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TRIAGE
Published by Universitas Muhammadiyah Klaten
ISSN : 20091466     EISSN : 24851660     DOI : -
Core Subject : Health,
Health Professions Nursing Public Health
TRIAGE Journal of Nursing Science is a scientific journal of Nursing Studies managed by the Study Program oi Nursing of Muhammadiyah Health Science Institute of Klaten, Indonesia . This journal is issued twice a year and it is a tool for researchers, academics, and practitioners who are interested in the field of Nursing Studies such as medical surgical nursing, maternity nursing, pediatric nursing, emergency nursing, management nursing, psychiatric nursing, community nursing and gerontology nursing, abd disaster wished to channel their thoughts and findings. The articles contained are the result of research, critical and comprehensive scientific study which are relevant and current issues covered by the journals. Nowadays, TRIAGE has been indexed in google scholar, sinta. This is an open access journal.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 65 Documents
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Korelasi antara Dukungan Keluarga dengan Grade Ulkus pada Penderita Diabetes Mellitus Tiyara, Ervina; Witriyani, Witriyani; Mulyono, Puput
TRIAGE Jurnal Ilmu Keperawatan Vol 12 No 2 (2025)
Publisher : Universitas Muhammadiyah Klaten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61902/triage.v12i2.1939

Abstract

Background: Diabetes Mellitus (DM) is a chronic metabolic disorder characterized by persistent hyperglycemia, which frequently leads to severe complications such as diabetic ulcers resulting from peripheral neuropathy and microvascular angiopathy. These ulcers pose risks of tissue damage, recurrent infections, limited mobility, and even amputation if not adequately managed. They also impair patients’ quality of life while increasing psychological and financial burdens. Consequently, proactive preventive measures are critically needed. Family support plays a strategic role in the management of DM, particularly in aspects like foot care, adherence to pharmacological therapy, dietary regulation, and routine blood glucose monitoring. Objective: This study aimed to determine the correlation between family support and the incidence of ulcers in DM patients at UPT Puskesmas Gondangrejo, Karanganyar Regency. Methods: This research employed a quantitative design with a cross-sectional approach, involving 71 respondents. Research instruments included the Hensarling’s Diabetes Family Support Scale (HDFSS) and the Wagner Ulcer Classification System. Data were analyzed using the Spearman’s rho test. Results: The findings revealed a very strong and significant correlation between family support and ulcer incidence (p = 0.000; Rho = -0.957). The negative correlation indicates that higher family support is associated with a lower risk of ulcers. Conclusion: Adequate family support significantly contributes to reducing the risk of diabetic ulcers. Therefore, family-centered nursing interventions should be optimized to enhance diabetes management and improve patients’ quality of life.
Efektivitas Posisi Semi Fowler 45° pada Kualitas Tidur Pasien Congestive Heart Failure Nourma Nurlita Sari, Nourma; Rahmasari, Ikrima; Widiastuti, Agung; Utomo, Endrat Kartiko; Yudhianto, Kresna Agung
TRIAGE Jurnal Ilmu Keperawatan Vol 12 No 2 (2025)
Publisher : Universitas Muhammadiyah Klaten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61902/triage.v12i2.1943

Abstract

Sleep disturbance is a common problem in patients with Congestive Heart Failure (CHF), often caused by disease symptoms such as dyspnea, which negatively impacts their quality of life. The 45° Semi-Fowler's position is a simple non-pharmacological nursing intervention that can improve lung expansion, reduce cardiac workload, and enhance patient comfort, thereby potentially improving sleep quality.This study aimed to determine the effect of the 45° Semi-Fowler's position on the sleep quality of CHF patients at RSUD dr. Moewardi Surakarta. This research employed a quasi-experimental design with a one-group pretest-posttest approach. A total of 32 CHF patients were selected using a purposive sampling technique.The intervention, applying the 45° Semi-Fowler's position, was administered for 30 minutes daily over three consecutive days. Prior to the intervention, patients were generally positioned supine or with minimal elevation. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI), and data were analyzed with the Wilcoxon Signed-Rank Test.The results showed a statistically significant difference in PSQI scores before and after the intervention (p < 0.05), with the median score decreasing from 7.00 (Poor Quality) to 4.00 (Good Quality)10. This clinically significant reduction suggests a positive impact of the positioning.This study concludes that the 45° Semi-Fowler's position is effective in improving the sleep quality of CHF patients and can be recommended as a standard nursing intervention, though future studies should utilize a Randomized Controlled Trial design to control for confounding factors, such as the placebo effect
Hubungan Burnout terhadap Dampak Produktivitas Kinerja Perawat di RSUD Ir. Soekarno Sukoharjo Putri, Erni Fatmawati; Astuti, Andriani Mei; Widiastuti, Agung
TRIAGE Jurnal Ilmu Keperawatan Vol 12 No 2 (2025)
Publisher : Universitas Muhammadiyah Klaten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61902/triage.v12i2.1948

Abstract

Burnout is a state of physical, emotional, and mental exhaustion that arises due to high and prolonged work pressure, especially in professions with high levels of work intensity such as nursing. This condition has a significant impact on reducing the enthusiasm, motivation, and productivity of nurses, which ultimately affects the quality of nursing services in hospitals. This study aims to identify the relationship between burnout and decreased work productivity of nurses in the Inpatient Ward of Ir. Soekarno General Hospital, Sukoharjo Regency. This study applies a quantitative method with a cross-sectional research design. The number of respondents consisted of 69 nurses, selected using a purposive sampling method. The tools used in the study consisted of the Maslach Burnout Inventory (MBI) questionnaire to assess the level of burnout and a work productivity questionnaire that has six indicators: ability, work results, motivation, self-development, quality, and efficiency. The research findings indicate that the majority of respondents experienced burnout in the high category (66.7%) and low work productivity (89.9%). Bivariate analysis using the Spearman Rank test produced a p-value of 0.001 < 0.05. The higher the level of burnout experienced by nurses, the lower their work productivity in completing nursing tasks effectively and sustainably. Workload management, strengthening social support, rewarding performance, improving work-life balance, and regular stress management training can support maximum performance and improve the quality of care services comprehensively and sustainably in addressing burnout
Pengaruh Terapi Dzikir terhadap Penurunan Gejala Halusinasi (Pendengaran) di RSJD Surakarta Dewi, Nadila Shinta; Musta’in, Musta’in; Palupi, Dwi Lestari Mukti
TRIAGE Jurnal Ilmu Keperawatan Vol 12 No 2 (2025)
Publisher : Universitas Muhammadiyah Klaten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61902/triage.v12i2.1954

Abstract

Auditory hallucinations are one of the main symptoms experienced by patients with schizophrenia, characterized by the perception of voices such as insults, commands, or threats without any external stimulus. This condition can disrupt social functioning, increase anxiety, and impair patients’ ability to control their behavior. Pharmacological therapy remains the primary treatment; however, its side effects and patients’ low adherence highlight the need for complementary non-pharmacological interventions. This study aimed to analyze the effect of psychoreligious dhikr therapy on reducing signs and symptoms of auditory hallucinations among psychiatric inpatients at Surakarta Mental Hospital. This research employed a quasi-experimental design with a pretest–posttest control group involving 36 respondents, divided into an intervention group (n=18) and a control group (n=18). The Auditory Hallucinations Rating Scale (AHRS) was used as the measurement instrument. Dhikr therapy was administered for six consecutive days, while the control group received the hallucination-commanding technique. Data were analyzed using the Wilcoxon and Mann–Whitney tests with a significance level of 0.05. The findings showed a significant reduction in hallucination scores within the intervention group (p = 0.000), marked by a decrease in severe hallucination cases from 55.6% to 0%. In contrast, the control group demonstrated a more limited reduction, with severe symptoms remaining in 27.8% of respondents. Posttest comparison also indicated a significant difference between groups (p = 0.000). In conclusion, psychoreligious dhikr therapy is effective in reducing the intensity of auditory hallucinations and can be recommended as a non-pharmacological nursing intervention in mental health care.
Gambaran Kepatuhan Minum Obat Pada Lansia Yang Mengalami Hipertensi Di ILP Desa Temuireng Marwanti, Marwanti; Setyowati, Dewi; Elsera, Chori; Sawitri, Endang; Supardi, Supardi
TRIAGE Jurnal Ilmu Keperawatan Vol 12 No 2 (2025)
Publisher : Universitas Muhammadiyah Klaten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61902/triage.v12i2.2070

Abstract

Latar Belakang: Hipertensi adalah tekanan darah yang abnormal terjadi saat kondisi tekanan darah sistolik dan diastolik meningkat yang bisa diderita oleh berbagai usia, terutama yang paling rentan adalah usia lanjut, peningkatan tekanan darah dalam jangka waktu yang panjang dapat merusak pembuluh darah di organ jantung, ginjal, otak, mata, dan dapat mengakibatkan stroke, infark miokard, gagal ginjal. Tujuan : Penelitian ini bertujuan untuk mengetahui Gambaran Kepatuhan Minum Obat Pada Lansia Yang Mengalami Hipertensi Di Integrasi Layanan Primer (ILP) Desa Temuireng. Metode Penelitian : Desain penelitian ini menggunakan deskriptif kuantitatif. Sampel yang digunakan sejumlah 60 lansia yang mengalami hipertensi diambil dengan teknik purposive sampling. Hasil : Karakteristik responden paling banyak berusia 60-70 tahun, mayoritas berjenis kelamin perempuan sejumlah 48 responden (80%), tidak sekolah sejumlah 39 responden (65%), IRT sejumlah 31 responden (51,7%), lama menderita hipertensi >5 tahun sejumlah 50 responden (83,3%), status menikah sejumlah 46 responden (76,7%), berdasarkan gambaran kepatuhan minum obat hipertensi responden paling banyak tidak patuh sejumlah 47 responden (78,3%). Kesimpulan : Dari penelitian ini dapat disimpulkan bahwa kepatuhan minum obat pada lansia yang mengalami hipertensi di Integrasi Layanan Primer (ILP) Desa Temuireng sebagian besar tidak patuh sejumlah 47 responden (78,3%).
Faktor-Faktor yang Berhubungan dengan Anemia pada Ibu Hamil di Puskesmas Karanganyar Oktaviana Rahayu; Rovica Probowati; Mursudarinah Mursudarinah
TRIAGE Jurnal Ilmu Keperawatan Vol 13 No 1 (2026)
Publisher : Universitas Muhammadiyah Klaten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61902/triage.v13i1.1908

Abstract

Anemia in pregnant women remains a common health problem and can pose serious risks to both mothers and fetuses. Iron deficiency is the primary cause, and the prevalence of anemia in the working area of Karanganyar Health Center is relatively high. This study aims to identify factors associated with the occurrence of anemia in pregnant women. This study employed a quantitative approach with a cross-sectional design. The sample consisted of 62 pregnant women selected through purposive sampling. Data were collected using questionnaires and analyzed with the Chi-Square test. The majority of respondents were aged 20–35 years (64.5%), had a high school education or equivalent (74.2%), and were employed (53.2%). Statistical analysis showed a significant association between the frequency of antenatal care (ANC) visits (p=0.000) and adherence to iron tablet consumption (p=0.005) with the occurrence of anemia. In contrast, age, education, employment, income, and parity were not significantly associated with anemia. Compliance of pregnant women in attending ANC visits and routinely consuming iron tablets plays an important role in preventing anemia. Health workers are encouraged to enhance education, monitoring, and motivation for pregnant women. The findings can also serve as a reference for health centers, communities, and educational institutions in developing anemia prevention strategies
Hubungan Pola Makan terhadap Kadar Gula Darah pada Penderita Diabetes Melitus Tipe 2 di Puskesmas Baki Sukoharjo Budi Prasetyo Nugroho; Witriyani Witriyani; Ady Irawan AM
TRIAGE Jurnal Ilmu Keperawatan Vol 13 No 1 (2026)
Publisher : Universitas Muhammadiyah Klaten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61902/triage.v13i1.1946

Abstract

Background: Type 2 diabetes mellitus is a chronic condition characterized by elevated blood glucose levels due to metabolic disorders. Dietary management is an essential strategy to control blood glucose levels. However, many patients fail to adhere to healthy eating principles (type, timing, and amount), potentially worsening their condition. This study aims to determine the relationship between dietary patterns and blood glucose control among patients with type 2 diabetes mellitus. Methods: This study used a quantitative correlational design with a cross-sectional approach. A total of 103 respondents with type 2 diabetes mellitus were selected through purposive sampling at Baki Health Center, Sukoharjo. Data were collected using a Food Frequency Questionnaire (FFQ) and random blood glucose testing using a glucometer. Data analysis was performed using the chi-square test with a significance level of p < 0.05. Results: The findings showed a significant association between dietary patterns and blood glucose control, with an exact p-value of 0.002. Respondents with good dietary patterns were more likely to have controlled blood glucose levels than those with poor dietary patterns. Conclusion: There is a significant correlation between dietary patterns and blood glucose control among patients with type 2 diabetes mellitus. Continuous education on healthy dietary practices is essential to support preventive and curative diabetes management. Healthcare professionals have an important role in assisting patients to consistently adopt appropriate dietary habits to reduce the risk of long-term complications.
Pengaruh Pemberian Murottal Al-Qur’an dengan Kecemasan pada Pasien Penyakit Gagal Ginjal Kronis yang Menjalani Hemodialisa di Rumah Sakit PKU Muhammadiyah Surakarta Lutvia Anisa Miftaqul Jannah; Endrat Kartiko Utomo; Puput Mulyono
TRIAGE Jurnal Ilmu Keperawatan Vol 13 No 1 (2026)
Publisher : Universitas Muhammadiyah Klaten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61902/triage.v13i1.1947

Abstract

Background: People suffering from chronic kidney disease (CKD) and undergoing hemodialysis often experience anxiety due to their chronic condition, lifelong therapy, and psychosocial impacts. One therapeutic intervention is reciting the Qur'an, which is a non-pharmacological method that can be used. Objective: To determine how recitation of the Qur'an affects the anxiety levels of patients undergoing hemodialysis for CKD. Methods: A pretest–posttest quasi-experimental study with a control group was conducted in April–May 2025 at the Hemodialysis Unit of PKU Muhammadiyah Hospital in Surakarta. A total of 24 participants were selected with the following inclusion criteria: age ≥18 years, undergoing hemodialysis for ≥6 months, conscious, and willing to participate in the study. The intervention group (n=12) received recitation of Surah Ar-Rahman for 30 minutes three times, while the control group underwent routine procedures. Anxiety was measured using the Hamilton Anxiety Rating Scale (HARS). Data analysis was performed using the Paired Sample t-test, Independent Sample t-test, and Shapiro-Wilk normality test. Results: The mean anxiety score of the intervention group decreased from 29.5 ± 5.63 to 19.33 ± 2.39, while that of the control group decreased from 27.7 ± 5.12 to 23.17 ± 3.08. A significant decrease occurred in both groups (intervention p=0.000; control p=0.004). The improvement in the control group may have been influenced by adaptation to the procedure, stable HD room conditions, or patient coping mechanisms. The post-intervention difference showed an additional effect of murottal (p=0.003), but this needs to be interpreted with caution. Conclusion: Al-Qur’an murottal therapy is effective in reducing anxiety in patients undergoing hemodialysis due to CKD and can be recommended as a spiritual-based non-pharmacological therapy in nursing
Gambaran Perilaku Hidup Bersih dan Sehat (PHBS) pada Siswa Sekolah Dasar Negeri Tengklik Nova Riza Nuraini; Fitriana Noor Khayati; Chori Elsera; Ratna Agustiningrum
TRIAGE Jurnal Ilmu Keperawatan Vol 13 No 1 (2026)
Publisher : Universitas Muhammadiyah Klaten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61902/triage.v13i1.2000

Abstract

Clean and Healthy Living Behavior (PHBS) is a series of actions aimed at maintaining health. The spread of enteric germs, along with habits such as not washing hands before meals and after defecation, can allow bacteria to enter the body through food, leading to diseases such as diarrhea and worm infections among school-age children. This study aimed to describe the implementation of PHBS among students at Tengklik Public Elementary School. A descriptive quantitative cross-sectional method was employed. The sample consisted of 63 students from grades IV, V, and VI, selected through simple random sampling. The research instrument was a questionnaire with 28 statements, and data were analyzed using mean, minimum, maximum, and frequency distribution. The findings showed that 61.9% of students demonstrated good clean and healthy living behavior. Specifically, students reported high compliance in washing hands with soap before and after meals (90.5%), proper use of clean and healthy latrines (68.3%), exercising regularly (63.5%), not smoking at school (49.2%), disposing of waste properly (93.7%), and participating in community service activities (92.1%). However, some behaviors were only moderate, including consuming healthy food (65.1%) and eradicating mosquito larvae (58.7%). It can be concluded that the general characteristics of respondents were ages 10–13 years, with the majority being female (40 students) and most coming from grade VI (22 students). Overall, most students at Tengklik Public Elementary School had implemented Clean and Healthy Living Behavior with a prevalence of 61.9%.
Systematic Review: Intervensi Nonfarmakologis Manajemen Demam pada Anak di Rumah Sakit Anggi Luckita Sari; Nurul Istiqomah
TRIAGE Jurnal Ilmu Keperawatan Vol 13 No 1 (2026)
Publisher : Universitas Muhammadiyah Klaten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61902/triage.v13i1.2074

Abstract

Fever is a physiological response of the body to infection, characterized by an increase in body temperature above the normal range. This condition is common among children and is one of the primary reasons parents seek emergency medical care for their children in hospitals. The management of fever in children can generally be divided into two approaches: pharmacological treatment using antipyretics and non-pharmacological therapy. Non-pharmacological techniques are considered an effective alternative to help lower body temperature safely and naturally. However, many healthcare professionals remain uncertain and inconsistent in implementing or recommending non-pharmacological methods for managing fever in children. Therefore, this study aims to synthesize various articles discussing non-pharmacological fever management techniques in hospitalized children. Literature searches were conducted through several databases, including Google Scholar, ScienceDirect, and Semantic Scholar, covering publications from 2011 to 2021. The article selection process followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. From a total of 18,693 identified articles, only 8 met the inclusion criteria and were further reviewed. The findings revealed that several non-pharmacological interventions such as cold compresses, warm sponge baths, tepid sponge techniques, and warm foot immersion are effective in reducing fever in children during hospital care. Overall, these methods provide practical and safe alternatives that can be used alongside pharmacological interventions to enhance fever management in pediatric patients.

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