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Khatulistiwa Nursing Journal
Published by Sekolah Tinggi Ilmu Kesehatan YARSI Pontianak
ISSN : 2655772X     EISSN : 27983897     DOI : 10.53399
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health
Khatulistiwa Nursing Journal is a peer-reviewed Indonesian journal dedicated to all nursing areas published by The School of Nursing and Graduate School of Nursing at STIKES Yarsi Pontianak. The aim of this journal is to contribute to the growing field of nursing practice and provide a platform for researchers, physicians and healthcare professionals. This journal presents contemporary research on the issue such as basic research in nursing, management nursing, emergency and critical nursing, medical surgical nursing, mental health nursing, maternity nursing, pediatric nursing, gerontological nursing, community nursing and family nursing education nursing. Khatulistiwa nursing journal welcomes original research publications that employ the quantitative, qualitative, or mixed-method approach as well as scholarly works on advanced practice nursing. The target audiences of this journal are nursing students' managers, senior members of the nursing professions, practicing nurses, nurse educators, and researchers at all levels who are committed to advancing practice and professional growth on the basis of fresh information and evidence.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 105 Documents
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PERSEPSI KUALITAS PELAYANAN PADA PASIEN LSL POSITIVE HIV/AIDS, DI KOTA MEDAN Tukiman; R Kintoko Rochadi; Syarifah
Khatulistiwa Nursing Journal Vol. 7 No. 2 (2025): July 2025
Publisher : STIKes YARSI Pontianak

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53399/knj.v7i2.343

Abstract

Background: Men who have sex with men (MSM) are a key population in the HIV epidemic in Indonesia but continue to face multiple barriers in accessing healthcare services, including stigma, lack of privacy, and limited facilities and human resources. Objective: This study aims to explore the perceptions of MSM living with HIV regarding the quality of healthcare services at community health centers (Puskesmas) in Medan City, as well as to identify the supporting and hindering factors in service utilization. Methods: This qualitative study employed in-depth interviews with 21 HIV-positive MSM and four VCT program officers at Puskesmas Helvetia, Padang Bulan, Teladan, and Medan Deli. Data were thematically analyzed through manual coding to identify key patterns and themes. Results: Services such as education, counseling, outreach, and peer support were perceived as beneficial, particularly due to collaboration with NGOs like Medan Plus, Galatea, and PKBI. However, challenges remain, including lack of privacy during registration and medication pickup, and fear of being recognized. Positive interactions with healthcare workers emerged as a key factor in fostering patient comfort and trust. Conclusion: Although healthcare services for HIV-positive MSM in Medan have been implemented relatively well, improvements are still needed, especially in ensuring privacy, comfort, and the active involvement of the MSM community in service delivery to enhance access, adherence, and their overall quality of life.
Hubungan Dukungan Keluarga Dengan Resiliensi Pasien Kemoterapi Di RSUD Prof. Dr. W. Z. Johannes Kupang Maryati A. Barimbing; Fepyani T. Feoh; Maria M. Bayo
Khatulistiwa Nursing Journal Vol. 7 No. 2 (2025): July 2025
Publisher : STIKes YARSI Pontianak

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53399/knj.v7i2.329

Abstract

Latar Belakang: Kemoterapi merupakan penanganan preparate antineoplastic sebagai upaya untuk membunuh sel-sel tumor dengan mengganggu fungsi dan reproduksi seluler. Rangkaian program kemoterapi yang berkelanjutan dapat menimbulkan berbagai efek samping fisik dan psikologis pada pasien. Hal tersebut menyebabkan banyak pasien kemoterapi yang tidak bertahan mengikuti siklus kemoterapi atau dapat dikatakan memiliki resiliensi rendah. Salah satu yang membuat pasien kemoterapi bertahan adalah dukungan keluarga. Dilihat dari efek samping kemoterapi yang begitu banyak dan prosesnya yang panjang, maka perlu adanya dukungan keluarga agar pasien tersebut memiliki resiliensi yang tinggi untuk bertahan dan mampu melewati segala proses kemoterapi. Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan dukungan keluarga dengan resiliensi pasien kemoterapi di RSUD Prof. Dr. W. Z. Johannes Kupang. Metode: . Penelitian ini adalah penelitian kuantitatif menggunakan desain korelasi dengan rancangan penelitian cross sectional. Teknik sampling yang digunakan adalah purposive sampling dengan jumlah sampel sebanyak 82 responden serta pengumpulan data menggunakan kuesioner. Hasil: Hasil analisa data menggunakan uji statistik Spearman-Rho didapatkan p value=0,001 dan r=0,375 artinya ada hubungan dukungan keluarga dengan resiliensi pasien kemoterapi, dengan kekuatan hubungan sedang dan arah positif artinya semakin baik dukungan keluarga maka semakin tinggi resiliensi pasien kemoterapi. Kesimpulan: Terdapat hubungan yang bermakna antara dukungan keluarga dengan resiliensi pasien kemoterapi di RSUD Prof. Dr. W. Z. Johannes Kupang
Gambaran Mean Arterial Pressure (MAP) pada Pasien Sectio Caesarea dengan Spinal Anestesi di RSUD Dr. Soedirman Kebumen. Fissilmy, Mualief Ainun; Mixrova Sebayang, Septian; Hikmanti, Arlyana
Khatulistiwa Nursing Journal Vol. 7 No. 2 (2025): July 2025
Publisher : STIKes YARSI Pontianak

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53399/knj.v7i2.336

Abstract

Background: To deliver the fetus, placenta, and amniotic fluid, a cesarean section is a surgical operation that involves making an incision in the uterus and abdominal wall. Systolic and diastolic blood pressure measurements can be used to detect hypotension. The Mean Arterial Pressure (MAP) measurement, which measures the average arterial pressure that sustains constant blood flow to bodily tissues during the cardiac cycle, is typically used to evaluate hypotension in post-spinal anesthesia situations. Objective: This study aims to describe the MAP in patients undergoing cesarean section with spinal anesthesia technique. Method: Descriptive observational methodology using a cross-sectional approach is employed. Using the entire sampling technique, 80 patients made up the research sample. Result: The majority of respondents, according to the data, were between the ages of 20 and 35, had a normal body mass index, and had no medical history. The majority of individuals had normal MAP levels prior to spinal anesthesia. After spinal anesthesia, at minutes 1, 2, and 3, the majority of patients experienced MAP in the optimal category. The decrease in MAP was caused by the effects of spinal anesthesia affecting vascular tone. The results of this study are expected to serve as a basis for decision-making in intraoperative hemodynamic monitoring. Conclusion: There are changes in MAP values in patients undergoing Sectio Caesarea after receiving spinal anesthesia. Before anesthesia, most MAP values were within the normal range. However, after the application of spinal anesthesia, the majority of patients showed optimal MAP values.
Implementasi Komunikasi Terapeutik Antara Perawat Dan Pasien Di Ruang Rawat Inap Sri Sudarsih; Windu Santoso; Muhammad Hafidh Taqiuddin
Khatulistiwa Nursing Journal Vol. 7 No. 2 (2025): July 2025
Publisher : STIKes YARSI Pontianak

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53399/knj.v7i2.337

Abstract

Background: Therapeutic communication is a very important element in nursing. Effective therapeutic communication is essential to foster trust and understanding between nurses and patients, which significantly improves patient care outcomes. Therapeutic communication skills are necessary for an effective therapeutic relationship. Objective: The objective of this research was to determine the implementation of therapeutic communication between nurses and patients. Method: The study is a descriptive study. The sample in the study were patients in the inpatient room, who were taken using purposive sampling techniques and in accordance with the researcher's criteria. Data collection used a Global Interprofessional Therapeutic Communication Scale (GITCS) instrument. Result: The results of the study showed that most of the nurses' therapeutic communication was in the good category. Conclusion: Most of the nurses' therapeutic communication is in the good category which is supported by 5 indicators, most of which are in the good category.
Gambaran Emergence Agitation pada Pasien Pasca Bedah Otolaryngology Dengan General Anestesi Di RSU Siaga Medika Purbalingga Sudarmono, Alifika Julianinta; Magenda Bisma Yudha; Wasis Eko Kurniawan
Khatulistiwa Nursing Journal Vol. 7 No. 2 (2025): July 2025
Publisher : STIKes YARSI Pontianak

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53399/knj.v7i2.339

Abstract

Background: Emergence agitation (EA) is an acute condition of confusion and restlessness that occurs during the recovery phase after general anesthesia, characterized by purposeless excessive motor activity and often accompanied by impaired consciousness. Objective: This study aims to describe the incidence of emergence agitation in post-otolaryngology surgery patients undergoing general anesthesia in the recovery room at Siaga Medika General Hospital Purbalingga. Method: This was a non-experimental study with a cross-sectional design. The sampling technique used was accidental sampling, with a total of 32 respondents. Data were analyzed using univariate analysis. Result: The results showed that 11 respondents (31.4%) experienced EA. Based on age, the highest incidence occurred in children aged 1–5 years, with 7 respondents (21.9%). Based on gender, 7 male respondents (21.9%) experienced EA. Regarding the type of surgery, EA was most common in pharyngology/laryngology procedures, with 9 respondents (28.1%). All respondents received anesthesia using the balanced anesthesia technique. Conclusion: The incidence of EA is more common in preschool-aged boys undergoing otolaryngology surgery.
Waktu Pulih Sadar Pasien Pasca General Anestesi Nada Fauziyyah, Nabila; Tophan Heri Wibowo; Septian Mixrova Sebayang
Khatulistiwa Nursing Journal Vol. 7 No. 2 (2025): July 2025
Publisher : STIKes YARSI Pontianak

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53399/knj.v7i2.341

Abstract

Background: Recovery of consciousness is an important indicator of successful outcomes following general anesthesia. Delays in regaining consciousness may lead to complications such as airway obstruction and neurological disorders. Objective: To determine the duration of consciousness recovery in patients after general anesthesia at RSUD Dr. Soedirman Kebumen. Method: A descriptive quantitative study with a cross-sectional design involving 60 patients selected through consecutive sampling. The instrument used was an observation sheet based on the Aldrete Score. Data were analyzed using a univariate approach and presented through frequency distribution and descriptive statistics. Result: The majority of respondents were adults (74.2%), female (53.2%), and had an ASA physical status of II (77.4%). The average recovery time was 11.43 minutes, ranging from 6 to 23 minutes. Conclusion: Most patients regained consciousness within a normal time range following general anesthesia.
Kesejahteraan Psikologis sebagai Prediktor Kontrol Glikemik pada Diabetes Melitus Tipe 2 Sjawal, Gloria Elisabet; Toar, Juwita Moreen; Renteng, Septriani
Khatulistiwa Nursing Journal Vol. 7 No. 2 (2025): July 2025
Publisher : STIKes YARSI Pontianak

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53399/knj.v7i2.346

Abstract

Background: Good glycemic control is essential in preventing complications and reducing mortality among individuals with diabetes. The achievement of optimal glycemic control is influenced not only by medical factors but also by psychological aspects. Objective: This study aims to examine the relationship between psychological well-being and glycemic control in patients with type 2 diabetes mellitus. Method: This study employed a cross-sectional design and was conducted at Imanuel Clinic, Manado. A total of 87 patients with type 2 diabetes mellitus were selected using purposive sampling. The inclusion criteria were: patients aged 30 years and above, diagnosed with type 2 diabetes mellitus for more than one year, and having undergone HbA1c testing within the past three months. Data were collected using a research instrument consisting of the Ryff’s Scale of Psychological Well-Being (SPWB) questionnaire, as adapted by previous researchers. Result: Spearman’s rho correlation test revealed a significant relationship between psychological well-being and glycemic control in patients with type 2 diabetes mellitus, with a strong negative correlation (r = –0.753) and a p-value of 0.038 (p<0.05). Conclusion: There is a significant relationship between psychological well-being and glycemic control in patients with type 2 diabetes mellitus, indicating that higher psychological well-being is associated with better glycemic outcomes.
Hubungan Tingkat Aktivitas Fisik dengan Kualitas Hidup pada Pasien Gagal Ginjal Kronik yang Menjalani Hemodialisis di RS Sentra Medika Cikarang Nanun Fazriyani; Salsa Bhatary Amadhea; Riska Subhianti Putri; Mila Sartika
Khatulistiwa Nursing Journal Vol. 7 No. 2 (2025): July 2025
Publisher : STIKes YARSI Pontianak

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53399/knj.v7i2.348

Abstract

Background: Chronic kidney disease (CKD) is a progressive condition that leads to a permanent decline in kidney function. The primary treatment for CKD patients is hemodialysis; however, this procedure has the potential to impact their quality of life. Physical activity plays a significant role in supporting the improvement of quality of life among patients undergoing hemodialysis. Unfortunately, many of them face physical limitations and experience fatigue, which ultimately results in low levels of physical activity. Objective: This study aims to analyze the relationship between the level of physical activity and quality of life among CKD patients undergoing hemodialysis at Sentra Medika Hospital Cikarang. Methods: Using a quantitative approach with a cross-sectional design, this study involved 65 participants selected through accidental sampling. Respondents filled out the IPAQ and KDQOL questionnaires to measure the variables studied. The collected data were analyzed using the Chi-square test to determine the relationship between physical activity and quality of life. Results: The majority of participants in this study exhibited light to moderate levels of physical activity. Statistical analysis revealed a significant association between physical activity levels and patients’ quality of life, with a p-value of 0.000. A better quality of life tended to be found among patients who engaged in higher-intensity physical activity. Conclusion: The quality of life of hemodialysis patients can be improved through the significant role of physical activity. Therefore, educational efforts and appropriate interventions should be provided to encourage patients to remain physically active in order to support their overall well-being
Motivasi Lansia Tentang Penerapan Pola Hidup Sehat Di Posyandu Lansia Desa Sumberbendo Kabupaten Kediri Heni, Sutiyah; Sari, Diana Nur Indah
Khatulistiwa Nursing Journal Vol. 6 No. 1 (2024): January 2024
Publisher : STIKes YARSI Pontianak

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53399/knj.v6i1.239

Abstract

Latar Belakang: Lanjut usia mengalami penurunan fisik yang menyebabkan lansia rentan terkena gangguan kesehatan. Namun demikian, masih banyak lansia yang tidak menjaga kesehatannya. Beberapa hal yang diduga menjadi penyebabnya adalah kurangnya motivasi lansia dalam menerapkan pola hidup sehat. Penerapan pola hidup sehat dapat mencegah timbulnya berbagai penyakit dengan pola hidup sehat merupakan upaya untuk menerapkan kebiasaan dalam menciptakan hidup yang sehat dan menghindari kebiasaan buruk yang dapat mengganggu kesehatan. Tujuan: untuk mengetahui bagaimana motivasi lansia tentang penerapan pola hidup sehat di Desa Sumberbendo Kabupaten Kediri. Metode: Desain penelitian deskriptif, populasi 2327 responden dan sampel 59 responden, dengan teknik Accidental Sampling. Instrumen dengan kuesioner. Penelitian pada tanggal 21 - 30 Maret 2023 dengan variabel motivasi lansia tentang penerapan pola hidup sehat, data dianalisa dengan persentase, diinterpretasi secara kuantitatif. Hasil: Sebagian besar dari responden memiliki motivasi kuat (68%) dan hampir setengah dari responden memiliki motivasi sedang (32%). Motivasi lansia tentang penerapan pola hidup sehat dipengaruhi oleh faktor jenis kelamin, usia, tinggal bersama siapa dan informasi. Kesimpulan: Diharapkan lansia aktif mengikuti posyandu lansia dan mencari informasi terkait penerapan pola hidup sehat untuk meningkatkan motivasi lansia dalam menerapkan pola hidup sehat.
Aspek Spiritual Pada Pasien Dengan Penyakit Kronis Di Rumah Sakit Amelia Kecamatan Pare Kabupaten Kediri Purnamasari, Vela; Kartini, Fitri Indah
Khatulistiwa Nursing Journal Vol. 6 No. 1 (2024): January 2024
Publisher : STIKes YARSI Pontianak

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53399/knj.v6i1.245

Abstract

Latar Belakang: Spiritualitas berkaitan dengan konsep yang luas dengan berbagai dimensi dan perspektif yang ditandai adanya perasaan keterikatan (koneksitas) kepada sesuatu yang lebih besar dari diri kita, yang disertai dengan usaha pencarian makna dalam hidup atau dapat dijelaskan sebagai pengalaman yang bersifat universal dan menyentuh. Aspek spiritual di identifikasi sebagai sumber yang penting untuk seseorang, yang mana dengan spiritual tersebut dapat membantu seseorang mengatasi berbagai distress disaat mengalami dan menderita sakit. Saat seseorang terdiagnosa mengalami penyakit kronis, seringkali mengalami perubahan dalam hidupnya seperti perubahan perilaku, perubahan sosial, perubahan psikologis serta distress spiritual. Perubahan tersebut dapat menjadi beban atau tekanan mental yang disebut dengan stresor psikologi bagi penderita penyakit kronis. Pada kondisi seperti penyakit kronis memerlukan banyak dukungan, dari orang terdekat salah satunya dukungan pada aspek spiritual. Tujuan: Tujuan penelitian ini untuk mengetahui Aspek Spiritual pada pasien penyakit kronis di RS Amelia Pare. Metode: Desain penelitian menggunakan deskriptif, populasi penelitian 87 responden, besar sampel 26 responden, Teknik purposive sampling, variabel penelitian yaitu aspek spiritual pada pasien dengan penyakit kronis, instrument penelitian kuesioner SAS (Spiritual Assesment Scale), terdiri atas 21 item pertanyaan yang meliputi keyakinan pribadi, praktik keagamaan serta kepuasan spiritual. Analisa data menggunakan mean dan diinterpretasikan secara kuantitatif. Hasil: Hasil penelitian didapatkan dari 26 responden sebagian besar responden memiliki aspek spiritual terpenuhi dan hampir setengah responden memiliki aspek spiritual tidak terpenuhi. Kesimpulan: Sebagian besar responden didapatkan hasil aspek spiritual yang terpenuhi.

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