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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 177 Documents
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LAMA MENJALANI HEMODIALISA DENGAN KUALITAS HIDUP PASIEN YANG MENJALANI HEMODIALISA Mandias, Reagen Jimmy; Gretchen, Michel Aurora
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.v7i2.1418

Abstract

The prevalence of chronic kidney disease continues to increase globally, requiring renal replacement therapy such as hemodialysis to sustain life. In the long term, hemodialysis is often accompanied by financial burdens and work limitations, sexual dysfunction, anxiety and depression, and lifestyle changes that reduce the quality of life of patients. The purpose of this study was to determine whether there is a significant relationship between the duration of hemodialysis and the quality of life of patients undergoing hemodialysis at Dr. R. D. Kandou General Hospital in Manado. This study is a quantitative cross-sectional study involving 80 respondents selected using purposive sampling. The instrument used was the Kidney Disease Quality of Life version 1.3, with Cronbach's alpha reliability ranging from 0.580 to 0.999. Data on the duration of hemodialysis was obtained based on the number of years the respondents had undergone therapy. The results of the analysis using Spearman's rho test showed a p-value of 0.101, indicating that there was no significant relationship between the duration of hemodialysis and quality of life in patients at Prof. Dr. R. D. Kandou General Hospital in Manado. In the quality of life domain, dialysis staff support and social support received good ratings. Therefore, it is recommended that families and dialysis staff continue to provide support to improve the motivation and quality of life of hemodialysis patients. Prevalensi penyakit ginjal kronis terus meningkat secara global, dan memerlukan terapi pengganti ginjal seperti hemodialisis untuk mempertahankan hidup. Dalam jangka panjang, hemodialisis kerap disertai beban finansial dan keterbatasan pekerjaan, disfungsi seksual, kecemasan dan depresi, serta perubahan gaya hidup yang menurunkan kualitas hidup pasien. Tujuan penelitan ini untuk mengetahui apakah ada hubungan yang signifikan antara lama menjalani hemodialisa dengan kualitas hidup pasien yang menjalani hemodialisa di RSUP. Dr. R. D. Kandou Manado. Penelitian ini merupakan studi kuantitatif dengan desain cross sectional yang melibatkan 80 responden yang dipilih menggunakan teknik purposive sampling. Instrumen yang digunakan adalah Kidney Disease Quality of Life versi 1.3, dengan reliabilitas cronbach's alpha berkisar 0,580–0,999. Data mengenai lama hemodialisis diperoleh berdasarkan jumlah tahun responden menjalani terapi. Hasil analisis menggunakan uji spearman’s rho menunjukkan p-value 0,101, menandakan tidak terdapat hubungan yang signifikan antara lama menjalani hemodialisis dan kualitas hidup pada pasien di RSUP Prof. Dr. R. D. Kandou Manado. Pada domain kualitas hidup, dukungan staf dialisis dan dukungan sosial memiliki hasil penilaian yang baik. Oleh karena itu, direkomendasikan agar keluarga dan staf dialisis terus memberikan dukungan untuk meningkatkan motivasi dan kualitas hidup pasien hemodialisis.
TINGKAT PENGETAHUAN ANEMIA IBU HAMIL DAN KEPATUHAN KONSUMSI TABLET FE Tendean, Angelia Friska; Sumampouw, Rachel Victoria Frisya; Ering, Cherol Nelson
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.v7i2.1421

Abstract

Adherence to iron (Fe) tablet supplementation is one of the key preventive strategies for anemia, which is a common health problem during pregnancy. Knowing about anemia is a crucial part of supporting adherence of Fe tablet intake. This study aimed to identify the corellation between pregnant women’s knowledge about anemia and their adherence to consuming Fe tablets. A descriptive correlational design with a cross-sectional approach was applied in this study. This sample was involving 84 respondents chosen through consecutive sampling. Findings revealed that 74 respondents (88.1%) demonstrated good knowledge, while 43 respondents (51.2%) were non-compliant in taking Fe tablets. The Spearman rank correlation test produced r = 0.319 and p = 0.003 (< 0.05), indicating a weak but positive correlation between knowledge level and Fe tablet adherence among pregnant women at the Kolongan Public Health Center. It is suggested that the health center strengthen education and counseling for pregnant women through maternal classes and consistent monitoring to increase compliance with iron supplementation. Salah satu masalah kesehatan yang paling sering terhadi selama masa kehamilan adalah anemia. Menjaga kepatuhan ibu hamil terhadap penggunaan tablet besi adalah salah satu cara untuk mencegahnya. Pengetahuan tentang anemia sangat penting untuk mendukung kepatuhan ini. Tujuan dari penelitian ini adalah untuk mengevaluasi hubungan antara pengetahuan ibu hamil tentang anemia dan kepatuhan mereka terhadap penggunaan tablet besi. Penelitian ini menggunakan pendekatan deskriptif korelasional dan teknik cross-sectional, dengan 84 responden yang dipilih secara consecutive. Hasil studi menunjukkan bahwa 74 responden (88,1%) memiliki tingkat pengetahuan yang baik, sedangkan 43 responden (51,2%) tidak patuh mengonsumsi tablet Fe. Analisis Spearman rank memperoleh nilai r = 0,319 dan p = 0,003 (<0,05), membuktikan ada korelasi yang lemah tingkat pengetahuan dan kepatuhan mengonsumsi tablet Fe pada ibu hamil di wilayah kerja Puskesmas Kolongan. Disarankan agar Puskesmas Kolongan meningkatkan kegiatan edukasi dan pendampingan melalui kelas ibu hamil serta pemantauan rutin guna memastikan tablet Fe dikonsumsi oleh ibu
KEPATUHAN MINUM OBAT ANTIRETROVIRAL DAN KUALITAS HIDUP ORANG DENGAN HIV Rantepadang, Andreas; Tamuntuan, Leoni Atalia
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.v7i2.1427

Abstract

Antiretroviral drugs are medications that must be taken by people living with Human Immunodeficiency Virus (PLHIV) to suppress the amount of virus in the body and strengthen the immune system. The success of this therapy is highly influenced by the patient’s discipline and consistency in adhering to treatment, which plays an important role in improving the quality of life of PLHIV. This study aimed to analyse the relationship between adherence to antiretroviral therapy and the quality of life of PLHIV in the working area of Airmadidi Public Health Center. The research employed a descriptive correlational method with a cross-sectional design, involving 38 participants selected using consecutive sampling techniques. Based on the MMAS-8 questionnaire, 52.6% of participants had low adherence, 23.7% had moderate adherence, and 23.7% had high adherence. The WHOQOL-HIV-BREF questionnaire results showed that 71.1% of participants had a high quality of life, while 28.9% had a good quality of life. The Spearman rank correlation test yielded a p-value of 0.924 (>0.05), indicating no significant relationship between adherence to antiretroviral therapy and the quality of life of PLHIV. This study recommends conducting further research with a larger sample size and considering other influencing factors such as social, economic, or health policy aspects that may affect adherence. Health workers are encouraged to provide education about HIV and antiretroviral therapy and to involve family members or close friends as treatment supporters to improve medication adherence. Antiretroviral merupakan obat yang harus dikonsumsi oleh orang dengan Human Immunodeficiency Virus (ODHIV) untuk menekan jumlah virus dalam tubuh serta memperkuat sistem kekebalan tubuh. Keberhasilan terapi ini sangat dipengaruhi oleh tingkat kedisiplinan dan konsistensi dari penderita dalam menjalani pengobatan, yang berperan penting dalam meningkatkan kualitas hidup ODHIV. Penelitian ini bertujuan menganalisis hubungan antara kepatuhan mengonsumsi antiretroviral dengan kualitas hidup ODHIV di wilayah kerja Puskesmas Airmadidi. Penelitian menggunakan metode deskriptif korelasi dengan desain cross-sectional, melibatkan 38 sampel yang dipilih melalui teknik consecutive sampling. Berdasarkan kuesioner MMAS-8, sebanyak 52,6% partisipan memiliki kepatuhan rendah, 23,7% kepatuhan sedang, dan 23,7% kepatuhan tinggi. Hasil kuesioner WHOQOL-HIV-BREF menunjukkan 71,1% partisipan memiliki kualitas hidup tinggi, sementara 28,9% memiliki kualitas hidup baik. Uji korelasi Spearman rank menunjukkan p-value 0,924 (>0,05), menandakan tidak ada hubungan signifikan antara kepatuhan mengonsumsi antiretroviral dengan kualitas hidup ODHIV. Penelitian ini merekomendasikan agar studi lanjutan dilakukan dengan jumlah sampel lebih besar dan mempertimbangkan faktor-faktor lain, seperti sosial, ekonomi, atau kebijakan kesehatan, yang dapat memengaruhi kepatuhan. Bagi petugas kesehatan diharapkan memberikan penyuluhan tentang HIV dan antiretroviral serta melibatkan keluarga, teman terdekat sebagai pendamping minum obat supaya meningkatkan kepatuhan minum obat.
MENTORING IN NURSING EDUCATION: A SCOPING REVIEW Yumul, Jordana Delicana; Orzal, Ma. Sofia A.; Bascos, Mark Job G.
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.v7i2.1440

Abstract

Mentoring can serve as a foundation for shaping compassionate and competent nurses. While there is a growing number of studies providing evidence on the beneficial outcomes of mentoring and its integration in mentoring programs, there are few publications that synthesized the literature focusing on identifying specific mentoring strategies. The objective of this scoping review is to explore and summarize the existing literature on mentoring strategies in nursing education and its outcomes. A scoping review was conducted. The databases searched include MEDLINE, CINAHL, ERIC, ScienceDirect, and Biomed Central using the keywords “mentoring”, “nursing”, and “students” to capture all available records that included the concept of mentoring in nursing education. Studies conducted in any academic setting and areas where students conduct clinical placements, and those published in English were included. The studies were independently screened by the authors before data extraction, tabulation, and analysis. Of the 16, 450 records identified,136 articles were assessed for eligibility, and a total of 30 studies were included in the review. Five studies focused on clinical nurse-led mentoring, peer mentoring, faculty mentoring, individual and group mentoring, and tripartite mentoring. The studies consistently showed beneficial outcomes of mentoring on the personal and professional development of the students. The reviewed articles indicate that mentorship is a major strategy that significantly influences the nursing education process and various aspects therein. Mentor support provided through faculty, clinical, and peer structures enhances self-efficacy, professional identity, care, and academic success.
FAKTOR-FAKTOR YANG MEMPENGARUHI KESEHATAN MENTAL PERAWAT PENANGGULANGAN COVID-19 Maramis, James Richard; Somba, Chintya Zhou Chen Mariam; Ruku, Denny Maurits
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.v7i2.1442

Abstract

The daily rise in COVID-19 cases has intensified the workload for nurses treating patients with the virus, placing healthcare workers at heightened risk for mental health disorders. This study seeks to identify the factors that affect the mental health of nurses working in COVID-19 isolation units. A cross-sectional study was conducted involving 86 nurses, utilizing the Daily Spiritual Experience Scale (DSES), Social Provisions Scale (SPS), Coping Mechanisms Questionnaire (CMQ), and The Mental Health Inventory - 38 (MHI-38) instruments. The findings revealed that the average mental health score of participants was Good (74.03 ± 10.15). Mental Health exhibited a significant correlation with Spiritual Support (r = .40, p < .01), Social Support (r = .56, p < .01), and Coping Mechanisms (r = .25, p < .01). However, factors such as gender, education, and length of service showed no significant correlation. Hierarchical multiple regression test analysis identified two key predictors of mental health: Spiritual Support (β= .33, p< .01) and Social Support (β= .34, p< .01). These findings suggest that Spiritual Support, Social Support, and effective Coping Mechanisms can enhance an individual's mental health status, with both Spiritual and Social Support serving as predictors of mental health among nurses dealing with COVID-19. Healthcare institutions should proactively enhance social and spiritual support to mitigate the crisis's negative impact on nurses' mental health. Kasus COVID-19 yang terus bertambah setiap harinya, menyebabkan beban kerja perawat penanggulangan COVID-19 pun terus bertambah. Hal itulah yang menyebabkan tenaga kesehatan berisiko untuk mengalami gangguan kesehatan mental. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang mempengaruhi kesehatan mental perawat penanggulangan COVID-19. Cross sectional study design dilakukan pada 86 perawat yang bekerja di ruangan isolasi COVID-19 dengan instrumen Daily Spiritual Experience Scale (DSES), Social Provisions Scale (SPS), Coping Mechanisms Questionnaire (CMQ), dan The Mental Health Inventory - 38 (MHI–38). Hasil menunjukkan bahwa rerata kesehatan mental responden (74,03 ± 10,15). Kesehatan mental mempunyai hubungan yang signifikan dengan dukungan spiritual (r= 0,40, p< ,01), dukungan sosial (r= 0,56, p< 0,01), dan mekanisme koping (r= 0.25, p< 0,01); sedangkan jenis kelamin, pendidikan, dan lamanya bekerja tidak mempunyai hubungan yang signifikan. Uji hierarchical multiple regression memperlihatkan dua variabel merupakan predictor dari kesehatan mental seperti dukungan spiritual (β= 0,33, p< 0,01), dan dukungan sosial (β= 0,34, p< 0,01). Dukungan spiritual, dukungan sosial dan mekanisme koping yang baik dapat meningkatkan status kesehatan mental seseorang, sedangkan dukungan spiritual dan dukungan sosial merupakan prediktor dari kesehatan mental perawat penanganan COVID-19. Institusi kesehatan harus secara proaktif meningkatkan dukungan sosial dan spiritual untuk mengurangi dampak negatif krisis terhadap kesehatan mental perawat.
SENAM LANSIA DAN TEKANAN DARAH PADA LANSIA HIPERTENSI Sabandar, Velery Britney; Pitoy, Frendy Fernando
Klabat Journal of Nursing Vol. 8 No. 1 (2026): Nursing and Well-being Dynamics
Publisher : Fakultas Keperawatan, Universitas Klabat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37771/kjn.v8i1.1467

Abstract

Hypertension is a condition commonly experienced by older adults. This disease can be both a cause and a consequence of heart-related problems. One non-pharmacological approach to help control blood pressure is through complementary therapy, such as elderly exercise programs. This study aimed to examine the effect of elderly exercise on blood pressure among hypertensive older adults.This research employed a quantitative approach using a quasi-experimental design with a one-group pretest-posttest format. The sample was selected through purposive sampling, involving 12 participants. The intervention consisted of elderly exercise sessions conducted four times over a two-week period, with each session lasting 30 minutes.The results showed that the mean systolic blood pressure before the intervention was in the stage 1 hypertension category (mean = 146.4 mmHg; SD = 26.08), while the mean diastolic blood pressure was categorized as pre-hypertension (mean = 82.1 mmHg; SD = 13.6). After the intervention, the mean systolic blood pressure decreased to the pre-hypertension category (mean = 133.5 mmHg; SD = 23.06), and the mean diastolic blood pressure also decreased (mean = 80.0 mmHg; SD = 10.27).Statistical analysis revealed a significant difference in systolic blood pressure before and after the intervention (p = 0.022; mean difference = 12.92; SD = 16.74). However, no significant change was found in diastolic blood pressure (p = 0.398; mean difference = 2.17; SD = 8.53).In conclusion, elderly exercise is effective in reducing systolic blood pressure in older adults with hypertension but does not have a significant effect on diastolic blood pressure. Therefore, it is recommended that older adults engage in elderly exercise at least twice a week for 30 minutes to help maintain optimal blood pressure levels. Hipertensi adalah suatu penyakit yang sering dialami oleh para lansia. Penyakit ini dapat diakibatkan ataupun mengakibatkan oleh permasalahan jantung. Salah satu upaya non-farmakologis yang dapat dilakukan untuk membantu mengendalikan tekanan darah adalah melalui terapi komplementer berupa senam lansia. Tujuan penelitian ini untuk menganalisis pengaruh senam lansia terhadap perubahan tekanan darah pada lansia dengan hipertensi. Penelitian ini menggunakan pendekatan kuantitatif dengan desain quasi-eksperimen tipe one-group pretest-posttest. Teknik pengambilan sampel dilakukan secara purposive sampling dengan jumlah responden sebanyak 12 orang. Intervensi berupa senam lansia dilakukan sebanyak empat kali dalam periode dua minggu, dengan durasi setiap sesi selama 30 menit. Hasil penelitian menunjukkan bahwa rata-rata tekanan darah sistolik sebelum intervensi berada pada kategori hipertensi derajat 1 (mean = 146,4 mmHg; SD = 26,08), sedangkan tekanan darah diastolik berada pada kategori pra-hipertensi (mean = 82,1 mmHg; SD = 13,6). Setelah intervensi, rata-rata tekanan darah sistolik menurun ke kategori pra-hipertensi (mean = 133,5 mmHg; SD = 23,06), begitu pula tekanan darah diastolik (mean = 80,0 mmHg; SD = 10,27). Uji statistik menunjukkan adanya perbedaan yang bermakna pada tekanan darah sistolik sebelum dan sesudah intervensi (p = 0,022; mean difference = 12,92; SD = 16,74). Namun, pada tekanan darah diastolik tidak ditemukan perubahan yang signifikan (p = 0,398; mean difference = 2,17; SD = 8,53). Disimpulkan bahwa senam lansia efektif dalam menurunkan tekanan darah sistolik pada lansia dengan hipertensi, namun tidak memberikan pengaruh yang signifikan terhadap tekanan darah diastolik. Oleh karena itu, lansia disarankan untuk rutin mengikuti senam lansia minimal dua kali dalam seminggu dengan durasi sekitar 30 menit guna membantu menjaga kestabilan tekanan darah.
PERBANDINGAN STATUS FUNGSIONAL SAAT MASUK ANTARA PASIEN DEWASA DENGAN HIPERTENSI, DIABETES, STROKE, DAN TUBERKULOSIS Anderson, Elisa; Manoppo, Arlien J
Klabat Journal of Nursing Vol. 8 No. 1 (2026): Nursing and Well-being Dynamics
Publisher : Fakultas Keperawatan, Universitas Klabat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37771/kjn.v8i1.1496

Abstract

Hypertension, diabetes mellitus, stroke, and tuberculosis are the main chronic diseases in adults in Indonesia and have an impact on functional status decline, but functional comparisons between these diseases upon admission to the hospital are rarely studied. This study aims to compare the functional status upon admission of adult patients with these four diseases in a hospital in North Sulawesi using the Katz Index. The study design was cross-sectional with convenience sampling of 206 adult patients who met the inclusion criteria. Functional status was assessed using the Katz Index, analyzed descriptively and with the Kruskal-Wallis and Mann-Whitney tests. The highest mean functional scores were found in hypertension (3.89) and DM (3.66), followed by TB (3.06), and the lowest in stroke (2.31), with significant differences between groups (p = 0.001); further tests showed significant differences between stroke vs. hypertension/DM and between hypertension vs. TB. It was concluded that the type of disease was closely related to the level of independence in activities of daily living, with stroke being the most vulnerable group to disability. This study recommends the routine application of the Katz Index assessment upon admission and the development of disease-specific function-based nursing care protocols to maintain or improve patient independence. Hipertensi, diabetes melitus, stroke, dan tuberkulosis merupakan beban utama penyakit kronis pada dewasa di Indonesia dan berdampak pada penurunan status fungsional, namun perbandingan fungsional antar penyakit ini saat masuk rawat inap masih jarang dikaji. Penelitian ini bertujuan membandingkan status fungsional saat masuk pada pasien dewasa dengan keempat penyakit tersebut di sebuah rumah sakit di Sulawesi Utara menggunakan Katz Index. Desain penelitian adalah potong lintang dengan teknik convenience sampling terhadap 206 pasien dewasa yang memenuhi kriteria inklusi. Status fungsional dinilai menggunakan Katz Index, dianalisis secara deskriptif dan dengan uji Kruskal‑Wallis serta Mann‑Whitney. Rata‑rata skor fungsional tertinggi terdapat pada hipertensi (3,89) dan DM (3,66), diikuti TB (3,06), dan terendah pada stroke (2,31), dengan perbedaan bermakna antar kelompok (p=0,001); uji lanjut menunjukkan perbedaan signifikan antara stroke vs hipertensi atau DM dan antara hipertensi vs TB. Disimpulkan bahwa jenis penyakit berkaitan erat dengan tingkat kemandirian aktivitas sehari‑hari, dengan stroke sebagai kelompok paling rentan disabilitas. Rekomendasi studi ini adalah penerapan penilaian Katz Index secara rutin saat masuk dan pengembangan protokol asuhan keperawatan berbasis fungsi yang spesifik per penyakit untuk mempertahankan atau meningkatkan kemandirian pasien.
ANALISIS PERILAKU MEROKOK DENGAN KESEHATAN MENTAL REMAJA DI SALAH SATU SEKOLAH MENENGAH ATAS MINAHASA UTARA Ering, Cherol Nelson; A'naabawati, Meylani; Turangan, Happy Christania; Tendean, Angelia Friska
Klabat Journal of Nursing Vol. 8 No. 1 (2026): Nursing and Well-being Dynamics
Publisher : Fakultas Keperawatan, Universitas Klabat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37771/kjn.v8i1.1497

Abstract

Smoking behavior among adolescents remains a public health problem both globally and nationally. Adolescence is a developmental period that is vulnerable to environmental influences and psychological changes, thereby increasing the risk of smoking behavior and mental health disorders. This study aimed to analyze the relationship between smoking behavior with adolescent mental health in one Senior High School (SMA) in North Minahasa. This research employed an observational analytic design with a cross-sectional approach. The study population consisted of all eleventh-grade students, and a total sampling technique was applied, resulting in 207 respondents. Smoking behavior was measured using the standardized questionnaire from the Basic Health Research (Riset Kesehatan Dasar), while mental health was assessed using the Self Reporting Questionnaire (SRQ-20). Data analysis was conducted using the Chi-Square test. The results showed that 62.3% of respondents were non-smokers, while 37.7% were smokers. A total of 53.6% of respondents experienced emotional mental health problems. The Chi-Square test yielded a p-value of 0.736 (p > 0.05), indicating that there was no significant relationship between smoking behavior and adolescent mental health. In conclusion, although the proportion of mental health problems was relatively high, smoking behavior was not significantly associated with mental health among the study sample. Further research using a longitudinal design and controlling for potential confounding variables is recommended to better understand the comprehensive relationship between these two variables.  Perilaku merokok pada remaja masih menjadi masalah kesehatan masyarakat baik secara global maupun nasional. Masa remaja merupakan periode perkembangan yang rentan terhadap pengaruh lingkungan dan perubahan psikologis, sehingga berpotensi meningkatkan risiko perilaku merokok dan gangguan kesehatan mental. Penelitian ini bertujuan untuk menganalisis hubungan antara perilaku merokok dengan kesehatan mental remaja di salah satu Sekolah Menengah Atas (SMA) di Minahasa Utara. Penelitian menggunakan desain analitik observasional dengan pendekatan cross-sectional. Populasi penelitian adalah seluruh siswa kelas XI dengan teknik total sampling, sehingga diperoleh 207 responden. Perilaku merokok diukur menggunakan kuesioner baku Riset Kesehatan Dasar, sedangkan kesehatan mental diukur menggunakan Self Reporting Questionnaire (SRQ-20). Analisis data dilakukan menggunakan uji Chi-Square. Hasil penelitian menunjukkan bahwa 62,3% responden tidak merokok dan 37,7% merokok. Sebanyak 53,6% responden mengalami gangguan kesehatan mental emosional. Hasil uji Chi-Square menunjukkan nilai p = 0,736 (p > 0,05), sehingga tidak terdapat hubungan yang signifikan antara perilaku merokok dan kesehatan mental remaja. Kesimpulan penelitian ini menunjukkan bahwa meskipun proporsi gangguan kesehatan mental cukup tinggi, perilaku merokok tidak berhubungan secara signifikan dengan kesehatan mental pada sampel penelitian ini. Disarankan penelitian lanjutan dengan desain longitudinal dan kontrol variabel perancu untuk memahami hubungan yang lebih komprehensif antara kedua variabel tersebut.  
HUBUNGAN DUKUNGAN SOSIAL DENGAN KESEJAHTERAAN SPIRITUAL MAHASISWA KEPERAWATAN Wewengkang, Joel Marcelino; Tappy, Yunita
Klabat Journal of Nursing Vol. 8 No. 1 (2026): Nursing and Well-being Dynamics
Publisher : Fakultas Keperawatan, Universitas Klabat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37771/kjn.v8i1.1500

Abstract

Nursing students are prepared to become professional nurses; however, during their education, they face various academic, emotional, social, and spiritual challenges that can impact their overall well-being. Social support and spiritual well-being are considered essential in helping students navigate these difficulties. This study aimed to analyze the relationship between social support and spiritual well-being among nursing students. A descriptive correlational design with a cross-sectional approach was employed. Sampling was conducted using quota sampling, selecting 25% of students from each academic level (Levels 1–4) at the Faculty of Nursing, Universitas Klabat, resulting in a total of 153 respondents. Data were collected in March 2025 using the Spiritual Well-Being Scale (SWBS) and the Multidimensional Scale of Perceived Social Support (MSPSS). Data analysis using Pearson correlation revealed a significant negative relationship between social support and spiritual well-being (r = -0.159; p = 0.048). These findings suggest that although students may receive social support, their spiritual well-being is more strongly influenced by their personal relationship with God. Further research utilizing qualitative approaches is recommended to explore in depth how individuals perceive and experience the connection between social support and spiritual well-being in their daily lives. Mahasiswa keperawatan dipersiapkan menjadi tenaga profesional yang kompeten, namun selama masa pendidikan mereka menghadapi berbagai tekanan akademik, emosional, sosial, dan spiritual yang dapat mempengaruhi kesejahteraan mereka. Dukungan sosial dan kesejahteraan spiritual dinilai berperan penting dalam membantu mahasiswa mengelola tantangan tersebut. Penelitian ini bertujuan untuk menganalisis hubungan antara dukungan sosial dan kesejahteraan spiritual pada mahasiswa keperawatan. Penelitian ini menggunakan desain deskriptif korelasional dengan pendekatan cross-sectional. Teknik pengambilan sampel dilakukan dengan metode quota sampling sebanyak 25% dari setiap tingkat (tingkat 1 hingga 4) di Fakultas Keperawatan Universitas Klabat, dengan jumlah responden sebanyak 153 orang. Data dikumpulkan pada bulan Maret 2025 menggunakan instrumen Spiritual Well-Being Scale (SWBS) dan Multidimensional Scale of Perceived Social Support (MSPSS). Analisis data menggunakan uji Pearson correlation menunjukkan adanya hubungan signifikan antara dukungan sosial dan kesejahteraan spiritual dengan arah korelasi negatif (r = -0,159; p = 0,048). Hasil ini mengindikasikan bahwa meskipun mahasiswa menerima dukungan sosial, kesejahteraan spiritual mereka lebih dipengaruhi oleh hubungan personal mereka dengan Tuhan. Diperlukan penelitian lanjutan dengan pendekatan kualitatif untuk menggali secara mendalam dinamika pengalaman individu terkait hubungan dukungan sosial dan kesejahteraan spiritual dalam kehidupan sehari-hari.  
DETERMINANTS OF HEALTH-RELATED QUALITY OF LIFE IN PATIENTS WITH CHRONIC KIDNEY DISEASE: A COMPREHENSIVE ANALYSIS OF DEMOGRAPHIC, CLINICAL, AND BEHAVIORAL FACTORS Ruku, Denny Maurits
Klabat Journal of Nursing Vol. 8 No. 1 (2026): Nursing and Well-being Dynamics
Publisher : Fakultas Keperawatan, Universitas Klabat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37771/kjn.v8i1.1512

Abstract

ABSTRACT Chronic kidney disease (CKD) significantly impairs health-related quality of life (HRQOL); however, global evidence regarding its determinants remains limited and fragmented. This study aimed to examine the combined effects of demographic, clinical, and behavioral factors on HRQOL among individuals with CKD. A cross-sectional study design was employed using secondary data obtained from the Kaggle dataset, involving 1,524 participants. HRQOL was analyzed in relation to demographic characteristics, clinical indicators, and behavioral factors. Statistical analyses included descriptive statistics, Pearson correlation, independent t-test, one-way ANOVA, and multiple linear regression. HRQOL was significantly negatively correlated with age (r = −0.58), body mass index (r = −0.06), alcohol consumption (r = −0.92), systolic blood pressure (r = −0.45), fasting blood sugar (r = −0.31), total cholesterol (r = −0.28), and low-density lipoprotein (LDL) (r = −0.23). In contrast, HRQOL was positively associated with physical activity (r = 0.98) and high-density lipoprotein (HDL) (r = 0.40). No significant associations were observed with gender, ethnicity, education level, or diabetes status. In multivariate analysis, physical activity emerged as the strongest positive predictor (β = 0.75, p < .001), while alcohol consumption was the strongest negative predictor (β = −0.18, p < .001), alongside age, diastolic blood pressure, total cholesterol, and LDL. The final model explained 97.8% of the variance in HRQOL (R² = 0.978). HRQOL in CKD is influenced by a complex interplay of demographic, clinical, and behavioral factors, with behavioral factors—particularly physical activity and alcohol consumption—playing a dominant role. An integrated, patient-centered approach is essential to improve HRQOL outcomes in this population.       Penyakit ginjal kronis (PGK) secara signifikan memengaruhi health-related quality of life (HRQOL), namun bukti yang ada mengenai faktor prediktornya masih terbatas secara global. Tujuan penelitian ini untuk mengkaji pengaruh gabungan dari faktor demografis, klinis, dan perilaku terhadap HRQoL pada individu dengan PGK. Desain Cross sectional study dilakukan menggunakan data sekunder dari Kaggle, yang melibatkan 1524 peserta. HRQOL dianalisis dalam kaitannya dengan karakteristik demografis, indikator klinis, dan faktor perilaku. Analisis statistik deskriptif, Pearson correlation, t-test, ANOVA, dan multiple linear regression digunakan dalam analisis. HRQOL secara signifikan negative terkait dengan usia (r = -0,58), index masa tubuh (r = 0,05), konsumsi alkohol (r = -0,92), systolic (r = -0,45), fasting blood sugar (r = -0,31), cholesterol (r = -0,28), low-density lipoprotein (LDL) (r = -0,23); Sedangkan HRQOL positive significant dengan aktifitas fisik (r = 0,98), dan high-density lipoprotein (HDL) (r = 0,40); Namun, tidak memiliki hubungan yang significant dengan jenis kelamin, etnis, education, dan Riwayat diabetes. Dalam analisis multivariat, aktivitas fisik muncul sebagai prediktor positif terkuat (β = 0,75, p < 0,001), selain systolic, FBS, HDL dan trigliseride; Sedangkan konsumsi alkohol (β = -0,18, p < 0,001) merupakan predictor negative terkuat selain usia, diastolic, cholesterol, LDL yang merupakan predictor dari HRQOL pasien PGK. Model akhir menjelaskan 97,8% varians dalam HRQOL (R² = 0,978). HRQOL pada PGK dipengaruhi oleh kombinasi faktor demografis, klinis, dan perilaku, dengan aktivitas fisik memainkan peran dominan. Pendekatan terintegrasi sangat penting untuk meningkatkan hasil yang berpusat pada pasien.

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