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INDONESIA
Indonesian Nursing Journal
Published by Politeknik Negeri Subang
ISSN : 29887577     EISSN : 29887623     DOI : -
Core Subject : Health,
Nursing
INJ (Indonesian Nursing Journal) is an open access scientific journal with frequency of publication is two issues per year (January and July), INJ published theoretical and empirical peer-reviewed articles, which contribute to advance the understanding of phenomena related to all aspects of nursing education and nursing care. INJ includes contributions, but not limited to, in the following fields: Medical-Surgical Nursing, Emergency Nursing, Pediatric Nursing, Emergency Nursing, Maternity Nursing, Psychiatric Nursing, Gerontological Nursing, Management Nursing, Family Nursing and Nursing in Community.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 52 Documents
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Self-esteem and its determinants among pulmonary tuberculosis patients in Subang, Indonesia Setiawan, Hamad; Fadilah, Rurul; Rahmawati, Siti; Pratama, Budi; Kartika, Rina
Indonesian Nursing Journal Vol. 2 No. 2 (2025): January 2025
Publisher : Program Studi Keperawatan, Politeknik Negeri Subang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31962/inj.v2i2.298

Abstract

Background: Pulmonary tuberculosis (TB) significantly affects not only physical health but also the psychological well-being of patients. Self-esteem is a critical aspect of psychological health that influences treatment adherence and recovery. However, limited research has explored the determinants of self-esteem among TB patients in resource-limited settings like Subang, Indonesia. Purpose: This study aimed to examine the factors influencing self-esteem in pulmonary TB patients, focusing on stigma, social support, and economic burden. Methods: A cross-sectional design was employed, involving 150 pulmonary TB patients from Subang, Indonesia. Data were collected using validated instruments to measure self-esteem, stigma, social support, and economic burden. Descriptive and inferential statistical analyses, including correlation and regression, were conducted to identify significant predictors of self-esteem. Results: The mean self-esteem score among participants was 15.4, indicating moderate self-esteem. Stigma was the strongest negative predictor of self-esteem (β = -0.62, p < 0.001), followed by economic burden (β = -0.43, p < 0.001). Social support showed a positive association with self-esteem (β = 0.54, p < 0.001). Demographic variables such as age, employment status, and marital status also influenced self-esteem but to a lesser extent. Conclusion: Self-esteem in TB patients is significantly influenced by stigma, social support, and economic burden. Addressing these factors through integrated care models that reduce stigma, provide financial assistance, and enhance social networks can improve psychological outcomes and treatment adherence among TB patients.
Fluid restriction in hemodialysis patients with chronic kidney disease in RSUP Dr. Mohammad Hoesin Palembang Wijayaa, Andi Putra; Septiani, Rina; Sari, Dewi Kartika; Rizky, Ahmad Fauzi; Hidayah, Nurul; Arifin, Zulkarnain
Indonesian Nursing Journal Vol. 2 No. 2 (2025): January 2025
Publisher : Program Studi Keperawatan, Politeknik Negeri Subang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31962/inj.v2i2.299

Abstract

Background: Chronic kidney disease (CKD) patients undergoing hemodialysis must adhere to fluid restrictions to prevent complications such as hypertension, heart failure, and pulmonary edema. However, maintaining adherence is challenging due to physiological, psychological, and social factors. Purpose: This study aims to evaluate compliance with fluid restrictions among hemodialysis patients, identify factors influencing adherence, and propose strategies to improve compliance at RSUP Dr. Mohammad Hoesin Palembang. Methods: A mixed-methods approach was employed, involving a cross-sectional survey of 100 hemodialysis patients and in-depth interviews with 16 participants. Quantitative data were analyzed using descriptive and inferential statistics, while qualitative data were thematically analyzed. Measures to minimize biases, such as ensuring confidentiality and cross-checking data, were implemented. Results: Quantitative findings revealed that participants had a moderate knowledge score (mean: 7.8/10) and an adherence rate of 75.3%, with a mean interdialytic weight gain of 2.5 kg. Significant correlations were found between knowledge and adherence (r = 0.58, p < 0.001) and adherence and weight gain (r = -0.65, p < 0.001). Qualitative analysis identified themes such as psychological challenges, social influences, coping strategies, and the importance of education. Participants highlighted thirst, cultural expectations, and limited understanding as barriers to adherence, while family support and education emerged as facilitators. Conclusion: Enhancing patient education, addressing psychological and social challenges, and promoting innovative coping strategies are essential to improving adherence to fluid restrictions. Tailored interventions and multidisciplinary approaches can optimize fluid management and patient outcomes in hemodialysis care
Nighttime banana consumption: A natural remedy for better sleep and blood pressure control in hypertensive patients Abdullah, Ahmad Syafiq; Huda, Nor Aina Izzati; Faiz, Siti Safiah; Hafizuddin, Muhammad; Rahman, Nurul Aziz; Khalid, Amirul Faiz
Indonesian Nursing Journal Vol. 2 No. 2 (2025): January 2025
Publisher : Program Studi Keperawatan, Politeknik Negeri Subang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31962/inj.v2i2.303

Abstract

Background: Hypertension is a significant global health concern, often linked with poor sleep quality, both of which contribute to increased cardiovascular risks. Dietary interventions rich in potassium, magnesium, and tryptophan have shown potential in improving blood pressure and sleep quality. However, the specific effects of nighttime banana consumption on these outcomes remain underexplored. Purpose: This study aims to investigate the impact of consuming bananas at night on blood pressure levels and sleep quality among hypertensive patients in the Health Community Kuantan, Malaysia. Methods: A randomized controlled trial was conducted with 120 hypertensive patients aged 30–65 years. Participants were randomized into two groups: the intervention group consumed one medium-sized banana (approximately 120 grams) one hour before bedtime daily for eight weeks, while the control group followed their usual diet. Blood pressure was measured weekly using an automated sphygmomanometer, and sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). Statistical analyses, including paired t-tests and repeated-measures ANOVA, were performed to evaluate within- and between-group differences. Results: The intervention group demonstrated significant reductions in systolic (mean: 10.3 mmHg, p < 0.001) and diastolic (mean: 6.3 mmHg, p < 0.001) blood pressure compared to the control group. PSQI scores also improved significantly in the intervention group, with a mean reduction of 3.1 points (p < 0.001) from baseline, indicating enhanced sleep quality. The control group showed minimal changes in both parameters. Conclusion: Nighttime banana consumption is an effective, natural, and affordable intervention for improving blood pressure and sleep quality in hypertensive patients. These findings highlight the potential of whole-food dietary strategies as complementary therapies for managing hypertension and its associated conditions.
Issue Information Ferdian, Nurizzi Rifqi
Indonesian Nursing Journal Vol. 2 No. 2 (2025): January 2025
Publisher : Program Studi Keperawatan, Politeknik Negeri Subang

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

The relationship between social support and happiness among older adults at Puskesmas Walenrang, South Sulawesi Nurul Baslia; Putri Pamungkas
Indonesian Nursing Journal Vol. 4 No. 1 (2026): July 2026
Publisher : Politeknik Negeri Subang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31962/inj.v4i1.2

Abstract

Background: Happiness is an important indicator of successful aging among older adults. However, many older adults experience decreased well-being due to loneliness, declining health, and reduced social interaction. Social support from family, peers, and the community plays a crucial role in maintaining psychological well-being and happiness in later life. In primary healthcare settings such as Puskesmas Walenrang, South Sulawesi, understanding the influence of social support is essential to improve elderly care services. Purpose: This study aimed to analyze the relationship between social support and happiness among older adults at Puskesmas Walenrang, South Sulawesi. Methods: A quantitative cross-sectional study was conducted involving 80 older adults aged ≥60 years selected using a purposive sampling technique. Data were collected using validated questionnaires measuring perceived social support and happiness levels. Statistical analyses included descriptive statistics, Sperman correlation to determine the relationship and influence between social support and happiness. Results: The findings showed a significant positive relationship between social support and happiness among older adults (r = 0.62; p = 0.001). Participants who received higher levels of emotional, instrumental, and informational support reported higher happiness levels and better psychological well-being. Older adults with strong family and community support also experienced lower levels of loneliness and emotional distress. Social support was identified as a significant predictor of happiness. Conclusion: Social support plays a vital role in enhancing happiness among older adults. Strengthening family involvement and community-based support programs through primary healthcare services is essential to improve the quality of life of older adults. These findings highlight the importance of nursing interventions focused on family engagement, psychosocial support, and community participation to promote healthy and successful aging among older adults.
The effect of a combination of 40°c warm compress and handgrip exercise on spasm, pain, and anxiety in patients undergoing percutaneous coronary intervention Mira Dwi Lantasary; Yenny Puspitasari; Agusta Dian Ellina
Indonesian Nursing Journal Vol. 4 No. 1 (2026): July 2026
Publisher : Politeknik Negeri Subang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31962/inj.v4i1.20

Abstract

Background: Percutaneous Coronary Intervention (PCI) is an invasive procedure that often causes spasm, pain, and anxiety in patients, which can affect comfort and the smoothness of the procedure. Non-pharmacological interventions such as warm compresses and handgrip exercise have the potential to improve perfusion and reduce discomfort during the procedure. Purpose: To determine the effect of a combination of a 40°C warm compress and handgrip exercise on reducing spasm, pain, and anxiety, as well as improving perfusion index in patients undergoing Percutaneous Coronary Intervention (PCI). Methods: This study used a quasi-experimental design with a control group. A total of 30 respondents were divided into two groups: 15 in the intervention group and 15 in the control group. The intervention group received a combination of a 40°C warm compress and handgrip exercise, while the control group received standard care. Data were collected using spasm observation sheets, a perfusion index measurement tool, pain scales, and anxiety questionnaires. Data analysis was performed using the Wilcoxon and Mann–Whitney tests. Results: The findings showed that the combination of warm compress and handgrip exercise significantly reduced spasm, pain, and anxiety (p= 0.001< 0.05), and significantly increased the perfusion index (p= 0.000 < 0.05) compared to the control group. Patients in the intervention group demonstrated better physiological and psychological responses during the procedure Conclusion: The combination of a 40°C warm compress and handgrip exercise is an effective non-pharmacological intervention to reduce spasm, pain, and anxiety, while improving perfusion in patients undergoing PCI. This intervention can be recommended as a supportive nursing strategy to enhance patient comfort and procedural outcomes.
The relationship between nurses’ therapeutic communication and anxiety levels among patients receiving their first chemotherapy session: A cross-sectional study Kiki Deniati; Lina Indrawati; Dinda Indrawati Bunga
Indonesian Nursing Journal Vol. 4 No. 1 (2026): July 2026
Publisher : Politeknik Negeri Subang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31962/inj.v4i1.3

Abstract

Background: Patients receiving their first chemotherapy session often experience anxiety due to uncertainty about treatment procedures, side effects, and physical changes. Nurses' therapeutic communication is considered an essential intervention to provide emotional support and reduce anxiety. Purpose: This study investigated the relationship between nurses' therapeutic communication and anxiety in patients who received first chemotherapy session. Method: This quantitative cross-sectional study was conducted from August to December 2025. Seventy-five first-time chemotherapy patients were recruited using inclusion and exclusion criteria. Data were collected using a 10-item Therapeutic Communication Questionnaire and the Hamilton Anxiety Rating Scale (HARS). Univariate and bivariate analyses were performed using the Chi-square test at p < 0.05. Result: Among 75 patients completed the questionnaire, the findings showed that most respondents experienced high levels of therapeutic communication (76%) and had no anxiety (66.7%). The bivariate analysis demonstrated a significant correlation between therapeutic communication of nurses and anxiety levels among first chemotherapy session patients (p = 0.004). Conclusion: There is a significant relationship between nurses' therapeutic communication and anxiety in first-time chemotherapy patients. Effective therapeutic communication was associated with lower anxiety levels. Strengthening nurses' therapeutic communication skills may serve as an effective strategy to reduce anxiety and support nurse-led consultations prior to first treatment sessions.
Nurse-led intervention to improve quality of life and reduce rehospitalization in heart failure patients: A scoping review Tobi Pitora; Rahmawati Dian Nurani; Dewin Safitri; Devi Harmita; Artanti Lathifah
Indonesian Nursing Journal Vol. 4 No. 1 (2026): July 2026
Publisher : Politeknik Negeri Subang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31962/inj.v4i1.14

Abstract

Introduction: Heart failure (HF) remains a major global health problem, characterized by high morbidity and mortality rates. HF imposes a substantial burden on healthcare systems due to high rates of hospitalizations and the need for intensive medical care. Nurse-led interventions have been increasingly recognized for their potential to improve patient outcomes across various healthcare settings Objectives: This article aims to evaluate the effectiveness of a nurse-led intervention to improve the quality of life and reduce readmission rates in patients with heart failure. Methods: This study used the PRISMA-ScR (Preferred Reporting Elements for Systematic Reviews and Meta-Analyses) framework. Searches for primary studies in any language were conducted in electronic databases such as PubMed, ScienceDirect, EBSCO, and Scopus. The search began on July 30, 2025, and was updated on August 28, 2025. Articles were assessed using the Cochrane Risk of Bias Scale (ROB 2.0). Results: Five articles were included in this scoping review. Nurses provide tailored education that promotes medication adherence, lifestyle modification, and symptom monitoring, which together enhance self-care behavior and patient empowerment. Nurse-led interventions appear most effective at enhancing QoL, while their impact on rehospitalization depends on the intervention’s timing, duration, and intensity. Nurse-led interventions should be integrated into routine HF management, particularly during transitional care following hospital discharge, when patients are most vulnerable to readmission Conclusion: Nurse-led interventions improve QoL and show potential to reduce rehospitalization among HF patients.
Mobile and electronic applications of resuscitation documentation: A systematic literature review Putu Ita Purwanti Diansari; Sidik Awaludin
Indonesian Nursing Journal Vol. 4 No. 1 (2026): July 2026
Publisher : Politeknik Negeri Subang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31962/inj.v4i1.15

Abstract

Background: Accurate and timely documentation during in-hospital cardiac arrest (Code Blue) is essential for patient safety and quality improvement; however, paper-based documentation is frequently incomplete and delayed. Purpose: This study aimed to evaluate the effectiveness of digital and electronic resuscitation documentation tools in improving documentation completeness, timing accuracy, and adherence to resuscitation algorithms compared with paper-based methods. Method: A systematic literature review was conducted using databases including Scopus, PubMed, ProQuest, and ScienceDirect, covering studies published from 2016 to 2025. Study quality was assessed using the JBI Critical Appraisal Tools. A total of ten studies were included, comprising six randomized controlled trials, three quasi-experimental studies, and one cross-sectional study. Two studies additionally incorporated qualitative components as part of a mixed-methods design. Results: Digital systems such as CPReCoder and NeRD demonstrated higher documentation completeness and more accurate time stamping. Cognitive aid–based applications, including Guiding Pad, Code Blue Leader, and PediAppRREST, improved guideline adherence, reduced critical errors, and lowered cognitive workload among resuscitation team leaders. However, most evidence was derived from simulation-based studies. Conclusion: Digital resuscitation documentation systems show strong potential to enhance documentation quality and resuscitation performance. Effective implementation requires user-centered design, adequate training, integration with electronic health records, and further validation through real-world clinical settings to support nursing practice and patient safety.
Audiovisual atraumatic care and cooperative behavior among hospitalized children: A case study Hemma Siti Rahayu; Suci Nurjanah; Putri Mahardika; Sari Artauli Lumban Toruan; Gilar Wisnu Hardi; Berlian Kusuma Dewi; Winani Winani; Bachtiar Efendi; Syariefah Waliulu; Muthahharah Muthahharah; ⁠Ine adelia
Indonesian Nursing Journal Vol. 4 No. 1 (2026): July 2026
Publisher : Politeknik Negeri Subang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31962/inj.v4i1.21

Abstract

Background: Hospitalization is a stressful experience for children, often causing fear, anxiety, crying, and uncooperative behavior during nursing procedures. Children may perceive hospitals as threatening, particularly during invasive procedures. Audiovisual distraction is a recognized non-pharmacological atraumatic care approach to reduce distress in hospitalized children. Purpose: This study aimed to describe audiovisual atraumatic care implementation and its effect on cooperative behavior in hospitalized children. Method: This descriptive case study was conducted in the pediatric ward of RSUP Fatmawati Hospital, Jakarta, Indonesia, from March 7–12, 2022. Two children aged 3 and 10 years experiencing hospitalization-related stress were selected through purposive sampling. Data were collected via direct observation and interviews. Cooperative behavior was evaluated using an observation sheet adapted from Harsono (2006), assessing crying, refusal, facial expression, eye contact, willingness to follow instructions, and verbal responses. The intervention consisted of watching cartoons for 15 minutes and playing online games for 10 minutes, delivered twice daily for three consecutive days. Data were analyzed descriptively. Results: Before the intervention, cooperative behavior scores were 2 and 1 for Case 1 and Case 2. After three days, both cases achieved scores of 4. Observations revealed reduced crying, improved eye contact, calmer expressions, and better acceptance of nursing procedures. Given the descriptive, two-case nature of this study, findings should be interpreted cautiously, and larger studies are needed. Conclusion: Both cases showed improved cooperative behavior following audiovisual atraumatic care. Larger studies are necessary to validate these findings and establish this intervention's benefits in pediatric nursing.

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