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JKEP : Jurnal Keperawatan
Published by Poltekkes Kemenkes Jakarta III
ISSN : 23546042     EISSN : 23546050     DOI : https://doi.org/10.32668/jkep
Core Subject : Health,
Nursing
JKEP (Jurnal Keperawatan) provides a forum for publishing the novel technologies and knowledge related to the nursing sciences. This journal encompasses original research articles, review articles, and short communications, including:  Gerontic Nursing Pediatric Nursing Surgical Medical Nursing Mental health Nursing Community Nursing Emergency Nursing Maternity Nursing Nursing Management Family Nursing
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 345 Documents
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Psychometric Analysis of Validity and Reliability of The Indonesian Version of The Modified Fatigue Impact Scale in Chronic Disease Patients Heny Rostini; Yani Sofiani; Fitrian Rayasari; Rohman Azzam; Widya Astuti
Jurnal Keperawatan Vol 9 No 2 (2024): November
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jkep.v9i2.1789

Abstract

Fatigue is a lack of physical or mental energy that can be felt by individuals and can disrupt daily activities. Fatigue causes a constant decrease in vitality, a lack of energy, and prevents sleep gaps from being filled, ultimately leading to a decline in productivity and quality of life. The prevalence of fatigue in chronic patients varies, as there is no specific data available. However, the prevalence of fatigue depends on the chronic disease in question, such as chronic kidney disease, diabetes mellitus, and heart disease. To obtain a valid and reliable Indonesian version of the MFIS instrument that can measure fatigue in patients with chronic diseases. The sampling technique used was based on the population, using a non-probability sampling method with purposive sampling. The population in this study consisted of patients with chronic diseases (Diabetes Mellitus, Congestive Heart Failure, Stroke). The population was 244 respondents (4 respondents for language comprehension, 30 respondents for validity and reliability testing, and 210 respondents for the final instrument test). The validity test results, with a sample of (n=210 respondents), showed a loading factor value greater than 0.135, indicating that all MFIS items were valid and highly correlated. The reliability test (n=210 respondents) yielded a Cronbach’s Alpha coefficient of 0.869. This study demonstrates that the Indonesian version of the MFIS instrument is valid and highly correlated. This instrument can be used to identify fatigue in chronic diseases and can serve as a guideline for nurses to implement fatigue interventions, thus helping to reduce and address fatigue issues in patients with chronic diseases.
The Link Between Dietary Habits and Body Mass Index in Relation to the Occurrence of Hypertension in The Jatiwarna Village Community Health Center Santa Manurung; Imtihani Afiyah Najiyah; Paula Krisanty; Tri Endah Pangestuti; Wartonah Wartonah; Nelly Yardes; Ace Sudrajat
Jurnal Keperawatan Vol 9 No 2 (2024): November
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jkep.v9i2.1798

Abstract

High blood pressure is a prevalent condition in the community and is a significant risk factor for heart disease. Hypertension is often called “the silent killer” because it is a highly perilous condition that can strike individuals without any detectable signs. There are various elements that can impact high blood pressure, such as dietary habits and obesity, which can be assessed by determining body mass index. To establish the correlation between dietary habits and BMI in relation to the prevalence of hypertension at the Jatiwarna Village Community Health Center. This investigation is a quantitative analysis with a cross-sectional methodology. The example utilized in this study consisted of 79 participants selected through the purposive sampling method. An examination of the connection between factors was conducted using chi square. The findings of the chi square analysis examination on the connection between diet and the occurrence of hypertension obtained p-value = 0,038 (<0,05) and an OR value = 3,117 and the correlation between body mass index and the occurrence of hypertension resulted in a p-value = 0.781 (greater than 0.05). There is a noteworthy connection between diet and the prevalence of hypertension and there is no substantial connection between body mass index and the prevalence of hypertension in adulthood.
THE EFFECTIVENESS OF BENSON RELAXATION THERAPY AND GUIDED IMAGERY THERAPY ON ANXIETY OF PRE-OPERATIVE SECTIO CAESAREA PATIENTS AT THE REGIONAL GENERAL HOSPITAL IN 2024 Lingga Abduh Faruq; Tati Hardiyani
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.v10i1.1936

Abstract

Anxiety that occurs before Sectio Caesarea surgery is a natural thing, arising from facing something that has been or has never been experienced before. Therefore, an action is needed that can reduce the patient's anxiety level. Benson relaxation and Guided imagery therapy are two therapeutic non-pharmacological therapeutic measures that can be used to reduce the patient anxiety levels. This study aims to determine the effectiveness of Benson relaxation and Guided imagery therapy on anxiety of pre-operative Sectio Caesarea patients at The Regional General Hospital. This study was conducted from February to March 2024 at Ajibarang Regional Hospital with the population in this study being all pre-operation sectio casaera patients at Ajibarang Regional Hospital, Ajibarang, Central Java. This study used a quantitative method, with a cross-sectional design. The sample in the study was 32 respondents who were taken by purposive sampling and then divided into two intervention groups with 16 respondents each for each intervention group. The data collection in this study is in the form of observations, interviews, and questionnaires. Data analysis using Paired sample t-test. The results showed that there was a significant effect between Benson relaxation therapy and Guided imagery therapy on the anxiety levels in pre-operative Sectio Caesarea patients (p<0.001).
THE EFFECT OF TELEMONITORING ON DIABETES DISTRESS IN PATIENTS WITH TYPE II DIABETES MELLITUS IN RI-RDTL BORDER REGION Yane Cristiana Ua Sanan; Veronika Nitsae
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.v10i1.1939

Abstract

Diabetes mellitus (DM) is associated with various complications, one of which is diabetes distress. Although numerous technology-based interventions have been implemented for patients with DM the impact of these interventions on diabetes distress remains inadequately understood. This study aimed to assess the effect of telemonitoring on diabetes distress among patients with type II DM in border regions. A quasi-experimental pre and post-test research design, without a control group, was utilized for the study. Conducted from July to September 2024, at the Puskesmas in the Belu Regency, the study involved a total sample of 22 respondents, selected through consecutive sampling. The Indonesian version of the Diabetes Distress 17 (DDS17) was used to measure diabetes distress. The telemonitoring intervention consisted of telephone calls lasting approximately 15-20 minutes. Data analysis was performed using the Wilcoxon signed-rank test. Results indicated that the mean value of diabetes distress before the intervention was 2.82, which decreased to 1.86 after the intervention. The difference in the decrease in the average value before and after the intervention was 0.96. Statistical analysis using the Wilcoxon signed rank test revealed a p-value of less than 0.05, indicating a significant difference in diabetes distress before and after the telemonitoring intervention. Therefore, telemonitoring can be considered a viable technology-based intervention through telephone calls to reduce distress in DM patients, particularly in border areas.
THE EFFECTIVENESS OF IMPLEMENTING DISCHARGE PLANNING ON FAMILY KNOWLEDGE IN CARING FOR PATIENTS WITH CORONARY HEART DISEASE Menik Fismaleni; Wan Nishfa Dewi; Yesi Hasneli
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.v10i1.1947

Abstract

Discharge planning is a dynamic and systematic process of assessment, preparation, and coordination aimed at facilitating the supervision of health and social services before and after hospital discharge. This study aims to determine the effectiveness of discharge planning implementation on family knowledge in caring for patients with Coronary Heart Disease (CHD). A quasi-experimental design with a one-group pretest-posttest approach was used. The sample consisted of 27 respondents selected through accidental sampling based on inclusion criteria. The intervention involved providing educational material using a leaflet on family knowledge in caring for CHD patients. Knowledge was measured using a 25-item questionnaire. The results showed that most respondents were aged 45–54 years (48.1%), female (59.3%), had a high school education (59.3%), and had cared for CHD patients for less than one year (55.5%). In the bivariate analysis, the pretest scores indicated that 73.4% had moderate knowledge, while posttest scores revealed that 96.74% had good knowledge. These findings demonstrate that discharge planning significantly improves family knowledge in caring for CHD patients, which may help reduce recurrence and hospital readmission rates.
PATIENT SATISFACTION WITH CARDIAC CATHETERIZATION SERVICES Hendri Putra; Wan Nishfa Dewi; Ade Dilaluri
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.v10i1.1955

Abstract

Abstract Despite the increasing emphasis on patient satisfaction as a key indicator of healthcare quality, there remains a lack of studies specifically examining satisfaction levels among cardiac catheterization patients, particularly across different procedural stages. This study aims to determine patient satisfaction with cardiac catheterization services. This study used an analytic descriptive design. Samples involved in this study were patients who undertook catheterization from May to June 2024 with a total of 44 respondents selected using total sampling. The variable of this study was patient satisfaction with cardiac catheterization services measured using a questionnaire developed by the researcher. It was validated with an R-value of 0.039 and a Cronbach value of 0.940. Data were analyzed using descriptive analysis. The result of the study showed that most of the respondents' age were late elderly (43.2%), male (72.7%), and high school education (52.3%). The majority of respondents were satisfied with the pre-catheterization stage (81.8%), the intra-catheterization stage (90.9%), and the post-catheterization stage (81.1%). The majority of respondents (86.4%) were satisfied with the cardiac catheterization services that had been carried out. Moreover, based on the characteristics of the respondents, elderly respondents were satisfied (94.7%), more male respondents stated satisfied (87.5%), and respondents with high school education (91.3%). The level of satisfaction was based on the stages of action in each dimension of satisfaction, and in general, the respondents were satisfied with the service. Patient satisfaction has a vital role in the outcome of health services, and it is an indicator of the service and management of health institutions.
IMPACT OF BUERGER ALLEN EXERCISE ON ANKLE BRACHIAL INDEX IN TYPE II DIABETES MELLITUS PATIENTS Eka Diana Permatasari; Arif Rakhman; Yessy Pramita Widodo; Ikawati Setyaningrum; Firman Hidayat
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.v10i1.1956

Abstract

Type II Diabetes Mellitus (T2DM) carries a high risk of long-term complications, such as blood vessel damage from the buildup of glucose in the bloodstream . The incidence of T2DM complications, such as neuropathy and Peripheral Artery Disease (PAD), is notably high. These issues are often linked to low physical activity, as indicated by abnormal Ankle Brachial Index (ABI). One physical exercise for T2DM patients that can be done actively is the Buerger Allen Exercise (BAE). This study aims to analyze the effect of BAE on ABI values in T2DM patients. The study used a pre-experimental design with post-test only control group. Sampling was conducted through total sampling, with 20 participants in the intervention group and 20 in the control group. Data were collected by measuring the ABI values of the intervention group after on session of BAE for 20 minutes, and comparing them with the control group. The data were analyzed using the Mann-Whitney U test because of the non-normal distribution. The findings revealed a significant impact of BAE on ABI values in T2DM patients (p-value 0.003 < 0.05). The average ABI value post-BAE intervention in the treatment group was 0.79 (mild obstruction), while the control group had an average of 0.69 (moderate obstruction). The BAE physical exercise improves blood flow through muscle contractions and gravity, which increases peripheral perfusion, as demonstrated by the improvement in ABI values. The findings suggest that BAE can be implemented as a routine physical activity program for people with T2DM.
ANALYSIS OF MODIFIABLE FACTORS ASSOCIATED WITH VENTILATOR-ASSOCIATED PNEUMONIA IN MECHANICALLY VENTILATED PATIENTS IN ICU Nabiila Puspitasari; Rycco Darmareja
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.v10i1.1960

Abstract

Ventilator-associated pneumonia (VAP) is reported as one of the highest nosocomial infection conditions in several countries. Risk factors can be classified into modifiable and non-modifiable factor. This study aims to analyze modifiable factors related to the incidence of VAP in patients using mechanical ventilation. This study used a prospective cohort observational analytic design with a quantitative involving 40 patients with mechanical ventilation in the ICU and selected using purposive sampling. Observation sheets and Clinical Pulmonary Infection Score (CPIS) were used as data collection tools. Hypothesis testing in this study utilized Somers’s d, contingency coefficient, and Kendall’s tau. The analysis revealed significant associations between the duration of mechanical ventilation (p=0.009), and level of consciousness (p=0.021) with the incidence of VAP. However, no significant associations were found between antibiotic use (p=0.075), ICU length of stay (p=0.135), and reintubation (p=0.253) with the incidence of VAP. The study showed that the length of time mechanical ventilation was used and the patient's level of consciousness were factors associated with the incidence of VAP in the ICU. Thus, special attention to modifiable factors can be one of the effective strategies in reducing the incidence of VAP in the ICU.
REDUCING SYMPTOMS OF MENTAL EMOTIONAL DISORDERS IN ADOLESCENTS THROUGH SELF-HELP GROUP THERAPY Amelia Wulan Sari; Muhammad Ari Arfianto; Ajeng Pramudianingtias; Setia Purbaningrum; Sefira Khoirotus Salsa; Nanda Putri Rahayu
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.v10i1.1962

Abstract

Adolescence is a transitional stage marked by biological, emotional, and cognitive changes that increase the risk of developing mental-emotional disorders such as anxiety, depression, and emotional instability. WHO report that 10–20% of adolescents face mental health problems, influenced by factors such as family conflict, peer pressure, and excessive social media use. Without early intervention, these disorders may lead to long-term consequences including chronic psychiatric conditions and increased suicide risk. This study aims to analyze the effect of SHG therapy in reducing emotional and mental disorders in adolescents. A quantitative, pre-experimental one-group pretest-posttest design was used. The sample consisted of 76 junior high school students in grades VII and VIII in Malang Regency, selected through total sampling. SHG therapy was conducted based on the Specialist Mental Health Nursing Standard Operating Procedure in four structured stages: problem identification, planning, problem solving, and evaluation. The intervention was delivered across 17 meetings divided into four sessions, facilitated by a trained mental health nurse and five facilitators. Mental-emotional disorders were assessed using the validated Pediatric Symptom Checklist-17 (PSC-17). Participants had PSC scores ≥15 and consented to full participation. Data were analyzed using the Wilcoxon test. The mean score for emotional and mental disorders decreased from 17.16 (SD = 5.001) before the intervention to 15.63 (SD = 6.092) after (p = 0.001), reflecting a 9% reduction. SHG therapy significantly reduces emotional and mental disorders in adolescents and holds potential for implementation in school-based mental health initiatives
THE IMPACT OF PROVIDING APPRECIATION STARS “DIARY OF MY BONE” ON CHILDREN’S EMOTIONAL WELL-BEING IN MALANG REGENCY VILLAGE Herdyana Lintang Sari; Mochamad Saiful Anwar
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.v10i1.1970

Abstract

Children’s mental health is essential for their emotional, social, andacademic development. Anxiety and other mental disorders can hinder achild's future, making early intervention crucial. Diary of My Bone is acompanion journal designed for children aged 7-11, structured according toErik Erikson’s developmental stages. It introduces kyphosis through simpleexplanations and illustrations while providing guidance on brace care. Thejournal encourages children to track daily activities, emotions, food intake,and brace usage, with star stickers as motivation. This study examines theimpact of Diary of My Bone on children’s moods using a pre-test and posttest experimental design without a control group. The research wasconducted in Sumber Sekar Village, Malang Regency, with a minimum of 10children meeting inclusion criteria. Mood assessments were conducted beforeand after a four-week intervention, and data were analyzed using a paired ttest. Results show that the use of Diary of My Bone significantly improvedchildren’s moods, enhancing their social interactions, confidence, andoverall happiness. The star sticker reward system effectively motivatedchildren to complete their daily tasks, fostering emotional resilience and selfdiscipline. These findings highlight the potential of appreciation-basedinterventions in nursing practices to support children's psychological wellbeing. Integrating simple reward-based strategies into pediatric healthcarecan enhance children’s motivation, emotional expression, and adherence tohealth routines, offering a cost-effective approach to long-term healthmonitoring and development.

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