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Jurnal Ners
Published by Universitas Pahlawan Tuanku Tambusai
ISSN : -     EISSN : 25802194     DOI : 10.31004
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing
Fokus Jurnal Ners meliputi bidang kajian riset keperawatan diantaranya Keperawatan Medikal Bedah, Keperawatan Maternitas, Keperawatan Gawat Darurat, Keperawatan Anak, Keperawatan Lansia, Keperawatan Jiwa, Keperawatan Keluarga, Keperawatan Masyarakat, Manajemen Keperawatan dan Terapi Komplementer yang dapat menunjang tindakan keperawatan Jurnal Ners dikelola dan diterbitkan oleh Program Studi Keperawatan Fakultas Ilmu Kesehatan (FIK) Universitas Pahlawan Tuanku Tambusai Jurnal Ners adalah pengembangan dari Jurnal Program Studi Keperawatan STIKes Tuanku Tambusai yang mulai melakukan publikasi cetak tahun 2012 seiring dengan perubahan bentuk Institusi menjadi Universitas Pahlawan
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 351 Documents
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Search results for , issue "Vol. 10 No. 1 (2026)" : 351 Documents clear
Efektivitas Aplikasi Gamifikasi dalam Meningkatkan Pengetahuan Remaja Tentang Stunting Asep Paturohman; Roma Tao Toba Muara Ria; Solaeman Solaeman; Agustina Gea
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.52858

Abstract

One of the nutritional problems faced by many developing countries is Stunting. This occurs when children's growth is hampered due to chronic malnutrition. Gamafikasi is a game application created for education. The game application in this study is named Stunting Defender, the purpose of this study is to test the effectiveness of Stunting gamafikasi on adolescent knowledge about stunting. The method used is a simple quantitative experiment that compares the average value of the pre-test and post-test points, the sample used is 20 junior high school students. The results of the study found that more than half of the gender is 13 people or 65% male. The total age of 20 respondents or 100% is 11-14 years old, the pretest score for knowledge is more than half either 75% or 15 respondents, the posttest score is almost entirely 95% or 19 respondents have good knowledge. The average pre-test score was 56.2 points and the average post-test score was 78.9 points, indicating a 22.7-point increase in knowledge. Statistical testing yielded a p-value of 0.042, indicating a significant difference in knowledge before and after playing the Stunting Defender game.
Reproductive Health Literacy Among Adolescents in Pekanbaru: A Cross- Sectional Study Masrina Munawarah Tampubolon; Nurhannifah Rizky Tampubolon; Niken Yuniar Sari; Arneliwati Arneliwati
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.52882

Abstract

Reproductive health literacy is a foundational element in promoting sustainable public health, particularly among adolescents. Despite its importance, global and national studies consistently report low literacy levels in this domain. This cross-sectional study aimed to assess the reproductive health literacy of junior high school students in Pekanbaru, Indonesia, with a specific focus on gender-based disparities. A total of 323 students were purposively selected and surveyed using a highly reliable instrument adapted from the Health Literacy Measure for Adolescents (HELMA), which evaluates five key domains: accessing, reading, understanding, appraising, and applying health information. Findings revealed that 91.02% of respondents fell into the “inadequate” literacy category, with no participants achieving an “excellent” level. Gender analysis showed that 95.04% of male and 87.91% of female students were classified as having inadequate literacy, while only 3.72% reached a “sufficient” level. Although female students exhibited slightly higher proportions in the “problematic” and “sufficient” categories, the overall literacy remained critically low across both genders. Domain-specific analysis indicated stronger conceptual understanding among adolescents but significant weaknesses in functional and critical literacy skills. This study contributes novel insights by documenting lower literacy levels than previously reported in national and international contexts, and by offering a detailed breakdown across literacy domains. The results underscore the urgency of implementing targeted, domain-based, and gender-sensitive educational interventions. Furthermore, the findings advocate for a locally grounded, collaborative approach involving schools, healthcare providers, families, and digital media to cultivate a supportive information ecosystem that empowers adolescents in making informed reproductive health decisions.
The Influence of Telemedicine Usability, Empathy And Hospital Facility on Patient Experience in Mother and Children's Hospital Mozart Malik Ibrahim; Anugriaty Indah Asmarany; Maria Oce Yea ST
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

The study's objective is to assess how telemedicine usability, empathy and hospital facilities affect the patient experience at a Maternity and Child Hospital (RSIA). One of the significant justifications for this research is the growing demand for healthcare services that are not only technologically up-to-date but also comfortable, effective, and humane. Quantitative explanatory method was the chosen approach of the study and its participants were 150 patients who had received treatment at RSIA. The sample was selected through purposive sampling and the data were collected via a five-point Likert-scale questionnaire. The research instrument was first validated and then the data subjected to reliability testing using Cronbach’s Alpha and classical assumption testing before multiple linear regression was applied for analysis. The study found that the three independent variable significantly and positively contributed to the patient experience. The coefficient of determination (R²) indicates that the model can explain the patient experience. From a theoretical perspective, the study supports the literature concerning the factors influencing patient experience in hospitals for mothers and children. In addition to increasing the academic literature, this study also suggests hospitals ways to enhance patient experience through optimal utilization of telemedicine, improvement of medical personnel's empathy, and hospital facilities' physical safety, comfort, and child-friendliness upgrading.
Factors Affecting The Negative Difference Between Hospital Rates and INA-CBGS Rates for Ischemic Stroke Patients at dr. Soebandi General Hospital in Jember Rachman Adji Prakoso; Abu Khoiri; Viera Wardhani3
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.52910

Abstract

The National Health Insurance casemix-based payment system through INA-CBGs often causes discrepancies between actual costs and claim rates, particularly in cases of ischemic stroke, which are clinically complex. This study aims to analyze the factors that influence the negative difference between hospital rates and INA-CBGs rates for ischemic stroke patients at Dr. Soebandi General Hospital in Jember in 2024. The study employs a quantitative approach with a cross-sectional design and SEM-PLS analysis. A total of 81 JKN ischemic stroke patients were selected through stratified proportional sampling based on treatment class. The results showed that concordant comorbidity did not have a significant effect on severity (β = 0.159; p = 0.11), while discordant comorbidity had a positive and significant effect (β = 0.730; p < 0.001). Severity had a significant positive effect on LOS (β = 0.322; p < 0.001). In addition, LOS was found to have a significant negative effect on the rate difference (β = –0.724; p < 0.001). Meanwhile, the treatment class did not show a significant effect on the rate difference (β = 0.077; p = 0.29). The R² value of the rate difference was 0.508, indicating that the model was able to explain 50.8% of the variation in the rate difference. These findings confirm that the complexity of comorbidity and length of stay are the main determinants of hospital cost deficits.
Efektifivitas Intervensi Perubahan Perilaku Petani dalam Penggunaan Pestisida Berbasis Pendekatan Transtheoretical Model Friska Eka Fitria; Nur Afrainin Syah; Jamsari Jamsari; Yuniar Lestari
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.52921

Abstract

Penggunaan pestisida yang tidak aman dan sehat masih menjadi persoalan serius di sektor pertanian dan meningkatkan risiko kesehatan petani. Penelitian ini bertujuan mengevaluasi efektivitas intervensi berbasis Transtheoretical Model (TTM) dalam mendorong perubahan perilaku penggunaan pestisida yang aman dan sehat pada petani hortikultura di Kabupaten Solok. Penelitian menggunakan desain one group pretest–posttest dengan 36 responden yang dipilih menggunakan quota sampling. Instrumen berupa kuesioner TTM yang memetakan lima tahap perilaku: pra-kontemplasi, kontemplasi, persiapan, tindakan, dan pemeliharaan. Intervensi diberikan satu kali melalui penyuluhan menggunakan media berupa video edukasi, diskusi kelompok dan konseling individu, dan pelatihan penggunaan APD dan praktik dosis serta pencampuran pestisida yang tepat. Hasil menunjukkan pergeseran signifikan tahap perilaku, dengan mayoritas petani bergerak dari kontemplasi ke persiapan dan tindakan. Uji Wilcoxon menghasilkan p=0,000 (p≤0,05), menandakan adanya perbedaan bermakna antara pretest dan posttest. Sebanyak 72,2% petani mengalami perubahan perilaku ke arah positif. Temuan ini menegaskan bahwa intervensi yang disesuaikan dengan tahapan kesiapan individu lebih efektif dalam mendorong perubahan perilaku, serta berpotensi menjadi dasar penyusunan strategi peningkatan kesehatan kerja petani yang berkelanjutan.
The Influence of Social Media Exposure on Perceptions and Intentions to Electronic Cigarettes Among Adolescents (Systematic Literature Review Widia Widia; Rita Damayanti
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.52927

Abstract

Abstrak Peningkatan konsumsi rokok elektrik (e-cigarette) pada remaja di berbagai negara menimbulkan kekhawatiran terkait perubahan persepsi risiko dan tingginya niat mencoba akibat paparan media sosial. Platform seperti TikTok, Instagram, dan YouTube secara intensif menampilkan konten promosi, influencer marketing, dan unggahan teman sebaya yang berpotensi menormalisasi perilaku vaping. Penelitian ini bertujuan menganalisis pengaruh paparan media sosial terhadap persepsi dan niat merokok elektrik pada remaja serta faktor-faktor yang mempengaruhi perubahan tersebut. Metode yang digunakan adalah systematic literature review (SLR) dengan pendekatan PRISMA, mencakup penyaringan 1.107 artikel dari PubMed, Scopus, ProQuest, dan ScienceDirect (2015–2025), 17 artikel memenuhi kriteria inklusi. Hasil penelitian menunjukkan bahwa paparan konten media sosial, khususnya iklan dan promosi dari influencer, memiliki pengaruh signifikan terhadap penurunan persepsi bahaya terhadap rokok elektrik. Intensitas paparan media sosial dan jenis konten yang diterima berkontribusi terhadap niat remaja untuk mencoba atau melanjutkan penggunaan rokok elektrik, dengan platform seperti Instagram, TikTok, dan YouTube memainkan peran utama dalam membentuk norma sosial dan persepsi terkait vaping. Temuan ini menekankan pentingnya pengawasan yang lebih ketat terhadap iklan rokok elektrik di media sosial dan perlunya kampanye edukasi kesehatan berbasis digital untuk meningkatkan kesadaran remaja tentang risiko penggunaan rokok elektrik. Kata Kunci: paparan media sosial, rokok elektrik, persepsi, niat menggunakan, remaja Abstract The increase in e-cigarette consumption among adolescents in various countries has raised concerns regarding changes in risk perception and high intention to try due to social media exposure. Platforms such as TikTok, Instagram, and YouTube intensively display promotional content, influencer marketing, and peer posts that have the potential to normalize vaping behavior. This study aims to analyze the influence of social media exposure on perceptions and intentions to smoke e-cigarettes among adolescents and the factors that influence these changes. The method used was a systematic literature review (SLR) with the PRISMA approach, covering the screening of 1,107 articles from PubMed, Scopus, ProQuest, and ScienceDirect (2015–2025), with 17 articles meeting the inclusion criteria. The results showed that exposure to social media content, particularly advertisements and promotions from influencers, had a significant effect on reducing the perception of harm associated with e-cigarettes. The intensity of social media exposure and the type of content received contributed to adolescents' intention to try or continue using e-cigarettes, with platforms such as Instagram, TikTok, and YouTube playing a major role in shaping social norms and perceptions related to vaping. These findings emphasize the importance of stricter monitoring of e-cigarette advertising on social media and the need for digital-based health education campaigns to raise adolescents' awareness of the risks of e-cigarette use. Keywords: social media exposure, electronic cigarettes, perception, intention to use, adolescents
Pengaruh Penerapan Model Erna (Emphaty, Responsivness, Nursing Care dan Akuntabilitas) Terhadap Kepuasan Pasien di Rsu Sarila Husada Kabupaten Sragen Erna Irawati; Fery Agusman; Witri Hastuti
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.52949

Abstract

Rumah sakit menjadi salah satu fasilitas yang mempunyai peranan yang penting dan strategis dalam upaya peningkatan status kesehatan masyarakat. Seiring perkembangan jaman, masyarakat semakin kritis dan lebih selektif terhadap pelayanan publik termasuk pelayanan di Rumah Sakit. Sebagai penyedia layanan kesehatan rumah sakit dituntut memberikan pelayanan yang efektif, efisien dan berkualitas serta berorientasi pada kepuasan pasien sebagai pengguna jasa layanan kesehatan. Tujuan penelitian ini adalah untuk menganalisis pengaruh penerapan model ERNA (Emphaty, Responsivness, Nursing Care dan Akuntabilitas) di Rumah Sakit Umum Sarila Husada Sragen. Penelitian ini merupakan penelitian kuantitatif dengan pendekatan quasy eksperiment dengan desain pretest-posttest control group design. Penelitian di lakukan di Rumah Sakit Umum Sarila Husada Sragen dengan jumlah populasi 216 pasien. Teknik sampling yang digunakan adalah purposive sampling dengan jumlah sampel sebanyak 69 responden. Pengumpulan data penelitian menggunakan kuesioner kepuasan pasien (SERQUAL). Untuk mengetahui perbedaan kepuasan responden kelompok kontrol dan intervensi menggunakan analisa data mann whitney sedang untuk menganalisis pengaruh masing-masing komponen ERNA (Emphaty, Responsivness, Nursing Care dan Akuntabilitas) menggunakan regresi linier berganda.. Hasil penelitian menunjukkan rata-rata umur responden 42,19 tahun dengan standar deviasi 11,194 dengan umur terendah 17 tahun dan tertinggi 58 tahun. Responden tidak tamat Sekolah Dasar sebanyak 6 responden (8,7%), SD/sederajat 5 responden (7,2%), SLTP/Sederajat 25 responden (36,2%) dan perguruan tinggi 17 responden (24,6%). Responden dengan pekerjaan petani sebanyak 14 responden (20,3%), karyawan swasta 16 responden (23,2%), PNS 7 responden (10,1%), TNI/POLRI 3 responden (4,3), Wirausaha 26 responden (37,7% dan sebagai pelajar/mahasiswa sebanyak 3 responden (4,3%). Berdasarkan pembiayaan kesehatan sebanyak 23 responden (33,3%) kategori pasien umum dan 46 responden (66,7%) menggunakan BPJS/asuransi lainya. Tingkat kepuasan responden kelompok kontrol dalam kategori puas sebanyak 63 responden (91,3% dan kategori tidak puas sebanyak 6 responden (8,7%). Sedangkan tingkat kepuasan responden kelompok intervensi dalam kategori puas sebanyak 67 responden (97,1% dan tidak puas sebanyak 2 responden (2,9%). Hasil uji analisis mann whitney menunjukkan hasil nilai asymp. Sig (2-tailed) 0,049 < nilai signifikansi yaitu 0,05 yang bermakna terdapat perbedaan kepuasan pasien kelompok kontrol dan kelompok intervensi dengan penerapan ERNA (Emphaty, Responsivness, Nursing Care dan Akuntabilitas) di RSU Sarila Husada Kabupaten Sragen. Penerapan model ERNA mampu menjelaskan 93% variasi kepuasan pasien sedangkan 7% dipengaruhi oleh variabel lainya diluar penelitian. Hal ini menunjukkan bahwa model memiliki kemampuan prediktif yang sangat kuat. Namun nilai signifikansi p = 0,47 (>0,05) menunjukkan bahwa secara statistik model tersebut tidak signifikan
Studi Fenomenologi: Pengalaman Psikologis Perempuan Pasca Histerektomi : Literatur Riview Ibnu Fauzi; Sri Wahyuni; Herry Susanto
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.52950

Abstract

Background: Hysterectomy is a surgical procedure involving the removal of the uterus, which may affect both the physical and psychological condition of women. The loss of the uterus is often associated with diminished femininity, decreased self-esteem, negative body image, and psychosexual disorders. In addition, social factors such as spousal support play a significant role in women’s psychological adaptation after hysterectomy. Objective: This literature review aims to analyze the psychological, sexual, and quality of life impacts experienced by women after hysterectomy, as well as the factors influencing their adaptation. Methods: This study employed a literature review method. Articles were retrieved from national and international databases such as PubMed, ScienceDirect, EBSCO, and Google Scholar. Keywords used included psychological issues after hysterectomy, body image, self-esteem, sexual function, and quality of life. Eligible articles were full-text national and international publications from the last eight years, screened for relevance to topic, research methods, and study results. Results: Hysterectomy may lead to depression, anxiety, negative body image, low self-esteem, and sexual dysfunction. However, spousal support, education, and psychological interventions have been shown to improve self-acceptance, confidence, and women’s quality of life. Conclusion: Hysterectomy has complex psychological impacts on women, ranging from depression, anxiety, and negative body image to sexual dysfunction. Spousal support, education, and psychological interventions are crucial to enhancing self-acceptance, quality of life, and overall well-being of women after hysterectomy. .
Eksplorasi Peningkatan Pengetahuan Kebersihan Mulut Anak Usia Prasekolah Melalui Program Edukasi Di TK Al-Munawaroh Kediri Ibnu Gunawan; Afrida Nurmalasari; Joko Widyastomo; Nabila Rifda; Erwin Gunawan
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.52973

Abstract

Abstrak Karies gigi masih menjadi masalah kesehatan mulut yang paling banyak dialami anak usia dini. Riskesdas 2018 mencatat prevalensi karies sebesar 81,1% pada anak usia 3–4 tahun dan meningkat menjadi 92,6% pada usia 5–9 tahun. Kerentanan ini diperburuk oleh kebiasaan konsumsi makanan manis, teknik menyikat gigi yang kurang tepat, serta rendahnya pengetahuan anak dan orang tua mengenai kesehatan gigi. Penelitian ini bertujuan untuk mengevaluasi efektivitas penyuluhan kesehatan gigi terhadap peningkatan pengetahuan anak prasekolah di TK Al-Munawaroh Kediri. Kegiatan dilaksanakan pada 28 Oktober 2025 menggunakan metode ceramah interaktif, demonstrasi teknik menyikat gigi, praktik bersama, ice breaker, serta evaluasi pre-test dan post-test. Sebanyak 24 anak mengikuti kegiatan ini. Pemeriksaan awal menunjukkan nilai rerata DMF-T sebesar 2,08, menandakan tingkat karies kategori sedang pada kelompok usia dini. Hasil pre-test memperlihatkan bahwa pengetahuan awal anak masih rendah pada seluruh indikator penilaian. Setelah intervensi edukasi, terdapat peningkatan skor yang bermakna pada seluruh aspek pengetahuan, di mana rerata skor meningkat dari 2,06 ± 1,19 menjadi 4,31 ± 0,60. Uji Wilcoxon menunjukkan perbedaan signifikan antara skor pre-test dan post-test (p < 0,001) dengan selisih rata-rata 2,25. Hasil ini menunjukkan bahwa metode edukasi yang melibatkan demonstrasi, praktik langsung, media visual, serta aktivitas interaktif terbukti efektif dalam meningkatkan pemahaman dan kemampuan anak dalam menjaga kesehatan gigi dan mulut. Program edukasi seperti ini direkomendasikan sebagai kegiatan rutin sekolah untuk mendukung upaya pencegahan karies sejak usia dini. Kata Kunci: DMF-T; Edukasi Kesehatan Gigi; Karies Anak; Penyuluhan Prasekolah; Teknik Menyikat Gigi. Abstract Dental caries remains the most prevalent oral health problem among young children. The 2018 National Basic Health Research (Riskesdas) reported caries prevalence of 81.1% among children aged 3–4 years and 92.6% among those aged 5–9 years. This vulnerability is exacerbated by frequent intake of sugary foods, improper toothbrushing techniques, and limited oral health knowledge among children and their parents. This study aimed to evaluate the effectiveness of dental health education in improving the knowledge of preschool children at Al-Munawaroh Kindergarten, Kediri. The intervention was conducted on October 28, 2025, using interactive lectures, toothbrushing demonstrations, guided practice, ice-breaker activities, and pre-test and post-test assessments. A total of 24 children participated in the program. Initial examination showed a mean DMF-T score of 2.08, indicating a moderate level of caries in this age group. Pre-test results demonstrated low baseline knowledge across all assessment indicators. Following the educational intervention, children’s knowledge improved significantly, with the mean score increasing from 2.06 ± 1.19 to 4.31 ± 0.60. The Wilcoxon test indicated a statistically significant difference between pre-test and post-test scores (p < 0.001), with an average increase of 2.25 points. These findings confirm that educational strategies incorporating demonstrations, hands-on brushing practice, visual media, and interactive activities are effective in enhancing children’s understanding and skills in maintaining oral hygiene. Such programs are recommended as routine school-based interventions to support early prevention of dental caries. Keywords: Childhood Caries; Dental Health Education: DMF-T; Preschool Intervention; Toothbrushing Technique.
Severe Malnutrition With Gross Motor Developmental Delay In A 21-Month-Old Girl: A Family Medicine Case Report Salsabila Rahma Fadlillah; Zita Atzmardina
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.53014

Abstract

Severe wasting is also referred to as severe acute malnutrition (SAM). It represents one of the most acute and life-threatening forms of malnutrition affecting vulnerable children worldwide with 13.6 million children under five globally. Indonesia's wasting prevalence (10.2%) exceeds Southeast Asia's 8.9% average, with severe wasting at 5.3%. Survivors face profound developmental delays, with neurobiological changes including reduced synapses and delayed myelination that persist despite nutritional recovery. We managed the toddler with SAM and gross developmental delay comprehensively, utilizing a family medicine approach. We made four home visits every week from July to August 2025 in the Cikupa Community Health Centre area. Patients are given a thorough and all-encompassing management plan, such as patient-centered interventions that involve a family and community approach. After weekly home visits for one month, the patient's weight and height increased. Although the patient's development remained at a score of 6, significant gross motor development was gradually occurring. This case exemplifies family medicine's transformative power in managing SAM with developmental delay through comprehensive management.

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