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Adi Husada Nursing Journal
Published by Sekolah Tinggi Ilmu Kesehatan Adi Husada
ISSN : 24434019     EISSN : 25022083     DOI : -
Core Subject : Health,
Nursing Public Health
Adi Husada Nursing Journal (AHNJ) is a peer review and open access journal that publishes scientific work in the field of nursing (print ISSN: 2443-4019, e-ISSN: 2502-2083). The journal has been published since 2015 and was developed by the Research and Community Service Unit, STIKes Adi Husada. The AHNJ periodicals are published twice a year in June and December, and provides an open access to the public for reading abstracts and full text. The scope of the Adi Husada Nursing Journal is nursing and health areas.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 252 Documents
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The Impact of Technology-Based Games on The Fine Motor Development of Special Needs Children Rukmini, Rukmini; Iswati, Iswati; Andriani, Dewi
Adi Husada Nursing Journal Vol 11 No 1 (2025): Adi Husada Nursing Journal
Publisher : STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/ahnj.v11i1.628

Abstract

The development of fine motor skills in children is a crucial ability that can be nurtured. The development of fine motor skills is frequently delayed in children with exceptional disabilities. Technology-based games, available in a variety of specialized smartphone applications, are one way to gradually and entertainingly improve children's fine motor skills. The purpose of this study is to assess the effectiveness technology-based games in helping children with special needs develop their fine motor skills. The research design uses a quasi-experimental method with a one-group pre-post test approach. A total of 28 children with special needs were the subjects of the study. Data were collected through observation using the Bender Visual Motor Gestalt Test instrument and analyzed using the Wilcoxon statistical test. The research results show that after engaging in technology-based games, the percentage of those surveyed with high fine motor abilities rose from 21.4% to 57.1% after playing technology-based games. Statistical test analysis showed a significant improvement in the fine motor skills of children with special needs after being given technology-based games, with a p-value of 0.000 and α < 0.05. The results of this study provide evidence of the influence of technology-based games on fine motor skills in special needs children. The implications of the research on technology-based games can be an effective alternative for developing fine motor skills in special needs children.
Relationship Between Coping Strategies and Anxiety Levels Among Hemodialysis Patients with Chronic Kidney Disease: A Cross-Sectional Study at Moewardi Hospital Perdana, Dennada Bagus Putra; Septiawan, Debree; Lisetiawati, Lisetiawati
Adi Husada Nursing Journal Vol 11 No 2 (2025): Adi Husada Nursing Journal
Publisher : STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/ahnj.v11i2.655

Abstract

Anxiety is the most common psychopathological response among patients with chronic kidney disease (CKD). Coping strategies play a key role in helping individuals adapt to stressful conditions, yet no prior research has examined their relationship with anxiety levels among CKD patients undergoing hemodialysis at Moewardi Regional General Hospital, Surakarta. This observational cross-sectional study involved 37 CKD patients. Coping strategies were assessed using the Brief-COPE questionnaire, while anxiety levels were measured using the HADS-A instrument. Data were analyzed using Spearman’s rho correlation and the Mann–Whitney test with a significance level of 0.05. Most participants were male (67.6%), elderly (29.7%), married (75.7%), and had undergone hemodialysis for ≥5 years (51.4%). The analysis revealed a very strong inverse correlation between coping strategies and anxiety levels (ρ = –0.793; p = 0.000). Significant differences were also found between patients using adaptive versus maladaptive coping strategies (p = 0.000). These findings indicate a significant association between coping strategies and anxiety severity in CKD patients receiving hemodialysis at Moewardi Regional General Hospital, Surakarta.
Elderly Patient Safety Management Using Peer to Peer Safety Companion (P2PSC) Intervention Iswati, Iswati; Zakiyah, Ana
Adi Husada Nursing Journal Vol 11 No 2 (2025): Adi Husada Nursing Journal
Publisher : STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/ahnj.v11i2.664

Abstract

Adverse events, particularly falls and medication errors, remain a significant challenge in elderly patient care at home. The Peer to Peer Safety Companion (P2PSC) intervention leverages peer support to enhance patient engagement and safety vigilance. This study aimed to evaluate the effectiveness of P2PSC in reducing fall risk and improving medication adherence among elderly patients at home. A quasi-experimental one-group pretest-posttest design involved 56 elderly participants receiving P2PSC support for 4 days over 2 weeks. Data analysis revealed significant reductions in fall incidents (p=0.001) and improvements in medication adherence (p=0.001). Mean fall risk scores decreased from 12.5 to 9.2, while medication adherence scores increased from 72.5 to 81.3. The P2PSC intervention effectively enhances safety management for elderly patients and is recommended as a supplementary standard in geriatric care management at home.
The Relationship Between Onset-To-Treatment Time Interval and History of PCI Therapy With Triage Selection in The Cardiac Emergency Center For STEMI Patients Hanafiah, Yusuf; Zaharany, Tsania Ayu; Gunawan, Annisa Pratiwi; Amita, Dzikra Fitria; Risdianti, Helza; Firstania, Aurelia; Rajagukguk, Sartika; Aris, Muhammad Chairul
Adi Husada Nursing Journal Vol 11 No 2 (2025): Adi Husada Nursing Journal
Publisher : STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/ahnj.v11i2.649

Abstract

STEMI remains the leading cause of cardiovascular mortality, demanding an integrated management system to save the myocardium, where the accuracy of triage decisions is the key determinant of timely access to cardiac catheterization. However, in practice, several clinical factors can complicate triage assessment, including variations in symptom presentation and specific patient characteristics. A prolonged onset-to-symptom interval often alters and obscures symptoms, while a history of prior Percutaneous Coronary Intervention (PCI) is not always clearly evident. This study employed an analytical observational design with a cross-sectional approach to analyze the correlation between independent and dependent variables. The study was conducted in the Cardiac Emergency Center (CEC) of Haji Adam Malik General Hospital during the period of September to December 2024. The study population consisted of all patients diagnosed with ST-Elevation Myocardial Infarction (STEMI). The sampling technique used was total sampling, yielding 86 respondents. Based on statistical testing, the correlation between STEMI onset time and triage category selection was found to be 0.003, indicating a significant correlation between the two variables. Meanwhile, the variable of PCI history with triage category selection had a significance value of 0.308, suggesting no correlation between the two variables. The onset-to-symptom interval is a factor significantly correlated with the selection of triage priority level in STEMI patients at the Cardiac Emergency Center. This reinforces the principle of “time is muscle” in STEMI management, where the duration from symptom onset to hospital arrival directly influences the assessment of severity and the determination of treatment priority by nurses.
The Relationship between Performance Accomplishment and Physiological–Emotional State with Adaptation among Patients with Diabetes Mellitus Ismandani, Risa Setia; Warsini, Warsini; Ramadhani, Dwi Yuniar; Hardiyanti, Siti
Adi Husada Nursing Journal Vol 11 No 2 (2025): Adi Husada Nursing Journal
Publisher : STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/ahnj.v11i2.665

Abstract

Diabetes Mellitus (DM), as a major non-communicable disease, continues to pose a global health challenge due to its rapidly increasing prevalence. In Indonesia, approximately 11.3% of the adult population is affected by diabetes. The chronic nature of DM substantially influences patients’ quality of life across physical, psychological, social, and role-related domains. Consequently, effective DM management requires not only medical treatment but also psychosocial support to enhance patients’ adaptive capacity. This study aimed to examine the relationship between performance accomplishment and physiological–emotional state and overall adaptation among patients with Diabetes Mellitus. A correlational cross-sectional design was employed involving 145 patients with type 2 DM recruited from Jayengan Primary Health Center (Surakarta) and Tambak Rejo Primary Health Center (Surabaya). Data were collected using self-efficacy source questionnaires and an adaptation instrument based on Roy’s Adaptation Model. Multiple linear regression analysis revealed that performance accomplishment was significantly associated with patient adaptation (B = 8.110; β = 0.394; p = 0.001), as was physiological–emotional state (B = 6.765; β = 0.286; p = 0.001). Performance accomplishment emerged as the most dominant contributor to adaptation. These findings highlight the importance of DM management interventions that prioritize gradual mastery experiences and emotional support to strengthen patients’ adaptive responses
Relationship Between the Risk of Postpartum Depression and the Quality of Mother-Infant Bonding Attachment in Postpartum Mothers Ernawati, Septyana Nur; Rahayuningsih, Faizah Betty
Adi Husada Nursing Journal Vol 11 No 2 (2025): Adi Husada Nursing Journal
Publisher : STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/ahnj.v11i2.648

Abstract

The postpartum period is a critical phase for establishing mother–infant bonding, and untreated postpartum depression (PPD) may disrupt this process and affect infant development. This study examined the association between PPD risk and bonding quality among postpartum mothers. A cross-sectional quantitative design was applied to 92 respondents selected through simple random sampling at Miri and Tlogowungu Community Health Centers, with data collection conducted from August to September 2025. PPD risk was assessed using the Edinburgh Postnatal Depression Scale (EPDS), and bonding quality was measured using the Postpartum Bonding Questionnaire (PBQ). Data were analyzed using the Chi-Square test, with association strength reported as Odds Ratio (OR) and a 95% Confidence Interval (CI). Results showed that 31.5% of mothers were at risk for PPD. Normal bonding was identified in 72.8%, while 27.2% experienced bonding disturbances, including 18.5% with severe impairment and 8.7% with mild disruption. A significant association was observed between PPD risk and bonding disturbance (p < 0.001). Mothers at risk of PPD were substantially more likely to experience severe bonding impairment compared with those not at risk (OR = 100.9; 95% CI: 16.1 – 632.2). These findings indicate that PPD risk is strongly associated with impaired maternal–infant bonding, underscoring the need for routine screening and early psychosocial support in postpartum care.
Evaluation of Self-Control and Resilience as Psychological Predictors of Regular Physical Exercise in the Elderly Sulistyana, Caturia Sasti; Sulistyawati, Wiwin; Nurseskasatmata, Satria Eureka; Christianingsih, Siska; Fauzi, Abdul
Adi Husada Nursing Journal Vol 11 No 2 (2025): Adi Husada Nursing Journal
Publisher : STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/ahnj.v11i2.656

Abstract

Regular physical exercise is crucial for healthy aging, yet many elderly face psychological barriers that prevent consistent participation. This study analyzed self-control and resilience as psychological predictors of regular physical exercise in the elderly, used a quantitative correlational design. Sixty respondents aged 60-70 years with simple random sampling. Data were collected used Brief Self-Control Scale and CD-RISC-10 for resilience instruments, while the level of participation in regular physical exercise was measured based on attendance to the physical exercise four times a week. The data were then analyzed using Pearson correlation and multiple linear regression. The results showed a significant correlation between self-control (r=0.721, p-value 0.002), resilience (r=0.618, p-value 0.003). Regression analysis revelead that self-control (β = 0.55, p-value 0.000) and resilience (β = 0.51, p-value 0.002) significantly predicted exercise behavior, explaining 28% of the variance (R² = 0.28). These findings suggest that elderly with higher self-control and resilience are more likely to maintain a regular exercise. The results support the development of health promotion programs that incorporate psychological training to strengthen self-regulation and adaptability in the elderly. Future research should explore the other predictors of physical exercise in elderly. Strengthening psychological resources is a key strategy to well-being in elderly.
Manajemen Cairan Pada Pasien Gagal Jantung Dalam Mengurangi Edema dan Kelebihan Cairan Hidayat, Aris Teguh; Sari, Fermata; Yamin, M; Sianturi, Leny Joice
Adi Husada Nursing Journal Vol 11 No 2 (2025): Adi Husada Nursing Journal
Publisher : STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/ahnj.v11i2.573

Abstract

When evaluating and treating individuals with heart failure, volume overload and fluid congestion are issues. One of the main causes of hospital admission, rehospitalization, and mortality in heart failure is fluid congestion. Reducing congestion and preserving euvolemia is crucial because patients with heart failure who are treated with fluid overload have a higher risk of readmission and/or mortality. Fluid management is one intervention that nurses can use to help patients with heart failure avoid oedema and fluid overload. This systematic study aims to reduce oedema and fluid overload in heart failure patients by identifying fluid management strategies. Data collection methods used online databases: PubMed, Google Scholar, Science Direct, Scopus, ClinicalKey, ClinicalKey Nursing, EBSCOhost, Springer Link, and Sage Journal using the keywords Heart Failure Patient, Fluid Management, Reduce Oedema, and Fluid Overload. Data were analyzed using PRISMA. Based on the review of 5 selected articles, it was found that fluid management was carried out to reduce oedema and fluid overload in patients with heart failure. The primary cause of hospitalization for patients with acute decompensated heart failure (ADHF), which mostly manifests as pulmonary and systemic congestion, is excessive water retention brought on by sodium ion imbalance. For patients with ADHF, relieving congestion is a crucial part of treatment.
Hubungan Bermain Game Online dengan Kejadian Insomnia pada Siswa Kelas XI SMA Mahardhika Surabaya Wilujeng, Sri; Roufuddin, Roufuddin; Yobel, Sosilo; Goo, Christa Welli
Adi Husada Nursing Journal Vol 11 No 2 (2025): Adi Husada Nursing Journal
Publisher : STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/ahnj.v11i2.645

Abstract

Many teenagers were trapped playing online games late into the night, which can lead to insomnia. Insomnia could impact mental and physical health, reducing concentration and affecting mood. Therefore, parents needed to limit online gaming time and provide healthier and more positive entertainment activities for teenagers. The purpose of this study was to determine the relationship between playing online games and the incidence of insomnia. This research method used a correlation analytic design with a cross-sectional approach. The number of samples in this study was 37 students using a total sampling technique. The instrument used a questionnaire. The validity test of the questionnaire in this study used the Spearman Rank test. The results showed that most of the eleventh grade students of SMA Mahardhika Surabaya (62.2%), namely 23 students rarely played online games and most (62.2%), namely 23 students experienced mild insomnia. The results of the study showed P = 0.092. with α = 0.05, namely P more than α. This means that there were no relationship between playing online games and the incidence of insomnia in class XI students of SMA Mahardhika Surabaya. The strength of the relationship was sufficient with a correlation coefficient value = 0.28 and was in the same direction, the lower the frequency of playing online games, the lower the incidence of insomnia. Thus, students were expected to reduce the time playing online games and did other more useful activities.
Foot Exercise Therapy to Alleviate Peripheral Neuropathy Severity in Elderly Patients with Diabetes Mellitus Pratiwi, Wahyu Nur; Firmanda, Giovanni Iga; Sunarno, Rita Dewi; Gayatri, Paramita Ratna; Prodyanatasari, Arshy
Adi Husada Nursing Journal Vol 11 No 2 (2025): Adi Husada Nursing Journal
Publisher : STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/ahnj.v11i2.654

Abstract

Foot neuropathy is a common condition experienced by older adults with diabetes mellitus. This complication can be managed through physical activity, including foot exercises. This study aimed to evaluate the effect of foot exercises on the severity of foot neuropathy in older adults with diabetes mellitus at the Tarokan Community Health Center. This quasi-experimental study employed a non-equivalent control group design and involved 30 older adults with diabetes mellitus who exhibited neuropathic symptoms. Participants were divided into two groups: 15 individuals in the intervention group and 15 in the control group, selected through purposive sampling. The intervention group performed foot exercises three times per week for three weeks, with each session lasting 15–20 minutes. A 10 g monofilament and an observation sheet were used as instruments, and data were analyzed using the Wilcoxon and Mann–Whitney tests. The Wilcoxon test revealed a significant reduction in the degree of foot neuropathy in the intervention group (p = 0.001), whereas the control group showed no significant change (p = 0.527). The Mann–Whitney test indicated a significant difference between the two groups (p = 0.000). These findings demonstrate that foot exercises effectively reduce the severity of foot neuropathy in older adults with diabetes mellitus. Regular implementation of foot exercises is recommended as a non-pharmacological approach to decreasing the degree of foot neuropathy among older adults with diabetes mellitus.

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