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Citra Delima Scientific journal of Citra Internasional Institute
Published by Institut Citra Internasional
ISSN : 20872240     EISSN : 26550792     DOI : https://doi.org/10.33862/citradelima.v7i1.344
Core Subject : Health,
Health Professions Nursing Public Health
Citra Delima Scientific journal of Citra Internasional Institute is a national-scale journal that covers science studies in various health fields (Nursing, Midwifery, and Health Profesional). Citra Delima Scientific journal of Citra Internasional Institute is a scientific journal as a forum for academics and practitioners to put forth the results of scientific work, both quantitative and qualitative. Citra Delima Journal published by Institut Citra International. Citra Delima Scientific journal of Citra Internasional Institute was first published in July 2018 with two publications in a year, which is January and July. The editor receives empirical research articles and studies in the fields of Nursing, Midwifery, and Health Profession. The consistency and quality of scientific work are expected to be able to improve the quality of education in the future. Objectives of Citra Delima Scientific journal of Citra Internasional Institute Support the Development and Enhancement of Health Degrees in theory and practice in Indonesia with integrated and critical research results. Citra Delima Scientific journal of Citra Internasional Institute is registered by the Indonesian Institute of Sciences: Center for Scientific Information and Documentation with e-ISSN: 2655-0792 / p-ISSN: 2087-2240, DOI Prefix: 10.33862 Articles submitted by the author have not been published elsewhere (except in abstract form or as part of published lectures, reviews, or theses) and are not currently under consideration for publication elsewhere. The author submitting is responsible for ensuring that the publication of the article has been approved by all other authors. In accordance with the provisions, items that were previously published and are being considered for publication in other places are not acceptable.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 230 Documents
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Diabetes Self-Care Management Among the Elderly in Rural Areas Vitaliati, Trisna; Irwina Angelia Silvanasari; Nurul Maurida; Achmad Ali Basri
Citra Delima Scientific journal of Citra Internasional Institute Vol. 9 No. 1 (2025): Citra Delima Scientific journal of Citra Internasional Institute
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/citradelima.v9i1.518

Abstract

Diabetes mellitus is susceptible to being experienced by the elderly because of physiological changes caused by the aging process. Diabetes mellitus will accompany the sufferer for life, so the elderly must be able to carry out diabetes self-care management to optimize metabolic control and prevent diabetes complications. In implementing diabetes self-care, this management will certainly be influenced by the characteristics of the sufferer. This study aims to explore the characteristics of elderly with diabetes mellitus in managing their diabetes self-care management in rural areas. The quantitative descriptive research method, with a cross-sectional approach, was carried out among 100 elderly with diabetes mellitus utilizing the purposive sampling method. This research instrument uses The Summary of Diabetes Mellitus Activities. Univariate analysis was performed using frequency distribution. The results of this study show that 57% of the elderly in rural areas had poor diabetes self-care management. Ususally related to the characteristics of the elderly with diabetes mellitus which can influence treatment in managing the disease.This study concludes that there are still elderly people who do not carry out diabetes self-care management independently in their daily lives. This research emphasizes the need for knowledge and awareness to be provided in rural areas regarding Diabetes self-care management. Structured programs need to be designed to improve the behavior of the elderly to promote better adherence to diet, exercise, medication adherence, and proper foot care.
Education On Providing Balanced Nutrition Towards the Level of Knowledge Of Mothers Of Stunting Toddlers sari, ria setia; Nur Haliza
Citra Delima Scientific journal of Citra Internasional Institute Vol. 9 No. 1 (2025): Citra Delima Scientific journal of Citra Internasional Institute
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/citradelima.v9i1.545

Abstract

Providing balanced nutrition for stunted toddlers. Mothers' knowledge about balanced nutrition is very much needed. Obtaining data from 116 stunted toddlers in February 2024, the health center has implemented a series of government programs. It has decreased from before but is still trying to reduce the number of stunting in the Rajeg Health Center area, and there is still a lack of knowledge of mothers about handling balanced nutrition. The purpose of this study was to determine whether or not there was an effect of balanced nutrition education on the level of knowledge of mothers of stunted toddlers. The research design used a quantitative research type with the Pre-Experimental Designs method using the One group pretest posttest design, and statistical analysis using the Wilcoxon test. Sampling technique: Using a non-probability sampling technique with a purposive sampling method, the number of samples was 54 respondents calculated using the Slovin formula. The results in this study were obtained in the Pre-test level of mother's knowledge with good knowledge 6 (11.1%), sufficient knowledge 11 (20.4%), and poor knowledge 37 (68.5%). While the post-test good knowledge 47 (87.0%), sufficient knowledge and 7 (13.0%) poor knowledge. Conclusion: there is a significant influence between balanced nutrition education and the level of knowledge of mothers of stunted toddlers.
The Benefits Of Mental Health Promotion In School Environments On Improving Emotional Well-Being In Adolescents Dumar, Bergita; Nur Fitriah Jumatrin; Sri Yulian Hunowu; Ida Wahyuni; Dedi Krismiadi
Citra Delima Scientific journal of Citra Internasional Institute Vol. 9 No. 1 (2025): Citra Delima Scientific journal of Citra Internasional Institute
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/citradelima.v9i1.557

Abstract

Adolescents are an age group that experiences puberty which is marked by physical and psychological changes. The demands of facing challenges during this period can affect the emotional well-being of adolescents. Improving emotional well-being in adolescents can involve the role of schools because in general adolescents will spend more time at school with their peers. Schools are considered to be the right place to promote mental health. This study aims to see the benefits of mental health promotion in the school environment on improving emotional well-being in adolescents. This study is a quasi-experimental study with a control group pre-posttest design. The sampling technique used Stratified Random Sampling with a total sample of 70 adolescents aged 15-18 years from one of the Senior High Schools (SMA) in East Kolaka Regency, Southeast Sulawesi. Assessments related to emotional well-being were assessed using the Strengths and Difficulties Questionnaire (SDQ). There was a significant difference between the pre-test and post-test after mental health promotion in the school environment on improving emotional well-being by showing a p-value <0.005. The results of the study indicate that mental health promotion in the school environment has a significant effect on improving emotional well-being in adolescents. Due to the great benefits of mental health promotion, it is highly recommended for schools to integrate mental health promotion into school activities to improve emotional well-being in adolescents.
Relationship of Husband's Assistance to the Level of Mother's Anxiety in the Active Phase of the First Stage of Normal Labor Process Matorang, Moh Wafri; Nurwahita
Citra Delima Scientific journal of Citra Internasional Institute Vol. 9 No. 1 (2025): Citra Delima Scientific journal of Citra Internasional Institute
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/citradelima.v9i1.569

Abstract

Spontaneous labor that is low-risk during the early phase often remains so throughout the process. Anxiety, defined as an unclear fear not based on the situation, commonly affects mothers during childbirth. Support from a husband can significantly reduce this anxiety, helping mothers feel more at ease. This study aimed to determine the relationship between husband’s assistance and maternal anxiety levels during the active phase of the first stage of normal labor at Makassar City Hospital. This research used an observational analytic design with a cross-sectional approach. The sample consisted of 60 mothers who had normal deliveries at Makassar City Hospital in December, selected through accidental sampling. Data was collected using questionnaires and analyzed with the chi-square test. The results showed that husband or family assistance with moderate maternal anxiety was reported by 53 respondents (88.3%). Good assistance was associated with severe anxiety in only 2 respondents (3.3%), while adequate assistance with moderate anxiety was seen in 3 respondents (5.0%). Limited assistance with moderate anxiety was reported by 2 respondents (3.3%).The p-value obtained was 0.003, indicating statistical significance (p < 0.05), which leads to the conclusion that there is a significant relationship between husband’s assistance and maternal anxiety levels in the active phase of the first stage of labor.Thus, it can be concluded that the presence and support of a husband during labor can play a crucial role in reducing maternal anxiety during childbirth at Makassar City Hospital.
The Effect of Warm Blankets on Body Temperature in Hypothermic Post-Caesarean Patients Umifa, Kaslinda Nur Umifa; Abdur Rahim; Merisdawati MR
Citra Delima Scientific journal of Citra Internasional Institute Vol. 9 No. 1 (2025): Citra Delima Scientific journal of Citra Internasional Institute
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/citradelima.v9i1.571

Abstract

Hypothermia is one of the disorders that often occurs in post-operative patients, hypothermia is a condition when body temperature drops to below 36.5oC. One type of surgery that often experiences hypothermia is a cesarean section (CS) which is caused by the use of anesthetic drugs that can suppress the rate of oxidative metabolism, thereby reducing metabolic heat production. One method that can be given to overcome hypothermia is by providing a regular blanket, but with the development of technology, non-pharmacological methods that can be developed are by providing a blanket warmers. The purpose of this study aims to determine the effect of giving blanket warmers on increasing body temperature in post caesarean section (CS) patients. This study was a quasi-experimental design with one group pretest-posttest. The research subjects included hypothermic post caesarean section (CS) patients with SAB anesthesia at Hospital Dr. Mohamad Soewandhi Surabaya. Sample selection was carried out using the total sampling technique with a sample size of 33 respondents. The results demonstrate that a 30-minute application of a blanket warmer significantly increased body temperature in postoperative patients under spinal anesthesia (p = 0.000). This supports the effectiveness of external warming in managing hypothermia, a common complication of spinal anesthesia, and highlights its clinical relevance in improving postoperative thermal stability.
Storytelling-Based Nursing Communication During Hospitalization: Its Impact On Anxiety And Influencing Factors In Preschool Children: A Systematic Review Suraya, Citra; Aris Citra Wisuda; Tukimin bin Sansuwito; Regidor III Dioso; Dian Emiliasari
Citra Delima Scientific journal of Citra Internasional Institute Vol. 9 No. 1 (2025): Citra Delima Scientific journal of Citra Internasional Institute
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/citradelima.v9i1.574

Abstract

Hospitalization often triggers anxiety in preschool children due to unfamiliar environments, parental separation, and invasive procedures. Storytelling-based nursing communication has shown promise as an effective intervention to reduce this anxiety. This systematic review explores the effectiveness and influencing factors of hospitalization anxiety in children aged 3–6 years. Literature was searched from PubMed, Scopus, ScienceDirect, and Google Scholar for studies published between 2020 and 2025. Nine experimental or quasi-experimental studies from Indonesia, Iran, Brazil, Italy, and Turkey met the inclusion criteria, all involving nurse-led storytelling interventions. Most studies reported significant reductions in anxiety. Key influencing factors included age, length of stay, hospitalization history, parental presence, and storytelling methods. The intervention consistently enhanced emotional comfort, reduced fear, and strengthened nurse-child interaction. In conclusion, storytelling is an effective non-pharmacological strategy to reduce hospitalization anxiety in preschool children and supports child-centered nursing care when tailored to the child’s developmental stage, experiences, parental involvement, and cultural context.
Supportive Educative System Intervention Based On The Integration Of Self Care And Family Centered Nursing Model On Family Support In Improving The Nutritional Status Of Tuberculosis Patients weti; Fatsiwi Nunik Andari; Liza Fitri Lina; Bintang Agustina Pratiwi
Citra Delima Scientific journal of Citra Internasional Institute Vol. 9 No. 1 (2025): Citra Delima Scientific journal of Citra Internasional Institute
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/citradelima.v9i1.579

Abstract

Malnutrition and tuberculosis (TB) are interconnected or interconnected problems. Malnutrition in TB patients is one of them influenced by lack of family support for TB patients, both in emotional, appreciative, instrumental, and informational support. The purpose of this study is to evaluate the influence of supportive educational system  interventions in improving family support. This research method is quantitative with a quasi experimental design, in two health centers, namely Kandang Mas and Betungan, consisting of 48 respondents who were divided into 2 groups, namely the control group, given the standard intervention of the health center (n=24) and the treatment group, given the standard intervention of the health center and the supportive educative system (n=24). The data were analyzed using the two-way anova test. The results showed that the family development stage and the interaction between the family development stage and the intervention group did not affect family support (p > 0.05). Meanwhile,  the supportive educative system  intervention had a negative effect on family support in improving the nutritional status of TB patients (p = 0.015, mean = 76.52), however,  the supportive educative system  intervention had a positive effect on instrumental support in the treatment group (p = 0.029, mean = 81.19). Conclusion of this study is that  the supportive educative system intervention  is not more effective than the standard intervention of the health center, this can occur due to the influence of sample characteristics, research time, and control of variables and other factors that also affect the results of the study.
Development Of Nursing Care Instruments Based On The 3s Framework (Sdki, Slki, Siki) For Inpatient Settings Aris Citra Wisuda; Citra Suraya; Miming Oxyandi; Isrizal; Wisuda, Aris Citra Wisuda
Citra Delima Scientific journal of Citra Internasional Institute Vol. 9 No. 1 (2025): Citra Delima Scientific journal of Citra Internasional Institute
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/citradelima.v9i1.582

Abstract

Standardized nursing documentation is essential for ensuring consistency, accountability, and quality in patient care. In Indonesia, the 3S framework—comprising the Standar Diagnosa Keperawatan Indonesia (SDKI), Standar Luaran Keperawatan Indonesia (SLKI), and Standar Intervensi Keperawatan Indonesia (SIKI) serves as a national standard. However, its application in inpatient settings remains inconsistent due to the lack of integrated, user-friendly tools. This study aimed to develop and validate a nursing care documentation instrument based on the 3S framework to improve documentation accuracy, support clinical decision-making, and promote standardization in inpatient wards. A Research and Development (R&D) approach was employed, using a modified Borg and Gall model across five stages: preliminary study, planning, product development, expert validation, and limited field testing. Data were gathered through literature reviews, chart audits, clinical interviews, and focus group discussions with nurses. The instrument was designed to address the 12 most frequently encountered nursing diagnoses in general medical-surgical wards, which were systematically mapped to appropriate SLKI outcomes and SIKI interventions. The final tool features structured diagnosis formats (PES, PR, PS), outcome targets with timelines, and categorized interventions (observation, treatment, education, collaboration), implemented in a shift-based checklist format. Validation by five expert nurses yielded strong content validity (I-CVI range: 0.833–1.000), and field testing with 15 clinical nurses demonstrated acceptable internal consistency (KR-20: 0.790–0.845). Additionally, 87% of nurses reported improvements in documentation quality and workflow efficiency. In conclusion, the 3S-based nursing care instrument is valid, reliable, and practical for clinical use, and its adoption is recommended to enhance nursing documentation standards and the quality of care in hospital settings.
Scoping Review: Analysis of Occupational Stress Levels and Their Associated Factors Among Firefighters Puteri, Febyona Jolest; Erwandi, Dadan
Citra Delima Scientific journal of Citra Internasional Institute Vol. 9 No. 1 (2025): Citra Delima Scientific journal of Citra Internasional Institute
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/citradelima.v9i1.583

Abstract

Firefighting is a high-stress occupation due to exposure to situations involving extinguishing fires, saving lives, and protecting the property of people affected by fire incidents. The aim of this study was to identify stress-related factors and association in firefighters. A systematic review following the PRISMA 2020 V1 statement was carried out in the Science Direct and Google Scholar databases. The literature search was conducted in April 2025. A total of 12 studies were included in this review. Based on the result and discussion, burnout in firefighters happens because of a mix of different factors such as mental pressure, personal background, behavior, and workplace conditions. When firefighters face heavy workloads, frequent emergencies, poor sleep, and lack healthy ways to handle stress, it can lead to serious mental health problems. A bad work environment only makes things worse. These issues not only affect their personal well-being but also reduce their job performance and put safety at risk. Therefore, it is recommended that fire departments and related institutions implement comprehensive strategies to address these risks. In addition, interventions such as stress management training, regular health screenings, and improvements in the work environment should be prioritized to reduce burnout and enhance the quality of life and performance among firefighters.
The Effectiveness of the Karamunting Genzi Parenting Monitoring Card Model for Undernourished Children Receiving Local-Based Supplementary Feeding Zenderi Wardani; Ori Pertami Enardi; Ratmawati
Citra Delima Scientific journal of Citra Internasional Institute Vol. 9 No. 1 (2025): Citra Delima Scientific journal of Citra Internasional Institute
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/citradelima.v9i1.612

Abstract

The reduction in wasting prevalence in Pangkalpinang City from 5.1% in 2021 to 4.9% in 2022 was statistically insignificant, reflecting a marginal decline of only 0.2%, still near the threshold.Pangkal Balam Health Center allocated the highest budget to serve 59 undernourished children under five. This study aimed to evaluate the implementation of a nutrition education model using the "Karamunting Genzi" Parenting Monitoring Card, an educational and self-assessment tool designed to support mothers and caregivers in planning and evaluating age-appropriate feeding practices. This study uses a quasi-experimental design with a cross-sectional approach. Respondents consist of 44 mothers/caregivers of U-5 children undernourished and receiving locally based supplementary feeding (PMT). The interventions consisted of cadre training, home visits, and using the Karamunting Genzi Monitoring Card as a monitoring tool. Data was collected using structured questionnaires and analyzed using  Spearman's rank tests. The intervention engaged 10 community health (Posyandu) cadres to support 44 participating mothers across five urban villages, focusing on improving feeding knowledge and practices. Post-intervention assessments showed significant improvements in maternal knowledge (mean score increased from 65.9 to 67.6) and feeding practices (94.1 to 96.2). Spearman's rank test showed a strong relationship between pre- and post-intervention knowledge scores (rs = 0.775) and parenting practices (rs = 0.766). This study recommends replicating intervention in other areas, conducting long-term behavioral monitoring, developing more interactive educational media, and integrating the tool into broader nutrition programs through collaboration with the government and relevant stakeholders to address childhood malnutrition effectively.

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