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NURSING UPDATE JURNAL ILMIAH ILMU KEPERAWATAN
Published by Sekolah Tinggi Ilmu Kesehatan Ngudia Husada Madura
ISSN : 20855931     EISSN : 26232871     DOI : https://doi.org/10.36089/nu
Core Subject : Health, Science,
Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health
NURSING UPDATE is the official peer-reviewed research journal of the Nursing Science, and is devoted to publication of a wide range of research that will contribute to the body of nursing science and inform the practice of nursing, nursing education, administration, and history, on health issues relevant to nursing, and on the testing of research findings in practice.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 792 Documents
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Resilience of Inmates of Class IIA Pekalongan State Prison in Facing Legal Problems Triono, Yuli; Dzil Kamalah, Aisyah
NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 Vol 16 No 1 (2025): MARET
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/nu.v16i1.2644

Abstract

Prolonged changes in environment and more difficult situations than before can damage psychological conditions and even lead to thoughts of ending one's life prisoners. resilience, which is the effort to bounce back and improve the difficult situation faced. The study aims to evaluate how the resilience of prisoners in the Class IIA State Detention Center Pekalongan in facing legal problems is depicted. This study uses a descriptive method with a cross-sectional design. Data collection was carried out using a simple random sampling technique. The sample in this study was 155 prisoners of the Class IIA state detention center in Pekalongan. The respondents' resilience level was measured using the Resilience Scale. Based on the resilen respondents showing high resilience were 81 people (54.3%). It is suggested for future researchers to conduct research in two or three locations for data collection so that the data obtained is more varied and meets the required sample size
Penerapan Kompres Tepid Water Sponge Terhadap Penurunan Suhu Tubuh Pada Anak Dengan Hipertermi Di Ruang Wijaya Kusuma RSUD Kardinah Kota Tegal Riana, Maya Reza; Netra Wirakhmi, Ikit
NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 Vol 16 No 1 (2025): MARET
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/nu.v16i1.2645

Abstract

Hyperthermia can be defined as a condition of body temperature above normal as a result of an increase in the temperature control center in the hypothalamus. In children who have a fever, the temperature increase is mild, ranging from 37.5-38°C. The impact that can be caused if the fever is not treated is that it can cause brain damage, hyperpyrexia which will cause shock, epilepsy, mental retardation or learning disabilities. To overcome the problem of hyperthermia, several independent nursing actions can be carried out, one of which is the Tepid Water Sponge (TWS). This experiment aims to determine the effect of administering Tepid Water Sponge to patients with hyperthermia in the Wijaya Kusuma Room, Kardinah Tegal Hospital. This experiment was carried out with observations during 3 meetings and interventions for administering the Water Sponge Technique for 3 days on April 14-15, 2025. The results of the first experiment were that the patient's body temperature before being given Tepid Water Sponge was 39.8 Celsius, on the second day there was a decrease in body temperature to 38.2 Celsius, and on the third day the body temperature became 37.5 Celsius. In conclusion, Tepid Water Sponge therapy is effective in lowering body temperature in patients with hyperthermia in the Wijaya Kusuma Room, Kardinah Tegal Hospital.
Efektivitas Terapi Murotal Surah Ar-Rahman Pada Pasien Tumor Hati Dengan Nyeri Akut Di Ruang Lavender Bawah RSUD Kardinah Tegal Supriyanto, Azis; Sumarni, Tri
NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 Vol 16 No 1 (2025): MARET
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/nu.v16i1.2650

Abstract

Liver tumors are characterized by the abnormal growth of cells in the liver. Acute pain is one of the common symptoms experienced by patients with liver tumors, significantly affecting their quality of life and psychological well-being. Non-pharmacological therapies, such as Qur’anic recitation (murottal), are increasingly used as complementary methods to reduce pain perception. Surah Ar-Rahman is known to produce calming and relaxing effects, both psychologically and physiologically, through its stable sound waves and repetitive recitation rhythm. This study aims to evaluate the effectiveness of Murottal Therapy using Surah Ar-Rahman in reducing pain intensity among patients with liver tumors. The research design is a descriptive case study involving a 44-year-old male patient diagnosed with a liver tumor and undergoing hepatectomy. The intervention involved administering Murottal Therapy with Surah Ar-Rahman for three days (13–15 January 2025). Pain was assessed using the Numeric Rating Scale (NRS) before and after the intervention. The results showed a gradual reduction in pain intensity from a score of 6 (moderate pain) to a score of 2 (mild pain) after three consecutive days of therapy. The significant decrease in pain intensity indicates that Murottal Therapy with Surah Ar-Rahman is effective as a complementary approach to relieve acute pain in liver tumor patients. These findings support the use of Murottal Therapy with Surah Ar-Rahman as a safe and beneficial non-pharmacological intervention in nursing practice. It is recommended that future researchers explore the application of other non-pharmacological therapies for pain management.
Pemanfaatan Sumber Daya Alam sebagai Terapi Alternatif dalam Menurunkan Tekanan Darah pada Penderita Hipertensi: Systematic Review Siagian, Heriviyatno J; Baeda, Abd. Gani; Alifariki, La Ode
NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 Vol 16 No 1 (2025): MARET
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/nu.v16i1.2659

Abstract

Despite the availability of effective pharmacological treatments, blood pressure control remains suboptimal due to medication-related side effects, adherence issues, and limited access to healthcare, especially in low- and middle-income countries. This systematic review aims to evaluate the efficacy and safety of natural resources in reducing blood pressure among individuals with hypertension, based on evidence from randomized controlled trials (RCTs). Following the PRISMA 2020 guidelines, a comprehensive literature search was conducted in PubMed, ScienceDirect, Cochrane Library, and Medline. Eligible studies were English-language RCTs investigating the effects of medicinal plants, herbal extracts, or natural dietary supplements on systolic and/or diastolic blood pressure. Data were extracted on study design, population characteristics, type of intervention, duration, outcomes, and safety. Twenty-four RCTs were included, covering interventions such as Hibiscus sabdariffa, Nigella sativa, aged garlic extract, oat bran, celery, and polyherbal formulations. Most interventions showed significant reductions in blood pressure, especially in individuals with stage 1 hypertension. Side effects were rare and mild. Conclusion: Natural resources show promise as adjunct antihypertensive therapies, but study heterogeneity limits generalizability. Standardized, large-scale trials are needed.
Penerapan Pijat Oksitosin Pada Ibu Post Partum Dengan Menyusui Tidak Efektif Di Ruang Mawar RSUD Kardinah Tegal Solikhah, Afifatus; Wahyu Ningrum, Ema
NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 Vol 16 No 1 (2025): MARET
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/nu.v16i1.2677

Abstract

Ineffective breastfeeding is a common issue among postpartum mothers and can hinder the provision of exclusive breastfeeding, which may negatively impact infant growth and development. Non-pharmacological interventions such as oxytocin massage have been proven to improve breastfeeding effectiveness by stimulating the release of oxytocin, a hormone essential for the milk ejection reflex, while also promoting maternal relaxation. This study aimed to examine the effectiveness of oxytocin massage in addressing ineffective breastfeeding among postpartum mothers. A descriptive case study design was employed, utilizing a nursing care process approach. The subject was a 34-year-old postpartum mother (Ny. T) on her second day after spontaneous delivery, experiencing difficulties in breastfeeding. Oxytocin massage was administered over a 3-day period from January 13 to 15, 2025, following standard operating procedures (SOP), with each session lasting 15–20 minutes. Evaluation included observation of breastfeeding frequency, expressed breast milk volume, infant suckling strength, and post-feeding infant behavior.The evaluation revealed a significant improvement in breastfeeding effectiveness. The frequency of breastfeeding increased from 3 to 8 times per day, milk volume rose from approximately 5 ml to 30 ml per session, infant suckling strength improved, and the baby appeared satisfied after feeding. The breastfeeding effectiveness score increased from 2 (ineffective) to 4 (effective). Additionally, the mother reported feeling more confident and less anxious. Oxytocin massage proved to be an effective, simple, safe, and low-cost non-pharmacological intervention for enhancing breastfeeding among postpartum mothers. This technique can be integrated into maternal nursing care practices in healthcare facilities.
UPAYA MENINGKATAN PENGETAHUAN KELUARGA MENGENAI PROGRAM KELUARGA BERENCANA (KB) UNTUK MENCEGAH TERJADINYA KEHAMILAN JARAK DEKAT DI DESA PURBAYASA KABUPATEN PURBALINGGA Noormalita, Amela; Maryoto, Madyo
NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 Vol 16 No 1 (2025): MARET
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/nu.v16i1.2678

Abstract

Pregnancies with short interpregnancy intervals remain a serious public health issue in Indonesia, particularly in rural areas such as Purbayasa Village, Purbalingga Regency. Intervals of less than 24 months between pregnancies significantly increase the risk of complications for both mother and child, and may negatively affect the quality of parenting. This study aimed to evaluate the effectiveness of a family-based educational nursing intervention in improving knowledge and awareness regarding the Family Planning (FP) program as a strategy to prevent closely spaced pregnancies. This research employed a descriptive case study design using the nursing care process, which includes five sequential stages: assessment, diagnosis, planning, implementation, and evaluation. The subject was a pregnant woman with two children, the second of whom was only 1 year and 10 months old. The intervention was carried out through three home visits focusing on the promotion of health behavior (I.12472) and the promotion of family integrity (I.13490). The results demonstrated a significant improvement in the family's understanding and attitudes toward family planning, along with more collaborative and structured parenting practices. The two nursing diagnoses—health behavior at risk (D.0099) and risk of ineffective parenting process (D.0128)—showed meaningful improvements or were resolved. In conclusion, the structured and participatory educational intervention was effective in enhancing family awareness and behavioral changes related to pregnancy planning and child-rearing.
HUBUNGAN TINGKAT KECEMASAN DENGAN ADAPTASI SOSIAL PADA LANSIA DENGAN PENDEKATAN TEORI MODEL ADAPTASI ROY DI UPT PSTW BONDOWOSO Marroh, Ilza Sulsilatul; Hafifah, Vivin Nur; Khotimah, Husnul
NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 Vol 16 No 1 (2025): MARET
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/nu.v16i1.2576

Abstract

Introduction: The elderly or elderly are often understood by health and social practitioners as a vulnerable group with the increasing number of elderly population, there are also several problems that will arise, including physical or psychosocial problems. One of the psychosoial problems often experienced by the elderly is anxiety or anxiety. One of the most common causes of anxiety in the elderly is social support, especially in the elderly who are in social institutions.Researchers' objective: to determine the relationship between anxiety levels and social adaptation in the elderly with roy's adaptation model theory approach at UPT PSTW Bondowoso. Research Method: using a type of quantitative research in the form of correlation research that essentially examines the relationship between variables. In this study, there were 80 respondents who were UPT PSTW Bondowoso The instrument used in this study was a questionnaire consisting of 14 questions and 14 questions. Results: this study used spearmen't rank test, P value of 0.000. Because of the P<0.05 value, Ho was rejected and Ha was accepted so that it can be concluded that there is a fairly high positive relationship between the relationship between the level of anxiety and social adaptation in the elderly with the approach of roy's adaptation model theory at UPT PSTW Bondowoso. Conclusion: based on the results of this study, there is a relationship between anxiety levels and social adaptation in the elderly with roy's adaptation model theory approach at UPT PSTW Bondowoso.
Efektivitas Penerapan Posisi Orthopneic dalam Mengatasi Pola Napas Tidak Efektif pada Pasien Asma: Studi Kasus di Ruang Edelweiss RSUD Kardinah Tegal Widiani, Zamila; Khasanah, Suci
NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 Vol 16 No 1 (2025): MARET
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/nu.v16i1.2724

Abstract

Asthma is a chronic inflammatory disease of the airways characterized by airway obstruction and ineffective breathing patterns. One non-pharmacological intervention that can help improve ventilation is the orthopneic position. This study aimed to determine the effectiveness of the orthopneic position in addressing ineffective breathing patterns in asthma patients. This research employed a descriptive case study design involving a 43-year-old female patient diagnosed with asthma and experiencing shortness of breath. The orthopneic position intervention was administered for three consecutive days, with each session lasting 15 minutes in the morning. Data were collected through observations of respiratory rate and clinical symptoms. The results showed a decrease in respiratory rate from 26 breaths per minute to 20 breaths per minute, along with improvements in clinical symptoms, including reduced wheezing and decreased use of accessory respiratory muscles. In conclusion, the application of the orthopneic position is effective in reducing respiratory workload and improving ventilation in asthma patients with ineffective breathing patterns.
PENERAPAN TERAPI UAP MINYAK KAYU PUTIH PADA ANAK DENGAN BRONKOPNEUMONIA DI RSUD KARDINAH TEGAL Jatmiko, Heli; Yunida Triana, Noor
NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 Vol 16 No 1 (2025): MARET
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/nu.v16i1.2729

Abstract

Bronchopneumonia is an inflammatory disease of the respiratory organs that affects several lobes in the lungs. WHO data shows that bronchopneumonia mostly affects children under 5 years old and is the biggest cause of death in children. Bronchopneumonia will generally have typical symptoms such as shortness of breath and coughing. Children under the age of five cannot remove secretions independently so they will experience problems with ineffective airway clearance and children are at high risk of experiencing shortness of breath. Efforts to overcome shortness of breath in bronchopneumonia children can be overcome by using complementary therapies, one of which is eucalyptus oil steam therapy. Eucalyptus oil is produced from the leaves of the melaleuca plant with its largest content of eucalyptol (cineole). The properties of cineole produce mucolytic effects to thin phlegm, relieve breathing, and anti-inflammatory. This study aims to determine the effect of steam therapy with eucalyptus oil on respiratory frequency in patients with bronchopneumonia. This research is an analytical descriptive research with a case study approach. The subjects were children with bronchopneumonia who experienced shortness of breath. The study was conducted by providing steam therapy using warm water mixed with 2 drops of eucalyptus oil in a container and then inhaling the steam for 10-15 minutes, with 3x24 hours of intervention. Data collection was carried out by interview, observation and documentation study. The results showed a decrease in respiratory frequency in the subject from 26x/min to 21x/min. In conclusion, steam therapy with eucalyptus oil is effective in reducing the respiratory frequency of paediatric patients with bronchopneumonia.
FAKTOR RISIKO YANG BERKAITAN DENGAN KEJADIAN KANKER PAYUDARA DI RSUD PROF. DR MARGONO SOEKARJO PURWOKERTO Jatmiko, Heli; Sekar Siwi, Adiratna; Apriliyani, Ita
NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 Vol 16 No 1 (2025): MARET
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/nu.v16i1.2730

Abstract

Breast cancer is a malignancy that originates from the glandular cells, glandular ducts and supporting tissues of the breast, excluding the skin of the breast. Cancer can start to grow in the mammary glands, milk ducts, fatty tissue or connective tissue in the breast. According to the Every year more than 185,000 women are diagnosed with breast cancer. There are risk factors for breast cancer, including age, family history, obesity, smoking and previous history of breast cancer. This type of research is descriptive analytic using case control design. The population in this study were breast cancer patients at Prof. Dr. Margono Soekarjo Purwokerto Hospital in June–August 2023 which recorded 101 patients diagnosed with breast cancer. The sample in this study amounted to 50 in the case group and 50 samples in the control group with a total of 100 samples. Data analysis in this study was univariate and bivariate performed by calculating the magnitude of risk factors (Odd Ratio / OR). The results showed that age is a risk factor for breast cancer (OR 6.7), family history is a risk factor for breast cancer (OR 1.5), obesity is a risk factor for breast cancer (OR 6.6), smoking is not a risk factor for breast cancer (OR 1) and a previous history of breast cancer is a risk factor for breast cancer (OR 12.3).

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