cover
Contact Name
Timotius Bagus Dimas Kurniawan
Contact Email
garuda@apji.org
Phone
+6285727710290
Journal Mail Official
Teguh@apji.org
Editorial Address
Jln. Raya Pangian Kel. Pandu, Lingkungan III, Kec Bunaken, Kota Manado, Sulawesi Utara, Manado, Provinsi Sulawesi Utara, 95249
Location
Kota manado,
Sulawesi utara
INDONESIA
Jurnal Siti Rufaidah
ISSN : 30321336     EISSN : 30321344     DOI : 10.57214
Core Subject : Health,
Bidang kajian dalam jurnal ini termasuk sub rumpun Ilmu Kesehatan Umum, Ilmu Keperawatan dan Kebidanan, Ilmu Psikolog dan Ilmu Farmasi.
Articles 186 Documents
The Effectiveness of Postpartum Structured Counseling on Self-Warning Knowledge of Postpartum Mothers at the Ome Inpatient Health Center Eka Aida Fitri Boyke; Rosyidah Alfitri
Jurnal Siti Rufaidah Vol. 3 No. 2 (2025): Jurnal Siti Rufaidah
Publisher : PPNI UNIMMAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jasira.v3i2.338

Abstract

Background: The postpartum period is a critical phase for maternal health, as mothers are vulnerable to various complications that may lead to serious morbidity or mortality if not detected early. Self-warning knowledge regarding danger signs during the postpartum period plays an essential role in enabling mothers to recognize abnormal conditions and seek timely health care. However, limited knowledge and inadequate counseling remain common challenges in postpartum services. Structured postpartum counseling is expected to improve mothers’ understanding of self-warning signs and enhance early detection of complications. Objective: This study aimed to determine the effectiveness of structured postpartum counseling on self-warning knowledge among postpartum mothers at the Ome Inpatient Health Center. Methods: This study employed an analytical observational design with a cross-sectional approach. The sample consisted of 16 postpartum mothers selected using a total sampling technique. Data were collected using structured questionnaires to assess mothers’ knowledge of postpartum self-warning signs before and after receiving structured counseling. The counseling intervention was delivered using standardized educational materials. Data were analyzed using the Chi-square test to determine the effectiveness of structured postpartum counseling on self-warning knowledge. Results: The results showed an increase in self-warning knowledge among postpartum mothers after receiving structured counseling. Statistical analysis using the Chi-square test indicated a p-value of 0.000 (p < 0.05), demonstrating a statistically significant effect of structured postpartum counseling on improving postpartum mothers’ self-warning knowledge. Conclusion: Structured postpartum counseling is effective in enhancing self-warning knowledge among postpartum mothers. The implementation of structured and continuous counseling during the postpartum period is recommended to support early detection of complications and improve maternal health outcomes.
Prevalensi Stunting, Underweight, Wasting pada Balita di UPT Puskesmas Tetaf Tahun 2025 Firfis P. Ninu; Intje Picauly
Jurnal Siti Rufaidah Vol. 4 No. 2 (2026): Jurnal Siti Rufaidah
Publisher : PPNI UNIMMAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jasira.v4i2.340

Abstract

Malnutrition among children under five remains a major public health concern, particularly in areas with limited access to nutritious food and health services. This study aimed to determine the prevalence of stunting, underweight, and wasting among children under five in Kuatnana District, South Central Timor Regency in 2025. This research used a descriptive cross-sectional design with secondary data obtained from nutrition program reports at Tetaf Public Health Center. The sample included all children aged 0–59 months, totaling 1,179 children. Data were analyzed using univariate analysis to calculate frequency distribution and percentages based on WHO anthropometric indicators (z-score). The results showed that the prevalence of stunting was 44.78%, underweight 40.46%, and wasting 14.76%. Most children had normal nutritional status based on weight-for-height index (88.38%), although a considerable proportion still experienced undernutrition. In conclusion, malnutrition among children under five in Kuatnana District remains high, particularly stunting and underweight. Integrated interventions are needed, including improving caregiving practices, increasing access to nutritious food, and strengthening health services to reduce malnutrition sustainably.
Evaluasi Implementasi Telefarmasi di Apotek Sehat Plus Berdasarkan Karakteristik Responden Periode Juli–Desember 2025 Avia Az Zahra Arum Wangi Kusuma; Niken Dyahariesti
Jurnal Siti Rufaidah Vol. 4 No. 2 (2026): Jurnal Siti Rufaidah
Publisher : PPNI UNIMMAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jasira.v4i2.341

Abstract

Telepharmacy is a digital-based pharmaceutical service innovation aimed at improving access to healthcare services and enhancing the quality of pharmaceutical care, particularly in areas with limited healthcare resources. This study aimed to evaluate the implementation of telepharmacy services at Sehat Plus Pharmacy based on the six healthcare quality dimensions established by the World Health Organization (WHO), namely safety, effectiveness, timeliness, efficiency, equity, and patient-centeredness, and to analyze their association with respondent characteristics. A quantitative descriptive-analytic study with a cross-sectional design was conducted. The study involved 35 respondents selected using a total sampling technique. Data were collected through a structured Likert-scale questionnaire and analyzed using univariate analysis and Spearman correlation tests with a significance level of α = 0.05. The results indicated that the overall implementation of telepharmacy services was categorized as very good (88.8%), with the safety dimension achieving the highest evaluation score among all quality dimensions. Most respondents were female and aged between 21 and 25 years. Statistical analysis revealed a significant association between age and perceptions of telepharmacy implementation (p = 0.004; r = -0.471), indicating a moderate negative correlation. In contrast, gender, educational level, and occupation showed no significant association with service implementation (p > 0.05). It can be concluded that telepharmacy services at Sehat Plus Pharmacy have met WHO healthcare quality standards and provide positive user experiences, while age remains an important factor influencing service perception and acceptance.
Analisis Literatur Tentang Peran Mutasi Genetik dalam Terjadinya Trisomi 21 Amelia Putri Az Zahra; Erlanda Islami Pasha; Hanayu Anindya Nareswari; Karina Sella Juwitasari; Nur Aini Fatna Fadilla; Pramesti Listanto; Rizka Fellithia; Azzahra Nabilla Atha; Liss Dyah Dewi Arini
Jurnal Siti Rufaidah Vol. 4 No. 2 (2026): Jurnal Siti Rufaidah
Publisher : PPNI UNIMMAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jasira.v4i2.342

Abstract

Down syndrome, or Trisomy 21, is the most common chromosomal disorder in humans and is primarily caused by nondisjunction events during meiosis. Although advanced maternal age has long been recognized as the major risk factor, recent scientific evidence indicates that genetic mutations, gene polymorphisms, and meiotic recombination abnormalities also play important roles in the occurrence of Trisomy 21. This literature review aims to analyze the role of genetic mutations in the pathogenesis of Trisomy 21, with emphasis on the mechanisms of nondisjunction, oocyte aging, meiotic recombination errors, and folate metabolism disorders. The method used was a narrative literature review based on seven major scientific sources discussing the genetic and molecular factors underlying Trisomy 21. The findings indicate that genetic mutations and variations affecting meiotic regulation, recombination positioning, chromosome cohesion, and DNA methylation significantly increase the risk of chromosome 21 nondisjunction. In addition, age-related decline in oocyte quality and polymorphisms in folate metabolism genes further exacerbate chromosomal instability. Understanding these mechanisms is essential for the development of genetic counseling, early detection, and more effective prevention and management strategies in the future.  
Asuhan Keperawatan pada Ny.N dengan Diabetes Melitus Tipe II di Ruang Interne RSUD Prof. M. Yamin, SH Pariaman Tahun 2026 Sri Wulandari; Linda Marni; Debby Silvia Dewi; Hilma Yessi
Jurnal Siti Rufaidah Vol. 4 No. 2 (2026): Jurnal Siti Rufaidah
Publisher : PPNI UNIMMAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jasira.v4i2.343

Abstract

Diabetes Mellitus Type II is a chronic metabolic disease characterized by elevated blood glucose levels due to insulin resistance and impaired insulin secretion. Globally, the number of people with diabetes in 2024 is estimated to reach 800 million, with more than 95% being Type II Diabetes Mellitus. At RSUD Prof. M. Yamin, SH Pariaman in 2025, there were 189 recorded cases of Type II Diabetes Mellitus without complications. The purpose of this scientific paper is to provide nursing care to a patient with Type II Diabetes Mellitus in the Internal Medicine Ward of RSUD Prof. M. Yamin, SH Pariaman. The method used is a case study with a nursing process approach, including observation, interviews, physical examination, and data collection from medical records. This study was conducted in the internal ward for 5 days, from February 6, 2026 to February 10, 2026, with the subject Mrs. N. The assessment results identified nine nursing problems: unstable blood glucose levels, acute pain, impaired skin/tissue integrity, ineffective peripheral perfusion, impaired physical mobility, sleep pattern disturbance, fatigue, risk of infection, and risk of nutritional deficit. The evaluation after 5 days of nursing care showed that five diagnoses were resolved, namely unstable blood glucose levels, ineffective peripheral perfusion, fatigue, risk of infection, and risk of nutritional deficit. Meanwhile, the other four diagnoses were not fully resolved but showed improvement. It is expected that the patient and family will maintain adherence to a healthy lifestyle, therapy, diet, and regular follow-up in order to prevent complications.
Pengaruh Beban Kerja dan Burnout terhadap Kualitas Tidur Perawat dengan Usia, Jenis Kelamin, dan Pendidikan sebagai Variabel Confounding Solehudin Solehudin; Sancka Stella; Wilda Nur Anggraini
Jurnal Siti Rufaidah Vol. 4 No. 2 (2026): Jurnal Siti Rufaidah
Publisher : PPNI UNIMMAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jasira.v4i2.348

Abstract

This study aimed to analyze the influence of workload and burnout on nurses’ sleep quality while controlling for age, gender, and education as potential confounding variables. A quantitative analytic study with a cross-sectional design was conducted among 156 nurses working in a private hospital in Depok City. Data were collected using a workload questionnaire, the Maslach Burnout Inventory (MBI), and the Pittsburgh Sleep Quality Index (PSQI). The data were analyzed using Chi-Square tests and multiple logistic regression. The findings showed that both workload and burnout had significant effects on sleep quality (p < 0.05), with burnout identified as the most dominant factor. Age and gender were also significantly associated with sleep quality, whereas education did not show a statistically significant effect. The regression model demonstrated excellent fit, indicated by a McFadden pseudo R² value of 0.908. These results suggest that occupational factors, particularly burnout, play an important role in determining nurses’ sleep quality. Therefore, effective stress reduction and workload management strategies are needed to support nurses’ well-being and improve sleep quality.
Penerapan Teknik Latihan Penguatan Sendi pada Pasien dengan Gangguan Mobilitas Fisik di RSUD Bayu Asih Purwakarta Fihinna khoerotun hisan; Ike Puspitaningrum
Jurnal Siti Rufaidah Vol. 4 No. 2 (2026): Jurnal Siti Rufaidah
Publisher : PPNI UNIMMAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jasira.v4i2.349

Abstract

Physical mobility is highly influenced by the integrity of the musculoskeletal and neuromuscular systems, which play a fundamental role in facilitating body movement. Impairment in these systems, such as muscle weakness, limited joint range of motion, pain, or injury, may lead to decreased physical movement and functional limitations. This case study aimed to describe the implementation of joint strengthening exercise techniques in a patient with impaired physical mobility at RSUD Bayu Asih Purwakarta. Joint strengthening exercise techniques, as a nursing intervention, may improve joint flexibility and enhance physical mobility. This study employed a case study design using a comprehensive nursing care approach. Assessment findings revealed decreased extremity movement, reduced muscle strength, and limited joint range of motion. The nursing diagnosis established was impaired physical mobility. Nursing interventions were implemented through joint strengthening exercise techniques over three days in two sessions. Evaluation findings demonstrated partial improvement in extremity movement, muscle strength, and joint range of motion. The implementation of joint strengthening exercise techniques contributed to improved patient mobility; however, the problem of impaired physical mobility was not fully resolved, as the outcome indicators remained at scores of three to four, below the expected target score of five.
Penerapan Terapi Relaksasi Benson untuk Menurunkan Tekanan Darah pada Lansia dengan Hipertensi di Panti Werdha Novri Wijaya; Lilik Pranata; Aniska Indah Fari
Jurnal Siti Rufaidah Vol. 4 No. 3 (2026): Jurnal Siti Rufaidah
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jasira.v4i3.357

Abstract

Hypertension is a chronic disease that has a major impact on the health of the elderly and is often a major challenge in geriatric institutions. One of the effective, safe, and holistic non-pharmacological therapies to overcome this condition is Benson Relaxation Therapy. This study aims to analyze the effectiveness of the application of Benson relaxation therapy in reducing blood pressure in elderly with hypertension at the Dharma Bhakti Werdha Home through an Evidence-Based Practice (EBP) approach. The research design used was a descriptive case study with three respondents, namely Mrs. A, Mrs. N, and Mrs. S. The intervention was carried out twice a day with a duration of 10–15 minutes for three consecutive days. The results showed a consistent decrease in blood pressure in all three respondents after the intervention. Mrs. A's blood pressure dropped from 158/78 mmHg to 148/75 mmHg, Mrs. N from 160/83 mmHg to 150/79 mmHg, and Mrs. S from 157/87 mmHg to 148/82 mmHg. Physiologically, this technique works by stimulating the parasympathetic nervous system and reducing stress hormones, resulting in vasodilation of blood vessels. Benson relaxation therapy has been shown to be an effective, safe, and inexpensive non-pharmacological intervention to help control blood pressure and improve the psychospiritual well-being of elderly people in nursing homes.
Penerapan Teknik Distraksi Virtual Reality terhadap Kecemasan Pasien Hemodialisa RSD K.R.M.T Wongsonegoro Semarang Reza Putri Azahra
Jurnal Siti Rufaidah Vol. 4 No. 3 (2026): Jurnal Siti Rufaidah
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jasira.v4i3.358

Abstract

Chronic Kidney Disease (CKD) is a progressive health condition that often requires lifelong renal replacement therapy through hemodialysis. Patients undergoing routine hemodialysis commonly experience anxiety due to repeated invasive procedures, unfamiliar treatment environments, dependence on dialysis machines, and concerns about disease progression. Anxiety can negatively affect patients’ physiological and psychological conditions, quality of life, and treatment adherence. Virtual Reality (VR) distraction is a non-pharmacological nursing intervention that provides immersive audiovisual stimulation to divert attention from anxiety-provoking stimuli. This study aimed to determine the effect of Virtual Reality distraction on anxiety among hemodialysis patients at RSD K.R.M.T. Wongsonegoro Semarang. A quantitative case study with a one-group pretest-posttest design involved five hemodialysis patients selected through total sampling. Anxiety levels were measured using the Zung Self-Rating Anxiety Scale (ZSAS) before and after four Virtual Reality intervention sessions. The results showed decreased anxiety scores in all participants. Most respondents improved from moderate to mild anxiety, while one improved from severe to moderate anxiety. These findings indicate that Virtual Reality distraction is effective, safe, practical, and innovative for reducing anxiety and improving psychological well-being among hemodialysis patients.
Penerapan Terapi Bermain Jenga terhadap Tingkat Kecemasan Anak Prasekolah yang Menjalani Hospitalisasi: Studi Kasus Heni Eliyani; Veroneka Yosefpa Windahandayani; Sri Indaryati
Jurnal Siti Rufaidah Vol. 4 No. 3 (2026): Jurnal Siti Rufaidah
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jasira.v4i3.359

Abstract

Hospitalization in preschool children (3–6 years old) often causes psychological crises in the form of anxiety due to separation, pain, and loss of control that can hinder the nursing care process. Jenga play therapy is an effective non-pharmacological nursing intervention as a distraction technique to divert children's attention from fear of the hospital environment. This study aims to analyze the implementation of nursing care in preschool children with a nursing diagnosis of anxiety through Jenga play therapy intervention during hospitalization at Bhayangkara M. Hasan Hospital, Palembang. A descriptive case study design was conducted on three children with a nursing process approach that includes assessment and evaluation. Measurement of anxiety levels was carried out using the Spence Children's Anxiety Scale (SCAS) Preschool instrument. The intervention was given in one session per day for 20 minutes for three consecutive days in June 2026. The results of the implementation showed a decrease in anxiety scores by an average of 6 points. In addition, positive behavioral changes were seen where the child appeared more cooperative, calm, and confident and smiled more on the third day. In conclusion, Jenga play therapy has been proven to be effective in reducing anxiety and can be integrated as an evidence-based intervention in the application of atraumatic care to help the child's psychosocial adaptation process during hospitalization.