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Alamat Redaksi: Fakultas Ilmu Kesehatan Universitas Pesantren Tinggi Darul Ulum (Unipdu) Kompleks Ponpes Darul 'Ulum Peterongan Jombang, East Java, Indonesian 61481 Tel. (0321)873655-876771, Fax. (0321)866631 email: edunursing@fik.unipdu.ac.id
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INDONESIA
EDUNursing
Published by Universitas Pesantren Tinggi Darul ulum
ISSN : 25498207     EISSN : 25796127     DOI : https://doi.org/10.26594/edunursing
Core Subject : Health,
Nursing
EDUNursing adalah jurnal ilmiah nasional yang terbuka untuk mencari inovasi, kreativitas dan kebaruan. Baik berupa letters, research notes, articles, supplemental articles atau review articles di bidang ilmu keperawatan. Fokus dan Ruang Lingkup: Keperawatan Anak, Keperawatan Medical Bedah, Maternitas, Komunitas, dan Manajemen Keperawatan
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 185 Documents
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THE EFFECT OF NUTRITION ON THE IMMUNE SYSTEM OF CHILDREN IN TIMOR LESTE: A SYSTEMATIC REVIEW OF NUTRITIONAL STATUS AND IMMUNE RESPONSE Florentino Dos Santos; Dionisio José Dos Santos
Jurnal EDUNursing Vol 9 No 2, September2025-Maret2026 (2025): Journal EDUNursing
Publisher : Universitas Pesantren Tinggi Darul Ulum

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26594/edunursing.v9i2, September2025-Maret2026.6005

Abstract

Introduction: Malnutrition among children, particularly in developing countries such as Timor Leste, represents a major public health issue. The prevalence of malnutrition—including stunting, wasting, and micronutrient deficiencies—remains high and significantly affects the immune system of children. Impairment of the immune system due to malnutrition increases vulnerability to infections and diseases. Therefore, this study aims to evaluate the relationship between nutritional status and immune responses among children in Timor Leste.  Methods:  This study employed a Systematic Literature Review (SLR) approach to collect, evaluate, and analyze data from relevant studies examining the impact of nutritional status on the immune system of children. Data were gathered from major scientific databases, including Scopus, PubMed, and Google Scholar, using keywords related to nutrition, malnutrition, and immune response in children.  Results: The findings identified several factors influencing the immune system of children in Timor Leste, particularly deficiencies in micronutrients such as zinc, vitamin A, and vitamin D. Poor nutritional status was associated with a decrease in white blood cell counts and a weakened ability of the body to fight infections. Furthermore, studies revealed that micronutrient supplementation and exclusive breastfeeding could improve nutritional status and strengthen the immune system of malnourished children. Increasing dietary diversity was also found to have a positive impact on the immune health of children. Discussion: The results of this study indicate that poor nutritional status—especially micronutrient deficiencies—has a direct effect on the decline of immune function in children. Therefore, appropriate nutritional interventions, such as supplementation with zinc and vitamin A and the promotion of exclusive breastfeeding, hold great potential to improve nutritional status and enhance immune resilience among children in Timor Leste. This study also emphasizes the need for more effective, evidence-based health policies to address malnutrition in developing countries.  Keywords:  Nutritional Status, Stunting, Wasting, Micronutrients, Immune System, Nutritional Intervention, Immune Response
THE EFFECT OF BLOOD GLUCOSE AND CHOLESTEROL MEASUREMENTS IN DETECTING CARDIOVASCULAR DISEASE IN TIMOR LESTE: A SYSTEMATIC LITERATURE STUDY Brigida Martins, Jaime; José dos Santos, Dionisio
Jurnal EDUNursing Vol 9 No 2, September2025-Maret2026 (2025): Journal EDUNursing
Publisher : Universitas Pesantren Tinggi Darul Ulum

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26594/edunursing.v9i2, September2025-Maret2026.6006

Abstract

Cardiovascular disease (CVD) is one of the leading causes of death worldwide, especially in developing countries such as Timor-Leste. The prevalence of this disease continues to increase, but early detection remains limited due to inadequate medical facilities. Blood glucose and HDL cholesterol, together with the FBG/HDL-C ratio, have been shown to be important indicators in detecting the risk of CVD. This study aims to explore the effect of blood glucose and cholesterol measurements in detecting cardiovascular disease risk in Timor-Leste. This study used the Systematic Literature Review (SLR) method, which collected and analyzed various relevant studies on blood glucose and HDL cholesterol measurements in detecting CVD risk. The literature search was conducted through the Scopus database using keywords related to blood glucose measurement, cholesterol, and FBG/HDL-C ratio in the context of CVD detection.  The results showed that blood glucose and HDL cholesterol measurements were significantly correlated with an increased risk of CVD. The FBG/HDL-C ratio proved to be more effective in predicting cardiovascular disease risk than separate measurements of glucose or cholesterol. The study also highlighted the importance of applying this ratio in developing countries, including Timor-Leste, given the limited medical resources available. The use of the FBG/HDL-C ratio can strengthen the early detection of cardiovascular disease, especially in countries with limited medical facilities such as Timor-Leste. Although blood glucose and cholesterol measurements are already widely performed, combining the two in a single ratio provides a more accurate picture of heart disease risk. This ratio can be applied practically and affordably, enabling earlier detection and prevention of cardiovascular disease. Keywords: Blood glucose, HDL cholesterol, FBG/HDL-C ratio, cardiovascular disease, early detection, Timor-Leste
THE EFFECTIVENESS OF THE COMBINATION OF HB, MCV, AND RDW IN SCREENING FOR ANEMIA IN MOTHERS AND CHILDREN: A CONTEXTUAL SYSTEMATIC REVIEW IN TIMOR LESTE José Dos Santos, Dionisio; Dos Santos, Florentino
Jurnal EDUNursing Vol 9 No 2, September2025-Maret2026 (2025): Journal EDUNursing
Publisher : Universitas Pesantren Tinggi Darul Ulum

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Introduction: Anemia in pregnant women and children is an important global health issue, with a high prevalence in developing countries such as Timor-Leste. Early detection of anemia is crucial to reduce the risk of complications. This study aims to evaluate the effectiveness of a combination of classic hematological parameters, namely hemoglobin (Hb), mean corpuscular volume (MCV), and red cell distribution width (RDW), in detecting anemia in mothers and children in Timor-Leste, taking into account geographical, socioeconomic, and local health service capacity factors. Methods: This study used a systematic review method to analyze various studies related to the effectiveness of classic hematological parameters in detecting anemia. Data were collected from studies that tested these parameters in populations of mothers and children and compared the results with non-invasive technologies such as SpHb, Ret-He, and artificial intelligence (AI)-based applications. The study also examined the influence of geographical and socioeconomic factors on the validity of using classic hematological parameters in anemia screening. Results: The results showed that the combination of Hb, MCV, and RDW had higher sensitivity and specificity in detecting anemia in mothers and children compared to using a single parameter. MCV and RDW provide significant added value in distinguishing types of anemia, such as iron deficiency anemia and anemia due to chronic disease. SpHb and AI-based applications show good results, but both have lower sensitivity compared to the combination of classic hematology parameters, especially in certain clinical conditions. Discussion: This study confirms that the combination of Hb, MCV, and RDW is a more effective and practical approach for screening anemia in pregnant women and children, especially in Timor-Leste, with limited medical resources. The use of non-invasive technologies such as SpHb and AI applications can be complementary, but their validity depends on patient conditions and medical infrastructure. In addition, geographical factors such as altitude and socioeconomic factors such as nutritional status need to be taken into account to adjust Hb cut-offs to improve the accuracy of anemia detection. Keywords: Anemia, Hemoglobin, MCV, RDW, Screening, Mother-Child, Non-Invasive Technology, Timor-Leste, Systematic Evaluation
THE EFFECTIVENESS OF COMMUNITY NURSING INTERVENTIONS IN IMPROVING ACCESS TO HEALTH CARE IN RURAL AREAS OF DEVELOPING COUNTRIES: A SYSTEMATIC LITERATURE REVIEW Leny Blegur; Maria Goreti Owa; Carmelita Barros; Rahaju Ningtyas; Horacio Da Costa
Jurnal EDUNursing Vol 10 No 1 (April-Agustus) (2026): Jurnal EDUNursing
Publisher : Universitas Pesantren Tinggi Darul Ulum

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26594/edunursing.v10i1 (April-Agustus).6628

Abstract

Introduction: Access to health services in rural areas of developing countries still faces various multidimensional challenges, including geographical limitations, the distribution of health workers, and social and cultural factors within the community. These conditions highlight the need for an intervention approach that focuses not only on clinical aspects but also community empowerment. This study aims to analyze the effectiveness of community nursing interventions in improving access to healthcare services in rural areas of developing countries. Method: The method used is a Systematic Literature Review (SLR) following the PRISMA 2020 guidelines. The literature search was conducted through the Scopus database using a combination of keywords related to community nursing interventions and access to healthcare services, with a publication range of 2021–2026. From an initial search yielding 331 articles, 20 articles meeting the inclusion criteria were identified and analyzed further. Results: the study results indicate that effective community nursing interventions are multidimensional, encompassing health education, participatory approaches, the use of community health workers, and socio-cultural-based approaches. Discussion: The primary outcomes identified include improved health literacy, behavioral changes, increased service utilization, as well as several clinical and psychosocial indicators. Additionally, factors supporting the success of interventions include community participation, trust in services, and cross-sectoral collaboration, while barriers include facility limitations, geographical barriers, and socioeconomic determinants. These findings indicate that community nursing interventions play a strategic role in bridging gaps in access to health services. Conclusion: The conclusion of this study emphasizes that improving access to healthcare services in rural areas requires a holistic, contextual, and community-based approach. This study contributes to strengthening the role of community nursing as a vital component of the healthcare system and serves as a foundation for the development of evidence-based interventions in the future. Keywords: community nursing intervention, healthcare access, rural population, developing countries, systematic literature review
MOTIVASI PASIEN DIABETES MELITUS DALAM MENJALANI PROGRAM PENGOBATAN Muhammad Mudzakkir; Endah Tri Wijayanti; Karisma Azahra Apriyanti
Jurnal EDUNursing Vol 10 No 1 (April-Agustus) (2026): Jurnal EDUNursing
Publisher : Universitas Pesantren Tinggi Darul Ulum

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26594/edunursing.v10i1 (April-Agustus).6546

Abstract

Abstract Diabetes mellitus is a chronic disease that requires long-term management through medication adherence, dietary regulation, physical activity, blood glucose monitoring, and lifestyle modification. Motivation is one of the psychological factors that influences patients in maintaining treatment behaviors. This study aimed to describe the level of motivation among patients with diabetes mellitus in undergoing treatment programs at the Outpatient Clinic of Muhammadiyah Ahmad Dahlan Hospital, Kediri. This study employed a quantitative descriptive design with a cross-sectional approach. A total of 41 respondents were selected using purposive sampling. Data were collected using a motivation questionnaire and analyzed using univariate analysis. The results showed that most respondents had a high level of motivation (58.5%), followed by moderate motivation (31.7%) and low motivation (7.3%). The findings indicate that most patients have adequate motivation to maintain treatment adherence and disease management. Nurses are expected to strengthen patient motivation through education, counseling, and family involvement to improve treatment outcomes. Keywords: diabetes mellitus, motivation, treatment, outpatient, nursing

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