results of the study showed that most teachers and parents had a good level of knowledge about bullying in preschool children, but many parents still considered that habituating children's behavior at home did not have an impact on the formation of bullying behavior. Conclusion: Teachers and parents have an important role in avoiding the formation of the character of bullies as early as possible so that knowledge about bullying must be possessed. Researches with different methods can be carried out for more valid results
The Effect of Family Psychoeducation on Clients' Ability to Overcome Violent Behaviour Gusdiansyah, Edo; Syarli, Setiadi; Ananda, Yuanita
REAL in Nursing Journal Vol 8, No 1 (2025): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v8i1.3421

Abstract

Background: Violent behaviour is a response to stressors that endanger themselves, others and the environment, until now it has not received appropriate treatment. Efforts made to overcome this are generalist and specialist nursing actions, one of which is family psychoeducation. This action can improve patient care skills and have a positive impact on families in managing stress. Purpose: This study aims to see the effect of family psychoeducation on clients' ability to cope with violent behaviour. Methods: The research method used was pre-experiment with One Group Pre Test-Post Test design. Data were collected through questionnaires with statements of nursing action implementation strategies (SP) 1-4 violent behaviour compiled by the researchers themselves based on Stuart's theory (2016), psychoeducation modules using family psychoeducation therapy modified from modules that have been developed by Nurbani (2009) with a sample of 30 families who have members with ODGJ in the Kuranji puskemas area. Data analysis used the T-Test test. Results: The results obtained before the family psychoeducation action showed the client's knowledge ability was an average of 18.91 (60.51%), namely the middle category, the client's psychomotor ability was an average of 12.34 (39.37%), namely the low category, after the family psychoeducation action showed the client's knowledge ability was an average of 67.38 (87.30%), namely the high category, the client's psychomotor ability was an average of 62.53 (85.43%), namely the high category. Conclusion: There is an effect of family psychoeducation on the client's ability to overcome the problem of violent behaviour (P=0.000). It is recommended that Puskesmas integrate family psychoeducation in mental health services by involving cadres and community leaders.
Caring Behavior of Caregivers During The Satisfy of Basic Needs in The Elderly Febrina, Wiwit; Said, Farida Mohd; Rezkiki, Fitrianola; Rahmiwati, Rahmiwati; Lazdia, Wenny
REAL in Nursing Journal Vol 8, No 1 (2025): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v8i1.1977

Abstract

Background: Entering old age, a person experiences a process of changing body functions both physically and psychologically, which can cause the elderly to have difficulty in achieving their basic needs. The Caring behavior is a form of support that caregivers can provide to the elderly in an effort to protect, improve, maintain, or devote a sense of humanity by helping someone achieve a better aspect. This study aimed to determine the caring behavior of caregivers in satisfying basic needs for the elderly at West Sumatera Province in 2022. Methods: This study was conducted from March until July in 2022. The type of this study was quantitative by using a descriptive study. The population of this study was all the elderly as recipients of caring behavior directly from caregivers. By using total sampling, 53 people were chosen as the sample. The data was collected by using a questionnaire about the caring behavior of caregiver. Results: From the results, it was found that as many as 33 people (62.3%) of respondents stated that the caring behavior of caregivers was included in the good category. Conclusion: From the results of this study, it is expected that caregivers can improve the process of caring for the elderly in achieving more optimal basic satisfy through effective communication between caregivers and the elderly.
A Qualitative Study of Teamwork Among Care Providers in the Implementation of Interprofessional Collaboration in Hospitals Delima, Mera; Boti, Tanti; Dioso, Regidor III; Devitra, Anferi
REAL in Nursing Journal Vol 8, No 1 (2025): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v8i1.3428

Abstract

Background: Interprofessional collaboration is a key element in providing high-quality patient care. Interprofessional Collaboration (IPC) practice is a form of collaborative cooperation between health workers to ensure optimal patient care. Professional Care Providers (PCP) with different professional backgrounds are required to contribute individually and in teams. This study aims to determine the description of team collaboration practices between PCP in implementing Interprofessional Collaboration at the Hospital. Methods: This study used a qualitative design with a phenomenological approach to explore interprofessional collaboration practices at the Hospital. Data collection was carried out through in-depth interviews and Focus Group Discussions. The collected data were recorded, transcribed, and analyzed using thematic analysis. The research informants numbered 12 people, consisting of 3 hospital services in charge of doctors, 3 nurses, 3 pharmacists, and 3 dieticians. The study took place in October–November 2024. Results: The result of the study showed that interprofessional collaboration at the Hospital had not been running optimally. Joint visit activities involving the four professions were very rare. The number of pharmacists and dietitians who should support collaboration were not sufficient in quantity. The clinical competence of nurses in supporting collaboration was still not fulfilled. Most PCP did not understand the concept of IPC well, the dominance of collaboration tended to occur among doctors and nurses, while other professions were less involved. Factors that hinder the optimization of IPC include a lack of understanding of the concept of collaboration, the small number of certain health workers such as pharmacists and dietitians, and the lack of special training related to IPC. Conclusion: Hospitals need to make efforts to improve understanding and implementation of interprofessional collaboration through education, training, and strengthening policies that support IPC practices. Socialization of regulations and implementation of Interprofessional Collaboration needs to be carried out periodically so that PCP understands the concept of IPC well. Routine evaluation is also important to ensure the effectiveness and sustainability of interprofessional collaboration in health services
Family Support in Self-Management at Home: a Descriptive Study among Children with Cancer Febrina, Cory; Kartika, Imelda Rahmayunia; Rezkiki, Fitrianola; Mariyana, Rina
REAL in Nursing Journal Vol 8, No 1 (2025): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v8i1.3409

Abstract

Background: Cancer is still a significant health problem today. In 2020, an estimated 19.3 million new cancer cases and nearly 10 million cancer deaths occurred worldwide. Cancer patients and their families need support to manage them effectively, emotionally and lifestyle. This study aims to see a picture of family support for clients with cancer. Methods: This research uses a quantititatif researce Home in Padang City, in mid-August 2024. The sample for this study was 26 who filled out the questionnaire, describing the characteristics of the respondents.Results: The most significant data with the highest category value can be seen in the first statement which represents the indicator of emotional support. The instrument used "My family encouraged me when I was afraid about the long-term treatment process I was undergoing" namely with a category value of 2.95 (1.139) and a lowest value was in Instrumental support, namely providing vehicles and direct support at 2.01 (1,155). Conclusion: From the research it can be concluded that indicators of family support must always be improved and strengthen social networks between families of cancer sufferers with social observers and seek support from local NGOs according to family reach.
Family Support Towards the Practice of Providing Complementary Breast Milk (PPC-BM) to Infants Aged 6-12 Months Jafri, Yendrizal; Kasrin, Rinawati; Impian, Rara Raih; Sari, Lidya Maya
REAL in Nursing Journal Vol 8, No 1 (2025): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v8i1.3431

Abstract

Background: Practice Of Providing Complementary Breast Milk (PPC-BM) plays an important role in supporting the growth and development of infants aged 6-12 months. WHO and the Indonesian Ministry of Health recommend providing PPC-BM that is timely, nutritious, safe, and meets standards. However, many mothers still face obstacles in providing optimal PPC-BM, especially due to lack of family support. Family support, especially from husbands, grandmothers, and other family members, greatly influences the success of PPC-BM practices. Objective: This study aims to analyze the relationship between family support and complementary feeding practices in infants aged 6-12 months in the Gulai Bancah Health Center working area, Bukittinggi City. Method: This study used a cross-sectional design with a quantitative approach. Samples were taken using cluster random sampling technique, with a total of 222 mothers with infants aged 6-12 months as respondents. Data were collected using a structured questionnaire that measured family support (emotional, instrumental, information, and assessment) and complementary feeding practices. Data analysis was performed using the Chi-Square test to see the relationship between variables. Conclusion: the results of the study showed that most mothers received family support in the good (54.1%), sufficient (36.0%), and less (9.9%) categories. The practice of providing complementary feeding by mothers was also mostly in the good (58.6%), sufficient (31.5%), and less (9.9%) categories. Statistical tests showed a significant relationship between family support and complementary feeding practices (p-value <0.05). Mothers who receive good family support are more likely to provide appropriate complementary feeding according to WHO and Indonesian Ministry of Health standards. Family support plays a crucial role in determining the success of complementary feeding practices that meet health standards. Suggestion: a family-based education strategy is needed through counseling programs, training of integrated health post cadres, and community-based interventions to increase family involvement in complementary feeding practices.Keywords: Family support, complementary feeding, provision practices, infants aged 6-12 months, pediatric nursing.
The Effect of Lavender Aromatherapy on The Quality of Sleep Among Patients with Type 2 Diabetes Mellitus Azhar, Bayu; Serizka, Shahaila Refa; Arfina, Angga; Putra, Ifon Driposwana
REAL in Nursing Journal Vol 8, No 1 (2025): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v8i1.3419

Abstract

Background: Insulin resistance in the pancreas is a characteristic of diabetes mellitus, a chronic metabolic and inflammatory disease. People with diabetes mellitus may experience foot pain and tingling at night, which are common symptoms. The main components in lavender aromatherapy, especially linalool acetate, can improve sleep quality. This research aims to find out how lavender aromatherapy affects the sleep quality of individuals with type 2 diabetes.Methods: With a quasi-experimental design and pre and post test procedures in one group without controls, the methodology used is quantitative. Purposive sampling was used to select 19 respondents suffering from type 2 diabetes mellitus in the Payung Sekaki Health Center Work Area, Pekanbaru City. Data was collected and the respondents' sleep quality was evaluated using a diffuser and lavender essential oil using the Pittsburgh Sleep Quality Index (PSQI) questionnaire. For five days, the intervention was carried out every night thirty minutes before bedtime. Paired T Test was used for bivariate data analysis. Results: The average sleep quality score of respondents was 13.05 with a standard deviation of 2.46 before the intervention, and 4.78 with a standard deviation of 1.31 after the intervention. Results showed by a statistical analysis p value of 0.000 which shows that the use of lavender aromatherapy greatly improves the sleep quality of people with type II diabetes mellitus. Conclusion: Research participants learned about the benefits of lavender aromatherapy to improve sleep quality for people with type 2 diabetes.
Nurses' Knowledge Level in Fall Risk Assessment in the Inpatient Wards of a Private Hospital, Pekanbaru Ramadhan, Intan Tiara; Adelia, Gita; Herniyanti, Rina; Putra, Ifon Driposwana; Malfasari, Eka; Saputra, Candra; Puswati, Desti
REAL in Nursing Journal Vol 8, No 1 (2025): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v8i1.3420

Abstract

Background: Patient Safety Goal (PSG) 6 related to the risk of falls is still a worrying issue, especially for hospitalized patients in hospitals. One of the efforts to minimize the risk of falls is through knowledge. Previous research found that nurses' knowledge about patient safety still varies in various hospitals in general and hospital service units in particular.Purpose: The purpose of this study was to analyze nurses' knowledge level in fall risk assessment in the inpatient room of a private hospital in Pekanbaru.Methods: This research is a quantitative study with a descriptive approach, conducted from August 2024 to January 2025. The sampling technique used is accidental sampling, with a total sample of 68 nurses working in inpatient wards. The instrument used is a questionnaire on nurses' knowledge of patient safety.Results: The results of this study show that almost all respondents are in the age range of 18 to 40 years, with a total of 54 respondents (79.4%), almost all respondents are female, as many as 56 people (82.4%). In terms of education, more than half of the respondents had a Diploma educational background, with a total of 39 people (57.4%). The results showed that almost all nurses involved in this study had good knowledge about patient safety with a total of 64 nurses (94.1%).Conclusion: Nurses' knowledge about patient safety is quite good. However, it is important to continue to improve nurses' knowledge and awareness through training and continuing education to minimize the risk of falls in the hospital. 

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