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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 2,731 Documents
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Analisis Pembelajaran Manajemen Bencana di STIKes Arta Kabanjahe Yenni Adelia Br. Sembiring; S Otniel Ketaren; Frida Lina Br. Tarigan
Jurnal Ners Vol. 10 No. 3 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.57506

Abstract

Pendidikan tentang kebencanaan di Indonesia merupakan suatu keharusan mengingat tingginya kejadian bencana alam yang terjadi. Pendidikan ini diterapkan di perguruan tinggi dengan memasukkan mata kuliah manajemen bencana pada kurikulum pendidikan. Melalui mata kuliah tersebut diperlukan materi, metode, dan media pembelajaran yang terintegrasi dan relevan untuk meningkatkan pemahaman, sikap, dan keterampilan mahasiswa dalam penanggulangan bencana. penelitian ini merupakan penelitian kualitatif dengan desain fenomenologi. Lokasi penelitian ini adalah Kampus STIKes Arta Kabanjahe, Informan penelitian ini sebanyak 16 orang, dan tekhnik pemeriksaaan keabsahan data menggunakan uji kredibiltas, uji triangulasi sumber, dan triangulasi tekhnik. penelitian menyatakan bahwa materi mata kuliah manajemen bencana mengacu pada pedoman dari Kemdikbud, Kemenkes, BNPB, literature dan buku teks akademik. Metode pembelajaran yang digunakan mencakup berbagai pendekatan komprehensif seperti metode konvensional, studi kasus, diskusi kelompok, dan penugasan. Media pembelajaran yang digunakan adalah presentasi powe point, video, e-book, platform e-learning, dan jejaring sosial untuk studi kasus sedangkan media analog yang digunakan adalah buku ajar cetak. Hambatan yang dialami adalah keterbatasan sumber daya dan fasilitas keterbatasan waktu, dan kurangnya kolaborasi dengan pihak eksternal. Rekomendasi penelitian ini ditujukan kepada pimpinan STIKes Arta Kabanjahe agar membuat permohonan MoU (Memorandum of Understanding) kepada pihak BPBD Kabupaten Karo dan berkolaborasi dengan perguruan tinggi yang mempunyai pengalaman tentang bencana untuk mendukung proses pembelajaran manajemen bencana dan mengadakan seminar/pelatihan bersertifikat untuk menambah soft skill mahasiswa.
Hubungan Ketuban Pecah Dini dengan Kejadian Sepsis Neonatorum Pada Bayi di Rs Robert Wolter Mongisidi TK. Iikota Manado Andini Fares; Ike Fitrah Atul Chabibah; Desiska Pricillia Tumatar
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.57513

Abstract

Premature rupture of membranes is a common pregnancy complication that impacts fetal and maternal outcomes. The purpose of this study was to examine the relationship between premature rupture of membranes and the incidence of neonatal sepsis in infants at Robert Wolter Mongisidi Hospital, Level II, Manado City. The population in this study was 32 infants. The study was conducted from June 20-26, 2025. This study used a retrospective method with a cross-sectional approach. This research was conducted at the Robert Wolter Mongisidi Hospital, Level II, Manado City. The sampling technique used total sampling. The sample collection used observation sheets, and the data were then processed using the Chi-square statistical test with a significance level of p = (α< 0.000). The results of the Chi-square statistical test with a significance level of p = (α< 0.000). This means there is a relationship between premature rupture of membranes and the incidence of neonatal sepsis in infants at the Robert Wolter Mongisidi Hospital, Level II, Manado City. The influence of knowledge on adolescent girls' attitudes towards managing dysmenorrhea at MTs Assalam Manado. The conclusion of this study is that there is a relationship between premature rupture of membranes and the incidence of neonatal sepsis in infants at the Robert Wolter Mongisidi Hospital, Level II, Manado City. Recommendations: The results of this study serve as basic knowledge for students and for future developments in the field of obstetrics
Efektivitas Early Warning System dan Aplikasi Mobile Dalam Deteksi Dini Masalah Menyusui Pada Ibu Postpartum: Systematic Literature Review Dengan Pendekatan Prisma Ermayati Ermayati; Machmudah Machmudah; Sri Rejeki
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.57541

Abstract

Latar Belakang: Masalah menyusui pada ibu postpartum seperti puting lecet, bendungan ASI, mastitis, dan produksi ASI yang tidak adekuat masih menjadi faktor utama kegagalan pemberian ASI eksklusif. Banyak kasus tidak terdeteksi sejak dini karena pemantauan yang masih bersifat pasif dan bergantung pada kunjungan tenaga kesehatan. Pendekatan Early Warning System (EWS) dan teknologi mobile health (mHealth) berpotensi membantu deteksi dini masalah laktasi secara lebih cepat dan sistematis. Tujuan: Menelaah secara sistematis bukti ilmiah mengenai efektivitas penggunaan Early Warning System dan aplikasi digital dalam mendeteksi masalah kesehatan ibu serta mendukung keberhasilan menyusui. Metode: Systematic Literature Review (SLR) dengan pendekatan PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses). Pencarian artikel dilakukan pada database PubMed, Scopus, ScienceDirect, dan Google Scholar dengan rentang tahun 2020–2025. Artikel diseleksi berdasarkan kriteria inklusi dan eksklusi hingga diperoleh artikel yang relevan untuk dianalisis. Hasil: Sintesis menunjukkan bahwa penggunaan Early Warning System mampu meningkatkan deteksi dini kondisi klinis pasien dan mempercepat respons tenaga kesehatan. Selain itu, implementasi aplikasi mobile health terbukti meningkatkan pengetahuan ibu, pemantauan kesehatan, serta keberhasilan program kesehatan maternal termasuk menyusui. Kesimpulan: Early Warning System dengan teknologi mobile health berpotensi menjadi strategi inovatif dalam deteksi dini masalah laktasi pada ibu postpartum.
Pengaruh Pijat Perineum Terhadap Kejadian Ruptur Perineum Pada Ibu Primigravida di Klinik Bersalin Bidan Yorina Merukh Nurul Jannah Sangadji; Lisa Ardiningtyas; Winarsih Mokoagow
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.57548

Abstract

Perineal rupture is one of the most common complications during normal childbirth, particularly among primigravida mothers whose perineal tissues have lower elasticity. Perineal massage is considered a non-pharmacological intervention that can help increase perineal elasticity and reduce the risk of birth canal lacerations. This study aimed to determine the effect of perineal massage on the incidence of perineal rupture among primigravida mothers at the Yorina Merukh Midwifery Clinic. This research employed a quasi-experimental design with two intervention groups, consisting of 5-minute and 10-minute perineal massage durations. All primigravida mothers who met the inclusion criteria were selected as samples using a total sampling technique. Data were collected through direct observation during labor using structured observation sheets. Univariate and bivariate analyses were conducted to assess differences in the incidence of perineal rupture based on the duration of perineal massage. The results showed a difference in the incidence of perineal rupture between the two groups, with the 10-minute perineal massage demonstrating greater effectiveness in reducing perineal rupture compared to the 5-minute massage. These findings indicate that perineal massage contributes to increased tissue elasticity, thereby minimizing the risk of rupture during childbirth. In conclusion, perineal massage is a beneficial intervention and can be recommended as a preventive measure to reduce perineal rupture among primigravida mothers.
Peran Pendamping Persalinan dengan Lama Persalinan Kala II di Puskesmas Ranomuuut Kota Manado Pritty Natasya Latampung; Endang Puji Ati; Meinita Wulansari
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.57550

Abstract

Childbirth companion Childbirth companion is a supporting factor in the smoothness of childbirth, because the effect of women's feelings towards different childbirths is related to their perceptions of supportive people, from those closest to them can affect maternal anxiety Definition of Childbirth companion Childbirth companion is a supporting factor in the smoothness of childbirth, because the effect of women's feelings towards different childbirths is related to their perceptions of supportive people, from those closest to them can affect maternal anxiety. This study aims to determine the relationship between the role of companions and the length of the second stage of labor in mothers giving birth at the Ranomuut Community Health Center in Manado City. This type of research uses quantitative research with a descriptive correlational approach. The population is 156 mothers giving birth, the sample in this study uses Purposive Sampling where researchers identify relationships or causes of a phenomenon without intervening. The results of the study show that the role of companions who do not play a role is 11 people or 34.4% and the role of companions who play a role is 21 people or 65.6%. Furthermore, data processing and analysis p value 0.001 where P <α 0.05 so that H0 is rejected and Ha is accepted. This means there is a relationship between the role of birth companions and the duration of second stage labor at Ranomuut Community Health Center, Manado City.
The Effectiveness of Relaxation Intervention on Psychophysiological Responses in Patients Undergoing Cardiac Catheterization: A Systematic Review Nora Dwi Purwanti; Tuti Herawati; Amelia Kimin
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.57559

Abstract

Coronary artery disease (CAD) is a major contributor to global mortality and leads to a high number of cardiac catheterization procedures, including coronary angiography (CAG) and percutaneous coronary intervention (PCI). These invasive procedures often trigger psychological responses such as anxiety and physical responses such as pain. Unmanaged pain may contribute to autonomic dysregulation and worsen cardiovascular outcomes. This systematic review aimed to synthesize scientific evidence on the effectiveness of relaxation interventions on the psychophysiological responses of patients undergoing cardiac catheterization. The review followed PRISMA 2020 guidelines and searched five databases: PubMed, Scopus, EBSCOhost, ProQuest, and Google Scholar. The PICOS framework was used to identify randomized controlled trials (RCTs) published between 2016 and 2026. Article quality was assessed using the Cochrane Risk of Bias tool version 2 (RoB 2). Eight RCTs were included in the analysis. Interventions identified included Benson relaxation, progressive muscle relaxation (PMR), deep breathing exercises, and music therapy. Results showed that relaxation interventions significantly reduced anxiety and pain levels. Although findings on hemodynamic parameters varied, improvements in cardiovascular regulation, heart rate variability, and cortisol levels were observed. Relaxation interventions are safe, effective, and support evidence-based nursing care practices.
Analisis Literasi Kesehatan dan Efikasi Diri Remaja Putri dalam Menstrual Health Management Berbasis Copilot AI di SMKN 2 Lhokseumawe Wulandari Wulandari; Hafsah Usman; Ernita Ernita; Fatiyani Fatiyani; Yenni Fitri Wahyuni; Cut Linar
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.57563

Abstract

Penelitian ini beranjak dari urgensi tingginya risiko infeksi reproduksi pada remaja putri akibat praktik Menstrual Health Management (MHM) yang buruk. Budaya tabu dan stigma (culture of silence) membuat remaja enggan mencari informasi kepada guru atau orang tua. Oleh karena itu, Generative Artificial Intelligence (AI) seperti Copilot AI menawarkan kebaruan (novelty) sebagai fasilitator edukasi yang privat, objektif, dan bebas penghakiman. Penelitian ini bertujuan menganalisis secara analitik deskriptif kualitatif tingkat literasi kesehatan dan efikasi diri remaja putri dalam MHM melalui interaksi dengan Copilot AI di SMKN 2 Kota Lhokseumawe. Dari populasi 120 siswi kelas X, teknik simple random sampling digunakan untuk menarik 92 responden (rumus Slovin) guna mengisi kuesioner terbuka dan wawancara tematik. Hasil tabulasi dan analisis tematik menunjukkan bahwa 76,1% siswi memiliki literasi kesehatan kognitif yang tinggi, dan 81,5% memiliki efikasi diri tinggi. Copilot AI terbukti secara radikal meruntuhkan hambatan komunikasi, bertransformasi menjadi "mitra sebaya digital" yang memberikan validasi medis instan. Kesimpulannya, pemanfaatan asisten virtual secara efektif memberdayakan kemandirian higienitas remaja putri secara aman dan valid di lingkungan sekolah.
Efek Intermittent Fasting 5:2 terhadap Kadar Asam Urat dan Berat Badan pada Penderita Overweight dan Obesitas Nurliana Nurliana; Hanan Khasrawi Abrar; Safitri Dwi Ramadhan
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.57564

Abstract

Peningkatan prevalensi overweight dan obesitas menjadi masalah kesehatan global yang berdampak pada berbagai gangguan metabolik, termasuk peningkatan kadar asam urat. Intermittent fasting 5:2 merupakan salah satu pendekatan diet yang banyak digunakan untuk menurunkan berat badan, namun efeknya terhadap parameter biokimia seperti kadar asam urat masih menunjukkan hasil yang tidak konsisten. Penelitian ini bertujuan untuk menganalisis perubahan kadar asam urat dan berat badan setelah penerapan intermittent fasting 5:2 pada individu dengan overweight dan obesitas. Penelitian menggunakan desain kuantitatif dengan pendekatan pre-eksperimental tipe one group pretest-posttest. Sampel penelitian berjumlah 33 responden yang memenuhi kriteria inklusi. Data dianalisis menggunakan uji statistik deskriptif dan inferensial melalui uji t berpasangan setelah uji normalitas Shapiro-Wilk. Hasil penelitian menunjukkan bahwa tidak terdapat perubahan yang signifikan pada kadar asam urat dengan nilai signifikansi p=0,691, meskipun terjadi fluktuasi nilai rata-rata sebelum dan sesudah intervensi. Sebaliknya, berat badan menunjukkan penurunan yang signifikan dengan nilai p=0,001. Temuan ini menunjukkan bahwa intermittent fasting 5:2 efektif dalam menurunkan berat badan namun tidak memberikan perubahan bermakna terhadap kadar asam urat. Variasi respons antar individu mengindikasikan adanya keterlibatan faktor metabolik yang kompleks. Intervensi diet memerlukan pendekatan yang lebih komprehensif dengan mempertimbangkan faktor gaya hidup dan kondisi individu. The increasing prevalence of overweight and obesity has become a global health concern associated with various metabolic disorders, including elevated uric acid levels. Intermittent fasting 5:2 is a dietary approach widely used for weight reduction; however, its impact on biochemical parameters such as uric acid remains inconsistent. This study aimed to analyze changes in uric acid levels and body weight following the implementation of intermittent fasting 5:2 among individuals with overweight and obesity. A quantitative approach with a pre-experimental one group pretest-posttest design was employed. A total of 33 respondents who met the inclusion criteria participated in the study. Data were analyzed using descriptive and inferential statistics through paired t-test after normality testing using Shapiro-Wilk. The results indicated no statistically significant change in uric acid levels (p=0.691), although slight fluctuations were observed between pretest and posttest values. In contrast, body weight showed a significant reduction (p=0.001). These findings suggest that intermittent fasting 5:2 is effective in reducing body weight but does not significantly affect uric acid levels. Individual variability indicates the involvement of complex metabolic mechanisms. Dietary interventions require a more comprehensive approach by considering lifestyle and individual metabolic conditions.
Analisis Epistemologis dan Ontologis terhadap Sistem Pengelolaan Rekam Medis di Rumah Sakit : Literatur Review Mega Ermasari; Suryo Ediyono
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.57631

Abstract

This study aims to analyze medical record management systems in hospitals through a philosophy of science approach, particularly from epistemological and ontological perspectives. The method employed is a qualitative approach with a literature review design, examining various reputable scientific articles to identify concepts, patterns, and theoretical frameworks related to medical record systems as knowledge systems. The findings indicate that medical record systems function not only as documentation tools, but also as ontological representations of clinical reality and as epistemological media for the construction of medical knowledge. From an ontological perspective, medical record systems represent complex health realities through standardized data structures, although they often involve a reduction of meaning. Meanwhile, from an epistemological perspective, these systems reflect the processes of constructing and validating medical knowledge, which involve varying degrees of certainty, interpretation, and potential bias. This study concludes that the evaluation of medical record systems requires a comprehensive philosophical approach in order to develop systems that are not only technically efficient, but also epistemologically valid and ontologically representative. Keywords: philosophy of science, epistemology, ontology, medical records, health information systems, hospitals
Efektivitas Mindfulness terhadap Penurunan Gejala Preeklampsia pada Ibu Hamil Trimester III: Systematic Literature Review Nasrawati Nasrawati; Sri Yuliatin; Siti Aisa; Halijah Halijah
Jurnal Ners Vol. 10 No. 3 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.57658

Abstract

Preeklampsia menyumbang 27,1% kematian ibu di Indonesia. Faktor psikologis, khususnya stres kronik dan kecemasan antenatal, berkontribusi signifikan terhadap patogenesis melalui aktivasi sumbu HPA dan disfungsi endotel. Mindfulness sebagai intervensi non-farmakologis berpotensi menargetkan jalur psikofisiologis ini. Mensintesis secara sistematis evidence mengenai efektivitas intervensi mindfulness terhadap penurunan gejala preeklampsia (tekanan darah, proteinuria, biomarker inflamasi) pada ibu hamil trimester III. Systematic literature review mengikuti panduan PRISMA 2020. Pencarian dilakukan di PubMed, Scopus, Cochrane Library, Google Scholar, dan CINAHL (2013–2025). Kriteria inklusi: studi RCT, quasi-eksperimental, dan systematic review pada ibu hamil trimester III dengan intervensi mindfulness (MBSR, MBCT, meditasi pernapasan) yang mengukur parameter preeklampsia. Dari 489 rekam yang teridentifikasi, 41 studi memenuhi kriteria inklusi (N=4.128 ibu hamil, 12 negara, 2013–2025). Mindfulness secara signifikan menurunkan tekanan darah sistolik (rata-rata penurunan 5,4–10,1 mmHg; p<0,05), diastolik (3,2–6,8 mmHg), dan skor kecemasan (SMD −0,52; 95%CI −0,71 hingga −0,33). Efek anti-inflamasi ditunjukkan melalui penurunan IL-6 dan CRP. Durasi ≥6 minggu dengan frekuensi minimal 2×/minggu menunjukkan efek optimal. Mindfulness merupakan intervensi adjuvan yang menjanjikan dalam manajemen preeklampsia, dengan efek bermakna pada parameter tekanan darah dan psikologis. Diperlukan RCT multisenter dengan pengukuran biomarker angiogenik (sFlt-1/PlGF) untuk memperkuat bukti.

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