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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 2,415 Documents
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Social Stigma And Treatment Adherence Among People Living With Tbc–Hiv Coinfection: A Study At Jayapura Regional Hospital Dwi Kartika Jayanti; Eva Sinaga; Agnes Angelita Suyanto
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.v10i1.52781

Abstract

Orang dengan Koinfeksi TBC–HIV sering mengalami stigma sosial, yang dapat menyebabkan isolasi sosial dan kepatuhan pengobatan yang rendah. Kepatuhan sangat penting untuk mencapai keberhasilan pengobatan. Tujuan penelitian untuk mengetahui hubungan stigma sosial dengan tingkat kepatuhan pengobatan orang dengan TBC-HIV di RSUD Jayapura. Penelitian ini merupakan deskriptif kuantitatif korelasional menggunakan pendekatan cross-sectional dengan jumlah sampel sebanyak 34 Orang dengan TBC-HIV yang dipilih secara total sampling, dilaksanakan pada bulan Mei 2025 di Poliklinik TBC-HIV RSU Jayapura. Data diperoleh menggunakan kuesioner dan dianalisis menggunakan Uji Chi-Square. Hasil penelitian menunjukan sebagian besar responden berusia 26–35 tahun (44,1%), laki-laki (76,5%), berpendidikan SMA (64,7%), tidak bekerja (55,9%), dan berstatus ekonomi rendah (91,2%). Sebagian besar beretnis Papua (76,5%) dan mengalami sakit <6 bulan (61,8%). Sebesar 58,8% responden mengalami stigma yang tinggi, dan 47,1%, 23,5%, serta 29,4% menunjukkan tingkat kepatuhan pengobatan yang rendah, sedang, dan tinggi. Analisis statistik menunjukkan hubungan yang signifikan stigma sosial dan kepatuhan pengobatan (p=0,043, α<0,05). Tingkat stigma sosial yang tinggi secara signifikan berhubungan dengan kepatuhan pengobatan yang rendah. Peran aktif perawat sangat penting dalam memberikan edukasi, konseling dan mendorong keterlibatan keluarga dalam pengobatan.
Peran Nurse Leader dalam Meningkatkan Patient Safety di Rumah Sakit: A Scoping Review Nursahid Nursahid; Dwi Indah Iswanti
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.v10i1.52809

Abstract

ABSTRAK Latar belakang: Keselamatan pasien merupakan indikator utama mutu layanan rumah sakit, dan nurse leader memiliki peran strategis dalam membangun budaya keselamatan serta memastikan praktik keperawatan yang aman. Tujuan: Scoping review ini bertujuan memetakan bukti ilmiah terbaru mengenai peran nurse leader dalam meningkatkan patient safety di rumah sakit. Metode: Review dilakukan sesuai pedoman JBI dan PRISMA-ScR dengan pencarian pada PubMed, Scopus, ScienceDirect, CINAHL, dan Google Scholar. Sebanyak 10 artikel tahun 2020–2025 memenuhi kriteria dan dianalisis secara naratif. Hasil: Temuan utama menunjukkan bahwa gaya kepemimpinan khususnya transformational leadership komunikasi efektif, psychological safety, kompetensi kepemimpinan, serta strategi seperti audit keselamatan dan bedside leadership berkontribusi signifikan dalam meningkatkan keselamatan pasien. Intervensi kepemimpinan terbukti menurunkan medication error, fall rate, dan meningkatkan pelaporan insiden. Kesimpulan: Nurse leader berperan penting dalam peningkatan patient safety melalui gaya kepemimpinan yang efektif, keterampilan komunikasi, dan strategi manajerial berbasis bukti. Kata kunci: nurse leader, patient safety, leadership, hospital.
Pengaruh Senam Ergonomik Terhadap Kadar Gula Darah Pada Pasien Diabetes Melitus Tipe Ii di Desa Kedalon Yurike Vika Agustin; Sukesih Sukesih; Tri Suwarto
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.v10i1.52825

Abstract

Diabetes melitus tipe II merupakan salah satu penyakit degeneratif yang dapat menyebabkan komplikasi serius pada penderita, terutama jika kadar gula darah tidak terkontrol. Penelitian ini bertujuan untuk mengetahui pengaruh senam ergonomik terhadap penurunan kadar gula darah pada pasien diabetes melitus tipe II di Desa Kedalon, Kecamatan Batangan, Kabupaten Pati. Jenis penelitian ini adalah kuasi-eksperimental dengan rancangan pre-test post-test control group design. Sampel dalam penelitian ini terdiri dari 30 orang pasien diabetes melitus tipe II, yang dibagi menjadi dua kelompok yaitu 15 orang pada kelompok intervensi yang melakukan senam ergonomik 3 kali seminggu, dan 15 orang pada kelompok kontrol yang mendapat edukasi tentang DM. Uji statistik yang digunakan adalah uji Paired Sample T-Test dan Independent Sample T-Test. Hasil penelitian menunjukkan bahwa terdapat penurunan signifikan kadar gula darah pada kelompok intervensi setelah dilakukan senam ergonomik. Rata-rata kadar gula darah sebelum intervensi pada kelompok intervensi adalah 223.73 mg/dL, sementara setelah intervensi turun menjadi 163.07 mg/dL, dengan selisih rata-rata 60.67 mg/dL. Hasil uji PairedSample T-Test menunjukkan nilai p 0.000 (p < 0.05), yang berarti terdapat pengaruh signifikan senam ergonomik terhadap penurunan kadar gula darah pada kelompok intervensi. Sebaliknya, pada kelompok kontrol, tidak terjadi perubahan signifikan, dengan p-value = 0.743 (p > 0.05). Berdasarkan hasil tersebut. dapat disimpulkan bahwa senam ergonomik efektif dalam menurunkan kadar gula darah pada pasien diabetes melitus tipe II di Desa Kedalon. Kecamatan Batangan, Kabupaten Pati. Hal ini menjadikan senam ergonomik sebagai salah satu terapi non-farmakologis yang dapat diterapkan untuk membantu mengontrol kadar gula darah pada penderita diabetes melitus tipe II.
Pendekatan Integratif Deteksi dan Intervensi Dini Masalah Kesehatan Mental Perinatal: Studi Kualitatif pada Penyedia Layanan Kesehatan Ibu Leila Nisya Ayuanda; Ratna Arifiana; Sandi Ari Susiatmi; Nur Intan Kusuma; Siti Khuzaiyah
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.v10i1.52838

Abstract

Gangguan kesehatan mental perinatal, termasuk kecemasan, depresi, dan gangguan penyesuaian selama kehamilan serta masa nifas, masih menjadi masalah yang kurang teridentifikasi dan kurang tertangani dalam layanan kesehatan ibu. Meskipun pendekatan integratif terbukti efektif dalam meningkatkan deteksi dan penanganan dini, implementasinya di tatanan pelayanan primer masih bervariasi dan belum optimal. Penelitian ini bertujuan untuk mengeksplorasi implementasi deteksi dan intervensi dini masalah kesehatan mental maternal. Penelitian ini menggunakan desain kualitatif dengan pendekatan case study. Partisipan terdiri dari bidan desa, bidan KIA, perawat jiwa, ibu hamil, dan ibu nifas. Data dikumpulkan melalui wawancara mendalam dengan pedoman wawancara semi terstruktur dengan expert judgement. Analisis data menggunakan analisis tematik miles huberman dengan software N-Vivo. Hasil penelitian menunjukkan terdapat tujuh tema yang ditemukan yaitu kebutuhan psikologis wanita hamil dan pascapersalinan, manifestasi gangguan mental pada wanita hamil dan pascapersalinan, dinamika psikososial kehamilan dan pascapersalinan, penentuan risiko kesehatan mental ibu, pengelolaan awal kesehatan mental ibu, tantangan dan hambatan dalam pelayanan kesehatan mental ibu, serta harapan tenaga kesehatan primer. Temuan menunjukkan perlunya penguatan model tatalaksana integratif dalam pelayanan kebidanan untuk meningkatkan deteksi dan intervensi dini kesehatan mental perinatal. Standarisasi instrumen skrining, pelatihan tenaga kesehatan, dan penguatan jejaring rujukan serta strategi reduksi stigma menjadi komponen kunci peningkatan kualitas layanan.
Pengaruh Pemberian Posisi Semi Fowler dengan Kombinasi Pemberian Oksigen Terhadap Peningkatan Saturasi pada Pasien Congestive Heart Failure (Chf) di Rumah Sakit Advent Medan Indah Selviana; Hartaulina Saragih; Yusuf Panserito
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.v10i1.52839

Abstract

Ketidakmampuan jantung untuk memompa darah sebagaimana mestinya mengakibatkan gagal jantung kongestif (CHF), suatu penyakit yang menurunkan oksigenasi jaringan dan menimbulkan berbagai gejala, seperti edema, dispnea, dan nyeri dada. Pemberian oksigen dan penyesuaian posisi, seperti postur semi-Fowler 45°, dapat membantu pasien CHF dengan meningkatkan saturasi oksigen dan mengurangi gejala dispnea. Tujuan penelitian ini adalah untuk memastikan apakah postur semi-Fowler dapat membantu pasien CHF mencapai tingkat saturasi oksigen yang lebih tinggi. Untuk memberikan perbandingan dan kesimpulan yang menarik tentang perubahan yang dihasilkan oleh terapi, studi kuantitatif ini menggunakan desain kuasi-eksperimental, yang terdiri dari eksperimen yang menggabungkan unit eksperimen, penilaian efek, dan perlakuan, tetapi tidak menggunakan penugasan acak. Hipotesis HA diterima dan H0 ditolak berdasarkan hasil uji Wilcoxon, yang menunjukkan pengaruh signifikan pemberian postur semi-Fowler terhadap pasien gagal jantung kongestif (CHF) di RS Medan Advent dengan nilai P 0,000 < 0,05. Penelitian ini menemukan bahwa selain pemberian oksigen, menempatkan pasien gagal jantung kongestif (CHF) dalam postur semi-Fowler dapat meningkatkan kadar saturasi oksigen mereka.
Complement Profile, Ana Test, And Anti-Dsdna in Systemic Lupus Erythematosus (Sle) Patients Treated At Dr. Soetomo General Hospital Surabaya 2022–2023 Reisya Fadhilah Noor Hafizhah; Yuliasih Yuliasih; Betty Agustina Tambunan; Lita Diah Rahmawati
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.v10i1.52851

Abstract

The complement system is an important part of the innate immune system, consisting of several proteins that play a role in defending the body against infection, tissue repair, and immune complex clearance. Components C3 and C4 are major parts of this system that can describe immune response activity in autoimmune diseases such as systemic lupus erythematosus (SLE). This study aims to determine the complement levels (C3 and C4), ANA test results, and anti-dsDNA levels in patients with systemic lupus erythematosus (SLE) treated at the Dr. Soetomo General Hospital in Surabaya during the period 2022–2023. This study used a retrospective descriptive design with secondary data from the medical records of SLE patients treated at Dr. Soetomo General Hospital in Surabaya. The variables analyzed included patient characteristics (age, gender, occupation), C3 and C4 complement levels, ANA test results, and anti-dsDNA levels. The results showed that out of 1,978 SLE patient data, 274 patients met the inclusion criteria for the study. Most patients were female (81%) with the highest age range being 15–19 years (28.1%). Complement level tests showed that 57.6% of patients had below-normal C3 levels, while 51.1% of patients had normal C4 levels. Positive ANA test results were found in 52.6% of patients, while 26.6% of patients showed positive anti-dsDNA levels. Spearman's correlation analysis showed a significant negative correlation between anti-dsDNA levels and C3 levels (r = –0.498; p < 0.001) and C4 levels (r = –0.561; p < 0.001), meaning that an increase in anti-dsDNA levels was followed by a decrease in complement levels. The majority of SLE patients at Dr. Soetomo General Hospital in Surabaya were women of childbearing age. Most patients showed decreased complement levels and increased anti-dsDNA levels, which correlated with disease activity.
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.

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