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Jurnal Keperawatan Merdeka
Published by Poltekkes Kemenkes Palembang
ISSN : 2809302X     EISSN : 28092791     DOI : https://doi.org/10.36086/jkm.v2i2
Core Subject : Health,
Nursing
Jurnal Keperawatan Merdeka (JKM) merupakan jurnal yang dipublikasikan oleh Jurusan Keperawatan Politeknik Kesehatan kementerian kesehatan Palembang. Jurnal ini menerbitkan artikel penelitian dan pengembangan bidang keilmuan keperawatan, Lingkup Pulikasi Jurnal meliputi isu-isu terkait keperawatan dasar dan dasar keperawatan, manajemen kepemimpinan keperawatan, keperawatan medikal bedah, keperawatan gawat darurat, keperawatan kritis, keperawatan perioperative, keperawatan keluarga, keperawatan komunitas, keperawatan gerontik, keperawatan holistik, keperawatan anak, keperawatan maternitas, keperawatan jiwa maupun keilmuan keperawatan spesifik lainnya, pada lingkup nasional maupun global.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 123 Documents
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Pengaruh Smartcard Cek Mual Muntah Terhadap Keseimbangan Cairan Pada Pasien Post Operative Nausea And Vomiting Juartika, Wella; Feri, Jhon; Diastuti, Agustin
JKM : Jurnal Keperawatan Merdeka Vol 4 No 2 (2024): Jurnal Keperawatan Merdeka
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jkm.v4i2.2636

Abstract

Background: Ostoperative Nausea and Vomiting (PONV) often leads to fluid imbalance, which affects patient recovery. This study aims to evaluate the impact of the Smart Card Cek Mual Muntah (SCMM) on maintaining fluid balance in PONV patients. Methods: The study used a descriptive design involving postoperative patients experiencing PONV. Data collection included SCMM-based symptom monitoring and fluid balance measurements (intake-output). Interventions such as antiemetic administration and IV fluids were analyzed. Results: CMM enhanced early symptom detection, timely interventions, and reduced complications related to fluid imbalance. The implementation resulted in better hydration levels and reduced PONV severity in patients. Conclusion: CMM contributes significantly to maintaining fluid balance, optimizing recovery, and reducing the risk of complications in PONV patients.
Pengalaman Anak Sekolah Dasar Berjualan Pempek Palembang Dalam Perpektif Keperawatan Komunitas Nurharlinah, Nurharlinah; Herdiani, Rini; Athiutama, Ari
JKM : Jurnal Keperawatan Merdeka Vol 5 No 1 (2025): Jurnal Keperawatan Merdeka
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jkm.v5i1.2676

Abstract

Introduction: Child labor in Indonesia shows that around 2.3 million children in Indonesia are involved in work. Children involved in work mostly work in the informal sector such as agriculture, trade, and services and often in conditions that are dangerous to their health and safety. Objective: This study aims to explore the experiences of elementary school children who sell pempek in Palembang and understand its impact in the perspective of community nursing. Method: The research method used is qualitative with techniques of observation and in-depth interviews with 10 elementary school children involved in selling pempek in Palembang. Results: The results of the study show that selling pempek provides valuable experiences for children in terms of social skills, independence, and an early understanding of economics. Despite facing challenges such as difficulty in balancing time between school and selling, these children demonstrate increased self-confidence and responsibility.The involvement of children in family economic activities requires special attention to their health and well-being. Community nursing focuses on preventive and collaborative approaches to improve the health of populations. Health education, social support, and cross-sector collaboration are important interventions to ensure that children can overcome the challenges they face without sacrificing their health. Through education and health counseling programs, as well as regular monitoring of children's health conditions, it is hoped that children will be able to maintain a balance between economic activities and their health. Conclusion: This study provides insights into how economic activities, such as selling, can impact the social and personal development of young children, as well as the importance of community support in maintaining their well-being. Support from family, school, and healthcare professionals is crucial in creating a healthy and supportive environment for children involved in economic activities.
Implementasi Keperawatan Manajemen Nyeri Masalah Nyeri Akut Pasien Pasca Bedah Benigna Prostat Hiperplasia Mediarti, Devi; Sashabila, Alaika; Syokumawena, Syokumawena
JKM : Jurnal Keperawatan Merdeka Vol 5 No 1 (2025): Jurnal Keperawatan Merdeka
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jkm.v5i1.2717

Abstract

Background: Benign Prostate Hyperplasia (BPH) is a common problem in men because they often hold urine when they want to urinate, and this causes increased enlargement of the prostate gland. The procedure for Benign Prostate Hyperplasia (BPH) sufferers is surgery. Surgical procedures usually have side effects that are definitely felt by patients undergoing surgery, one of which is pain. Objective: This case study is to provide deep breathing relaxation therapy to reduce the level of pain in patients after surgery for benign prostate hyperplasia at Siti Fatimah Regional Hospital, Palembang. Method: This research uses descriptive methods in the form of a case study. The approach used is a nursing care approach which includes assessment, nursing diagnosis, planning, implementation and evaluation. The subjects in this study were 2 people with the same criteria, namely patients after surgery for benign prostate hyperplasia. Results: Research shows that by providing deep breathing relaxation therapy, the pain scale for Mr. Y and Mr. A decreased. Conclusion: The deep breathing relaxation therapy technique is a non-pharmacological therapy to treat pain in patients after surgery for benign prostate hyperplasia. This nursing action can be an intervention to reduce the acute pain felt by the patient
Implementasi Keperawatan Manajemen Nyeri Pada Pasien Post Operasi Mastektomi Dengan Masalah Nyeri Akut Syokumawena, Syokumawena; Mediarti, Devi; Amelia, Rizka
JKM : Jurnal Keperawatan Merdeka Vol 5 No 1 (2025): Jurnal Keperawatan Merdeka
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jkm.v5i1.2722

Abstract

Background: Breast cancer is one of the leading causes of death worldwide. Breast cancer is a malignant tumor that attacks the breast and spreads throughout the body. The surgical procedure most often used for the management of breast cancer is mastectomy. Mastectomy is a surgical procedure of removing breast tissue. A problem that often arises in postoperative patients is pain. Method: The design of this research method uses a descriptive method in the form of a case study with a nursing process approach consisting of nursing review, diagnosis, intervention, implementation and evaluation. The subjects of the study were 2 postoperative mastectomy patients with acute pain problems at Muhammadiyah Palembang Hospital. Results: After the implementation of pain management nursing deep breath relaxation therapy for 3 days, it was obtained that from both patients postoperative mastectomy there was a decrease in pain scale from moderate pain scale to mild pain scale. In patient 1 of the pain scale 5 drops to pain scale 2 and patient 2 of the pain scale 5 decreases to pain scale 3. Conclusion: The application of deep breath relaxation therapy in both postoperative mastectomy patients can reduce pain intensity from a moderate pain scale to a mild pain scale.
Terapi Relaksasi Genggam Jari Pada Ibu Post Sectio Caesarea Dengan Nyeri Akut Jaya, Herawati; Ningsih, Ratna; Tusika, Nella
JKM : Jurnal Keperawatan Merdeka Vol 5 No 1 (2025): Jurnal Keperawatan Merdeka
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jkm.v5i1.2803

Abstract

Background: Based on data obtained at the Palembang Muhammadiyah Hospital, it was noted that 173 mothers gave birth by caesarean section in 2014. The problem that arises after SC surgery is pain in the post-operative wound due to the incision wound. The aim of this study was to describe the nursing implementation of finger grip relaxation therapy (observation, therapeutic and educational) and analyze the results in post sc patients with acute pain. Methods: This research design uses descriptive methods in the form of a case study. The case study subjects were 2 people 4-6 hours post SC with acute pain problems at Muhammadiyah Palembang Hospital, in April 2024. This research data was taken through interviews, observation, examination, implementation and assessment scales. The analysis was carried out descriptively and presented with tables and narratives. Results: There was a decrease in the level of pain from a moderate pain scale to a mild pain scale in both patients after implementing finger grip relaxation therapy. Conclusion: The implementation of finger grip relaxation therapy is effective in reducing pain levels in post caesarean section patients and is applied.
Manajemen Hipervolemia Pada Pasien Gagal Ginjal Kronik: Studi Kasus Nisrina, Firdha Ayu; Sulistini, Rumentalia; Susanti, Eva
JKM : Jurnal Keperawatan Merdeka Vol 5 No 1 (2025): Jurnal Keperawatan Merdeka
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jkm.v5i1.2812

Abstract

Background: Chronic renal failure is a condition where the kidneys stop removing metabolic waste and excess water from the blood. When the disease progresses to end-stage renal disease and kidney damage is irreversible Method: descriptive research design, case study form with nursing care approach. The research subjects were two chronic renal failure patients with hypervolemia nursing problems and met the case study inclusion criteria. Assessment sheets were used in data collection and data analysis was carried out descriptively with a nursing care approach starting with conducting assessment, analysis, planning, implementation and evaluation. Results: The nursing problem of hypervolemia experienced by both was overcome by providing the implementation of hypervolemia management, namely observing, therapeutic, educational and collaborative actions. Conclusion: After nursing care with the problem of hypervolemia and the implementation of hypervolemia management in both patients, the problem can be overcome within 3 days of treatment.
Analisis Kepuasan Pasien Berdasarkan Ketepatan Waktu Tunggu Di Rumah Sakit: Systematic Literature Review Hasanah, Nur; Rizanti, Mutiara Putri; Sapitri, Alini; Miagoni, Vince; Tari, Putri Inrian
JKM : Jurnal Keperawatan Merdeka Vol 5 No 1 (2025): Jurnal Keperawatan Merdeka
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jkm.v5i1.2825

Abstract

Background: Waiting time is one of the important components affecting the quality of hospital services that must be considered, as it has an influence on the level of patient satisfaction. The length of waiting time that does not meet the standards is often a complaint of patients when they come to health institutions. The purpose of writing this article is to determine the relationship between patient satisfaction and the accuracy of waiting time in hospitals. Methods: The method used was systematic literature review by reviewing quantitative approach studies related to the topic that has been determined. Article searches were conducted from two databases, including Google Scholar and PubMed using the keywords “Patient Satisfaction” AND “Waiting Time” AND “Hospital” for Google Scholar and “Patient Satisfaction” AND “Waiting Time” AND “Hospital” for Pubmed, with a time span of 2017 to 2024. A total of 916 articles were found, but only 10 articles met the criteria. Results: The results showed a significant relationship between patient satisfaction and waiting time accuracy in hospitals, although this can still be influenced by other technical factors. Conclusion: Hospitals should manage waiting times efficiently to improve service quality and patient satisfaction.
Implementasi Keperawatan Teknik Relaksasi Otot Progresif Pada Lansia Penderita Hipertensi Dengan Masalah Nyeri Febriani, Indra; Lestari, Indri; Erman, Imelda; Athiutama, Ari
JKM : Jurnal Keperawatan Merdeka Vol 5 No 1 (2025): Jurnal Keperawatan Merdeka
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jkm.v5i1.2830

Abstract

Background: Hypertension is a condition or situation where a person experiences an increase in blood pressure above the normal limit, namely more than 140/90 mmHg. Blood pressure can be interpreted as the force exerted by blood circulation on the walls of the body’s arteries, namely the main blood vessels in the body. The amount of this pressure depends on the resistance of the blood vessels and how hard the heart works. The more blood the heart pumps and the narrower the arteries, the higher the blood pressure. Methods: The type of research used is descriptive in the form of a case study with a nursing process approach which includes assessment, nursing diagnosis, nursing intervention, nursing implementation, nursing evaluation and follow-up. Determining the subjects in this study used the numerical rating scale method, namely four elderly people who experienced hypertension with pain problems at the Harapan Kita Social Home in Palembang. Pain assessment uses the numerical rating scale method, namely classifying pain into mild (1-3), moderate (4-6) and severe (7-10). Results: The results showed a decrease in pain levels among patients, from moderate pain to mild pain. Conclusion: Therefore, the application of progressive muscle relaxation nursing techniques in elderly patients with hypertension can reduce their pain levels.
Pengetahuan Ibu Tentang Pre Eklampsia Pada Masa New Normal Pandemi Covid-19 Amin, Maliha; Jaya, Herawati; Ningsih, Ratna
JKM : Jurnal Keperawatan Merdeka Vol 5 No 1 (2025): Jurnal Keperawatan Merdeka
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jkm.v5i1.2842

Abstract

Background: Pregnancy is a physiological condition that can be accompanied by pathological processes that threaten the condition of the mother and fetus. About 15% of pregnant women suffer from serious complications, of which one third is preeclampsia. In normal situations, maternal and neonatal deaths in Indonesia are still a big challenge, especially during disaster situations. Currently, Indonesia is facing the non-natural national disaster COVID-19 so that maternal and neonatal health services are one of the services affected, both in terms of access and quality. It is feared that this will cause an increase in maternal and newborn morbidity and mortality. The results of a preliminary study at Posyandu Jayalaksana, every month there is an activity at Posyandu, namely weighing of toddlers by health workers from PKM.4 ulu, but some mothers said that they had never heard about Pre-Eclampsia. This research aims to determine mothers' knowledge about Eclampsia during the new normal Covid.19 period at Posyandu Jayalaksana, Subdistrict 3-4 Ulu, Palembang City. Methods: This study design used descriptive with an observational method. In this study samples were taken using the alovin formula. There were 50 respondents who were willing to take part in this research. The data collection instrument uses a structured questionnaire with interview guidelines. Results: The results of this research showed that the majority of respondents were over 30 years old. Most of the respondents were at elementary school education level. All respondents in this study did not work or were housewives. Conclusion: Based on the research results, it can be concluded that the majority of respondents have sufficient knowledge and have good attitudes.
Analisis Faktor Risiko Yang Mempengaruhi Indeks Fungsi Seksual Pascapersalinan Sinulingga, Novy Ratnasari; Yanis, Amel; Anggraini, Fika Tri; Yuka, Aprillia Ayu Shinta
JKM : Jurnal Keperawatan Merdeka Vol 5 No 1 (2025): Jurnal Keperawatan Merdeka
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jkm.v5i1.2855

Abstract

Background: Postpartum is a critical period in a woman's life where several problems can occur. One of them is related to the postpartum sexual function index, which can have a negative impact resulting in sexual dysfunction for women. Sexual function is multifactorial, meaning biological, psychological, and social factors can affect a woman's sexual performance. Postpartum low sexual function index has been associated with several risk factors, namely type of delivery, parity, breastfeeding, postpartum depression, family income, and length of the marriage. This study analyzed the risk factors affecting the postpartum sexual function index. Methods: The Analytical survey method with a Cross-sectional study design was used in this study. The research sample consisted of 134 postpartum women at the Andalas Community Health Center in Padang selected by Proportional random sampling. Statistical analysis Chi-square test determines the relationship between the two research variables. Results: Postpartum depression is reported that there was a significant relationship with the postpartum sexual function index. Women with depressive symptoms had a risk of 4.144 times having a low sexual function index after delivery (p=0.002; OR=4.144; CI 95%=1.736-9.889). Statistical analysis showed that there was no significant relationship between the type of delivery (p=0.731), parity (p=0.549), breastfeeding (p=0.847), family income (p=0.688), and length of the marriage (p=0.864) with the postpartum sexual function index. Conclusion: According to the study's findings, postpartum depression is a risk factor that may impact the postpartum sexual function index. Through this study, it is expected to increase the insight and information about sexual health for the family sector in the work area of Andalas Community Health Center and to educate the wider community. This study is also expected to be an input in providing health services by carrying out early detection and prevention of sexual health problems.

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