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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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Pelatihan Pemeriksaan Ipswich Touch Test (IPTT): Strategi Peningkatan Pengetahuan dan Keterampilan Kader dalam Skrining Neuropati Diabetik Baiq Emy Nurmalisa; Hasbunsyah Siregar; Zainul Zainul
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.v10i2.57700

Abstract

Diabetes melitus berisiko menimbulkan komplikasi serius, salah satunya adalah kaki diabetik (diabetic foot), apabila tidak dikelola secara optimal. Ipswich Touch Test (IpTT) hadir sebagai metode skrining sederhana yang dapat diaplikasikan oleh tenaga non-profesional, termasuk kader kesehatan. Penelitian ini bertujuan untuk membandingkan peningkatan pengetahuan dan keterampilan kader kesehatan dalam deteksi dini neuropati diabetik antara kelompok yang diberikan edukasi dan praktik langsung secara berpasangan (kelompok intervensi) dengan kelompok yang diberikan edukasi melalui video (kelompok kontrol). Studi ini menggunakan desain kuasi-eksperimental dengan rancangan pretest-posttest control group. Sebanyak 30 kader kesehatan dipilih secara purposive sampling. Instrumen penelitian meliputi kuesioner pengetahuan dan checklist prosedur IpTT. Analisis data dilakukan menggunakan uji Wilcoxon dan Mann-Whitney. Hasil penelitian menunjukkan pelatihan pemeriksaan Ipswich Touch Test (IpTT) secara langsung kepada kader Posyandu efektif meningkatkan pengetahuan dan keterampilan kader dalam skrining neuropati diabetik dengan peningkatan yang lebih tinggi (pengetahuan +5,40 poin; keterampilan +4,93 poin) dibandingkan kelompok kontrol yang hanya menggunakan media video (p<0,001). Disarankan agar pelatihan IpTT secara langsung dengan metode demonstrasi dan praktik langsung diintegrasikan ke dalam program pelatihan rutin kader kesehatan di Puskesmas untuk deteksi dini neuropati diabetik.
Pendekatan Holistik (Fisik, Psikologis, Sosial, Spiritual) dalam Dukungan Keluarga pada Perawatan Ulkus Kaki Diabetik di Rumah T. Eltrikanawati; Rizanda Machmud; Eva Decroli; Rozi Sastra Purna
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.v10i3.57822

Abstract

Ulkus Kaki Diabetik (UKD) merupakan komplikasi serius dari Diabetes Melitus yang memerlukan perawatan jangka panjang, khususnya di lingkungan rumah. Anggota keluarga memainkan peran krusial sebagai pengasuh utama; namun, bentuk dukungan keluarga holistik masih belum cukup disintesis dari perspektif pendidikan kesehatan. Penelitian ini bertujuan untuk mengidentifikasi dan menyintesis bentuk dukungan keluarga holistik dalam perawatan di rumah bagi pasien dengan ulkus kaki diabetik. Tinjauan dilakukan menggunakan metode state-of-the-art dengan pedoman Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Artikel diambil dari basis data terindeks Scopus, termasuk PubMed, ScienceDirect, dan Scopus, yang diterbitkan antara tahun 2020 dan 2026. Kriteria inklusi mencakup studi berbahasa Inggris yang berfokus pada dukungan keluarga dalam perawatan UKD. Data dianalisis menggunakan sintesis tematik. Sebanyak 15 artikel memenuhi kriteria inklusi. Empat tema utama dukungan keluarga diidentifikasi: dukungan fisik, dukungan psikologis, dukungan sosial, dan dukungan spiritual. Keluarga berkontribusi secara aktif dalam perawatan luka, dukungan emosional, pengambilan keputusan, dan mekanisme koping pasien. Temuan ini menunjukkan bahwa perawat, pendidik, dan praktisi kesehatan masyarakat harus mengintegrasikan pendidikan kesehatan berbasis keluarga yang terstruktur ke dalam program manajemen ulkus kaki diabetik. Pendekatan semacam ini dapat meningkatkan kualitas perawatan luka di rumah, mengurangi komplikasi, serta meningkatkan hasil klinis pasien dan keluarga dalam manajemen penyakit kronis.
Eksplorasi Pengalaman Bidan dalam Edukasi Deteksi Dini Perkembangan Bahasa Anak di Wilayah Pesisir: Studi Kasus Kualitatif Renny Adelia Br Tarigan; Nuzulia Irawati; Rizanda Machmud; Eva Chundrayetti
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.v10i3.57823

Abstract

Background: Early detection of language development disorders is essential to prevent long-term developmental delays in children. In coastal areas with limited resources, midwives play a crucial role as frontline healthcare providers in educating parents. This study aimed to explore midwives’ experiences in delivering education on early language development detection. Methods: This study employed a qualitative case study design conducted in coastal areas. Two midwives were selected as key informants based on their professional experience in maternal and child health services. Data were collected through in-depth interviews and analyzed using thematic analysis. Ethical approval was obtained, and informed consent was secured. Results: Three main themes emerged: (1) limited parental understanding of language development milestones, (2) barriers in delivering effective education, and (3) constraints related to healthcare services and geographical accessibility. Cultural beliefs and low awareness were identified as key factors influencing parental responses. Conclusion: Midwives play a critical role in early detection; however, multiple barriers hinder effective implementation. Strengthening communication strategies and improving service support are necessary to enhance early detection practices in coastal settings.
Kesiapan Perawat dalam Menghadapi Transformasi Manajemen Keperawatan di Rumah Sakit: Narrative Review Kimberley Maharani Maulibulung Hutapea
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.v10i3.57883

Abstract

Perubahan manajemen keperawatan di rumah sakit merupakan fenomena yang tidak terelakkan akibat perkembangan teknologi, tuntutan mutu pelayanan, dan dinamika sistem kesehatan global. Kesiapan perawat (readiness for change) menjadi faktor kunci dalam keberhasilan implementasi perubahan organisasi. Penelitian ini bertujuan untuk mengeksplorasi faktor-faktor yang mempengaruhi kesiapan perawat dalam menghadapi transformasi manajemen keperawatan melalui pendekatan narrative review. Metode yang digunakan adalah penelusuran deskripsi literatur dari database Scopus, PubMed, dan Google Scholar dengan rentang tahun 2020–2026. Hasil kajian menunjukkan bahwa kesiapan perawat dipengaruhi oleh tiga dimensi utama: faktor individu (pengetahuan, sikap, self-efficacy), faktor organisasi (budaya organisasi, komunikasi, dukungan sumber daya), dan faktor kepemimpinan (gaya kepemimpinan transformasional, komunikasi, dan empowerment). Faktor kepemimpinan terbukti memiliki peran paling dominan dalam memediasi hubungan antara faktor individu dan organisasi terhadap kesiapan perubahan. Kesiapan perawat merupakan konstruksi multidimensional yang membutuhkan pendekatan sistemik berbasis individu, organisasi, dan kepemimpinan untuk memastikan keberhasilan transformasi manajemen keperawatan.
The Effect of Intra-Arterial Heparin on Neurogenesis in Neurogenic Areas of the Adult Rat Brain: A Narrative Literature Review Based on Ki-67 and Doublecortin Expression Mohammad Fauzy Saleh; Dwi Rita Anggraini; Andre Marolop Pangihutan Siahaan
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.v10i3.57976

Abstract

Abstract Background: Adult neurogenesis—the continuous generation of new neurons in the subgranular zone (SGZ) of the hippocampal dentate gyrus and the subventricular zone (SVZ)—represents a fundamental process of neural plasticity with implications for cognition, memory, and recovery from neurological injury. Heparin, a widely employed anticoagulant, has emerged as a pharmacological agent with pleiotropic effects on the central nervous system, including modulation of growth factor signaling pathways critical to neurogenesis. Objective: This narrative literature review aims to critically synthesize current evidence on the effects of intra-arterial heparin administration on adult neurogenesis, with particular focus on Ki-67 (cellular proliferation) and Doublecortin (DCX; immature neuron migration) as immunohistochemical biomarkers. Methods: A comprehensive search of Scopus, PubMed, ScienceDirect, and Google Scholar databases was conducted using predefined search strings. Studies published between 2015 and 2025 were prioritized, supplemented by seminal foundational works. Fifteen primary articles met inclusion criteria. Results: Converging evidence indicates that heparin exerts neuroproliferative and neuroprotective effects through its interactions with fibroblast growth factor-2 (FGF-2), brain-derived neurotrophic factor (BDNF), and the Wnt/β-catenin and NF-κB signaling pathways. Intra-arterial administration potentiates these effects by restoring microvascular perfusion, thereby facilitating the survival of Ki-67+ progenitor cells and the maturation of DCX+ neuroblasts in neurogenic niches. Conclusion: Intra-arterial heparin demonstrates significant potential as a pro-neurogenic intervention in adult rodent models, supporting its translational investigation in clinical neuropathological conditions. Standardized biomarker protocols combining Ki-67 and DCX immunolabeling are recommended for future preclinical studies. Keywords: adult neurogenesis; heparin; Ki-67; Doublecortin (DCX); neural progenitor cells; subgranular zone; subventricular zone
Factors Associated With The Incidence of Hypertension Among Informal Sector Workers in The Working Area of Darussalam Public Health Center, 2025 Jelita Marfentin Sari Zendrato; Yolanda E. Br. Ginting; Santy Deasy Siregar; Hartono Hartono; Riky Suherman Simanjuntak
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.v10i3.58008

Abstract

Abstract Hypertension is one of the non-communicable diseases that has become a major public health problem because it increases the risk of cardiovascular diseases and premature death. Informal sector workers have diverse job characteristics with varying levels of activity and working conditions that may increase the risk of hypertension. This study aimed to analyze the relationship between several risk factors and the incidence of hypertension among informal sector workers in the working area of Darussalam Public Health Center in 2025. This study used a quantitative research design with a cross-sectional approach. The population consisted of all informal sector workers in the working area of Darussalam Public Health Center, with a total sample of 60 respondents selected using the total sampling technique. Data were collected through questionnaires and blood pressure measurements. Data analysis was conducted using univariate and bivariate analysis with the Chi-Square test at a 95% confidence level (Ethical approval number: 048/SP/UNPRI.FI.9.E/SPPKI.1/VIII/2025). The results showed that there was no significant relationship between family history (p=0.113), age (p=0.362), gender (p=0.957), salt consumption (p=0.282), caffeine consumption (p=0.297), physical activity (p=0.241), obesity (p=0.258), work stress (p=0.251), type of occupation (p=0.405), working duration (p=0.492), and income (p=0.100) with the incidence of hypertension. However, there was a significant relationship between length of employment and the incidence of hypertension (p=0.048). In conclusion, length of employment is a factor associated with the incidence of hypertension among informal sector workers. Therefore, preventive efforts are needed through proper work time management, increasing workers’ awareness to routinely check blood pressure, and adopting healthy lifestyle behaviors to reduce the risk of hypertension. Keywords: hypertension, informal sector workers, risk factors, length of employment
Hubungan Tingkat Pengetahuan dengan Sikap dalam Menjalani Terapi Diabetes Melitus Pada Penderita Diabetes Melitus di Ruang Sedap Malam RSUD Gambiran Kota Kediri Rickiy Akbaril Okta Firdaus; Ucik Indrawati; Agus Nurul Hidayah; Agus Muslim; Afif Hidayatul Arham
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.v10i3.58184

Abstract

In the hospital room Tuberose Gambiran average knowledge of patients hospitalized with less so that the influence attitude formation process. The purpose of this study was to determine the level of knowledge of the attitudes of patients with diabetes mellitus in the therapy of diabetes mellitus. This study is correlational cross-sectional research design and sampling techniques Acidental. The population in this study were patients with diabetes mellitus who were in the hospital tuberose Gambiran Kediri and obtained a sample of 15 people. This study used statistical test chi - square with significance level α = 0.05. Retrieval of data using questionnaires. The independent variable in this study is the level of knowledge, while the dependent variable is the attitude in the therapy of diabetes mellitus. Based on the results of research to the level of knowledge acquired 11 respondents (73.3%) had less knowledge, 3 respondents (20%) had sufficient knowledge and one respondent (6.7%) had good knowledge. For attitudes in therapy of diabetes mellitus obtained 12 respondents (80%) had a negative attitude and a third of respondents (20%) had a positive attitude. After statistical test chi - Square with values ​​obtained α = 0.05 p = 0.001 H0 rejected indicating that there is a level of knowledge with attitude in therapy of diabetes mellitus in patients with diabetes mellitus in public hospitals tuberose Gambiran Kediri. Based on this study it is expected that people with diabetes to seek information about the disease so that he could know about the disease diabetes mellitus so that he could be positive in therapy. Keywords: Knowledge, Attitude, Diabetes Mellitus
Efektivitas Terapi Musik dalam Menurunkan Mual Muntah Pada Pasien Kanker Payudara Yang Menjalani Kemoterapi di Rumah Sakit Umum Haji Medan Tania Cristine Br Barus; Mula Tarigan; Farida Linda Sari Siregar
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.v10i3.58235

Abstract

Mual muntah akibat kemoterapi atau chemotherapy induced nausea and vomiting (CINV) merupakan salah satu efek samping yang paling sering dialami pasien kanker payudara dan dapat memengaruhi kualitas hidup pasien selama menjalani terapi. Walaupun terapi antiemetik telah diberikan, sebagian pasien masih mengalami mual muntah sehingga diperlukan intervensi nonfarmakologis sebagai terapi pendamping. Salah satu intervensi yang dapat digunakan adalah terapi musik. Penelitian ini bertujuan untuk menganalisis efektivitas terapi musik dalam menurunkan mual muntah pada pasien kanker payudara yang menjalani kemoterapi di Rumah Sakit Umum Haji Medan. Penelitian ini menggunakan desain quasi experiment dengan pendekatan pretest-posttest nonequivalent control group. Sampel penelitian sebanyak 60 responden yang dibagi menjadi kelompok intervensi sebanyak 30 responden dan kelompok kontrol sebanyak 30 responden menggunakan teknik total sampling. Kelompok intervensi diberikan terapi musik selama 25 menit sebanyak dua kali, yaitu sebelum dan saat kemoterapi berlangsung, sedangkan kelompok kontrol hanya mendapatkan terapi antiemetik standar. Instrumen penelitian menggunakan Rhodes Index Nausea Vomiting and Retching (RINVR). Analisis data menggunakan uji Wilcoxon dan Mann Whitney. Hasil penelitian menunjukkan terdapat penurunan mual muntah yang signifikan pada kelompok intervensi setelah diberikan terapi musik dengan nilai p-value <0,05. Hasil uji Mann Whitney juga menunjukkan terdapat perbedaan signifikan antara kelompok kontrol dan kelompok intervensi pada hasil posttest dengan nilai p-value <0,05. Terapi musik efektif dalam menurunkan mual muntah pada pasien kanker payudara yang menjalani kemoterapi dan dapat digunakan sebagai intervensi keperawatan nonfarmakologis.
Temporary Closure for Gastroschisis Using Everyday Disposable Medical Devices: A Literature Review Ahmad Razi Maulana Alnaz; Erjan Fikri; Zulham Yamamoto; Fini Meirisa Alnaz
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.v10i3.58283

Abstract

Background: Gastroschisis is a life-threatening congenital abdominal wall defect requiring immediate surgical intervention at birth. In resource-limited healthcare settings, the availability of specialized silo devices for staged abdominal closure is frequently constrained by economic and logistical barriers. The use of everyday disposable medical devices as low-cost alternatives has gained increasing attention as a pragmatic approach to improving neonatal surgical outcomes in such environments. Objective: This literature review aims to synthesize available evidence on the use of disposable medical devices as alternative silo substitutes for temporary gastroschisis closure, evaluating their clinical applicability, safety profile, cost-effectiveness, and relevance to nursing care in low-resource neonatal settings. Methods: A systematic narrative literature review was conducted using databases including PubMed, Scopus, ScienceDirect, Springer, and Wiley Online Library. Studies published between 2015 and 2026 examining gastroschisis management, temporary abdominal closure techniques, improvised silo alternatives, and neonatal surgical outcomes were included. A total of 42 articles met inclusion criteria after screening and critical appraisal. Results: Evidence from multiple studies supports the feasibility and relative safety of improvised silo construction using readily available disposable materials, including urologic drainage bags, intravenous fluid bags, bowel irrigation sleeves, and sterile surgical gloves, particularly in settings where commercial silos are unavailable. Outcomes including bowel reduction time, wound infection rates, time to primary closure, and mortality were comparable to those achieved with commercial spring-loaded or sutured silos in several reports. Multidisciplinary neonatal nursing care was identified as a critical determinant of postoperative success. Conclusion: Everyday disposable medical devices represent a viable and cost-effective approach to temporary gastroschisis closure in resource-limited environments. Standardized protocols, rigorous infection control practices, and multidisciplinary collaboration are essential to optimize outcomes. Further high-quality prospective studies are needed to establish evidence-based guidelines for improvised closure techniques. Keywords: gastroschisis; temporary abdominal closure; disposable medical devices; neonatal surgery; resource-limited settings
Manajemen Program Pengendalian dan Pencegahan Diare Pada Balita di UPT Puskesmas Meral Agni Yuwanna Bhakti; Buchari Lapau; Jasrida Yunita; Mitra Mitra; M.Kamali Zaman
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.v10i3.50231

Abstract

Diare merupakan kondisi buang air besar dengan tinja berbentuk cair yang terjadi sedikitnya tiga kali dalam sehari. Program pengendalian dan pencegahan diare pada anak balita belum pernah diimplementasikan di Puskesmas Meral. Tujuan: Penelitian ini bertujuan untuk mengidentifikasi permasalahan dalam pengelolaan program pengendalian dan pencegahan diare pada anak balita di Puskesmas Meral. Metode : Penelitian menggunakan desain mixed methods dengan pendekatan konvergen yang menggabungkan metode kualitatif dan kuantitatif, meliputi: (1) penelitian kualitatif non-standar. (2) analisis tren untuk mengevaluasi hubungan antara pemberian ASI eksklusif, imunisasi lengkap, dan berat badan lahir rendah dengan kasus diare, serta (3) studi potong lintang deskriptif dan analitik untuk menentukan prevalensi dan faktor-faktor yang berhubungan dengan kejadian diare. Jumlah informan berjumlah 13 orang pada metode kualitatif dan 220 responden pada metode kuantitatif. Hasil: (1) Upaya gizi seimbang, imunisasi, dan promosi kesehatan telah terlaksana secara optimal; (2) terdapat hubungan signifikan antara tidak diberikannya ASI eksklusif serta imunisasi tidak lengkap dengan kejadian diare; (3) prevalensi diare pada anak balita di wilayah kerja Puskesmas Meral berkisar antara 32,5%–43,5%; (4) faktor pemberian ASI eksklusif, status imunisasi, kebiasaan cuci tangan, kebiasaan menggunakan air bersih, dan sanitasi limbah berpengaruh terhadap kejadian diare. Kesimpulan dan Rekomendasi: Diperlukan intervensi terhadap faktor-faktor yang memengaruhi kejadian diare serta penyusunan rencana kerja tiga tahun untuk menurunkan prevalensi diare, dengan pemantauan dan evaluasi secara berkala.

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