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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 208 Documents
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Pengaruh Edukasi Anatomi Organ Reproduksi Wanita terhadap Pengetahuan Kesehatan Reproduksi Remaja Putri Novita Sari, Nela; Maifita, Yesi
Jurnal Pustaka Keperawatan (Pusat Akses kajian Keperawatan) Vol 5 No 1 (2026): Jurnal Pustaka Keperawatan
Publisher : Pustaka Galeri Mandiri

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Abstract

Adolescent girls require accurate reproductive health knowledge to understand pubertal changes, menstruation, self-care practices, and early signs of reproductive organ disorders. This study aimed to analyze the effect of female reproductive organ anatomy education on reproductive health knowledge among adolescent girls. The researchers applied a pre-experimental design using a one-group pretest-posttest approach at SMPN 7 Pariaman in May 2026. The study involved 20 adolescent girls selected through purposive sampling. The educational intervention combined anatomical presentations, labeled illustrations, reproductive organ models, and interactive discussions for 45 minutes. Knowledge was measured using a validated questionnaire consisting of 20 items. The difference in knowledge scores was analyzed using the Wilcoxon test. The mean knowledge score increased from 62 in the pretest to 84 in the posttest, with a mean difference of 22 points. Statistical analysis showed a significant improvement in knowledge (p = 0.01). Education integrating anatomical concepts with practical reproductive health messages can strengthen conceptual understanding and reduce adolescents’ misconceptions. Schools and nursing professionals should provide reproductive health education regularly through interactive, age-appropriate approaches that consider cultural contexts.
Implikasi Terapi Cairan dalam Transplantasi Ginjal pada Pasien dengan Penyakit Ginjal Kronis : Narative Review Suandika, Made; Inaya, Filia Nadira; Ramadhan, Sidqi Rassis
Jurnal Pustaka Keperawatan (Pusat Akses kajian Keperawatan) Vol 5 No 1 (2026): Jurnal Pustaka Keperawatan
Publisher : Pustaka Galeri Mandiri

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Abstract

Kidney transplantation is the treatment of choice for patients with end-stage chronic kidney disease. The success of this procedure is highly influenced by appropriate perioperative fluid management. Fluid imbalance can lead to serious complications, including delayed graft function, impaired renal perfusion, and increased postoperative morbidity and mortality. This review aims to evaluate the current evidence on perioperative fluid therapy strategies in kidney transplantation, focusing on fluid type selection, monitoring methods, and clinical implications. A narrative review was conducted by synthesizing recent studies on fluid management in patients with chronic kidney disease undergoing kidney transplantation. The findings show that balanced crystalloids are preferred over 0.9% sodium chloride because they improve acid–base balance and renal perfusion. In addition, goal-directed fluid therapy guided by dynamic hemodynamic parameters helps maintain intraoperative hemodynamic stability. The combination of these approaches is associated with reduced postoperative complications and improved graft function. In conclusion, optimal perioperative fluid management plays a crucial role in improving kidney transplant outcomes. An individualized approach based on patient hemodynamic status, surgical phase, and graft characteristics should be applied to achieve better, safer clinical outcomes consistent with current evidence-based practice. The clinical implications highlight the need for standardized perioperative fluid management protocols across transplant centers to improve patient safety, reduce clinical practice variability, and support the consistent implementation of evidence-based guidelines in modern healthcare. This approach is also expected to enhance long-term patient outcomes and healthcare efficiency in referral hospitals through improved coordination of an integrated multidisciplinary clinical team.
Keseimbangan Asam-Basa pada Pasien dengan Kronis Ginjal Penyakit PGK : Narative Review Suandika, Made; Aurellia Septia Pramadani, Diandra; Liyan Wulandari, Putri; Naylatus Syarofah, Fadiyah
Jurnal Pustaka Keperawatan (Pusat Akses kajian Keperawatan) Vol 5 No 1 (2026): Jurnal Pustaka Keperawatan
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Abstract

Chronic kidney disease (CKD) is a major global health burden characterized by progressive loss of renal function and impaired acid–base regulation resulting from reduced hydrogen ion excretion and limited bicarbonate regeneration.These abnormalities frequently lead to chronic metabolic acidosis, contributing to disease progression and increasing perioperative risk in surgical patients.This narrative review evaluates the impact of intravenous fluid choice, specifically 0.9% saline versus balanced crystalloids, on acid–base homeostasis in CKD patients undergoing surgery. A critical analysis was performed using ten peer reviewed articles from reputable journals, focusing on the pathophysiology of acid–base disturbances in CKD, biochemical effects of perioperative fluids, and clinical outcomes related to fluid selection.The findings indicate that 0.9% saline, due to its high chloride concentration, is associated with hyperchloremic metabolic acidosis and may worsen renal function.Conversely, balanced crystalloids contain metabolizable buffers such as lactate or acetate, preserve a more physiological strong ion difference, enhance acid–base stability, and are linked to a lower risk of acute kidney injury.In conclusion, balanced crystalloids are preferable to saline for perioperative fluid management in CKD patients, as they support better acid–base balance and may reduce postoperative complications. Individual patient factors and electrolyte status should guide perioperative therapy decisions.
Efektivitas Akupresur dalam Mengurangi Nyeri pada Pasien Gagal Ginjal : Narative Review Suandika, Made; Inaya, Filia Nadira; Soleha, Putri; Mushthofa, Shidqi
Jurnal Pustaka Keperawatan (Pusat Akses kajian Keperawatan) Vol 5 No 1 (2026): Jurnal Pustaka Keperawatan
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Abstract

Chronic Kidney Disease (CKD) is a global health problem that requires patients to undergo long-term hemodialysis therapy. This procedure is frequently associated with various physical and psychological complications, including pain, muscle cramps, anxiety, and decreased quality of life. Pharmacological management of these symptoms has limitations due to potential side effects and the risk of drug dependence, highlighting the need for safe and effective non-pharmacological interventions. This narrative review aims to analyze and synthesize scientific evidence on the effectiveness of acupressure therapy in managing complications experienced by CKD patients undergoing hemodialysis. A total of ten relevant studies were reviewed, focusing on the effects of acupressure on physical symptoms (pain and muscle cramps), psychological symptoms (anxiety), and patients’ quality of life. The findings indicate that acupressure therapy is effective in reducing the intensity and frequency of muscle cramps, alleviating post-hemodialysis headaches, and decreasing anxiety levels. Additionally, acupressure contributes to improvements in overall quality of life among patients receiving regular hemodialysis. In conclusion, acupressure demonstrates significant potential as a complementary non-pharmacological intervention in nursing care for CKD patients undergoing hemodialysis. Further randomized controlled trials with larger sample sizes are recommended to strengthen the existing evidence base.
Manajemen Anestesi pada Gagal Ginjal dalam Pengaturan Perioperatif : Narative Review Suandika, Made; Ilyas, Syarif Muhammad; Suwani, Isma Aprilia; Akbar, Bilal Audra
Jurnal Pustaka Keperawatan (Pusat Akses kajian Keperawatan) Vol 5 No 1 (2026): Jurnal Pustaka Keperawatan
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Abstract

Background: Intravenous fluid management is a critical component of perioperative care in patients with chronic kidney disease (CKD). The type of fluid administered may influence acid–base balance, electrolyte status, and the risk of acute kidney injury (AKI).Purpose: This article aims to review the latest scientific evidence comparing the effects of 0.9% saline and balanced crystalloids in CKD patients in the perioperative setting. Methods: A narrative review was conducted by searching PubMed, Scopus, ScienceDirect, and Google Scholar using keywords related to saline, balanced crystalloids, CKD, perioperative care, and AKI. Eligible articles included randomized controlled trials, meta-analyses, and systematic reviews published between 2015–2024. Results: Evidence from multiple studies indicates that balanced crystalloids are superior in maintaining acid–base stability, reducing chloride levels, and lowering the incidence of AKI compared to saline. Large trials such as SMART, SALT-ED, and BEST-Fluids demonstrated reduced major adverse kidney events and delayed graft function in the balanced group, although mortality outcomes remain inconsistent. Conclusion: Balanced crystalloids provide greater physiological advantages and renal protection compared to saline in CKD patients undergoing surgery. While mortality reduction has not been consistently observed, current evidence supports the use of balanced crystalloids as the preferred perioperative fluid, particularly in patients at high risk of AKI.
Factors Associated with Mortality Among Stroke Patients Admitted to the Intensive Care Unit: A Retrospective Study Andriani; Asri, Yuni; Maharani, Ananda Sagita
Jurnal Pustaka Keperawatan (Pusat Akses kajian Keperawatan) Vol 5 No 1 (2026): Jurnal Pustaka Keperawatan
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Abstract

Stroke is a leading cause of mortality worldwide, particularly among patients requiring intensive care. Identifying factors associated with mortality in the intensive care unit (ICU) is essential to improve clinical management. This study examined factors associated with mortality among stroke patients admitted to the ICU. A retrospective analytic study was conducted using secondary medical record data of stroke patients admitted to the ICU of TK. II R.W. Mongisidi Hospital, Manado, Indonesia, between December 2025 and January 2026. A total of 55 patients were included. Mortality during ICU stay was the primary outcome. Sociodemographic variables, clinical factors, and length of stay were analyzed using Chi-square and Fisher’s exact tests in SPSS version 26, with significance set at p < 0.05. The mortality rate was 41.8%. Most patients had a history of hypertension (78.2%) and uncontrolled blood pressure (87.3%). Age, gender, education, employment status, marital status, genetic factors, medication adherence, history of hypertension, and blood pressure status were not significantly associated with mortality (p > 0.05). Length of ICU stay was significantly associated with mortality (p < 0.001), with deaths occurring more frequently among patients with shorter stays. Length of ICU stay was the only factor significantly associated with mortality among ICU-admitted stroke patients
Hubungan Pola Pendampingan Orang Tua dengan Kebiasaan Screen Time pada Anak Paud Usia Pra Sekolah (3-6 Tahun) : A Systematic Literature Review Sucita, Sucita; Novianti, Rima; Permana, Iwan
Jurnal Pustaka Keperawatan (Pusat Akses kajian Keperawatan) Vol 4 No 2 (2025): Jurnal Pustaka Keperawatan
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Abstract

The rapid development of digital technology has increased screen time exposure among early childhood, particularly in the preschool age group (3–6 years), which is a critical phase for cognitive, language, and emotional development. The high duration of device usage exceeding the recommendations of the World Health Organization (WHO) indicates that children’s screen time habits are closely linked to the family environment, especially parental mediation patterns.This study aims to comprehensively analyze the relationship between parental mediation and screen time habits in preschool-aged children, as well as to identify the most effective mediation strategies for controlling digital media use. The study employs a Systematic Literature Review (SLR) method using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) approach.Data sources were obtained from several international databases, including Scopus, ScienceDirect, PubMed, Web of Science, Cochrane Library, and Google Scholar, covering publications from 2010 to 2026. The selected articles met inclusion criteria in the form of empirical studies discussing parenting patterns or parental mediation and screen time in preschool children. The data were analyzed narratively to identify relationship patterns and determinant factors influencing children’s screen use behavior.The findings indicate a significant relationship between parental mediation and both the duration and quality of children’s screen time. Restrictive mediation has proven to be the most effective in controlling screen time duration, while active mediation plays an important role in improving the quality of children’s digital experiences. In contrast, weak parental mediation, technoference, and the use of devices as a digital pacifier contribute to increased and uncontrolled screen time. In addition, parental modeling behavior is a key predictor in shaping children’s digital habits.In conclusion, the effective management of screen time in preschool-aged children strongly depends on the quality of parental mediation, including restriction, active interaction, and behavioral consistency. Therefore, balanced parenting strategies are needed through the implementation of a family media plan, enhancement of parental digital literacy, and the provision of non-digital alternative activities to optimally support children’s development in the digital era.
Hubungan Dukungan Keluarga dengan Tingkat Kecemasan Ibu dalam Menghadapi Kehamilan Trimester III Niza ardiyanti; Zaini, Mad; Suryaningsih, Yeni
Jurnal Pustaka Keperawatan (Pusat Akses kajian Keperawatan) Vol 4 No 2 (2025): Jurnal Pustaka Keperawatan
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Abstract

Anxiety is a common emotional response experienced by pregnant women during the third trimester, characterised by feelings of discomfort, worry, and tension that are difficult to control. Data from the East Java Provincial Health Office (2022) showed that 52.3% of 679,765 pregnant women reported experiencing anxiety, while a study conducted in Jember Regency reported a prevalence of up to 90%. Family support is believed to be an important external factor associated with reduced anxiety among pregnant women. This study aimed to analyse the relationship between family support and anxiety levels among women in the third trimester of pregnancy. This study employed an analytical survey design with a cross-sectional approach. The population consisted of all third-trimester pregnant women in the working area of Pakusari Public Health Centre, totalling 100 women. A total of 100 respondents from four villages were selected using cluster purposive sampling. Family support was measured using the 20-item Family Support Pregnancy Questionnaire (FSPQ), while anxiety levels were assessed using the 10-item Pregnancy-Related Anxiety Questionnaire-Revised 2 (PRAQ-R2). Data were analysed using Spearman’s rank correlation test. Most respondents (94.0%) received a good level of family support, while more than half (54.0%) experienced moderate anxiety. The Spearman’s rank correlation test showed a statistically significant negative relationship between family support and anxiety levels (p = 0.039; r = ?0.207). There was a statistically significant negative relationship between family support and anxiety levels among women in the third trimester of pregnancy. Higher levels of family support were associated with lower levels of maternal anxiety. Healthcare professionals are encouraged to actively involve family members in antenatal care services to help reduce anxiety among pregnant women

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