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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 3,122 Documents
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Pengaruh Prana-Beats (Kombinasi Prenatal Gentle Yoga dan Binaural Beats) Terhadap Intensitas Nyeri Punggung dan Kualitas Tidur Pada Ibu Hamil Trimester III : Sistematik Literature Review Dwi Tristiningdyah; Sri Rejeki; Machmudah Machmudah; Edy Soesanto; Yunie Armiyati
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.59059

Abstract

Latar Belakang: Nyeri punggung dan gangguan kualitas tidur sering dialami ibu hamil trimester III akibat perubahan fisiologis, hormonal, dan postur tubuh selama kehamilan. Kondisi ini dapat menurunkan kualitas hidup, meningkatkan stres, kelelahan, serta risiko komplikasi kehamilan. Intervensi non-farmakologis seperti prenatal gentle yoga dan binaural beats dinilai aman dan efektif untuk mengatasi masalah tersebut. Kombinasi keduanya dikenal sebagai prana-beats, yaitu pendekatan komplementer yang menggabungkan relaksasi fisik dan mental. Tujuan: Menganalisis pengaruh prana-beats terhadap intensitas nyeri punggung dan kualitas tidur pada ibu hamil trimester III. Metode: Penelitian menggunakan metode Systematic Literature Review (SLR) berdasarkan pedoman PRISMA 2020 melalui database PubMed, Scopus, ScienceDirect, CINAHL, Cochrane Library, dan Google Scholar tahun 2022–2026. Sebanyak 14 artikel memenuhi kriteria inklusi. Hasil: Prenatal gentle yoga terbukti menurunkan nyeri punggung, memperbaiki postur tubuh, meningkatkan fleksibilitas, serta meningkatkan kualitas tidur melalui penurunan stres dan kecemasan. Binaural beats memberikan efek relaksasi neurologis yang membantu meningkatkan kualitas tidur dan menurunkan persepsi nyeri. Kombinasi keduanya memberikan efek sinergis yang lebih optimal dibanding intervensi tunggal. Kesimpulan: Prana-beats efektif sebagai terapi komplementer untuk menurunkan nyeri punggung dan meningkatkan kualitas tidur ibu hamil trimester III.
Efektivitas Simulation-Based Interprofessional Education Terhadap Peningkatan Kompetensi Kolaborasi, Komunikasi Interprofesional dan Patient Safety Pada Mahasiswa Keperawatan: A Literature Review Siti Zahara Nasution; Yuliani Krisna Lubis; Evi Karota; Rika Endah Nurhidayah
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.59635

Abstract

Kolaborasi interprofesional merupakan kompetensi penting dalam pelayanan kesehatan karena kualitas pelayanan dan keselamatan pasien sangat dipengaruhi oleh komunikasi efektif dan kerja sama antar tenaga kesehatan. Simulation-Based Interprofessional Education (SIPE) merupakan metode pembelajaran inovatif yang memberikan pengalaman belajar klinis realistis melalui skenario simulasi untuk meningkatkan kesiapan mahasiswa dalam praktik kolaboratif. Penelitian ini bertujuan menganalisis efektivitas Simulation-Based Interprofessional Education terhadap peningkatan kompetensi kolaborasi, komunikasi interprofesional, dan patient safety pada mahasiswa keperawatan. Penelitian ini menggunakan desain literature review dengan pendekatan narrative synthesis berdasarkan pedoman PRISMA 2020. Pencarian literatur dilakukan melalui database Scopus, PubMed, Google Scholar, dan Garuda menggunakan kata kunci simulation-based learning, interprofessional education, teamwork, communication, patient safety, dan nursing students. Sebanyak 10 artikel yang terdiri dari 5 jurnal internasional dan 5 jurnal nasional yang dipublikasikan tahun 2021–2026 memenuhi kriteria inklusi dan dianalisis dalam penelitian ini. Hasil penelitian menunjukkan bahwa Simulation-Based Interprofessional Education efektif meningkatkan kompetensi kolaborasi, komunikasi interprofesional, teamwork, clinical judgement, dan kesadaran terhadap keselamatan pasien pada mahasiswa keperawatan. Penggunaan high-fidelity simulation, virtual simulation, dan simulasi berbasis TeamSTEPPS meningkatkan kesiapan mahasiswa dalam praktik klinis kolaboratif melalui pengalaman belajar yang realistis dan interaktif. Kesimpulan penelitian menunjukkan bahwa Simulation-Based Interprofessional Education merupakan strategi pembelajaran inovatif yang efektif dalam pendidikan keperawatan untuk meningkatkan kompetensi kolaborasi, komunikasi interprofesional, dan patient safety mahasiswa keperawatan.
Cardioprotective Activity of Ethanolic Extract of Temu Giring in Male Wistar Rats Induced by Isoproterenol Jekson Martiar Siahaan; Ratih Praseti Yanti; Endy Juli Anto; Syafruddin Ilyas; Binarwan Halim
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.54947

Abstract

Coronary heart disease is one of the leading causes of death worldwide. One manifestation is myocardial infarction, a condition of heart muscle damage due to obstructed blood flow. This study aims to analyze the extract of temu giring to show a decrease in cardiac enzyme levels (CK-MB, LDH) that increase due to ISO with the title cardioprotective activity of temu giring ethanol extract in rats induced by isoproterenol. The research method used an experimental approach in male Wistar rats divided into a control group and an isoproterenol induction treatment group. Induction was carried out with a certain dose and duration of exposure according to standard protocols. Parameters measured included cardiac biomarker levels and myocardial tissue histopathology. The results showed that the treatment given to group 2 caused the most severe heart damage in rats, which was characterized by the highest cardiac histopathology score and a significant increase in CKMB and ST2 levels compared to the control group and other treatment groups. Groups 3 to 6 experienced a significant increase in CKMB and ST2 levels compared to the control group, but the histopathological damage to the heart in these groups was relatively mild and did not differ significantly from each other. The biomarkers CKMB and ST2 were effective in detecting damage and stress in rat hearts, and were consistent with histopathological findings as parameters for assessing heart damage. Isoproterenol induction effectively caused myocardial infarction in Wistar rats.
Cardioprotective Activity of Papaya Leaf Ethanol Extract in Isoproterenol-Induced Rats Jekson Martiar Siahaan; Tiara Larasati; Endy Juli Anto; Binarwan Halim; Syafruddin Ilyas
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.54948

Abstract

Myocardial infarction is an acute condition caused by impaired blood flow to the heart muscle, causing an imbalance between oxygen supply and myocardial metabolic needs. This study aims to analyze the cardioprotective activity of papaya leaf ethanol extract on isoproterenol-induced Wistar rats. The research method used a laboratory experimental approach with a posttest-only controlled group design with six treatment groups. Papaya leaf extract was prepared at the Medical Phytochemistry Laboratory of UMI, and characterization, phytochemical screening, and CK-MB and LDH levels were conducted at the Integrated Laboratory of the Faculty of Medicine, UMI. Data analysis was performed using ANOVA or Kruskal-Wallis tests, with a significance level of p < 0.05. The results showed a highly significant difference (p < 0.001) in cardiac histopathology scores between the control and treatment groups. Group 2 showed the highest heart damage, while groups 3–6 experienced a decrease in damage scores. Post hoc testing revealed that groups 3, 4, 5, and 6 provided a significant protective effect compared to group 2. CKMB levels increased significantly in group 2, while groups 3–6 showed a significant decrease, particularly in groups 3 and 6. There was no significant difference in LDH levels between groups (p = 0.354), indicating this biomarker is less sensitive in detecting myocardial damage in this model. These results support the potential of papaya leaf ethanol extract as a herbal cardioprotective agent to reduce isoproterenol-induced heart tissue damage.
Efektivitas Intervensi Konseling Gizi Berbasis Telehealth Pada Kepatuhan Diet dan Kontrol Gula Darah Syafriani Syafriani; Zurrahmi Z.R
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.55359

Abstract

Kepatuhan diet merupakan determinan penting dalam pengendalian glikemik pada diabetes melitus tipe 2, namun sering rendah akibat keterbatasan akses konseling gizi yang berkelanjutan. Telehealth berpotensi memperluas jangkauan konseling dan meningkatkan pendampingan perilaku. Tujuan: Menilai efektivitas intervensi konseling gizi berbasis telehealth terhadap kepatuhan diet dan kontrol gula darah pada pasien diabetes melitus tipe 2. Metode: Penelitian kuasi-eksperimen dengan desain pre-test–post-test melibatkan 60 responden (30 intervensi; 30 kontrol) di layanan kesehatan primer. Kelompok intervensi menerima konseling gizi telehealth terstruktur selama 8 minggu (video call/pesan instan), sedangkan kelompok kontrol menerima layanan standar. Kepatuhan diet diukur menggunakan kuesioner skor 0–100, sedangkan kontrol gula darah diukur melalui HbA1c dan glukosa darah puasa. Analisis dilakukan dengan uji berpasangan untuk perubahan dalam kelompok dan uji komparatif antar kelompok pada α=0,05. Hasil: Skor Kepatuhan diet kelompok intervensi meningkat dari 54,3±9,6 menjadi 78,6±8,4 (p<0,001), sementara kontrol meningkat dari 53,8±10,1 menjadi 58,2±9,7 (p=0,08). HbA1c kelompok intervensi turun dari 8,4±1,1 menjadi 7,2±0,9 (p<0,001), sedangkan kontrol berubah dari 8,3±1,0 menjadi 8,0±1,0 (p<0,001). Glukosa puasa intervensi turun menjadi 142,8±22,6 mg/dL dari 176,5±28,4 (p<0,01). Kesimpulan: Konseling gizi berbasis telehealth meningkatkan kepatuhan diet dan kontrol glikemik, sehingga dapat digunakan sebagai model intervensi gizi dalam pelayanan kesehatan masyarakat. Saran, telehealth dapat disarankan sebagai model intervensi gizi yang scalable dan hemat biaya.
Analisis Faktor Resiko Kejadian Hemoragik Postpartum (HPP) di RS Bun Kosambi Tahun 2025 Shelly Utami Handayani; Gusrida Umairo
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.v10i2.56274

Abstract

Latar Belakang: Hemoragik Postpartum (HPP) merupakan salah satu penyebab utama kematian ibu di dunia maupun di Indonesia yang masih menjadi masalah kesehatan masyarakat hingga saat ini. HPP didefinisikan sebagai perdarahan ≥500 ml setelah persalinan pervaginam atau ≥1.000 ml setelah persalinan sectio caesarea yang dapat terjadi akibat berbagai faktor risiko, seperti atonia uteri, jarak kehamilan yang tidak ideal, paritas, usia ibu, riwayat anemia, serta komplikasi obstetri lainnya. Tujuan: Untuk Mengetahui Faktor Resiko Kejadian Hemorogik Postpartum (HPP) di RS Bun Kosambi Tahun 2026. Metode: pengambilan data rekam medis ibu bersalin dalam kurun waktu tertentu yang telah ditetapkan oleh peneliti untuk memperoleh data yang representatif. Analisis data yang digunakan adalah analisis univariat dan bivariat menggunakan uji chi square, jika tidak memenuhi syarat maka akan dilanjutkan dengan uji fisher exact test SPSS. Hasil: Terdapat hubungan paritas, jarak kehamilan, riwayat anemia dengan Kejadian Hemorogik Postpartum (HPP) dengan p value 0,000, namun tidak terdapat hubungan umur ibu dengan Kejadian Hemorogik Postpartum (HPP) dengan p value 0,449. Kesimpulan dan Saran: Tenaga kesehatan diharapkan dapat lebih memfokuskan upaya pencegahan HPP pada faktor obstetri langsung, seperti pencegahan atonia uteri, penerapan manajemen aktif kala III persalinan, serta deteksi dini dan penanganan cepat perdarahan postpartum.
Uji Aktivitas Dan Formulasi Sediaan Sampo Ekstrak Daun Nilam (Pogostemon Cablin Benth.) Terhadap Malassezia Furfur Julia Megawati Djamal; Asti Artika Arbie; Alya Meisyara Pusila; Afrid Trifena Puteri Kanalung; Sri Nindi Saribulan; Farhan Didipu
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.56738

Abstract

Dandruff is a condition characterized by abnormal flaking of the scalp. The cause of dandruff is still unknown, but Malassezia furfur can generally cause dandruff. Patchouli leaves (Pogostemon cablin Benth.) contain chemical compounds including essential oils, flavonoids, saponins, tannins, phenols, terpenoids, and steroids, which have antimicrobial, antioxidant, and anti-dandruff properties. The purpose of this study was to determine the formulation of shampoo preparations and the activity of patchouli leaves (Pogostemon cablin Benth.) against Malassezia furfur. The stages of this study were sample preparation, extract preparation, stock solution preparation, test medium preparation, test fungus preparation, fungus suspension, patchouli leaf extract activity test, shampoo preparation, and physical stability evaluation. The best formulation for an anti-dandruff shampoo preparation was formula I with a 1% HPMC concentration, and the strongest inhibitory activity against Malassezia furfur was observed at a 30% concentration with an inhibition zone diameter of 33.25 mm.
Impact Of Nurse-Led Spiritual Care On Spiritual Well-Being Of Individuals With Respiratory Diseases: A Systematic Review Navy Sealsi Adinda Prisca Marina; Yulis Setiya Dewi; Andri Setiya Wahyudi
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.57553

Abstract

Introduction: The management of critically ill respiratory patients in ICU’s necessitates a holistic approach incorporating spiritual care. While nurses occupy a strategic position to deliver spiritual interventions, implementation barriers persist due to the absence of standardized protocols. Systematic integration of spiritual dimensions into routine care protocols may significantly enhance both patient well-being and overall clinical outcomes. The aim of this study is to analyze the impact of nurse-led spiritual care on spiritual well-being of patients with respiratory diseases. Methods: A systematic review was conducted by 4 major database include Scopus, ProQuest, Science Direct and PubMed, for the last ten years publication 2015 to 2025 published in English. Egible studies included those that implemented of nurse led spiritual for individual with respiratory disease. Data extraction included study design, chacarteristic of participants and interventions, and measured outcome. Bias was assessed using the JBI Critical Appraisal Tools. Result: Nine studies (n = 9) scored by JBI critical appraisal from 77% to 92% included in the final analysis, involved 601 respondens from 7 countries, with duration of interventions ranging from 10 days to 24 weeks. The spiritual nursing care showed that nurse-delivered spiritual care interventions exert measurable positive effects on spiritual well-being among patients with respiratory diseases, with concomitant benefits observed across psychological and physiological health domains. Conclusion: The studied demonstrates that nurse-led spiritual care significantly improves spiritual well-being and related health outcomes in respiratory patients. The findings support integrating structured spiritual interventions into standard respiratory care, tailored to individual clinical and cultural needs. Future implementation requires both clinical guideline adoption and continued research to optimize long-term therapeutic benefits.
The Effectiveness of Artificial Intelligence in the Early Detection of STEMI: A Systematic Review Rizki Nur Azhadin; Sriyono Sriyono; Erna Dwi Wahyuni
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.57907

Abstract

Abstract Introduction: ST-Elevation Myocardial Infarction (STEMI) is one of the most critical manifestations of acute coronary syndrome and requires rapid diagnosis and timely intervention to reduce morbidity and mortality. Recent advances in Artificial Intelligence (AI), particularly in machine learning and deep learning, offer promising solutions for improving the accuracy and speed of early STEMI detection through real-time analysis of electrocardiogram (ECG) and clinical data. Methods: A comprehensive literature search was conducted using five major databases (Scopus, PubMed, ProQuest, ScienceDirect, and Web of Science) for peer-reviewed articles published between 2015 and 2025. Study selection followed the PRISMA guidelines, and methodological quality was evaluated using the Joanna Briggs Institute (JBI) critical appraisal checklist. Data synthesis was performed narratively, focusing on diagnostic accuracy, clinical outcomes, and AI application types. Results: Fifteen studies met the inclusion criteria. The majority reported that AI-based models, particularly those using ECG input, achieved diagnostic accuracies exceeding 90%. Several studies demonstrated that AI outperformed traditional risk scoring systems like the TIMI score. Additionally, AI applications were shown to support remote monitoring and facilitate timely interventions in emergency cardiac care settings. Discussion: The findings of this review indicate that artificial intelligence has substantial potential to enhance early STEMI detection through improved diagnostic accuracy and faster clinical decision-making. AI-based ECG interpretation demonstrated superior performance compared to traditional diagnostic methods, which may reduce delays in reperfusion therapy and improve patient outcomes. Furthermore, AI integration in prehospital settings and remote monitoring systems supports early triage and timely intervention, particularly in resource-limited environments. However, challenges such as data heterogeneity, limited external validation, and ethical considerations remain important barriers to widespread implementation. These findings highlight the need for further large-scale multicenter studies to confirm the clinical effectiveness of AI-based diagnostic tools in real-world emergency cardiac care. Conclusion: AI has demonstrated high potential in improving early STEMI diagnosis, accelerating clinical decision-making, and enhancing patient outcomes in acute cardiac emergencies. However, successful implementation requires addressing external validation, data quality, clinician training, and ethical concerns. Integrating AI into emergency cardiac nursing practice may transform the delivery of care in resource-limited and time-sensitive environments.
Analisis Faktor-Faktor yang Berhubungan dengan Kepatuhan Terapi Antiretroviral (ARV) pada ODHA di Puskesmas Sanggeng Kabupaten Manokwari Makalius Taribaba; Yacob Ruru; Sarce Makaba; Hasmi Hasmi; Yulius Sarungu Paiting; Dolfinus Y. Bouway
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.57995

Abstract

Infeksi HIV/AIDS masih menjadi masalah kesehatan masyarakat dengan keberhasilan terapi antiretroviral (ARV) sangat bergantung pada kepatuhan pasien. Data di Puskesmas Sanggeng Kabupaten Manokwari menunjukkan adanya kesenjangan antara jumlah ODHA yang masuk layanan dengan yang konsisten menjalani terapi. Penelitian ini bertujuan menganalisis faktor-faktor yang berhubungan dengan kepatuhan minum obat ARV, meliputi pengetahuan, sikap, dan dukungan keluarga, serta menentukan faktor dominan yang memengaruhi kepatuhan. Penelitian menggunakan desain kuantitatif analitik dengan pendekatan cross sectional. Sampel sebanyak 71 responden ODHA dipilih secara purposive. Data dikumpulkan melalui kuesioner terstruktur dan dianalisis menggunakan uji chi-square untuk hubungan bivariat serta regresi Poisson robust untuk analisis multivariat. Hasil penelitian menunjukkan kepatuhan minum obat ARV sebesar 71,8%. Analisis multivariat mengidentifikasi tiga variabel signifikan yaitu pengetahuan (RP=2,92; p=0,011), sikap (RP=0,75; p=0,015), dan dukungan keluarga (RP=0,70; p=0,047). Pengetahuan baik meningkatkan kepatuhan hampir tiga kali lipat, sedangkan sikap negatif dan dukungan keluarga rendah menurunkan kepatuhan. Temuan ini menegaskan pentingnya intervensi edukasi, konseling sikap, dan penguatan dukungan keluarga.

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