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Jurnal Ilmiah Keperawatan Imelda
Published by Universitas Imelda Medan
ISSN : 24428108     EISSN : 25977172     DOI : https://doi.org/10.2411/jikeperawatan
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health
Jurnal Ilmiah Keperawatan Imelda dikelola oleh Program Studi S1/DIII Keperawatan STIKes IMELDA, terbit 2 kali dalam setahun. Jurnal ini terbit dalam versi cetak pertama sekali pada bulan Februari 2015, sedangkan untuk media terbitan versi elektronik pertama sekali terbit di Bulan September 2017, dan merupakan wadah bagi para mahasiswa, dosen maupun peneliti untuk mengisi tulisan atau artikel yang merupakan hasil penelitian maupun karya tulis ilmiah di bidang kesehatan dan keperawatan. Jurnal Ilmiah Keperawatan Imelda memiliki scope : 1. Keperawatan medis bedah, 2. Keperawatan darurat, 3. Perawatan mental, 4. Keperawatan bersalin dan anak-anak, 5. Keperawatan komunitas, keluarga dan lansia manajemen keperawatan.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 297 Documents
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EFEKTIVITAS METODE BREAST CARE PROLAKTIN ACCUPRESSURE DAN OXYTOCIN MASSAGE DALAM MENINGKATKAN PRODUKSI ASI PADA IBU POST PARTUM Sudarianti; Susanti, Rini
Jurnal Ilmiah Keperawatan IMELDA Vol. 11 No. 2 (2025): Jurnal Ilmiah Keperawatan IMELDA
Publisher : Program Studi S1/DIII-Keperawatan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikeperawatan.v11i2.2022

Abstract

Breast milk is the best nutrition for babies, especially during the first six months of life, playing an important role in boosting immunity, preventing stunting, and accelerating postpartum recovery in mothers. However, exclusive breastfeeding coverage remains low, with one of the causes being barriers to milk production during the early postpartum period. Non-pharmacological interventions such as breast care, prolactin acupressure, and oxytocin massage can stimulate hormones involved in breast milk production and ejection, but comprehensive studies comparing the three methods are still limited. This study aims to evaluate and compare the effectiveness of breast care, prolactin acupressure, and oxytocin massage in increasing breast milk volume in postpartum mothers. This study is a quasi-experimental study with a post-test control group design. The sample consisted of 60 postpartum mothers aged 0–7 days who met the inclusion criteria, then divided into four groups with 15 respondents each. The intervention was conducted over three days using standard procedures for breast care, prolactin acupressure, and oxytocin massage. Breast milk volume was measured on the fourth postpartum day using an electric pump for 15 minutes. Data analysis included normality tests, one-way ANOVA, and post hoc Tukey HSD. The results showed significant differences between groups (F = 86.342, p < 0.01). Oxytocin massage resulted in the highest breast milk volume and was significantly different compared to breast care (p < 0.001) and prolactin acupressure (p = 0.019), while breast care and prolactin acupressure were not significantly different (p = 0.561). These findings emphasize the importance of oxytocin stimulation in the let-down reflex and recommend oxytocin massage as the primary non-pharmacological intervention to support breast milk production.
PENGALAMAN TENAGA KESEHATAN DALAM PENCEGAHAN INFEKSI NOSOKOMIAL MYCOBACTERIUM TUBERCULOSIS Zai, Luter Kristian; Ritonga, Imelda Liana
Jurnal Ilmiah Keperawatan IMELDA Vol. 11 No. 2 (2025): Jurnal Ilmiah Keperawatan IMELDA
Publisher : Program Studi S1/DIII-Keperawatan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikeperawatan.v11i2.2023

Abstract

Nosocomial infection of Mycobacterium tuberculosis is a serious challenge in hospitals due to the high risk of transmission to healthcare workers due to direct exposure to tuberculosis patients. This study aims to explore the experiences of healthcare workers in preventing nosocomial Mycobacterium tuberculosis infections at Imelda Buruh Indonesia General Hospital, Medan. This study used a descriptive qualitative research type with a phenomenological approach, involving six participants selected through a purposive sampling technique. Data were collected through in-depth interviews and analyzed using the Colaizzi method. The results revealed four themes, namely: healthcare workers' understanding of nosocomial Mycobacterium tuberculosis, healthcare workers' experiences in preventing nosocomial Mycobacterium tuberculosis infections, challenges faced by healthcare workers in preventing nosocomial Mycobacterium tuberculosis infections, healthcare workers' suggestions for improving policies for preventing nosocomial Mycobacterium tuberculosis infections. The conclusion of this study is that healthcare workers have understood how tuberculosis is transmitted and implemented preventive measures such as the use of masks and patient education. However, limited isolation room facilities, lack of standard personal protective equipment, and low patient and family compliance with protocols are significant obstacles
PENGARUH TERAPI SENTUHAN TERHADAP KENAIKAN BERAT BADAN PADA BAYI PREMATUR DI RSUD SIDIKALANG Berutu, Heriaty; Lingga, Rugun Togianur; Arianti, Wiwik Dwi
Jurnal Ilmiah Keperawatan IMELDA Vol. 11 No. 2 (2025): Jurnal Ilmiah Keperawatan IMELDA
Publisher : Program Studi S1/DIII-Keperawatan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikeperawatan.v11i2.2024

Abstract

A premature baby is a baby born before 37 weeks of gestation. Generally, premature babies in Indonesia weigh less than expected and are at high risk of various health complications, including growth and developmental disorders, one of which is slow weight gain. The purpose of this study was to examine the effect of touch therapy on weight gain in premature babies at Sidikalang Regional General Hospital. The method was a correlational study with a one-group pre-test and post-test design. The population was 16 premature babies born in the Perinatology Ward of Sidikalang Regional General Hospital. Purposive sampling was used for sampling. The research instruments were the tools used for data collection. Data collection used standard operating procedures (SOP) for infant massage, infant massage equipment, and baby weight scales, as well as checklists. Statistical analysis used the Wilcoxon Signed Rank Test. The results showed an effect of infant massage therapy on weight gain in premature babies, with the Wilcoxon test showing a Z value of -3.535 and p = 0.000 (p < 0.00). Conclusion: There is an effect of infant massage therapy on weight gain in premature babies.
HAMBATAN KETIDAKPATUHAN PASIEN TUBERKULOSISTERHADAP PENGOBATAN; SEBUAH STUDI KUALITATIF Manurung, Nixson
Jurnal Ilmiah Keperawatan IMELDA Vol. 11 No. 2 (2025): Jurnal Ilmiah Keperawatan IMELDA
Publisher : Program Studi S1/DIII-Keperawatan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikeperawatan.v11i2.2027

Abstract

The increasing burden of TB is caused by poverty, failure of TB activities due to inadequate political commitment and funding, unavailability of services in the community leading to reduced problem innovation and inappropriate diagnosis, reduced supply of medicines and unreported movement of people. This study aims to determine the barriers to non-adherence of tuberculosis patients to their treatment. This research is a qualitative study with a phenomenological approach. Data were collected using in-depth interviews and then analyzed using content analysis. The informants in this study consisted of 16 participants, consisting of 8 participants from the family of tuberculosis patients and 8 participants from tuberculosis patients. The results of this study found four themes, namely (1) Prolonged illness and long treatment, (2) Family persistence, (3) Interaction patterns, (4) Medication adherence. It is concluded that by knowing the obstacles of tuberculosis patients during their treatment, solutions can be found that influence increasing the patient's compliance to take medication regularly and make regular control/visits. It is also recommended that families encourage patients to continue to participate in religious activities while still complying with health procedures
EFEKTIFITAS LATIHAN RANGE OF MOTION KOMBINASI JIGSAW PUZZLE TERHADAP KEKUATAN EKSTREMITAS ATAS PASIEN PASKA STROKE Fransiska Anita Ekawati Rahayu Sa'pang; Felisima Ganut; Zabrina Queenita Mahesa Putri; Elania Anje; Felisita Yola; Getrudis Yusri
Jurnal Ilmiah Keperawatan IMELDA Vol. 12 No. 1 (2026): Jurnal Ilmiah Keperawatan IMELDA
Publisher : Program Studi S1/DIII-Keperawatan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikeperawatan.v12i1.2050

Abstract

Stroke is the leading cause of disability that causes upper limb hemiparesis, resulting in post-stroke patients having difficulty moving their hands, which impacts their ability to perform daily activities. If left untreated, this can lead to various complications such as contractures. During the rehabilitation phase, post-stroke patients need to undergo physical training, especially in the first 3 months after stroke, to pursue neuroplasticity so that hemiparesis can be restored. The purpose of this study was to analyze the effectiveness of combined ROM exercises and jigsaw puzzles in increasing upper limb muscle strength in post-stroke patients at a private hospital in Makassar. The research design used was a quasi-experimental pre-test and post-test equivalent control group design. The sampling technique used was purposive sampling. There were 40 respondents in each group. Data analysis used paired t-tests, with results showing that the combination of ROM exercises and jigsaw puzzles had an effect on the intervention group (p value < 0.05) with a mean value of 5.103, and that ROM exercises had an effect on the control group (p value < 0.05) with a mean value of 3.738. The results of the t-test showed a difference in upper extremity muscle strength between the intervention group and the control group (p value < 0.05). Thus, jigsaw puzzle combination ROM exercises are more effective at increasing muscle strength than regular ROM exercises, making them a suitable combination therapy for nursing care in hospitals.
PENGALAMAN DUKUNGAN KELUARGA PADA PASIEN PENYAKIT GINJAL KRONIK YANG MENJALANI HEMODIALISA: STUDI FENOMENOLOGI DI RUMAH SAKIT IMELDA PEKERJA INDONESIA MEDAN Ali Sabela Hasibuan; Deddy Sepadha Putra Sagala; Ratna Dewi; Anita Sri Gandria Purba; Juni Mariati Simarmata; Areta Jasa Halawa
Jurnal Ilmiah Keperawatan IMELDA Vol. 12 No. 1 (2026): Jurnal Ilmiah Keperawatan IMELDA
Publisher : Program Studi S1/DIII-Keperawatan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikeperawatan.v12i1.2091

Abstract

Hemodialysis is one of the treatments for chronic kidney disease. Because of this condition, it not only causes problems with declining physical health, but also has the potential to cause psychological, social and even spiritual problems, therefore family support from various aspects is one way to overcome this. Family is the closest person who can form interpersonal relationships in attitudes and actions. Therefore, family support has an important influence on chronic kidney disease patients to improve physical, psychological, social and even spiritual health. The purpose of this study was to determine family support for chronic kidney disease patients at the Imelda Buruh Indonesia Hospital, Medan. With qualitative descriptive research through a phenomenological approach. This study was conducted from December 2024 to April 2025. The sampling technique in this study used Purposive Sampling with a total of 8 participants. The research data were collected through interviews and analyzed thematically. The instrument in this study was the researcher himself with interview guideline tools, field notes and recording tools. The results of the study consisted of 4 themes, namely emotional support, information support, instrumental support and appreciation support. The conclusion of this study is that emotional support from the family to the patient is given in the form of the family's willingness to be a companion and provide encouragement and motivation, information support is given in the form of advice and reminders for the patient, instrumental support is given in the form of financing treatment, fulfilling transportation, accompanying and accompanying the patient, while appreciation support is given in theform of assessment and positive encouragement to the patient.
HUBUNGAN KOMORBIDITAS DENGAN KUALITAS HIDUP & EFIKASI DIRI PADA PASIEN GAGAL GINJAL KRONIS Lulu Bastareina; Santi Herlina
Jurnal Ilmiah Keperawatan IMELDA Vol. 12 No. 1 (2026): Jurnal Ilmiah Keperawatan IMELDA
Publisher : Program Studi S1/DIII-Keperawatan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikeperawatan.v12i1.2092

Abstract

The majority of patients with chronic renal failure prefer hemodialysis as a replacement therapy for their kidney function. However, hemodialysis therapy can affect aspects of life such as physical and psychological, where one of the factors that can complicate their condition is the presence of comorbidities, namely hypertension and diabetes mellitus. In the end, these comorbidities will affect the quality of life and self-efficacy of chronic renal failure patients. The purpose of this study was to analyze the relationship between comorbidities with quality of life and self-efficacy in patients with chronic renal failure undergoing hemodialysis. The research method used was cross sectional and involved 108 chronic renal failure patients at the Pandaoni Medika Hemodialysis Clinic Jakarta. The sample determination was determined through non-probability sampling technique in the form of purposive sampling. The instruments used in this study were KDQOL-36 to measure quality of life and CKD-SE to measure self-efficacy of chronic renal failure patients. The results showed that there was a significant relationship between comorbidities with quality of life (p-value = 0.003) and self-efficacy (p-value = <0.001). The results of this study are expected to help emphasize the importance of comorbidity management to maintain good quality of life and self-efficacy.
ANALISIS FAKTOR YANG MEMPENGARUHI MORTALITAS PASIEN NON HEMORRHAGIC STROKE (NHS) DI RSUD TORABELO SIGI SULAWESI TENGAH Christina Ruminggih; Reni Yuli Astutik; Prima Dewi K
Jurnal Ilmiah Keperawatan IMELDA Vol. 12 No. 1 (2026): Jurnal Ilmiah Keperawatan IMELDA
Publisher : Program Studi S1/DIII-Keperawatan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikeperawatan.v12i1.2133

Abstract

Non-hemorrhagic stroke is one of the leading causes of mortality and disability that significantly affects patients’ quality of life. Various clinical and comorbid factors are suspected to influence patient mortality, therefore comprehensive analysis is required to identify these determinants. This study aimed to analyze the factors associated with mortality among patients with Non-Hemorrhagic Stroke (NHS) at Tora Belo Regional Hospital, Sigi Regency, Central Sulawesi. This study employed a quantitative design with an analytic observational method using a retrospective approach. The study was conducted from September to October 2025 at Tora Belo Regional Hospital, Sigi Regency, using secondary data obtained from medical records of NHS patients from September 2024 to 2025. The population consisted of 179 patients, and 124 respondents were selected as samples using probability sampling with a simple random sampling technique. Independent variables included systolic blood pressure, diastolic blood pressure, patient treatment time, Glasgow Coma Scale (GCS) score, blood glucose level, cholesterol level, history of diabetes mellitus, and history of heart disease. Confounding variables included age, body mass index (BMI), duration of diabetes mellitus, diabetes complications, and duration of hypertension, while the dependent variable was NHS patient mortality. Data analysis was conducted through univariate analysis, bivariate analysis, and multivariate analysis using linear regression with SPSS version 23.The bivariate analysis showed significant associations between systolic blood pressure (p=0.002), diastolic blood pressure (p<0,001), treatment time (p<0,001), GCS score (p<0,001), blood glucose level (p<0,001), cholesterol level (p=0.003), history of diabetes mellitus (p=0.006), and history of heart disease (p=0.025) with NHS patient mortality. Confounding variables that significantly affected mortality included age (p=0.002), duration of diabetes mellitus (p<0,001), diabetes complications (p=0.047), and duration of hypertension (p<0,001), while BMI showed no significant association (p=0.086). Multivariate analysis indicated that treatment time was the most influential factor associated with NHS patient mortality (p=0.022) with an Adjusted R Square value of 0.331.These findings indicate that clinical and comorbid factors play an important role in the mortality of non-hemorrhagic stroke patients, emphasizing the importance of early detection and prompt management to improve patient survival outcomes.
PERBANDINGAN REVERSE BARBEAU TEST (RBT) DAN PENILAIAN KLINIS PADA PATENSI ARTERI RADIALIS PASCA KATETERISASI JANTUNG Karina Sukmaningtyas; Arimbi Karunia Estri; Ignatius Gonggo Prihatmono
Jurnal Ilmiah Keperawatan IMELDA Vol. 12 No. 1 (2026): Jurnal Ilmiah Keperawatan IMELDA
Publisher : Program Studi S1/DIII-Keperawatan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikeperawatan.v12i1.2135

Abstract

Transradial cardiac catheterization is increasingly preferred due to its safety and patient comfort; however, radial artery occlusion (RAO) remains a concern as it may limit future radial access. The Reverse Barbeau Test (RBT) has been recommended as an objective method to assess radial artery patency, although clinical assessment is still commonly applied in the ICU of Panti Rapih Hospital. This study aimed to compare the Reverse Barbeau Test and clinical assessment in evaluating radial artery patency among post–cardiac catheterization patients. A comparative study design was conducted using accidental sampling involving 35 post-catheterization patients with radial compression devices admitted to the ICU of Panti Rapih Hospital, Yogyakarta. The study was conducted from May 23 to June 17, 2025. Data were analyzed using the McNemar test. The results showed a statistically significant difference between RBT and clinical assessment at 15 minutes after radial compression application (p = 0.001). RBT was more sensitive in detecting early impairment of radial artery patency, identifying 34.3% of cases compared to only 2.9% detected by clinical assessment. These findings indicate that the Reverse Barbeau Test is more sensitive for early detection of radial artery patency disturbances. Reverse Barbeau Test is objective, non-invasive, easy to perform, and cost-effective; therefore, its use is recommended, particularly during the first 15 minutes following radial compression device application.
PENGETAHUAN DAN EFIKASI DIRI DENGAN KINERJA PERAWAT DALAM MELAKUKAN RESUSITASI JANTUNG PARU DI RUANG GAWAT DARURAT DAN INTENSIF M. Rizki Agustin Triyendi; Dheni Koerniawan; Lilik Pranata
Jurnal Ilmiah Keperawatan IMELDA Vol. 12 No. 1 (2026): Jurnal Ilmiah Keperawatan IMELDA
Publisher : Program Studi S1/DIII-Keperawatan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikeperawatan.v12i1.2143

Abstract

Resusitasi Jantung Paru (RJP) adalah prosedur penyelamatan nyawa darurat yang dilakukan ketika jantung berhenti berdetak. Baik tidaknya kinerja perawat dalam melakukan RJP dapat ditentukan oleh pengetahuan dan efikasi diri, dampak jika kinerja perawat saat melakukan RJP tidak baik, maka RJP kemungkinan besar tidak akan ROSC sehingga nyawa pasien akibat cardiac arrest tidak tertolong.. Tujuan penelitian ini adalah untuk mengetahui hubungan pengetahuan dan efikasi diri terhadap kinerja perawat dalam melakukan resusitasi jantung paru pada ruang gawat darurat dan intensif. Jenis penelitian adalah penelitian kuantitatif dengan pendekatan cross-sectional dan survei analitik, sampel berjumlah 36 dengan teknik total sampling, alat pengumpulan data menggunakan kuesioner dan analisis data menggunakan korelasi Kendall Tau-b. Hasil penelitian menunjukkan ada hubungan yang signifikan pengetahuan (p<0,001) dan efikasi diri (p<0,001) dengan kinerja perawat dalam melakukan resusitasi jantung paru di ruang gawat darurat dan intensif. Disarankan bagi perawat yang bekerja di gawat darurat dan intensif perlu untuk meningkatkan pengetahuan guna mencapai efikasi diri dan kinerja yang maksimal dalam melakukan RJP agar dapat memperbesar peluang hidup pada pasien yang mengalami henti jantung.

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