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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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Penurunan Level Stress pada Pasien DM Tipe 2 Menggunakan Terapi SEFT di Denurse Care Dwi Intan Pakuwita AR; Tri Nili Sulayfiyah; Ahmad Zaini Arif; Laras Eka Nur Hasanah; Mira Wahyu Kusumawati; Ahmad Fauziansyah
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.v4i1.2654

Abstract

Type 2 diabetes mellitus (T2DM) is a chronic disease that affects not only patients' physical health but also their psychological well-being. Psychological stress may increase blood glucose levels, worsen clinical conditions, and reduce the effectiveness of diabetes management. Therefore, effective non-pharmacological interventions are needed to help reduce stress among patients with T2DM. This study aimed to examine the effect of the Spiritual Emotional Freedom Technique (SEFT) on stress levels in patients with T2DM. A quasi-experimental study with a one-group pretest–posttest design was employed. Five respondents with moderate to high stress levels participated in the study. Stress levels were assessed before and after the intervention using the Depression Anxiety Stress Scale-42 (DASS-42). Data were analyzed using the Wilcoxon Signed Rank Test. The results demonstrated a significant reduction in stress levels following the SEFT intervention, with a significance value of p = 0.039 (p < 0.05). The mean stress score decreased from 22.80 before the intervention to 13.80 afterward. These findings indicate that SEFT effectively reduces stress in patients with T2DM through a combination of gentle tapping techniques and spiritual approaches that promote relaxation, emotional balance, and psychological well-being. Therefore, SEFT can be considered an effective, safe, and practical non-pharmacological therapy to support stress management and improve the overall quality of life of individuals with type 2 diabetes mellitus.
Analisis Faktor Ergonomi dengan Kejadian Low Back Pain pada Pekerja Pembuat Tahu Nur Lita Eka Mahardina; M. Riza Setiawan; Lukman Faishal Fatharani
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.v4i3.2655

Abstract

Low Back Pain (LBP) is an occupational disease associated with work activities and non-ergonomic working conditions or postures. Major ergonomic risk factors include awkward postures, such as bending more than 30 degrees without support; forceful exertions, such as lifting or lowering loads beyond muscular capacity; and repetitive movements, including stirring soybean porridge and cutting tofu. This study aimed to analyze the relationship between ergonomic factors and the incidence of LBP among tofu makers in Blaru and Dadirejo Villages. A quantitative cross-sectional design was applied to 60 tofu makers who met the inclusion and exclusion criteria. Ergonomic risks were assessed using the WERA method, covering awkward posture, forceful exertion, and repetitive motion, while LBP was identified through specific and physical examinations. Data were analyzed using the chi-square test. The results showed that 46 workers with awkward postures were at high risk of LBP, compared with five at moderate risk. High-risk forceful exertion was found in 31 workers, while 19 had moderate risk. Repetitive motion placed 42 workers at high risk and eight at moderate risk. Statistical analysis confirmed a significant relationship between ergonomic factors and LBP incidence among tofu makers.
Model Pencegahan Pernikahan Usia Anak Berbasis Literasi Kesehatan Reproduksi, Dukungan Keluarga, dan Lingkungan Sekolah di Sulawesi Tenggara Efa Kelya Nasrun; Fajar Kurniawan; Muhammad Al Rajab
Jurnal Ventilator Vol. 3 No. 1 (2025): Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v3i1.2660

Abstract

Child marriage in Southeast Sulawesi Province is still a public health and child protection issue. In 2023, there were 217 applications for marriage dispensation granted by the court, which were influenced by out-of-wedlock pregnancies, low education, and suboptimal implementation of regional policies. This research aims to develop a model for preventing child marriage based on three pillars, namely reproductive health literacy, family support, and school environment. The research uses a qualitative-based Research and Development (R&D) approach consisting of eight stages: literature study, needs analysis, in-depth interviews, focus group discussions (FGD), model preparation, expert validation, model revision, and final model preparation. The research focuses on the development of conceptual models and implementation guidelines so that it does not use inferential statistical analysis. This article reports on two initial stages, namely literature review and needs analysis. The literature study was conducted through the review of official documents of UNICEF, KPAI, and BPS of Southeast Sulawesi Province as well as 16 primary articles indexed by Scopus, PubMed/MEDLINE, ScienceDirect, and Google Scholar. Needs analysis maps gaps in regional regulations and the implementation of youth service programs. The results of both stages resulted in an initial draft of the three-pillar model that will be refined through in-depth interviews and FGDs. Literature studies show that child marriage is influenced by low reproductive health literacy, weak family communication, and the suboptimal role of schools in adolescent education. The needs analysis also identified the limitations of local regulations and adolescent-friendly health services. This article is a research protocol as well as a report on the results of the first two stages of model development.
Pemberdayaan Kader terhadap Kepatuhan Minum Obat bagi Penderita ODGJ di Puskesmas Gotowasi Raudah Abd. Gafur; Novi Anggraeni; M. Hasinuddin; Eddy Moeljono
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.v4i3.2662

Abstract

Mental disorders are chronic illnesses that require a long process for recovery. One factor influencing the success of treatment in patients with schizophrenia is adherence to medication. It was found that 60% had a low level of medication adherence, which has the potential to hinder their recovery and increase the risk of relapse. Mental health community cadres act as an extension of healthcare workers in implementing mental health efforts. The purpose of this study was to examine medication adherence among people with mental disorders after a cadre empowerment intervention. This study used a quasi-experimental design with a pretest–posttest one-group approach. The sampling technique used was total sampling. The sample consisted of all People with Mental Disorders (ODGJ), totaling 18 individuals. The independent variable was cadre empowerment, while the dependent variable was medication adherence among people with mental disorders. The research instrument was a questionnaire adapted from the Morisky Medication Adherence Scale (MMAS-8). Data were analyzed descriptively using frequency distribution tables and diagrams. The results of this study show that medication adherence among people with mental disorders (ODGJ) increased following a community health worker empowerment intervention. These findings indicate that community health worker empowerment is an effective approach to supporting medication adherence and treatment success among people with mental disorders. Community health worker empowerment has the potential to serve as a community-based mental health care model in efforts to improve medication adherence among people with mental disorders at community health centers (Puskesmas).
Implementasi Edukasi Audio Visual untuk Meningkatkan Self-Management Nyeri Akut pada Pasien di Ruangan Rawat Inap RSUD Serpong Utara Arfinisius Ana Rato; Atik Setiawan Wahyuningsih
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.v4i3.2663

Abstract

Acute pain complaints dominate inpatient wards, yet patients tend to remain passive and dependent on chemical analgesics due to the lack of applicable non-pharmacological educational media at the bedside. To enhance patients' independent self-management in controlling acute pain intensity through audio-visual-based education. This community service project was conducted on May 22, 2026, at RSUD Serpong Utara, involving 15 inpatients with mild-to-moderate acute pain. The personalized intervention utilized bedside teaching with a 4-minute educational video on deep breathing relaxation and distraction techniques, accessed via bedside QR Code plaques. Knowledge was measured using oral pre- and post-test questionnaires, psychomotor skills via the Teach-Back method, and pain intensity using the Numeric Rating Scale (NRS) 0–10. Prior to the intervention, most patients (60%) had "Poor" knowledge, with an average pain score of 5.2 (Moderate Pain). Post-intervention, "Good" knowledge surged to 80%, with no patients remaining in the "Poor" category. Patients demonstrated the techniques independently with $\ge 80\%$ accuracy. Clinically, the average subjective pain intensity scale decreased significantly from 5.2 to 2.4 (Mild Pain). The implementation of audio-visual education integrated with a bedside QR Code system effectively improves patients' self-management capacity and successfully reduces acute pain intensity during hospitalization.
Edukasi Penerapan Budaya “Lapor Pak” sebagai Upaya Peningkatan Laporan Insiden Keselamatan Pasien dan Budaya Keselamatan Pasien : Proyek Inovasi Diterapkan di Puskesmas Perawatan Subaim Kabupaten Halmahera Timur Faris Rakib; Novi Anggraeni; M. Hasinuddin; Eddy Moeljono
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.v4i3.2664

Abstract

Every healthcare facility is required to ensure patient safety in order to improve the quality of care. The 2025 IKP report for East Halmahera shows that only 5 community health centers (31.25%) reported zero IKP incidents, while 11 community health centers (68.75%) did not submit a report. IKP reports tend to increase during Community Health Center accreditation surveys and decrease again after accreditation (IKP application reports). Low incident reporting rates are common, although the levels vary. Development of an Educational Innovation to Implement the “Lapor Pak” Culture (Report Patient Safety Incidents Immediately to the Community Health Center) as a Model for Strengthening the Implementation of Patient Safety Goals at Community Health Centers. The objective of this study is to analyze the educational program for implementing the “Lapor Pak” culture as an effort to improve patient safety incident reporting and foster a patient safety culture. The research design was quasi-experimental with a single-group pretest–posttest approach. The sample consisted of 57 staff members at the Subaim Community Health Center, with simple random sampling used as the sampling technique. The independent variable was education on the implementation of  culture “Lapor Pak” (Report Patient Safety Incidents Immediately to the Community Health Center), while the dependent variables were the rate of Patient Safety Incident (PSI) reporting and patient safety culture. The research instrument was based on the Hospital Survey on Patient Safety Culture Version 2.0 User Guide published by the AHRQ (Agency for Healthcare Research and Quality). Data analysis was performed using a paired t-test. The results of this study show that there was no difference in the number of patient safety incident reports between the periods before and after the implementation of education on patient safety culture (Lapor Pak); p-value = 0.322 (p > 0.05), with the average score increasing from 0.00 to 0.0175, however, this increase was not statistically significant, and patient safety culture improved significantly before and after the implementation of education on patient safety culture (Lapor Pak). p-value = 0.044 (p < 0.05). The average patient safety culture score increased from 3.6995 to 3.8464
Penerapan PORTAL INM (Pelaporan Digital Indikator Nasional Mutu) sebagai Upaya Peningkatan Kepatuhan dan Kelengkapan Pelaporan Unit Pelayanan di RSUD Dr. Mohammad Zyn, Sampang Dewi Ratna Yuliana; Eny Susanti; Novi Anggraeni; Hamimatus Zainiyah
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.v4i3.2665

Abstract

Reporting on National Quality Indicators (INM) is a critical component of hospital quality management, as it serves as the basis for evaluating service performance, improving quality, and ensuring patient safety. However, the implementation of INM reporting at Dr. Mohammad Zyn Regional General Hospital in Sampang Regency still faces challenges, including reporting delays, incomplete data, and the use of an inefficient, paper-based manual system. To address these issues, the PORTAL_INM (Digital Reporting of National Quality Indicators) innovation was developed using Google Forms. This integrated system supports the hospital’s paperless policy. The objective of this study is to analyze the impact of implementing PORTAL_INM on improving compliance with reporting deadlines and the completeness of INM data across the hospital’s service units. The purpose of this study was to analyze the effect of implementing PORTAL_INM on improving compliance with reporting deadlines and the completeness of INM data in hospital service units. The study used a quasi-experimental design with a one-group pretest-posttest approach without a control group. The study population and sample consisted of all INM PICs (Persons in Charge) in 18 hospital service units, selected using total sampling. Data analysis was conducted descriptively and comparatively using the Crosstab test and Fisher’s Exact Test. The results showed a significant difference (p=0.0001) and a significant difference (p=0.002). This innovation supports digital transformation, strengthens a culture of quality, and enhances the effectiveness of sustainable hospital quality data management.
Systematic Review: Perbandingan Diet Rendah Indeks Glikemik dan Diet Ketogenik terhadap kontrol Glikemik Ucik Ernawati; Naylil Mawadda Rohma
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.v4i1.2666

Abstract

Type 2 diabetes mellitus is a global health problem that requires effective glycemic management to prevent long-term complications. Dietary intervention is one of the primary strategies for controlling blood glucose levels, with low-glycemic-index diets and ketogenic diets being among the most widely studied approaches. This study aimed to compare the effectiveness of low-glycemic-index diets and ketogenic diets on glycemic control in individuals with type 2 diabetes mellitus or impaired glucose metabolism. A systematic review was conducted through a comprehensive literature search across several scientific databases using relevant keywords. Eligible studies were selected based on predefined inclusion criteria, critically appraised for quality, and analyzed narratively. The findings indicate that both dietary interventions improve glycemic control, as evidenced by reductions in glycated hemoglobin (HbA1c) and fasting blood glucose levels. Ketogenic diets tend to produce more rapid short-term improvements in glycemic outcomes, whereas low-glycemic-index diets demonstrate better long-term adherence and sustainability. These results suggest that both dietary approaches can be effective strategies for glycemic management, and the choice of intervention should be tailored to individual clinical conditions, dietary preferences, and the ability to maintain long-term dietary adherence.
Optimalisasi Manajemen Hemodinamik Pasien Pre-Operasi Melalui Intervensi Alternate Nostril Breathing di Holding Room Rsud Kabupaten Buru Maluku Arieyani Tamrin; Atik Setiawan Wahyuningsih
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.v4i3.2667

Abstract

. Preoperative hemodynamic instability, characterized by elevated blood pressure, pulse rate, and respiratory rate, is frequently observed in patients awaiting surgery and may affect their psychophysiological readiness. This community service program aimed to optimize preoperative hemodynamic management by implementing the Alternate Nostril Breathing (ANB) technique in the holding room of the Central Surgical Unit at Buru Regency Regional General Hospital. Activities included health education, demonstrations, bedside teaching, and installation of educational posters with QR codes linked to an ANB instructional video. Seven of the 11 targeted operating room nurses attended the training and successfully demonstrated the technique. Five preoperative patients were screened, and three with hemodynamic instability received ANB for 10–15 minutes. After the intervention, all patients showed reductions in blood pressure, pulse rate, and respiratory rate. Mean systolic blood pressure decreased from 151.3 to 136.7 mmHg, diastolic pressure from 92.7 to 84.0 mmHg, pulse rate from 102 to 86.3 beats/minute, and respiratory rate from 23.3 to 16.0 breaths/minute. Patients also reported feeling calmer and better prepared for surgery. The program produced educational posters and digital learning resources. ANB is a practical, safe, and evidence-based nursing intervention that improves preoperative hemodynamic stability and strengthens nurses' competence in non-pharmacological care
Efektivitas Pendidikan Kesehatan dalam Meningkatkan Pengetahuan Ibu Hamil tentang Pencegahan Stunting: Studi Berbasis Masyarakat Atalia Pili Mangngi; Fitria Atapukang; Ni Putu I.D.P Murti; Diah Ayu Dwi Satiti; Meldy E.H.Lede
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.v4i1.2668

Abstract

Background: Stunting reimains a major public heialth probleim in low- and middlei-incomei countrieis and is strongly associateid with mateirnal knowleidgei and practiceis during preignancy. Heialth eiducation is an important strateigy to improvei mateirnal awareineiss and support eiarly preiveintion of stunting. Howeiveir, eivideincei on its eiffeictiveineiss at thei community leiveil is still limiteid. This study aimeid to eivaluatei thei eiffeictiveineiss of heialth eiducation in improving preignant womein’s knowleidgei of stunting preiveintion.Meithods: A community-baseid quasi-eixpeirimeintal study was conducteid among preignant womein in Nunkurus Villagei, Kupang Reigeincy, EIast Nusa Teinggara, Indoneisia. A total of 50 participants weirei assigneid to inteirveintion and control groups. Thei inteirveintion group reiceiiveid structureid heialth eiducation on mateirnal nutrition, anteinatal carei, and infant feieiding practiceis, whilei thei control group reiceiiveid standard carei. Knowleidgei was asseisseid using a validateid queistionnairei beiforei and afteir thei inteirveintion. Data weirei analyzeid using paireid and indeipeindeint t-teists with 0.05. Reisults: Thei inteirveintion group showeid a significant increiasei in meian knowleidgei scoreis afteir heialth eiducation (0.001), whilei no significant changei was obseirveid in thei control group (0.05). Post-inteirveintion scoreis weirei significantly higheir in thei inteirveintion group compareid to thei control group (p < 0.001). Conclusion: Heialth eiducation eiffeictiveily improveis preignant womein’s knowleidgei of stunting preiveintion. Community-baseid inteirveintions arei eisseintial for streingtheining eiarly preiveintion eifforts.

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