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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 1,943 Documents
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Aktivitas Antibakteri Minyak Habbatusauda (Nigella Sativa L.) dalam Menghambat Pertumbuhan Bakteri Propionibacterium Acnes dan Staphylococcus Aureus Bukit, Darmanta; Reveny, Julia; Masfria, Masfria
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.47399

Abstract

ABSTRACTAcne is a common skin disorder associated with the proliferation of Propionibacterium acnes and Staphylococcus aureus. This study aims to evaluate the antibacterial activity of Nigella sativa (black seed) oil against these two bacteria and investigate its mechanism of action. The methods included disc diffusion assay for inhibition zone measurement, determination of minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC), and analysis of ion leakage and intracellular content release using spectrophotometry. The results revealed that black seed oil demonstrated antibacterial activity, with the highest inhibition zone at 100% concentration: 16.16 mm for P. acnes and 16.43 mm for S. aureus. MBC values were determined at 12.5% for P. acnes and 6.25% for S. aureus. The oil also induced leakage of Ca²⁺ and K⁺ ions, as well as nucleic acids and proteins from bacterial cells, indicating membrane disruption as its primary mechanism. These findings support the potential use of black seed oil as a natural therapeutic agent for acne treatment. Keywords: black seed oil, acne, antibacterial, Propionibacterium acnes, Staphylococcus aureus.
Aktivitas Antibakteri Minyak Jarak (Castor Oil) dalam Menghambat Pertumbuhan Bakteri Propionibacterium Acnes dan Staphylococcus Aureus Simbolon, Yuni Angelia; Reveny, Julia; Masfria, Masfria
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.47407

Abstract

Abstract Acne is a skin disorder caused by chronic inflammation of the pilosebaceous follicles, commonly associated with increased sebum, bacterial colonization, and local inflammation. The primary bacteria involved are Propionibacterium acnes and Staphylococcus aureus. Long-term use of synthetic antibiotics can lead to bacterial resistance, thus encouraging the search for natural-based alternatives. This study aimed to evaluate the antibacterial activity of castor oil against both bacterial species. The research applied a disc diffusion method to assess the inhibition zones, followed by tests for minimum inhibitory concentration (MIC), minimum bactericidal concentration (MBC), and cellular leakage analysis using UV-Vis spectrophotometry and atomic absorption spectroscopy (AAS). Results demonstrated that castor oil exhibits moderate antibacterial activity, with the highest inhibition observed at 100% concentration: 12.86 mm for P. acnes and 10.3 mm for S. aureus. Furthermore, castor oil induced leakage of Ca²⁺, K⁺, protein, and nucleic acids from bacterial cells. These findings confirm the potential of castor oil as a natural topical antibacterial agent for acne treatment.Keywords: castor oil, antibacterial, acne, Propionibacterium acnes, Staphylococcus aureus
Atypical Glandular Cell Suggestive of Adenocarcinoma In Situ on Pap Smear Examination Hamidiyah, Silpi; Azmi, Sabrina
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.47455

Abstract

Introduction: Atypical Glandular Cells (AGC) on Pap smear is a finding that requires further evaluation, as it may indicate precancerous lesions such as adenocarcinoma in situ (AIS) or invasive adenocarcinoma. This case discusses a 45-year-old woman with postcoital spotting, diagnosed with AGC suggesting AIS and a focus of adenocarcinoma. Case Report: The patient presented to the clinic with postcoital spotting over the past two weeks. Cervical examination revealed a mass on the cervix from the 11 o’clock to 4 o’clock position. A Pap smear revealed AGC suggesting AIS. The patient subsequently underwent colposcopy and biopsy, which confirmed adenocarcinoma in situ with a focus of invasive adenocarcinoma. Discussion: Atypical Glandular Cells on Pap smear carry a significant risk of cervical neoplasia. Further evaluation with colposcopy and biopsy is crucial for accurate diagnosis. In this case, the finding of adenocarcinoma in situ with a focus of invasive adenocarcinoma highlights the need for aggressive management, such as hysterectomy, to prevent progression to fully invasive cervical cancer. Management with radical hysterectomy was recommended to prevent further progression to invasive cancer. This procedure aimed to remove the lesion completely and prevent recurrence. Conclusion: Detection of AGC suggesting AIS requires immediate investigation for proper diagnosis and management. Radical hysterectomy may be an effective treatment option to prevent further progression and improve the patient's prognosis. Keywords: AGC, AIS, pap smear.
Penerapan Tree Emotion dan Word Affirmation (Tema) Sebagai Teknik Ekspresi Emosi untuk Menurunkan Tingkat Depresi pada Lansia di Panti Tresna Werdha Yogyakarta Kartinah, Kartinah; Pamungkas, Nanda Putri Ary; Rohman, Muh Fathoni
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.47528

Abstract

Latar Belakang: Lansia di Indonesia menghadapi prevalensi depresi tinggi (sekitar 32%), terutama di panti werdha, akibat isolasi sosial, penurunan fungsi tubuh, dan minimnya dukungan emosional. Terapi farmakologis memiliki keterbatasan seperti efek samping dan risiko ketergantungan. Oleh karena itu, diperlukan intervensi non-farmakologis seperti TEMA yang menggabungkan ekspresi emosi visual (Tree Emotion) dan verbal (Word Affirmation) untuk mengatasi hambatan komunikasi emosional pada lansia. Tujuan: Menganalisis efektivitas teknik TEMA dalam menurunkan tingkat depresi pada lansia di Panti Tresna Werdha Yogyakarta. Metode: Penelitian menggunakan desain quasi-experimental one group pretest-posttest dengan sampel 7 lansia (purposive sampling). Instrumen pengukuran depresi adalah Geriatric Depression Scale (GDS). Hasil: Hasil pretest menunjukkan skor GDS subjek masuk kategori depresi sedang-berat. Setelah intervensi, 5 dari 7 subjek mengalami penurunan skor dan dua subjek lain skornya stabil. Analisis statistik membuktikan perbedaan signifikan antara pretest dan posttest (p=0,017). Kesimpulan: Teknik TEMA secara statistik efektif menurunkan depresi pada lansia, dengan kombinasi ekspresi emosi visual dan verbal sebagai kunci keberhasilan. Implementasinya direkomendasikan sebagai terapi komplementer di panti jompo untuk meningkatkan kesejahteraan psikologis lansia
Modifikasi Program Creating Opportunities For Parent Empowerment (COPE) Terhadap Penurunan Stres Orang Tua di Pediatric Intensive Care Unit (PICU) Gawara, Aulia; Amir, Yufitriana; Agrina, Agrina
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.47605

Abstract

Abstrak Modifikasi program Creating Opportunities for Parent Empowerment (COPE) merupakan program pemberdayaan orang tua dalam peningkatan pengetahuan, keterlibatan serta keterampilan orang tua dalam perawatan anak khususnya di PICU. Penelitian ini bertujuan untuk mengidentifikasi pengaruh modifikasi program COPE terhadap penurunan stres orang tua di PICU. Penelitian ini merupakan penelitian kuantitatif, dengan desain penelitian Quasi Experimental menggunakan kelompok kontrol dan kelompok eksperimen. Sampel penelitian adalah 56 responden yang diambil berdasarkan kriteria inklusi dan ekslusi dengan cara simple random sampling. Data yang diambil menggunakan alat ukur Parental Stress Scale (PSS). Hasil penelitian ini menunjukkan bahwa orang tua di PICU mayoritas berusia dewasa awal (20-44 tahun), didominasi oleh Ibu, berasal dari suku Melayu, mayoritas responden di kelompok eksperimen mengalami stres berat saat pretest (89,3%), lalu menurun menjadi stres ringan (100%). Sementara itu, pada kelompok kontrol, stres berat tetap dominan (92,9%) baik saat pretest maupun posttest. Terdapat perbedaan rata-rata penurunan stres orang tua di PICU pada kelompok eksperimen dan kelompok kontrol setelah dilakukannya intervensi modifikasi program COPE pada uji statistik mann whitney dengan p value 0,000 < α 5% (p < 0,05). Kesimpulannya modifikasi program COPE dapat menurunkan stres orang tua di Pediatric Intensive Care Unit (PICU), dan direkomendasikan untuk dilakukan oleh tenaga keperawatan sebagai program yang penting untuk menurunkan stres pada yang merawat ank kritis di PICU. Kata kunci: Program Creating Opportunities for Parent Empowerment (COPE), Stres Orang Tua, Pediatric Intensive Care Unit Abstract Modification of Creating Opportunities for Parent Empowerment (COPE) program empowers parents by boosting their knowledge, involvement, and skills in caring for their child especially in the Pediatric Intensive Care Unit (PICU). This study aimed to evaluate the impact of the modified COPE program on reducing parental stress in the PICU.This quantitative study used a quasi-experimental design with control and intervention groups. A total of 56 respondents, selected through simple random sampling based on inclusion and exclusion criteria, participated. Parental stress was measured using the Parental Stress Scale (PSS). Reseacrh findings so that most parents in the PICU were aged 20–44, primarily mothers, and mostly of Malay ethnicity. In the intervention group, severe stress was high at pre-test (89.3%), but after the program all parents reported only mild stress (100%). In contrast, the control group remained predominantly in the severe stress range at both pre-test and post-test (92.9%). There was a significant difference in the average reduction of parental stress between the experimental and control groups following the modified COPE program intervention, as measured by the Mann–Whitney test. Modification of COPE program significantly reduced parental stress in the PICU. It is recommended as an essential intervention for nursing staff to support parents of hospitalized children. Keywords: Creating Opportunities for Parent Empowerment (COPE) Program, Parental Stress, Pediatric Intensive Care Unit
The Relaksasi Pernapasan dengan Teknik Ballon Blowing pada Peningkatan Saturasi Oksigen Pasien dengan Edema Paru Bibi, Raihana Elnas; Purwanti, Okti Sri
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.47619

Abstract

Pendahuluan: Edema paru akut merupakan suatu kondisi ketika terjadi akumulasi cairan di paru paru (ruang insterstitial dan alveoli). Cairan ini memenuhi alveolus di dalam paru-paru yang menyebabkan seseorang sulit untuk bernafas. Kondisi ini menyebabkan gejala seperti dyspnea, batuk dan penurunan saturasi oksigen. Salah satu penatalaksanaan non farmakologis yang dapat dilakukan adalah dengan Ballon Blowing. Tujuan : Mengetahui efektivitas teknik ballon blowing dalam meningkatkan saturasi oksigen pasien edema paru. Metode: Karya tulis ilmiah ini merupakan studi kasus menggunakan pendekatan asuhan keperawatan dengan pengaplikasian Evidance Based Nursing. Studi kasus ini digunakan untuk mengetahui pengaruh pemberian balloon blowing yang dilakukan selama 10 menit pada penderita edema paru. Teknik pernapasan meniup balon dilakukan dengan cara mengeluarkan udara secara perlahan dan dengan menggunakan bibir yang mengerucut kemudian ditiupkan udara kedalam balon. Saturasi oksigen diukur menggunakan oksimeter sebelum dan sesudah intervensi. Hasil: Setelah pemberian balloon blowing menunjukkan bahwa saturasi oksigen meningkat signifikan dari 80% menjadi 96% dan frekuensi pernapasan membaik dari 28x/menit menjadi 20x/menit dan penurunan penggunaan otot bantu napas. Kesimpulan : Menarik napas melalui hidung dan dikeluarkan melalui mulut dengan menggunakan teknik ballon blowing dapat meningkatkan saturasi oksigen pada penderita edema paru, Kombinasi pernapasan diafragma dan ekspirasi terkontrol berperan dalam optimalisasi pertukaran gas, mengurangi beban kerja otot pernapasan, dan memperbaiki ventilasi alveoli. Kata Kunci: Balloon blowing, Edema paru, Saturasi oksigen, Tuberculosis
Implementation Of Time Out Procedure To Reduce Operation Side Identification Errors At St Elisabeth Hospital Bekasi Fauzi, Achmad; Kusumawardani, Maharani Dyah
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.47635

Abstract

Background: In response to this, WHO has launched a global movement to promote safe surgery, which gave birth to the surgical safety checklist. The use of this checklist has been shown to reduce mortality by 50% and reduce complications from 11% to 7%. Objective: The effect of the Implementation of Time Out Procedure on Reducing Errors in Identification of the Surgical Site at St. Elisabeth Hospital, Bekasi Research Method: cross-sectional research method, with data analysis carried out univariately and bivariately with the chi square test. Research Results: Description of the results of the characteristics of respondents based on age, the most are in patients who underwent with the age of 46-55 years, the most gender is in patients who underwent surgery, the female gender is 36 respondents (56.2%), the most type of surgery in patients with major surgery is 41 respondents (64%). Based on the results of the chi square statistical test in this study, the results of the p-value were 0.000 <0.05 H0 was rejected and Ha was accepted, meaning that there was a significant relationship between the Time Out Procedure operation and the occurrence of errors in identifying the side of the operation in the surgical room of St. Elisabeth Hospital, Bekasi in 2025. Conclusion: There is an influence between Time Out Procedure surgery and the incident of error opening the surgical side in the ST Elisabeth Bekasi Hospital surgical room with a p-value of 0.000
Pengaruh Pemberian Posisi Pronasi dan Terapi Musik Terhadap Peningkatan Saturasi Oksigen (SPO2) Pada Bayi Prematur di Unit Nicu RSUD Dr.H. Mohamad Rabain Muara Enim Afridianti, Wiwin; Mariani, Dini; Novianti, Sri Wulandari; Suryaningsih, Chatarina; Apriany, Dyna
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.47636

Abstract

Tingginya angka kematian bayi baru lahir sebesar 75,5% adalah bayi prematu dengan permasalahan gangguan sistem pernafasan. Perawatan bayi prematur harus dilakukan dengan baik terutama menstabilkan pernafasan dengan meningkatkan saturasi oksigen, dan frekuensi denyut jantung. Pemberian posisi pronasi dan terapi musik merupakan salah satu terapi nonfarmakologis yang dapat diberikan pada bayi prematur. Tujuan penelitian ini mengidentifikasi pengaruh pemberian posisi pronasi disertai terapi musik terhadap peningkatan saturasi oksigen ( SPO2) pada bayi premature di Unit NICU RSUD dr. H. Mohamad Rabain Muara Enim. Metode: Penelitian ini menggunakan desain quasi experiment design with pre-post test with control group terhadap 56 bayi prematur yang di bagi menjadi kelompok interensi dan kontrol. Responden dipilih secara non probability sampling melalui pendekatan purposive. Pengumpulan data dilakukan dengan pengukuran saturasi oksigen sebelum dan setelah pemberian posisi pronasi dan terapi musik selama 3 hari. Analisis data yang digunakan adalah uji Wilcoxon, uji t-dependen, dan uji t independent. Hasil: menunjukkan adanya pengaruh yang signifikan dari pemberian posisi pronasi dan terapi music terhadap peningkatan saturasi oksigen pada bayi prematur dengan nilai p value 0,0001 ( p <0,05 ). Pemberian terapi tersebut terbukti mampu membuat bayi prematur relaks dan meningkatkan saturasi oksigen di Ruang NICU. Kesimpulan: Pemberian posisi pronasi disertai dengan terapi musik dapat dilakukan di tempat perawatan bayi premature untuk mempertahankan ketenangan bayi prematur dengan tujuan meningkatkan saturasi oksigen. Saran: diharapkan peneltiian ini dapat meningkatkan kualitas asuhan keperawatan pada bayi prematur khususnya yang mengalami masalah gangguan pernafasan menggunakan posisi pronasi dan terapi musik untuk meningkatan saturasi oksigen.
Efektivitas Pelatihan Btcls Berbasis Blended Learning Terhadap Kepuasan dan Peningkatan Kompetensi Peserta di Bapelkes Mataram Saimi, Saimi; Pranoto, Hery
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.47647

Abstract

Abstract Basic Trauma Cardiac Life Support (BTCLS) training has played an important role in improving the preparedness of health workers in dealing with emergency conditions. The blended learning method as a solution to limited resources and time, as well as to increase the effectiveness of training. Purpose: To find out the level of satisfaction and competency improvement of participants with BTCLS training based on blended learning. Methods: This study was a quantitative study using a cross-sectional survey of one group pre-post test design, with a sample of 73 trainees. Data were collected through standardized questionnaires and statistically analyzed using fisher exact test and paired t-test, with a significance level of p ≤ 0.005. Results: Showed that instructor quality, material accuracy, and organizer facilities were significantly related to participant satisfaction (Sig ≤ 0.01). The paired t-test also showed a significant increase in pre-test and post-test scores in all professional groups (p ≤ 0.05), so that the training provided proved to be effective in improving the competence of participants and needed to be continuously developed. Conclusion: The blended learning method has been shown to be effective in increasing trainee satisfaction and competence. The quality of the instructor and the relevance of the material are the main factors that affect participant satisfaction. Strengthening of practice aspects and curriculum adjustments is recommended to ensure the sustainability of BTCLS training. This research will be carried out at the Mataram Health Agency in 2025. Keywords: Participant satisfaction; BTCLS; Blended Learning; Quality of Instructors; Quality of Organizers
Pengaruh Supportive Care Interventions Terhadap Kecemasan dan Nyeri pada pasien Praoperasi Fraktur Tulang Panjang Waruwu, Ria Apriliani; Tanjung, Dudut; Nasution, Siti Saidah
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.47664

Abstract

Fraktur tulang panjang merupakan kondisi medis yang sering terjadi akibat trauma atau kondisi patologis, yang dapat menimbulkan nyeri intens dan kecemasan, terutama menjelang prosedur operasi. Penelitian ini bertujuan untuk menganalisis pengaruh Supportive Care Interventions (SCI) terhadap tingkat kecemasan dan nyeri pada pasien praoperasi fraktur tulang panjang. Desain penelitian menggunakan Randomized Controlled Trial (RCT) dengan jumlah sampel sebanyak 64 responden yang dibagi secara acak menjadi dua kelompok: kelompok intervensi yang menerima SCI dan kelompok kontrol yang menerima perawatan rutin, masing-masing terdiri dari 32 responden. Tingkat kecemasan diukur menggunakan State-Trait Anxiety Inventory (STAI), sedangkan nyeri diukur menggunakan Numerical Rating Scale (NRS). Analisis data dilakukan menggunakan uji t berpasangan dan t independen. Hasil penelitian menunjukkan penurunan yang signifikan pada tingkat kecemasan dan nyeri di kelompok intervensi dibandingkan kelompok kontrol (p = 0,00). Rerata kecemasan pada kelompok intervensi tercatat sebesar Mean = 20,125; SD = 3,290, sedangkan pada kelompok kontrol Mean = 0,906; SD = 3,888. Rerata nyeri pada kelompok intervensi sebesar Mean = 1,969; SD = 0,695, sementara pada kelompok kontrol Mean = 0,125; SD = 0,871. Kesimpulannya, Supportive Care Interventions terbukti efektif dalam menurunkan kecemasan dan nyeri pada pasien praoperasi fraktur tulang panjang. Kata kunci: fraktur tulang panjang, kecemasan, nyeri, supportive care interventions, praoperasi, RCT

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