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Jurnal Keperawatan
Published by Universitas Muhammadiyah Malang
ISSN : 20863071     EISSN : 24430900     DOI : 10.22219/jk
Core Subject : Health,
Nursing
Jurnal Keperawatan is a peer-reviewed journal published by School of Nursing at the Faculty of Health Science, University of Muhammadiyah Malang (UMM), which is focusing on several issues in nursing field. The first volume was published on 2010, and it is published twice a year, issued on January and July.
Arjuna Subject : -
Articles 630 Documents
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The Effect of teach-back educational method on self-management in hemodialysis patients Fani, Rif'atul; Wahyusari, Shinta; Hastuti, Apriyani Puji; Al Husna, Chairul Huda
Jurnal Keperawatan Vol. 16 No. 1 (2025): January
Publisher : University of Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/jk.v16i1.35754

Abstract

Introduction: Patients with chronic kidney disease undergoing hemodialysis may experience a decline in physical and psychological conditions such as increased risk of depression and non-compliance in undergoing therapy. Therefore, proper self-management is needed so that patients can control their disease. Teach-back education is one interactive method that can be used to improve self-management of hemodialysis patients. Objectives: The purpose of this study was to determine the effect of the teach-back educational method on self-management in hemodialysis patients. Methods: This study used a quasi-experimental design with a pre-test and post-test design, for 137 end-stage renal disease patients undergoing hemodialysis at Wava Husada Hospital. The duration of the training was 3 sessions and the time of each session ranged from 45 minutes to one hour. To collect data from patients, a demographic questionnaire and the Hemodialysis Self-management Instrument-18 (HDSMI-18) were used to assess patient self-management before and after the intervention. A significance level of 5% was established for the analysis. Results: The overall self-management score before intervention was 53.47 ± 8.59. The total score of self-management after intervention was 57.15 ± 8.94. Data analysis indicated that the difference in the mean score of self-management before and after teach-back education was significant (p = 0.000). Among the dimensions of self-management, there was a significant difference for two dimensions including self-care and problem-solving before and after teach-back education (p = 0.000).Conclusions: The teach-back educational method was effective in improving self-management in hemodialysis patients. It improved self-management in the dimensions of self-care and problem-solving. It is recommended that nurses in hemodialysis units implement teach-back education as a routine practice in caring for hemodialysis patients.
Effect of low-impact aerobic exercise on blood glucose reduction in patients with type 2 diabetes mellitus: A quasi-experimental study Hanifah, Aisyah Dani; Yuniartika , Wachidah
Jurnal Keperawatan Vol. 17 No. 1 (2026): January
Publisher : University of Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/jk.v17i1.39779

Abstract

Introduction: Type 2 diabetes mellitus (T2DM) is a chronic metabolic disorder with increasing global prevalence. Regular physical activity is recommended as a non-pharmacological strategy to improve glycemic control among individuals with T2DM.Objectives: This study aimed to examine the effect of low-impact aerobic exercise on reducing random blood glucose levels among patients with type 2 diabetes mellitus.Methods: A quasi-experimental study with a pretest–posttest design without a control group was conducted among 36 individuals with T2DM in Jetis Village, Sukoharjo, Indonesia. Participants performed low-impact aerobic exercise 2–3 times per week for eight weeks. Random blood glucose levels were measured before and after the intervention using the Easy Touch GCU meter. Data were analyzed using the Shapiro–Wilk test for normality and the Wilcoxon signed-rank test to determine the effect of the intervention.Results: The mean random blood glucose level decreased from 257.31 ± 54.12 mg/dL before the intervention to 167.22 ± 34.51 mg/dL after the intervention. The Wilcoxon signed-rank test showed a statistically significant reduction in blood glucose levels following the exercise program (p = 0.001).Conclusion: Low-impact aerobic exercise significantly reduces blood glucose levels in patients with type 2 diabetes mellitus. This intervention may serve as an effective complementary strategy for glycemic control in community-based diabetes management programs.
Family health education in improving the knowledge and attitude of flood emergency response in vulnerable groups Adriani, Sri Wahyuni; Indriyani, Diyan; Elsa Apriani, Divia; Hariyadi, Chelzy Ferdina; Haryanti, Dwi Yunita; Dlamini, Lindelwa Portia
Jurnal Keperawatan Vol. 17 No. 1 (2026): January
Publisher : University of Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/jk.v17i1.37930

Abstract

Introduction: The community’s emergency response attitude before a disaster has not yet become a concern for the community. Communities, especially those living in disaster-prone areas, tend to ignore emergency response attitudes. Objectives: This study aims to provide health education programs through home visits, simulations, and mentoring activities to increase the community’s knowledge and attitudes regarding emergency response to flood disasters. Methods: A quasi-experimental research design with a control group and a pre-test-post-test design was used. The research population was a vulnerable group (pregnant women, mothers of toddlers, the elderly, and people with disabilities) totaling 321 people. The selected sample comprised 120 participants, with 60 in each intervention and control group. The sampling method used was stratified random sampling. Results: There were significant differences in knowledge and attitudes towards disaster emergency response between the intervention and control groups (p=0.032), emergency plans (p=0.008), disaster warning systems (p=0.020), and the ability to mobilize resources (p=0.015). The community preparedness index also increased (p=0.002).Conclusions: Ongoing education programs were the first step toward making the community self-sufficient. Improving the community’s knowledge and attitude toward emergency response will reduce the negative impact of a disaster if it occurs.
Information Management and Critical Thinking–Strategic Decision-Making Competencies of First-Line Nurse Managers and the Achievement of Minimum Service Standards for Older Adults: The Mediating Role of Job Satisfaction: Job Satisfaction Rakhmawati, Rani; Ahsan, Ahsan; Hayati, Yati Sri
Jurnal Keperawatan Vol. 17 No. 1 (2026): January
Publisher : University of Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/jk.v17i1.42118

Abstract

Introduction: The increasing number of older adults poses growing challenges for primary healthcare services, particularly in achieving the Minimum Service Standards (MSS) for elderly health. In community health centers (Puskesmas), first-line nurse managers play a strategic role in planning, implementing, and monitoring health programs for the elderly. However, achievement of MSS varies across facilities, suggesting that managerial competencies and work-related factors may influence service outcomes.Objective: This study aimed to examine the direct and indirect relationships between first-line nurse managers’ managerial competencies—specifically information management, critical thinking, strategic decision-making, and the achievement of Minimum Service Standards for elderly health, with job satisfaction as a mediating variable.Methods: An analytical quantitative cross-sectional study was conducted among 126 first-line nurse managers from 17 community health centers in Malang City and Malang Regency, Indonesia. Data were collected using the Primary Care Manager’s Managerial Competence Scale (15 items) and the short version of the Minnesota Satisfaction Questionnaire (16 items). Data were analyzed using Partial Least Squares–Structural Equation Modeling (PLS-SEM).Results: Critical thinking–strategic decision-making competence showed no significant direct association with MSS achievement (β = −0.012; T = 0.740; p = 0.460), nor did information management competence (β = −0.016; T = 0.734; p = 0.463). However, mediation analysis revealed significant indirect associations through job satisfaction. Critical thinking–strategic decision-making competence demonstrated a positive indirect association with MSS achievement (β = 0.028; p = 0.021), while information management competence also showed a significant indirect association (β = 0.037; p = 0.024).Conclusion: Managerial competencies of first-line nurse managers were not directly associated with the achievement of Minimum Service Standards for elderly health. However, these competencies showed significant indirect associations with MSS achievement through job satisfaction, highlighting the importance of fostering supportive work environments to enhance elderly health service performance in primary care settings.
The psychosocial factors associated with work stress among inpatient psychiatric nurses at RSJD Dr. Amino Gondohutomo Semarang: A cross-sectional study Winerti, Hanisha; Ardyanto Wahyudino, Yustinus Denny; Wahyuni, Ida; Jayanti, Siswi
Jurnal Keperawatan Vol. 17 No. 1 (2026): January
Publisher : University of Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/jk.v17i1.42673

Abstract

Introduction: Nurses in psychiatric inpatient wards must remain highly alert because patient behavior can be unpredictable and potentially risky. Despite the demanding work environment, research on psychosocial factors associated with work stress among psychiatric nurses remains limited in Southeast Asia and other low- and middle-income countries (LMICs).Objectives: This study aims to determine the relationships among mental workload, colleague support, and work shifts with work stress among female nurses working in the psychiatric inpatient ward at RSJD Dr. Amino Gondohutomo Semarang.Methods: This quantitative analytic study used a cross-sectional study design. The population consisted of 111 female psychiatric inpatient nurses, and 60 respondents were selected through proportional sampling. Data were collected using structured questionnaires and analyzed using chi-square tests.Results: Of the respondents, 38.3% experienced mild work stress, 51.7% reported low coworker support, and 38.4% had low mental workload. Nurses who frequently worked evening or night shifts reported a higher proportion of work stress than those on regular shifts. Significant associations were found between mental workload (p=0.008), coworker support (p=0.002), and shift work (p=0.043) and work stress.Conclusion: Work stress among psychiatric nurses is shaped by workload, peer support, and shift patterns, underscoring the need for a comprehensive psychosocial approach. Beyond individual coping strategies, such as maintaining adequate rest, organizational measures are essential to reduce work stress and enhance the quality of psychiatric nursing services. These measures include optimizing shift schedules, strengthening peer support, and ensuring adequate staffing.
Effect of lemongrass aromatherapy on insomnia severity among adult smokers: A quasi-experimental study Kumboyono Kumboyono; Yati Sri Hayati; Mayu Rahmayanti; Titin Andri Wihastuti
Jurnal Keperawatan Vol. 17 No. 1 (2026): January
Publisher : University of Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/jk.v17i1.42819

Abstract

Introduction: Smoking is associated with a higher prevalence of insomnia and anxiety, which contributes to reduced sleep quality among adult smokers. Lemongrass aromatherapy has shown potential benefits in modulating sleep patterns and reducing anxiety symptoms.Objectives: This study aimed to investigate the effect of lemongrass aromatherapy on the severity of insomnia among smokers.Methods: A quasi-experimental pretest-posttest control group design was used with 50 adult smokers in each group selected through purposive sampling. Participants were divided into an intervention group that received lemongrass essential oil aromatherapy and a control group that received standard care. Insomnia Severity Index (ISI), GAD-7 for anxiety, and Fagerström Test for Nicotine Dependence (FTND) were used for data collection. Data were analysed using an independent t-test and a paired t-test.Results: The intervention group showed a significant reduction in insomnia scores (p-value < 0.01), whereas the control group showed no significant change. The improvement was more prominent among participants with moderate nicotine dependence and baseline anxiety symptoms. Given the applied community setting, the findings are subject to limitations related to the quasi-experimental design and unmeasured lifestyle factors, which should be considered when interpreting the results. Conclusions: Lemongrass aromatherapy is effective in reducing insomnia symptoms among smokers and may serve as a complementary therapy in community nursing care. The integration of aromatherapy into non-pharmacological nursing interventions is recommended to improve sleep quality.
Parental knowledge and attitudes toward providing sex education to children with down syndrome in Indonesia: A Cross-sectional study Nur Indriasari, Fika; Daniyati Kusuma, Prima
Jurnal Keperawatan Vol. 17 No. 2 (2026): May
Publisher : University of Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/jk.v17i2.37185

Abstract

Introduction: Children with Down syndrome are more vulnerable to sexual abuse because of cognitive limitations, dependence on caregivers, and difficulty identifying inappropriate behavior. Early, developmentally appropriate sex education is therefore important as a preventive measure. Parents, as primary educators, play a central role, though their sociodemographic backgrounds, knowledge, and attitudes may affect how sex education is delivered.Objectives: This study examined the relationships between parents’ age, gender, education level, and knowledge with parental attitudes toward providing sex education to children with Down syndrome in Indonesia.Methods: A cross-sectional correlational design was used with 32 parents of children with Down syndrome selected through purposive sampling. Data were collected using structured questionnaires on parental knowledge and attitudes toward sex education. Pearson correlation analysis was applied after normality and linearity assumptions were met. Descriptive data were presented as mean ± standard deviation.Results: The mean parental knowledge score was 19.72 ± 2.57 out of 23, indicating a sufficient level. The mean attitude score was 34.75 ± 3.72, indicating a moderate attitude. Parental knowledge showed a significant small-to-moderate positive correlation with attitudes toward providing sex education (r = 0.357, p = 0.045). In contrast, age, gender, and education level were not significantly associated with parental attitudes.Conclusions: Greater parental knowledge was associated with more positive attitudes toward sex education for children with Down syndrome. Improving parental knowledge through structured, culturally appropriate education and nursing-based counseling may strengthen preventive efforts against sexual violence.
Work stress among nurse supervisors at Bangli Regional General Hospital: An analytical study Yanti, Ni Putu Emy Darma; Devi , Agung Putu Ayu Mita Mahestya; Sanjiwani , Ida Arimurti; Krisnawati, Komang Menik Sri
Jurnal Keperawatan Vol. 17 No. 2 (2026): May
Publisher : University of Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/jk.v17i2.41887

Abstract

Introduction: Nurse supervisors play a critical role in healthcare, balancing direct patient care with administrative responsibilities. Their high-stress work environment increases the risk of physical and mental health challenges, which can negatively impact job performance. Identifying stressors and implementing effective interventions are essential to improving nurses’ well-being and maintaining high-quality patient care.Objectives: This study examines work-related stress levels among nurse supervisors at Bangli Regional General Hospital. Methods: Using a quantitative approach, data were collected from 99 participants selected through stratified random sampling. The New Brief Job Stress Questionnaire (BJSQ), a validated 63-item instrument, was used to assess stress levels, and data were analyzed using univariate methods. Results: Most nurse supervisors reported low stress levels, suggesting generally manageable workplace conditions. However, a notable proportion experienced moderate-to-severe stress, indicating the need for targeted support. Key stressors likely include high workloads, emotional demands, and insufficient rewards or recognition. To address these concerns, hospitals should enhance communication between staff and management to ensure nurses feel heard and supported. Additionally, improving reward systems—such as performance-based incentives or recognition programs—could boost morale and reduce burnout. Conclusions: Regular stress screenings should also be implemented to identify at-risk individuals early. By adopting these measures, healthcare institutions can foster a healthier work environment, ultimately benefiting both nurses and patient care outcomes. Further research could explore specific stress triggers and evaluate the effectiveness of workplace interventions.
The Relationship of workload and muscle flexibility with low back pain among nurses at Moh. Ridwan Meukarsa Level II hospital Rabillah, Salsa; Siregar, Tatiana
Jurnal Keperawatan Vol. 17 No. 2 (2026): May
Publisher : University of Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/jk.v17i2.42863

Abstract

Introduction: Low back pain (LBP) is one of the most frequently reported musculoskeletal disorders among nurses, commonly associated with repetitive physical demands, non-ergonomic postures, and prolonged standing or bending during patient care. These conditions may reduce functional capacity and interfere with work quality.Objectives: To examine the association between workload and muscle flexibility with the incidence of low back pain among nurses at Moh. Ridwan Meukarsa Level II Hospital.Methods: This study applied a cross-sectional design involving 129 nurses who met the inclusion criteria and were recruited using total sampling. Data were gathered through a workload questionnaire, the Toe Touch Test to assess muscle flexibility, and the Pain and Distress Scale to measure lower back pain. Statistical analysis was performed using chi-square tests and multiple logistic regression to identify the most influential variables. Ethical approval for this research was granted by RS TK. II Moh. Ridwan Meukarsa Jakarta, under letter number Sket/249/VII/2025, issued on July 21, 2025.Results: A substantial number of nurses experienced low back pain. Statistical findings showed a significant association between workload and LBP (p < 0.001), and between muscle flexibility and LBP (p < 0.001). Multivariate analysis confirmed that high workload and reduced flexibility independently contributed to increased LBP risk.Conclusions: Workload and muscle flexibility were significantly associated with the incidence of LBP. Implementing workload regulation strategies, ergonomic improvements, and routine flexibility exercises is recommended to support musculoskeletal health and enhance nursing work performance.
The The Role of eco-printing-based occupational therapy in enhancing emotional well-being and quality of life among patients with mental disorders: A Pre-experimental study Salsabila, Nadia Azzah Aulia; Estria, Suci Ratna
Jurnal Keperawatan Vol. 17 No. 2 (2026): May
Publisher : University of Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/jk.v17i2.43122

Abstract

Introduction: Mental disorders affect thoughts, emotions, and behaviors, often resulting in emotional disturbances and reduced quality of life. Non-pharmacological interventions, including occupational therapy, play an important role in mental health recovery. Eco-printing–based occupational therapy offers a pleasant, stress-free activity that stimulates cognitive, motor, and emotional functions. However, empirical evidence regarding its effectiveness in improving emotional well-being and quality of life remains limited.Objectives: This study aimed to examine the effect of eco-printing–based occupational therapy on emotional well-being and quality of life among patients with mental disorders at the Pondok Lali Jiwa Raga Foundation, Wangon, Banyumas.Methods: A quantitative study with a pre-experimental one-group pretest–posttest design was conducted. A total of 57 participants were recruited using purposive sampling. Emotional status was assessed using the Positive and Negative Affect Schedule (PANAS), and quality of life was measured with the Mental Health Quality of Life (MHQoL) questionnaire. The intervention was implemented over seven days and consisted of ten eco-printing–based occupational therapy sessions. Data were analyzed using the Wilcoxon signed-rank test.Results: Significant differences were observed between pretest and posttest scores. Emotional well-being improved significantly after the intervention (p < 0.001), and quality of life also showed a significant increase (p < 0.001).Conclusions: Eco-printing–based occupational therapy significantly improved emotional well-being and quality of life among patients with mental disorders. These findings indicate that eco-printing may serve as an effective occupational therapy modality in mental health care. However, the absence of a control group and the short intervention duration may limit the generalizability of the results.

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