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Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Published by Asosiasi Riset Ilmu Kesehatan Indonesia
ISSN : 30310121     EISSN : 30310113     DOI : 10.61132
Core Subject : Health,
Health Professions Nursing Public Health
Jurnal Protein menerima manuskrip dalam bidang Ilmu Kesehatan, Kedokteran, Sosial Humaniora dan Ilmu Multidisiplin termasuk penelitian dasar ilmu kesehatan umum, psikologi, ilmu farmasi, keperawatan dan kebidanan.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 271 Documents
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Pengaruh Tindakan Closed Suction terhadap Perubahan Hemodinamik (MAP, RR, HR, SPO2) pada Pasien yang Terpasang ETT dan Ventilator di Ruang ICU Saripatun Nisa; Rahayu Winart
Protein : Jurnal Ilmu Keperawatan dan Kebidanan.  Vol. 4 No. 3 (2026): Juli : Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/protein.v4i3.2332

Abstract

Background: Patients with Endotracheal Tube (ETT) and mechanical ventilators often experience secretion buildup in the airway that can lead to airway obstruction, ventilation disorders, as well as changes in hemodynamic parameters. Close suction is one of the nursing interventions used to clean secretions without disconnecting the ventilator so that ventilation and oxygenation are maintained. Objective: To describe the effect of the close suction method on hemodynamics: MAP (Blood Pressure), Pulse, Respiration, and Oxygen Saturation in patients who were fitted with ETT and ventilators in the ICU room. Methods: This study used a descriptive case study design on 5 patients who were fitted with ETT and mechanical ventilators in the ICU of Santosa Bandung Kopo Hospital. Data collection was carried out by measuring hemodynamic parameters before (pretest) and after (posttest) close suction action using bedside monitor. Data were analyzed descriptively by comparing the values before and after the intervention. Results: After close suction was given, there was an increase in the mean MAP value from 87.8 mmHg to 98.8 mmHg, HR from 96.2 times/min to 101.0 times/minute, RR from 19.6 times/min to 20.0 times/minute, and SpO₂ from 99.8% to 100%. These changes show that the close suction action is able to maintain the patient's hemodynamic stability and oxygenation during the procedure. Conclusion: The close suction method has an effect on hemodynamics: MAP (Blood Pressure), Pulse, Respiration, and Oxygen Saturation in patients who are fitted with ETT and mechanical ventilators. This action can be used as a nursing intervention to help maintain the physiological stability and oxygenation of critical patients in the ICU room.
Continuity of Care Of Klinik & RB Delta Mutiara Risma Wanda Wardani; Putri Ancila Citra
Protein : Jurnal Ilmu Keperawatan dan Kebidanan.  Vol. 4 No. 3 (2026): Juli : Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/protein.v4i3.2334

Abstract

Continuity of Care (CoC) is a health service approach that emphasizes continuity of care through ongoing relationships, coordinated management, and integrated information between health workers and clients. This study aims to describe the application of Continuity of Care in midwifery care at the Delta Mutiara Clinic & Maternity Home (RB). The research method used is a case study with a subject of a 30-year-old pregnant woman (G2P1A0) who received continuous midwifery care starting from pregnancy, childbirth, postpartum, newborn care, to family planning. Data collection was carried out through observation, interviews, and documentation of midwifery care according to midwifery practice standards. The results of the study indicate that the application of Continuity of Care is able to provide comprehensive and continuous midwifery care, characterized by stable conditions of mothers and babies, no complications found, and increased understanding and independence of mothers in caring for themselves and their babies. The conclusion of this study is that the Continuity of Care model is effective in improving the quality of midwifery services and supporting the achievement of optimal maternal and infant health.
Hubungan Sleep Hygiene dengan Kualitas Tidur pada Mahasiswa Program Studidiploma Tiga Keperawatan Universitas Abulyatama Cindi Trisa Dela; Urip Pratama; Muhammad Daud
Protein : Jurnal Ilmu Keperawatan dan Kebidanan.  Vol. 4 No. 2 (2026): April: Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/protein.v4i2.2167

Abstract

College students are often busy completing their assignments. They frequently experience sleep problems that can distort their studies. One of the factors that affects sleep quality is sleep hygiene. Poor sleep hygiene can worsen sleep quality. This study aims to determine the correlation between sleep hygiene and sleep quality among students of the Diploma III Nursing Program at Universitas Abulyatama. This study employs a quantitative correlational-descriptive design applying a cross-sectional approach. The population consisted of 556 students, while the sample was 85 students selected using proportional random sampling. The Sleep Hygiene Index (SHI), with a Cronbach's Alpha of 0.66, measured sleep hygiene. The Pittsburgh Sleep Quality Index (PSQI), with a Cronbach's Alpha of 0.83 of sleep quality. The study took place at Universitas Abulyatama from June 4th to July 3rd, 2025. Bivariate analysis using the chi-square test indicates a significant correlation between sleep hygiene and sleep quality, with a p-value of 0.000 (p ≤ 0.05). The findings reveal that a total of 69.4% of students had good sleep hygiene, and 41.2% had good sleep quality. The results prove that proper sleep hygiene leads to improved sleep quality. Therefore, students should enhance their knowledge on sleep hygiene, as poor sleep hygiene can lead to poor sleep quality.
Analisis Efektivitas UKS terhadap Perilaku Hidup Bersih dan Sehat (PHBS) Murid di SD Lambaro Angan Kecamatan Darussalam Kabupaten Aceh Besar Juhri Abadi; Iskandar Iskandar; Ryan Mulfianda
Protein : Jurnal Ilmu Keperawatan dan Kebidanan.  Vol. 4 No. 2 (2026): April: Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/protein.v4i2.2181

Abstract

The implementation of Clean and Healthy Living Behavior (PHBS) begins at an early age, particularly among school children, who learn extensively from their surrounding environment through the School Health Program (UKS). Although the family is the primary unit in shaping PHBS habits, parents’ busy schedules often lead children to interact more with teachers and peers at school. This study aims to determine the effectiveness of the UKS program on students’ PHBS at SD Lambaro Angan, Darussalam District, Aceh Besar Regency in 2024. This research employed a cross-sectional design with a population of 321 students and a sample of 76 respondents. Data collection was conducted on March 4, 2024. The results indicate that the UKS program has a significant effect on students’ PHBS, including habits such as washing hands with running water and soap, purchasing healthy snacks at the school canteen, disposing of waste properly, participating in physical exercise, not smoking at school, eliminating mosquito larvae, and using school sanitation facilities (p < 0.05). However, no significant effect was found on activities such as weighing body weight and measuring height. In conclusion, the UKS program is effective in improving students’ PHBS. These findings are expected to provide input for schools to optimize the implementation of UKS and enhance PHBS promotion so that students can apply clean and healthy living behaviors in their daily lives.
Hubungan Pemanfaatan Buku Kesehatan Ibu dan Anak dengan Kepatuhan Imunisasi Dasar di Wilayah Kerja Puskesmas Ulee Kareng Kota Banda Aceh Nazida Tur Rahmi; Khaira Rizki; Nurul Amna
Protein : Jurnal Ilmu Keperawatan dan Kebidanan.  Vol. 4 No. 2 (2026): April: Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/protein.v4i2.2191

Abstract

Immunization is one of the most cost-effective efforts to improve maternal and child health. The proper use of Buku Kesehatan Ibu dan Anak (KIA) – Mother and Children Health Manual can server as an indicator of the quality of care provided to children in health center services. This study aims to determine the correlation between the use of KIA towards basic immunization compliance in Ulee Kareng Publich Health Center, Banda Aceh. This study employed a quantitative research design using a cross-sectional approach. The population consisted of 521 mothers with babies. The sample was 84 respondents chosen using the probability cluster sampling technique. This study was conducted in Ulee Kareng Publich Health Center from May 27 to June 24, 2025. The data were analyzed using the Chi-Square test.The results showed a correlation between the use of KIA and basic immunization compliance, with a p-value of 0.008 (P<0.05) at Ulee Kareng Public Health Center, Banda Aceh. These results indicated that mothers who used the KIA books had a better understanding of the importance of basic immunization compliance, compared to those who did not utilize them properly. It can be concluded that there is a correlation between the use of KIA books and basic immunization compliance. This study suggests that health workers provide information on the importance of the KIA books and advise mothers to use it properly.
Hubungan Usia dan Paritas Ibu dengan Kejadian Anemia pada Ibu Hamil di Wilayah Kerja Upt Puskesmas Sei Panas Kota Batam Tahun 2024 Tengku Yunita Febrianti; Resi Novita; Anisya Selvia
Protein : Jurnal Ilmu Keperawatan dan Kebidanan.  Vol. 4 No. 2 (2026): April: Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/protein.v4i2.2220

Abstract

Problems: Based on data from the Batam City Health Office, the 3 Community Health Centers with the highest incidence of anemia include Sei Panas 15.7%, Sambau 10.24%, Nongsa 8.24%. Objective: This study aims to determine the relationship between maternal age and parity with the incidence of anemia in pregnant women in the working area of UPT Puskesmas Sei Panas Batam City in 2024. Methods: This study used a descriptive correlation research design with a cross-sectional research design. The sampling technique used was Non Probability Sampling. Respondents in this study were 66 pregnant women. Results: Based on the Chi- Square test, the age variable obtained a P-value of 0.000 (ρ <0.05) and the parias variable with a P-value of 0.000 (ρ>0.05). This study shows that there is a relationship between age and the incidence of anemia in pregnant women and the relationship between parity and the incidence of anemia in pregnant women in the working area of UPT Puskesmas Sei Panas Batam City in 2024. Conclusion: there is a relationship between age and parity of mothers with the incidence of anemia in pregnant women. Suggestion: It is hoped that prospective mothers understand the ideal safe age and parity in preparing for a healthy pregnancy in order to avoid anemia during pregnancy. And pregnant women must be diligent in consuming Fe tablets and also make 6 ANC visits during pregnancy so that pregnant women's health is monitored, especially their Hb levels.
Pengaruh Terapi Mirror Therapy dan Motivasi Pasien terhadap Kemampuan Motorik Tangan pada Pasien Hemiparese di Puskesmas Ci Herang Tahun 2025 Muhammad Rafi Mahesa; Weslei Daeli; Rina Afrina
Protein : Jurnal Ilmu Keperawatan dan Kebidanan.  Vol. 4 No. 2 (2026): April: Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/protein.v4i2.2228

Abstract

Stroke often causes hemiparesis, which impairs hand motor skills and independence in daily activities. Mirror therapy is a rehabilitation intervention that stimulates motor function through visual feedback, while patient motivation plays a crucial role in exercise adherence. This study aims to analyze the effect of mirror therapy and patient motivation on hand motor skills in patients with hemiparesis.The study used a quasi-experimental design with a pretest–posttest approach in 30 hemiparesis patients undergoing rehabilitation at the Ciherang Community Health Center. Mirror therapy intervention was administered for 20–30 minutes, three times per week for four weeks. Hand motor skills were measured using Manual Muscle Testing on a scale of 0–5, while patient motivation was assessed using a questionnaire.The results showed a significant increase in hand motor skills after mirror therapy (p < 0.05) and higher patient motivation was associated with greater motor score improvement (p < 0.05). Mirror therapy and patient motivation have been shown to have a positive effect on hand motor skills in hemiparesis patients, so this combined intervention can be considered as part of a stroke rehabilitation program.
Hubungan Tingkat Literasi Hukum Kesehatan Reproduksi dengan Kesiapan Pernikahan pada Calon Pengantin Evi Zulfiana; Nora Rahmanindar
Protein : Jurnal Ilmu Keperawatan dan Kebidanan.  Vol. 4 No. 3 (2026): Juli : Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/protein.v4i3.2338

Abstract

Marriage readiness is an important aspect in forming a healthy and quality family, influenced by physical, psychological, social, economic readiness, and reproductive health. One factor thought to play a role is reproductive health legal literacy, defined as the ability to understand rights, obligations, and legal regulations related to reproductive health services. This study aimed to analyze the relationship between reproductive health legal literacy and marriage readiness among prospective brides and grooms in the working area of Lebaksiu Health Center, Tegal Regency. This analytical quantitative study used a cross-sectional approach involving 80 prospective brides and grooms selected through purposive sampling. Data were collected using questionnaires and analyzed using univariate and bivariate methods with the Chi-Square test in SPSS. Most respondents were aged 21–35 years (75%), had senior high school education (62.5%), worked in the private sector (50%), and had low reproductive health legal literacy (62.5%) and low marriage readiness (68.8%). Chi-Square analysis showed a significant relationship between reproductive health legal literacy and marriage readiness (p = 0.000; p < 0.05). Strengthening reproductive health legal literacy should be integrated into marriage guidance programs and health services to improve marriage readiness and support healthy, quality families.
Penerapan Senam Tera sebagai Intervensi untuk Menurunkan Tekanan Darah pada Lansia Penderita Hipertensi di Desa Guwosari Wilayah Kerja Puskesmas Ngoresan Winda Safitri; Didik Iman Margatot; Panggah Widodo
Protein : Jurnal Ilmu Keperawatan dan Kebidanan.  Vol. 4 No. 3 (2026): Juli : Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/protein.v4i3.2339

Abstract

Hypertension is one of the most common non-communicable diseases among older adults. If not managed properly, hypertension can increase the risk of various complications, including stroke, heart disease, and kidney failure. One of the non-pharmacological approaches that can be used to reduce blood pressure is Tera Gymnastics (Senam Tera). This study aimed to determine the effectiveness of Tera Gymnastics in reducing blood pressure among older adults with hypertension. This study employed a descriptive case study approach involving two older adults with hypertension in Guwosari Hamlet, RT 03 RW 27, Jebres, Surakarta. The intervention consisted of Tera Gymnastics sessions lasting 30–45 minutes, conducted three times a week. Blood pressure was measured before and after the intervention using a sphygmomanometer. After participating in the Tera Gymnastics intervention, both participants experienced a reduction in blood pressure. Mrs. S's blood pressure decreased from 160/94 mmHg to 139/80 mmHg, while Mrs. W's blood pressure decreased from 150/90 mmHg to 130/80 mmHg. Tera Gymnastics is an effective non-pharmacological intervention that can help reduce blood pressure in older adults with hypertension.
Hubungan Usia Gestasi, Jenis Persalinan, Infeksi dan Inisiasi Menyusu Dini dengan Derajat Hiperbilirubinemia Neonatus Dian Rohmah; Hari Ghanesia Istiani
Protein : Jurnal Ilmu Keperawatan dan Kebidanan.  Vol. 4 No. 3 (2026): Juli : Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/protein.v4i3.2344

Abstract

Neonatal hyperbilirubinemia may progress to acute bilirubin encephalopathy and permanent neurological injury when risk factors are not recognized promptly. This study examined the relationships of gestational age, delivery type, neonatal infection, and early breastfeeding initiation with hyperbilirubinemia severity among neonates treated in a neonatal intensive care unit. A retrospective analytic study used complete medical records of 179 neonates with hyperbilirubinemia admitted to the NICU of Grha Permata Ibu Hospital from July 2024 to June 2025. Total sampling was applied. Hyperbilirubinemia severity, gestational age, delivery type, infection status, and early breastfeeding initiation were extracted using a structured observation sheet. Data were analyzed using frequency distributions, chi-square tests, and Cramer’s V at a 5% significance level. Most neonates had grade 3 hyperbilirubinemia (42.5%), were born at term (84.4%), delivered by cesarean section (91.1%), had no documented infection (63.7%), and did not receive early breastfeeding initiation (53.1%). Severity was significantly associated with gestational age (p = .007; V = .236), infection (p < .001; V = .307), and early breastfeeding initiation (p = .002; V = .259), but not with delivery type (p = .233; V = .128). Risk-oriented neonatal nursing should prioritize preterm infants, early infection identification, and timely breastfeeding support while maintaining bilirubin surveillance based on postnatal age and clinical risk.

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