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Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal)
Published by Universitas Gadjah Mada
ISSN : 2614445x     EISSN : 26144948     DOI : https://doi.org/10.22146/jkkk.57386
Core Subject : Health,
Nursing
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) accepts novel research articles, case study, literature review, and psychometric testing articles in all field of clinical and community of nursing. This journal is published through peer-review process by nursing and health expert in academic and health care institution in Indonesia. The scope includes: 1) Surgical medical nursing 2) Emergency nursing 3) Basic nursing 4) Education in nursing 5) Management in nursing 6) Maternity nursing 7) Pediatric nursing 8) Mental health nursing 9) Community nursing
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 164 Documents
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Intervensi Motivational Interviewing terhadap Kepatuhan Manajemen Hemodialisis pada Pasien Penyakit Ginjal Kronik dengan Kehamilan: Studi Kasus Ulayya, Aisyah Iffah; Fithriyyah, Yayu Nidaul; Wahyuni, Tatik Dwi
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 9, No 3 (2025)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.108299

Abstract

Background: Pregnancy in women with Chronic Kidney Disease (CKD) undergoing hemodialysis is a rare and high-risk condition, particularly when there is nonadherence to hemodialysis regimens. Unlike other chronic diseases, evidence on the effectiveness of Motivational Interviewing (MI) in improving adherence among pregnant CKD patients remains very limited. Objective: To evaluate the impact of MI on adherence to hemodialysis management in a pregnant with patient CKD. Case report: There was a 23-year-old woman on hemodialysis for four years at 24 weeks' gestation. The patient was non-adherent to dialysis, medication, and antenatal care (ANC). MI was delivered in five sessions (lasting 30-45 minutes) for four weeks, using a logbook as reading materials. Results: MI improved patient awareness and communication with healthcare providers. However, it was not fully effective in ensuring adherence with hemodialysis management, medication consumption, ANC visits, and long-term contraceptive choices in this pregnant patient with CKD. Key barriers included financial issues, childcare responsibilities, and unplanned pregnancy. Conclusion: MI is recommended in nursing practice to build patient trust and understanding. Formal training and family involvement are needed to enhance MI effectiveness.INTISARILatar belakang: Kehamilan pada wanita dengan Penyakit Ginjal Kronik (PGK) yang menjalani hemodialisis merupakan kondisi langka dengan risiko tinggi, terutama bila terdapat ketidakpatuhan terhadap regimen hemodialisis. Berbeda dengan penyakit kronik lain, bukti mengenai efektivitas motivational interviewing (MI) untuk meningkatkan kepatuhan pada pasien PGK dengan kehamilan, masih sangat terbatas. Tujuan: Mengevaluasi dampak MI terhadap kepatuhan manajemen hemodialisis pada pasien PGK dengan kehamilan. Laporan kasus: Perempuan 23 tahun, menjalani hemodialisis selama 4 tahun, usia kehamilan 24 minggu. Pasien tidak patuh dalam hemodialisis, konsumsi obat, dan kunjungan antenatal care (ANC). Intervensi MI dilakukan sebanyak 5 sesi (30-45 menit) selama 4 minggu menggunakan logbook sebagai materi. Hasil: Intervensi MI meningkatkan kesadaran dan komunikasi pasien dengan tenaga kesehatan, namun belum sepenuhnya efektif dalam meningkatkan kepatuhan manajemen hemodialisis, konsumsi obat, kunjungan ANC, dan pemilihan kontrasepsi jangka panjang pada pasien PGK dengan kehamilan. Hambatan utama meliputi faktor ekonomi, tanggung jawab mengasuh anak, dan kehamilan yang tidak direncanakan. Simpulan: Intervensi MI direkomendasikan untuk praktik keperawatan karena dapat membangun kepercayaan dan pemahaman pasien. Pelatihan formal dan keterlibatan keluarga diperlukan untuk meningkatkan efektivitas MI.
Pengaruh Aromaterapi Jahe dan Akupresur pada Titik Perikardium 6 terhadap Skor Mual Muntah pada Ibu Hamil Trimester I dengan Emesis Gravidarum Faturanti, Risa Ayu; Kartilah, Tetet; Februanti, Sofia; Nurhayati, Tetik
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 9, No 3 (2025)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.108742

Abstract

Background: Pregnant women often experience nausea, vomiting, and abdominal pain (emesis gravidarum) in the first trimester, which can affect their activity and health. Aromatherapy and acupressure are two safe methods that have few side effects. Research on the use of ginger aromatherapy and P6 acupressure to reduce nausea and vomiting in pregnant women at the Cibeureum Health Center has never been conducted. Objective: To examine the effectiveness of Ginger aromatherapy and P6 acupressure combination in reducing emesis gravidarum among pregnant women who experience emesis gravidarum in their first trimester. Methods: The type of research was a quasi experiment with a nonequivalent (pretest and posttest) with control group design. A total of 26 participants were selected using simple random sampling technique from a total of 32 first-trimester pregnant women for this research. The intervention group and the control group were both given Ginger aromatherapy. The intervention group then received additional acupressure at the P6 point. To measure symptoms, the PUQE-24 questionnaire was used. Before the statistical test was carried out, the data collected was tested for normality and homogeneity of data. Then, data were analyzed using independent t-tests, Wilcoxon, and Mann Whitney. Results: There was a statistically significant decrease in emesis gravidarum symptoms score from 9,54 to 5,08 occurred in the intervention group, while in the control group it also decreased from 10,62 to 9,00. In both groups, there was a significant decrease in nausea and vomiting scores (p=0,001 and p=0,003) The median values of the difference in nausea and vomiting scores in the intervention group were 4 (3-8) and in the control group 2 (1-4). From the result of the Mann Whitney test, the value of p = 0,000 was obtained. Conclusion: The combination therapy of Ginger aromatherapy and P6 point acupressure may reduce the symptoms of emesis gravidarum in pregnant women in the first trimester.INTISARILatar belakang: Wanita hamil sering mengalami mual, muntah, dan nyeri perut (emesis gravidarum) pada trimester pertama, yang dapat memengaruhi aktivitas dan kesehatan mereka. Aromaterapi dan akupresur adalah dua metode aman yang memiliki sedikit efek samping. Penelitian tentang penggunaan aromaterapi Jahe dan akupresur P6 untuk mengurangi mual dan muntah pada ibu hamil di Puskesmas Cibeureum belum pernah dilakukan. Tujuan: Mengkaji efektivitas kombinasi aromaterapi Jahe dan akupresur P6 dalam mengurangi mual muntah wanita hamil yang mengalami emesis gravidarum pada trimester pertama. Metode: Jenis penelitian adalah quasi experiment with a nonequivalent (pretest and posttest) dengan control group design. Sebanyak 26 partisipan dipilih menggunakan teknik simple random sampling dari total 32 wanita hamil trimester pertama untuk penelitian ini. Kelompok intervensi dan kelompok kontrol sama-sama diberikan aromaterapi Jahe, kelompok intervensi selanjutnya menerima tambahan akupresur pada titik P6. Untuk mengukur gejala, digunakan kuesioner PUQE-24. Sebelum dilakukan uji statistik, data yang terkumpul dilakukan uji normalitas dan homogenitas data. Data dianalisis menggunakan uji t independen, Wilcoxon, dan Mann Whitney. Hasil: Terdapat penurunan skor gejala emesis gravidarum yang signifikan secara statistik dari 9,54 menjadi 5,08 pada kelompok intervensi. Sementara itu, pada kelompok kontrol juga turun dari 10,62 menjadi 9,00. Pada kedua kelompok terjadi penurunan yang signifikan terhadap skor mual dan muntah (p=0,001 dan p=0,003). Nilai median selisih skor mual muntah pada kelompok intervensi sebesar 4 (3-8) dan pada kelompok kontrol 2 (1-4). Dari hasil uji Mann Whitney didapatkan nilai p = 0,000. Simpulan: Gabungan terapi aromaterapi Jahe dan akupresur titik P6 dapat menurunkan gejala emesis gravidarum pada ibu hamil di trimester I.
Faktor-faktor yang Memengaruhi Anticipatory Grief pada Family Caregiver Pasien yang Didiagnosis Kanker: Narrative Literature Review Madani, I Gusti Ayu Winda; Suarya, Luh Made Karisma Sukmayanti
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 9, No 3 (2025)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.109095

Abstract

Background: Family caregiver of patients with cancer often experience anticipatory grief (AG) when providing care. Although previous studies have explored AG in cancer contexts, most findings remain fragmented and focus only on isolated variable. Comprehensive reviews specifically examining the multifactorial determinants of AG among family caregivers of patient with cancer are limited. Objective: To synthesize recent empirical findings on the factors that influenced AG among family caregiver of cancer patients. Method: This study employed a literature review method following the PRISMA 2020 framework. Articles were searched from databases including Google Scholar, PubMed, and Sage Journals. The search terms were ("anticipatory grief" OR "pre-loss grief") AND ("caregiver" OR "family caregiver") AND ("cancer" OR "oncology"). From in total 21.066 articles, a screening was applied based on publication year (2021–2025), article type (empirical, quantitative research articles published in peer-reviewed journals included, while non-empirical papers excluded), full-text access, and topic relevance. Critical appraisal was conducted using JBI critical appraisal tool. Outcome: The review identified six factors which were then grouped into three categories. First category was risk factors, which consisted of caregiver burden, illness uncertainty, and post-traumatic stress symptoms. The second category was mediating factors, which included cognition and coping, and attachment. The third category was protective factors, which contained family functioning and resilience. Conclusion: This review identify that AG among family caregivers of patients with cancer influenced by three factors, i.e. risk factors, mediating factors, and protective factors.INTISARILatar belakang: Pengasuh keluarga dari pasien kanker sering mengalami anticipatory grief (AG) dalam melakukan perawatan. Meskipun beberapa penelitian sebelumnya telah membahas AG dalam konteks kanker, sebagian besar temuan masih terfragmentasi dan berfokus pada variabel tunggal. Tinjauan komprehensif yang secara khusus menelaah determinan multifaktorial AG pada pengasuh keluarga pasien kanker masih terbatas. Tujuan: Studi ini bertujuan untuk melakukan sintesis temuan empiris terkini mengenai faktor-faktor yang memengaruhi AG pada pengasuh keluarga pasien kanker. Metode: Penelitian ini menggunakan metode tinjauan literatur naratif berdasarkan pedoman PRISMA 2020. Pencarian artikel dilakukan melalui basis data Google Scholar, PubMed, dan Sage Journals. Kata kunci pencarian yang digunakan adalah ("anticipatory grief" OR "pre-loss grief") AND ("caregiver" OR "family caregiver") AND ("cancer" OR "oncology"). Dari total 21.066 artikel, dilakukan penyaringan berdasarkan tahun publikasi (2021–2025), tipe artikel (penelitian empiris kuantitatif yang diterbitkan di jurnal peer-reviewed, sedangkan artikel non-empiris dikecualikan), akses penuh, serta relevansi topik. Telaah kritis dilakukan menggunakan JBI critical appraisal tool. Hasil: Kajian ini mengidentifikasi enam faktor yang kemudian dikelompokkan menjadi tiga kategori, yaitu faktor risiko: beban pengasuh, ketidakpastian penyakit, dan gejala stres pascatrauma; faktor perantara: penilaian kognitif dan koping, kelekatan; faktor protektif: keberfungsian keluarga dan resiliensi. Simpulan: Kajian ini mengidentifikasi bahwa AG pada pengasuh keluarga pasien kanker dipengaruhi oleh faktor risiko, faktor perantara, dan faktor protektif.
Expressive Writing Therapy (EWT) dan Pendampingan Perawat untuk Mengurangi Kesepian pada Pasien Hemodialisis Usia Dewasa Muda: Studi Kasus Wahyudi, Vijna Putri Sukma; Ispriyatiningsih, Ispriyatiningsih; Perdana, Melyza; Effendy, Christantie
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 9, No 3 (2025)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.113032

Abstract

Background: Loneliness is a common psychosocial issue among young adult hemodialysis patients, hence it may affect emotional well-being and treatment adherence. Evidence on simple nurse-facilitated interventions, such as Expressive Writing Therapy (EWT) combined with supportive accompaniment, remains limited in this population. Objective: To describe the changes in loneliness level following the implementation of Expressive Writing Therapy (EWT) combined with nurse-led accompaniment. Case report: A 21-year-old female who had undergone hemodialysis for six years participated in a six-day expressive writing program and seven accompaniment sessions. The initial UCLA-Loneliness Scale Version 3 score was 42, indicating the middle threshold of mild loneliness. Outcome: After the intervention, the score decreased to 33 (non-lonely category). The UCLA instrument was analyzed across three dimensions: intimate loneliness, relational loneliness, and collective loneliness. The greatest improvement was observed in the intimate dimension, followed by partial improvement in the relational dimension, while the collective dimension remained stable. Subjectively, patient reported emotional relief, greater social connectedness, and renewed motivation. Conclusion: The combination of EWT and nurse accompaniment may help reduce loneliness and improve emotional experiences related to loneliness in young adult hemodialysis patients. This approach may be considered a holistic nursing strategy for chronic conditions.INTISARILatar belakang: Kesepian merupakan masalah psikososial yang sering dialami pasien hemodialisis dewasa muda dan dapat memengaruhi kesejahteraan emosional serta kepatuhan terhadap terapi. Namun, bukti penelitian mengenai pemberian intervensi sederhana yang dapat difasilitasi perawat, seperti Expressive Writing Therapy (EWT) yang dikombinasikan dengan pendampingan, pada kelompok ini masih terbatas. Tujuan: Studi kasus ini bertujuan mendeskripsikan perubahan tingkat kesepian dan pengalaman subjektif pasien setelah penerapan Expressive Writing Therapy (EWT) dan pendampingan perawat. Laporan kasus: Seorang pasien perempuan berusia 21 tahun yang telah menjalani hemodialisis selama enam tahun mendapatkan intervensi berupa program penulisan jurnal ekspresif selama enam hari dan tujuh sesi pendampingan. Skor awal UCLA-Loneliness Scale Version 3 pada pasien tercatat 42 yang menandakan di posisi pertengahan kategori kesepian tingkat ringan. Hasil: Setelah intervensi, skor turun menjadi 33 yang termasuk kategori tidak kesepian. Kesepian yang diukur instrumen UCLA memiliki tiga dimensi, yaitu kesepian intim, kesepian relasional, dan kesepian kolektif. Perbaikan terbesar terlihat pada dimensi kesepian intim, diikuti oleh peningkatan parsial pada dimensi kesepian relasional, sementara dimensi kesepian kolektif menunjukkan skor stabil. Secara subjektif, pasien melaporkan pelepasan emosional, peningkatan keterhubungan sosial, dan munculnya motivasi baru. Simpulan: Dalam kasus ini, kombinasi EWT dan pendampingan perawat berpotensi membantu menurunkan kesepian dan memperbaiki pengalaman emosional terkait kesepian pada pasien hemodialisis dewasa muda. Pendekatan ini dapat dipertimbangkan sebagai strategi keperawatan holistik pada kondisi penyakit kronis.

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