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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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Efektivitas Intradialytic Cycling terhadap Status Fungsional Fisik dan Psikologis pada Pasien Hemodialisis : Telaah Literatur Sistematis Sari, Katarina Windhi Anggita; Yulia, Yulia; Sunarya, Chiyar Edison; Waluyo, Agung
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.49862

Abstract

Intradialytic cycling is a form of aerobic exercise performed during hemodialysis sessions. Several studies have investigated its impact on both physical and psychological functional status, utilizing various parameters such as frequency, duration, exercise intensity, and with differing outcomes. The aim of this systematic review is to examine the effects of intradialytic cycling on physical and psychological functional status in patients undergoing hemodialysis.This systematic review was conducted in accordance with the PRISMA guidelines. Literature was sourced from databases including Scopus, ProQuest, SAGE Journals, SpringerLink, Taylor & Francis, and Cochrane, using keywords based on the PICO framework and combined with Boolean operators “AND” and “OR.” Inclusion criteria for the articles were: publication between 2010 and 2025, studies involving hemodialysis patients aged ≥18 years, research designs including randomized controlled trials (RCTs), quasi-experimental studies, and cohort studies, and publications in English. A total of 10 articles were included in the analysis. Intradialytic cycling demonstrated enhancing physical function and reducing depressive symptoms in hemodialysis patients. This non-pharmacological intervention proved to be effective both as a standalone therapy and in combination with other modalities, such as resistance training, music therapy, and cognitive approaches. However, further research is warranted to develop and adapt intradialytic cycling protocols that align with clinical practice settings in Indonesia
Hubungan Kadar Apolipoprotein B dengan Tingkat Keparahan Stroke Iskemik Jabbar, Ridho Ahmad; Indra, Syarif; Dedi Sutia; Syafrita, Yuliarni; Susanti, Restu; Putri, Fanny Adhy
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.49865

Abstract

Background: Stroke is a leading cause of disability and the second leading cause of death worldwide. Ischemic stroke occurs due to vascular occlusion that restricts blood supply to the brain. Apolipoprotein B (ApoB) is the main component of atherogenic lipoprotein particles, which plays a role in the pathogenesis of atherosclerosis. The NIHSS is recommended as a valid and accessible tool for assessing the severity of acute stroke. Although ApoB has been studied as a lipid biomarker, evidence regarding its association with the severity of ischemic stroke remains limited. Methods: This cross-sectional study included 72 ischemic stroke patients with onset <72 hours who were admitted to Dr. M. Djamil General Hospital, Padang, from February 2025 to July 2025. Data were collected through interviews, physical examinations, supporting investigations, and laboratory tests. ApoB levels were measured using the ELISA method, and stroke severity was assessed using the NIHSS. Data analysis was performed using SPSS version 30.0, with statistical significance set at p < 0.05. Results: The mean Apolipoprotein B level was 105.25 mg/dL. Based on NIHSS assessment, patients with moderate stroke severity accounted for 43.1%, followed by mild stroke (37.5%) and severe stroke (19.4%). Statistical analysis showed no significant association between Apolipoprotein B levels and ischemic stroke severity (p = 0.614). Conclusion: There was no association between Apolipoprotein B levels and ischemic stroke severity.
The Association between NLR and TGF-β with Acute Ischemic Stroke Severity with and without Thrombolysis Marliana, Lesti; Indra, Syarif; Sutia, Dedi; Syafrita, Yuliarni; Susanti, Restu; Putri, Fanny Adhy
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.49866

Abstract

Acute ischemic stroke is a leading cause of mortality worldwide. Thrombolysis is the main treatment in the acute phase; however, clinical outcomes remain variable. Inflammatory markers such as the NLR and TGF-β1 may reflect inflammatory activity and tissue repair, yet their relationship with stroke severity is not fully established. This study aimed to evaluate the association of NLR and TGF-β1 with acute ischemic stroke severity in patients with and without thrombolysis. A cross-sectional study was conducted in the neurology ward of Dr. M. Djamil General Hospital, Padang. Patients with acute ischemic stroke, either treated with thrombolysis or not, were included. NLR and TGF-β1 were measured at 24 hours after onset, while stroke severity was assessed using the NIHSS at 24 hours. A total of 25 thrombolyzed and 25 non-thrombolyzed patients were enrolled. The results showed no significant association between NLR and stroke severity in either the thrombolysis (p=0.123) or non-thrombolysis group (p=0.257). In contrast, TGF-β1 was significantly associated with stroke severity in both groups (p<0.001 and p=0.002, respectively). In conclusion, TGF-β1 correlates with acute ischemic stroke severity regardless of thrombolysis, while NLR shows no significant association.
Hubungan Kadar Neuron Specific Enolase Serum dengan Subtipe dan Tingkat Keparahan pada Pasien Stroke Iskemik Akut Prandana, Dhani Arief; Indra, Syarif; Sutia, Dedi; Susanti, Restu; Putri, Fanny Adhy; Dinata, Gunawan Septa
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.49867

Abstract

Background: Acute ischemic stroke is a serious medical condition with potentially life-threatening consequences. It occurs when cerebral blood flow is obstructed by vascular occlusion, resulting in brain tissue injury. Neuron Specific Enolase (NSE) is a biomarker used to assess the extent of neuronal damage in patients with ischemic stroke. This study aims to evaluate the association between serum NSE levels, stroke subtypes, and stroke severity in patients with acute ischemic stroke. Methods: This observational study employed a cross-sectional design and included 67 patients with acute ischemic stroke. Serum NSE levels were measured using the ELISA method. Stroke subtypes were determined according to the TOAST classification, and stroke severity was assessed using the NIHSS score. Statistical analysis was performed to evaluate the association between serum NSE levels, stroke subtypes, and severity. Results: The mean serum NSE level was 14.038 ng/ml. Large artery atherosclerosis (LAA) was the most prevalent subtype with a moderate severity level. Statistical analysis showed a significant association between serum NSE levels and stroke subtype (p = 0.021) and severity (p = 0.034) in patients with acute ischemic stroke. Conclusion: Serum NSE levels are significantly associated with both stroke subtype and severity in patients with acute ischemic stroke.
Efektivitas Relaksasi Otot Progresif Terhadap Penurunan Tekanan Darah Pada Pasien Hipertensi : Literatur Review Nurani, Dawaishafa Diva; Maliya, Arina
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.49871

Abstract

Hipertensi merupakan salah satu penyakit tidak menular yang prevalensinya terus meningkat dan sering menimbulkan dampak psikologis, salah satunya kecemasan. Kecemasan pada penderita hipertensi berkontribusi terhadap peningkatan tekanan darah sehingga diperlukan intervensi non-farmakologis yang efektif untuk mengendalikannya. Teknik relaksasi otot progresif (Progressive Muscle Relaxation/PMR) dikenal sebagai salah satu terapi komplementer yang dapat memberikan efek fisiologis dan psikologis positif. Penelitian ini merupakan kajian literatur menggunakan metode PRISMA (Preferred Reporting Items for Literatur Reviews and Meta-Analyses). Pencarian artikel dilakukan melalui basis data Google Scholar, PubMed, dan Research Gate dengan rentang publikasi tahun 2020–2025. Dari total artikel yang diperoleh, dilakukan seleksi berdasarkan kriteria inklusi berupa penelitian eksperimental maupun quasi-eksperimental yang meneliti efektivitas PMR terhadap kecemasan atau tekanan darah pada penderita hipertensi. Hasil telaah menunjukkan bahwa PMR secara konsisten efektif menurunkan tingkat kecemasan pada pasien hipertensi, baik digunakan secara tunggal maupun dikombinasikan dengan intervensi lain seperti terapi pernapasan dalam atau dzikir. Efektivitas tersebut ditunjukkan melalui penurunan skor kecemasan, tekanan darah sistolik, serta penurunan denyut jantung yang signifikan secara statistik. Dengan demikian, dapat disimpulkan bahwa teknik relaksasi otot progresif merupakan intervensi non-farmakologis yang aman, sederhana, dan efektif dalam mengurangi kecemasan pada penderita hipertensi, sehingga dapat direkomendasikan sebagai terapi pendukung dalam praktik keperawatan maupun layanan kesehatan primer.
Hubungan Status Gizi dan Anemia dengan Kejadian Bayi Berat Badan Lahir Rendah (BBLR) pada Ibu Hamil Aterm di UPT. Puskesmas Majasem Kota Cirebon Utami, Diana Mega; Ahmad, Zulkifli; Affandi, Thysa Thysmelia
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.49881

Abstract

Low birth weight (LBW) is an important indicator in assessing the health status of mothers and babies. LBW is closely related to nutritional status and anemia during pregnancy, both of which are public health problems in Indonesia. Pregnant women with chronic energy deficiency (CED) and anemia have a higher risk of giving birth to babies with LBW. Aim: To determine the correlation between nutritional status and anemia with the incidence of low birth weight (LBW) in term pregnant women at the Majasem Health Center, Cirebon City. Methods: This study was conducted in May 2025 at the Majasem Health Center, Cirebon City, used an analytical observational design with a cross-sectional approach. A sample of 90 term pregnant women was selected using a purposive sampling technique based on medical record data from November 2023 to October 2024. The analysis was carried out using the Fisher's Exact Test and Prevalence Ratio (PR). Results: Showed that 22.2% of pregnant women experienced CED and 20.0% experienced anemia. As many as 14.4% of babies were born with low birth weight. There is a significant correlation between nutritional status and the incidence of low birth weight babies (p=0.007; PR=5.744), and anemia with the incidence of low birth weight babies (p=0.020; PR=4.643). Conclusion: There is a correlation between nutritional status and anemia with the incidence of low birth weight infant in term pragnency. Pregnant women with CED and anemia have a higher risk of giving birth to low birth weight babies (LBW).
Sytematic Literature Review : Tinjauan Etik, Hukum, Dan Efektivitas Terhadap Layanan Kesehatan Berbasis Online (Telemedicine) Putri, Nanda Nabilah; Syarifah, Mustika Chasanatusy; Farindra, Irmawan; Suwito4, Bambang Edi
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.49953

Abstract

Perkembangan telemedicine sebagai layanan kesehatan berbasis online menghadirkan transformasi signifikan, namun implementasinya dihadapkan pada tantangan kompleks dari aspek etik, hukum, dan efektivitas klinis. Penelitian ini bertujuan untuk menganalisis secara integratif tantangan etik, hukum, dan efektivitas klinis dari implementasi layanan telemedicine berdasarkan bukti empiris terkini. Pada penelitian ini menggunakan metode systematic literature review (SLR) dengan pedoman PRISMA. Pencarian literatur dilakukan pada database Ebsco, Google Scholar, dan Science Direct dengan kata kunci terkait. Dari 1223 jurnal yang diidentifikasi, 18 jurnal telah memenuhi kriteria inklusi untuk selanjutnya dianalisis. Hasil analisis didapatkan bahwa tantangan hukum paling dominan, terutama pada isu ketidakjelasan regulasi (44,4%) dan ketidakpatuhan terhadap standar keamanan data (38,9%). Dari aspek etika, pelanggaran otonomi dan privasi pasien menjadi isu utama (50%). Secara efektivitas, telemedicine terbukti meningkatkan aksesibilitas layanan kesehatan (55,6%), namun masih dihadapkan pada masalah kesenjangan akses (33,3%) dan akurasi diagnosis (27,8%) dibandingkan layanan konvensional. Disimpulkan bahwa pengembangan telemedicine memerlukan pendekatan holistik yang mencakup harmonisasi regulasi, penguatan proteksi data etis, dan strategi inklusif untuk menjamin akses yang adil serta efektivitas klinis yang optimal. Kata Kunci: telemedicine, etika kedokteran, regulasi kesehatan, efektivitas klinis, systematic review.
Effectiveness of Digital Application-Based Foot Care Education and Training Programmes in Improving Self-Efficacy and Foot Care Behaviour in Patients with Type 2 Diabetes Mellitus Feriadianto, Feriadianto; Natashia, Dhea; Gayatri, Dewi; Jumaiyah, Wati; Yuniarsih, Winda
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.49962

Abstract

Background: Type 2 diabetic mellitus with low self-efficacy, which affects how they take care of their feet. This can lead to reduced foot sensitivity and increase the risk of serious complications like ulcers and infections. Objective: To determine the effectiveness of of the Diabetic Educare digital application foot care education and exercise program on self-efficacy, foot care behaviour and foot sensitivity in patients with type 2 diabetic mellitus. Methods: Quasy experiment research design with two groups, namely the intervention group (n=27) and the control group (n=27). Data collection was using Diabetic Management Self Efficacy Scale, Notthingham Assessment Foot Care Behavior and 10gram monofilament test measurements. Demographic characteristics analysis using univariate tests, bivariate analysis with paired t-test and independent t-test. Results: There was a significant effect on the intervention group to increase self-efficacy p-value =0.011 (p< 0.005) and foot care behavior p-value =0.032 (p< 0.005). Based on the independent t-test, it was shown that the intervention had no effect on the increase in foot sensitivity p-value = 0.141 (p< 0.005). Recommendation: Educare diabetic education and exercise program has an effect on improving self-efficacy and foot care behavior. The Diabetic Educare education and training program is expected to be a modality in the preparation of foot care education and exercise programs as part of a holistic nursing intervention, in patients with type 2 diabetic mellitus. Keywords: type 2 diabetic mellitus; Self-efficacy;Foot care behavior; Sensitivity; Digital Application-Based Foot Care Education and Training Program
Strategi Nutrisi Pada Pasien Hiperglikemia di Intensive Care Unit (ICU): Scoping Review Ramdani, Dadan; Asmara, A. Danang; Setiawan, Deris Riandi; Septiawan, Stepanus Prihasto
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.49982

Abstract

Hyperglycemia is a common condition in Intensive Care Unit (ICU) patients caused by metabolic stress and insulin resistance, which increases the risk of cardiovascular complications, organ dysfunction, and infections. Proper nutritional management plays a crucial role in controlling blood glucose levels in ICU patients. This study aims to explore various nutritional strategies for patients with hyperglycemia in the ICU. The method used is a scoping review of six articles published between 2014 and 2024, which include both enteral and parenteral nutrition. The analysis results show that enteral nutrition focuses on high protein intake, adequate fat, and carbohydrate restriction. Some studies also recommend consuming high-protein fruits to help control blood glucose levels. Parenteral nutrition with vitamin D3 and calcium has also been shown to influence glucose control. The conclusion of this study is that proper nutritional management can optimize blood glucose control in ICU patients and reduce the need for insulin. This research is expected to serve as a reference for healthcare professionals in designing more effective nutritional strategies for hyperglycemic patients in the ICU.
Inovasi Heated Electric Foot Bath Basin Untuk Menurunkan Tekanan Darah dan Meningkatkan Kualitas Hidup Pasien Hipertensi Supardi, Supardi; Arwani, Arwani; Pujiastuti, Rr. Sri Endang
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.50025

Abstract

Hipertensi atau tekanan darah tinggi menjadi salah satu penyebab utama kematian di Indonesia, menyumbang 6,7% dari total kematian di seluruh usia. Secara global, WHO melaporkan sekitar 972 juta orang atau 26,4% populasi dunia menderita hipertensi, dan angka ini diproyeksikan akan terus meningkat menjadi 29,2% pada tahun 2025. Dari jumlah tersebut, 639 juta penderita berada di negara berkembang, termasuk Indonesia. Tujuan penelitian ini adalah untuk mengembangkan Heated Electric Foot Bath Basin sebagai intervensi non-farmakologis guna menurunkan tekanan darah dan meningkatkan kualitas hidup pasien hipertensi.Penelitian ini menggunakan metode R&D (Research and Development) dengan desain kuasi eksperimental dan rancangan pretest-posttest randomized control group design. Studi dilakukan pada Mei hingga Juni 2022 di Puskesmas Pageruyung, Kabupaten Kendal. Teknik pengambilan sampel menggunakan stratified random sampling. Alat Heated Electric Foot Bath Basin dimodifikasi dengan menambahkan alat ELCB dan diatur pada suhu 40°C selama 30 menit. Hasil penelitian menunjukkan bahwa penggunaan alat ini secara signifikan dapat menurunkan tekanan darah sistolik dari rata-rata 157,67 mmHg menjadi 147,17 mmHg (p=0,000) dan tekanan darah diastolik dari 93,10 mmHg menjadi 90,40 mmHg (p=0,000). Selain itu, intervensi ini juga berhasil meningkatkan kualitas hidup pasien. Kelompok intervensi menunjukkan kualitas hidup yang lebih baik dengan skor rata-rata 53,03 (p=0,005) dibandingkan kelompok kontrol yang hanya mencapai 43,73 (p=0,000), yang dikategorikan "cukup". Nilai effect size sebesar 1,251 mengindikasikan bahwa intervensi ini memiliki dampak yang sangat besar dan signifikan secara praktis. Dengan demikian, penggunaan Heated Electric Foot Bath Basin dengan perendaman kaki air hangat selama 30 menit terbukti efektif menurunkan tekanan darah dan meningkatkan kualitas hidup pada pasien hipertensi.

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