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I Ketut Andika Priastana
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Babali Nursing Research
Published by Babali Health
ISSN : 27766993     EISSN : 27215989     DOI : https://doi.org/10.37363/bnr
Core Subject : Health,
Nursing
The Babali Nursing Research provides a forum for original research and scholarship about health care delivery, organisation, management, workforce, policy and research methods relevant to nursing, midwifery and other health related professions. The BNR aims to support evidence informed policy and practice by publishing research, systematic and other scholarly reviews, critical discussion, and commentary of the highest standard. The journal particularly welcomes studies that aim to evaluate and understand complex health care interventions and health policies and which employ the most rigorous designs and methods appropriate for the research question of interest. The journal also seeks to advance the quality of research by publishing methodological papers introducing or elaborating on analytic techniques, measures, and research methods.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 282 Documents
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Virtual Nurse for Detecting Suicide Risk Behaviors in Adolescents Tarigan, Yohanes Zenriano; Kusumaningtiyas, Dwi Prima Hanis
Babali Nursing Research Vol. 5 No. 4 (2024): October
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2024.54435

Abstract

Introduction: Suicide is a complex phenomenon that is intriguing to study because its causes are still not fully understood. This phenomenon often garners media attention, as the number of incidents has significantly increased. Suicidal ideation frequently occurs in teenagers, and many who seek consultation report similar thoughts or engage in self-harm. The approach to problem-solving proposed in this research is the use of a virtual nurse as an early detection service for suicide risk behavior. A Virtual Nurse is an artificial intelligence-based application or system designed to provide health services and psychological support, particularly for teenagers. The Virtual Nurse uses machine learning algorithms to analyze user behavior, speech patterns, and interactions to identify signs of suicide risk. This study aims to analyze the effectiveness of the Virtual Nurse in detecting suicide risk behavior in adolescents. Method: This research utilized a pre-experimental design with a one-shot case study approach. Results: The implementation of the virtual nurse application for the detection of suicide risk behavior in adolescents over four weeks yielded favorable outcomes for 116 students (16%), while 74 students (39%) were categorized as showing poor results and the score for using virtual nurse in detecting suicide risk was 84 points. The result was that virtual nurse were classified as good in detecting suicide risk behavior in adolescents. Conclusion: The virtual nurse is an artificial intelligence-based application or system designed to provide psychological services and support to its users, particularly teenagers.
Self-administered acupressure at the Taichong point reduces blood pressure in hypertensive patients Yasa, I Dewa Putu Gede Putra; Sukawana, I Wayan; Surasta, I Wayan; Rasdini, I Gusti Ayu Ari
Babali Nursing Research Vol. 5 No. 4 (2024): October
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2024.54438

Abstract

Background: Blood pressure control can be achieved through lifestyle changes, pharmacological therapy, and non-pharmacological therapy. Complementary therapies can be included in hypertension management programs and are self-administered. This study aims to analyze the effect of self-administered acupressure at the Taichong point on blood pressure in hypertensive patients. Method: The research was conducted at Puskesmas II Denpasar Utara using a pre-experimental design with 38 primary hypertensive patients. Blood pressure data were measured five minutes before and after the patients performed self-administered acupressure at the Taichong point between the first and second metatarsals. Acupressure was performed with a stick for 5 seconds, lifted for 1 second, and repeated 30 times. Result: The results showed that all respondents had stage 2 hypertension, with systolic blood pressure (SBP) ranging from 140 to 172 mmHg and diastolic blood pressure (DBP) between 90 and 102 mmHg. After the intervention, all respondents experienced a decrease in SBP and DBP, with an average reduction in SBP of 13.89 ± 5.46 mmHg and a reduction in DBP of 11.05 ± 6.32 mmHg. The analysis results showed a significant effect on blood pressure (p-value: 0.0001). Conclusion: This study concludes that self-administered acupressure at the Taichong point significantly reduces blood pressure in primary hypertensive patients.
Anemia Prevention in Adolescent Females With Lawrence W. Green Theory Approach: A Literature Review Ismail, Mujiono; Aisah, Siti; Soesanto, Edy; Pranata, Satriya
Babali Nursing Research Vol. 6 No. 1 (2025): January
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.61404

Abstract

Background: The prevalence of anemia worldwide is very high, particularly in developing countries, including Indonesia. Adolescent girls are especially susceptible to anemia, with the monthly menstrual cycle being one of the contributing factors. This review aims to synthesize data by analyzing several articles that focus on the prevention of anemia in adolescent girls using the Lawrence W. Green theory approach. Methods: The method used for this article is a literature review of articles published between 2020 and 2024. The sources include Google Scholar, PubMed, and ScienceDirect, with the keywords "Anemia," "Prevention," "Adolescent girls," and "Lawrence W. Green's Theory." After the screening process, 15 articles were selected for review out of the 883 articles initially identified. Results: The findings indicate that individual behaviors vary widely, even among identical twins. Behavior does not always follow a predictable pattern, and the development of positive behavior is not solely determined by knowledge or positive attitudes. According to Lawrence W. Green's Theory, factors influencing actions or behaviors are classified into three categories: 1) Predisposing factors, 2) Enabling factors, and 3) Reinforcing factors. Conclusion: The prevention of anemia in adolescent girls is influenced by factors such as knowledge levels, attitudes, peer support, and the availability of health facilities.
Spiritual Needs and Resilience Women with Cervical Cancer Supatmi, Supatmi; Yumni, Fathiya Lutfil; Reliani, Reliani; Priyantini, Diah
Babali Nursing Research Vol. 6 No. 1 (2025): January
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.61427

Abstract

Introduction: Spiritual needs are crucial in providing support for cervical cancer patients in palliative care. Spiritual support helps reduce feelings of despair and depression, enabling patients to undergo treatment and maintain their quality of life. Resilience refers to individual characteristics that are adaptable and support successful coping with cancer. This study aimed to examine the spiritual needs and resilience of women with cervical cancer. Method: This research employed a correlational analytical design with a cross-sectional approach conducted in North Surabaya, which has the highest number of cervical cancer patients in the city of Surabaya. All women with cervical cancer recorded in the integrated service system constituted the population, and 42 women were recruited using total sampling. Spiritual needs were assessed using the Spiritual Needs Questionnaire, while resilience was measured with the Connor-Davidson Resilience Scale (CD-RISC). The collected data were analyzed using the Spearman rho test with a 95% confidence interval and an alpha (α) of 0.05. Results: A significant relationship was found between spiritual needs and resilience in women with cervical cancer (p = 0.000), with a correlation coefficient of r = 0.572, indicating a strong relationship. Conclusion: A spiritual approach is essential for cervical cancer patients to enhance their spiritual well-being, thereby fostering physical and psychosocial resilience.
Body Mind Therapy Improving Mental Health in Teenager Daryaswanti, Putu Intan; Muryani, Ni Made Sri; Pendet, Ni Made Diah Pusparini
Babali Nursing Research Vol. 6 No. 1 (2025): January
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.61436

Abstract

Background: Mental health has become a critical concern among adolescents, particularly affecting their emotional regulation, problem-solving abilities, and interpersonal relationships. Middle school students are especially vulnerable as they navigate identity formation while being susceptible to external influences. Various factors, including peer pressure, media influence, and gender norms, can exacerbate the gap between adolescents' reality and future perceptions. This study aims to determine the effect of Body Mind Therapy on adolescent mental health. Methods: A quasi-experimental study with a one-group pretest-posttest design was conducted. The population comprised middle school students in the Puskesmas II Denpasar Utara area. The sample size was calculated using the Lemeshow formula (n=97), with final participants of 40 students selected through simple random sampling. Inclusion criteria were students aged 12-16 years with parental consent. Variables measured included vital signs (blood pressure, pulse, respiration), sleep quality (PSQI), anxiety (SAS/SRAS), and mental health (SDQ). Data were analyzed using a paired t-test with a 95% confidence interval. Results: Most of the adolescents were 14 years old (45%) and female (92.5%). After conducting a paired t-test, the results showed that diastolic blood pressure, pulse, respiration, sleep quality, and mental health variables in the difficulty component showed significant effects with a p-value < 0.05. Conclusion: This intervention can be relied upon to improve adolescents' physical and mental health, particularly in reducing physiological stress and improving aspects of mental health such as emotional difficulties.
Relationship Between Family Support and Adherence to Antiretroviral Medication in Patients with HIV at Bhayangkara Hospital, Indramayu, Indonesia Carsita, Wenny Nugrahati; Rusyani, Julisah; Windiramadhan, Alvian Pristy Windiramadhan; Prabowo, Ridho Kunto Prabowo
Babali Nursing Research Vol. 6 No. 1 (2025): January
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.61439

Abstract

Introduction: Adherence to antiretroviral (ARV) treatment is one of the most critical factors in the successful management of HIV patients. Family support significantly influences treatment adherence, as family members are closest to the patient and are expected to provide motivation and monitor adherence to ARVs. This study aimed to determine the relationship between family support and ARV adherence among HIV patients. Methods: This study employed an analytic design with a cross-sectional approach. The population comprised HIV patients undergoing treatment in the Treatment Support Care Room (PDP) at Bhayangkara Indramayu Hospital, with an average monthly visit rate of 375 patients. A sample of 190 respondents was selected using the Z formula. The sampling technique employed purposive sampling based on inclusion and exclusion criteria. Bivariate analysis was performed using the chi-square test. Results: The findings revealed that 97 respondents (51.1%) reported good family support, and 146 respondents (76.8%) were compliant with taking ARV medication. The statistical analysis showed a p-value of 0.006 (α < 0.05). Conclusion: There is a relationship between family support and adherence to ARV medication in HIV patients. It is recommended for nurses to educate families to provide support to HIV patients in ARV treatment.
The Effect of Combination Foot Massage and Active Range of Motion (ROM) on Foot Sensitivity among Patients with Type 2 Diabetic Mellitus Agastiya, I Made Cahyadi; Romani, Ni Ketut; Artana, I Made
Babali Nursing Research Vol. 6 No. 1 (2025): January
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.61443

Abstract

Introduction: T2DM can increase morbidity and mortality. Almost half of T2DM patients have impaired foot sensitivity. This increases the risk of diabetic foot ulcers, causing the patient to not feel any injuries to the legs, even to amputation. Therefore, handling the proper treatment to prevent these complications is necessary, one of which is using foot massage and active ROM. This study aimed to determine the effect of the combination of foot massage and active ROM on foot sensitivity among T2DM patients at Mangusada Hospital. Methods: This study was carried out in the Kecak Room of Mangusada Hospital, involving 30 T2DM patients. This study uses a pre-experiment design with a one-group pretest-posttest design. The instrument used to assess foot sensitivity among T2DM patients was a 10-g monofilament applied at five points on each patient's right and left soles. The normality test results showed that the data was not normally distributed, so the Wilcoxon Signed Rank Test was used to analyze the difference in foot sensitivity of T2DM patients before and after the intervention with a significance level (α<0.05). Results: The results showed that median foot sensitivity scores improved from 7 to 8. Before the intervention, most foot sensitivity scores were 7, and after the intervention, they were 8. It can be concluded that a combination of foot massage and active ROM affected foot sensitivity among T2DM patients at Mangusada Hospital. Conclusion: Future studies should incorporate a control group and randomization to enhance validity.
Factors Associated with Readmissions in Ischemic Stroke : A Literatur Review Ni Made Ratih Comala Dewi; Ni Luh Putu Dina Susanti; I Kadek Nuryanto; Ni Kadek Sutini
Babali Nursing Research Vol. 6 No. 1 (2025): January
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.61444

Abstract

Background: Readmission cases among stroke patients are common, with only 15% of patients surviving and avoiding readmissions over a five-year period. Ischemic stroke patients who are readmitted face a higher risk of death and significantly increased healthcare costs. Therefore, identifying factors associated with the readmission of ischemic stroke patients is essential to prevent these occurrences. Methods: Articles were selected following PRISMA Guidelines. A literature review used three journal databases: ScienceDirect, PubMed, and Google Scholar. Keywords were aligned with the Medical Subject Heading (MeSH) terms, including "readmission," "ischemic stroke," and "risk factors." Several inclusion criteria were applied to identify eligible articles: publication between 2014 and 2023 and written in English or Bahasa. Sixteen eligible articles were ultimately included in the analysis. Results: A total of 16 articles were reviewed (n = 354,682). The causes of readmission in ischemic stroke patients were categorized into two groups: neurological and non-neurological disorders. Seven common comorbidities were identified as risk factors: hypertension, cardiovascular diseases, diabetes, dyslipidemia, obesity, previous stroke events, and stroke recurrence. Conclusion: The review revealed significant variation in readmission rates among ischemic stroke patients, ranging from 6.7% to 74% within 28 days to 10 years. This trend was particularly pronounced among adults and older women. These findings provide valuable insights for initiatives to prevent patient readmissions and highlight the importance of improving future care quality.
Determinant Factors of Stress Family Caregiver in Caring for Stroke Patients: A Literature Review Bela, I Kade Miki Indra; Kamaryati, Ni Putu; Darmini, A.A. Ayu Yuliati; Sanjana, I Wayan Edi
Babali Nursing Research Vol. 6 No. 1 (2025): January
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.61445

Abstract

Introduction: Stroke is a common disease that disrupts daily activities and can even lead to death. According to the World Health Organization (2016), stroke is the leading cause of disability worldwide and the second leading cause of death. Stroke affects various aspects of life, including mobility, emotions, attitudes, and communication. Stroke patients often experience activity limitations, making them dependent on family caregivers for assistance with daily needs. This dependency can place a significant burden on family caregivers, leading to stress. This research aims to analyze the key factors contributing to stress among family caregivers of stroke patients. Methods: This study employed a literature review approach, analyzing 16 articles published between 2017 and 2024 in either Indonesian or English. Only full-text articles were included. The literature review followed the PRISMA checklist to ensure the appropriate selection of studies aligned with the research objectives. Results: Several factors contribute to stress among family caregivers of stroke patients, including (1) age, (2) duration of caregivers, (3) gender, (4) burden, and (5) (1) age, (2) duration of caregiving, (3) gender, (4) burden, and (5) social support received from other family members. Conclusion: This highlights the need for tailored stress management strategies, stronger social support networks, and further research to understand varying stressors. Policymakers and healthcare providers should prioritize creating resources, raising awareness, and offering personalized support to alleviate caregiver burden and improve overall well-being.
Determinant Factors of Stress in Family Caregiver in the Care of Older adults with Chronic Disease: Literature Review Widiastuti, Ni Kadek Nefi; Kamaryati, Ni Putu; Rismawan, Made; Sriasih, Ni Kadek
Babali Nursing Research Vol. 6 No. 1 (2025): January
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.61449

Abstract

Introduction: Chronic diseases are degenerative conditions that require long-term treatment. Older adults patients who are unable to care for themselves independently often rely on assistance from others, particularly family members, who serve as family caregivers. Stress among family caregivers is a significant issue encountered when caring for older adults individuals with chronic diseases. This research aims to analyze the factors contributing to stress in family caregivers providing care for older adults people with chronic diseases. Methods: This study employed a literature review design, analyzing 16 articles published between 2017 and 2024 in either Indonesian or English. Articles included were complete and relevant to the study objectives. The PRISMA checklist was utilized to guide the protocol and evaluation process, ensuring the appropriate selection of studies aligned with the literature review objectives. Results: Several factors contribute to stress among family caregivers caring for older adults individuals with chronic diseases, including (1) age of family caregiver; (2) sex; (3) Llow levels of education and knowledge can trigger stress family caregiver; (4) type of work and income level; and (5) the length of treatment carried out family caregiver also affects the stress he experiences Conclusion: Nurses can play a vital role in supporting family caregivers by conducting comprehensive assessments, providing individualized support, teaching stress management techniques, offering caregiver education, and facilitating respite care.

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