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Jurnal Pustaka Keperawatan
Published by Pustaka Galeri Mandiri
ISSN : -     EISSN : 28306538     DOI : https://doi.org/10.55382/jurnalpustakakeperawatan
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health
Jurnal Pustaka Keperawatan adalah sebuah jurnal Double blind peer-review yang didedikasikan untuk publikasi hasil penelitian yang berkualitas dalam bidang Keperawatan. Semua publikasi di Jurnal Pustaka Keperawatan bersifat akses terbuka yang memungkinkan artikel tersedia secara bebas online tanpa berlangganan apapun.
Arjuna Subject : Keperawatan - Farmakologi (Keperawatan)
Articles 133 Documents
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Analisis Skor APACHE II dalam Memprediksi Lama Rawat pada Pasien Kritis Suryani Manurung, Kristina; Subandi, Andi; Sulistiawan, Andika; Irwanti Sari, Putri; Rudini, Dini
Jurnal Pustaka Keperawatan (Pusat Akses kajian Keperawatan) Vol 4 No 2 (2025): Jurnal Pustaka Keperawatan
Publisher : Pustaka Galeri Mandiri

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Abstract

Critically ill patients treated in the Intensive Care Unit (ICU) and Intensive Cardiac Care Unit (ICCU) present varying levels of disease severity, which may influence length of stay. The APACHE II score is a widely used scoring system to assess the severity of illness in critically ill patients; however, data describing its association with length of stay at RSUD Raden Mattaher Jambi remain limited. This study aimed to analyze APACHE II scores and length of stay among critically ill patients in the ICU and ICCU. A descriptive quantitative study with a retrospective approach was conducted involving 83 adult critically ill patients treated between January and December 2023. Data were obtained from medical records, and APACHE II scores were calculated using the MDCalc application based on physiological parameters recorded within the first 24 hours of admission. Data analysis was performed using descriptive statistics. The results showed a mean APACHE II score of 16.37±6.68, with a range of 4–31, while the mean length of stay was 3.55±3.29 days, ranging from 1 to 20 days. The longest average length of stay was observed in patients with APACHE II scores of 11 and 12, and no consistent increase in length of stay was found with higher APACHE II scores. Variations in length of stay were also observed across individual physiological parameters of the APACHE II score. In conclusion, APACHE II scores among critically ill patients were predominantly in the moderate to severe category with relatively short lengths of stay, and APACHE II cannot be used as a single predictor of length of stay without considering other clinical factors.
Literature Review: Hubungan Perilaku Merokok dengan Penyakit Jantung Koroner Anggraeni, Dea Lutfi; Keisha Mutiara Enrica; Naurah Sa’adah Khairunnisa; Patimah Nurul Aropah; Rezeki Raharjo; Syifa Adzkia Nur Roidah; Popi Sopiah
Jurnal Pustaka Keperawatan (Pusat Akses kajian Keperawatan) Vol 4 No 2 (2025): Jurnal Pustaka Keperawatan
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Abstract

Coronary heart disease is a heart disease caused by the buildup of cholesterol (plaque), fat, or other substances on the walls of blood vessels. Plaque buildup can narrow the arteries and reduce blood flow that carries oxygen and nutrients to the heart. Coronary Heart Disease (CHD) remains one of the leading causes of death in the world and in Indonesia. One of the most influential lifestyle risk factors for the emergence of CHD is smoking. Harmful substances in cigarettes such as nicotine and carbon monoxide can damage the endothelium of blood vessels, thereby increasing the risk of cardiovascular disorders. This study aims to analyze the level of risk of coronary heart disease in individuals who smoke compared to individuals who do not smoke through a literature review. This study used the Narrative Literature Review method with reference to the PRISMA guidelines. Article searches were conducted through the Google Scholar database with a publication range of 2020–2025. Based on the results of the literature review, a significant relationship was found between smoking behavior and the incidence of CHD. Individual smokers have a risk (Odds Ratio) between 1.75 to 5.9 times greater for developing CHD compared to non-smokers. This risk increases with the intensity and duration of smoking, and also impacts passive smokers. The chemicals in cigarettes have been shown to accelerate atherosclerosis and narrowing of the arteries. Smoking is a dominant modifiable risk factor. Quitting smoking can significantly reduce the risk of coronary heart disease. Health promotion and education efforts regarding the dangers of smoking need to be increased.
Pengaruh Program Tutor Sebaya Melalui Home Visit Terhadap Kepatuhan Berobat pada Pasien Diabetes Mellitus Daud, Vebriyanti; Fani, Rif'atul; Nawangwulan, Tama Mega
Jurnal Pustaka Keperawatan (Pusat Akses kajian Keperawatan) Vol 4 No 2 (2025): Jurnal Pustaka Keperawatan
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Abstract

Diabetes mellitus is a metabolic condition marked by increased blood glucose levels resulting from a gradual reduction in insulin production. This research seeks to assess the impact of a peer tutoring program conducted via home visits on medication adherence and blood glucose levels in diabetes mellitus patients in the hamlet of Bube, Suwawa district. This research used a one-group pretest-posttest pre-experimental design including 30 diabetes patients who were purposively chosen due to their prior non-adherence to treatment. Blood glucose levels were quantified using a glucometer, and patient adherence was evaluated by pre- and post-test questionnaires. Data were analyzed using the McNemar test for adherence and paired t-test for blood glucose. Results showed a significant increase in adherence, from 13 (43.3%) to 27 (90%), and a decrease in mean blood glucose from 244.03 mg/dL to 220.97 mg/dL (t = 2.77; df = 29; p < 0.05) after the intervention. These findings indicate that the peer tutor home visit program effectively improves adherence and reduces blood glucose, providing a feasible community-based strategy for diabetes management.
Faktor-Faktor yang Berhubungan dengan Kepuasan Pasien di Instalasi Gawat Darurat Ameliati, Sri; Yana Maysah Putri
Jurnal Pustaka Keperawatan (Pusat Akses kajian Keperawatan) Vol 4 No 1 (2025): Jurnal Pustaka Keperawatan
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Abstract

Patient satisfaction is one of the determining factors for the success of a health service. Responsive staff, adequate service quality, standardized waiting time in the Emergency Department (ED), patient comfort and facilities, as well as professional medical personnel who are always available 24 hours a day, are essential aspects of emergency care. This study aims to determine the factors associated with patient satisfaction in the Emergency Department. This research employed a quantitative method with a descriptive-analytic design using a cross-sectional approach. The study was conducted in the Emergency Department of Prof. H. Muhammad Yamin, SH Regional General Hospital from March to 13, 2025, with a total sample of 73 respondents. Sampling was carried out using the probability sampling technique. Data were analyzed using univariate and bivariate analyses with the Chi-Square test, and the level of significance was set at p < 0.05. The results showed that 55 respondents (75.3%) rated the quality of service as “Good”; 53 respondents (74.0%) stated that the waiting time met the standard; 57 respondents (78.1%) rated the facilities provided as “Good”; and 52 respondents (71.2%) expressed satisfaction with the overall quality of service. There was a significant relationship between service quality, waiting time, and facilities with patient satisfaction in the Emergency Department. It is expected that patients will improve their understanding of their rights as healthcare recipients, including the right to obtain high-quality, safe, and standardized health services
Studi Literatur : Penyakit yang Dapat Dicegah dengan Imunisasi Roma Rizky Siregar, Nabila; Irfan Sazali Nasution; Aisah Febri Aulia; Dinda Cahaya Waini; Fauzia Afrida Yolanda; Feyza Lestari; Sabrina Rizki Mawaddah Siregar; Vidya Raihanah
Jurnal Pustaka Keperawatan (Pusat Akses kajian Keperawatan) Vol 4 No 2 (2025): Jurnal Pustaka Keperawatan
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Abstract

Immunization is a preventive effort aimed at providing protection against infectious diseases through vaccination in children. Every child must receive complete immunizations to avoid serious illnesses that may lead to weakness, disability, and death. Although immunization programs have been widely implemented, several vaccine-preventable diseases (VPDs) are still found in Indonesia. This situation is influenced by uneven immunization coverage, population mobility, sociocultural factors, and increasing public skepticism toward vaccines. This study aims to analyze the mechanisms of transmission and preventive measures for diseases that can be prevented through immunization, including Hepatitis B, Tuberculosis, Measles, Polio, Diphtheria, and PertussisThis study employed a literature review method by collecting references from books and scientific articles obtained through Google Scholar and PubMed databases. The inclusion criteria consisted of relevant topics, full-text availability, and accessible sources. The review shows that OPV and IPV vaccination is effective in preventing polio. Routine immunization and improved sanitation play an essential role in preventing diphtheria, pertussis, and other infectious diseases. Furthermore, community education and the active involvement of health workers significantly contribute to the success of immunization programs. Successful control and prevention of infectious diseases in Indonesia rely heavily on equitable immunization coverage, continuous public education, and strengthening of the health system. Collaborative efforts between the government, health workers, and the community are crucial to addressing existing challenges and ensuring that immunization programs achieve their targets in reducing incidence, complications, and mortality from vaccine-preventable diseases.
Gambaran Penggunaan Terapi Komplementer pada Pasien Diabetes Melitus Tipe II Di Puskesmas I Busungbiu Singaraja Oktastyasa Putra, Wayan; Dewa Putu Arwidiana; Ni Wayan Suniyadewi
Jurnal Pustaka Keperawatan (Pusat Akses kajian Keperawatan) Vol 4 No 2 (2025): Jurnal Pustaka Keperawatan
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55382/jurnalpustakakeperawatan.v4i2.1647

Abstract

Diabetes mellitus is a chronic disease that requires long-term management. In addition to medical therapy, many patients utilize complementary therapy as a companion therapy to help reduce complaints, improve comfort, and quality of life. The use of complementary therapy is influenced by various characteristics of the patient, such as age, gender, and length of suffering from diabetes mellitus. Objective: This study aims to determine the description of the use of complementary therapy based on age, sex, and length of suffering from diabetes mellitus in patients with diabetes mellitus. This study used a quantitative descriptive design. The research sample amounted to 68 respondents of diabetes mellitus patients who were selected by total sampling technique. Data was collected using questionnaires and analyzed descriptively through cross-tabulation. The results showed that most of the respondents were >65 years old as 30 respondents (44.1%). The use of categorical complementary therapy was often found in 38 respondents (55.9%). Based on gender, female respondents amounted to 36 people (52.9%) and 32 man (47.1%), with the use of complementary therapy being relatively balanced. Based on the length of suffering from diabetes mellitus, respondents with a duration of >2 years were the largest group, namely 42 respondents (61.8%), with 21 respondents (30.9%) often using complementary therapy. The use of complementary therapies is more prevalent in elderly patients and with longer periods of diabetes mellitus. Complementary therapy is used as an adjunct therapy in the management of diabetes mellitus. Therefore, the role of health workers is needed in providing education related to the use of complementary therapy that is safe and in accordance with medical therapy
Pengaruh Edukasi Melalui Audiovisual Terhadap Pengetahuan Personal Hygiene Saat Mentruasi pada Remaja Putri Darmayanti, Ni Putu; Ni Luh Gede Intan Saraswati; I Gede Juanamasta
Jurnal Pustaka Keperawatan (Pusat Akses kajian Keperawatan) Vol 4 No 2 (2025): Jurnal Pustaka Keperawatan
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Abstract

Lack of knowledge among adolescent girls regarding Personal hygiene during menstruation remains a significant reproductive health problem that contributes to an increased risk of urinary tract infections, skin irritation, and reproductive tract disorders. Limited use of engaging educational methods and suboptimal utilization of modern learning media make health information difficult to understand and remember. This study aimed to analyze the effect of audiovisual-based education on increasing knowledge of Personal hygiene during menstruation among adolescent girls. This study used a quasi-experimental design with a pre-test and post-test with control group approach. The research sample consisted of 62 female students divided into an intervention group of 31 students and a control group of 31 students. The intervention group received health education using an audiovisual video for 30 minutes, while the control group did not receive any intervention. Data were collected using a structured questionnaire to measure knowledge levels before and after the intervention. Data analysis was performed using the Wilcoxon Sign Rank Test to examine within-group differences and the Mann–Whitney U Test to compare differences between groups, with a significance level of ? = 0.05. The results showed a significant increase in knowledge in the intervention group after receiving audiovisual education, as indicated by a shift in knowledge categories from fair and poor to predominantly good, accompanied by a p-value < 0.05. In contrast, the control group did not show significant changes. These findings indicate that audiovisual-based education is effective in improving adolescent girls’ knowledge of Personal hygiene during menstruation. Therefore, the use of audiovisual media is recommended as a reproductive health education strategy in school settings to strengthen sustainable clean and healthy behavior.
Hubungan Usia dengan Kesehatan Mental Ibu hamil Kecamatan Bantul Ayu Hapsari, Rani; Isti Chana Zuliyati; Prasetya Lestari; Margiati
Jurnal Pustaka Keperawatan (Pusat Akses kajian Keperawatan) Vol 4 No 2 (2025): Jurnal Pustaka Keperawatan
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Abstract

Maternal age is one of the factors that can affect a woman's mental health while she is pregnant. As a woman gets older, it can have an impact on both her body and mind, including during pregnancy. Depression is one of the main health problems around the world. Many pregnant women experience anxiety because of the physical, hormonal, and emotional changes that happen during pregnancy. Stress during pregnancy often comes from the physical changes, changes in hormones, and emotional challenges that happen as the baby grows. This study aimed to look at how a woman's age relates to her mental health during pregnancy in Bantul District. The study used a descriptive analysis with a cross-sectional approach and included 83 pregnant women as the total group. The sample size was determined using Slovin's formula, which led to 45 participants. Information was gathered using the DASS-21 questionnaire, and a univariate analysis was done to look at how often different things happened. The results showed that there is a significant connection between a woman's age and her mental health during pregnancy in Bantul District, as shown by a p-value less than 0.05. This means that a woman's age is an important thing to consider when checking her mental health during pregnancy. Healthcare workers should be especially careful about the mental health of pregnant women, especially younger mothers. They should offer help like counseling, education, and support to help reduce stress and prepare women better for pregnancy and childbirth.
Efektifitas Pemberian Intervensi Terapi Bekam Terhadap Penurunan Tingkat Nyeri Pada Pasien Dengan Gout Arthritis Di Praktek Mandiri Perawat Dawan Usadha Widiani Sari, Kadek; Aditha Angga Pratama; Made Martini
Jurnal Pustaka Keperawatan (Pusat Akses kajian Keperawatan) Vol 4 No 2 (2025): Jurnal Pustaka Keperawatan
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Abstract

Gout arthritis is a joint inflammation caused by the accumulation of monosodium urate crystals, which triggers severe pain, swelling, redness, and limited movement. This condition can reduce quality of life and interfere with daily activities. One of the commonly used non-pharmacological therapies to help reduce pain intensity is cupping therapy, which works by improving microcirculation, removing stagnant blood, and decreasing inflammatory mediators. This study aims to describe complementary nursing care with the main problem of acute pain in patients with gout arthritis through the implementation of cupping therapy interventions. This research employed a descriptive analytical design using a case study method involving three gout arthritis patients who received cupping therapy once a week for three weeks. The instruments used included nursing care formats, observation sheets, physical examination, and pain intensity measurement using the Numeric Rating Scale (NRS). The implementation of cupping therapy showed a reduction in pain levels in all patients, where Mrs. W experienced a decrease from a pain score of 5 to 3, Mrs. D from 5 to 2, and Mrs. A from 5 to 3 after three sessions. Patients also reported feeling more relaxed and comfortable following the therapy. These results indicate that cupping therapy is effective in helping to reduce pain intensity in patients with gout arthritis.
Gambaran Tingkat Kemandirian Pasien Pasca Stroke di RSUD Tabanan Surya Artajaya, Kadek Dwi; Ni Luh Putu Thrisna Dewi; Theresia Anita Pramesti
Jurnal Pustaka Keperawatan (Pusat Akses kajian Keperawatan) Vol 4 No 2 (2025): Jurnal Pustaka Keperawatan
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Stroke is one of the leading causes of disability that results in decreased patients’ ability to perform daily activities. Physical impairments such as hemiparesis, reduced mobility, and changes in cognitive function contribute to the low level of independence among post-stroke patients. This study aimed to describe the level of independence of post-stroke patients at the Neurology Outpatient Clinic of RSUD Tabanan. This research was a quantitative study with a descriptive design, involving 68 respondents selected through purposive sampling. The instrument used was the Barthel Index to assess the level of independence in activities of daily living (ADL). Data analysis was conducted using univariate descriptive analysis. The results showed that the majority of post-stroke patients were in the category of mild dependence, with 24 respondents (35.3%), followed by moderate dependence in 17 respondents (25%), full independence in 15 respondents (22.1%), total dependence in 7 respondents (10.3%), and severe dependence in 5 respondents (7.4%). The predominance of dependency among post-stroke patients may be attributed to motor impairments, limited mobility, and suboptimal recovery processes. However, factors such as duration since stroke onset, severity of the condition, consistency of rehabilitation, family support, and access to rehabilitation services may play an important role in improving patients’ ability to perform daily activities independently

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