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INDONESIA
Jurnal Keperawatan Profesional (KEPO)
Published by Sarana Ilmu Indonesia
ISSN : 25481940     EISSN : 27468038     DOI : https://doi.org/10.36590/kepo
Core Subject : Health,
Health Professions Nursing
Jurnal Keperawatan Profesional (KEPO) adalah bertujuan untuk memberikan pertukaran forum dan antarmuka antara peneliti dan praktisi terkait di bidang Keperawatan. Jurnal ini hanya menerima artikel dari hasil penelitian asli (prioritas utama), artikel studi kasus (bukan prioritas), dan kajian ilmiah yang baru (bukan referensi). Jurnal KEPO merupakan jurnal ilmiah yang berisi tulisan hasil penelitian dari bidang ilmu keperawatan, seperti keperawatan dasar, medikal bedah, kritis dan gawat darurat, maternitas, jiwa, komunitas, gerontik, dan kesehatan lainnya yang terkait dengan keperawatan.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 156 Documents
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Application of Foot Massage to Hemodynamic Stability in Ventilator-Adjusted Patients Afiffah Arundina Zakarisma; Sri Rahayu
Jurnal Keperawatan Profesional (KEPO) Vol. 7 No. 1 (2026): Volume 7 Nomor 1 Mei 2026
Publisher : Sarana Ilmu Indonesia (salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/kepo.v7i1.1970

Abstract

Critically ill patients undergoing medical care in the ICU experience disruption of the body's physiological regulatory mechanisms, which can lead to hemodynamic instability. Efforts to maintain hemodynamic stability can be managed through pharmacological and non-pharmacological therapy. One form of non-pharmacological intervention that has the potential to affect hemodynamic status in patients treated in the ICU is foot massage. This study was conducted to analyze hemodynamic changes in patients using ventilators after being given a foot massage. This case study was conducted using a descriptive plan. The research subjects consisted of 4 patients using ventilators in the ICU. Foot massage was given for 40 minutes every day for two days, where before the foot massage was given an average systolic blood pressure of 154.0 mmHg. Diastolic 82.38 mmHg, MAP 105.75 mmHg, RR 23.5 beats/min, pulse rate 95.13 beats/min and SpO2 98%. The results of the study after foot massage for 2 days showed an improvement in hemodynamic status after foot massage, which was indicated by an average Systolic 147.38 mmHg, Diastolic 82.25 mmHg, MAP 103.75 mmHg, RR 21.63 beats/min, Pulse 89.88 beats/min, and SpO2 99%. This case study concludes that foot massage provides positive changes in the hemodynamic status of critical patients using ventilators in the ICU.
Factors Associated with Medication Adherence among Patients in the Back-Referral Program (PRB) Ummu Khadijah; Sunandar Said; Mardhatillah Mardhatillah; Pratiwi Ramlan
Jurnal Keperawatan Profesional (KEPO) Vol. 7 No. 1 (2026): Volume 7 Nomor 1 Mei 2026
Publisher : Sarana Ilmu Indonesia (salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/kepo.v7i1.2039

Abstract

Medication adherence among patients with chronic diseases remains a global health problem, characterized by low adherence rates that contribute to increased complications and healthcare costs. In Indonesia, the Referral Back Program (Program Rujuk Balik/PRB) as a chronic disease management strategy was not optimally implemented, including at the UPT Puskesmas Rappang, where adherence levels were still below the target. This study aimed to analyze factors associated with medication adherence among PRB patients at UPT Puskesmas Rappang, Sidenreng Rappang Regency. A quantitative study with a cross-sectional design was conducted. The population consisted of 156 patients, with 112 subjects selected using simple random sampling. Data were collected through questionnaires and analyzed using the Chi-square test with a significance level of p < 0.05. The results showed that knowledge, access to information, and family support were significantly associated with medication adherence among PRB patients, indicating that these factors play an important role in shaping patient adherence behavior. In conclusion, knowledge, access to information, and family support are significantly related to medication adherence among PRB patients. Therefore, it is recommended that health centers improve continuous health education, expand accessible health information, and actively involve families in supporting patient adherence to long-term treatment.
Factors Associated with the Utilization of Queue Services through the National Health Insurance Mobile Application Aliffia Putri Saharani; Sunandar Said; Khaeriyah Adri; Devy Febrianti
Jurnal Keperawatan Profesional (KEPO) Vol. 7 No. 1 (2026): Volume 7 Nomor 1 Mei 2026
Publisher : Sarana Ilmu Indonesia (salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/kepo.v7i1.2040

Abstract

Mobile National Health Insurance (Mobile NHI) is an application that facilitates users in registering, updating, and accessing membership data, obtaining services from primary and referral health facilities, and submitting feedback. This study aimed to analyze the factors associated with the utilization of queue services through the application in the working area of Rappang Public Health Center. This research employed a quantitative method with a cross-sectional approach. The study population consisted of 14,829 visits of National Health Insurance participants, with a sample of 99 subjects determined using the Slovin formula and simple random sampling technique. Data were collected through observation, documentation, and questionnaires that had been tested for validity and reliability. Data analysis was conducted using univariate and bivariate analysis with the Chi-Square test at a significance level of p < 0.05. The results showed that digital literacy, socialization, education level, and age were significantly associated with the utilization of queue services through the Mobile JKN application. It was concluded that the utilization of this service was still not optimal due to limited technological understanding and insufficient dissemination of information. The implications of this study highlighted the need to improve digital literacy, enhance interactive socialization strategies, and develop a more user-friendly application system to optimize the use of digital health services.
Explosion box Based on Scientific approach to Improve Knowledge and Compliance in Consuming Iron Supplements Adisurya Saputra; Taufik Hidayat; Rita Aprianti; Sri Erliani
Jurnal Keperawatan Profesional (KEPO) Vol. 7 No. 1 (2026): Volume 7 Nomor 1 Mei 2026
Publisher : Sarana Ilmu Indonesia (salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/kepo.v7i1.1606

Abstract

One educational tool that can be used to convey health information is the “explosion box”, an interactive learning tool in the form of a layered box that presents material in a visually engaging way. Low adherence to iron supplement intake is often caused by a lack of understanding regarding the importance of preventing anemia. An explosion box based on a scientific approach has the potential to be an effective educational tool because it combines elements of surprise and interactivity to enhance adolescent girls’ knowledge regarding anemia prevention and foster critical thinking. This study aimed to measure the effectiveness of this medium on knowledge and adherence to iron supplement intake among adolescent girls. The method used was a pre-experimental study with a one-group pretest-posttest design. The study subjects consisted of 37 adolescent girls, selected using total sampling. The results showed a significant increase in knowledge (p-value <0.001) and adherence (p-value 0.003) following the intervention using the explosion box based on a scientific approach. Thus, this medium proved effective in improving knowledge and adherence to iron supplement consumption among adolescent girls. An “explosion box” based on a scientific approach was expected to serve as an educational resource in efforts to prevent anemia among adolescent girls.
Development of 'NutriFit Teen' Mobile Application on Adolescent Knowledge of Chronic Energy Deficiency (CED) Risk Septian Mugi Rahayu; Eva Priskila; Adisurya Saputra
Jurnal Keperawatan Profesional (KEPO) Vol. 7 No. 1 (2026): Volume 7 Nomor 1 Mei 2026
Publisher : Sarana Ilmu Indonesia (salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/kepo.v7i1.1622

Abstract

Chronic Energy Deficiency (CED) in adolescent girls has long-term effects on growth, reproductive health, and future productivity. Low knowledge of CED among adolescents is one of the main causes of this condition. The use of digital technology, particularly mobile applications, offers great potential for effectively improving adolescent nutrition literacy. This study aimed to develop and evaluate the effectiveness of the educational application "NutriFit Teen" in increasing adolescents' knowledge about the risks of CED. The design used was a quasi-experiment with a pretest and posttest approach with a control group. A total of 40 female adolescents aged 15–18 years were divided into two groups: intervention (n=20) and control (n=20). The instrument used was a questionnaire on KEK knowledge that had been tested for validity and reliability. The application was developed participatively and contains interactive information and daily reminders. Data analysis was performed using the Wilcoxon test. The results showed a significant increase in knowledge scores in the intervention group after using the application (p-value < 0.001). This study concluded that the “NutriFit Teen” application is effective in increasing adolescents' knowledge about the risks of KEK.
Toxic Parenting and Mental Health Among Adolescents Suci Anggriani Albakir; Ridha Hafid; Siti Hajar Salawali
Jurnal Keperawatan Profesional (KEPO) Vol. 7 No. 1 (2026): Volume 7 Nomor 1 Mei 2026
Publisher : Sarana Ilmu Indonesia (salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/kepo.v7i1.1782

Abstract

Adolescence is a transitional period that is vulnerable to various emotional and psychological changes, requiring a healthy family environment. One factor influencing adolescents’ mental health is parental parenting style. Toxic parenting is a negative parenting practice that can adversely affect adolescents' psychological well-being. This study aimed to examine the relationship between toxic parenting and mental health among adolescents at SMP Negeri 1 Limboto. The research used a quantitative approach with a cross sectional design and involved 82 subjects selected through proportional random sampling techniques.  The characteristics of subjects include age, gender, class, parents' marital status, parents' education, parents' occupation, parents' income, and history of bullying. The research instruments included a toxic parenting questionnaire and the Strengths and Difficulties Questionnaire (SDQ). The results showed that most teenagers experienced moderate levels of toxic parenting (65.9%) and had mental health in the borderline category (48.8%). The results of the Chi-square test showed that there was a significant relationship between toxic parenting and adolescent mental health at SMP Negeri 1 Limboto with a Pearson Chi-Square value of 12.551 and a p-value of 0.002 (<0.05). In conclusion, toxic parenting was associated with adolescent mental health, and parents should adopt positive parenting and open communication.
Perception of Diabetic Patients Toward the Risk of Diabetic Foot Ulcers Sri Mulyati Rahayu Rahayu; Vina Vitniawati; Ali Hamzah
Jurnal Keperawatan Profesional (KEPO) Vol. 7 No. 1 (2026): Volume 7 Nomor 1 Mei 2026
Publisher : Sarana Ilmu Indonesia (salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/kepo.v7i1.1847

Abstract

The increasing prevalence of Diabetes Mellitus in Indonesia raises concerns about long-term complications such as diabetic foot ulcers, which can lead to amputation, disability, and reduced productivity and quality of life. Despite the availability of health education and promotive-preventive services, 79.1% of Diabetes Mellitus patients have poor foot care practices. Therefore, this study aimed to analyze Diabetes Mellitus patients' perceptions of the risk of diabetic foot ulcers. The method used was descriptive phenomenological, through in-depth interviews and focus group discussions. The sampling technique used purposive sampling until data saturation was achieved. The sample size was 15 DM patients, and the research locations were Riung Bandung Community Health Center and Bandung City Hospital. Data were analyzed using the Colaizzi method. The results showed a negative emotional response at the initial diagnosis that developed into acceptance through family and spiritual support. The perception of diabetic foot ulcers was the most frightening, affecting independence. Preventive behavior was influenced by knowledge, experience, fear of amputation, and access to education. In conclusion, patients perceive diabetic foot ulcers as dangerous, difficult to heal, at risk of infection, and even leading to amputation. Patients' recommendations call for concrete, empathetic, interactive, and ongoing education from healthcare professionals.
Combined Foot Care and Motivational Interviewing in Preventing Diabetic Foot Ulcers Vina Vitniawati; Tuti Suprapti
Jurnal Keperawatan Profesional (KEPO) Vol. 7 No. 1 (2026): Volume 7 Nomor 1 Mei 2026
Publisher : Sarana Ilmu Indonesia (salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/kepo.v7i1.1858

Abstract

Type II diabetes mellitus is a chronic metabolic disease with increasing prevalence and a high risk of Diabetic Foot Ulcers, leading to morbidity, amputation, and reduced quality of life. Prevention requires proper foot care and continuous education, yet low patient knowledge and motivation remain major barriers. Motivational Interviewing may improve patient motivation and adherence to self-care. This study aimed to evaluate the effectiveness of combining foot care education and Motivational Interviewing in patients with type II diabetes mellitus. A quasi-experimental pretest-posttest design without a control group was conducted among 15 participants of the Chronic Disease Management Program at Riung Bandung Community Health Center for three months. Interventions included face-to-face education, foot care practice, and motivational counseling. Outcomes were assessed using Diabetic Foot Ulcer risk scores, knowledge, and adherence instruments. The results demonstrated a significant improvement in patient knowledge, but no significant changes in adherence or Diabetic Foot Ulcer risk. The intervention enhanced patients’ understanding of diabetes complication prevention; however, behavioral and clinical outcomes remained unchanged. Future studies should apply longer interventions, involve family support, and include larger samples with control groups.
Hydrocolloid Dressing on Wound Healing in Patients with Diabetes Mellitus Ade Tika Herawati; Dede Nuraziz Muslim
Jurnal Keperawatan Profesional (KEPO) Vol. 7 No. 1 (2026): Volume 7 Nomor 1 Mei 2026
Publisher : Sarana Ilmu Indonesia (salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/kepo.v7i1.1869

Abstract

Diabetes Mellitus (DM) was a chronic disease whose prevalence continues to increase globally, including in Indonesia. In West Java Province, based on data from the Health Office, the number of DM sufferers has increased significantly in recent years. DM patients in West Java experience complications ranging from 15% to 20%. In 2019, Sukabumi Regency recorded 148,447 DM sufferers, while Bandung Regency recorded 45,412 people. The purpose of this study was to determine the effectiveness of Hydrocolloid administration on wound healing. The method used was pre-experimental with pretest-posttest without a control group. The research subjects were DM patients with wounds who visited the nursing home. The sampling technique used was purposive sampling with inclusion and exclusion criteria. The instrument used was the Bates Jensen Wound Assessment Tools (BWAT) which was measured 4 times over 2 weeks. Wound healing data was analyzed using a statistical test: t-test to see the effectiveness of Hydrocolloid dressing wound healing. Results: p-value < 0.05 showed that the administration of Hydrocolloid was proven to be effective in healing wounds in Diabetes Mellitus patients. Suggestion: Seeing the effectiveness of Hydrocolloid dressing in Diabetes Mellitus patients, it was recommended for wound nurses to provide Hydrocolloid as a dressing on wounds to accelerate wound healing.
Warm Water Foot Soaking Therapy in Improving Ankle Brachial Index (ABI) in Patients with Type 2 Diabetes Mellitus: A Case Study Dhuma Aza Alwintara; Okti Sri Purwanti
Jurnal Keperawatan Profesional (KEPO) Vol. 7 No. 1 (2026): Volume 7 Nomor 1 Mei 2026
Publisher : Sarana Ilmu Indonesia (salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/kepo.v7i1.1932

Abstract

Type 2 Diabetes Mellitus (DM) could lead to peripheral vascular complications, one of which was Peripheral Arterial Disease (PAD), which could be assessed using the Ankle Brachial Index (ABI). A decrease in ABI increased the risk of diabetic foot ulcers and amputation. The aim of this study was to evaluate changes in ABI values after the intervention of warm water foot soaking therapy in patients with type 2 DM. The study design used a descriptive case study conducted on two patients with type 2 DM. ABI was measured before and after routine warm water foot soaking therapy was administered. Both patients showed an increase in ABI values of 0.2, from the category of moderate circulation impairment to normal, indicating an improvement in peripheral perfusion. Warm water foot soaking therapy was shown to have the potential to increase ABI in patients with type 2 DM as a simple and safe non-pharmacological intervention. Further studies with larger sample sizes are needed to confirm the effectiveness and generalizability of the results.

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