Jurnal Keperawatan Merdeka
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.
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150 Documents
<![CDATA[Pengetahuan Dan Sikap Remaja Putri Terhadap Perilaku Sadari Sebagai Deteksi Dini Kanker Payudara ]]>
<![CDATA[Jaya, Herawati]]>;
<![CDATA[Rosnani, Rosnani]]>;
<![CDATA[Ningsih, Ratna]]>
<![CDATA[ JKM : Jurnal Keperawatan Merdeka Vol 5 No 2 (2025): Jurnal Keperawatan Merdeka ]]>
Publisher : <![CDATA[Jurusan Keperawatan, Poltekkes Kemenkes Palembang ]]>
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DOI: 10.36086/jkm.v5i2.3510
<![CDATA[Background: Adolescence is a transitional period characterized by rapid physical, psychological, and intellectual growth and development, making adolescents vulnerable to reproductive health problems. One non-communicable disease in adolescents that increases annually is breast cancer. This study aims to determine the knowledge and attitudes of adolescent girls regarding breast self-examination (SADARI) as an early detection of breast cancer. By conducting a SADARI examination, immediate action can be taken if abnormalities are found. Method: This study used an observational, analytic, cross-sectional design. The sample was selected using a purposive sampling technique. The total sample size was 33 respondents. Data were analyzed using univariate and bivariate analysis. Results: After data processing, the results showed a significant relationship between knowledge (p-value = 0.002 (p<0.05) and attitude (p-value = 0.000 (p<0.05) and SADARI behavior. Conclusion: There is a relationship between adolescent girls' knowledge and attitudes and SADARI behavior as an early detection of breast cancer.]]>
<![CDATA[Efektivitas Pemberian Air Rebusan Bawang Putih Terhadap Tekanan Darah Pada Lansia Penderita Hipertensi ]]>
<![CDATA[Imelda Erman]]>;
<![CDATA[Desy Ramadhani]]>;
<![CDATA[Indra Febriani]]>;
<![CDATA[Ari Athiutama]]>;
<![CDATA[Sumitro Adi Putra]]>
<![CDATA[ JKM : Jurnal Keperawatan Merdeka Vol 5 No 2 (2025): Jurnal Keperawatan Merdeka ]]>
Publisher : <![CDATA[Jurusan Keperawatan, Poltekkes Kemenkes Palembang ]]>
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DOI: 10.36086/jkm.v5i2.3514
<![CDATA[Background: Old age is a phase of decline in intellectual and physical abilities, and experiencing structural and functional damage to the large arteries that carry blood away from the heart causes more severe hardening of the arteries and high blood pressure. Hypertension is a condition in which a person experiences an increase in blood pressure above normal which results in an increase in morbidity and mortality The purpose of this study was to determine the effectiveness of giving garlic boiled water on blood pressure in the elderly. Methods: This study uses a quasi-experimental research design with a non-equivalent control group design. The sampling technique in this study was non-porbality sampling with a purposive sampling approach. With a sample of 15 respondents in the intervention group and 15 respondents in the control group. Analysis of the data in this study used the Mann Withney U statistical test. Results: Based on the results of the analysis using the Mann Withney U parametric test, the average blood pressure before and after administration of garlic boiled water with p Value = 0.000 for systolic blood pressure and p Value = 0.002 for diastolic blood pressure., where the p value of systolic and diastolic blood pressure is smaller than the value of (0.05) which means that there is a significant effect between the administration of garlic boiled water and systolic and diastolic blood pressure. Conclusion: There is a significant difference in the average blood pressure before and after giving garlic boiled water. The results of this study can be input for the caretaker of the elderly social institution, our hope in overcoming high blood pressure in the elderly with hypertension.]]>
<![CDATA[Implementasi Manajemen Peningkatan Tekanan Intrakranial Pada Pasien Cidera Kepala Sedang Dengan Masalah Risiko Perfusi Serebral Tidak Efektif ]]>
<![CDATA[Sulistini, Rumentalia]]>;
<![CDATA[Winda, Sri Nur]]>;
<![CDATA[Susanti, Eva]]>
<![CDATA[ JKM : Jurnal Keperawatan Merdeka Vol 5 No 2 (2025): Jurnal Keperawatan Merdeka ]]>
Publisher : <![CDATA[Jurusan Keperawatan, Poltekkes Kemenkes Palembang ]]>
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DOI: 10.36086/jkm.v5i2.3517
<![CDATA[Background: Head injury is a traumatic disorder of brain function accompanied or without interstitial bleeding in the brain substance without being followed by a break in brain continuity, as a result of head injury the patient can experience physical and psychological changes. The nursing problem that arises is the risk of ineffective cerebral perfusion. Objective: The purpose of this case study is to obtain an overview of the implementation of management of increased intracranial pressure in patients with moderate head injury with the problem of the risk of ineffective cerebral perfusion. Method: The writing design uses a descriptive method in the form of a case study. nursing care approach consisting of assessment, nursing diagnosis, planning, implementation, evaluation, and nursing documentation. The research subjects consisted of 4 patients at the Hospital with. Results: The implementation of management of increased intracranial pressure in head injury patients was carried out with observation, therapeutic, educational and collaborative actions. Evaluation of these actions showed good results, by describing the patient in a stable condition. Conclusion Actions in ICT Improvement Management are expected to pay attention to teamwork and collaboration actions]]>
<![CDATA[Implementasi Keperawatan Silent Treatment Pada Pasien Skizofrenia Dengan Resiko Perilaku Kekerasan ]]>
<![CDATA[Pastari, Marta]]>;
<![CDATA[Martini, Sri]]>;
<![CDATA[Sumastri, Heni]]>;
<![CDATA[Athiutama, Ari]]>;
<![CDATA[Febriani, Indra]]>;
<![CDATA[Aguscik, Aguscik]]>;
<![CDATA[Prasetyo, Bagas]]>
<![CDATA[ JKM : Jurnal Keperawatan Merdeka Vol 5 No 2 (2025): Jurnal Keperawatan Merdeka ]]>
Publisher : <![CDATA[Jurusan Keperawatan, Poltekkes Kemenkes Palembang ]]>
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DOI: 10.36086/jkm.v5i2.3518
<![CDATA[Background: Risk Violent behavior is a type of risky behavior directed towards oneself, others, or the environment. Aggressive behavior towards oneself can lead to self-harm actions up to suicide or neglecting oneself in the form of self-neglect. Violence against others is an act of aggression with the intent to cause harm or make others suffer. Objective: To describe the implementation of behavioral therapy in patients with schizophrenia who have issues with violent behavior risk. Method: Method In this study, the author uses a descriptive method where the researcher will describe the implementation of behavioral therapy at Ernaldi Bahar Hospital in South Sumatra Province. Results: The implementation of behavioral therapy on schizophrenia patients with a risk of violent behavior can be carried out well according to the established plan. The researchers evaluated the four patients and found that the implementation of behavioral therapy could help the patients control feelings of annoyance and anger, making them calmer and less prone to quick emotional outbursts, thereby reducing the symptoms of violent behavior risk experienced by the patients. Conclusion: The researcher hopes that the patients can maintain and implement what has been taught to them on how to control the risk of violent behavior through behavioral therapy. The researcher also hopes for the involvement of the patient's family in helping the patient control the risk of violent behavior by reminding or motivating the patient not to stop taking medication.]]>
<![CDATA[Inovasi Media Kantong Bilangan Untuk Peningkatan Kognitif Anak Usia Dini Berkebutuhan Khusus ]]>
<![CDATA[Oktaviani, Eva]]>;
<![CDATA[Ridawati, Indah Dewi]]>;
<![CDATA[Ratika, Rima]]>
<![CDATA[ JKM : Jurnal Keperawatan Merdeka Vol 5 No 2 (2025): Jurnal Keperawatan Merdeka ]]>
Publisher : <![CDATA[Jurusan Keperawatan, Poltekkes Kemenkes Palembang ]]>
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DOI: 10.36086/jkm.v5i2.3546
<![CDATA[Latar belakang: Anak berkebutuhan khusus (ABK) usia dini memiliki kerentanan tinggi terhadap keterlambatan perkembangan, terutama pada aspek kognitif dan sosial. Salah satu upaya stimulasi yang dapat digunakan adalah melalui media kantong bilangan, yang berfungsi melatih pengenalan angka dan warna sekaligus meningkatkan interaksi sosial. Tujuan: Penelitian ini bertujuan untuk mendeskripsikan penggunaan inovasi media kantong bilangan untuk meningkatkan kemampuan kognitif anak usia dini berkebutuhan khusus di TK Uswatun Hasanah Kota Lubuklinggau. Metode: Penelitian menggunakan pendekatan studi kasus terhadap dua anak usia dini berkebutuhan khusus. Data dikumpulkan melalui observasi, wawancara, dan checklist evaluasi perkembangan selama tiga hari pada Juni 2025. Hasil: Hasil menunjukkan bahwa subjek I (ASD dan speech delay) mengalami peningkatan dari kemampuan mengenal angka 1–3 menjadi 1–7, serta mampu menyebutkan tujuh warna dasar, dengan perbaikan kontak mata dan interaksi sosial. Subjek II (ADHD dan ASD) pada awalnya hanya menyentuh angka secara acak, namun setelah intervensi mampu mengurutkan angka 1–5 dengan arahan, mengenali enam warna dasar, serta menunjukkan kemampuan duduk tenang dan mengikuti instruksi sederhana. Kesimpulan: Penggunaan media kantong bilangan berpotensi menstimulasi perkembangan kognitif dan sosial pada ABK usia dini, sehingga dapat mengurangi risiko keterlambatan. Media ini relevan untuk diterapkan di sekolah inklusi dan memerlukan penerapan konsisten agar hasil lebih optimal.]]>
<![CDATA[Hubungan Tingkat Pengetahuan Dengan Upaya Pencegahan Diabetes Pada Remaja Awal ]]>
<![CDATA[Niken Ayu Pratiwi]]>;
<![CDATA[Syeptri Agiani Putri]]>;
<![CDATA[Masrina Munawarah Tampubolon]]>
<![CDATA[ JKM : Jurnal Keperawatan Merdeka Vol 6 No 1 (2026): Jurnal Keperawatan Merdeka ]]>
Publisher : <![CDATA[Jurusan Keperawatan, Poltekkes Kemenkes Palembang ]]>
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DOI: 10.36086/jkm.v6i1.3275
<![CDATA[Background: The prevalence of type 2 diabetes mellitus among early adolescents has shown an increasing global trend, including in Indonesia. This condition is closely associated with unhealthy lifestyle changes and a lack of awareness regarding preventive efforts. A low level of knowledge has been identified as one of the barriers to developing effective preventive behaviors. Objective: This study aimed to determine the relationship between the level of knowledge and diabetes prevention efforts among early adolescents. Methods: A quantitative approach with a cross-sectional design was employed, involving 376 respondents from three junior high schools in Pekanbaru City, selected through proportional purposive sampling. Bivariate analysis was performed using the chi-square test, Results: The majority of respondents demonstrated a moderate level of knowledge (56.6%) and a moderate level of preventive efforts (50.3%). The chi-square test results indicated a significant relationship between knowledge level and type 2 diabetes prevention efforts (p-value = 0.000). Conclusion: These findings suggest a significant association between adolescents' knowledge levels and their efforts to prevent type 2 diabetes.]]>
<![CDATA[Inovasi Media Edukasi: Kipas Cantik Sebagai Alat Meningkatkan Pengetahuan Pasien Diabetes ]]>
<![CDATA[Wella Juartika]]>;
<![CDATA[Jhon Feri]]>;
<![CDATA[Lyara Herniva Yudistira]]>;
<![CDATA[Syindi Fradila]]>;
<![CDATA[Tandika Ap Rais]]>
<![CDATA[ JKM : Jurnal Keperawatan Merdeka Vol 6 No 1 (2026): Jurnal Keperawatan Merdeka ]]>
Publisher : <![CDATA[Jurusan Keperawatan, Poltekkes Kemenkes Palembang ]]>
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DOI: 10.36086/jkm.v6i1.3560
<![CDATA[Background: Diabetes mellitus is a chronic disease that requires continuous education to enable patients to manage their condition independently. One innovative educational medium that can be used is the “educational beauty fan”, which combines health information in an attractive and easy-to-understand format. This study aims to determine the effect of using the educational beauty fan on improving patients’ knowledge about diabetes mellitus. Methods: This study employed a pre-experimental design with a one-group pretest-posttest approach. The sample consisted of 50 diabetes mellitus patients selected using a purposive sampling technique. The intervention involved providing education using the educational beauty fan in a single 30-minute session. Data were collected using a diabetes knowledge questionnaire administered before and after the educational intervention and analyzed using the Wilcoxon Signed Rank Test. Results: The results showed a significant increase in patients’ knowledge levels after the educational intervention using the educational beauty fan (p < 0.05). Before the intervention, most respondents had low knowledge levels (70%), which increased to 86.7% having high knowledge levels after the intervention. The majority of respondents stated that the educational beauty fan helped them understand the information more attractively and memorably. Conclusion: The use of the educational beauty fan is effective in improving patients’ knowledge about diabetes mellitus and can serve as an alternative educational medium in nursing services.]]>
<![CDATA[Intervensi Keperawatan Non Farmakologis Kompres Hangat Pada Klien Dengan Nyeri Akut Gastritis ]]>
<![CDATA[Putri Wulandini]]>;
<![CDATA[Fannisa Fannisa]]>;
<![CDATA[Tria Monja Madira]]>
<![CDATA[ JKM : Jurnal Keperawatan Merdeka Vol 6 No 1 (2026): Jurnal Keperawatan Merdeka ]]>
Publisher : <![CDATA[Jurusan Keperawatan, Poltekkes Kemenkes Palembang ]]>
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DOI: 10.36086/jkm.v6i1.3611
<![CDATA[Background: Gastritis is an inflammatory condition of the stomach wall, which is caused by irritation of the stomach mucosa and bacterial infections such as Helicobacteri pylory. Bacteria come from contaminated food and drinks. Gastritis causes pain in the sufferer's stomach. Gastritis pain is different for each individual depending on the pain threshold of the sufferer. This pain arises naturally and is something physical or mental. Non-pharmacological measures taken to reduce gastritis pain are with warm compresses. The aim of research on warm compresses is to reduce pain in gastritis patients. The research Method was a case study and was carried out on April 19-21 2025. The subjects in this study were two patients suffering from gastritis, namely 29 years and 56 years. This warm compress is given for 3 days for approximately 15 minutes. The results of the case study showed a decrease in the level of pain after applying a warm compress with a decrease in the moderate pain scale (5-6) to a mild pain scale (0-2). Conclusion: These results show that giving warm compresses is very effective in reducing pain levels in gastritis patients. Applying warm compresses can be an effective and easy way to treat pain in gastritis patients.]]>
<![CDATA[Gangguan Sistem Pencernaan: Diare pada Balita Dengan Terapi Pemberian Oralit ]]>
<![CDATA[Delima Ayu Sari]]>;
<![CDATA[Fitri Afdhal]]>;
<![CDATA[Ria Wulandari]]>;
<![CDATA[Alvian Harisandy]]>
<![CDATA[ JKM : Jurnal Keperawatan Merdeka Vol 6 No 1 (2026): Jurnal Keperawatan Merdeka ]]>
Publisher : <![CDATA[Jurusan Keperawatan, Poltekkes Kemenkes Palembang ]]>
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DOI: 10.36086/jkm.v6i1.3632
<![CDATA[Background: Diarrhea is a condition of defecating more frequently than usual with a liquid stool texture accompanied by blood and mucus. Common causes of diarrhea come from contaminated food or water. Carried out to implement nursing care for patients with digestive system disorders: Diarrhea with hypovolemia problems. The purpose of this study is to describe the implementation of comprehensive nursing care for children diagnosed with diarrhea at Bhayangkara Mohamad Hasan Hospital, Palembang. Method: The study used a descriptive method with a case study approach and intervention of oral rehydration salts, subjects in case studies on both patients. Data collection techniques include interviews, observation, physical examination, and documentation. Results: In the assessment carried out on patient 1 with complaints of the patient saying defecating more than 3 times a day with a nursing diagnosis of hypovolemia, after 3 days of intervention of oral rehydration salts and implementation of SLKI and SIKI the problem was resolved. Conclusion: Oral rehydration salts are very effective for patients with fluid deficiency as a replacement for lost body fluids.]]>
<![CDATA[Tekanan Darah Sebagai Indikator Klinis Kecepatan Pemulihan Kesadaran Setelah Anestesi Umum ]]>
<![CDATA[Aric Frendi Andriyan]]>;
<![CDATA[Ikshan Amran]]>;
<![CDATA[Leo Agustigno]]>;
<![CDATA[Dewi Frendi Siska]]>;
<![CDATA[Donna Handayani]]>
<![CDATA[ JKM : Jurnal Keperawatan Merdeka Vol 6 No 1 (2026): Jurnal Keperawatan Merdeka ]]>
Publisher : <![CDATA[Jurusan Keperawatan, Poltekkes Kemenkes Palembang ]]>
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DOI: 10.36086/jkm.v6i1.3704
<![CDATA[Background: Delayed emergence from anesthesia is an undesirable event in anesthetic practice. One of the contributing factors is the patient’s blood pressure. Abnormal blood pressure can interfere with the elimination of anesthetic agents, potentially prolonging the time to regain consciousness. This study aims to determine the relationship between postoperative blood pressure and emergence time in patients undergoing general anesthesia at RSI Siti Rahmah Padang. Methods: This study was an analytical observational research with a cross-sectional design. Data were collected at RSI Siti Rahmah Padang from November 1, 2023 to January 11, 2024 using the Aldrete Score observation sheet. A total of 66 respondents were selected using purposive sampling, Results: The results showed that 27.3% of patients were aged 36–45 years, 59.1% were female, and 56.1% had ASA I status. Additionally, 47% of patients had normal blood pressure, and 59.1% did not experience prolonged emergence time. A significant relationship was found between postoperative blood pressure and emergence time in patients undergoing general anesthesia (p = 0.000). Conclusion: There is a significant relationship between postoperative blood pressure and emergence time among patients receiving general anesthesia at RSI Siti Rahmah Padang.]]>
