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Satria Eureka Nurseskasatmata
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INDONESIA
Nursing Sciences Journal
Published by Universitas Kadiri
ISSN : 25988220     EISSN : 25988212     DOI : http://dx.doi.org/10.30737/nsj.v4i1
Core Subject : Health, Science,
Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health
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
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 153 Documents
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THE ROLE OF SOCIAL CAPITAL ON TREATMENT COMPLIANCE IN HIV-AIDS PATIENTS Susmiati; Indah Jayani; Yeni Lufiana Novita Agnes; Devangga Darma Karingga; Kun Ika Nur Rahayu
Nursing Sciences Journal Vol 10 No 1 (2026): April 2026
Publisher : Universitas Kadiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30737/nsj.v10i1.7528

Abstract

Lack of medication adherence in HIV-AIDS patients results in serious complications and even death. A social network approach is needed to improve medication adherence behavior. The purpose of this study was to determine the relationship between social capital and medication adherence in HIV-AIDS patients in the Kediri area. Eighty respondents were obtained using a purposive sampling technique with the inclusion criteria of HIV-AIDS patients aged 10 to 750 years, cooperative and communicative, and able to read and write. The instrument used to measure social capital and medication adherence was a questionnaire with a reliability and validity of Cronbach's Alpha at 0.8. Data analysis used the Spearman rank test with a significance level of 0.05. The results showed a relationship between social capital and medication adherence in HIV-AIDS patients with a very strong correlation value (r = 0.811). Efforts are needed to increase social capital from various aspects of the social network to improve medication adherence in HIV-AIDS patients.
EXPLORING THE RELATIONSHIP BETWEEN LACTIC ACID LEVELS AND CLINICAL OUTCOMES OF SEPSIS PATIENTS IN INTENSIVE CARE UNITS: IMPLICATIONS FOR NURSING PRACTICE Rismawan Adi Yunanto; Wahyu Novia Fajriati; Ruris Haristiani
Nursing Sciences Journal Vol 10 No 1 (2026): April 2026
Publisher : Universitas Kadiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30737/nsj.v10i1.6843

Abstract

Sepsis is a life-threatening condition frequently associated with clinical deterioration, including prolonged hospitalization and increased mortality risk. High lactate concentrations reflect tissue hypoxia and organ dysfunction, which may significantly worsen patient outcomes. However, previous studies on the association between lactate levels and clinical outcomes remain inconsistent. This study aimed to analyze the relationship between lactate levels, length of hospital stay, and mortality in sepsis patients in the intensive care unit. A retrospective observational cohort design was employed, with saturated sampling based on inclusion criteria (n=109). Data were collected from medical records with a total population of 134 patients. Results showed that the majority of sepsis patients were male, predominantly in the pre-elderly and elderly age groups. The most common comorbidities were pneumonia. Most patients had lactate levels >1.7 mmol/L, with prolonged hospitalization (≥3 days) observed and a mortality rate of 71.6%. Chi-square analysis revealed a significant association between lactate levels and both length of stay (p=0.039) and mortality (p=0.018). It can be concluded that elevated lactate levels were associated with prolonged hospitalization and increased mortality in sepsis patients. Lactate levels may serve as a prognostic marker, emphasizing the need for standardized sepsis management, including adherence to the “Hour-1 bundle” protocol, to improve patient outcomes.
THE EFFECT OF CUFF RELOCATION FREQUENCY ON NON-INVASIVE BLOOD PRESSURE MONITORING ON THE INCIDENCE OF SKIN IRRITATION IN THE INTENSIVE CARE UNIT Sugianto; Heru Noor Ramadhan
Nursing Sciences Journal Vol 10 No 1 (2026): April 2026
Publisher : Universitas Kadiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30737/nsj.v10i1.7003

Abstract

The bedside monitor is an indispensable tool in the intensive care setting for the continuous assessment of patients’ vital signs. However, the prolonged and intermittent compression inherent in Non-Invasive Blood Pressure (NIBP) monitoring presents a significant risk for Medical Device-Related Pressure Injury (MDRPI), frequently manifesting as skin irritation. This quasi-experimental study, using a time-series design, investigated the optimal frequency of cuff relocation to minimise this risk in the Intensive Care Unit of Dr. Kariadi General Hospital, Semarang. A total of 60 respondents were equally divided into two protocol groups: standard care (cuff relocation every 8 hours) and intervention (cuff relocation every 4 hours). Data were collected via systematic observation and analysed using a simple logistic regression test. The results demonstrated that the 4-hourly relocation protocol significantly reduced the incidence of skin irritation (1.6%) compared to the 8-hourly protocol (3.3%) (p = 0.002). This finding established a statistically significant and clinically relevant influence of increased relocation frequency on reducing the risk of cutaneous injury. The study concludes that mandatory cuff relocation every 4 hours should be adopted as a fundamental practice to enhance patient safety and skin integrity in critical care.
THE RELATIONSHIP BETWEEN MENTAL STATUS AND QUALITY OF LIFE AMONG THE ELDERLY yudara sandra; Yoga Darmayura; Ayu Putri Wulandari
Nursing Sciences Journal Vol 10 No 1 (2026): April 2026
Publisher : Universitas Kadiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30737/nsj.v10i1.7072

Abstract

Mental status is an psychological condition in terms of thinking, behavior, and adaptation to life pressures. Quality of life is a level of well-being in terms of physical, psychological, social, and environmental aspects. Older adults are vulnerable to mental disorders due to physical and social changes and the loss of a spouse, which can lead to a decline in quality of life. This study is important given the increasing number of elderly people and the high risk of mental health problems. The purpose of this study was to determine the relationship between mental status and quality of life among elderly people in the working area of the Mengwi I Badung Community Health Center. The study used a cross-sectional design with 215 respondents. The research instruments used were the SRQ and WHOQOL-BREF. The Spearman Rho test results showed a significant relationship between mental status and quality of life (p = 0.001; r = -0.864). The worse the mental status, the lower the quality of life of the elderly. The results of this study provide an important basis for efforts to improve psychosocial support and mental health for the elderly.
THE EFFECT OF BEET AND DATE JUICE ON CHANGES IN HEMOGLOBIN IN PREGNANT WOMEN WITH ANEMIA2025 Sutrisni Sutrisni; Putri Wahyu Wigati; Galuh Pradian Yanuaringsih; Halimatus Saidah; Dhita Kris Prasetyanti
Nursing Sciences Journal Vol 10 No 1 (2026): April 2026
Publisher : Universitas Kadiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30737/nsj.v10i1.7200

Abstract

Anemia in pregnant women contributes to an increased risk of pregnancy complications. Beetroot and dates are known to contain iron, folate, vitamin C, and antioxidants that can support hemoglobin formation. Providing a combination of beetroot and date juice can be an alternative non-pharmacological nutritional intervention to increase hemoglobin levels in pregnant women with anemia. The purpose of this study was to determine the effect of beetroot and date juice on changes in hemoglobin levels in pregnant women with anemia. This study used a pre-experimental design with a one-group pretest-posttest approach. The sample consisted of pregnant women with mild to moderate anemia selected using a purposive sampling technique. The intervention consisted of administering 250 ml of beetroot and date juice once daily for 7 days. Hemoglobin levels were measured before and after the intervention using a hematology analyzer. Data analysis used the Wilcoxon Signed Rank Test. There was an increase in hemoglobin levels after administering beetroot and date juice. The average Hb level of pregnant women after consuming the juice was 12.96 with a standard deviation of 0.9. There was an average increase in Hb levels after consuming beetroot and date juice of 1.29 g%. The results of the hypothesis test using a paired sample t-test showed a p-value of 0.000 with a 95% confidence level (α = 0.05). Beetroot and date juice administration is effective in increasing hemoglobin levels in pregnant women with anemia and can therefore be recommended as a complementary therapy for managing anemia during pregnancy.
THE EFFECT OF HEALTH EDUCATION ON KNOWLEDGE OF MORINGA LEAF UTILIZATION FOR STUNTING PREVENTION AMONG TODDLERS dhita kris prasetyanti; Halimatus Saidah; Meirna Eka Fitriasnani; Sutrisni; Putri Wahyu Wigati; Oktafia Sukmawati
Nursing Sciences Journal Vol 10 No 1 (2026): April 2026
Publisher : Universitas Kadiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30737/nsj.v10i1.7232

Abstract

Stunting remains a nutritional problem among toddlers, influenced by low parental knowledge regarding the utilization of nutritious local foods. Moringa leaves (Moringa oleifera) have a high nutritional content and potential to be used as an alternative for stunting prevention. This study aimed to determine the effect of health education on knowledge regarding the utilization of Moringa leaves as an effort to prevent stunting among toddlers. The study employed a pre-experimental method with a one-group pretest–posttest design. The study population consisted of 30 respondents selected using purposive sampling. Knowledge was measured before and after the provision of health education. Data analysis was conducted using the Wilcoxon test. The results showed that before health education, all respondents (100%) had poor knowledge. After the intervention, most respondents had good knowledge (28 respondents; 93.3%), while 2 respondents (6.67%) had sufficient knowledge. The Wilcoxon test results indicated a p-value of 0.000 (p < 0.05), demonstrating a significant difference in knowledge before and after the health education intervention. It can be concluded that health education has a significant effect on improving knowledge regarding the utilization of Moringa leaves as an effort to prevent stunting among toddlers.
HEALTH WORKER SUPPORT TO IMPROVE SELF-MANAGEMENT OF HYPERTENSION PATIENTS: A CROSS-SECTIONAL STUDY Tata Mahyuvi; Siti Mar&#039;atul Munawaroh
Nursing Sciences Journal Vol 10 No 1 (2026): April 2026
Publisher : Universitas Kadiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30737/nsj.v10i1.7377

Abstract

Background: Poor self-management, characterized by medication non-adherence and unhealthy lifestyles, significantly contributes to uncontrolled hypertension. Low self-efficacy in managing blood pressure remains a critical challenge in community health. Objective: This study evaluated the correlation between Health Worker Support and self-management practices among hypertensive patients. Methods: A quantitative cross-sectional study was conducted in December 2023 with 112 respondents selected via purposive sampling. Inclusion criteria included patients aged 19–65, diagnosed with uncomplicated hypertension, possessing a Glasgow Coma Scale (GCS) of 15 (E4V5M6), and being literate. Data were collected using healthcare support and self-management questionnaires, then analyzed using the Spearman Rank correlation test (alpha < 0.05).Results: Statistical analysis revealed a significant positive correlation between healthcare provider support and patient self-management (p= 0.003).Conclusion: Professional Health worker support is pivotal in enhancing self-management among hypertensive individuals. To optimize patient quality of life and prevent complications, healthcare providers should intensify proactive monitoring and educational interventions to foster better self-care autonomy.  
BRIDGING EVIDENCE AND PRACTICE: RECOMMENDED PHYSICAL ACTIVITY TYPES FOR OLDER ADULTS WITH HYPERTENSION Nurma Afiani; Neni Fidya Santi; Kurniawan Erman Wicaksono; Yuli Wahyuni; Sri Haryuni; Novita Ana Anggraini; Abdurahman Wahid
Nursing Sciences Journal Vol 10 No 1 (2026): April 2026
Publisher : Universitas Kadiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30737/nsj.v10i1.7410

Abstract

It is evident that physical activity has a significant impact on blood pressure levels in older adults diagnosed with hypertension. However, the type of physical activity among older adults with hypertension remains insufficiently studied. The objective of the present study was to investigate the proposed type of physical activity for older adults suffering from hypertension. The present study was a review, 1280 publications were identified through database searches conducted using ScienceDirect, PubMed, Google Scholar, EBSCO, and Springer Link. PRISMA guidelines were used to report this review. Ten articles met the inclusion criteria, including studies evaluating the effects of physical activity or exercise training on blood pressure; research involving participants diagnosed with hypertension; research reporting findings pertaining to blood pressure; investigations employing an experimental design, written in English, published between 2019-2024. The findings demonstrated that a combination of exercises (aerobic, resistance, and stretching exercises) yielded superior outcomes in comparison to other forms of physical activity in older adults. The findings of this study indicate that resistance training should be performed prior to aerobic exercise in order to achieve optimal results.
THE EFFECTIVENESS OF GROUP-BASED PSYCHOEDUCATION IN REDUCING STRESS LEVELS IN PEOPLE WITH DIABETES MELLITUS TYPE 2 : A SYSTEMATIC REVIEW Agus Sriyono; Eko Winarto; Witri Hastuti; Sabina Gero
Nursing Sciences Journal Vol 10 No 1 (2026): April 2026
Publisher : Universitas Kadiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30737/nsj.v10i1.7423

Abstract

Type 2 Diabetes Mellitus is often accompanied by diabetes distress, which can impair self-management and glycemic control. Group-based psychoeducation has been developed as a psychosocial intervention to address this issue. Objective: This study aims to analyze the effectiveness of group-based psychoeducation in reducing stress in patients with type 2 diabetes mellitus through a systematic review approach. This study used a systematic review design following of Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The PICO framework includes Population = type 2 diabetes mellitus patients; Intervention = group-based psychoeducation; Comparison = standard care or control conditions; Outcome = diabetes distress. Articles were systematically searched from PubMed, Scopus, Google Scholar, and ScienceDirect. Thirteen studies from various countries, predominantly randomized controlled trials and quasi-experiments, were included. The findings consistently showed that group-based psychoeducation significantly reduced diabetes distress compared to standard care or baseline conditions. Additional benefits included improved self-efficacy, better self-care behaviors, and improved glycemic control (HbA1c). Group-based psychoeducation is effective in reducing diabetes distress and supporting self-management in patients with Type 2 diabetes mellitus. It is recommended to integrate this intervention into routine nursing care through structured group programs and continuous evaluation to optimize patient outcomes.
EFFECTIVENESS OF GUIDED IMAGERY AND VIRTUAL REALITY ON PSYCHOLOGICAL COMFORT IN HEMODIALYSIS PATIENTS: A SYSTEMATIC REVIEW Nurtati Anggraeni; Eko Winarto; M. Jamaluddin; Sabina Gero
Nursing Sciences Journal Vol 10 No 1 (2026): April 2026
Publisher : Universitas Kadiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30737/nsj.v10i1.7456

Abstract

Background: Hemodialysis patients often experience anxiety, stress, depression, and pain due to invasive and repetitive procedures, resulting in reduced psychological comfort and quality of life. Guided imagery and virtual reality are non-pharmacological interventions that have the potential to reduce psychological distress during therapy. This study aims to evaluate the effectiveness of the two interventions through systematic review. Methods: A systematic search was conducted in PubMed, Scopus, Science Direct, and Google Scholar for studies published between 2018 and 2025. Study selection followed PRISMA guidelines, and data were synthesized using a narrative approach. A total of 198 records were identified, and 10 studies met the inclusion criteria. The PICO framework includes Population = patients’ hemodialysis; Intervention = guided imagery and/or virtual reality; Comparison = standard care or pre-intervention conditions; and Outcome = psychological comfort which includes anxiety, stress, depression, pain, sleep quality, and psychological well-being. Article searches were carried out systematically through PubMed, Scopus, and Google Scholar databases using keywords relevant to guided imagery, virtual reality, hemodialysis, and psychological outcomes. Results: A total of 10 studies met the inclusion criteria, with the study design dominated by randomized controlled trials (RCTs). The study came from Iran, Indonesia, Egypt, Australia, Spain, and Poland. The results showed that guided imagery- virtual reality significantly reduced anxiety, stress, depression, and pain perception compared to standard treatments or pre-intervention conditions. Some studies have also reported improvements in sleep quality, patient satisfaction, and psychological well-being during hemodialysis.Conclusion: Guided imagery and virtual reality are effective in reducing anxiety, stress, depression, and pain, as well as improving sleep quality and psychological well-being in hemodialysis patients.  

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