Nursing Sciences Journal
Nursing Sciences Journal (NSJ), is a peer-reviewed journal devoted to publish research papers in nursing areas such as fundamental and basic nursing, adult or medical surgical nursing, neonatal and pediatric nursing, maternity nursing, mental health and psychiatric nursing, family and community health nursing, geriatric nursing, nursing administration and management, oncology nursing, transcultural nursing, HIV/AIDS and tropical diseases - and related healthcare issues such as health professional, health policy or healthcare system, women’s health and education with focus on national or regional trend and issues
Articles
141 Documents
<![CDATA[DEVELOPMENT OF AN AI-BASED SYSTEM FOR IDENTIFYING VAGINAL DISCHARGE DISEASES IN WOMEN USING THE FORWARD CHAINING ]]>
<![CDATA[Devy Putri Nursanti]]>;
<![CDATA[Bonifacius Vicky Indriyono]]>
<![CDATA[ Nursing Sciences Journal Vol 9 No 2 (2025): Oktober 2025 ]]>
Publisher : <![CDATA[Universitas Kadiri ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.30737/nsj.v9i2.6973
<![CDATA[Vaginal discharge is a common gynecological symptom that often indicates various diseases, but its diagnosis frequently requires specialized medical examinations. The limited access to healthcare professionals and the lack of awareness can lead to delayed diagnosis and ineffective treatment, potentially resulting in more severe health complications. This research aims to develop an artificial intelligence (AI) system capable of identifying common vaginal discharge diseases, such as Bacterial Vaginosis, Candidiasis, and Trichomoniasis, based on a series of user-provided symptoms. The study utilizes a rule-based expert system approach with the forward chaining method to process symptoms logically and arrive at a probable diagnosis. The system's knowledge base is constructed from established medical literature and expert physician consultations to ensure high accuracy and reliability. The developed system was tested using a set of clinical cases, achieving an accuracy rate of 92.5%, demonstrating its effectiven ss as a preliminary diagnostic tool. This AI-based system is expected to serve as a valuable early screening instrument, helping to increase access to gynecological health information and facilitating timely medical intervention for women, particularly in areas with limited medical resources.]]>
<![CDATA[THE EFFECTIVENESS OF ISOMETRIC HANDGRIP AND WALKING EXERCISES ON BLOOD PRESSURE IN ELDERLY PATIENTS WITH HYPERTENSION ]]>
<![CDATA[Rahmawati, Erni]]>;
<![CDATA[Lily Herlinah]]>;
<![CDATA[Nurhayati]]>;
<![CDATA[Dhea Natashia]]>;
<![CDATA[Syamsul Anwar]]>
<![CDATA[ Nursing Sciences Journal Vol 9 No 2 (2025): Oktober 2025 ]]>
Publisher : <![CDATA[Universitas Kadiri ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.30737/nsj.v9i2.6981
<![CDATA[Hypertension in the elderly is one of the global health challenges with a high prevalence. This study aims to evaluate the effectiveness of isometric handgrip exercise and walking exercise in reducing blood pressure in the elderly with hypertension. The research method used a quasi-experimental design with three intervention groups: (1) isometric handgrip exercise, (2) walking exercise, and (3) a combination of both. A total of 36 elderly were randomly selected and equally divided into the three groups. The intervention was conducted for eight weeks with analysis using Shapiro Wilk test, One Way Anova and Wilcoxon Test The results showed that the isometric handgrip and combination exercise groups had a significant decrease in systolic and diastolic blood pressure (p<0.05). Meanwhile, walking exercise also had a positive effect, although not significant in all weeks of evaluation. The combination of both interventions showed the most optimal results, especially at weeks 5 and 8. This study concludes that isometric handgrip exercise and its combination with walking exercise are effective for lowering blood pressure in elderly with hypertension. It is recommended that this intervention be applied as a non-pharmacological therapy in elderly health services, with assistance by health workers to improve compliance and effectiveness of the program. ]]>
<![CDATA[THE EFFECTIVENESS OF POSITIVE DEVIANCE (HEARTH) TO REDUCE MALNUTRITION IN UNDER FIVE CHILDREN ]]>
<![CDATA[Africia, Fresty]]>;
<![CDATA[Lily Herlinah]]>;
<![CDATA[Nurhayati]]>;
<![CDATA[Dhea Natashia]]>;
<![CDATA[Syamsul Anwar]]>
<![CDATA[ Nursing Sciences Journal Vol 9 No 2 (2025): Oktober 2025 ]]>
Publisher : <![CDATA[Universitas Kadiri ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.30737/nsj.v9i2.7010
<![CDATA[Positive deviance (pos gizi) merupakan program gizi yang berbasis keluarga dan masyrakat bagi balita yang mengalami gizi kurang. Tujuan penelitian yakni menganalisis keefektivan intervensi positive deviance (pos gizi) sebagai penatalaksanaan gizi kurang pada balita. Jenis penelitian yang digunakan yakni quasi experimental dengan menggunakan rancangan one group pre post test design. Intervensi positive deviance (pos gizi) diberikan selama 2 minggu (12 hari). Jumlah perhitungan subjek dengan G-power didapatkan minimal 10 responden, responden diambil secara total sampling, dan didapatkan 12 balita yang mengalami gizi kurang dengan BB/TB pada rentang Z score = -2 s/d =-3. Data pengetahuan, sikap, dan perilaku orang tua dikumpulkan dengan kuesioner dan dianalisis dengan uji T dependen. Sedangkan data berat badan dan tinggi badan diukur sebelum dan setelah intervensi dengan analisis GLM-RM. Hasil penelitian adalah terdapat peningkatan berat badan dan tinggi badan sebelum dan setelah intervensi positive deviance (pos gizi) karena makanan yang diberikan kandungan gizinya disesuaikan kebutuhan nutrisi balita. Selain itu terjadi peningkatan pengetahuan, sikap dan perilaku ibu sehingga praktik dalam memberikan makanan untuk balita menjadi lebih baik. Kesimpulannya bahwa positive deviance (pos gizi) sebagai salah satu intervensi komprehensif yang dapat diterapkan untuk mengatasi gizi kurang pada balita di masyarakat. ]]>
<![CDATA[THE RELATIONSHIP BETWEEN BULLYING EXPERIENCES AND SELF-ACCEPTANCE ADAPTATION ABILITY IN ADOLESCENTS ]]>
<![CDATA[Setiawan, Lilik]]>;
<![CDATA[Eko Arik Susmiatin]]>
<![CDATA[ Nursing Sciences Journal Vol 9 No 2 (2025): Oktober 2025 ]]>
Publisher : <![CDATA[Universitas Kadiri ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.30737/nsj.v9i2.6952
<![CDATA[Incident bullying is an unwanted action that occurs in adolescents due to an imbalance of power, and bullying this has the potential to happen repeatedly and at any time. Experience bullying what the victim experiences directly will have an impact on their development and growth as a teenager, especially in terms of adaptability and social skills. Aggravating factors bullying namely lack of self- confidence, lack of self-acceptance, and lack of communication. This research aims to determine the relationship between experience bullying with the ability to adapt to self-acceptance. The design used in this research is correlation with the approach cross-sectional. The population of all students victims of bullying at Taruna Bakti Vocational School was 35 respondents. The sample in the research was 35 students obtained from engineering Total Sampling. Experience variable data bullying measured using a questionnaire The Olweus Bully and data on the variable ability to adapt to self-acceptance were measured using a questionnaire Berger’s Self Acceptance Scale, and data analysis with statistical tests Spearman rank. The research results stated that the majority of respondents 26 students (74.3%) experienced bullying lightweight with good acceptance criteria. The results of the analysis show that there is a relationship of experience bullying with the ability to adapt to self-acceptance (p-value 0.00<0.05). Good self-acceptance in individuals makes them able to develop themselves. able to interact with other people, and establish close relationships with other people without feeling disturbed by their weaknesses, because individuals who have high self-acceptance are aware of and accept all forms of shortcomings and weaknesses. the advantages that exist within him and realizing that other individuals also have these.]]>
<![CDATA[THE RELATIONSHIP BETWEEN ANXIETY AND SLEEP QUALITY IN MEDICAL STUDENTS WRITING THEIR THESIS AT THE FACULTY OF MEDICINE ISLAMIC UNIVERSITY OF MALANG ]]>
<![CDATA[Lingga Kusuma Wardani]]>;
<![CDATA[Nurkhanila Agustin]]>;
<![CDATA[Hengky Kurniawan]]>;
<![CDATA[Dhita Kurnia]]>;
<![CDATA[Reni Nurhidayah]]>;
<![CDATA[Nuryeny H]]>
<![CDATA[ Nursing Sciences Journal Vol 9 No 2 (2025): Oktober 2025 ]]>
Publisher : <![CDATA[Universitas Kadiri ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.30737/nsj.v9i2.6968
<![CDATA[Kecemasan tidak hanya berasal dari tuntutan akademik yang besar, tetapi juga dari ekspektasi diri yang tinggi dan ketidakpastian tentang masa depan profesional. Akumulasi dari faktor-faktor ini dapat menyebabkan gangguan tidur yang signifikan, seperti kesulitan untuk tidur, sering terbangun di malam hari, dan merasa tidak segar setelah bangun tidur. Tujuan penelitian ini untuk menganalisa kecemasan dengan Kualitas Tidur terhadap Mahasiswa Kedokteran di Fakultas Kedokteran UNISMA yang sedang menyusun Skripsi”. Desain penelitian ini menggunakan pendekatan kuantitatif dengan jenis penelitian observasional analitik dan desain cross-sectional.. Populasi adalah mahasiswa kedokteran tingkat akhir yang sedang menyusun skripsi sebanyak 40 orang. Teknik sampling menggunakan probability sampling.Pengumpulan data dilakukan secara simultan dalam satu waktu tertentu untuk mengukur kedua variable, dengan menggunakan kuesioner. Analisa data diatas didapatkan nilai Spearman’s Rho sebesar 0,558 yang berarti hubungan moderat positif dengan Sig. (2-tailed) sebesar 0.000. Kecemasan yang semakin meningkat akan berdampak terhadap kualitas tidur pada mahasiswa kedokteran yang sedang menyusun skripsi di Fakultas Kedokteran Universitas Islam Malang.]]>
<![CDATA[THE EFFECT OF BED HEAD ELEVATION IN PREVENTING VENTILATOR-ASSOCIATED PNEMONIA (VAP) IN PATIENTS ON VENTILATION ]]>
<![CDATA[Sutrisno]]>;
<![CDATA[Dian Sari Maharani]]>;
<![CDATA[Mayta Sari Dwianggimawati]]>
<![CDATA[ Nursing Sciences Journal Vol 9 No 2 (2025): Oktober 2025 ]]>
Publisher : <![CDATA[Universitas Kadiri ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.30737/nsj.v9i2.6975
<![CDATA[Ventilator Associated Pneumonia (VAP) is a common nosocomial infection in patients using ventilators. One recommended prevention method is head elevation of bed (HoB) at a 30-45 degree angle. The purpose of this study was to analyze the effect of head elevation on VAP prevention in patients on ventilators in the ICU of Dr. Iskak Tulungagung Regional Hospital. This study used a pre-experimental design. The sample consisted of 20 patients selected by consecutive sampling. Data were collected through Clinical Pulmonary Infection (CPIS) observations before and after the intervention for three days. The results showed that of the 20 patients who received the HoB intervention, 75% did not experience VAP, while 25% continued to experience VAP. The CPIS value increased significantly on the second and third days, indicating that this period is a critical phase for VAP development. Elevating the HoB position has an effect on reducing the risk of VAP, but does not completely prevent infection. Effective VAP prevention requires a comprehensive approach that combines HoB with other measures such as oral hygiene, endotracheal cuff pressure monitoring, and optimal ventilation management. Keywords: Head elevation of bed (HoB), Pneumonia, Ventilator.]]>
<![CDATA[THE EFFECTIVENESS OF BOOKLET MEDIA IN EFFORTS IO IMPROVE KNOWLEDGE AND ATTITUDE TO PREVENT CHRONIC ENERGY DEFICIENCY IN PREGNANT WOMEN IN TULUNGAGUNG ]]>
<![CDATA[D.K, Indah]]>;
<![CDATA[isnaeni, Ely]]>;
<![CDATA[Dewi Rokhanawati]]>;
<![CDATA[Farida Kartini]]>
<![CDATA[ Nursing Sciences Journal Vol 9 No 2 (2025): Oktober 2025 ]]>
Publisher : <![CDATA[Universitas Kadiri ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.30737/nsj.v9i2.7027
<![CDATA[The prevalence of Chronic Energy Deficiency (CED) among pregnant women globally reaches 35–75% (WHO, 2017), and around 40% of maternal deaths in developing countries are associated with this condition. In Indonesia, studies conducted in 2017–2018 reported a CED prevalence of 17.3% and anemia in 48.9% of pregnant women. The 2021 National Health Survey (Riskesdas) reported that the risk of CED in East Java was 29.8%, higher than the national rate of 28%. This study aimed to determine the knowledge and attitudes of pregnant women regarding CED before and after the intervention, as well as to analyze the effect of the “Prevent CED” booklet on first-trimester pregnant women at Kedungwaru Public Health Center in 2024. The study used a pre-experimental One Group Pre-Test Post-Test design with total sampling, involving 25 respondents—second-trimester pregnant women who were registered, received services at the health center, and provided informed consent. Data were analyzed using the Wilcoxon Signed Rank test. The results showed a p-value of 0.003 (<0.05), indicating a significant effect of the booklet on improving the knowledge and attitudes of pregnant women regarding CED prevention. It is recommended that first-trimester pregnant women read the booklet to enhance understanding and prevent CED during pregnancy.]]>
<![CDATA[USABILITY ANALYSIS OF THE LASIRAH “LANCAR ASI SEHAT IBU RIANG ANAK DAN HAPPY“ APPLICATION WITH THE USE QUESTIONNAIRE ]]>
<![CDATA[Siti Rochana]]>;
<![CDATA[Septi Tri Aksari]]>
<![CDATA[ Nursing Sciences Journal Vol 10 No 1 (2026): April 2026 ]]>
Publisher : <![CDATA[Universitas Kadiri ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.30737/nsj.v10i1.7147
<![CDATA[Introduction: The postpartum period is a crucial phase for mothers in maintaining exclusive breastfeeding. Low self-efficacy and postpartum depression are major barriers to breastfeeding success. Advances in digital technology offer opportunities to enhance maternal independence through innovations. Aims: This study aimed to analyze the usability level of the LASIRAH (Lancar ASI Sehat Ibu Riang Anak dan Happy). Method: The study used a quantitative descriptive design with a cross-sectional method. The subjects were 30 postpartum mothers who used the LASIRAH application for 7 days, selected using a purposive sampling technique. Usability was measured using the USE Questionnaire, which covers the dimensions of usefulness, ease of use, ease of learning, and satisfaction. Data were collected using a 1–4 Likert scale questionnaire and analyzed descriptively as part of a formative usability evaluation. Result: The overall usability score was 84.54%, categorized as very feasible. Specifically, the usefulness dimension scored 86%, ease of use 84.5%, ease of learning 83.5%, and satisfaction 84.15%. These results indicate that LASIRAH is highly useful, easy to use and learn, and provides high user satisfaction. Conclusions and Suggestions: LASIRAH shows strong potential for broader implementation to enhance breastfeeding self-efficacy and prevent postpartum depression through a user-centered digital health approach.]]>
<![CDATA[BRISK WALKING EXERCISE ON ANXIETY IN PATIENTS WITH TYPE 2 DIABETES MELLITUS: AN EXPERIMENTAL STUDY ]]>
<![CDATA[Naura Almaghfira Asy'ghotillah]]>;
<![CDATA[Upik Rahmi]]>;
<![CDATA[Sehabudin Salasa]]>
<![CDATA[ Nursing Sciences Journal Vol 10 No 1 (2026): April 2026 ]]>
Publisher : <![CDATA[Universitas Kadiri ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.30737/nsj.v10i1.7385
<![CDATA[Anxiety is a psychological problem commonly experienced by patients with type 2 diabetes mellitus (T2DM) and can worsen glycemic control and increase the risk of complications. Brisk walking exercise, as a simple form of aerobic physical activity, is known to have potential metabolic and psychological benefits. However, empirical evidence regarding its implementation in primary healthcare settings is still limited. This study aimed to analyze the role of brisk walking exercise on anxiety levels in patients with T2DM. This study employed a quantitative method with a quasi-experimental pretest-posttest with control group design. The sample was selected using a purposive sampling technique, consisting of 40 respondents, divided into an intervention group (n=20) and a control group (n=20). The sample size was determined based on sample size calculation for experimental design. The intervention group received a brisk walking exercise program three times per week for eight weeks. Anxiety levels were measured using the Depression Anxiety Stress Scale-42 (DASS-42) questionnaire. Data were analyzed using paired t-test and independent t-test. The results showed that brisk walking exercise was associated with a reduction in anxiety levels in patients with T2DM compared to the control group. Brisk walking exercise can be considered as an effective nursing intervention to reduce anxiety in patients with T2DM. ]]>
<![CDATA[SI-BENING: SIMULATION-BASED FIRST AID TRAINING INNOVATION TO IMPROVE COMMUNITY KNOWLEDGE IN EARLY DETECTION AND FIRST AID FOR HYPOGLYCEMIA ]]>
<![CDATA[Amni, Rahmalia]]>;
<![CDATA[Fikriyanti, Fikriyanti]]>;
<![CDATA[Tarigan, Abul A'la]]>
<![CDATA[ Nursing Sciences Journal Vol 10 No 1 (2026): April 2026 ]]>
Publisher : <![CDATA[Universitas Kadiri ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.30737/nsj.v10i1.7166
<![CDATA[Hypoglycemia is an emergency condition that requires fast and appropriate treatment. Currently, public knowledge in conducting early detection and first aid is very limited. Training with educational methods is less effective in increasing public knowledge, because it does not involve the community in real life. Therefore, simulation-based training is believed to be more effective in increasing public knowledge. The purpose of this study is to analyze the effectiveness of Si-Bening (Simulation-Based First Aid Training) on public knowledge in conducting early detection and first aid for hypoglycemia emergency conditions. The research method is quasi-experimental with one group pre-post test without control and the research sample was 105 teachers in Banda Aceh City using convenience sampling technique. Data were analyzed using the Wilcoxon Signed-Rank test. Result showed that the majority of respondents had sufficient first aid knowledge (57.1%) and early detection was lacking (42.9%). After the intervention, the majority had high first aid knowledge (95.2%) and high early detection (94.3%). Significant improvements were seen in both early detection knowledge (Z = –8.710; p < 0.05) and first aid (Z = –8.556; p < 0.05). Training using the Si-Bening method effectively improved community skills related to early detection and first aid for hypoglycemia. It is recommended that further research utilize the Si-Bening method.]]>
