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Galih Noor Alivian
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Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing)
Published by Universitas Jenderal Soedirman
ISSN : 19076673     EISSN : 25799320     DOI : 10.20884
Core Subject : Health,
Health Professions Nursing
The Jurnal Keperawatan Soedirman (JKS) is an International peer review and open access journal which publishes scientific works on the nursing and health science field (pISSN: 1907-6673, e-ISSN: 2579-9320). This journal was established in 2006 and developed by the Department of Nursing, Faculty of Health Science, Jenderal Soedirman University Jurnal Keperawatan Soedirman (JKS) covers all nursing area including basic research in nursing, management nursing, emergency, and critical nursing, medical-surgical nursing, mental health nursing, maternity nursing, pediatric nursing, gerontological nursing, community nursing, family nursing education nursing, complementary and alternative medicine (CAM) in nursing. JKS is published by Universitas Jenderal Soedirman.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 124 Documents
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Local Wisdom-Based Complementary Feeding for Stunting Prevention: A Qualitative Study Using the Health Promotion Model Atik pramesti wilujeng; Novita Surya Putri; Tria Anisa Firmanti; Badrul Munif; Dina Puspitasari; Akhmad Yanuar Fahmi Pamungkas
Jurnal Keperawatan Soedirman Vol 21 No 1 (2026): Jurnal Keperawatan Soedirman (JKS)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2026.21.1.17821

Abstract

Stunting remains a major health concern in low- and middle-income countries, including Indonesia, where complementary feeding practices are strongly influenced by culture, maternal knowledge, and environmental support. Local wisdom offers a culturally relevant approach for improving child nutrition and preventing stunting. This study aims to explore mothers’ experiences in preparing complementary foods using local wisdom and to analyze these practices through the Health Promotion Model. The researchers applied a qualitative phenomenological approach with ten mothers of undernourished children aged 6–24 months in coastal Banyuwangi. Data were collected through in-depth interviews and analyzed using the Colaizzi method, guided by Health Promotion Model constructs. The analysis revealed five themes: cultural beliefs in food choices, maternal knowledge of nutrition, use of local ingredients, external support from health workers, and sustained maternal engagement in complementary feeding. The findings highlight that complementary feeding grounded in local wisdom can potentially support stunting prevention. Thus, strengthening maternal self-efficacy, addressing barriers, and enhancing social support are critical to improving feeding practices.
Early Detection of Maternal Risk Factors for Stunting in Infants Iin Setiawati; Selvia Nurul Qomari; Dana Daniati
Jurnal Keperawatan Soedirman Vol 21 No 1 (2026): Jurnal Keperawatan Soedirman (JKS)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2026.21.1.17983

Abstract

Stunting can develop while fetus is still in womb and is only visible in infants at two years of age. Indonesia’s stunting rate reached 19.8% in 2024, which is still higher than government's target of below 14%. This study aims to identify maternal risk factors for stunting. This retrospective study applied a quantitative analysis approach. A total of 323 mothers participated in this study, and researchers used Early Detection of Low-Birth-Weight Risk Scorecard (EDBLWRSC) and Dhiana Setyorini Scorecard (DSSC) to collect data. The analyzed using Chi-square tests with an α of 0.05. The results revealed that stunting was associated with parity item of DSSC (ρ = 0.00) and a history of preeclampsia (ρ = 0.00). Meanwhile, obesity was associated with either outcome. Moreover, in EDBLWRSC, anemia was associated with stunting (ρ = 0.00), a history of low birth weight was associated with a higher incidence of low birth weight (ρ = 0.01). The maternal risk variable on DSSC and stunting (ρ = 0.00) had an OR of 2.2 and 3.3, respectively. The EDBLWRSC also revealed a relationship between maternal risk factors and stunting (ρ = 0.00). Therefore, some of maternal risk factors in DSSC and EDBLWRSC are associated with stunting.
Self-Management Integrated with Health Belief-Based Education on Blood Pressure and Quality of Life in Uncontrolled Hypertension: A Quasi-Experimental Study Tata Mahyuvi; Mohammad Fanani; Indasah Indasah; Joko Prasetyo; Délia Moreira Amaral do Rosário
Jurnal Keperawatan Soedirman Vol 21 No 1 (2026): Jurnal Keperawatan Soedirman (JKS)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2026.21.1.18016

Abstract

Self-management and the Health Belief Model (HBM) have been shown to improve blood pressure control and quality of life (QoL). However, the effectiveness of integration self-management with HBM for hypertension requires further clarification. This study examined the effect of integration self-management with HBM on blood pressure and QoL among individuals with uncontrolled hypertension. A total of 138 eligible participants were allocated into two groups: one receiving self-management integrated with HBM-based education (n = 69) and the other receiving regular education (n = 69). Independent t-tests, Chi-squared tests, and generalized estimating equation (GEE) were conducted. The findings showed a significant interaction between groups in systolic blood pressure (SBP) and diastolic blood pressure (DBP) after 12 weeks compared to the control group (p < 0.001). Importantly, there was a significant increase in QoL across physical, psychological, social relationships, and environmental domains. Specifically, the intervention group demonstrated significantly higher QoL scores than the control group over time (β = 22.756, 95% CI [20.623, 24.901], p < 0.001). The effectiveness of integration self-management with HBM significantly reduced blood pressure and increased QoL.
Exploring Adolescents’ Needs in Sexual and Reproductive Health Literacy with Cultural Sensitivity: A Mixed-Methods Study Masrina Munawarah Tampubolon; Nurhannifah Rizky Tampubolon; niken yuniar sari
Jurnal Keperawatan Soedirman Vol 21 No 1 (2026): Jurnal Keperawatan Soedirman (JKS)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2026.21.1.18589

Abstract

Inadequate access to culturally sensitive sexual and reproductive health (SRH) information increases adolescents’ vulnerability to misinformation, risky sexual behaviors, and underutilization of SRH services, particularly in sociocultural contexts where sexuality remains taboo. This study examines sexual and reproductive health literacy (SRHL), risky sexual behaviours and the socio-cultural and institutional factors shaping adolescent SRH experiences. A convergent parallel mixed-methods study was conducted among 994 adolescents aged 11-21 years in Pekanbaru, Indonesia (May-October 2025). Quantitative data were collected using demographic forms, a modified SRHL questionnaire, and a validated Adolescent Sexual Behavior Degree Index, while qualitative data were obtained through focus group discussions and in-depth interviews with teachers, school counselors, healthcare providers, and community leaders. Quantitative data were analyzed descriptively and using chi-square tests, while qualitative data using Colaizzi’s thematic analysis. Most adolescents had inadequate SRHL (92.5%), and 53.3% reported high-risk sexual behaviours. No significant association was found (p = 0.083). Themes included adolescent vulnerability, limited school capacity to address complex adolescent issues; and gaps in educational strategies related to digital media influence, and cultural modernization. These findings highlight the need for culturally grounded, comprehensive SRH education and cross-sector collaboration, with nurses playing a key role in supporting informed adolescent health decision-making.
The Influence of Patient-Centered Care Culture on Service Quality in West Javanese Hospitals, Indonesia Richa Noprianty; Wahyu Wahdana; Winasari Dewi; Vira Yuniar Irawan Yuniar Irawan; Ranti Santika
Jurnal Keperawatan Soedirman Vol 21 No 2 (2026): Jurnal Keperawatan Soedirman (JKS)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2026.21.2.9812

Abstract

The involvement of patients and their families is critical for determining the required treatment and for the quality of services provided by health care professionals. Therefore, patient-centered care (PCC) is an important indicator of service quality in health facilities. This study aims to measure the effect of PCC implementation on service quality. This research employed a quantitative, cross-sectional method. The research sample, using proportionate stratified random sampling, comprised 119 professional caregivers (PCG) from the preoperative, intraoperative, and PACU wards at three West Java regional public hospitals. Data was collected through a questionnaire. Data analysis was performed using linear regression and multiple regression. The results showed that the average application of PCC culture was 63.08, and the quality of service was 55.40. PCC implementation was also found to strongly influence service quality (p-value = 0.000; r = 0.860). An increase in PCC culture can increase the service quality score by 0.764. The three hospitals in this study implemented the national hospital accreditation standards in 2022 by applying a PCC culture. Therefore, it is recommended that these hospitals maintain and continuously improve the quality of their PCG services to enhance service quality, patient safety, and prevent adverse events.
Determinants of Nurses' Preparedness for Disasters: A Cross-Sectional Study Vanny Leutualy; Mevi Lilipory; Devita Madiuw; Dian Thiofany Sopacua; Fandro Armando Tasijawa; Valensya Yeslin Tomasoa; Joan Herly Herwawan; Feby Manuhutu; Lekdaina Kilikily
Jurnal Keperawatan Soedirman Vol 21 No 2 (2026): Jurnal Keperawatan Soedirman (JKS)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2026.21.2.10091

Abstract

It is essential to improve disaster preparedness of hospitals, as they are the front line of health care during natural disasters. Nurses have an important role in mitigating and handling the negative impacts of disasters. This study analyzes the determinants of nurses' preparedness for disasters. The researchers employed a quantitative, cross-sectional approach. Data was collected through the Disaster Preparedness Evaluation Tools (DPAT) questionnaire. Purposive sampling was used to select 265 respondents. The Spearman test results showed a weak, positive, and statistically significant relationship between knowledge and preparedness (r = 0.377, p = 0.000). Meanwhile, a strong positive and statistically significant relationship was found between role and preparedness (r = 0.615, p = 0.000). Conversely, the relationship between attitude and preparedness is not statistically significant (r = -0.044, p = 0.480). Next, the linear regression test shows that the most dominant factors, as indicated by the beta correlation coefficients, are role and knowledge: where an increase in one role score increases preparedness by 1.290 times, and an increase in one knowledge score increases preparedness by 0.300 times. Overall, this study shows that role and knowledge factors are positively related to nurse preparedness. Therefore, disaster simulations, training, and seminars must be conducted to enhance nurses’ preparedness and competence in disaster management.
The Comparison of Hegu Acupressure and Lemon Aromatherapy on Nausea and Vomiting among Cervical Cancer Patients Undergoing Chemotherapy Anis Ardiyanti; Rinda Intan Sari; Linda Pramusinta
Jurnal Keperawatan Soedirman Vol 21 No 2 (2026): Jurnal Keperawatan Soedirman (JKS)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2026.21.2.12605

Abstract

Cervical cancer is a potentially fatal disease, making chemotherapy a necessary treatment. However, chemotherapy often causes side effects such as nausea and vomiting, which can reduce patients' motivation to continue treatment and negatively impact their well-being. Consequently, complementary therapies like Hegu acupressure and lemon aromatherapy have been explored to alleviate these symptoms. This study aimed to compare the effectiveness of Hegu acupressure therapy and lemon aromatherapy in reducing nausea and vomiting among cervical cancer patients undergoing chemotherapy. A quasi-experimental, two-group pre-posttest design was employed, using random sampling to recruit 60 respondents. The Index of Nausea, Vomiting, and Retching (INVR) was used as the assessment instrument. Data analyzed using the Wilcoxon signed-rank test and the Mann-Whitney U test. Most participants were in the early elderly age group, unemployed, and stage III cervical cancer. Statistical findings demonstrated that both Hegu acupressure (p=0.005) and lemon aromatherapy (p=0.002) significantly reduced nausea and vomiting. No significant difference was found between the two interventions (p=0.421), indicating comparable therapeutic effects. Thus, therapy can be recommended as complementary non-pharmacological interventions for managing chemotherapy-induced nausea and vomiting in cervical cancer patients. Future research is required to consider additional variables to improve the robustness and generalizability of these findings.
Strengthening Community Health Workers’ Capacity for Non-Communicable Disease Prevention and Control in Rural Settings: A Participatory Action Research Protocol Muhamad Zulfatul A'la; Rondhianto Rondhianto; Ridlwan Kamaluddin; Pairin Yodsuban
Jurnal Keperawatan Soedirman Vol 21 No 2 (2026): Jurnal Keperawatan Soedirman (JKS)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2026.21.2.14694

Abstract

Non-communicable diseases (NCDs) are a leading cause of mortality and morbidity worldwide. Strengthening the capacity Community Health Workers (CHWs) is a key strategy for improving NCD prevention and control. However, its implementation remains suboptimal, particularly in rural settings. This study aims to co-design, implement, and refine a CHW capacity-building intervention for NCD prevention and control in rural settings using a Participatory Action Research (PAR) approach. This protocol describes a qualitative PAR study with process evaluation from August 2024 to June 2026 at Kaliwates Public Health Center (PHC), Jember, Indonesia. The completed pre-PAR phase involved 20 participants (CHWs and healthcare providers) to identify baseline needs and intervention development, while the subsequent PAR phase will involve 15 purposively selected CHWs. The post-PAR phase will explore participants' experiences, perceived benefits, feasibility, and sustainability of the co-developed intervention through observations, in-depth interviews, the Delphi method, and focus group discussions (FGDs). Data from the completed pre-PAR phase were analyzed using thematic analysis and Multiple-Perspective Interviews (MPI), supported by ATLAS.ti software, whereas data from the PAR and post-PAR phase will be analyzed upon completion. Ethical approval was obtained before the commencement of the pre-PAR phase. Preliminary findings from the pre-PAR needs assessment identified three overarching themes: systemic barriers to CHW role fulfilment; capacity gaps in training and skill development; and the need for participatory, culturally embedded training approaches. These findings provide an empirical foundation for the co-design, implementation, and evaluation of a contextually relevant CHW capacity-building intervention for NCD prevention and control in rural settings.
Path Analysis of Healthy Cognitive Life Skills Effect on Children’s Self-Esteem, Knowledge, Critical Thinking, and Decision-Making Skills Ratih Indraswari; Bagoes Widjanarko; Riza Hayati Ifroh
Jurnal Keperawatan Soedirman Vol 21 No 2 (2026): Jurnal Keperawatan Soedirman (JKS)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2026.21.2.15020

Abstract

Early engagement in risky sexual behavior among Indonesian adolescents is often associated with limited reproductive health knowledge and environmental factors. This study evaluated the effectiveness of a Healthy Cognitive Life Skills (HCLS) educational model using interactive games to improve children's reproductive health knowledge, self-esteem, critical thinking skills, decision-making skills, and attitude toward reproductive health. A quasi-experimental study with a non-equivalent control group pretest-posttest design was conducted among 254 children aged 9-10 years from two elementary schools in Semarang City, Indonesia. Data were collected using validated questionnaires and analyzed using partial least squares structural equation modeling (PLS-SEM). The HCLS educational model did not demonstrate a significant direct effect on cognitive life skills. However, it significantly improved self-esteem, which subsequently mediated improvements in reproductive health knowledge, critical thinking skills, and decision-making skills. The intervention did not directly improve attitudes toward reproductive health, although cognitive life skills and self-esteem were positively associated with attitudes. These findings suggest that game-based HCLS education primarily enhances children’s cognitive skills through strengthening self-esteem rather than through direct educational effects. Incorporating strategies that specifically target the affective domain may further improve attitudes toward reproductive health.
Assessing the Impact of the 2023 Türkiye–Syria Earthquake on Sleep Disturbances among Children and Adolescents Rahaf Akel Rajjoub; Anna Mohieldeen Ahmad; Emad Ghassan Eshak; Abeer Saleem Assaf; I Gede Juanamasta; Abdulkareem Iblasi; Laila Adnan Assaf
Jurnal Keperawatan Soedirman Vol 21 No 2 (2026): Jurnal Keperawatan Soedirman (JKS)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2026.21.2.15970

Abstract

Despite growing evidence that disasters adversely affect children's sleep, data on displaced Syrian children following the 6 February 2023 Türkiye–Syria earthquake remain scarce. This study investigated the prevalence and determinants of sleep disturbances among displaced Syrian children and adolescents one month after the earthquake. A cross-sectional study was conducted from March to April 2023 among 150 participants aged 7–17 years residing in five government shelters in Syria. Sleep disturbances were assessed using the Child and Adolescent Sleep Checklist (CASC), and data were analyzed using independent-samples t-tests, one-way analysis of variance, and Pearson correlation. Clinically significant sleep disturbance (CASC ≥18) was identified in 95.3% of participants. Irregular nocturnal sleep affected nearly all participants, while 44.7% experienced insufficient sleep. Children aged 7–12 years had significantly higher scores for sleep breathing/unstable sleep and parasomnia/sleep movement than adolescents (both p ≤ 0.001). Educational grade was associated with multiple sleep domains, whereas longer nocturnal sleep duration was associated with lower sleep disturbance scores (both p < 0.05). These findings reveal a substantial burden of sleep disturbance among displaced children following a major disaster and support integrating age-specific sleep assessment and targeted interventions into post-disaster pediatric care.

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