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Jurnal Persatuan Perawat Nasional Indonesia (JPPNI)
Published by Dewan Pengurus Pusat Persatuan Perawat Nasional Indonesia
ISSN : 25031376     EISSN : 25498576     DOI : http://dx.doi.org/10.32419/jppni.v4i3
Core Subject : Humanities, Health, Education,
Humanities Education Health Professions Nursing Public Health
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) merupakan jurnal resmi Persatuan Perawat Nasional Indonesia (PPNI). Jurnal Persatuan Perawat Nasional Indonesia ini merupakan jurnal dengan peer-review yang diterbitkan secara berkala setiap 4 bulan sekali (April, Agustus, Desember), berfokus pada pengembangan keperawatan di Indonesia. Tujuan diterbitkan JPPNI adalah untuk mewujudkan keperawatan sebagai suatu profesi yang ditandai oleh kegiatan ilmiah yaitu kegiatan penelitian yang dilakukan oleh perawat di Indonesia, dikomunikasikan melalui media jurnal yang dikelola oleh organisasi profesi, dan didistribusikan ke kalangan perawat, pemangku kepentingan, dan masyarakat.
Arjuna Subject : Keperawatan - Fundamental dan Ketrampilan
Articles 224 Documents
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PENATALAKSANAAN PASIEN STROKE HEMORRHAGIC DENGAN CHRONIC KIDNEY DISEASE DI INSTALASI GAWAT DARURAT: STUDI KASUS Anggra Nitva Nikamba; Syahirul Alim; Setyawan Setyawan
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 11, No 1 (2026)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v11i1.824

Abstract

Latar belakang: Pasien chronic kidney disease (CKD) berisiko tinggi mengalami intracerebral hemorrhage (ICH). Penggunaan antikoagulan saat hemodialisis (HD) dapat memperbesar lesi serebral. Kasus: Penelitian ini menggunakan pendekatan studi kasus penatalaksanaan pasien ICH dengan CKD di IGD. Wanita usia 53 tahun datang dengan GCS E2V2M5, tekanan darah 271/155 mmHg, heart rate75×/menit, SpO2 98%, dan respiration rate 20×/menit post HD tidak tuntas karena tekanan darah tinggi. Selama di IGD pasien mengalami muntah-muntah dan kejang. Pemeriksaan penunjang menunjukkan ICH pada lobus parietalis sinistra serta nilai ureum 85,3 mg/dL dan kreatinin 5,88 mg/dL. Manajemen: Pasien ICH membutuhkan hemostasis reversal, tetapi pasien mengalami CKD on HD rutin membutuhkan antikoagulan sehingga pasien diberikan injeksi asam traneksamat 500 mg. Posisi head up 30° dilakukan pada pasien untuk menurunkan tekanan intrakranial tanpa memberikan manitol karena kontradiktif pada pasien CKD. Perawat melakukan monitoring berkala terhadap status hemodinamik dan neurologis pasien. Hasil: Perawat sudah menerapkan manajemen peningkatan TIK, pencegahan aspirasi, dan monitoring tanda-tanda vital pasien secara kontinu. Hal ini dibuktikan dengan tekanan darah pasien menurun, tidak ada tanda peningkatan TIK, tidak terjadi kejang berulang, dan aspirasi. Kesimpulan: Intervensi yang dilakukan berhasil mencegah perburukan pasien meskipun nilai GCS pasien cenderung menetap saat pasien masuk ke IGD. Pemantauan tanda-tanda vital yang ketat serta pemberian intervensi yang cepat dan tepat di IGD sangat penting untuk mengoptimalkan luaran pasien. Kata Kunci: chronic kidney disease (CKD), instalasi gawat darurat (IGD), intracerebral hemorrhage (ICH), nursing care. Management of A Hemorrhagic Stroke Patient with Chronic Kidney Disease in the Emergency Department: A Case StudyABSTRACTBackground: Patients with chronic kidney disease (CKD) exhibit a high risk of developing intracerebral hemorrhage (ICH). Furthermore, the routine use of anticoagulants during hemodialysis (HD) sessions can potentially exacerbate cerebral lesion expansion. Case: This study employed a case study approach evaluating the emergency department (ED) management of an ICH patient with comorbid CKD. A 53-year-old female presented to the ED with a Glasgow Coma Scale (GCS) score of E2V2M5. Upon admission, her vital signs revealed a blood pressure of 271/155 mmHg, heart rate of 75 beats per minute, SpO2 of 98%, and a respiratory rate of 20 breaths per minute, following an incomplete HD session due to severe hypertension. During her ED stay, the patient experienced recurrent vomiting and seizures. Diagnostic workups confirmed an ICH in the left parietal lobe, accompanied by elevated laboratory markers, including blood urea nitrogen (BUN) of 85.3 mg/dL and serum creatinine of 5.88 mg/dL. Management: Although ICH patients critically require hemostasis reversal, this patient’s condition was complicated by underlying CKD on routine HD, which conversely requires anticoagulation; consequently, tranexamic acid 500 mg was administered intravenously. A 30o head-up position was maintained to reduce intracranial pressure (ICP) instead of administering mannitol, which is contraindicated in CKD patients. Nurses conducted continuous and rigorous monitoring of the patient's hemodynamic and neurological status. Results: The nursing team successfully implemented target interventions for increased ICP management, aspiration prevention, and continuous vital sign monitoring. These efforts were evidenced by a subsequent decrease in blood pressure, the absence of further signs of increased ICP, and the prevention of recurrent seizures or aspiration events. Conclusion: Prompt and appropriate emergency interventions successfully prevented further clinical deterioration, although the patient's GCS score remained relatively unchanged from admission. Strict vital sign monitoring combined with rapid, targeted interventions in the ED is paramount to optimizing clinical outcomes.Keywords: Chronic Kidney Disease (CKD), Intracerebral Hemorrhage (ICH), Emergency Department (ED), Nursing Care
IMPLEMENTATION OF AN EDUCATIONAL BOARD INNOVATION TO PREVENT FALLS AMONG HOSPITALIZED CANCER PATIENTS Donny Richard Mataputun; Diana Tri Budi Setiasih; Zilya Andriani; Dwi Fitriyanti; Allenidekania Allenidekania; Ria Andjarwati
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 11, No 1 (2026)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v11i1.837

Abstract

Objectives: This study evaluated the effectiveness of an Educational Board (Edu-Board), a bedside visual education tool, in improving knowledge and adherence to fall-prevention behaviors among oncology inpatients. Methods: A pre-experimental one-group pretest–posttest study was conducted using the Plan–Do–Study–Act (PDSA) quality improvement framework in the Cempaka inpatient ward at Dharmais National Cancer Hospital, Jakarta. Thirty adult cancer patients with moderate to high fall risk (≥50%) identified using the CC-CA Fall Risk Screening Tool were recruited along with their family caregivers. The intervention included bedside Edu-Board installation, nurse-led education, a fall-prevention checklist, and daily monitoring for three days. Patient knowledge and adherence to fall-prevention behaviors were assessed before and after the intervention using structured questionnaires. Data were analyzed using paired statistical tests with a The study findings showed a effective strategy level of p < 0.05. Results: Knowledge scores increased significantly from 10.8 ± 2.1 to 15.6 ± 1.8 (p < 0.001). Adherence to fall-prevention behaviors also improved significantly from 8.9 ± 2.4 to 14.2 ± 2.0 (p < 0.001). Observational findings further indicated improved safe mobility practices and increased caregiver participation in reinforcing fall-prevention behaviors. Discussion: The improvement may be explained by the Health Belief Model, where visual cues act as reminders that encourage preventive actions. Consistent with previous studies, visual and patient-centered education improves understanding, engagement, and adherence to safety behaviors.   Conclusion: The Edu-Board intervention The study findings showed a effective strategy improved patient knowledge and adherence to fall-prevention behaviors. As a low-cost and practical educational innovation, the Edu-Board may support hospital fall-prevention programs and strengthen patient safety in oncology inpatient care.Keywords: bedside Edu-Board, fall prevention, nursing innovation, oncology, patient education, patient safety
IDENTIFIKASI SIKAP PEREMPUAN DALAM MELAKUKAN DETEKSI DINI KANKER SERVIKS Siti Hizratul Raudah; Fitri Ayatul Azlina; Lola Illona Elfani Kausar
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 11, No 1 (2026)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v11i1.698

Abstract

Kanker serviks merupakan kanker yang terjadi pada sistem reproduksi perempuan. Angka kejadian kanker serviks terus meningkat seiring dengan kematian akibat kanker tersebut. Salah satu upaya yang dapat dilakukan adalah deteksi dini kanker serviks menggunakan metode IVA. Meskipun demikian, cakupan deteksi dini kanker serviks dengan metode IVA di Indonesia masih rendah karena rendahnya sikap perempuan untuk melakukan deteksi dini. Tujuan penelitian: Penelitian ini bertujuan untuk mengetahui sikap perempuan dalam melakukan deteksi dini kanker serviks di Desa Sungai Rangas, Kecamatan Martapura Barat. Metode: Penelitian ini termasuk dalam penelitian deskriptif dan menggunakan metode consecutive sampling dengan jumlah sampel sebanyak 115 responden. Instrumen yang digunakan adalah kuesioner sikap dan data dianalisis menggunakan analisis univariat. Uji normalitas menggunakan Kolmogorov Smirnov. Hasil: Sikap positif perempuan dalam melakukan deteksi dini kanker serviks sebanyak 68 orang (59,13%). Namun, sikap yang positif tersebut tidak ditunjukkan untuk melakukan tes IVA. Diskusi:Sikap positif yang dimiliki responden menunjukkan adanya pandangan yang baik mengenai pentingnya deteksi dini kanker serviks, tetapi persentasenya belum mencapai seluruh responden karena masih terdapat perempuan yang merasa takut, malu, dan menganggap pemeriksaan tidak diperlukan apabila belum terdapat gejala. Kesimpulan: Sikap positif perempuan dalam deteksi dini kanker serviks perlu dianalisis lebih lanjut dengan mempertimbangkan faktor-faktor lain yang memengaruhi sikap perempuan dalam deteksi dini kanker serviks serta memperluas penelitian dengan meningkatkan jumlah responden.  Perawat memiliki peran penting dalam meningkatkan sikap positif dan memberikan konseling untuk mengurangi rasa takut, malu, dan kecemasan pada perempuan terhadap prosedur pemeriksaan. Kata Kunci: deteksi dini, kanker serviks, sikap, Tes IVA.  Identification of Women's Attitudes toward Early Detection of Cervical CancerABSTRACTCervical cancer is a malignancy that develops in the female reproductive system. The incidence rate of cervical cancer continues to rise, alongside its associated mortality. One of the viable preventive efforts is early detection utilizing the Visual Inspection with Acetic Acid (VIA) method. Nevertheless, the coverage of early cervical cancer detection using the VIA method in Indonesia remains low, primarily driven by women's poor attitudes toward undergoing early screening. Objective: This study aims to identify women's attitudes toward early detection of cervical cancer in Sungai Rangas Village, West Martapura Subdistrict. Methods: This was a descriptive study employing a consecutive sampling method, with a total sample size of 115 respondents. The research instrument utilized an attitude questionnaire, and data were analyzed using univariate analysis. The normality of the data was evaluated using the Kolmogorov-Smirnov test. Results: Sixty-eight respondents (59.13%) exhibited a positive attitude toward the early detection of cervical cancer. However, this positive attitude did not translate into a willingness to undergo the VIA test. Discussion: The positive attitude demonstrated by the respondents indicates a favorable perspective on the importance of early cervical cancer screening. However, this percentage has not encompassed all respondents, as some women still experience fear and embarrassment, or perceive the screening as unnecessary in the absence of symptoms. Conclusion: Women's positive attitudes toward early cervical cancer detection warrant further analysis by considering other confounding factors that influence these attitudes, as well as expanding the research scope by increasing the sample size. Nurses play a pivotal role in fostering positive attitudes and providing counseling to alleviate fear, embarrassment, and anxiety regarding screening procedures among women.Keywords: early detection, cervical cancer, attitudes, VIA test
DUKUNGAN SOSIAL SEBAGAI FAKTOR PENGUAT HEALTH LITERACY PADA MAHASANTRI Syadza Tazkia; Tuti Nuraini; Andi Amalia Wildani; Kuntarti Kuntarti
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 11, No 1 (2026)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v11i1.715

Abstract

Rendahnya tingkat health literacy (HL) di kalangan mahasiswa menjadi tantangan dalam upaya peningkatan kesehatan masyarakat, termasuk di lingkungan pesantren. Dukungan sosial diperkirakan menjadi faktor pengaruh tingkat HL. Tujuan penelitian: Penelitian ini bertujuan untuk menganalisis hubungan antara dukungan sosial dengan tingkat HL. Metode: Penelitian ini menggunakan desain deskriptif kuantitatif dengan pendekatan cross-sectional, melibatkan 171 mahasantri yang dipilih melalui stratified random sampling. Instrumen penelitian berupa kuesioner Health Literacy Survey-Europe-16 Questions (HLS-EU-Q16) dan Multidimensional Scale of Perceived Social Support (MSPSS). Analisis data menggunakan uji chi square. Hasil: Sebanyak 60,23% responden memiliki dukungan sosial yang baik. sebanyak 50,88% responden memiliki HL yang baik, sedangkan 49,12% lainnya memiliki HL kurang baik. Terdapat hubungan signifikan antara dukungan sosial dan tingkat health literacy (ρ = 0,011). Mahasantri dengan dukungan sosial yang baik memiliki kemungkinan 2,346 kali lebih besar untuk memiliki health literacy yang baik dibandingkan santri dengan dukungan sosial kurang baik. Diskusi: Tingkat dukungan sosial yang baik berhubungan dengan tingkat health literacy mahasantri yang baik, begitu pun sebaliknya. Kesimpulan: Terdapat hubungan antara dukungan sosial dengan health literacy. Oleh karena itu, diperlukan upaya penguatan jaringan dukungan sosial dan program edukasi kesehatan guna meningkatkan tingkat health literacy mahasantri.Kata Kunci: dukungan sosial, health literacy, mahasantri, pesantren. Social Support as A Reinforcing Factor for Health Literacy among MahasantriABSTRACTLow levels of health literacy (HL) among university students pose a significant challenge to public health promotion efforts, including within Islamic boarding school (pesantren) environments. Social support is anticipated to be an influential factor in determining HL levels. Objective: This study aims to analyze the correlation between social support and health literacy levels. Methods: A descriptive quantitative design with a cross-sectional approach was employed, involving 171 mahasantri (Islamic boarding school university students) selected through stratified random sampling. Research instruments included the Health Literacy Survey-Europe-16 Questions (HLS-EU-Q16) and the Multidimensional Scale of Perceived Social Support (MSPSS). Data were analyzed using the chi-square test. Results: The findings revealed that 60.2% of respondents perceived good social support. The average health literacy score among respondents was 12.76 (95% CI, SD 3.33). Furthermore, a significant correlation was found between social support and health literacy levels (ρ = 0.011). Mahasantri with good social support were 2.346 times more likely to possess adequate health literacy compared to those with poorer social support. Discussion: Higher levels of social support are correlated with better health literacy among mahasantri, and vice versa. Conclusion: There is a significant correlation between social support and health literacy. Consequently, efforts to strengthen social support networks and implement health education programs are essential to enhance health literacy levels among mahasantri.Keywords: Social Support, Health Literacy, Mahasantri, Pesantren

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