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Jurnal Ventilator: Jurnal Riset Ilmu Kesehatan dan Keperawatan
Published by Sekolah Tinggi Ilmu Kesehatan Kesdam IV, Diponegoro
ISSN : 2986786X     EISSN : 29867088     DOI : 10.59680
Core Subject : Health,
Health Professions Nursing Public Health
Bidang kesehatan dan keperawatan termasuk penelitian dasar dalamkesehatan dan keperawatan, keperawatan manajemen, keadaan darurat, dan keperawatan kritis, keperawatan medis-bedah, keperawatan kesehatan mental, keperawatan maternitas, keperawatan Anak, gerontologis keperawatan, keperawatan komunitas, keperawatan pendidikan keperawatan keluarga, pengobatan komplementer dan alternatif (CAMs, Complementary and alternative medicines) dalam keperawatan.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 426 Documents
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Perbedaan Pola Asuh Makan, Tingkat Asupan Gizi Makro, dan Status Gizi Anak Prasekolah Berdasarkan Jenis Pengasuh di Kecamatan Talango, Sumenep Rabiatul Adawiyah; Desty Muzarofatus Solikhah
Jurnal Ventilator Vol. 4 No. 3 (2026): September : Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v4i3.2628

Abstract

Preschool children are a vulnerable group who require adequate nutrition and optimal caregiving to support their growth and development. In Talango District, Sumenep Regency, child caregiving by extended family members due to the local tradition of labor migration is a common phenomenon. However, its implications for feeding practices, macronutrient intake, and children's nutritional status have received limited attention. This study aimed to analyze differences in feeding practices, macronutrient intake levels, and nutritional status among preschool children based on caregiver type. This research employed a cross-sectional analytical observational design involving 107 preschool children aged 3–6 years from four kindergartens in Talango District, selected through purposive sampling. Data on feeding practices were collected using the Child Feeding Questionnaire (CFQ), macronutrient intake was assessed through two 24-hour food recalls, and nutritional status was determined using anthropometric measurements. The results showed that the majority of caregivers practiced appropriate feeding practices (94.4%). Most children had inadequate energy intake (49.5%) and carbohydrate intake (90.7%), while protein intake was generally adequate (48.6%), and fat intake mostly exceeded the recommended requirements (66.4%). Most children had normal nutritional status based on height-for-age (84.1%) and good nutritional status based on body mass index-for-age (74.8%). The findings indicated no significant differences in feeding practices, macronutrient intake levels, or nutritional status according to caregiver type (p > 0.05). The fulfillment of children's nutritional needs is influenced not only by caregiver type but also by family environmental factors and overall dietary consumption patterns.
Penerapan Terapi Progressive Muscle Relaxation terhadap Penurunan Dyspnea dan Ansietas Pasien Efusi Pleura di Ruang Instalasi Gawat Darurat Ostri Nia Epi Majore; Suwandi Idrak Luneto
Jurnal Ventilator Vol. 4 No. 3 (2026): September : Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v4i3.2629

Abstract

Pleural effusion is a respiratory disorder marked by abnormal fluid accumulation in the pleural cavity that frequently triggers Dyspnea and anxiety, particularly in emergency settings. Progressive Muscle Relaxation (PMR) is a non-pharmacological, evidence-based nursing intervention recommended to relieve muscle tension, reduce anxiety, and improve breathing pattern. This case study aimed to describe nursing care with the application of PMR therapy on Dyspnea and anxiety reduction in a pleural effusion patient in the Emergency Room. The research design used a nursing care approach (assessing, diagnosing, planning, implementing, evaluating) for a patient. Data were collected through interviews, physical examination, documentation, and observation before and after the intervention. The patient had Dyspnea for one month, worsening with coughing, mild activity, and a supine position, accompanied by restlessness and worry, so that there are several nursing diagnoses, for example activity intolerance, ineffective airway clearance, ineffective breathing pattern, and anxiety. PMR therapy was administered once for 10–20 minutes. After the intervention, respiratory rate decreased from 28 to 24 breaths per minute, oxygen saturation improved from 92% to 96%, and the anxiety score decreased from 24 to 20, with the patient showing a calmer affect and able to follow the relaxation instructions independently. These findings confirm that PMR therapy is an effective, safe, low-cost, and easily applicable evidence-based nursing intervention for improving breathing pattern and reducing anxiety in pleural effusion patients in emergency nursing care.
Penerapan Ankle Pump Exercise untuk Mengurangi Edema Tungkai Pasien Chronic Kidney Disease Stage 5 di ICU Windy Dilla Apriliani; Saly M. Papeti
Jurnal Ventilator Vol. 4 No. 3 (2026): September : Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v4i3.2630

Abstract

Patients with stage 5 Chronic Kidney Disease (CKD) in the intensive care unit (ICU) are at high risk of developing hypervolemia, which may manifest as lower-extremity edema due to impaired renal filtration and prolonged immobilization. Excessive fluid retention can worsen cardiovascular conditions if not properly managed. Ankle pump exercises are a non-pharmacological nursing intervention that improves circulation and venous return through the activation of the gastrocnemius muscle pump, facilitating fluid mobilization. This study aimed to analyze the effectiveness of ankle pump exercises in reducing lower-extremity edema severity in ICU patients with stage 5 CKD. A nursing care case study was conducted with intervention implemented twice daily for three days, lasting 7–8 minutes per session. Edema severity was evaluated using the Pitting Edema scale. The results showed a reduction in edema severity from Grade 4 (8 mm depth, >2-minute rebound time) to Grade 2 (4 mm depth, 15-second rebound time). Hemodynamic parameters remained stable, with improved blood pressure and heart rate. The intervention also maintained skin integrity without complications. Ankle pump exercises were effective and safe in reducing edema and supporting cardiovascular stability in critically ill CKD patients.
Pemberian Kompres Hangat pada Anak Kejang Demam Akibat Hipertermia di Ruangan Anak Putri Novtafia Lahay; Petronella Mamentu
Jurnal Ventilator Vol. 4 No. 3 (2026): September : Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v4i3.2631

Abstract

Febrile seizures are a condition where the body has a temperature above 38oC. The classification of febrile seizures can be divided into (1) complex febrile seizures that occur repeatedly within 24 hours and the seizure condition lasts more than 15 minutes (2) simple febrile seizures that occur once per 24 hours, last 15 minutes or short, and the fever that occurs is general. In children with febrile seizures, hyperthermia is a major problem that must be addressed immediately because uncontrolled increases in body temperature are a controlled physiological response of the body to certain conditions, such as infection or inflammation. Hyperthermia can be managed with non-pharmacological measures, often used, such as warm compresses. Warm compresses work by vasodilating peripheral blood vessels, thereby helping to increase body heat loss through evaporation and conduction. This case study aims to analyze and identify changes in body temperature experienced by children before and after warm compress intervention in children with febrile seizures. The case study design is descriptive with a care process approach (assessment, diagnosis, planning, implementation, and evaluation) for 3x8 hours in one patient. Data were collected through family interviews, physical examinations, observations, and body temperature monitoring before and after the intervention. Before the warm compress intervention, the child's body temperature was 38.9°C, and after the warm compress intervention, the patient's body temperature was 38.6°C. Warm compresses were applied to the forehead, armpits, and groin. These findings indicate that warm compresses are an effective, safe, and easy-to-implement evidence-based nursing intervention for lowering body temperature in children with febrile seizures.
Penerapan Mobilisasi Dini terhadap Intensitas Nyeri pada Pasien Post Operasi Fraktur di Ruangan Bedah Apsari Tampanguma; Faradilla Miftah Suranata
Jurnal Ventilator Vol. 4 No. 3 (2026): September : Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v4i3.2632

Abstract

A fracture is a condition in which bone and/or cartilage tissue is partially or completely broken, often requiring surgical intervention that may result in postoperative pain. Pain management can be achieved through pharmacological and non-pharmacological approaches. This case study aims to evaluate the effectiveness of early mobilization as an evidence-based nursing intervention for reducing pain in postoperative fracture patients. A descriptive case study design was employed following the nursing process, including assessment, diagnosis, planning, implementation, and evaluation. Pain intensity was measured using the Numeric Rating Scale (NRS). The study involved one postoperative fracture patient selected through accidental sampling. Data were collected through interviews, physical examinations, observations, measurements, and documentation. The findings showed that the primary nursing problem was acute pain following surgery. After five consecutive days of early mobilization, the patient's pain intensity decreased from a score of 7 to 2 on the NRS. These results indicate that early mobilization is an effective non-pharmacological intervention for reducing postoperative pain and supports faster recovery. Therefore, incorporating early mobilization into evidence-based nursing practice can improve pain management and enhance the quality of postoperative care for fracture patients.
Pengaruh Bauran Pemasaran terhadap Perilaku Pemanfaatan Layanan Ruang Rawat Inap Rumah Sakit Islam Arafah Rembang Adennisa Yunitasari Nurrachma; Ayun Sriatmi; Septo Pawelas Arso
Jurnal Ventilator Vol. 4 No. 3 (2026): September : Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v4i3.2638

Abstract

Increasing competition among hospitals requires the implementation of an effective marketing mix to enhance service utilization. This study aimed to analyze the influence of the marketing mix on inpatient service utilization behavior at Arafah Islamic Hospital, Rembang. A quantitative approach with a cross-sectional design was employed. The study population consisted of 1,073 inpatients. A sample of 292 respondents was determined using the Slovin formula and selected through convenience sampling. Data were analyzed using univariate, bivariate, and multivariate analyses. The univariate analysis showed that 61.3% of the respondents demonstrated poor inpatient service utilization behavior. Bivariate analysis showed that all components of the marketing mix were significantly associated with inpatient service utilization behavior (p < 0.05; p = 0.0001). Multivariate analysis indicated that product (p = 0.000), price (p = 0.002), promotion (p = 0.007), people (p = 0.008), process (p = 0.003), and physical evidence (p = 0.003) had a significant influence on inpatient service utilization behavior (p < 0.05), whereas place was not significantly associated with the outcome (p = 0.061). Product was the most influential factor, with an odds ratio of 3.971, followed by price (2.502), process (2.438), physical evidence (2.370), promotion (2.249), and people (2.203). Overall, the marketing mix explained 44.2% of the variation in inpatient service utilization behavior. In conclusion, the marketing mix collectively influenced inpatient service utilization behavior, with the exception of the place variable.
Dukungan Emosional Suami Sebagai Penguat Self-Efficacy Ibu Dalam Pemberian Asi Eksklusif: Studi Fenomenologi di Wilayah Kerja Puskesmas Loa Kulu Ananda Dhiya’ Ulhaq; Bernadetha Bernadetha; Andry Rachmadani; Nina Mardiana
Jurnal Ventilator Vol. 4 No. 3 (2026): September : Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v4i3.2639

Abstract

Exclusive breastfeeding plays an important role in supporting infant growth, development, and immune function. Although the coverage of exclusive breastfeeding in the working area of the Loa Kulu Community Health Center is relatively good, some breastfeeding mothers still experience emotional barriers during the breastfeeding period. A lack of emotional support from husbands—such as attention, empathy, and motivation—is suspected to influence mothers’ confidence in providing exclusive breastfeeding. This study aims to explore the role of husbands’ emotional support in strengthening mothers’ self-efficacy during exclusive breastfeeding. This research used a phenomenological qualitative approach with in-depth interviews with breastfeeding mothers in the Loa Kulu Community Health Center area. The findings show that husbands’ emotional support in the form of encouragement, companionship, attention, and assistance in dealing with breastfeeding difficulties acts as cues to action that enhance mothers’ confidence in providing exclusive breastfeeding. Such support helps mothers maintain motivation and self-confidence throughout the breastfeeding process. In conclusion, husbands’ emotional support is an important factor in strengthening maternal self-efficacy and supporting the success of exclusive breastfeeding.
Gambaran Pengetahuan Remaja Putri Tentang Anemia di SMPN 9 Sampit Tahun 2025 Rini Lestari; Nadia Feronika
Jurnal Ventilator Vol. 4 No. 1 (2026): Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v4i1.2640

Abstract

Adolescence is a crucial period marked by rapid development, so the need for nutrients, especially iron, increases. Anemia is one of the global health problems that has received great attention from the World Health Organization (WHO). WHO data in 2023 shows that 30.7% of women of reproductive age in the world experience anemia. In Indonesia, the prevalence of anemia in adolescent girls is still high, at 32% based on Riskesdas 2018, while in East Kotawaringin it reaches 30%. This study aims to find out the overview of adolescent girls' insights about anemia at SMPN 9 Sampit in 2025. The study used a quantitative approach with a cross-sectional design. The research population was all students in grades VIII and IX as many as 187 people, with random sampling techniques. The research instrument is in the form of a closed questionnaire. The results showed that out of 65 respondents, the majority had sufficient insight as many as 37 students (56.9%), while the minority had good insight as many as 28 students (43.1%). Cross-tabulation showed that most students with sufficient insight obtained information from electronic media (46.2%), while students with good insight tended to obtain information from print media (9.2%). The conclusion of the study confirms that although adolescent girls already have a general idea of anemia, the understanding of details is still limited, so further education is needed.
Psychological Burden of High-Risk Labeling: A Phenomenological Study of Maternal Identity, Self-Efficacy, and Emotional Well-Being in Women with Complicated Pregnancies Susanti Susanti; Fardila Elba; Etty Sri Wahyuni; Novi Yulianti
Jurnal Ventilator Vol. 3 No. 4 (2025): Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v3i4.2649

Abstract

The high-risk pregnancy label assigned by healthcare providers not only indicates a clinical condition but also triggers complex psychological burdens on pregnant women. The psychological impact of this labeling is often overlooked in midwifery care approaches that focus primarily on biomedical aspects. This study aimed to explore the lived experiences of women labeled with high-risk pregnancies, focusing on maternal identity, self-efficacy, and emotional well-being. Methods: Descriptive phenomenological qualitative research. Twelve participants were selected through purposive sampling from the high-risk obstetric outpatient clinic at RSUD Kepri, Batam. Data were collected through semi-structured in-depth interviews and analyzed using Colaizzi's method. Results: Six major themes emerged from the analysis: (1) maternal identity disorientation, (2) erosion of self-efficacy, (3) multilayered emotional distress, (4) changing relational dynamics, (5) resilience and meaningful adaptation, and (6) therapeutic communication gaps. Participants described profound psychological struggles characterized by fear, guilt, uncertainty, social isolation, and disrupted perceptions of motherhood. Spiritual coping and family support emerged as important adaptive mechanisms, while inadequate therapeutic communication from healthcare professionals intensified emotional distress. Conclusion: High-risk labeling creates multidimensional psychological burdens that significantly affect the quality of life of pregnant women. An integrated care approach addressing both clinical and psychosocial aspects, along with enhanced therapeutic communication competencies among healthcare providers, is urgently needed.
Hubungan Kepatuhan Penggunaan Alat Pelindung Diri (APD) dengan Keluhan Gangguan Mata pada Pekerja Bagian Ketel Boiler PG Krebet Baru I Bululawang Malang Nabila Nabila
Jurnal Ventilator Vol. 4 No. 3 (2026): September : Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v4i3.2653

Abstract

Dalam lingkup industri, Keselamatan dan Kesehatan Kerja (K3) memiliki peran penting, khususnya pada lingkungan kerja dengan risiko paparan tinggi, seperti bagian ketel boiler. Pekerja di area tersebut rentan terpapar debu, abu ampas tebu, dan partikel kecil yang dapat menyebabkan keluhan gangguan mata. Meskipun penggunaan Alat Pelindung Diri (APD) telah diwajibkan, tingkat kepatuhan pekerja masih belum optimal. Penelitian ini bertujuan untuk menganalisis hubungan antara kepatuhan penggunaan APD dan keluhan gangguan mata pada pekerja bagian ketel boiler PG Krebet Baru I Bululawang, Malang. Penelitian menggunakan metode kuantitatif korelasional dengan pendekatan cross-sectional. Populasi sekaligus sampel penelitian meliputi seluruh pekerja bagian ketel boiler sebanyak 68 responden yang dipilih menggunakan teknik total sampling. Data dikumpulkan melalui kuesioner yang telah diuji validitas dan reliabilitasnya, kemudian dianalisis menggunakan uji korelasi Spearman Rank. Hasil penelitian menunjukkan bahwa sebagian besar responden termasuk kategori patuh dalam menggunakan APD, yaitu sebesar 58,8, sedangkan 23,5 responden cukup patuh dan 17,6 tidak patuh. Keluhan gangguan mata responden berada pada kategori sedang sebesar 38,2, kategori berat sebesar 36,8, dan kategori ringan sebesar 25,0. Hasil analisis memperoleh koefisien korelasi Spearman sebesar -0,434 dengan nilai signifikansi 0,000 atau p kurang dari 0,05. Hasil tersebut menunjukkan adanya hubungan negatif yang signifikan dengan tingkat kekuatan sedang. Dengan demikian, semakin tinggi kepatuhan pekerja dalam menggunakan APD, semakin rendah tingkat keluhan gangguan mata yang dialami.

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