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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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Motivasi dan Komitmen Karyawan: Implikasinya terhadap Kualitas Pelayanan di PT. NAROTAMA SAKTI Dewi, Maria Shintya; Kosasih, Kosasih
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.v10i2.55479

Abstract

Studi ini menyelidiki hubungan antara motivasi karyawan, komitmen organisasi, dan kualitas layanan di PT. NAROTAMA SAKTI, sebuah perusahaan berorientasi layanan di Indonesia. Penelitian ini didasarkan pada Teori Motivasi-Higiene Herzberg (1966) dan Model Komitmen Organisasi Meyer dan Allen (1997), yang menekankan bagaimana motivasi intrinsik-ekstrinsik dan komitmen afektif-normatif-kontinuitas memengaruhi persepsi kualitas layanan. Memahami hubungan ini penting untuk meningkatkan kinerja karyawan dan kepuasan pelanggan dalam lingkungan bisnis yang kompetitif. Metode kuantitatif digunakan dengan kuesioner skala Likert (1 = Sangat Tidak Setuju hingga 5 = Sangat Setuju) yang diberikan kepada 10 responden yang dipilih secara purposif, termasuk direktur, manajer menengah, dan kepala divisi. Analisis data melibatkan statistik deskriptif, korelasi Pearson, dan regresi linier berganda untuk memeriksa hubungan variabel. Skor rata-rata menunjukkan bahwa motivasi karyawan (M = 3,78) dan komitmen (M = 4,13) relatif tinggi, sementara kualitas layanan (M = 3,82) sedang. Hasil korelasi mengungkapkan hubungan yang lemah dan negatif antara motivasi dan kualitas layanan (r = –0,472), dan antara komitmen dan kualitas layanan (r = –0,047). Analisis regresi lebih lanjut menunjukkan bahwa baik motivasi (β = –0,902, p = 0,192) maupun komitmen (β = –0,125, p = 0,793) tidak memengaruhi kualitas layanan secara signifikan (R² = 0,231; F = 1,052; p = 0,398). Temuan ini menunjukkan bahwa motivasi dan komitmen saja tidak menjamin kualitas layanan yang tinggi tanpa penyelarasan manajerial dan dukungan organisasi yang efektif. Studi ini menyimpulkan bahwa peningkatan kualitas layanan memerlukan strategi terpadu yang menyelaraskan motivasi dan komitmen karyawan dengan sistem kinerja, pengakuan, dan praktik kepemimpinan.
The Effect of Foot Massage on Peripheral Sensitivity in Patients With Type 2 Diabetes Mellitus Using The Ipswich Touch Test At Rsud Kabupaten Bekasi Hospital in 2025 Istyaningsih, Aisyah; Rakhmawati, Arifah; Fauzi, Achmad
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.v10i2.55502

Abstract

Type 2 Diabetes Mellitus (T2DM) is a chronic metabolic disorder that frequently leads to peripheral neuropathy due to prolonged hyperglycaemia. Peripheral neuropathy is characterized by reduced protective sensation in the lower extremities, particularly the feet, thereby increasing the risk of diabetic foot ulcers and amputation. Prevention of these complications requires early detection and appropriate non-pharmacological interventions. Foot massage is considered a safe and easily applicable intervention, while changes in peripheral sensation can be assessed using the simple and reliable Ipswich Touch Test (IpTT).This study employed a quantitative pre-experimental design with a one-group pretest–post test approach. The sample consisted of patients with Type 2 Diabetes Mellitus receiving outpatient and inpatient care at Bekasi District General Hospital. Participants received foot massage according to standard procedures. Peripheral sensation was assessed before and after the intervention using the Ipswich Touch Test. Data were analysed using the Wilcoxon Signed Rank Test to evaluate differences in peripheral sensation before and after the intervention.There was a statistically significant difference in peripheral sensation scores before and after the foot massage intervention. Post-intervention findings showed an increase in the number of respondents with normal peripheral sensation based on IpTT results. The Wilcoxon test yielded a p-value of 0.002 (p < 0.05), indicating that foot massage had a significant effect on improving peripheral sensation in patients with Type 2 Diabetes Mellitus. Foot massage significantly improves peripheral sensation in patients with Type 2 Diabetes Mellitus as measured by the Ipswich Touch Test. This intervention may serve as a supportive non-pharmacological therapy in preventing peripheral neuropathy and diabetic foot ulcers. Incorporating foot massage as an independent nursing intervention in clinical practice is recommended. Future studies should employ more rigorous research designs, larger sample sizes, and comparisons with other non-pharmacological interventions to produce more comprehensive evidence.
Efektivitas Media Poster dalam Pendidikan Kesehatan Terhadap Peningkatan Pengetahuan dan Perilaku Remaja Putri Mengenai Personal Hygiene Saat Menstruasi Anggraini, Nofa; Saputri, Adelia Febriana; Yuliana, Atika
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.v10i2.55503

Abstract

Latar Belakang : Masa remaja merupakan masa penting dalam membentuk kebiasaan hidup sehat, termasuk cara menjaga kebersihan diri saat menstruasi. Pada masa ini, remaja perempuan membutuhkan pelajaran yang cukup untuk memahami perubahan di tubuhnya dan cara merawat kebersihan diri agar menghindari masalah kesehatan reproduksi. Kurangnya pemahaman mengenai kebersihan menstruasi disebabkan oleh minimnya pembelajaran tentang kesehatan reproduksi serta media pembelajaran yang menarik belum terlaksana dengan baik.Tujuan Penelitian : Mengetahui efektivitas media poster dalam pendidikan kesehatan terhadap peningkatan pengetahuan dan perilaku remaja putri mengenai personal hygiene saat menstruasi. Metode Penelitian : Quasi experiment dengan desain one grup pre-test post-test. Sampel dalam penelitian ini adalah sebagian siswi di MTs Attaqwa dan SMPS Nurul Hidayah sebanyak 86 orang. Teknik pengambilan sampel menggunakan purposive sampling.Hasil Penelitian : Pengetahuan responden sebelum diberikan pendidikan kesehatan di MTs Attaqwa mayoritas berpengetahuan cukup 58,5% dan sesudahnya berpengetahuan baik 79,1%, sedangkan di SMPS Nurul Hidayah Pre test pengetahuan kurang 60,5% dan post test pengetahuan baik 51,2%. Perilaku responden pre test di MTs Attaqwa mayoritas positif 67,4% dan post test berperilaku potitif 97,7%, sedangkan di SMPS Nurul Hidayah pre test perilaku positif 55,8% dan post test perilaku positif 100%. Pendidikan kesehatan menggunakan media poster efektif dalam meningkatkan pengetahuan dan perilaku remaja putri mengenai personal hygiene saat menstruasi p value 0,000.Kesimpulan dan Saran : Pendidikan kesehatan dengan media poster efektif dalam meningkatkan pengetahuan dan perilaku remaja putri mengenai personal hygiene saat menstruasi. Tenaga kesehatan diharapkan dapat bekerja sama dengan pihak sekolah dalam memberikan pendidikan kesehatan reproduksi secara rutin dan terencana.
Effectiveness of Giving Aloe Vera Juice on Changes in Blood Pressure in Family Members With Hypertension Quasi Experimental Family Nursing Nurmaliyati, Nurni; Sukmawati, Opiyani
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.v10i2.55504

Abstract

Background: Hypertension is a global health problem that increases in older adults and serves as a risk factor for cardiovascular diseases. In DKI Jakarta, the highest prevalence of hypertension occurs in the 50–70-year age group, particularly among women. Management can be carried out through pharmacological and non-pharmacological therapies, including Aloe vera juice, which contains bioactive compounds with vasodilatory and antioxidant properties.Objective: This study aimed to determine the effectiveness of Aloe vera juice in altering blood pressure among family members with hypertension. Methods: This research employed a quasi-experimental one-group pre-test and post-test design to evaluate the effect of Aloe vera juice on blood pressure in 25 family members with hypertension at Puskesmas Jatinegara, East Jakarta. Data were collected by measuring blood pressure before and after a 7-day intervention and from patient medical records. Data analysis was conducted using univariate and bivariate methods, applying the Wilcoxon Signed Rank Test with a significance level of p ≤ 0.05 to determine the effectiveness of the intervention. Results: The study found that Aloe vera juice reduced systolic blood pressure in family members with hypertension, from a median of 157 mmHg to 136 mmHg (Δ 21 mmHg). It also lowered diastolic blood pressure, from a median of 93 mmHg to 83 mmHg (Δ 10 mmHg). The Wilcoxon test showed that Aloe vera juice significantly reduced blood pressure in family members with hypertension (Z = -3.962; p = 0.000). Conclusion and Recommendations: Aloe vera juice was proven to significantly reduce both systolic and diastolic blood pressure in family members with hypertension, indicating a significant difference between pre- and post-intervention blood pressure. Aloe vera juice can be used as a non-pharmacological intervention to lower blood pressure. Future studies are recommended with larger sample sizes and a randomized controlled trial (RCT) design, and family education programs can be implemented to support hypertension management at home.
The Relationship Between The Level of Reproductive Health Knowledge and The Prevention Behavior of Sexually Transmitted Infections Among Adolescents in State Senior High School 12, Bekasi City, West Bekasi District, Bekasi City in 2025 Hardiati, lis Sri; Titania, Eriane Jahtun
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.v10i2.55505

Abstract

Background: Adolescents are a strategic age group in the national development process, yet they are also among the most vulnerable to various reproductive health issues. Adolescence is characterized by rapid biological, psychological, and social changes, often unmatched by an adequate understanding of reproductive responsibilities. This significant proportion demands serious attention to improving the quality of adolescent health, particularly in reproductive health. A lack of accurate and reliable information has the potential to encourage risky sexual behavior, including premarital relations, which ultimately increases the likelihood of sexually transmitted infections (STIs). Adolescents with high self-confidence and open communication with their parents are generally better able to make healthy decisions regarding sexual activity. However, the cultural taboo surrounding discussing sexuality in Indonesia often hinders such communication. This study aims to provide insight into the influence of psychosocial factors on preventive behavior among students at SMA Negeri 12 Bekasi.Research Objective: To determine the relationship between knowledge levels about reproductive health and STI prevention behavior among adolescents at SMA Negeri 12 Bekasi.Research Method: This study uses a descriptive analytical approach with a cross-sectional method using the Chi-square test. The study sample consisted of 80 students from SMAN 12 Bekasi City, selected using random sampling.Results: The study showed a significant relationship between reproductive health knowledge and sexually transmitted infection prevention behavior among adolescents at SMAN 12 Bekasi City in 2025.Conclusions and Recommendations: There is a significant relationship between reproductive health knowledge and sexually transmitted infection prevention behavior among adolescents at SMAN 12 Bekasi City in 2025. Health institutions can improve adolescents' understanding of sexuality through seminars or outreach programs organized by schools in collaboration with local community health centers. Furthermore, parents need to be involved in this process by attending seminars and communicating openly with their children. Furthermore, health services should be easily accessible to adolescents at schools and local community health centers..
Relationship between Knowledge about Food, Pregnancy Myths, Education and Anxiety in Pregnant Women at the "J" Health Center in Tangerang Regency in 2025 Maisaroh, Siti; Yuliwati, Yuliwati
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.v10i2.55556

Abstract

Anxiety among pregnant women remains a common problem in antenatal care and can be influenced by various factors, both in terms of knowledge and socio-cultural aspects. Knowledge about nutrition during pregnancy, beliefs about pregnancy myths, and the mother's level of education are factors that are thought to play a role in the emergence of anxiety among pregnant women. This study aims to analyze the relationship between knowledge about food, belief in pregnancy myths, and education with anxiety in pregnant women at the "J" Community Health Center in Tangerang Regency in 2025. This study uses a quantitative approach with a descriptive analytical design and a cross-sectional method. Data collection was conducted in April 2025 on 67 pregnant women who visited the health center, using accidental sampling. Data were collected using a closed questionnaire and analyzed univariately and bivariately using the chi-square test. The results of the analysis showed that mothers' knowledge about food had a significant relationship with anxiety in pregnant women (p = 0.005). In addition, belief in pregnancy myths was also significantly related to anxiety in pregnant women (p = 0.001). Maternal education also showed a significant relationship with maternal anxiety (p = 0.002). Pregnant women with less knowledge, who still believed in pregnancy myths, and who had lower education tended to experience anxiety compared to pregnant women who had good knowledge, did not believe in pregnancy myths, and were more educated.Based on these results, it can be concluded that knowledge, belief in pregnancy myths, and education play a role in the level of anxiety experienced by pregnant women. Health education tailored to the educational background and culture of the community needs to be improved as an effort to reduce anxiety during pregnancy
Compliance with Iron Tablet Consumption and the Risk of Anemia in Third Trimester Pregnant Women in the Context of Midwifery Communication Yuliwati, Yuliwati; Maisaroh, Siti
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.v10i2.55557

Abstract

Anemia in third trimester pregnant women remains a common health issue and has the potential to increase the risk of pregnancy complications. Iron tablet consumption is one of the preventive measures for anemia, but the level of compliance among pregnant women in consuming them varies, influenced by individual characteristics, knowledge levels, and midwifery communication processes during antenatal care. This study aims to analyze iron tablet consumption compliance and the risk of anemia in third-trimester pregnant women in the context of midwifery communication in the working area of the "J" Community Health Center in 2025. This study used a cross-sectional design. The research subjects were third trimester pregnant women who underwent pregnancy check-ups at the "J" Community Health Center during the period of September–November 2025, with a sample size of 62 respondents. Compliance with iron tablet consumption was determined based on a minimum consumption of 90 tablets during pregnancy, while the incidence of anemia was determined based on hemoglobin levels. Data analysis was performed using univariate and bivariate analysis with the Chi-square test and presented in Odds Ratio (OR) values with a 95% confidence level. The results showed that most pregnant women were non-compliant in consuming iron tablets (67.7%), and anemia was found in 82.3% of respondents. Bivariate analysis showed a significant difference in the risk of anemia between pregnant women who adhered to and did not adhere to iron tablet consumption (p = 0.014). Pregnant women who did not adhere to iron tablet consumption had a higher risk of anemia than pregnant women who adhered to iron tablet consumption (OR = 5.115; 95% CI: 1.286–20.343). Variations in the incidence of anemia were also found based on maternal age (p = 0.015) and level of knowledge (p < 0.001), while parity did not show a significant relationship (p = 0.679). There is a correlation between iron tablet compliance and the risk of anemia in third trimester pregnant women. Iron tablet compliance plays an important role in reducing the risk of anemia, so strengthening midwifery communication through education and assistance during antenatal care needs to be continuously improved as part of efforts to prevent anemia in pregnant women
Analysis of Risk Factors for Pregnancy Complications Based on Maternal and Child Health Data in Primary Midwifery Services Susanti, Dewi
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.v10i2.55558

Abstract

Pregnancy complications remain a major challenge in maternal health care, particularly in the obstetric referral system from primary health care facilities. The high number of referrals often reflects the presence of undetected or inadequately managed maternal risk factors from the outset. This study aims to identify maternal risk factors associated with pregnancy complications in obstetric referral cases from Basic Emergency Obstetric and Neonatal Care (PONED) facilities throughout 2025. This study used a quantitative approach with an analytical observational design based on secondary data, which was analyzed through bivariate tests and multivariate logistic regression to identify independent risk factors. The results showed that severe preeclampsia was the most dominant referral indication, while hypertension in pregnancy, maternal anemia, gestational age less than 37 weeks, and a history of obstetric complications were significantly associated with the occurrence of pregnancy complications. After controlling for confounding variables, hypertension in pregnancy and maternal anemia remained the most consistent risk factors. These findings confirm that maternal clinical conditions play an important role in determining the level of obstetric urgency and the need for referral. Conceptually and practically, these results contribute to strengthening the risk-based antenatal care approach at the primary care level and provide an empirical basis for strengthening early detection, referral decision-making, and efforts to prevent pregnancy complications to improve maternal safety
Clinical Determinants and Services Model on Referral Decisions for Childbirth in Primary Midwifery Services Djannah, Roichatul
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.v10i2.55559

Abstract

Referrals for delivery are a crucial component of maternal health care systems to prevent more severe maternal complications. In primary midwifery care, referral decisions are influenced not only by the mother's clinical condition but also by midwifery service factors. This study aims to analyze the clinical and service determinants of referral decisions for delivery in primary midwifery care. The study used an analytical observational design with a retrospective approach. Data were obtained from the delivery register, partograph, and Puskesmas referral book for 2024 with a population of 174 and a sample of 121 deliveries. Data analysis was performed using univariate and bivariate analysis using Fisher's Exact Test and limited determinant modeling. The results showed that delivery referrals occurred in 8.3% of cases. Severe obstetric complications and certain midwifery service factors played a major role in the decision to refer deliveries. This study confirms that delivery referrals are an outcome of the primary midwifery service system that is influenced by the interaction of clinical and service factors
Efektivitas Penggunaan Social Activity Card untuk Meningkatkan Kemampuan Komunikasi Sosial pada Autism Spectrum Disorder Widyawati, Anindya; Wiliyanto, Dian Atnantomi; Purnaningrum, Windiarti Dwi
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.v10i2.55569

Abstract

Abstrak Autism Spectrum Disorder (ASD) adalah gangguan perkembangan saraf yang ditandai dengan kesulitan dalam komunikasi sosial, termasuk memulai interaksi, mempertahankan percakapan, dan merespons dengan tepat dalam situasi sosial. Salah satu media instruksional yang dapat mendukung pengembangan keterampilan ini adalah Kartu Aktivitas Sosial, yang memberikan stimulasi visual dan kegiatan terstruktur untuk membantu anak-anak lebih memahami konteks sosial. Penelitian ini bertujuan untuk mengkaji efektivitas Kartu Kegiatan Sosial dalam meningkatkan keterampilan komunikasi sosial pada anak dengan ASD. Penelitian ini menggunakan metode kuasi-eksperimental menggunakan desain pretest-posttest satu kelompok. Peserta terdiri dari lima anak dengan ASD berusia 10-11 tahun, dipilih melalui purposive sampling. Intervensi dilakukan selama delapan sesi menggunakan Kartu Kegiatan Sosial. Keterampilan komunikasi sosial diukur sebelum dan sesudah intervensi, dan data dianalisis menggunakan uji-t sampel berpasangan. Temuan ini mengungkapkan peningkatan yang signifikan dalam keterampilan komunikasi sosial setelah intervensi. Rata-rata skor pretest 42,40 meningkat menjadi 61,60 pada posttest. Analisis statistik menunjukkan nilai Sig. (2-tailed) 0,003 (p < 0,05), menunjukkan bahwa hipotesis nol ditolak dan hipotesis alternatif diterima. Selain itu, nilai t yang dihitung (–6,386) melebihi nilai tabel t kritis pada df = 4 (2,776), mengkonfirmasi perbedaan yang signifikan antara hasil pretest dan posttest. Temuan ini menunjukkan bahwa Kartu Aktivitas Sosial efektif dalam meningkatkan keterampilan komunikasi sosial pada anak-anak dengan ASD. Kata Kunci: Anak Autis, Komunikasi Sosial, Social Activity Card Abstract Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder marked by difficulties in social communication, including initiating interactions, maintaining conversations, and responding appropriately in social situations. One instructional medium that can support the development of these skills is the Social Activity Card, which provides visual stimulation and structured activities to help children better understand social contexts. This study aimed to examine the effectiveness of Social Activity Cards in improving social communication skills in children with ASD. The research employed a quasi-experimental method using a one-group pretest–posttest design. Participants consisted of five children with ASD aged 10–11 years, selected through purposive sampling. The intervention was conducted over eight sessions using Social Activity Cards. Social communication skills were measured before and after the intervention, and the data were analyzed using a paired samples t-test. The findings revealed a significant improvement in social communication skills following the intervention. The mean pretest score of 42.40 increased to 61.60 in the posttest. Statistical analysis showed a Sig. (2-tailed) value of 0.003 (p < 0.05), indicating that the null hypothesis was rejected and the alternative hypothesis was accepted. Additionally, the calculated t-value (–6.386) exceeded the critical t-table value at df = 4 (2.776), confirming a significant difference between pretest and posttest results. These findings demonstrate that Social Activity Cards are effective in enhancing social communication skills in children with ASD. Keywords: Autistic Children; Social Communication; Social Activity Card.

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