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Jurnal Keperawatan (JKEP)
Published by Poltekkes Kemenkes Jakarta III
ISSN : 23546042     EISSN : 23546050     DOI : -
Core Subject : Health,
Nursing
JKEP (Jurnal Keperawatan) provides a forum for publishing the novel technologies and knowledge related to the nursing sciences.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 192 Documents
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THE RELATIONSHIP AMONG HBA1C, LOW-DENSITY LIPOPROTEIN (LDL) CHOLESTEROL, AND SYSTOLIC BLOOD PRESSURE IN PATIENTS WITH DIABETES MELLITUS Ni Made Juniari; I Wayan Sukawana; I Gusti Made Andika Putra
Jurnal Keperawatan Vol 11 No 1 (2026): May
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jkep.v11i1.2363

Abstract

Diabetes mellitus is a chronic disease often accompanied by cardiovascular complications, one of which is hypertension. Controlling HbA1c and LDL cholesterol levels is a crucial component of diabetes mellitus management, aiming to reduce the risk of these complications. This study aimed to analyze the association between HbA1c control and LDL cholesterol control with systolic blood pressure control in diabetes mellitus patients at the Tejakula II Community Health Center. This study used an observational analytical design with a cross-sectional approach. The subjects were registered Diabetes Mellitus patients receiving services at the Tejakula II Community Health Center. The sample size of this research was 47 participants. Data on HbA1C, LDL cholesterol, and systolic blood pressure were obtained from patient medical records. Data were analyzed bivariately using appropriate statistical tests and odds ratio calculations. The results showed that HbA1C and LDL cholesterol control were not significantly associated with systolic blood pressure control (p > 0.05). The model explained 13.4% of the variation in systolic blood pressure control (Nagelkerke R² = 0,134). Although the odds ratios suggested a tendency toward a higher risk of uncontrolled systolic blood pressure among patients with uncontrolled HbA1C and LDL levels, these associations were not statistically significant. However, patients with uncontrolled HbA1C and LDL cholesterol levels had a higher risk of developing uncontrolled systolic blood pressure. Diabetes Mellitus management needs to be carried out comprehensively and multifactorially in primary health care facilities.
THE RELATIONSHIP BETWEEN SELF-EFFICACY AND DIET ADHERENCE IN PATIENTS WITH DIABETES MELLITUS AT THE HEALTH CENTER OF CIRACAS DISTRICT, EAST JAKARTA Santa Manurung; Khodijah Kamila Inayah; Tri Endah Pangastuti; Ace Sudrajat; Wartonah Wartonah; Nadhia Elsa Silviani; Nelly Yardes; Dewi Lusiani
Jurnal Keperawatan Vol 11 No 1 (2026): May
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jkep.v11i1.2396

Abstract

Diabetes mellitus is a chronic metabolic disorder caused by impaired insulin secretion or ineffective insulin function, resulting in persistent hyperglycemia and an increased risk of long-term complications. Dietary management is an important component of diabetes treatment because proper eating habits help maintain blood glucose levels and prevent complications. However, many patients still experience difficulties in following dietary recommendations, which can negatively affect glycemic control. Recent developments in diabetes management emphasize the role of behavioral and psychological factors in improving self-care, particularly self-efficacy. Self-efficacy refers to an individual’s confidence in performing behaviors necessary to achieve desired health outcomes. Although previous studies have mainly focused on pharmacological therapy and metabolic outcomes, limited evidence has examined the relationship between self-efficacy and dietary adherence in primary healthcare settings in Indonesia. Therefore, understanding this relationship is important for developing effective nursing and behavioral interventions. This study aimed to determine the relationship between self-efficacy and dietary adherence among patients with diabetes mellitus at the Ciracas District Health Center, East Jakarta. A quantitative study with a cross-sectional design was conducted in May 2025 involving 66 respondents selected through purposive sampling. Self-efficacy was measured using the Diabetes Management Self-Efficacy Scale (DMSES), while dietary adherence was assessed using the Perceived Dietary Adherence Questionnaire (PDAQ). Data were analyzed using univariate analysis and the Chi-Square test. The results showed a significant relationship between self-efficacy and dietary adherence (p = 0.001). Patients with higher self-efficacy demonstrated better compliance with dietary recommendations, indicating that greater confidence supports effective diabetes self-management behaviors in daily life.
DEVELOPMENT OF VIDEO GAME-BASED EDUCATIONAL MEDIA AS AN EFFORT TO PREVENT SEXUAL VIOLENCE IN ELEMENTARY SCHOOL CHILDREN Eviana Sumarti Tambunan; Ratna Ningsih; Tharisa Liani; Titi Sulastri; Dina Carolina Hapsari
Jurnal Keperawatan Vol 11 No 1 (2026): May
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jkep.v11i1.2397

Abstract

Sexual violence against children is a serious issue that impacts their psychological, social, and cognitive development. The lack of early sexual education, coupled with societal views that consider this topic taboo, increases children's vulnerability to becoming victims. With technological advancement, educational media in the form of video games has emerged as an engaging and promising alternative to enhance children's knowledge of sexual violence prevention. Objective: To develop an educational video game and evaluate its effectiveness as a tool for preventing sexual violence among elementary school children. This study employed a Research and Development (R&D) design with a one-group pretest-posttest approach without a control group. A total of 90 students from grades 3 to 5 were selected through stratified random sampling. Research instruments included pretest and posttest knowledge questionnaires, as well as a media feasibility assessment questionnaire. Data analysis using the Wilcoxon test showed that the average knowledge score increased from 7.01 before the intervention to 10.61 after the intervention. The results indicated a significant improvement in children's knowledge after using the educational media (p < 0.05). Furthermore, the feasibility assessment revealed that the video game was rated as "highly feasible" by users as an educational tool. The educational video game is both effective and feasible as a tool for teaching sexual violence prevention to elementary school children. It also supports parents and teachers in delivering sensitive material through an enjoyable and interactive approach.
THE EFFECT OF COGNITIVE THERAPY ON ADOLESCENTS WITH LOW SELF-ESTEEM DUE TO BULLYING Omi Haryati; Nurhalimah Nurhalimah; Indriana Rakhmawati
Jurnal Keperawatan Vol 11 No 1 (2026): May
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jkep.v11i1.2412

Abstract

Bullying often occurs during adolescence, for secondary reasons, such as joking about body shape or other things. Changes that occur during adolescence can cause emotional shifts, often giving rise to indecision and a sense of loss of control. Someone affected by bullying will feel low self-esteem. One therapeutic modality that can be applied is Cognitive Therapy. This cognitive therapy aims to develop rational thinking patterns by changing irrational thinking patterns that often lead to behavioral disorders into rational thinking based on facts and actual information. This study aims to determine the effect of cognitive therapy on the self-esteem of adolescent victims of bullying. The methodology used was a Quasi-experimental pre-post test with an intervention package providing cognitive therapy to the intervention group. The self-esteem instrument used a questionnaire from Stuart's theory that assessed cognitive, affective, social, and physical aspects. Cognitive therapy significantly impacted the self-esteem of adolescent victims of bullying, with a p-value of 0.005. This suggests that cognitive therapy is essential for developing and implementing psychiatric nursing care for adolescent victims of bullying to improve their self-esteem. This study demonstrates that cognitive therapy can significantly improve the self-esteem of adolescent victims of bullying. Cognitive therapy has been shown to improve low self-esteem in adolescent victims of bullying.
PRELIMINARY EFFECTS OF INTEGRATED RELAXATION AUDIO (ARTIKU) ON REST QUALITY IN PALLIATIVE PATIENTS: A QUASI-EXPERIMENTAL STUDY Sri Djuwitaningsih; Yuli Mulyanti; Syafdewiyani Syafdewiyani; Deswani Deswani; Indra Gunawan
Jurnal Keperawatan Vol 11 No 1 (2026): May
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jkep.v11i1.2415

Abstract

Patients with terminal illnesses frequently struggle with anxiety, chronic pain, and sleep disorders, which can seriously lower their quality of life. ARTIKU (Integrated Relaxation Audio) is a non-pharmacological approach to innovative integrated audio relaxation therapy that combines murotal, guided imagery, and the five-finger relaxation technique. This study aims to explore the preliminary effects of ARTIKU therapy on rest quality in palliative care patients. This study used a quasi-experimental design with a one-group pretest–posttest. As many as 34 palliative patients were selected using purposive sampling. The ARTIKU music therapy was administered for three consecutive days. Measurements were taken pre-post intervention using the ARTIKU questionnaire, which measured pain level, sleep duration, and anxiety. A paired sample t-test was used to analyze the data. The median values for anxiety and pain levels decreased significantly, from 2.00 to 1.00 (Z = -5.11; p < 0.001) and from 5.00 to 2.50 (Z = -4.49; p < 0.001), respectively. On the other hand, patients' sleep duration increased significantly from 4.00 to 5.50 hours (Z = -4.95; p < 0.001). The ARTIKU therapy intervention is highly effective in alleviating pain and anxiety, as well as enhancing sleep duration among palliative patients. ARTIKU therapy demonstrates preliminary effects in improving rest quality among palliative patients, showing significant improvements in pain, sleep duration, and anxiety. These findings suggest that ARTIKU has potential as a non-pharmacological intervention and warrant further investigation through randomized controlled trials with larger sample sizes and longer intervention duration to confirm its effectiveness.
PARENTING PATTERNS AND CHILDREN'S LEARNING MOTIVATION ARE RELATED TO CHILDREN'S LEARNING OUTCOMES IN ELEMENTARY SCHOOL CHILDREN (GRADE 6) AT SDN CIRACAS 10 PAGI Eka Cahya Hapsari; Titi Sulastri; Dina Carolina Hapsari; Ratna Ningsih
Jurnal Keperawatan Vol 10 No 1 (2025): May
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jkep.v10i1.1987

Abstract

Learning achievement results are an indicator of the quality and quantity of knowledge obtained by students and see the ability of students. Every child has the ability to achieve good learning achievement, but in reality there are many obstacles that prevent children from achieving this. One of them is parenting and children’s learning motivation. Children who get the right parenting style and have good self-motivation will affect good learning achievement as well. Purpose: This study aims to analyze the relationship between parenting patterns and children’s learning achievement results at SDN Ciracas 10 Pagi and analyze the relationship between children’s learning motivation and children’s learning achievement results at SDN Ciracas 10 Pagi. Methods: This study used a correlational analytic design with a cross sectional approach, purposive sampling technique. The sample in this study amounted to 66 respondents and respondents of 6th grade children and data analysis in this study using the spearman rank test. Research results: The results of the spearman rank analysis of parenting patterns with learning achievement results obtained a value of P= 0,000 (P<,0,05), learning motivation with learning achievement results obtained a value of P = 0,006 (P<0,05), it can be concluded that there is a relationship between parenting patterns and children’s learning achievement results (grade 6) at SDN Ciracas 10 Pagi and there is a relationship between children’s learning motivation and children’s learning achievement results (grade 6) at SDN Ciracas 10 Pagi
THE INFLUENCE OF EDUCATIONAL VIDEOS ON EARLY PREVENTION OF STROKE AGAINST STROKE RISK IN THE ELDERLY Nelly Yardes; Pramita Iriana; Eska Riyanti; Tri Endah Pangastuti; Yeti Resnayanti; Nadhia Elsa Silviani
Jurnal Keperawatan Vol 10 No 1 (2025): May
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jkep.v10i1.1998

Abstract

Every year, 15 million people worldwide have a stroke. Education using video that are thought to be simple for the elderly to grasp can alter knowledge, attitudes, and behavior among the elderly who are at risk of stroke. This study were conducted to assess the impact of early stroke preventive education videos on stroke risk in the elderly. The method was a quasi-experimental using a non-randomized pretest-posttest control group design. This study was carried out by delivering an educational video intervention for early stroke prevention for three months and comparing the results to those of the control group or without the intervention. The population of this study was the elderly, with a sampling approach of purposive sampling and a sample size of 60 people at Posbindu in the Cipayung district. The data analysis test employed was univariate and bivariate, utilizing independent t-test to assess the effect of the instructional video intervention on early stroke prevention. The difference in the average score of knowledge (1.333; pvalue = 0.011), attitude (1.533; pvalue = 0.011), and behavior (0.466; pvalue = 0.028) in the intervention group before and after the intervention was greater than the difference in the average score of knowledge (0.233; pvalue = 0.165), attitude (0.166; pvalue = 0.484), and behavior (0.000; pvalue = 1.000) in the control group. Furthermore, the independent T-test revealed that the instructional video intervention was helpful in improving knowledge (p-value = 0.064) and attitude (p-value = 0.008). Early stroke prevention education movies improve the elderly's knowledge and attitudes.
EFFECTIVENESS OF COMBINATION DEEP BREATHING AND PROGRESSIVE MUSCLE RELAXATION TO DIMINISH ANXIETY OF THE ELDERLY WITH HYPERTENSION Indriana Rakhmawati; Endang Banon; Omi Haryati; Nurhalimah Nurhalimah; Mia Fatma Ekasari; Andi Sari Bunga; Ace Sudrajat
Jurnal Keperawatan Vol 10 No 1 (2025): May
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jkep.v10i1.2020

Abstract

The background of this study is the prevalence of the elderly aged 64-75 with hypertension in 2023 is 57.8 percent, and the number of elderly is estimated to reach 29 million of the total number of Indonesians in 2023. Hypertension can endanger the life of the elderly because it causes various serious health complications. Anxiety as one of the factors which aggravate hypertension in elderly, needs to be controlled so that complications do not occur. Deep breathing relaxation and progressive muscle relaxation are non-pharmacological interventions that can be performed to reduce anxiety. The aim of this study was to find out whether the combination of deep breathing relaxation therapy and progressive muscle relaxation can reduce anxiety in elderly with hypertension. The design of this study is a quasi-experimental one group pretest-post-test design, because it measures the anxiety level of the elderly before and after therapy. The respondents consist of 30 elderly people in the Jatiwarna Village area, who were selected by random sampling method. Anxiety data was obtained using the HARS (Hamilton Anxiety Rating Scale) questionnaire and analyzed using descriptive and dependent t-test analysis. The results of the descriptive analysis showed that 93.3 percent of the elderly had mild anxiety before the intervention and became 100 percent after the intervention. The results of the bivariate test using the dependent t-test showed a p-value: 0.00 at a sig. value of 0.05 which indicates the effect of giving both therapies on the reduction of anxiety levels in the elderly with hypertension.
KNOWLEDGE AND FLUID INTAKE MANAGEMENT LEAD MAINTENANCE DRY WEIGHT OF PATIENT UNDERGOING HEMODIALYSIS Ace Sudrajat; Nelly Yardes; Tri Endah Pangastuti; Dewi Lusiani; Santa Manurung; Muhammad Syahrul Hajriyanto
Jurnal Keperawatan Vol 10 No 2 (2025): November
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jkep.v10i2.2315

Abstract

The incidence of end-stage renal disease in the worldwide. Approximately 70% (three million people worldwide) progress from renal failure to hemodialysis therapy. Renal failure is associated with a risk of fluid and electrolyte imbalance. Dry body weight is an indicator of adherence to fluid management, and the risk of complications prevents critical conditions. Risk of various complications, such as hypotension or hypertension, categories of knowledge, and lifestyle of fluid restriction. Knowledge of the relationship between knowledge and management of fluid intake retrieved from dry body weight hemodialysis patients. Quantitative Research with Cross-sectional Data Respondents and population comprised outpatients in the hemodialysis wards of the Jakarta Islamic Hospital Cempaka Putih zone in mid-year 2024. spearman rank statistical test knowledge with dry body weight p-value (0.004 <α0.05) correlation coefficient 0.328. fluid intake management, with a dry body weight p-value (0.009 <α0.05) correlation coefficient of 0.302. Conclusion: There was a significant relationship between knowledge and fluid intake management and dry body weight of hemodialysis patients. Future researchers should explore factors that can affect dry body weight.
RELATIONSHIP BETWEEN THE USE OF SOCIAL MEDIA AS A SOURCE OF PARENTING EDUCATION AND THE INCIDENCE OF POSTPARTUM BLUES IN THE WORKING AREA OF CIPAYUNG HEALTH CENTER, EAST JAKARTA Deswani Deswani; Andi Sari Bunga Untung; Sri Djuwitaningsih; Yuli Mulyanti; Syafdewiyani Syafdewiyani; Cherli Desi Apriyani
Jurnal Keperawatan Vol 10 No 2 (2025): November
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jkep.v10i2.2316

Abstract

The postpartum period is a critical phase for mothers, during which the emergence of postpartum blues can significantly affect emotional stability and maternal mental health. Alongside traditional information sources, social media has increasingly become a platform for parenting education. However, its role in influencing maternal psychological well-being remains unclear, particularly within community healthcare settings such as Puskesmas Cipayung in East Jakarta. Objective: This study aimed to examine the relationship between the use of social media as a source of parenting information and the incidence of postpartum blues among mothers attending the Cipayung Sub-district Health Center. Methods: A quantitative, cross-sectional design was employed involving 63 postpartum mothers selected through purposive sampling between March and May 2024. Data were collected using structured questionnaires assessing social media use for parenting information and postpartum blues symptoms. Statistical analysis was conducted using the Chi-square test to determine the association between variables. Results: The findings revealed a significant relationship between the use of social media as a parenting information source and the incidence of postpartum blues (p = 0.001, < 0.05). Mothers who frequently accessed social media for parenting guidance were more likely to experience mild to moderate postpartum blues. The study highlights that social media use for parenting information is significantly associated with the occurrence of postpartum blues. These results underscore the importance of integrating digital literacy and psychosocial support into nursing care to promote maternal mental well-being during the postpartum period.

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