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Klabat Journal of Nursing
Published by Universitas Klabat
ISSN : -     EISSN : 26857154     DOI : -
Core Subject : Health, Education,
Education Health Professions Medicine & Pharmacology Nursing Public Health
Klabat Journal of Nursing (KJN) is the official peer-reviewed research journal of Faculty of Nursing, Universitas Klabat (UNKLAB). This journal aims to promote advancement in nursing and health care through the dissemination of the latest research findings. KJN covers a wide range of nursing topics such as nursing education, clinical practice, advanced nursing issue and policy related to the nursing profession. This journal publishes two issues per year in April and October. KJN intended readership includes nurse educator, researcher, manager, and nurse practitioner at all levels. KJN accepts submission from all over the world. All accepted articles will be published on an open-access basis and will be freely available to all readers with worldwide visibility and coverage.
Arjuna Subject : Keperawatan - Riset dan Teori
Articles 165 Documents
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HUBUNGAN PENGETAHUAN BAHAYA MEROKOK DAN PERILAKU MEROKOK SISWA Sebtiana, Erika; Sudaryanto, Agus
Klabat Journal of Nursing Vol. 7 No. 1 (2025): Building Resilient Communities
Publisher : Fakultas Keperawatan, Universitas Klabat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37771/kjn.v7i1.1252

Abstract

Merokok merupakan merupakan kebiasaan umum di masyarakat yang tergolong buruk, termasuk di kalangan remaja. Masa remaja adalah periode kritis dalam perkembangan individu, di mana mereka mencoba berbagai hal baru untuk mengobati rasa kaingintahuan mereka, termasuk merokok. Tingkah laku ini memberikan pengaruh negatif terhadap kesehatan, baik dari segi fisik maupun kesejahteraan mental, seperti gangguan paru-paru, jantung, dan kecanduan. Pengetahuan mengenai risiko merokok seringkali berperan sebagai faktor utama yang memengaruhi kebiasaan merokok seseorang. Penelitian ini bertujuan untuk mengkaji hubungan antara pemahaman siswa mengenai bahaya merokok dengan perilaku merokok mereka. Dalam penelitian ini, digunakan pendekatan kuantitatif dengan desain korelasional deskriptif dan cross-sectional. Sampel yang terlibat dalam penelitian ini terdiri dari 78 siswa SMK Bhinneka Karya Surakarta yang dipilih melalui teknik purposive sampling. Pengumpulan data dilakukan menggunakan kuesioner terstruktur yang telah diuji validitas dan reliabilitasnya. Untuk menganalisis data, digunakan uji Spearman's rho untuk mengetahui hubungan antara variabel-variabel tersebut. Hasil penelitian menunjukkan bahwa mayoritas siswa, yaitu 46 (59%), memiliki pengetahuan yang terbatas mengenai bahaya merokok, sementara sebagian besar responden menunjukkan perilaku merokok yang tergolong berat, dengan 31 (39%) siswa merokok dalam jumlah besar. Hasil uji Spearman's rho menghasilkan p-value = 0,0001, yang lebih kecil dari 0,05. Berdasarkan temuan ini, dapat disimpulkan bahwa terdapat hubungan antara pengetahuan tentang bahaya merokok dan perilaku merokok siswa. Oleh karena itu, disarankan agar pihak sekolah melakukan sosialisasi dan edukasi lebih intensif mengenai dampak merokok serta menyampaikan informasi terkait risiko yang ditimbulkan oleh kebiasaan merokok terhadap kesehatan tubuh.
THE ROLE OF THE FAMILY IN HANDLING STUNTING INCIDENTS IN TODDLERS (CASE STUDY IN KARANGANYAR REGENCY) Mustain, Mustain; Marni, Marni; Sani, Fakhrudin Nasrul; Yuniarti, Tri
Klabat Journal of Nursing Vol. 7 No. 1 (2025): Building Resilient Communities
Publisher : Fakultas Keperawatan, Universitas Klabat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37771/kjn.v7i1.1213

Abstract

Stunting is an unresolved problem to date. In fact, there are still many areas in Indonesia that have quite high stunting rates in toddlers, one of which is in Karanganyar Regency. This study aims to determine the study of the role of the family in handling stunting in toddlers. In answering the research objectives, a phenomenological approach was used which is included in one of the qualitative methods. The sampling technique was carried out purposively, namely in Gebyog Village, Mojogedang District. The sample size in the study was 10 parents who had stunted children in Gebyog Village, Mojogedang District. Qualitative analysis of the research results was also presented using the collaizi method by conducting interviews and making field notes with word-for-word transcripts. Based on the results of the study, it can be seen that the role of parents is mostly at a sufficient level. The results of the study also stated that the nutritional status of most children is at a low level. This is due to the limited economic status of the parents' household so that nutritional intake cannot be met optimally. The results of the study also stated that 4 aspects were identified that were suspected of having an influence, namely perspective and experience, psychological response, parental expectations and moral and material support. Parents' experience in preventing stunting, namely the desire and motivation for stunting to occur. Parents are expected to try to access information related to stunting prevention and apply it in everyday life.
HUBUNGAN PENGETAHUAN IBU DENGAN CAKUPAN IMUNISASI DASAR LENGKAP PADA BALITA DI WILAYAH KERJA PUSKESMAS ESSANG Manoppo, Mutiara Wahyuni; Ering, Cherol Nelson; Majore, Elyana
Klabat Journal of Nursing Vol. 7 No. 1 (2025): Building Resilient Communities
Publisher : Fakultas Keperawatan, Universitas Klabat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37771/kjn.v7i1.1282

Abstract

Pemberian imunisasi sangat penting bagi balita untuk melindungi balita dari berbagai penyakit terutama penyakit menular. Pemerintah telah berupaya untuk mewajibkan setiap balita mendapatkan imunisasi yang lengkap. Namun kurangnya pengetahuan ibu akan pentingnya imunisasi berhubungan dengan perilaku ibu untuk melengkapi imunisasi anaknya. Tujuan dari penelitian ini adalah untuk mengetahui hubungan antara pengetahuan ibu dengan cakupan pemberian imunisasi di wilayah kerja Puskesmas Essang yang dilakukan pada bulan November-Desember 2024. Penelitian ini menggunakan metode kuantitatif dengan desain korelasional cross-sectional dan pengambilan data (n=60) dengan teknik Total Sampling. Hasil uji korelasi spearman rank menunjukkan p value 0,00 < 0,05 dengan nilai r 0,487 sehingga dapat disimpulkan bahwa terdapat hubungan yang signifikan antara pengetahuan ibu dengan cakupan pemberian imunisasi dasar lengkap dengan arah hubungan, semakin tinggi tingkat pengetahuan ibu makan cakupan pemberian imunisasi juga akan semakin tinggi. Rekomendasi puskesmas dapat terus memberikan edukasi kepada ibu balita mengenai pentingnya imunisasi dan memastikan setiap balita untuk mendapatkan imunisasi dasar yang lengkap. Immunization is very important for toddlers to protect them from various diseases, especially infectious diseases. The government has made efforts to require every toddler to get complete immunization. However, some mother has lack knowledge of the importance of immunization is associated with maternal behavior to complete immunization of their children. This study aims to determine the relationship between maternal knowledge and immunization coverage in the Essang Health Center working area conducted in November-December 2024. This study used quantitative methods with a cross-sectional correlational design and data collection (n = 60) with Total Sampling technique. The results of the spearman rank correlation test showed a p value of 0.00 <0.05 with an r value of 0.487, so it can be concluded that there is a significant relationship between maternal knowledge and coverage of complete basic immunization with the direction of the relationship, the higher the level of maternal knowledge, the higher the coverage of immunization will be. The recommendation for the Health Center is that can continue to provide education to mothers of toddlers about the importance of immunization and ensure that every toddler gets complete basic immunization.
HUBUNGAN PENGETAHUAN DAN SIKAP IBU TENTANG 1000 HARI PERTAMA KEHIDUPAN (HPK) DENGAN PERILAKU PENCEGAHAN STUNTING Tendean, Angelia Friska; Ering, Cherol Nelson; Sumolang, Sifra; Ponamon, Jolie Febri
Klabat Journal of Nursing Vol. 7 No. 1 (2025): Building Resilient Communities
Publisher : Fakultas Keperawatan, Universitas Klabat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37771/kjn.v7i1.1256

Abstract

Stunting adalah kegagalan pertumbuhan yang dialami anak di bawah lima tahun yang disebabkan oleh kekurangan gizi yang berkelanjutan dan seringkali disebabkan oleh infeksi. 1000 Hari Pertama Kehidupan (HPK) disebut golden age, dimaksudkan untuk memastikan bahwa anak-anak memiliki tumbuh kembang yang optimal. Jika ibu balita mengetahui tentang HPK dan memiliki sikap positif, mereka dapat melakukan perilaku pencegahan stunting yang efektif. Tujuan untuk mengetahui hubungan pengetahuan dan sikap ibu tentang 1000 hari pertama kehidupan dengan perilaku pencegahan Stunting dikelurahan Tataaran II. Metode penelitian ini meruapkan kuantitatif, dengan desain analitik korelasional melalui pendekatan cross-sectional. Teknik pengambilan sampel yang diterapkan dalam penelitian ini adalah total sampling yang melibatkan 100 responden. Hasil analisis spearman rank menunjukkan bahwa secara statistik tidak terdapat hubungan antara pengetahuan dengan perilaku pencegahan Stunting (p=value 0,090) > 0,05, namun terdapat hubungan antara sikap dengan perilaku pencegahan Stunting (p=value 0,007) < 0,05. Penelitian ini menyimpulkan bahwa untuk penelitian selanjutnya, disarankan untuk menganalisis faktor-faktor lain yang mungkin mempengaruhi perilaku pencegahan stunting seperti pendapatan orangtua, budaya ibu balita, dan dukungan suami terhadap ibu balita. Children under five years old who suffer from stunting, a growth failure disease brought on by persistent malnutrition and frequently linked to infections, experience stunting. The first 1000 days of life (HPK) is the golden period, often referred to as the golden age, for a child to have proper growth and development. Good knowledge about the first 1000 days of life and positive attitudes of mothers in caring for their toddlers will lead to effective stunting prevention behavior. The purpose of this study is to explore the correlation between mothers' knowledge and attitudes about the first 1,000 days of life and behaviors related to stunting prevention. Method in this study employed a quantitative research approach with a correlational analytic design through a cross-sectional approach using sampling technique total sampling, involving 100 respondents. The results of the Spearman rank analysis indicated that, statistically, there was no correlation between knowledge and stunting prevention behaviors (p-value = 0.090) > 0.05. However, a relationship was found between attitudes and stunting prevention behaviors (p-value = 0.007) < 0.05. The conclusion suggests that future researchers should examine other factors that could impact behavior, such as income, culture, and support.
DURASI PENGGUNAAN MEDIA SOSIAL DENGAN SUASANA HATI PADA MAHASISWA KEPERAWATAN TAHUN PERTAMA Sepang, Lovely G; Kalumata, Michelle
Klabat Journal of Nursing Vol. 7 No. 1 (2025): Building Resilient Communities
Publisher : Fakultas Keperawatan, Universitas Klabat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37771/kjn.v7i1.1291

Abstract

Durasi penggunaan media sosial telah menjadi perhatian utama dalam kaitannya dengan kesehatan mental, khususnya suasana hati..Tujuan penelitian ini untuk diketahui hubungan antara durasi penggunaan media sosial dengan suasana hati pada mahasiswa keracunan tingkat 1 Universitas Klabat. Penelitian ini menggunakan desain penelitian kuantitatif, dengan metode penelitian korelasional deskriptif melalui pendekatan cross sectional. Instrumen yang dipakai adalah kuesioner dalam bentuk google form. Teknik pengambilan sampel peneliti menggunakan total sampling dengan jumlah 136 responden tetapi hanya mendapat 131 responden. Responden yang memiliki durasi penggunaan media sosial yang tinggi dan juga dengan suasana hati yang positif adalah 56 (42,7%), sedangkan responden yang memiliki durasi penggunaan media sosial yang tinggi dengan suasana hati yang negatif yaitu 44 (33,6%) responden. Hasil uji statistik menggunakan rumus Spearman Rank didapati p value 0,387 > 0,05 sehingga Ho gagal ditolak. Yang berarti tidak ada hubungan antara durasi penggunaan media sosial dengan suasana hati mahasiswa tingkat 1 Universitas Klabat. Rekomendasi bagi mahasiswa agar mampu mengenali dan mengelola keadaan emosi yang nantinya menentukan suasan hati yang mendukung akan Kesehatan mental, demikian juga dengan durasi dalam penggunaan sosial media dikurangkan. Mood is a state of mind particulary emotional, that could change momentarily. There are two main moods, namely positive mood and negative mood. One solution to improve the mood among students is by playing on social media. The aim of this research was to determine whether there was a relationship between the duration of social media use and mood in level 1 poisoning students at Klabat University. This research uses a quantitative research design, with descriptive correlational research methods using a cross sectional approach. The researcher's sampling technique used total sampling with a total of 136 respondents but only got 131 respondents. Respondents who had a high duration of social media use and had a positive mood were 56 (42.7%), while respondents who had a high duration of social media use with a negative mood were 44 (33.6%) respondents. The results of statistical tests using the Spearman Rank formula found a p value of 0.387 > 0.05 so that Ho failed to be rejected. Which means there is no relationship between the duration of social media use and the mood of level 1 students at Klabat University Recommendations for students to be able to recognize and manage emotional states that will later determine a mood that supports mental health, as well as reducing the duration of social media use
CORRELATION OF CHOLESTEROL LEVELS, BLOOD GLUCOSE, URIC ACID AND AGES Siagian, Ernawaty; Ramschie, Putri Agape; Lappra, Karenina Gabriela
Klabat Journal of Nursing Vol. 7 No. 2 (2025): Nursing Insights: Bridging Science and Care
Publisher : Fakultas Keperawatan, Universitas Klabat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37771/kjn.v7i2.1300

Abstract

Metabolic syndrome and cardiovascular disease are often associated with elevated serum lipid, glucose, and uric acid levels. When these conditions occur together, they significantly increase the risk of heart disease, stroke, and type 2 diabetes, especially in individuals in the productive age range. This study was conducted to evaluate the association between cholesterol, blood sugar levels, uric acid concentrations, and age variables. The methodology in this study was descriptive correlational using a purposive sampling technique. This study selected Wiyono Village and Taman Sari Village, Gedung Tataan District, Pesawaran Regency, Lampung, as the research area. A total of 110 adult residents were involved in this study. Univariate and bivariate analyses were performed. Data collection included blood sampling to obtain cholesterol, uric acid, and blood glucose levels. After the results were obtained, each respondent received counseling on a healthy lifestyle (NEWSTART) according to the results of each respondent's examination by health workers. Revealing a statistically significant (sig value 0.023 <0.05) between cholesterol and uric acid. A sig value of 0.019 < 0.05 indicates a significant correlation between cholesterol and blood sugar. A sig value of 0.015 < 0.05 indicates a significant correlation between age and uric acid. Lifestyle management is essential as a preventative measure for increased lipid, glucose, and hyperuricemia levels. Sindrom metabolik dan penyakit kardiovaskular sering dikaitkan dengan peningkatan kadar lipid, glukosa, dan asam urat serum. Bila kondisi ini terjadi bersamaan, secara signifikan meningkatkan risiko penyakit jantung, stroke, dan diabetes tipe 2 terutama pada individu dalam rentang usia produktif. Studi ini dilakukan untuk mengevaluasi keterkaitan antara kolesterol, kadar gula darah, konsentrasi asam urat, serta variabel usia. Metodologi dalam penelitian ini adalah deskriptif korelasional dengan menggunakan teknik purposive sampling. Penelitian ini memilih Desa Wiyono dan Desa Taman Sari, Kecamatan Gedung Tataan, Kabupaten Pesawaran, Lampung, sebagai daerah penelitian. Sebanyak 110 penduduk dewasa terlibat dalam penelitian ini. Analisis univariat dan analisis bivariat dilakukan. Pengumpulan data meliputi pengambilan sampel darah untuk mendapatkan kadar kolesterol, asam urat, dan glukosa darah. Setelah hasilnya diperoleh, setiap responden menerima konseling tentang gaya hidup sehat (NEWSTART) sesuai dengan hasil pemeriksaan setiap responden oleh tenaga kesehatan. Mengungkapkan signifikan secara statistik (nilai sig 0,023 < 0,05) antara kolesterol dan asam urat. Nilai sig 0,019 < 0,05 antara kolesterol dan gula darah. Nilai sig 0,015 < 0,05 signifikan antara usia dan asam urat. Manajemen gaya hidup perlu diperhatikan sebagai langkah pencegahan peningkatan kadar lipid, glukosa dan hiperurisemia
APPLICATION OF SHAKER EXERCISE TECHNIQUE IN OVERCOMING SWALLOWING PROBLEMS IN ISCHEMIC STROKE PATIENTS: A SINGLE CASE STUDY Saputra, Dwi Candra Ari; Pamungkas, Indra Gilang; Dewi, Aliana
Klabat Journal of Nursing Vol. 7 No. 2 (2025): Nursing Insights: Bridging Science and Care
Publisher : Fakultas Keperawatan, Universitas Klabat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37771/kjn.v7i2.1313

Abstract

Stroke is a clinical sign characterized by focal or global neurological deficits that may worsen and persist for 24 hours or more, potentially resulting in death. One of the symptoms experienced by stroke patients is difficulty swallowing (dysphagia). Patients with positive dysphagia are at significantly increased risk of aspiration and pneumonia. One of the independent nursing interventions for managing swallowing disorders is swallowing training using the Shaker Exercise technique. This case study aims to determine whether the Shaker Exercise technique can help improve swallowing ability in ischemic stroke patients. This study used a single case study of a patient suffering from Ischemic Stroke. This involves performing 1 intervention called the Shaker Exercise Technique. The intervention was carried out twice a day for 15–20 minutes over 5 days. The intervention was evaluated using the Royal Adelaide Prognostic Index for Dysphagic Stroke. The implementation of the Shaker Exercise showed that the patient was able to swallow after 5 days of intervention. The Royal Adelaide Prognostic Index for Dysphagic Stroke score before the intervention was 71, and after the intervention, it increased to 92, allowing the patient to swallow normally and enabling the removal of the Nasogastric Tube. Swallowing exercises using the Shaker technique can improve swallowing function in patients with positive dysphagia and are therefore recommended as a structured intervention for stroke patients experiencing swallowing disorders.
LITERATURE REVIEW: DILEMA ETIS DAN LEGAL DALAM PENERAPAN TEKNOLOGI MEDIS DALAM PERAWATAN PASIEN Kasenda, Edson; Mambu, Ian Ruddy
Klabat Journal of Nursing Vol. 7 No. 2 (2025): Nursing Insights: Bridging Science and Care
Publisher : Fakultas Keperawatan, Universitas Klabat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37771/kjn.v7i2.1315

Abstract

Background: The application of medical technology in patient care, such as telemedicine, artificial intelligence (AI), and robotics, provides convenience and improves access to health services. However, this technology also raises ethical and legal challenges related to data privacy, algorithmic bias, and the responsibility of health professionals. Objective: To identify and understand the ethical and legal dilemmas that arise in the application of medical technology. Methods: Descriptive analysis with a literature review approach of publications from 2015 to 2025. Searches were conducted on PubMed, Scopus, ScienceDirect, and Google Scholar using relevant keywords. Inclusion criteria: original research articles or peer-reviewed reviews, full-text manuscripts, Indonesian/English language, and discussing ethical/legal dilemmas in the application of medical technology in clinical practice. Exclusion criteria: editorials/opinions/short comments, non-peer-reviewed proceedings, non-health studies, duplicates, and articles outside the year range. Results: Many health professionals feel unprepared to face the ethical dilemmas that arise; while a number of policies, especially in developing countries, are not yet fully adequate to address these challenges. Conclusion: There is a need to develop ethical guidelines, adaptive legal frameworks, and training programs for healthcare professionals to support the fair and safe application of medical technology. Latar Belakang: Penerapan teknologi medis dalam perawatan pasien, seperti telemedicine, kecerdasan buatan (AI), dan robotika, memberikan kemudahan dan meningkatkan akses layanan kesehatan. Namun, teknologi ini juga menimbulkan tantangan etis dan legal terkait privasi data, bias algoritma, dan tanggung jawab profesional kesehatan. Tujuan: Mengidentifikasi serta memahami dilema etis dan hukum yang muncul dalam penerapan teknologi medis. Metode: Analisis deskriptif dengan pendekatan tinjauan pustaka terhadap publikasi 2015–2025. Pencarian dilakukan pada PubMed, Scopus, ScienceDirect, dan Google Scholar menggunakan kata kunci yang relevan. Kriteria inklusi: artikel penelitian asli atau tinjauan yang melalui peer review, naskah full-text, bahasa Indonesia/Inggris, dan membahas dilema etis/ legal penerapan teknologi medis pada praktik klinis. Kriteria eksklusi: editorial/opini/komentar singkat, prosiding tanpa peer review, studi non-kesehatan, duplikasi, dan artikel di luar rentang tahun. Hasil: Banyak profesional kesehatan merasa tidak siap menghadapi dilema etis yang muncul; sementara sejumlah kebijakan, terutama di negara berkembang, belum sepenuhnya memadai untuk menjawab tantangan ini. Kesimpulan: Diperlukan pengembangan pedoman etis, kerangka hukum yang adaptif, serta program pelatihan bagi profesional kesehatan untuk mendukung penerapan teknologi medis yang adil dan aman.
A SCOPING REVIEW: PEMETAAN BUKTI HUBUNGAN MASA KERJA DAN TINGKAT KEPUASAN PERAWAT DALAM PENGGUNAAN ELECTRONIC MEDICAL RECORD Makarewa, Grace Christy Melinda; Mambu, Ian Ruddy
Klabat Journal of Nursing Vol. 7 No. 2 (2025): Nursing Insights: Bridging Science and Care
Publisher : Fakultas Keperawatan, Universitas Klabat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37771/kjn.v7i2.1317

Abstract

The implementation of Electronic Medical Records (EMR) has become an essential component of the digital transformation of healthcare services. However, nurses’ dissatisfaction as primary users can negatively impact documentation quality, work efficiency, and the overall success of system adoption. This scoping review aims to map the scientific evidence regarding the relationship between nurses’ length of service and their satisfaction with EMR use in various healthcare settings. This review employed the Joanna Briggs Institute (JBI) methodology and followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) guidelines. Literature searches were conducted in PubMed, ScienceDirect, and SpringerLink, with a descriptive thematic analysis approach. Nine quantitative articles were included. The mapping results indicate that nurses with less than five years of experience tend to have a more positive perception of EMR. Identified advantages of EMR include improved documentation efficiency, faster data access, and enhanced clinical decision support, while drawbacks include increased administrative burden, limited training, and technical challenges. Organizational factors such as system design quality, managerial support, and digital readiness also influence nurses’ satisfaction. These findings map current empirical evidence while highlighting research gaps, emphasizing that length of service is an important but not the sole determinant. Adaptive EMR implementation strategies that consider work experience, user needs, and institutional conditions are essential to enhance satisfaction and ensure successful system adoption. Implementasi Electronic Medical Record (EMR) telah menjadi komponen esensial dalam transformasi digital layanan kesehatan. Namun, ketidakpuasan perawat sebagai pengguna utama dapat berdampak pada kualitas dokumentasi, efektivitas kerja, dan keberhasilan adopsi sistem. Scoping review ini bertujuan untuk memetakan bukti ilmiah terkait hubungan masa kerja perawat dan tingkat kepuasan penggunaan EMR di berbagai konteks pelayanan kesehatan. Tinjauan ini menggunakan metode Joanna Briggs Institute (JBI) dan pelaporan mengikuti pedoman Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR). Pencarian dilakukan pada PubMed, ScienceDirect, dan SpringerLink, dengan analisis deskriptif tematik. Sembilan artikel kuantitatif terinklusi. Hasil pemetaan menunjukkan bahwa perawat dengan masa kerja kurang dari lima tahun cenderung memiliki persepsi yang lebih positif terhadap EMR. Kelebihan EMR yang diidentifikasi meliputi peningkatan efisiensi dokumentasi, akses data yang lebih cepat, dan dukungan pengambilan keputusan klinis, sedangkan kelemahannya mencakup beban administratif tambahan, keterbatasan pelatihan, dan kendala teknis. Faktor organisasi seperti kualitas desain sistem, dukungan manajerial, dan kesiapan digital juga memengaruhi kepuasan perawat. Temuan ini memetakan bukti empiris terkini sekaligus mengidentifikasi kesenjangan penelitian, menekankan bahwa masa kerja merupakan faktor penting tetapi bukan satu-satunya determinan. Strategi implementasi EMR yang adaptif terhadap pengalaman kerja, kebutuhan pengguna, dan kondisi institusional diperlukan untuk meningkatkan kepuasan dan keberhasilan adopsi sistem.
STUDY CASE : EFEKTIVITAS GENGGAM BOLA DURI UNTUK MENINGKATKAN KEKUATAN OTOT TANGAN PADA PASIEN STROKE NON HEMORAGIK Hasanah, Uswatun; Maliya, Arina
Klabat Journal of Nursing Vol. 7 No. 2 (2025): Nursing Insights: Bridging Science and Care
Publisher : Fakultas Keperawatan, Universitas Klabat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37771/kjn.v7i2.1366

Abstract

This case study aims to evaluate the effectiveness of spiked ball grip therapy in improving muscle strength in patients with non-hemorrhagic stroke. Although a number of studies have shown the effectiveness of rubber ball grip exercises in improving hand muscle strength in stroke patients, scientific evidence regarding the use of spiked balls as a variation of sensorimotor stimulation tools is still limited. The method used is a case study with a nursing process approach. The sample consisted of 5 patients who had suffered non-hemorrhagic strokes at Dr. Moewardi Regional General Hospital. The intervention involved spiky ball grip therapy using spiky rubber balls for 5-15 minutes. Muscle strength was measured before and after the intervention using the Manual Muscle Testing (MMT) scale. The results of the case study showed that all respondents experienced an increase in muscle strength after the intervention. Before spiked ball grip therapy, the muscle strength scale ranged from 2 to 3, while after the intervention, it ranged from 3 to 4. This decrease indicates that spiked ball grip therapy is effective in increasing muscle strength. This case study recommends the integration of spiked ball grip therapy as part of standard physical mobility for non-hemorrhagic stroke patients to increase muscle strength. Studi kasus ini bertujuan untuk mengevaluasi efektivitas pemberian terapi genggam bola duri dalam meningkatkan kekuatan otot pada pasien stroke non hemoragik. Meskipun sejumlah penelitian telah menunjukkan efektivitas latihan genggam bola karet terhadap peningkatan kekuatan otot tangan pada pasien stroke, evidensi ilmiah terkait penggunaan bola duri sebagai variasi alat stimulasi sensorimotor masih terbatas. Metode yang digunakan adalah studi kasus dengan pendekatan proses keperawatan. Sampel terdiri dari 5 pasien yang mengalami stroke non hemoragik di RSUD Dr. Moewardi. Intervensi melibatkan pemberian terapi genggam bola duri menggunakan bola karet duri 5-15 menit. Pengukuran kekuatan otot dilakukan sebelum dan sesudah intervensi menggunakan skala Manual Muscle Testing (MMT). Hasil studi kasus menunjukkan bahwa semua responden mengalami peningkatan kekuata otot setelah intervensi. Sebelum genggam bola duri, skala kekuatan otot berkisar antara 2-3, sementara setelah intervensi berkisar antara 3-4. Penurunan ini menunjukkan bahwa terapi genggam bola duri efektif dalam meningkatkan kekuatan otot. Studi kasus ini merekomendasikan integrasi genggam bola duri sebagai bagian dari mobilitas fisik standar pada pasien stroke non hemoragik untuk meningkatkan kekuatan otot.

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