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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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Pengaruh Edukasi Kesehatan dengan Media Video terhadap Tingkat Pengetahuan Hipertensi pada Kelompok GERMAS Desa Catur Nadhila Putri Utami; Abi Muhlisin
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.v10i1.53416

Abstract

Tingginya kasus hipertensi yang terus meningkat setiap tahun mengindikasikan bahwa tingkat pengetahuan masyarakat mengenai penyakit tersebut masih rendah sehingga diperlukan upaya edukasi kesehatan untuk meningkatkan pengetahuan masyarakat tentang pencegahan dan pengelolaan hipertensi agar dapat diterapkan dalam kehidupan sehari-hari guna menurunkan prevalensinya. Tujuan penelitian ini adalah untuk mengetahui pengaruh edukasi kesehatan dengan media video terhadap tingkat pengetahuan hipertensi pada kelompok GERMAS. Penelitian ini menggunakan desain pre-experimental dengan pendekatan one-group prepost test design dan melalui teknik insidental sampling diperoleh 42 responden. Instrumen penelitian meliputi video edukasi kesehatan, Kuisioner Hypertension Knowledge-Level Scale. Uji Wilcoxon digunakan karena data menunjukkan distribusi yang tidak normal (p = 0,034) setelah uji normalitas. Hasil berdasarkan uji Wilcoxon Signed Rank terdapat pengaruh signifikan terhadap tingkat pengetahuan hipertensi sebelum dan sesudah intervensi dengan nilai p = 0,000 (p < 0,05). Edukasi kesehatan dengan media video telah terbukti efektif dalam meningkatkan pengetahuan tentang hipertensi.
Efektivitas Aromaterapi Lemon Suanggi terhadap Gejala Obstructive Sleep Apnea untuk Mencegah Penyulit Persalinan Kala I Sri Atikah; Hindun Rahim; Febrianika Ayu Kusumaningtyas; Meinita Wulansari
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.v10i1.53430

Abstract

Sleep-disordered breathing, particularly Obstructive Sleep Apnea (OSA), often goes undetected during pregnancy, especially in the third trimester. This condition may increase the risk of preeclampsia, prolonged labor, and fetal growth restriction due to reduced oxygen levels. This study aimed to evaluate the effectiveness of lemon suanggi (Citrus lemon L.) aromatherapy as a complementary therapy in reducing OSA symptoms among third-trimester pregnant women. The study employed a quasi-experimental design with a One Group Pre-test Post-test Design. Respondents were third-trimester pregnant women selected based on inclusion and exclusion criteria. Before the intervention, a pre-test was conducted to assess OSA symptoms using the STOP-BANG questionnaire and Epworth Sleepiness Scale (ESS), along with measurements of respiratory rate and blood pressure. The intervention involved lemon suanggi aromatherapy administered through inhalation using an electric diffuser. The essential oil, distilled from lemon peel, was verified as safe for pregnant women. Aromatherapy was administered with 3–5 drops in 100 ml of water for 30 minutes before bedtime each day for one week. Post-test measurements were conducted using the same instruments, and observations were made on labor complications during the first stage, such as the duration of the latent and active phases. Results showed a decrease in STOP-BANG and ESS scores after the intervention, along with improved sleep quality, lower respiratory rate and blood pressure, and reduced daytime sleepiness. These effects are likely attributed to active compounds such as limonene, β-pinene, and citral, which act on GABA<sub>A</sub> receptors to induce relaxation. Overall, lemon suanggi aromatherapy proved safe and effective in reducing OSA symptoms and improving sleep quality among third-trimester pregnant women. This finding highlights the potential of local natural products to support maternal health and aligns with the national development of herbal-based therapies.
Persepsi Caring Pada Multikultural Pasien: Analisis Konsep (Caring Perception Among Multicultural Patients: A Concept Analysis) Livia Baransyah; Khofifatuz Zahroh; Aric Vranada; Siti Aisah
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.v10i1.53449

Abstract

Persepsi Caring Pada Multikultural pasien merupakan inti dari praktik keperawatan yang melibatkan kemampuan teknis dan empati untuk memenuhi kebutuhan pasien secara menyeluruh. Dalam lingkungan pelayanan kesehatan yang semakin multikultural, pasien memiliki latar belakang nilai, kepercayaan, bahasa, dan pengalaman kesehatan yang berbeda-beda. Variasi budaya tersebut memengaruhi cara pasien memahami, menilai, dan merespons perilaku caring yang ditunjukkan oleh perawat. Pemahaman yang kurang terhadap perbedaan persepsi caring dapat berdampak pada rendahnya kepercayaan, keselamatan, dan kepuasan pasien. Tiga Atribut kunci yang menentukan diantaranya: “Pemahaman caring berdasarkan tingkat pendidikan pasien, Faktor usia dalam penilian caring, dan Pengalaman pasien dalam menerima perilaku caring”. Analisis antecenden mencakup Pengetahuan dan keterampilan, Rasa hormat, Keyakinan/Penjaminan, dan Keterhubungan. Konsekuensi yang diidentifikasi adalah Kepercayaan, Kepuasaan, Keselamatan pasien, dan Layanan berkualitas terbaik. Persepsi caring pada pasien multikultural menunjukkan perbedaan yang dipengaruhi oleh nilai dan pandangan budaya. Perawat perlu mengintegrasikan kompetensi budaya dalam praktik caring untuk mendukung pelayanan yang berpusat pada pasien, meningkatkan keselamatan, serta memperkuat hubungan terapeutik antara perawat dan pasien. Proses ini berpotensi untuk meyakinkan pasien agar lebih percaya terhadap pelayanan yang diberikan oleh tenaga Kesehatan sehingga dapat meningkatkan pengetahuan persepsi dalam pelayanan Kesehatan. Caring Perception Among Multicultural Patients. Caring is at the core of nursing practice, which involves technical ability and empathy to meet the needs of patients holistically. In an increasingly multicultural healthcare environment, patients have different backgrounds of values, beliefs, languages, and health experiences. These cultural variations affect the way patients understand, assess, and respond to caring behaviors exhibited by nurses. A lack of understanding of differences in caring perceptions can have an impact on low patient trust, safety, and satisfaction. Three key attributes that determine are identified: "understanding of caring based on the level of education of the patient, age factor in the care study, and the patient's experience in accepting caring behavior". The anteante analysis includes "Knowledge and skill, Respectfulness, Assurance, Connectedness". Consequences are defined according to "Trust, Satisfaction, Patient Safety, Top Quality Services". The perception of caring in multicultural patients shows differences influenced by cultural values and views. Nurses need to integrate cultural competencies in caring practices to support patient-centered care, improve safety, and strengthen therapeutic relationships between nurses and patients. This process has the potential to convince patients to have more trust in the services provided by health workers, so that they can increase knowledge perception in health services.
Organizational Citizenship Behavior dan Budaya Keselamatan Pasien dengan Kepuasan Kerja Perawat Yulina Sari Siregar; Diah Arruum; Riswani Tanjung
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.v10i1.53465

Abstract

Kepuasan kerja perawat merupakan komponen penting dalam menjaga kualitas pelayanan dan keselamatan pasien. Organizational Citizenship Behavior (OCB) dan budaya keselamatan pasien merupakan faktor yang dapat memengaruhi tingkat kepuasan kerja. Penelitian ini bertujuan untuk menganalisis hubungan OCB dan budaya keselamatan pasien dengan kepuasan kerja perawat di Rumah Sakit Prof. Dr. Chairuddin P. Lubis Universitas Sumatera Utara. Metode penelitian ini menggunakan desain cross-sectional dengan sampel 61 perawat yang dipilih melalui teknik total sampling. Instrumen penelitian meliputi kuesioner OCB, HSOPSC dan JSS. Analisis data dilakukan menggunakan uji chi-square dan analisis multivariat dengan regresi logistik. Hasil penelitian menunjukkan bahwa OCB tidak memiliki hubungan dengan kepuasan kerja perawat dan budaya keselamatan pasien memiliki hubungan signifikan dengan kepuasan kerja (p = 0,004). Analisis multivariat menunjukkan kerjasama tim lintas unit sebagai faktor paling dominan yang memengaruhi kepuasan kerja perawat, dengan nilai p = 0,015 dan OR = 5,962. Hasil ini menunjukkan bahwa budaya keselamatan pasien, khususnya kerja tim lintas unit, berperan penting dalam meningkatkan kepuasan kerja perawat. Penguatan koordinasi lintas unit dan peningkatan kolaborasi antartim direkomendasikan untuk meningkatkan kepuasan kerja dan mutu pelayanan di rumah sakit.
Evaluasi Penggunaan Alat Pelindung Diri (Apd) Pada Perawat di Unit Gawat Darurat (Ugd) Rumah Sakit Mesra Tahun 2025 Rizki Samur; Nofiyadi Nofiyadi; Herniwanti Herniwanti
Jurnal Ners Vol. 10 No. 2 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.53470

Abstract

The use of Personal Protective Equipment (PPE) is an important component in preventing infection transmission, especially for nurses working in the Emergency Unit (ER) with high risk. Occupational Safety and Health (OSH) is an important aspect in every work environment in the world as an effort to prevent accidents and health problems due to work. This study aims to evaluate the level of compliance and effectiveness of the use of personal protective equipment (PPE) among nurses in the Emergency Unit (ER) of a hospital. The methods used include observation, interviews, and risk analysis using the USG and Fishbone Analysis approaches. The results of the study indicate that there are still shortcomings in aspects of human resources, standard operating procedures (SOP), supervision, facilities, and budget limitations that have the potential to increase the risk of accidents and exposure to occupational hazards. Conclusion: that although some nurses have implemented the use of PPE correctly, there is still a need for continuous education, supervision, and the provision of PPE facilities to improve occupational safety in the ER. It is hoped that the results of this study will be the basis for policy making related to occupational safety and health at Mesra Hospital
Transformasi Paradigma Ensefalopati Hepatikum: Integrasi Gut–Liver–Brain Axis, Neuroinflamasi, dan Biomarker Modern I Putu Arya Giri Prebawa
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.v10i1.53474

Abstract

Hepatic encephalopathy (HE) is increasingly recognized as a complex neuropsychiatric disorder driven by multidimensional interactions within the gut–liver–brain axis rather than ammonia toxicity alone. Recent evidence demonstrates that the synergy between hyperammonemia, systemic inflammation, microbiota dysbiosis, and metabolite dysregulation—particularly bile acids—triggers microglial activation, astrocytic dysfunction, and blood–brain barrier disruption. Sarcopenia and myosteatosis further impair ammonia detoxification and reduce neuroprotective signaling. Emerging biomarkers, including neurofilament light chain (NfL), YKL-40, bile-acid panels, and functional neuroimaging (rs-fMRI, DTI), provide improved sensitivity for early detection of subclinical impairment. Therapeutic strategies now extend beyond ammonia reduction to microbiota modulation (rifaximin, FMT), next-generation ammonia scavengers, and muscle-targeted interventions. Integration of metabolomic profiles with artificial intelligence supports the development of precision medicine approaches, enabling accurate risk stratification and personalized therapeutic planning. This article summarizes the evolving pathophysiological paradigm, diagnostic advances, and future therapeutic innovations in HE.
Analisis Konsep Dukungan Keluarga di Unit Perawatan Intensif (ICU) Rumah Sakit Berdasarkan Patient and Family-Centered Care Ade Rahmah Yulia; Dian Prestiyowati; Satriya Pranata; Siti Aisah; M. Fatkul Mubin
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.v10i1.53477

Abstract

Paradigma keperawatan intensif telah bergeser dari model biomedis–teknosentris menuju patient and family-centered care (PFCC) yang menempatkan keluarga sebagai mitra aktif dalam komunikasi, asuhan, dan pengambilan keputusan. Meskipun bukti global terus berkembang, kejelasan konseptual tentang “dukungan keluarga” dalam kerangka PFCC di ICU Indonesia masih terbatas. Penelitian ini bertujuan merumuskan definisi konseptual dan operasional dukungan keluarga sebagai mitra dalam asuhan keperawatan kritis, mengidentifikasi atribut, antecedent, dan konsekuensi, serta menyusun indikator empiris untuk pengukuran dan integrasinya dalam praktik ICU. Analisis konsep dilakukan dengan pendekatan delapan langkah Walker dan Avant melalui sintesis bukti dari penelitian kuantitatif, kualitatif, dan campuran, uji klinis, serta telaah sistematis dan meta-analisis tentang PFCC dan partisipasi keluarga di ICU dewasa yang terbit tahun 2020–2025. Teridentifikasi lima atribut utama dukungan keluarga: (1) komunikasi terapeutik dan kolaboratif, (2) kehadiran fisik–emosional, (3) partisipasi aktif dalam perawatan dan pengambilan keputusan, (4) keterhubungan berbasis teknologi, serta (5) orientasi pada kebutuhan emosional, informasi, dan rasa aman pasien–keluarga. Atribut-atribut tersebut berhubungan dengan penurunan delirium, durasi ventilasi, dan lama rawat ICU, serta peningkatan kepuasan, kualitas komunikasi, dan kesejahteraan psikologis keluarga. Dukungan keluarga di ICU merupakan kemitraan terstruktur antara keluarga dan tim kesehatan yang meliputi komunikasi, kehadiran, partisipasi, dan pengambilan keputusan bersama. Model ini menjadi dasar teoritis bagi pengembangan kebijakan dan intervensi keperawatan ramah keluarga di Indonesia. The paradigm in intensive care nursing has shifted from a biomedical–technocentric model to patient- and family-centered care (PFCC), emphasizing the family as an active partner in communication, care, and decision-making. Despite growing global evidence, conceptual clarity of “family support” within the PFCC framework in Indonesian ICUs remains limited. This study aimed to formulate a conceptual and operational definition of family support as a partner in critical care nursing, identify its defining attributes, antecedents, and consequences, and develop empirical indicators for its measurement and integration into ICU practice. A concept analysis was conducted using Walker and Avant’s eight-step approach, synthesizing evidence from quantitative, qualitative, and mixed-method studies, clinical trials, and systematic reviews on PFCC and family participation in adult ICUs published between 2020–2025. Five core attributes of family support were identified: (1) therapeutic and collaborative communication, (2) physical–emotional presence, (3) active participation in care and decision-making, (4) technology-mediated connectedness, and (5) orientation to emotional, informational, and safety needs. These attributes were linked with reduced delirium incidence, shorter ventilation duration and ICU stay, improved satisfaction and communication quality, and enhanced family psychological well-being. Family support in the ICU is a structured partnership between families and the healthcare team encompassing communication, presence, participation, and shared decision-making. This conceptual model provides a theoretical foundation for developing evidence-based, family-friendly ICU policies and nursing interventions within the Indonesian critical care context.
Pengalaman Terkait Aborsi dan Motivasi Penggunaan Alat Kontrasepsi Pada Perempuan di Banten dan DI Yogyakarta Robbiyani ilma Ilma; Dien Anshari; Heru Suparno; Indriana Simbolon; Bethani Putri Jatusari
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.v10i1.53479

Abstract

Penelitian ini bertujuan mengeksplorasi pengalaman dan motivasi perempuan dalam penggunaan alat kontrasepsi di Provinsi Banten dan Daerah Istimewa Yogyakarta. Meskipun tingkat cakupan kontrasepsi di kedua wilayah cukup tinggi, keberlanjutan penggunaan dan kualitas layanan masih menjadi tantangan. Penelitian ini menggunakan pendekatan kualitatif dengan desain eksploratif. Data diperoleh melalui wawancara mendalam terhadap 33 informan yang dipilih berdasarkan kriteria risiko kehamilan tidak direncanakan, kemudian dianalisis secara tematik. Hasil penelitian menunjukkan bahwa pengalaman perempuan dipengaruhi oleh faktor biologis, sosial, ekonomi, dan budaya. Perempuan di Banten lebih banyak menghadapi efek samping dan keterbatasan akses layanan, sedangkan perempuan di Yogyakarta cenderung memiliki pengalaman lebih positif karena mendapatkan dukungan pasangan dan konseling yang lebih memadai. Motivasi penggunaan kontrasepsi terutama terkait perencanaan jumlah dan jarak kelahiran, pertimbangan kesehatan, kondisi ekonomi, serta dukungan pasangan. Ditemukan pula penggunaan kontrasepsi yang tidak konsisten sehingga berpotensi menyebabkan kehamilan tidak direncanakan. Temuan ini menegaskan perlunya peningkatan kualitas konseling, akses layanan kontrasepsi yang komprehensif, serta pendekatan promosi kesehatan yang mempertimbangkan konteks sosial budaya masing-masing wilayah.
Optimalisasi Peran Pelayanan Kesehatan Peduli Remaja (PKPR) dalam Upaya Pencegahan Perilaku Berisiko Pada Remaja di DKI Jakarta Ariani Shinta Azzahra; Diara Oktania; Nani Handayani; Andang Evrilianto; Susanna Muthmainnah; Robbiyani Ilma; Masyitoh Masyitoh
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.v10i1.53484

Abstract

Adolescents are vulnerable to various risky behaviors, including violence. Although the Adolescent Health Care Program (PKPR) has been developed since 2003 and implemented in 44 community health centers in DKI Jakarta, this study aims to analyze the implementation of PKPR amid the surge in cases of adolescent violence to formulate efforts to optimize its role. To analyze the implementation and identify the challenges of PKPR in DKI Jakarta, as well as to formulate strategies to optimize the role of PKPR in reducing the surge in cases of violence and other risky behaviors among adolescents. This study uses a sequential exploratory mixed-methods study design, located at the DKI Jakarta Community Health Center. The data sources for this study come from primary data (structured questionnaires) and secondary data from official documents from the Health Office. A significant spike in the total number of violence cases was found in DKI Jakarta in 2024 (2084 cases), an increase of 215.8% from 2023. Victims aged 13-17 years were the highest group (552 victims), with boyfriends/girlfriends/friends experiencing a 312.7% spike (326 cases). This reinforces that PKPR has not been able to overcome classic implementation problems related to funding, facilities, and personnel. It is necessary to optimize the role of PKPR to overcome classic implementation problems and adapt to the handling of psychosocial violence cases. Key recommendations include improving health personnel training, providing facilities that ensure privacy and comfort for adolescents, and strengthening networks with schools and youth organizations.
Faktor Gaya Hidup sebagai Prediktor Kualitas Hidup pada Pasien Luka Kaki Diabetik: Studi Cross-Sectional di Indonesia Restu Anisa Putri; Rani Sauriasari; Atika Wahyu Puspitasari
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.v10i1.53487

Abstract

Diabetic foot ulcers (DFUs) are a serious complication of diabetes mellitus (DM) that significantly impacts patients' quality of life. Lifestyle factors, particularly smoking status and physical activity, are important modifiable factors to support improvement of this condition. This study aims to analyze the relationship between these two factors and the quality of life of DFU patients in Indonesia. A predictive cross-sectional study was conducted on 70 patients undergoing treatment at six branches of the Diabetic Wound Care Home Clinic in the Greater Jakarta area during March–May 2025. Quality of life was measured using the Indonesian version of the Diabetic Foot Ulcer Scale-Short Form (DFS-SF). Analysis was performed using the chi-square test for bivariate associations and multivariate logistic regression, controlling for confounding variables. The results showed that most patients did not smoke (74.3%) and did not exercise regularly (70.0%). Smoking status was significantly associated with quality of life (p=0.042), while physical activity showed a trend towards significance (p=0.060). Multivariate analysis identified physical activity as a predictor of quality of life (OR=5.30; 95% CI: 0.96–29.14; p=0.055), with patients who did not exercise being 5.3 times more likely to experience low quality of life. Smoking status showed a paradoxical result (OR=0.12; 95% CI: 0.02–0.82; p=0.030), which requires cautious interpretation. Physical activity also significantly impacted the domains of dependency/activities of daily living (p=0.001) and physical health (p=0.002). These findings emphasize the importance of integrating physical activity promotion and healthy lifestyle interventions in the holistic management of patients with LKD to support improved quality of life.

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