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Jurnal Keperawatan dan Kesehatan (JKK)
Published by Institut Teknologi dan Kesehatan Muhammadiyah Kalimantan Barat
ISSN : 20868375     EISSN : 25280937     DOI : https://doi.org/10.54630/jk2
Core Subject : Health, Science,
Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health
The aim of this journal publication is to disseminate the conceptual thoughts or ideas and research results that have been achieved in the area of nursing and health sciences. JKK, particularly focuses on the main problems in the development of the sciences of nursing and health areas as follows: 1. Adult Nursing 2. Child and Maternal Nursing 3. Community Nursing, as includes: Family Nursing and Gerontological Nursing 4. Mental Health Nursing 5. Nursing Science 6. Emergency and Critical Care Nursing 7. Basic Nursing Science
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 302 Documents
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FISIOTERAPI PADA BRONKIOLITIS: NEBULIZER, INFRARED, POSTURAL DRAINAGE, DAN TAPPOTEMENT Cahya, Andika Bayu Dwi
Jurnal Keperawatan dan Kesehatan Vol 17 No 1 (2026): Jurnal Riset Keperawatan dan Kesehatan
Publisher : Institut Teknologi dan Kesehatan Muhammadiyah Kalimantan Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54630/jk2.v17i1.572

Abstract

Background: Bronchiolitis is a lower respiratory tract infection commonly found in infants and young children. Objective: This study aimed to evaluate the effectiveness of physiotherapy management in a bronchiolitis case using nebulizer, infrared therapy, postural drainage, and tapotement modalities. Method: The method used is a case study involving a patient (An. A) at Balkesmas Semarang presenting with shortness of breath, coughing, and excessive sputum production. Result: After five physiotherapy sessions, there was a noticeable decrease in cough intensity, sputum production, and respiratory rate. Conclusion: These findings suggest that the combination of physiotherapy modalities is effective in improving the clinical condition of bronchiolitis patients.
PENATALAKSANAAN FISIOTERAPI DAN TERAPI LATIHAN PADA KASUS POST ORIF MANUS DIGITI IV SINISTRA Mutiara Putri, Salsabilla Kharisma; Amanati, Suci
Jurnal Keperawatan dan Kesehatan Vol 17 No 1 (2026): Jurnal Riset Keperawatan dan Kesehatan
Publisher : Institut Teknologi dan Kesehatan Muhammadiyah Kalimantan Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54630/jk2.v17i1.573

Abstract

Background: Fracture of the manus digiti is a traumatic injury that can cause pain, limited range of motion (ROM), decreased muscle strength, and impaired functional activity, especially in post Open Reduction Internal Fixation (ORIF) conditions. These problems require appropriate physiotherapy management to restore optimal hand function. Objective: This study aimed to analyze physiotherapy management using exercise therapy and to evaluate clinical outcomes in a patient with post-ORIF manus digiti IV sinistra. Methods: This study employed a case report design with a pre–post approach without a control group. The subject was a 19-year-old male patient treated at Dr. Kariadi General Hospital, Semarang. Interventions included passive exercise, active exercise, resisted active exercise, static contraction, and hold-relax exercise, conducted over four therapy sessions. Data were collected using the Visual Analog Scale (VAS) for pain, a goniometer for range of motion (ROM), and Manual Muscle Testing (MMT) for muscle strength. Data analysis was performed descriptively by comparing results before and after intervention. Results: The results showed a reduction in tenderness and movement pain, as well as improvements in range of motion in the MCP, PIP, and DIP joints, and increased muscle strength following the exercise therapy interventions. Conclusion: Physiotherapy management using exercise therapy is effective in reducing pain, improving range of motion, and increasing muscle strength in post-ORIF manus digiti IV sinistra patients, thereby enhancing functional ability.
FISIOTERAPI PASCA REKONSTRUKSI ANTERIOR CRUCIATE LIGAMENT DENGAN CONTINUOUS PASSIVE MOTION DAN TERAPI LATIHAN Deo, Ignatius Lewas Nathan Kamuna
Jurnal Keperawatan dan Kesehatan Vol 17 No 1 (2026): Jurnal Riset Keperawatan dan Kesehatan
Publisher : Institut Teknologi dan Kesehatan Muhammadiyah Kalimantan Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54630/jk2.v17i1.584

Abstract

Background: Anterior Cruciate Ligament (ACL) reconstruction is a surgical procedure performed to replace a ruptured Ligament in the knee. Objective: aiming to restore joint stability and functional capacity following trauma such as sudden stops, twists, or jumps. This injury is commonly found in sports activities like football, basketball, and volleyball. Post-operative problems frequently encountered include pain, edema, limited range of motion, decreased muscle strength, and impaired functional activities such as transitioning from standing to squatting, squatting to standing, walking, and jumping. Physiotherapy plays a vital role in the rehabilitation process by reducing pain, improving muscle strength, restoring joint mobility, and enhancing functional performance. The physiotherapy modalities applied in this case include Continuous Passive Motion (CPM) to maintain passive joint movement, and Exercise Therapy, which is structured to accelerate recovery of muscle strength and postural control. Methode: This scientific paper is a case study, presenting a patient case and collecting data through the physiotherapy process. The modalities applied are Continuous Passive Motion and Exercise Therapy. Result: After four sessions of physiotherapy, the results showed an improvement in joint range of motion and muscle strength, a reduction in pain and edema, as well as an increase in the patient's functional ability. Conclusion: Continuous Passive Motion and Exercise Therapy given to the patient can help increase joint range of motion, muscle strength, and functional ability, as well as reduce pain and edema.
FISIOTERAPI DAN TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION, SHORTWAVE DIATHERMY DAN TERAPI LATIHAN PADA OSTEOARTHRITIS GENU SINISTRA Tastaftian, Fadli
Jurnal Keperawatan dan Kesehatan Vol 17 No 1 (2026): Jurnal Riset Keperawatan dan Kesehatan
Publisher : Institut Teknologi dan Kesehatan Muhammadiyah Kalimantan Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54630/jk2.v17i1.585

Abstract

Background: Knee osteoarthritis is a progressive degenerative joint disorder commonly affecting adults and the elderly, characterized by pain, stiffness, reduced joint range of motion, muscle weakness, and functional limitations. Physiotherapy modalities such as Transcutaneous Electrical Nerve Stimulation (TENS), Short Wave Diathermy (SWD), and therapeutic exercise are applied to reduce symptoms and improve functional movement in patients with osteoarthritis. Objective: To describe the physiotherapy management using TENS, SWD, and therapeutic exercise in a patient with left knee osteoarthritis. Methods: A case study was conducted on a 61-year-old female patient diagnosed with grade 3 left knee osteoarthritis. Evaluation tools included the Visual Analog Scale (VAS) for pain assessment, a goniometer for joint range of motion, Manual Muscle Testing (MMT) for muscle strength, and the WOMAC scale for functional ability. The intervention was provided over four therapy sessions. Results: After four physiotherapy sessions, there was a reduction in tenderness and movement pain, an increase in left knee joint range of motion, improved extensor muscle strength, and enhanced functional ability based on WOMAC scores. Conclusion: The combination of TENS, SWD, and therapeutic exercise is effective in reducing pain, improving joint mobility, muscle strength, and functional activity in patients with left knee osteoarthritis
IMPLEMENTASI DEEP LEARNING DALAM SISTEM DETEKSI MANDIRI BERBASIS MOBILE UNTUK LUKA DIABETIK GUNA MENDUKUNG KESEHATAN MASYARAKAT Hermanto, Hermanto; Adhi Prasetya, Irwan; Faqih Dzulqarnain, Muhammad; Wulandari, Mira; Sujatmiko, Wandi; Habibi, Muhammad
Jurnal Keperawatan dan Kesehatan Vol 17 No 1 (2026): Jurnal Riset Keperawatan dan Kesehatan
Publisher : Institut Teknologi dan Kesehatan Muhammadiyah Kalimantan Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54630/jk2.v17i1.586

Abstract

Diabetic foot ulcers affect 15-25% of diabetic patients globally, causing significant morbidity, healthcare costs, and amputation risks. Early detection is crucial for preventing severe complications, yet limited access to specialized healthcare services, especially in remote areas, creates substantial barriers to timely wound management. This study developed a mobile-based self-detection system using deep learning technology to enable early diabetic wound identification and improve healthcare accessibility for patients in resource-limited settings. A Convolutional Neural Network with MobileNetV2 architecture was trained on over 5,000 diabetic wound images categorized into five classes: healthy skin and Wagner grades 1-4 ulcers. The cross-platform mobile application features AI-based wound detection, diagnosis history tracking, educational content, and integrated telemedicine consultation. Clinical validation compared AI predictions with three certified wound care specialists across 500 cases, while usability testing involved 100 diabetic patients.The model achieved 92.4% accuracy with 94.2% sensitivity and 91.7% specificity. For high-grade ulcers, performance improved to 96.8% sensitivity with 1.8-second processing time per image. Clinical validation showed substantial agreement with specialists (Cohen's kappa = 0.89). The application scored 82.5/100 on System Usability Scale with 88.5% user satisfaction and 91.2% willing to recommend it. This mobile-based deep learning system demonstrates high accuracy and clinical reliability for diabetic wound self-detection, successfully bridging healthcare gaps for underserved populations and showing significant potential for early intervention and healthcare cost reduction.
PENATALAKSANAAN FISIOTERAPI KASUS BELL’S PALSY SINISTRA DENGAN MODALITAS LOW LEVEL LASER TERAPY, MASSAGE DAN PROPRIOCEPTIVE NEUROMUSCULAR FACILITATION FACIAL Sirojuddin, Dzulfiqar Hendry; Jaleha, Boki
Jurnal Keperawatan dan Kesehatan Vol 17 No 1 (2026): Jurnal Riset Keperawatan dan Kesehatan
Publisher : Institut Teknologi dan Kesehatan Muhammadiyah Kalimantan Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54630/jk2.v17i1.588

Abstract

Background: Bell's Palsy is an acute paralysis that occurs in the facial nerve with an unknown cause. This condition is relatively common and can affect facial muscle function, leading to functional limitations in daily activities. Objective: This study aims to describe the application and potential effectiveness of physiotherapy interventions, including low-level laser therapy, massage, and Proprioceptive Neuromuscular Facilitation (PNF), in managing Bell’s Palsy sinistra. Method: This study uses a case study approach focusing on a patient with Bell’s Palsy sinistra. Physiotherapy interventions applied include low-level laser therapy, massage, and facial PNF techniques administered progressively. Result: Low-level laser therapy helps accelerate the wound healing process, improve tissue repair and remodeling, restore normal nerve function after nerve injury, reduce pain, stimulate endorphin release, and modulate the immune system. Massage and facial PNF techniques contribute to improving muscle strength and endurance, facilitating stability, mobility, neuromuscular control, and coordinated movements, thereby supporting the recovery of muscle function. Conclusion: The combination of low-level laser therapy, massage, and facial PNF shows potential benefits in improving facial muscle function in patients with Bell’s Palsy. This case is relevant due to the high incidence of the condition and the unclear etiology, highlighting the importance of effective physiotherapy management.
KEPATUHAN TERAPI KELASI BESI DAN KUALITAS HIDUP ANAK DENGAN THALASSEMIA MAYOR Rilla, Eldessa Vava; Fauzan, Suhaimi
Jurnal Keperawatan dan Kesehatan Vol 17 No 1 (2026): Jurnal Riset Keperawatan dan Kesehatan
Publisher : Institut Teknologi dan Kesehatan Muhammadiyah Kalimantan Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54630/jk2.v17i1.589

Abstract

Background: Thalassemia is a genetic blood disorder characterized by a deficiency of globin chains in hemoglobin. One of the main problems in patients with thalassemia is non-adherence to iron chelation therapy. As a lifelong chronic disease, thalassemia requires continuous treatment, including iron chelation therapy, which functions to remove excess iron accumulation in the body due to routine blood transfusions through feces and urine. Adherence to this therapy plays an important role in improving the quality of life of patients. Objective: To determine the relationship between adherence to iron chelation therapy and quality of life in children with thalassemia at RSUD dr. Slamet Garut. Methods: This study used a descriptive analytic design with a quantitative approach and a correlation study design. The sample consisted of 96 respondents selected using a purposive sampling technique. Data were collected to assess adherence to iron chelation therapy and the quality of life of respondents. Data analysis was performed using univariate and bivariate analysis to determine the relationship between variables. Results: The results showed that almost all respondents (95.8%) were not adherent to iron chelation therapy, and the majority of respondents (92.7%) had a poor quality of life. Statistical analysis showed a significant relationship between adherence to iron chelation therapy and quality of life in children with thalassemia, with a p-value of 0.01 (p < 0.05). Conclusion: There is a relationship between adherence to iron chelation therapy and the quality of life in children with thalassemia. Good adherence to therapy can help improve quality of life, optimize growth and development, and prolong the survival of children with thalassemia.
ACTIVITIES OF DAILY LIVING PADA PASIEN STROKE ISKEMIK Pramana, Yoga; Hanafi, Hanafi; Maulana, M Ali; Seprian, Dwin
Jurnal Keperawatan dan Kesehatan Vol 17 No 1 (2026): Jurnal Riset Keperawatan dan Kesehatan
Publisher : Institut Teknologi dan Kesehatan Muhammadiyah Kalimantan Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54630/jk2.v17i1.596

Abstract

Background: Ischemic stroke is a global health problem that causes significant mortality and disability worldwide, with a prevalence of approximately 6.2 million deaths annually. Ischemic stroke is the most common type of stroke in Indonesia, accounting for 87%. Objective: This study was conducted to determine the relationship between body mass index (BMI) and the level of dependency in ischemic stroke patients. Method: This is a descriptive analytical study with a cross-sectional approach. The cross-sectional sample used in this study consisted of 20 respondents, including ischemic stroke patients at Tanjungpura University Hospital, Pontianak. The sampling technique used was purposive sampling. Results: The Spearman Rank test showed significant results (2-tailed) with a p-value of 0.576, indicating no relationship between body mass index and Activities of Daily Living in ischemic stroke patients. Conclusion: There is no relationship between body mass index and Activities of Daily Living in ischemic stroke patients.
TERAPI DZIKIR SEBAGAI INTERVENSI KEPERAWATAN UNTUK MENURUNKAN ANSIETAS PADA LIMFOMA NON-HODGKIN Putrie, Azzahra; Netra Wirakhmi, Ikit
Jurnal Keperawatan dan Kesehatan Vol 17 No 1 (2026): Jurnal Riset Keperawatan dan Kesehatan
Publisher : Institut Teknologi dan Kesehatan Muhammadiyah Kalimantan Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54630/jk2.v17i1.603

Abstract

Background: Non-Hodgkin's Lymphoma is a type of cancer that can lead to psychological problems, particularly anxiety. Unmanaged anxiety may negatively affect physical condition and treatment outcomes. One non-pharmacological intervention that can be applied is dhikr therapy as a spiritual approach in nursing care. Objective: This study aimed to describe the application of dhikr therapy in reducing anxiety levels in patients with Non-Hodgkin's Lymphoma. Methods: This study employed a case study design using a nursing care approach, including assessment, nursing diagnosis, planning, implementation, and evaluation. The subject was a 63-year-old female patient treated in the Wijaya Kusuma Ward of Prof. Dr. Margono Soekarjo Regional Hospital with anxiety as the primary nursing problem. Dhikr therapy was administered for approximately 10 minutes as part of the nursing intervention. Results: The evaluation results showed positive changes in the patient’s psychological condition after the implementation of dhikr therapy. The patient reported better understanding of her illness and reduced feelings of anxiety and confusion. Objectively, the patient appeared calmer, more cooperative, and exhibited decreased restlessness compared to before the intervention. The patient’s response to treatment also improved. Conclusion: Dhikr therapy is effective as a non-pharmacological nursing intervention in reducing anxiety in patients with Non-Hodgkin's Lymphoma.
KONDISI PSIKOLOGIS PASIEN DAN PENYAKIT KRONIS : LITERATURE REVIEW Agustiani, Sirli; Ardilla Siregar, Maya; Bagus Edy Santoso, Raden; Devi, Ratna
Jurnal Keperawatan dan Kesehatan Vol 17 No 1 (2026): Jurnal Riset Keperawatan dan Kesehatan
Publisher : Institut Teknologi dan Kesehatan Muhammadiyah Kalimantan Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54630/jk2.v17i1.612

Abstract

Background: Chronic diseases require long-term management, are persistent in nature, and may lead to various problems, including psychological issues. Objective: This study aimed to identify the psychological conditions of patients with chronic diseases. Methods: A literature review was conducted using PubMed and Google Scholar databases. Inclusion criteria were full-text articles in English published between 2021 and 2025 discussing psychological conditions in patients with chronic diseases, with participants aged ≥18 years. Articles that were not original research were excluded. Results: A total of 1,658 articles from PubMed and 17,600 from Google Scholar were identified; however, only 5 articles met the inclusion criteria. The findings indicate that patients with chronic diseases experience psychological problems such as depression, anxiety, fear, and stress, which affect social and economic aspects and contribute to feelings of helplessness. Conclusion: Psychological problems in patients with chronic diseases are predominantly characterized by depression, accompanied by anxiety, fear, and helplessness, leading to decreased treatment motivation and quality of life.

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