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INDONESIA
Jurnal Gema Keperawatan
Published by Poltekkes Kemenkes Denpasar
ISSN : 20887493     EISSN : 26208695     DOI : -
Core Subject :
Jurnal Gema Keperawatan dengan ISSN : 2620-8695 (Online - Elektronik) & 2088-7493 (Cetak - Cetak) diterbitkan oleh Jurusan Keperawatan Politeknik Kesehatan Denpasar merupakan jurnal ilmiah yang bertujuan menyebarluaskan berbagai tulisan ilmiah untuk meningkatkan kesehatan masyarakat, khususnya bidang keperawatan. Jurnal Gema Keperawatan terbit 2 kali dalam satu tahun setiap bulan Juni dan Desember. Jurnal ini menerima naskah berupa hasil riset baik kuantitatif maupun kualitatif, studi literatur dan studi kasus. Cakupan bidang keperawatan yang termasuk dalam jurnal ini antara lain: 1) Keperawatan komunitas, 2) Keperawatan jiwa, 3) Keperawatan anak, 4) Keperawatan maternitas, 5) Keperawatan medikal bedah
Arjuna Subject : -
Articles 270 Documents
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Hubungan Spiritualitas dengan Keputusasaan pada Remaja dengan HIV/AIDS Sumirta, I Nengah; Utami Budiari, Ni Putu; Harini, I Gusti Ayu; Candra, I Wayan; Ari Kresna Dewi, Ni Luh Gede
Jurnal Gema Keperawatan Vol 18, No 2 (2025): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v18i2.4117

Abstract

HIV/AIDS is an infectious disease that attacks the immune system, resulting in a significant decline in physical health and triggering vulnerability to psychological problems, such as hopelessness. Despair can lead to decreased treatment adherence, which may worsen physical conditions and accelerate disease progression. The aim of this study was to analyze the relationship between spirituality and hopelessness in adolescents with HIV/AIDS. This type of quantitative research uses a correlational design with a cross-sectional approach. The sample size of 63 people was collected using purposive sampling technique. Data collection instruments used the Daily Spiritual Experience Scale (DSES) and the Beck Hopelessness Scale (BHS). Data analysis using Spearman's Rank Correlation Coefficient test. The results showed that 30 people (47,6%) had low spirituality, 28 people (44,4%) had moderate spirituality, 5 people (7,9%) had high spirituality and 4 people (6,3%) experienced mild hopelessness, 31 people (49,2%) experienced moderate hopelessness, 28 people (44, 4%) experienced moderate hopelessness and there was a relationship between spirituality and hopelessness with a p-value of 0.000 (p-value 0,005), correlation coefficient value of -0,664, strong correlation and negative direction which means the higher the spirituality, the lower the hopelessness. The inclusion of a spiritual approach in psychosocial interventions for adolescents with HIV/AIDS is recommended as a relevant strategy to reduce the risk of despair, strengthen psychological resilience, and enhance the overall quality of life of adolescents living with HIV/AIDS.
Hubungan Tingkat Pengetahuan dengan Perilaku Ibu dalam Upaya Pencegahan Stunting pada Anak Usia 6-24 Bulan Muncan, I Gusti Agung Mas Widia Paramitha; Sriasih, Ni Kadek; Rismawan, Made
Jurnal Gema Keperawatan Vol 18, No 2 (2025): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v18i2.4072

Abstract

Efforts to prevent stunting in children aged 6-24 months are supported by knowledge and behavior of mothers, however, in reality, many mothers are found to have poor knowledge about and behavior in stunting prevention. This study employed an analytic design and cross-sectional study approach and took place in the working area of Public Health Centre I West Denpasar in April 2024. The sample was 230 respondents, selected through purposive sampling technique. The data were collected using a questionnaire and analyzed using the Spearman-Rho correlation statistical test. This study has been ethically approved by the ethics commission of ITEKES Bali. The results of this study showed that all respondents (100%) had a good knowledge and good behavior in stunting prevention. The correlation test revealed a significant correlation between the level of knowledge and behavior of mothers in stunting prevention p-value 0,001 with a value of r 0,269. The better the mother's knowledge, the better the mother's behavior. Subsequent research should explore further about behavior of mothers in stunting prevention.
Konstribusi Faktor Self Assessment dan Peer Assessment terhadap Kecemasan dalam Menghadapi Ujian OSCE Mahasiswa Keperawatan Ari Kresna Dewi, Ni Luh Gede; Suardani, Ni Luh Ketut
Jurnal Gema Keperawatan Vol 18, No 2 (2025): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v18i2.4920

Abstract

Anxiety is a normal part of life. Excessive anxiety responses can affect exam performance and results. The OSCE is a comprehensive assessment of students' clinical competency. Final-semester nursing students are required to take the OSCE exam according to standards. With more exam material and different exam settings, this situation creates anxiety in students before the OSCE. The graduation rate of the Nursing Department of the Ministry of Health Polytechnic of Denpasar in 2024 reached 97,3% for the Nursing study program and 87.06% for the Diploma III study program. Therefore, it is deemed necessary to evaluate learning outcomes, which can be done independently (self-assessment) or assessed by group members (peer assessment), to prevent abnormal anxiety in students and achieve optimal passing scores. The purpose of this study was to analyze the contributors of self- and peer assessment factors to student anxiety in facing the OSCE exam. This study used a quantitative descriptive design. The number of respondents was 60 respondents, with a simple random sampling technique. The variables examined in this study were the anxiety levels of students who received self-assessment, peer assessment, and self- and peer assessment interventions. The research instrument used was the Hamilton Rating Scale for Anxiety (HRS-A) questionnaire. The Kruskal-Wailiss test was used to analyze the results, resulting in a mean anxiety rank of 26,10. The conclusion was that the most effective intervention was a combination of self- and peer assessment.
Media Edukasi Permainan Ular Tangga Meningkatkan Pengetahuan Siswa Sekolah Dasar dalam Menghadapi Bencana Gempa Bumi Dharma Yani, Made Vina; Sukawana, I Wayan; Sukarja, I Made; Juniari, Ni Made; Wedri, Ni Made; Mertha, I Made
Jurnal Gema Keperawatan Vol 18, No 2 (2025): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v18i2.4043

Abstract

Indonesia has a high risk of disasters due to its geological and geographical location. Disasters are events that threaten society and impact all ages, including children. This shows that knowledge in dealing with disasters is very important to be given to children. This research aims to determine the effect of providing education using the snakes and ladders game on elementary school students' knowledge in dealing with earthquake disasters. The type of research is Pre- Experimental design with the design used, namely One-group pre-post design using simple random sampling. The total sample was 33 people. The variables in this study are education through the media of snakes and ladders games and elementary school students' knowledge of dealing with earthquake disasters. Knowledge data were collected using a knowledge questionnaire on dealing with earthquake disasters. Data analysis techniques were used using the Wilcoxone test. The results of the research showed that the knowledge of elementary school children before being given audiovisual media education was mostly in the sufficient category, namely 18 people (54,5%) and after being given it showed an increase in preparedness knowledge with the result that the majority of students were in the good category, 32 people (97%). The results of the research were tested using the Wilcoxon statistical test, obtained p-value = 0,000 alpha (0,05), it can be concluded that there is an influence of providing education in the snakes and ladders game media on students' knowledge in dealing with earthquake disasters at SD No. 2 Cemagi. It is recommended that teachers in schools increase the provision of disaster material by developing other similar game media.
Uji Validitas Dan Reliabilitas Prototipe Aplikasi "SICEPAT Anak" Menggunakan System Usability Scale (SUS) Dan Technology Acceptance Model (TAM) Edi Sanjana, I Wayan; Krisnandari D, Anak Agung Istri Wulan; Pertama, Pande Putu Gede Putra
Jurnal Gema Keperawatan Vol 18, No 2 (2025): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v18i2.4938

Abstract

The pre-hospital emergency management of pediatric patients can be challenging for ambulance nurses when providing emergency care. This situation can arise due to a  lack of specific protocols and limited experience with pediatric cases. Digitalization through mobile-based applications is needed as a clinical decision aid. In developing a mobile application prototype, it is necessary to conduct validation and reliability testing by experts and users to improve suitability of use before implementation. This study aims to test the validity and reliability of the “SiCEPAT Anak” application prototype using the System Usability Scale (SUS) and Technology Acceptance Model (TAM) instruments. This study used a descriptive cross-sectional study design conducted on 30 ambulance nurses selected using purposive sampling. Content validity was tested through Face Validity by experts in the fields of Information Technology Systems and Emergency Nursing, while reliability was measured using the Cronbach's Alpha coefficient. The majority of respondents had a nursing education level (63.3%) and were in the adult age category. The reliability test results showed a Cronbach's Alpha value of 0.735 for SUS and 0.837 for TAM. The measurement of usability and technology acceptance in the “SiCepat Anak” application prototype from the statistical test results proved to be reliable. The application is considered to have good internal consistency, is easy to use, and is well-accepted by nurses as an aid for handling pediatric emergencies. These findings contribute to clinical decision-making and guide the development of advanced features to enhance the quality and safety of pre-hospital pediatric care.
HUBUNGAN TINGKAT SELF-DISCLOSURE DENGAN PSYCHOLOGICAL WELL-BEING PADA PENDERITA KANKER PAYUDARA I Wayan Candra; Ni Made Dania Dwi Rezanthi; I Nengah Sumirta; Ni Luh Gede Ari Kresna Dewi; I Gusti Ayu Harini
Jurnal Gema Keperawatan Vol 19 No 1 (2026): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v19i1.4106

Abstract

Breast cancer is one of the types of cancer with the highest incidence that causes physical and psychological impacts, including decreased psychological well-being. Efforts to improve psychological well-being of breast cancer patients with self-disclosure. The purpose of this study was to determine the relationship between the level of self-disclosure with psychological well-being in breast cancer patients at Sanjiwani Hospital, Gianyar Regency in 2025. This type of research is quantitative research with a correlational analytic design with a cross-sectional approach. The sampling technique used purposive sampling with a total sample of 85 people. Data analysis techniques using the Spearman Rank statistical test, and data collection using the 32-item Revised Self-Disclosure Scale and Ryff's Psychological Well-Being Scale. The results of the study the level of self-disclosure in the research subjects was mostly high as many as 51 people (60%) and most of the psychological well-being was high as many as 67 people (78,8%). There is a significant relationship p= 0,000, r= 0,776, between the level of self-disclosure with psychological well-being in breast cancer patients. There is a strong relationship with a positive direction between the level of self-disclosure with psychological well-being in breast cancer patients, the higher the level of self-disclosure owned, the higher psychological well-being.
PERBEDAAN INTENSITAS DISMENORE PRIMER SEBELUM DAN SESUDAH PEMBERIAN INHALER STICK AROMATERAPI PEPPERMINT PADA REMAJA PUTRI Ni Kadek Dwi Suryaningsih; Ni Wayan Armini; Ni Wayan Ariyani; Regina Tedjasulaksana; Gusti Ayu Marhaeni
Jurnal Gema Keperawatan Vol 19 No 1 (2026): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v19i1.4179

Abstract

Primary dysmenorrhea is a fairly common health problem during the menstrual cycle and often disrupts the activities of adolescent girls. Non-pharmacological management of menstrual pain is increasingly in demand, this is chosen because it is considered to have a higher level of safety and a low risk of side effects. One method used is peppermint aromatherapy through inhalation. The purpose of this study was to identify differences in the intensity of primary dysmenorrhea before and after administration of peppermint aromatherapy inhaler sticks to adolescent girls at STT Dharma Bhakti. This study used a pre-experimental research design with a one group pretest-posttest method. The sample was selected using a purposive sampling technique with 28 respondents. The instrument used in this study was the Numerical Rating Scale (NRS) to measure the level of pain before and after the intervention. Peppermint aromatherapy inhaler sticks with a dose of 0.5 ml were given and inhaled for 10 minutes, once a day on the first two days of menstruation. The results of the analysis showed a decrease in the median pain intensity from 5,00 to 2,00, and the average from 4,86 to 1,82. The Wilcoxon test produced a Z value = -4,737 with a p-value = 0,000 (p < 0,05), which indicated a significant difference between before and after administration of peppermint aromatherapy inhaler sticks. In conclusion, peppermint aromatherapy inhaler sticks are effective in reducing the intensity of primary dysmenorrhea, and can be used as a practical and non-invasive alternative therapy for menstrual pain in adolescent girls.
Persepsi Remaja Laki-laki Terhadap Hubungan Seksual Pranikah: Studi Kualitatif Sekolah Menengah Kejuruan Iqoh Qothrunnada; Hardin La Ramba; Shinta Prawitasari
Jurnal Gema Keperawatan Vol 19 No 1 (2026): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v19i1.4670

Abstract

Adolescence is a transitional phase that is vulnerable to various risky behaviors, including premarital sexual relations. This behavior becomes a global public health issue because it can cause negative impacts such as unwanted pregnancies, sexually transmitted infections, and psycholoical disorders. The prevalence of sexual relationships before marriage in indonesia is increasing. This study aims to explore male adolescents’s perceptions of premarital sexual relations andthe factis that influence the, in order ro provide insights for reproductive health education and prevention efforts. This study uses a descriptive qualitative approach with purposive sampling techniques involving 10 male students in grade XI. Data were obtained through semi-structured in-depth interviews and analyzed using Braun and Clarke’s analysis. The research result produced fourmain themes, namely adolescents perceptions of premarital sexual relationships, driving factors, the impact of premarital sexual relatioships, and adolescents attitude towards premarital sexual relatinships. Adolescents males perceptions of premarital sexual relationships are influenced by internal and external factors, with the majority aware of the negative risks. This study recommends strengthening comprehensive sexual education involving families, schools,and communities to shape healthy and reponsible behavior.
PENERAPAN MODEL “UTAUT” UNTUK MENGETAHUI FAKTOR-FAKTOR YANG MEMPENGARUHI PERILAKU MAHASISWA DALAM PENERIMAAN LOGBOOK DIGITAL Ni Luh Ketut Suardani; Ni Luh Gede Ari Kresna Dewi; Dewa Ayu Ketut Surinati; Ni Nyoman Hartati; Suratiah Suratiah; Nengah Runiari
Jurnal Gema Keperawatan Vol 19 No 1 (2026): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v19i1.4925

Abstract

Digitalization logbook filling using QR Code is one of the efforts made to improve the quality of service in laboratory management. The use of this digital system needs to be evaluated to obtain feedback from users towards improvement. Therefore, it is very important to know the level of user acceptance, identify factors that can influence user interest and behavior in utilizing digital logbooks. The purpose of this study was to determine the factors that influence student interest and acceptance behavior towards the digital logbook filling system using the UTAUT method. This research is a quantitative descriptive study. The sampling technique used in this study was nonprobality sampling, namely purposive sampling with a sample size of 67 people. Data were collected using a questionnaire uploaded via Google Drive. Data analysis used multiple linear regression analysis. The results showed that not all variables had a significant effect on student behavior in filling out digital logbooks. The variables in the UTAUT model that significantly influence Behavioral Intention (BI) are Social Influence with a p-value of 0.001, and the Facilitating Conditions variable has a significant effect with a p-value of 0.000 on students' Use Behavior in using the digital logbook filling system. Suggestions are needed for ongoing policy support to integrate the digital logbook system into the practical learning process in the laboratory, as well as ensuring the availability of supporting facilities and infrastructure and technical assistance for users.
Hubungan Regulasi Emosi dengan Tingkat Resiliensi pada Pasien Kanker Payudara di RSUD Bali Mandara Tahun 2025 I Made Mertha; Komang Putriana Dewita Sari; I Ketut Suardana; Ni Made Wedri; I Wayan Sukawana; I Gusti Ketut Gede Ngurah
Jurnal Gema Keperawatan Vol 19 No 1 (2026): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v19i1.5134

Abstract

Breast cancer is the most common type of cancer found in women, and is the second highest cause of death from cancer worldwide. Early symptoms of breast cancer are lumps, changes in breast size, pain or swelling in the breast area. Cancer patients often experience various physical, psychological, and emotional challenges. Emotional regulation and resilience are two important psychological aspects in understanding cancer patients. The purpose of this study was to determine the relationship between emotional regulation and resilience levels in breast cancer patients at Bali Mandara Regional Hospital in 2025. This study was a quantitative study, using a descriptive correlative method, with a cross-sectional approach. Sampling used a purposive sampling technique with a sample size of 70 breast cancer patients. Data collection instruments were in the form of an emotional regulation questionnaire (ERQ) and a resilience scale (CD-RISC) that had been translated into Indonesian. Based on the results of the correlation with the Spearman Rank test, a significance value of 0,025 (p<α= 0,05) and a correlation coefficient value (r)= 0,268. This indicates a weak relationship between emotional regulation and resilience in breast cancer patients at Bali Mandara Regional Hospital in 2025. The stronger the emotional regulation, the higher the resilience in breast cancer patients.

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