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Journal of Telenursing (JOTING)
Published by Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi
ISSN : 26848996     EISSN : 26848988     DOI : https://doi.org/10.31539/joting.v1i2
Core Subject : Health,
Health Professions Nursing
Journal of Telenursing (JOTING) accepts articles in quantitative, qualitative, mixed method approaches related to nursing field, such as pediatric nursing, management of nursing, medical surgical nursing, maternity nursing, psychiatrics nursing, community nursing, emergency nursing, gerontology nursing, and family nursing
Arjuna Subject : Keperawatan - Advanced and Specialised Nursing
Articles 1,142 Documents
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Terapi Kognitif Sebagai Intervensi Keperawatan untuk Mengatasi Ketidakberdayaan pada Pasien Kanker Elizabeth Risha Murlina Lema; Hasanudin Hasanudin
Journal of Telenursing (JOTING) Vol. 8 No. 3 (2026): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/0h05vj22

Abstract

This study aims to determine the application and effectiveness of cognitive therapy in reducing signs and symptoms of helplessness in cancer patients. The method used is a case series study design. The results showed that patients had an average of 25.4 signs of helplessness. After initial intervention, cognitive therapy significantly reduced the number of symptoms further to an average of 8.1, with an average total reduction of 17.3 symptoms per patient. The greatest reduction was seen in the cognitive domain (e.g., reduced doubts and negative thoughts) and affective domains (e.g., reduced anxiety and depressed mood). In conclusion, the application of cognitive therapy as a specialist mental health care intervention was significantly effective in reducing signs and symptoms of helplessness in cancer patients. This intervention successfully improved patients' ability to manage negative thoughts, which had a positive impact on their affective, behavioral, and social conditions. Cognitive therapy empowers patients with adaptive coping skills, helps them rebuild a sense of control, and has the potential to improve quality of life during the challenges of cancer treatment.   Keywords: Cancer, Helplessness, Cognitive Therapy
Penerapan Permainan Ular Tangga Edukatif untuk Meningkatkan Pengetahuan Perilaku Hidup Bersih dan Sehat Pipit Festi Wilianarti; Supatmi Supatmi; Priadi Priadi; Yuanita Wulandari; Musa Ghufron
Journal of Telenursing (JOTING) Vol. 8 No. 3 (2026): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/we6he702

Abstract

This study aims to determine the effectiveness of the educational snakes and ladders game in improving first-grade students' understanding of Clean and Healthy Living Behavior (PHBS) at MI Al-Munawwaroh Maor. The method used was a descriptive case study involving 15 first-grade students. The results showed a significant increase in student understanding, where before the intervention, 70% of students were in the low knowledge category, and after the intervention, 70% moved to the good knowledge category. Furthermore, students demonstrated enthusiasm, focus, and active participation during the learning process. In conclusion, the educational snakes and ladders game has proven effective in improving PHBS knowledge and can be used as a fun alternative method for health education in elementary schools.   Keywords: Knowledge, Educational Game, PHBS, Snakes and Ladders
Pendekatan Evidence Based Oral Hygiene dengan Kassa dan Spons yang Mengandung Chlorhexidin 2% dalam Pencegahan Ventilator Associated Penumonia Nazhifa Nida Iftina; Erina Adriana Paramitha; Amaliah Mahmudah; Sri Rahayu; Endar Sulistyo
Journal of Telenursing (JOTING) Vol. 8 No. 3 (2026): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/bzqsn214

Abstract

This study aimed to analyze the differences in effectiveness of oral hygiene measures using gauze and sponges containing 2% chlorhexidine in preventing Ventilator-Associated Pneumonia (VAP) in patients on mechanical ventilation in the ICU. A literature search was conducted through PubMed, ScienceDirect, Scopus, Google Scholar, and GARUDA databases for national and international articles published between 2017 and 2025. Seven articles that met the inclusion and exclusion criteria were systematically analyzed. The results of the literature review indicated that oral hygiene using sponges containing 2% chlorhexidine tended to be more effective than gauze in reducing oral bacterial colonization and preventing VAP. These findings suggest that selecting appropriate oral hygiene devices, along with the use of effective antiseptics, is an important component of evidence-based critical care nursing practice to reduce the risk of Ventilator-Associated Pneumonia in ICU patients.   Keywords: Chlorhexidine 2%, Gauze, Oral Hygiene, Sponge, Ventilator-Associated Pneumonia
Intervensi Keperawatan dalam Pencegahan Depresi Postpartum pada Ibu Nifas Siti Khotimah; Faizah Bety Rahayuningsih
Journal of Telenursing (JOTING) Vol. 8 No. 3 (2026): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/6s970976

Abstract

This study aims to identify the role of nursing interventions in preventing postpartum depression in postpartum mothers. The method used was a systematic review following the PRISMA 2020 guidelines using the PubMed, CINAHL, Scopus, and Science Direct databases for articles published between 2013 and 2024. The results showed that of the 1,248 articles identified, 12 studies met the inclusion criteria. The nursing interventions identified included mental health education, postpartum depression screening, nursing counseling, home visits, and psychosocial support. Most studies demonstrated a significant reduction in postpartum depression scores and improvements in maternal psychological well-being, such as decreased anxiety and increased self-confidence. In conclusion, postpartum nursing interventions play a crucial role in preventing postpartum depression and are recommended for integration into routine postpartum care.   Keywords: Postpartum Depression, EPDS, Postpartum Mothers, Nursing Interventions
Paparan Mikroplastik yang Berdampak pada Gangguan Sistem Pencernaan, Saraf, Pernafasan, Disfungsi Organ, dan Perkembangan Kehamilan Ni Nyoman Trijayanti; Ni Made Sri Nopiyanti
Journal of Telenursing (JOTING) Vol. 8 No. 3 (2026): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/b8yr5y92

Abstract

This study aims to examine the scientific evidence regarding the health impacts of microplastic. The method used is secondary research with a literature review design following the PRISMA guidelines. The literature search was conducted through the PubMed and Google Scholar databases. A total of 10 articles meeting the inclusion and exclusion criteria. The results show that microplastic exposure causes multisystem health disorders. In the digestive system, microplastics alter the composition of gut microbiota and damage the intestinal epithelium. In vital organs, liver inflammation, lipid metabolism disorders, and lung tissue. Furthermore, microplastics can penetrate the placenta, thereby disrupting fetal development and causing neurotoxic effects on the central nervous system. The main mechanisms of this damage involve oxidative stress, systemic inflammation, and biological barrier dysfunction. In conclusion, microplastic exposure is proven to have significant negative impacts on the digestive, respiratory, nervous, reproductive, and cardiovascular systems.   Keywords: Human health, Microplastics, Nanoplastics, Organ dysfunction
Cognitive Behavior Therapy (CBT) Berbasis Online untuk Menurunkan Kecemasan Ibu Hamil Dewa Ayu Anggi Gharbelasari; Heni Dwi Windarwati; Laily Yuliatun
Journal of Telenursing (JOTING) Vol. 8 No. 3 (2026): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/51fw2557

Abstract

This article aims to identify online Cognitive Behavior Therapy (CBT) to reducing anxiety levels in pregnant women. The method used was a systematic review, identifying articles from four databases: ScienceDirect, ProQuest, EBSCO, and PubMed, covering the period 2016–2021. Article selection was conducted using the PRISMA method based on predetermined inclusion and exclusion criteria, with keywords: perinatal mental health, antenatal anxiety, antenatal stress, antenatal depression, antenatal intervention, and online CBT. The findings suggest that the advancement of digital mental health services enhances accessibility and strengthens self-efficacy among pregnant women in managing psychological conditions. The implementation of Cognitive Behavioral Therapy (CBT) delivered online has been demonstrated to be effective in reducing anxiety, depression, and stress from pregnancy through the postpartum period. Furthermore, this intervention represents a practical approach to addressing the limited availability of professional mental health services.   Keywords: Antenatal Intervention, Online CBT, Perinatal Mental Health
Konsumsi Makanan Ultra Proses sebagai Faktor Resiko Kejadian Obesitas pada Remaja Masdalis Masdalis; Husnul Khatimah; Dinda Tri Lestari; Reski Pebriani
Journal of Telenursing (JOTING) Vol. 8 No. 3 (2026): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/2jzwxn91

Abstract

This study aims to examine the relationship between ultra-processed food consumption and obesity in adolescents. The study employed a quantitative method with a cross-sectional design. The results, based on statistical tests, showed a relationship between ultra-processed food consumption and obesity (p=0.03). In conclusion, there is a relationship between ultra-processed food consumption and obesity. High consumption of ultra-processed foods contributes to an increased risk of obesity in adolescents.   Keywords: Ultra-Processed Food, Obesity, Adolescents
Determinan Karakteristik Ibu Hamil yang Berhubungan dengan Kejadian Preeklampsi Yuli Farida; Mardianti Mardianti; Ida Farida Handayani; Mira Meida
Journal of Telenursing (JOTING) Vol. 8 No. 3 (2026): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/tchb6z57

Abstract

This study aimed to analyze the determinants of maternal characteristics associated with the incidence of preeclampsia. This study used a correlational analysis method with a case-control approach. The results showed that variables simultaneously associated with the incidence of preeclampsia in pregnancy were occupation (P=0.010) and obesity (P=0.011). Obesity was associated with a 3.30-fold increased risk of preeclampsia, while occupation was associated with a 3.10-fold increased risk. Conclusion: Early detection of risk factors, abnormalities, and complications in pregnancy in antenatal care services is crucial, especially when pregnant women work with high physical loads and time patterns, as well as work stress, which are strongly associated with the incidence of preeclampsia. Obesity during pregnancy is also associated with preeclampsia. Therefore, early screening by monitoring body weight (BMI) during pregnancy in antenatal care is crucial for health workers to reduce morbidity and mortality in preeclampsia cases. Keywords: Maternal Characteristics, Pregnancy, Preeclampsia
Gambaran Adaptasi Fisiologis Bayi Berat Badan Lahir Rendah Aan Achmad Baharudin; Siti Arifah
Journal of Telenursing (JOTING) Vol. 8 No. 3 (2026): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/qz7hsa13

Abstract

This study aims to describe the physiological adaptation of low birth weight infants during the first 72 hours of life based on changes in body weight, body temperature, respiratory rate, heart rate, and blood glucose levels. This study used a descriptive approach with a case study design. The results showed that low birth weight infants experienced a gradual physiological adaptation process during the first 72 hours of life. Body temperature increased toward the normal range, respiratory rate and heart rate decreased within physiological limits, indicating stability, while blood glucose levels gradually increased. Initial weight loss remained within normal physiological limits and was followed by a tendency to stabilize on the third day. Low birth weight infants demonstrated increasingly stable physiological adaptation during the first 72 hours of life with adequate neonatal care support. Comprehensive monitoring of physiological parameters is crucial for early detection of complications and optimization of the neonatal adaptation process. The conclusions of this study indicate that low birth weight infants are capable of achieving gradual physiological adaptation during the early neonatal period. Therefore, continuous physiological monitoring and adequate neonatal care are necessary to maintain the stability of the infant's condition and prevent further complications. Keywords: Physiological Adaptation, LBW, Case Study, Neonates, Neonatal Care
Self-Esteem dan Fungsi Psikoseksual pada Pasien Diabetes Melitus Tipe 2 Nur Riyadi Sarjono; Ita Sulistiani; Mihrawaty S. Antu
Journal of Telenursing (JOTING) Vol. 8 No. 3 (2026): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/sbepf555

Abstract

This study aims to determine the relationship between self-esteem and psychosexual function in patients with type 2 diabetes mellitus in the Limboto Community Health Center (Puskesmas) in Gorontalo Regency. The method used was a quantitative cross-sectional approach. The results showed that the majority of respondents had low self-esteem (57 respondents (93.4%) and moderate psychosexual function (35 respondents (57.4%). Bivariate analysis revealed a significant relationship between self-esteem and psychosexual function, with a p-value of 0.000 (<0.05), indicating a strong, positive relationship. In conclusion, there is a significant relationship between self-esteem and psychosexual function in patients with type 2 diabetes mellitus, where higher self-esteem leads to better psychosexual function.   Keywords: Type 2 Diabetes Mellitus, Psychosexual Function, Self-Esteem

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