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Journal of Medical Surgical Concerns
Published by Indonesian Public Health-Observer Information Forum
ISSN : 27978400     EISSN : 27978419     DOI : https://doi.org/10.56922/msc.v3i1
Core Subject : Health,
Nursing
Jurnal penelitian dibidang keperawatan medikal bedah pada klien dewasa yang mengalami dan atau cenderung mengalami perubahan fisiologi dengan atau tanpa gangguan struktur tanpa trauma atau penyakit-penyakit yang sering/umum terjadi. Pembahasan berfokus pada konsep dan prinsip keperawatan dengan gangguan fungsi tubuh meliputi gangguan system pernapasan, hematologi, imunologi, muskuloskeletal, penglihatan, THT, kardiovaskular, endokrin, pencernaan, perkemihan dan klien dengan penyakit akut dan kronis. Desain penelitian kuantitatif quasi eksperimen dan sistematik review. Terbit 2 kali dalam satu tahun bulan Juni dan Desember
Arjuna Subject : Keperawatan - Bedah Medis
Articles 40 Documents
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Effect of deep breathing relaxation on pain in postoperative orthopedic patients Wiki Revi Maqriza; Wigyo Susanto; Bettie Febriana
JOURNAL OF Medical Surgical Concerns Vol. 6 No. 1 (2026): May Edition 2026
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Himpunan Perawat Medikal Bedah Indonesia (HIPMEBI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/msc.v6i1.2971

Abstract

Background: Postoperative orthopedic pain resulting from surgical trauma and inflammatory response is a major problem commonly experienced by patients. Despite pharmacological therapy, many patients continue to experience moderate to severe pain, necessitating complementary non-pharmacological interventions. Purpose: To determine the effect of the deep breathing relaxation technique in reducing pain intensity among postoperative orthopedic patients. Method: This study employed a quasi-experimental design with a non-equivalent control group. A total of 40 postoperative orthopedic patients participated, selected using total sampling. Pain was assessed using the Verbal Descriptor Scale (VDS). Univariate analysis was used to describe respondents' demographic characteristics, while bivariate analysis was performed using the Wilcoxon signed-rank test. Results: Following the intervention, 80% of the intervention group (n=16) experienced decreased pain intensity, while the control group showed no change. The Wilcoxon signed-rank test revealed a statistically significant difference in pain levels between pre-intervention and post-intervention measurements (p = 0.000). Conclusion: Deep breathing relaxation technique effectively reduces pain intensity in postoperative orthopedic patients. Implementation of this non-pharmacological intervention in routine postoperative care protocols is recommended to enhance multimodal pain management.
Comparison of honey and chlorhexidine for oral hygiene and oral health improvement Adriyani; Moh. Arifin Noor
JOURNAL OF Medical Surgical Concerns Vol. 6 No. 1 (2026): May Edition 2026
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Himpunan Perawat Medikal Bedah Indonesia (HIPMEBI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/msc.v6i1.2997

Abstract

Background: Patients admitted to the Intensive Care Unit (ICU) are at high risk of oral health impairment due to decreased levels of consciousness, the use of mechanical ventilation, and limited self-care ability. Poor oral health conditions can serve as a source of microbial colonization and increase the risk of infection, including ventilator-associated pneumonia. Therefore, effective oral hygiene measures constitute an important component of nursing care for critically ill patients. Purpose: To compare the effectiveness of honey and Chlorhexidine in oral hygiene procedures on the oral health status of ICU patients. Method: A quasi-experimental design using a two-group pretest–posttest approach. Sampling was conducted using accidental sampling of ICU patients at Sari Asih Serang Hospital who met the inclusion and exclusion criteria. Oral health status was assessed using the Oral Assessment Guide (OAG) instrument. Data analysis was performed using the Wilcoxon test to assess pre- and post-intervention changes, and the Mann–Whitney test to compare the effectiveness between the two groups. Results: The study findings demonstrated that oral hygiene procedures using both honey and Chlorhexidine significantly improved the oral health status of ICU patients. However, no statistically significant difference was found between the use of honey and Chlorhexidine in improving patients’ oral health status. Conclusion: Honey demonstrates potential as an effective and safe alternative oral hygiene agent for ICU patients. Its use may be considered as part of evidence-based nursing interventions to maintain oral health and prevent infectious complications in critically ill patients.
Family support and fluid restriction adherence among hemodialysis patients Sandy Sulistiawati; Moch Aspihan; Iskim Luthfa
JOURNAL OF Medical Surgical Concerns Vol. 6 No. 1 (2026): May Edition 2026
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Himpunan Perawat Medikal Bedah Indonesia (HIPMEBI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/msc.v6i1.3011

Abstract

Background: Chronic Kidney Disease (CKD) is a chronic health problem that requires continuous hemodialysis therapy. The success of hemodialysis therapy is strongly influenced by patient compliance with fluid intake restriction to prevent complications such as fluid overload and increased Interdialytic Weight Gain (IDWG). One important factor that plays a role in improving patient compliance is family support. Purpose: To determine the relationship between family support and compliance with fluid intake restriction among hemodialysis patients. Method: A quantitative design with a cross-sectional approach and a descriptive correlational method. The research sample consisted of 100 hemodialysis patients selected using a total sampling technique. Data were collected using the Family Support Scale (FSS) to measure family support and The Fluid Control in Hemodialysis Patients Scale (FCHPS) to measure compliance with fluid intake restriction. Data analysis was conducted using univariate and bivariate analysis with the Somers' d test. Results: Data indicated that most respondents had good family support (91%) and a high level of compliance with fluid intake restrictions (90%). Furthermore, bivariate analysis demonstrated a strong, positive, and significant relationship between family support and adherence to fluid intake restrictions among hemodialysis patients (p = 0.008, r = 0.631). Conclusion: A significant relationship between family support and compliance with fluid intake restriction in hemodialysis patients. Optimal family support plays an important role in improving patient compliance; therefore, nurses and healthcare professionals are expected to actively involve family members in education and management of hemodialysis patient care.
Implementation of complete basic vaccination among low-income families participating in Indonesian social assistance programs Fadillah Salwa; Fitriani Pramita Gurning
JOURNAL OF Medical Surgical Concerns Vol. 6 No. 1 (2026): May Edition 2026
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Himpunan Perawat Medikal Bedah Indonesia (HIPMEBI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/msc.v6i1.3147

Abstract

Background: Complete basic vaccination is essential for achieving optimal child health outcomes and preventing vaccine-preventable diseases. Despite Indonesia's national vaccination program mandating complete basic vaccination for children, particularly among Indonesian social assistance programs or Program Keluarga Harapan (PKH) recipients, coverage remains suboptimal. In Medan City, complete basic vaccination coverage at Community Health Centers reached only 76.9% in 2024, falling short of the 80% national target, indicating significant gaps in program implementation. Purpose: To analyze the determinants of complete basic vaccination implementation among low-income families enrolled in Indonesian social assistance programs. Method: A sequential exploratory mixed methods design was employed. Qualitative data were obtained through in-depth interviews with two key informants (health center coordinator and vaccination officer), while quantitative data were collected from 50 social assistance program recipient mothers using structured questionnaires assessing knowledge, family support, and vaccination completion status. Data analysis included thematic analysis for qualitative data and descriptive statistics for quantitative data, with chi-square tests employed to examine associations between determinants and vaccination outcomes. Results: Among social assistance program recipient mothers, 56% demonstrated adequate knowledge of vaccination standards, while 48% reported receiving adequate family support. Policy implementation showed high compliance with national guidelines; however, resource constraints were identified, including limited facilities at 40% of posyandu sites and insufficient vaccinator training. Inter-organizational communication challenges were evident in cross-sectoral data collection and target mobilization. Conclusion: Maternal knowledge and family support were identified as significant determinants of complete basic vaccination among social assistance program recipients. Achieving national vaccination targets requires strengthening health education programs, enhancing family engagement strategies, improving cross-sectoral coordination, and ensuring adequate facility infrastructure and personnel training in resource-limited settings.
Digital technology supports healthcare in disaster emergency management in remote areas of Indonesia Abil Rudi; Kafi Pangki Suwito
JOURNAL OF Medical Surgical Concerns Vol. 6 No. 1 (2026): May Edition 2026
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Himpunan Perawat Medikal Bedah Indonesia (HIPMEBI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/msc.v6i1.3148

Abstract

Background: Remote areas of West Kalimantan face significant geographical barriers that result in delayed nursing response times during disaster emergencies. Digital technology adoption serves as a strategic innovation to accelerate coordination and nursing interventions in these resource-limited settings. Purpose: To analyze the influence of digital technology adoption on nursing response time in emergency disaster management in remote areas of West Kalimantan. Method: A cross-sectional study was conducted involving 320 nurses at health facilities in remote areas of West Kalimantan, selected through simple random sampling. Technology adoption was measured using a validated questionnaire, while digital response time was assessed through structured observation. Data analysis employed simple linear regression to examine the relationship between technology adoption and digital response time. Results: The findings indicate that technology adoption levels were high among respondents (71.2%). The average nursing response time was 10.8 minutes, demonstrating significant improvement compared to conventional systems. Simple linear regression analysis revealed that technology adoption significantly influenced nursing response time (p < 0.001), explaining 43.5% of the variance (R² = 0.435). Communication signal instability at specific geographic locations was identified as a primary constraint. Conclusion: Digital technology adoption significantly enhances nursing response time in emergency disaster management in remote areas. Integration of technology-based emergency nursing curricula and strengthened digital infrastructure in remote settings are essential to support patient safety during disaster emergencies.
Repositioning and virgin coconut oil effleurage massage to reduce pressure ulcer risk among bedridden patients Putriyani; Apriliani Yuliani Wuriningsih; Sri Wahyuni
JOURNAL OF Medical Surgical Concerns Vol. 6 No. 2 (2026): June Edition 2026
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Himpunan Perawat Medikal Bedah Indonesia (HIPMEBI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/msc.v6i2.2996

Abstract

Background: Bedridden patients in the intensive care unit (ICU) are at increased risk of pressure ulcers because prolonged immobility and sustained pressure impair tissue perfusion and compromise skin integrity. Repositioning and effleurage massage are non-pharmacological nursing interventions that may help reduce this risk. Purpose: To evaluate changes in pressure ulcer risk following a combined repositioning and effleurage massage intervention among bedridden ICU patients. Method: This quasi-experimental study used a one-group pretest-posttest design and included 40 bedridden ICU patients recruited through total sampling. Pressure ulcer risk was assessed using the Norton Scale before and after a three-day intervention comprising repositioning every two hours and effleurage massage with virgin coconut oil. Pre-intervention and post-intervention risk scores were compared using the Wilcoxon signed-rank test. Results A marked shift toward lower pressure ulcer risk categories was observed after the intervention. The proportion of participants classified as being at high risk decreased from 70.0% (n = 28) before the intervention to 5.0% (n = 2) afterward, whereas the proportion classified as having no risk increased from 5.0% (n = 2) to 92.5% (n = 37). The Wilcoxon signed-rank test showed a statistically significant reduction in pressure ulcer risk following the intervention (p < 0.001). Conclusion: The combined repositioning and effleurage massage intervention was followed by a significant reduction in assessed pressure ulcer risk among bedridden ICU patients.
Self-motivation, family support, and hemodialysis adherence among patients with chronic kidney disease Yunancik Zaenal Siswanto; Iskim Luthfa; Abrori Abrori
JOURNAL OF Medical Surgical Concerns Vol. 6 No. 2 (2026): June Edition 2026
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Himpunan Perawat Medikal Bedah Indonesia (HIPMEBI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/msc.v6i2.2998

Abstract

Background: Maintenance hemodialysis requires sustained adherence to treatment schedules, medication, dietary recommendations, and fluid restrictions. Adherence may be influenced by patients' internal motivation and the support available within the family. Purpose: To examine the associations of self-motivation and family support with hemodialysis therapy adherence among patients with chronic kidney disease. Method: This cross-sectional study included 143 patients receiving maintenance hemodialysis at two hospitals in Tangerang, Indonesia. Participants were recruited through total sampling from September to November 2025. Self-motivation, family support, and treatment adherence were assessed using structured questionnaires. Associations were analyzed using Spearman's rank correlation test. Results: Low self-motivation was the largest category, reported by 53 participants (37.1%), and low family support was reported by 51 participants (35.7%). Regarding adherence, 53 participants (37.1%) were partially adherent and 48 (33.6%) were non-adherent. Self-motivation (ρ = 0.611, p < 0.001) and family support (ρ = 0.607, p < 0.001) each showed a strong positive correlation with hemodialysis adherence. Conclusion: Higher self-motivation and stronger family support were associated with greater adherence to hemodialysis therapy. Nursing strategies that strengthen patient engagement and involve family members may support adherence to long-term treatment.
Family support and functional independence among post-stroke patients Sunarsih Sunarsih; Putik Octa Khotimi; Purwati Purwati; Sulastri Sulastri
JOURNAL OF Medical Surgical Concerns Vol. 6 No. 2 (2026): June Edition 2026
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Himpunan Perawat Medikal Bedah Indonesia (HIPMEBI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/msc.v6i2.3017

Abstract

Background: Stroke frequently causes persistent disability and dependence in activities of daily living. Family support may facilitate rehabilitation by reinforcing treatment adherence, daily activity practice, continuity of care, and psychosocial adjustment. Purpose: To examine the association between family support and functional independence among post-stroke patients attending a neurology outpatient clinic. Method: This cross-sectional analytic study included 71 post-stroke patients recruited through purposive sampling at the neurology outpatient clinic of Jenderal Ahmad Yani Metro Regional General Hospital. Data were collected from May 21 to May 31, 2025. Descriptive statistics summarized participant characteristics and study variables, and the chi-square test was used to assess the association between family support and functional independence. Results: High family support was the most frequently reported category, identified in 23 participants (32.4%), and 19 participants (26.8%) were classified as independent. Family support was significantly associated with functional independence (p = 0.002). Conclusion: Family support was associated with functional independence among post-stroke patients. Because of the cross-sectional design, the findings indicate an association rather than a causal effect.
Lemon aromatherapy for chemotherapy-induced nausea and vomiting in breast cancer patients Marta Ulina Simbolon; Sri Maryuni; Tubagus Erwin
JOURNAL OF Medical Surgical Concerns Vol. 6 No. 2 (2026): June Edition 2026
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Himpunan Perawat Medikal Bedah Indonesia (HIPMEBI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/msc.v6i2.3360

Abstract

Background: Chemotherapy-induced nausea and vomiting remain distressing adverse effects of breast cancer treatment and may compromise hydration, nutritional intake, quality of life, and treatment adherence. Lemon aromatherapy is a simple non-pharmacological intervention that may complement standard antiemetic care. Purpose: To evaluate changes in nausea and vomiting severity following lemon aromatherapy among breast cancer patients undergoing chemotherapy. Method: This pre-experimental study used a one-group pretest-posttest design. Twenty breast cancer patients receiving chemotherapy were recruited through purposive sampling. Nausea and vomiting severity was measured using a Numeric Rating Scale before and after inhaled lemon aromatherapy administered approximately two hours after chemotherapy for 5-10 minutes. Preintervention and postintervention scores were compared using the Wilcoxon signed-rank test. Results: The mean nausea and vomiting severity score decreased from 8.15 ± 1.50 before the intervention to 4.00 ± 0.97 afterward. The Wilcoxon signed-rank test showed a statistically significant change between the two assessments (p < 0.001). Conclusion: Nausea and vomiting severity was lower after lemon aromatherapy in this small pre-experimental sample. Lemon aromatherapy may be considered as an adjunct to standard antiemetic care, although controlled studies are needed to establish its independent effect.
Leaflet and digital poster education to improve family knowledge and attitudes toward pediatric fall prevention Jeni Puspita Sari; Sujiah Sujiah; Rictha Puspita Haryanti
JOURNAL OF Medical Surgical Concerns Vol. 6 No. 2 (2026): June Edition 2026
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Himpunan Perawat Medikal Bedah Indonesia (HIPMEBI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/msc.v6i2.3579

Abstract

Background: Falls are preventable patient-safety events that can cause injury, prolong hospitalization, and increase the burden on children, families, and healthcare services. Family caregivers require clear and accessible education to participate effectively in fall-prevention practices during pediatric hospitalization. Purpose: To compare the effects of education using a leaflet plus a digital poster with education using a leaflet alone on family caregivers' knowledge and attitudes toward pediatric fall prevention. Method: This quasi-experimental study used a pretest-posttest control-group design. Eighty-eight family caregivers of pediatric inpatients were recruited through purposive sampling and allocated to an intervention group (n = 44) or a control group (n = 44). The intervention group received education using a leaflet and a digital poster, whereas the control group received leaflet-based education. Knowledge and attitude scores were assessed before and after the intervention. Within-group changes were analyzed using paired-samples t tests, and between-group differences were examined using an independent-samples t test. Results: Knowledge and attitude scores increased in both groups after education, with larger improvements in the combined-media group. In the intervention group, the mean knowledge score increased from 44.03 to 87.64 and the mean attitude score increased from 55.87 to 87.69. In the control group, the corresponding scores increased from 43.47 to 70.17 and from 53.41 to 73.39. All within-group changes were statistically significant (p < 0.05), and the post-intervention difference between groups was also significant. Conclusion: Education combining a leaflet and a digital poster produced greater improvements in family caregivers' knowledge and attitudes toward pediatric fall prevention than leaflet-based education alone. The combined approach may be incorporated into family-centered patient-safety education in pediatric inpatient settings.

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