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INDONESIA
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 135 Documents
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Hubungan Antara Durasi Tidur Dan Riwayat Keluarga Dengan Obesitas Sentral Pada Polisi Dhanny, Devieka Rhama; Aghadiati, Faradina; Heryanda, Mahfuzhoh Fadillah
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.v5i1.2865

Abstract

Background: Central obesity is a condition in which the body experiences excessive accumulation of visceral fat in the abdominal area, part of the metabolic syndrome component that causes degenerative diseases. Central obesity and morbidity rates in police in Indonesia are quite high, which is almost half of the total police in Indonesia. The purpose of this study was to determine the relationship between sleep duration and family history of central obesity in police in East Lampung. Methods: This study used a cross-sectional study design. The population in this study was 858 police with a sampling method using simple random sampling so that a sample size of 148 respondents was obtained. Data collection techniques were in-depth interviews using questionnaires. Data analysis used the Chi Square test. Results: The results of this study describe that 48.6% of police experience central obesity. Most (76.4%) police have a short sleep duration (<7 hours/day). As many as 33.8% of police have a family history of central obesity. There is a relationship between sleep duration and central obesity in police at the East Lampung Police (p value 0.028). There is a relationship between family history and central obesity in police officers at Polres Lampung Timur (p value 0.010). Conclusion: There is a relationship between sleep duration and family history with central obesity in police officers at Polres Lampung Timur indicated by p value <0.05
Gambaran Bendungan Asi Pada Ibu Nifas Berdasarkan Karakteristik Aprilina, Aprilina; Jasmi, Jasmi; Noviyanti, Asri; Setiawati, Desy; Habiba, Habiba
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.v5i1.2903

Abstract

Background: Breast milk dams are an abnormal condition, painful because the breasts are swollen, without edema, the nipples and areola look tight, the skin is shiny and looks red. If the entire breast is pressed/squeezed it will feel hard. Purpose: to find out the description of breast milk dams in postpartum mothers based on maternal characteristics (education, occupation, age and parity) at the Habiba Independent Midwife Practice Place (TPMB) area Lubuk Linggau City in 2024.. Methods: : This type of research is a quantitative descriptive research type. Using a total sampling technique, which means a sampling technique where the number of samples is the same as the population. So the sample in this study was 236 breastfeeding mothers., Results: The results of statistical test research using univariate analysis (descriptive analysis) were obtained. Most of the respondents were highly educated (high school, bachelor's degree) with a percentage of 57.2%, some respondents worked with a percentage of 63.6%, most of the respondents were aged 20 - 35 years with a percentage of 73.3% and Most of the respondents were mothers with multiparous parity/mothers who had more than 1 child with a percentage of 61.9%..Conclusion: The results of statistical test research using univariate analysis (descriptive analysis) were obtained. Most of the respondents were highly educated (high school, bachelor's degree) with a percentage of 57.2%, some respondents worked with a percentage of 63.6%, most of the respondents were aged 20 - 35 years with a percentage of 73.3% and Most of the respondents were mothers with multiparous parity/mothers who had more than 1 child with a percentage of 61.9%.
Mindfullness Parenting Cegah Stunting (MPCS) Untuk Meningkatkan Pola Asuh Nursanti, Rina; Lestari, Dian; Rosnani, Rosnani; Pastuty, Rosyati; Gibrata, Aisyah Alhaura
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.v5i1.2904

Abstract

Background: Modules have several advantages, such as being self-instructional, self-contained, standalone, adaptive, and user-friendly, making them valuable as learning media for parents. The Mindfulness Parenting Prevent Stunting (MPCS) i module developed in this study is an innovative effort to improve parenting quality by focusing on mindfulness in parenting, emotional awareness, and wise responses. It aims to strengthen the relationship between parents and children to support healthy growth and development, thereby helping to prevent stunting. Method: This study used a Research and Development (R&D) approach based on the ADDIE model, developed by Robert Maribe Branch in 1975, which consists of five stages: Analysis, Design, Development, Implementation, and Evaluation. Results: The module was assessed through expert validation and small-scale testing. It received an 84.46% rating from media experts (considered fairly valid with minor revisions), 100% from subject matter experts (very valid), and 94.67% from small-scale tests (very valid). Conclusion: The development of the MPCS module to improve parenting is worthwhile and recommended for use.
Analisis Mutu Pelayanan Terhadap Kepuasan Pasien Rawat Jalan Dewi, Anggara Fitri; Harokah, Ali; Gustina, Erma; Prawira, Ricky
JKM : Jurnal Keperawatan Merdeka Vol 5 No 2 (2025): Jurnal Keperawatan Merdeka
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jkm.v5i2.2996

Abstract

Background: The increasing competition among private hospitals demands continuous improvements in healthcare service quality to meet the growing expectations of patients. Patient satisfaction increases if the hospital is able to provide quality, fast, empathetic, safe and comfortable medical services in accordance with patient expectations. Methods: This study aims to analyze the influence of service quality dimensions on outpatient satisfaction at a private hospital in Palembang City. A quantitative approach with a descriptive-analytic and cross-sectional design was applied, involving 100 respondents selected through purposive sampling, with inclusion criteria of being ≥18 years old and having received outpatient services. The research instrument was a SERVQUAL-based questionnaire. Results: The findings revealed that most respondents were female, of productive age, and had at least a senior high school education. The overall patient satisfaction rate was relatively high (86%). All dimensions of service quality showed a significant effect on satisfaction, with empathy emerging as the most dominant factor (OR = 101.4), significantly contributing to patients’ positive experiences. These results highlight the critical role of empathetic care in enhancing patient experience and satisfaction. Conclusion: The study concludes that service quality, particularly the empathy dimension, significantly influences outpatient satisfaction in the examined private hospital.
Pengetahuan Dan Pelaksanaan Dokumentasi Perawat Terhadap 3S SDKI, SIKI Dan SLKI Mandira, Tria Monja; Wulandini S, Putri; Fitria, Puja
JKM : Jurnal Keperawatan Merdeka Vol 5 No 2 (2025): Jurnal Keperawatan Merdeka
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jkm.v5i2.3006

Abstract

Background: Nursing care standards are inherently linked to the nursing process, which forms the core responsibility of nurses in delivering patient care. This process includes assessment, diagnosis, planning, implementation, and evaluation. The aim of this study is to assess nurses' knowledge and documentation practices related to the 3S components—SDKI, SLKI, and SIKI—at RS Prof. Dr. Tabrani Pekanbaru. Methods: This study employed a quantitative, descriptive research design using a questionnaire. The population consisted of all 40 nurses working at RS Prof. Dr. Tabrani Pekanbaru, and the entire nursing staff was included as the sample. Results: The findings revealed that only 4 respondents (10%) demonstrated good knowledge of SDKI, SIKI, and SLKI. A majority of 20 respondents (50%) had moderate knowledge, while 16 respondents (40%) showed limited understanding of nursing care based on SDKI, SIKI, and SLKI. Conclusion: Based on these results, it can be concluded that the nursing staff has not yet fully comprehended nursing care using the SDKI, SIKI, and SLKI standards. It is recommended that the institution conduct socialization and simulation activities to improve documentation practices aligned with these standards. This initiative is expected to better prepare nurses for applying these standards in healthcare facilities.
Pengaruh Tingkat Kecemasan Terhadap Career Interest Pada Siswa Dan Siswi Sekolah Menengah Atas Yuliza, Rahma; Nursa’adah, Nursa’adah; Iskandar, Iskandar
JKM : Jurnal Keperawatan Merdeka Vol 5 No 2 (2025): Jurnal Keperawatan Merdeka
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jkm.v5i2.3472

Abstract

Background: Career interest refers to an individual's desire and motivation to pursue a particular career. Those who are interested in pursuing a career are typically individuals who wish to make life decisions aligned with their personality type. However, challenges such as anxiety can arise when determining future career paths. Career-related anxiety is a form of realistic anxiety, associated with feelings of uncertainty and potential negative impacts on future life. Objective: This study aims to examine the influence of anxiety levels on career interest. Method: The research method used is descriptive correlational with a cross-sectional study design. The population consists of all 12th-grade students, totaling 279 individuals. The sampling technique used is purposive sampling, with the Slovin formula applied to obtain a sample of 74 students. Data collection instruments included a questionnaire sheet. Results: The study found that the majority of students had low career interest (45 respondents or 60.8%) and high levels of anxiety (41 respondents or 55.4%). The statistical analysis revealed a significant influence of anxiety levels on career interest, with a p-value = 0.000 (p < 0.05). Conclusion: This study concludes that anxiety levels significantly affect career interest among students at SMA Negeri 8 Banda Aceh. It is hoped that students can reduce their anxiety levels to foster stronger career interest in the future.
Manajemen Asma Pada Pasien Asma Bronkial Dengan Masalah Bersihan Jalan Napas Tidak Efektif Syokumawena, Syokumawena; Mediarti, Devi; Safitri, Nova
JKM : Jurnal Keperawatan Merdeka Vol 5 No 2 (2025): Jurnal Keperawatan Merdeka
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jkm.v5i2.3475

Abstract

Background : Bronchial asthma is a chronic inflammatory disease of the airways characterized by reversible airway obstruction. One of the most common nursing problems encountered during an acute asthma attack is ineffective airway clearance due to mucus hypersecretion and bronchospasm. Prompt and targeted nursing interventions are essential to prevent respiratory complications. Method : The design of this writing uses a descriptive method in the form of a case study. The Nursing Care Approach consists of assessment, nursing diagnosis, planning, implementation, evaluation, and nursing documentation. Results : All fourth patients demonstrated significant clinical improvement after interventions. Respiratory rate decreased, wheezing was reduced, cough became more effective, and oxygen saturation improved to ≥ 95%. These outcomes indicate that the nursing interventions were successful in resolving the ineffective airway clearance problem. Conclusion : Prompt and appropriate nursing interventions are effective in managing ineffective airway clearance in patients with bronchial asthma. A combination of non-pharmacological techniques and collaborative therapies plays a crucial role in improving respiratory status in emergency care settings.
Implementasi Keperawatan Foot Massage Pada Pasien Hipertensi Dengan Masalah Gangguan Pola Tidur Putri, Prahardian; Jawiah, Jawiah; Amelia, Riski
JKM : Jurnal Keperawatan Merdeka Vol 5 No 2 (2025): Jurnal Keperawatan Merdeka
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jkm.v5i2.3478

Abstract

Background: Hypertension is defined as an increase in blood pressure above the normal threshold, namely systolic pressure exceeding 140 mmHg and diastolic pressure exceeding 90 mmHg. This condition is generally influenced by lifestyle factors such as unhealthy eating habits, being overweight (obesity), lack of sleep, and stress. One relaxation method that can be applied to overcome sleep pattern disorders in hypertensive patients is foot massage therapy. Methods: The case study design in this research uses a descriptive method with a nursing care approach. The research subjects consisted of two patients suffering from hypertension, each aged 65 years, who both experienced similar problems, namely disturbed sleep patterns. This research was carried out in the inpatient room of the Palembang Muhammadiyah Hospital. Data collection was carried out through observation, interviews, and filling out case study instruments during the three-day treatment period. Result: Result were obtained after non-pharmacological implementation: massage therapy (Foot Massage) in patients with sleep pattern disorders there was a decrease in sleep pattern disorders in patient 1 on the 1st day of the psqi assessment was at 10 and on the last day it was at 5. Meanwhile, in patients on the 1st day 2 of the psqi assessment was at 10 and the final result was at 5. Conclusion: The implementation of foot massage relaxation therapy can help reduce sleep pattern disorders in hypertensive patients
Korelasi Pengetahuan Dan Sikap Dengan Stigma Masyarakat Terhadap Orang Dengan Gangguan Jiwa Fitriani, Dhia Diana; Wahyuni, Citra Putri; Rohmah, Ulfa Nur; Kiani, Safa Tiara; Kasumawati, Frida
JKM : Jurnal Keperawatan Merdeka Vol 5 No 2 (2025): Jurnal Keperawatan Merdeka
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jkm.v5i2.3501

Abstract

Background: The increasing prevalence of mental disorders continues to be accompanied by a high level of community stigma, which contributes to delayed help-seeking behavior, poor treatment adherence, and a heightened risk of relapse. This study aims to analyze the correlation between the level of knowledge and attitudes with community stigma toward individuals with mental disorders in Kampung Kadongdong RT 002/003, Pasir Nangka Village, Tigaraksa District, Tangerang Regency. Methods: This research employed a descriptive analytic design with a cross-sectional approach and involved all 61 heads of households as respondents selected through a total sampling method. Data were analyzed using Chi-Square test with a significance level of α = 0.05. Results: Nearly half of the respondents had a moderate level of knowledge (47.5%), a neutral attitude (41.0%), and a low level of stigma (41.0%). There was a significant correlation between the level of knowledge and stigma (p = 0.000), as well as between attitudes and stigma (p = 0.005). Conclusion: This study showed a significant relationship between public knowledge and attitudes toward stigma against people with mental disorders; therefore, enhancing mental health literacy through education and anti-stigma campaigns was considered necessary to promote better understanding and acceptance of individuals with mental illnessBackground: The increasing prevalence of mental disorders continues to be accompanied by a high level of community stigma, which contributes to delayed help-seeking behavior, poor treatment adherence, and a heightened risk of relapse. This study aims to analyze the correlation between the level of knowledge and attitudes with community stigma toward individuals with mental disorders in Kampung Kadongdong RT 002/003, Pasir Nangka Village, Tigaraksa District, Tangerang Regency. Methods: This research employed a descriptive analytic design with a cross-sectional approach and involved all 61 heads of households as respondents selected through a total sampling method. Data were analyzed using Chi-Square test with a significance level of α = 0.05. Results: Nearly half of the respondents had a moderate level of knowledge (47.5%), a neutral attitude (41.0%), and a low level of stigma (41.0%). There was a significant correlation between the level of knowledge and stigma (p = 0.000), as well as between attitudes and stigma (p = 0.005). Conclusion: This study showed a significant relationship between public knowledge and attitudes toward stigma against people with mental disorders; therefore, enhancing mental health literacy through education and anti-stigma campaigns was considered necessary to promote better understanding and acceptance of individuals with mental illness
Pengaruh Posisi Tripod Terhadap Saturasi Oksigen Pada Pasien PPOK Putri, Zahra Adiya; Fadhani, Masyithah
JKM : Jurnal Keperawatan Merdeka Vol 5 No 2 (2025): Jurnal Keperawatan Merdeka
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jkm.v5i2.3505

Abstract

Background: One common manifestation found in COPD patients is decreased oxygen saturation (hypoxemia), especially during episodes of shortness of breath (dyspnea). This condition not only worsens the patient's quality of life but also increases the risk of complications and mortality. In clinical practice, COPD patients often instinctively adopt a forward-leaning sitting posture with hands resting on the knees or a table, known as the tripod position. This position is believed to enhance ventilation efficiency by assisting accessory respiratory muscles such as the pectoralis major and minor to work more optimally, expanding the thoracic cavity, and reducing the workload on the diaphragm. This study aims to determine the effect of the tripod position on oxygen saturation in COPD patients Methods: This research used a pre-experimental, pretest-posttest one-group design. The sample consisted of 14 respondents selected through purposive sampling Data were collected using an observation sheet and standard operating procedures, measuring oxygen saturation with a pulse oximeter before and after the tripod position intervention. Results: Data analysis was conducted using the Paired Sample t-Test. The univariate results showed the mean oxygen saturation before the intervention (pretest) was 89.86%, and after the intervention (posttest), it increased to 92.93%. The bivariate statistical test showed a p-value of 0.001, where p < 0.05. Conclusion: It can be concluded that the tripod position significantly affects oxygen saturation in COPD patients on the 2nd floor of RSU Madina Bukittinggi in 2025. The tripod position has been proven to significantly increase oxygen saturation in COPD patients and is recommended as a simple, cost-effective, and non-pharmacological intervention for managing dyspnea. It can also be used as part of patient education by healthcare professionals.

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