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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 239 Documents
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Implementation of Coloring and Puzzle Play Therapy to Reduce Hospitalization Anxiety in Preschoolers: A Case Study Diah Ayu Agustin; Shofiyyul Izhan; Ika Melasari; Bambang Sucipto
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 11, No 2 (2026)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v11i2.930

Abstract

Deterioration in physical condition, environmental changes, medical treatment, loss of control over activities can cause anxiety in preschool children hospitalized with bronchopneumonia. The aim of the study: to determine the results of the application of puzzle and coloring therapy in 2 children who experienced anxiety during hospitalization. Method: Descriptive case study. Coloring therapy in patient 1 (N) and puzzle therapy in patient 2 (A) was carried out once a day for 30 minutes, for three days of treatment. Anxiety was measured before and after therapy using a questionnaire based on the Facial Image Scale (FIS). Results: Coloring therapy is effective in reducing anxiety levels from very severe to moderate. Puzzle therapy is also proven to be effective in reducing anxiety levels from severe to mild. Conclusion: Nurses play a crucial role as care providers, educators, and collaborators in applying puzzle and coloring therapy to reduce anxiety in hospitalized preschool children through appropriate play spaces and materials, accompanying the child, monitoring responses after play, and collaborating with parents and healthcare team members.
Patterns of Sibling Relationships and Levels of Depression among Adolescents in East Jakarta Ardianingtyas Nurul Pratama; Mustikasari Mustikasari
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 11, No 2 (2026)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v11i2.948

Abstract

BackgroundAdolescents require support from those closest to them when facing psychosocial challenges related to identity formation; such support helps prevent failures that could lead to depression. Beyond parents, siblings serve as a primary source of support, as positive sibling relationships tend to lower depression levels compared to situations marked by constant conflict between them.ObjectiveThis study aims to analyze the relationship between sibling relationship patterns and levels of depression among adolescents in East Jakarta.MethodsA quantitative descriptive study with a cross-sectional design on an age group in East Jakarta, Indonesia. Four hundred forty five adolescents were participated in study that selected with probability sampling using cluster sampling.  Sibling relationship quality was measured using the Sibling Relationship Questionnaire (SRQ). Level depression was measured using the Children’s Depression Inventory (CDI). The data were analyzed using univariate and bivariate methods, the ANOVA statistical test was used for bivariate analysis.ResultsThe findings indicate that adolescents exhibit a “warmth” relationship pattern (M = 36.25) and mild levels of depression (60.2%). There is a significant relationship between warmth (F = 33.803, p < 0.001) and conflict (F = 4.565, p = 0.033) relationship patterns with depression levels.ConclusionAs the mean score for sibling relationship patterns increases, depression levels become less severe. Therefore, adolescents are encouraged to develop healthy sibling relationships as a supportive aspect of their self-exploration. Further research is recommended to examine the relationship between sibling relationships and other psychosocial issues among adolescents.Keywords:Adolescents, depression, sibling relationship 
Indonesian Beck Depression Inventory Adaptation and Validation Among Nursing Students: A Cross-Sectional Study Dian Sari; Dian Fitria; Irna Kartina; Retno Lestari; Andi Buanasari; Indah Putri Ramadhanti; Siti Mutia Kosassy
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 11, No 2 (2026)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v11i2.921

Abstract

BackgroundThe Beck Depression Inventory (BDI) is widely used to assess depressive symptoms; however, its validity among Indonesian nursing students has not been established.ObjectiveThe objective of this study to translate the BDI into Bahasa Indonesia and evaluate its psychometric properties among Indonesian nursing students.MethodsThe study followed the framework of adaptation and validation of instrument scale by Sousa and Rojjanasrirat. A total of 709 nursing students in Indonesia were participated with eligible criteria: actively enrolled; no history of mental health disorder and not currently on routine medication prescribed by a psychiatrist. Validity testing included exploratory and confirmatory factor analyses (EFA and CFA), concurrent validity, and assessment of ceiling and floor effects. Reliability was assessed using Cronbach’s alpha.ResultsEighteen items were retained. Internal consistency was high (Cronbach’s alpha = 0.914). EFA supported a three-factor structure: Negative Attitude, Somatic Symptoms, and Impaired Performance with factor loadings  0.376 to 0.684 (KMO= 0.946; Bartlett’s test p < 0.001). CFA demonstrated acceptable model fit. Ceiling and floor effects were minimum (7.7% amd 0.01%, respectively). Concurrent validity showed a strong correlation with the DASS-21 with depression subscale (r = 0.72, p < 0.001).ConclusionThe 18-item Indonesian BDI is a valid and reliable instrument for assessing depression severity among Indonesian nursing students and can be recommended for assessing depression among nursing students.KeywordsDepression, mental health, nursing student, reliability, validity
Prevalence and Associated Factors of Cognitive Frailty in Indonesian Community-Dwelling Older Adults Anung Ahadi Pradana; Rohayati Rohayati; Siriluk Winitchayothin; Nga Thi Thuy Nguyen; Joni Siahaan; Divine Grace Cas Domingo; Shinta Silaswati
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 11, No 2 (2026)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v11i2.1009

Abstract

ObjectiveTo provide insights into the prevalence and associated factors of cognitive frailty among older adults in Bekasi, Indonesia.MethodsA total of 308 community-dwelling older adults in Bekasi, Indonesia participated in this cross-sectional study. Demographic data and various measurement tools, including the Mini Nutritional Assessment (MNA), Barthel Index, Lawton Instrumental Activities of Daily Living (IADL) Score, and World Health Organization Quality of Life (WHOQOL) assessment, were employed to evaluate health status. Binary logistic regression analysis was used to identify the cognitive frailty-associated factors.ResultsThe prevalence of cognitive frailty in Indonesia was found to be 8.44%. Factors significantly associated with cognitive frailty in this Indonesian cohort included marital status, lifestyle choices, the presence of comorbid conditions, history of serious illness, fall incidents, reduced physical performance, nutritional status, levels of depression, and self-reported quality of life.ConclusionTo our knowledge, this represents the first investigation into cognitive frailty within this population. The findings are significant, offering empirical evidence regarding the prevalence of cognitive frailty within the Indonesian population.KeywordsCognitive frailty, community-dwelling, older adults, prevalence
A Phenomenological Study of The Sociocultural Factors Influencing Men’s Participation in Family Planning Programs Ricky Riyanto iksan; Elfira Awalia Rahmawati; Novi Maya Sari; Putri Permata Sari; Roza Indra Yeni
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 11, No 2 (2026)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v11i2.1003

Abstract

ObjectiveThis phenomenological study explored sociocultural factors influencing men's participation in family planning (FP).MethodsA descriptive qualitative phenomenological study was conducted in X Jakarta, Indonesia, from February to March 2026. Participants were recruited using purposive sampling. Data were collected through semi-structured in-depth interviews and analyzed using Colaizzi’s seven-step phenomenological method. Trustworthiness was ensured through member checking, peer debriefing, audit trails, and reflexive journaling. Ethical approval was obtained, and written informed consent was secured from all participants before data collection.ResultsFour interrelated themes emerged from the analysis. Men's understanding of FP was shaped by unequal reproductive health socialization and limited access to male-oriented reproductive health information, resulting in FP being perceived primarily as a woman's responsibility. This perception was reinforced by socio-cultural norms and traditional gender expectations. Despite these influences, contraceptive decision-making was generally characterized by communication and mutual agreement between spouses. However, men's participation remained constrained by psychological concerns regarding contraceptive safety, unequal access to reproductive health information, and prevailing masculinity norms.ConclusionMen's participation in FP is influenced by gendered reproductive health socialization, socio-cultural norms, marital communication, and multiple barriers to engagement. Gender-inclusive FP programs, including male-focused education and couple-centered counseling, are needed to promote shared reproductive responsibility.KeywordsFamily planning, men’s participation, phenomenology, sociocultural factors
Physical Activity Level as A risk Factor for Low Back Pain Among Young Adults in Depok City Rhomlah Rhomlah; Kuntarti Kuntarti; Hening Pujasari; Tuti Afriani
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 11, No 2 (2026)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v11i2.719

Abstract

ObjectiveTo analyze the relationship between physical activity levels and low back pain (LBP) complaints among young adults in Beji District, Depok City, Indonesia.MethodsA quantitative cross-sectional study was conducted involving 287 respondents aged 18–29 years.  The villages were randomly selected, while respondents were recruited using a convenience sampling technique. Physical activity levelswere assessed using the Baecke Questionnaire, which evaluates work, sports, and leisure-time activities. LBP complaints were measured using the Nordic Body Map Questionnaire. Data were analyzed using the Chi-square.ResultsMost respondents demonstrated a moderate level of physical activity, mild pain was the most commonly reported complaint in the middle back/waist, lower back, and buttock regions, while severe pain was reported by only a small number of respondents.  Physical activity level was not significantly associated with the severity of middle back/waist pain (OR = 2.106; p = 0.551). However, significant associations were found between physical activity level and lower back pain severity (OR = 21.572; p < 0.001) and buttock pain severity (OR = 42.058; p < 0.001).ConclusionPhysical activity level was significantly associated with lower-back and buttock pain severity but not with middle back/waist pain severity. Moderate physical activity is associated with a reduced risk of lower back and buttock pain among young adults. Promoting regular physical activity and ergonomic practices may support musculoskeletal health and reduce the risk of LBP.Keywords:Low back pain, physical activity, young adults
Determinants of Musculoskeletal Disorder Among Nurses Dinda Isabela; Masyithah Fadhani; Hidayati Hidayati; Tuti Oktriani
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 11, No 2 (2026)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v11i2.935

Abstract

ObjectiveTo Identify the predictive determinants and associated factors of Musculoskeletal Disorders (MSDs) among nurses at Rumah Sakit Otak Dr. M. Hatta Bukittinggi.MethodsThis study employed a quantitative analytical approach with a cross-sectional design.  Respondents were 110 nurses who were selected via proportional random sampling using a lottery methods. Data were collected using the validated Nordic Body Map (NBM) and NASA-TLX workload questionnaires.  Bivariate analysis applied the Chi-Square test and variable with p < 0.25 were entered into a backward logistic regression for multivariate modelling, controlling for confounding variables.  ResultsMore than a half of the respondents (55.53%) experienced moderate MSDs.  There is a significant associations between MSDs and age (p=0.000), gender (p=0.014), years of service (p=0.001), Body Mass Index (BMI) (p=0.000), and workload (p=0.046). Furthermore, age is the most dominant factor associated with MSDs (Exp(B)=10.156). ConclusionAge, BMI, and workloads are critical factors for occupational MSDs.  Implementing targeted ergonomic protocols and tailored physical support for older clinical staff is essential to mitigate injury risks and ensure high-quality health service.KeywordsAge, Body Mass Index, musculoskeletal disorders, nurses, workload
A School-Based RISE Intervention to Improve Adolescent Reproductive Health Knowledge, Attitudes and Self- Reported Skills: A Quasi-Experimental Study Nani Winani; Irna Nursanti; Dhea Natashia; Rohman Azzam
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 11, No 2 (2026)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v11i2.904

Abstract

ObjectiveThis study examined the effectiveness of the Reproductive Information for Healthy Empowerment (RISE) intervention in promoting improvements in reproductive health knowledge, attitudes, and self-reported skills among female adolescents.MethodsA quasi-experimental pre-test–post-test control group study was conducted among 130 female students aged 15–19 years from a vocational health school in Indonesia. Participants were recruited using convenience sampling and allocated at the class level to an intervention group (n = 65) and a control group (n = 65). The RISE intervention was delivered over four weeks through structured modules combining video-based learning and interactive discussions.  Data collection was conducted using a structured questionnaire assessing reproductive health knowledge, attitudes, and self-reported skills. Statistical analyses included paired and independent t-tests, followed by multivariable linear regression to adjust for potential confounders.ResultsThe intervention group demonstrated significantly greater improvements in reproductive health knowledge (mean difference = 1.91, p < 0.001), attitudes (mean difference = 3.63, p < 0.001), and self-reported skills (mean difference = 1.15, p = 0.003) compared with the control group. Multivariable analysis confirmed that the RISE intervention remained significantly associated with improvements in all outcomes after adjustment for confounding variables.ConclusionThe RISE intervention effectively improved adolescents’ reproductive health knowledge, attitudes, and self-reported skills, supporting its integration into school-based reproductive health promotion programs.
Factors Associated with Acute Respiratory Tract Infections (ARIs) in Toddlers: A Cross-Sectional Study Lilis Yuliarsih; Maesaroh Maesaroh; Ricky Riyanto Iksan; Yanti Susanti
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 11, No 2 (2026)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v11i2.856

Abstract

ObjectiveThis study aimed to analyze factors associated with the incidence of Acute Respiratory Infection ARIs among under-five children in the working area of the Gunung Jati Community Health Center, Cirebon District, Indonesia.MethodsA quantitative analytical study with a cross-sectional design was conducted among 130 under-five children selected using simple random sampling. The independent variables were nutritional status, immunization status, and household cigarette smoke exposure, while ARIs  incidence was the dependent variable. Data were collected using a structured questionnaire and analyzed using Chi-square tests and binary logistic regression.ResultsMultivariate analysis  Nutritional status (AOR = 0.123; p = 0.001), immunization status (AOR = 0.058; p = 0.005), and household cigarette smoke exposure (AOR = 0.015; p < 0.001) were significantly associated with ARI. Household cigarette smoke exposure was the strongest factor associated with ARIs.  incidence among under-five children.DiscussionNutritional status, immunization status, and household cigarette smoke exposure were significant factors associated with ARIs.  Adequate nutrition and complete immunization reduced ARIs.   risk, while cigarette smoke exposure increased it. Strengthening nutrition, immunization, and smoke-free home practices may help prevent ARIs  in children.ConclusionImproving nutritional status, increasing immunization coverage, and promoting smoke-free home environments may contribute to reducing ARI incidence in this population.KeywordsAcute respiratory infections, immunization, nutrition, smoking behavior, toddlers 

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