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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 50 Documents
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Changes in preoperative anxiety after leaflet- and video-based education among patients undergoing laparoscopic cholecystectomy Nurdiansyah Nurdiansyah; Tutik Rahayu; Hernandia Distinarista
JOURNAL OF Medical Surgical Concerns Vol. 6 No. 3 (2026): July 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.v6i3.2999

Abstract

Background: Preoperative anxiety may affect patients’ psychological readiness and perioperative recovery. Structured education using accessible written and audiovisual media may help patients understand the surgical process and reduce uncertainty before laparoscopic cholecystectomy. Purpose: To examine changes in preoperative anxiety after leaflet- and video-based education among patients undergoing laparoscopic cholecystectomy. Method: This quasi-experimental study used a one-group pretest–posttest design involving 38 patients at Sari Asih Ciledug Hospital, Tangerang, Indonesia. Participants received a 20-minute educational session using a leaflet and video. Anxiety was assessed before and after the intervention using the Amsterdam Preoperative Anxiety and Information Scale. Pretest and posttest results were compared using the Wilcoxon signed-rank test. Results: Before education, 18 participants (47.4%) had mild anxiety, 12 (31.6%) had moderate anxiety, 3 (7.9%) had severe anxiety, and 5 (13.2%) had no anxiety. After education, 22 participants (57.9%) had no anxiety, 13 (34.2%) had mild anxiety, 2 (5.3%) had moderate anxiety, and 1 (2.6%) had severe anxiety. Anxiety levels differed significantly between the pretest and posttest assessments (p < 0.001).    
Maternal knowledge of the maternal and child health handbook and nutritional status among children aged 6–59 months Syifa Syahirah Azahra; Astri Pinilih; Debi Arivo; Nina Herlina
JOURNAL OF Medical Surgical Concerns Vol. 6 No. 3 (2026): July 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.v6i3.3773

Abstract

Background: The Maternal and Child Health (MCH) Handbook is an integrated home-based record and health-education resource that supports child growth monitoring, nutrition, immunization, feeding practices, and early recognition of health problems. Maternal understanding of the handbook may influence how effectively its information is applied in daily childcare. Purpose: To examine the association between maternal knowledge of the MCH Handbook and the nutritional status of children aged 6–59 months at Rajabasa Indah Public Health Center, Bandar Lampung. Method: This cross-sectional analytic study included 100 mother–child pairs recruited through convenience sampling in 2026. Maternal knowledge was assessed using a questionnaire, and child nutritional status was determined from anthropometric measurements using the weight-for-length/height indicator. Descriptive statistics summarized the study variables, and the chi-square test assessed the association between maternal knowledge and nutritional status. Results: Good knowledge of the MCH Handbook was reported by 82 mothers (82.0%), while 14 (14.0%) had poor knowledge and 4 (4.0%) had moderate knowledge. Eighty-three children (83.0%) had normal nutritional status, 14 (14.0%) were undernourished, and 3 (3.0%) were overnourished. Maternal knowledge was significantly associated with child nutritional status (p < 0.001). Conclusion: Maternal knowledge of the MCH Handbook was associated with the nutritional status of children aged 6–59 months. Because the study was cross-sectional and several contingency-table cells were sparse, the findings indicate an association rather than a causal effect.
Association between frequency of powdered detergent use and irritant contact dermatitis among laundry workers Eva Nadia Risdiyanti; Resati Nando Panonsih; Arti Febriyani Hutasuhut; Arif Effendi
JOURNAL OF Medical Surgical Concerns Vol. 6 No. 3 (2026): July 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.v6i3.3774

Abstract

Background: Irritant contact dermatitis (ICD) is a non-allergic inflammatory skin reaction caused by direct exposure to irritants. Laundry workers are vulnerable because repeated wet work and detergent contact can disrupt the skin barrier. Purpose: To examine the association between powdered detergent use frequency and ICD among laundry workers. Method: This cross-sectional analytic study included all 60 laundry workers in the study population in Tulang Bawang Barat Regency, Lampung Province, in January 2026. Data were collected using a questionnaire, clinical history taking, and physical skin examination. Categorical data were summarized as frequencies and percentages, and the chi-square test assessed the association between powdered detergent use frequency and ICD. Results: High-frequency powdered detergent use was reported by 26 workers (43.3%), while 17 (28.3%) reported moderate use and 17 (28.3%) reported low use. ICD was identified in 42 workers (70.0%). Powdered detergent use frequency was significantly associated with ICD (p = 0.004). Conclusion: Powdered detergent use frequency was associated with ICD among laundry workers. Because the study was cross-sectional, the finding should be interpreted as an association rather than evidence of causation.
Factors associated with kidney failure requiring hemodialysis: A case-control study Elise Puspita Dewi; Slamet Budiyanto; Jaya Maulana; Nur Lu&#039;lu Fitriyani
JOURNAL OF Medical Surgical Concerns Vol. 6 No. 3 (2026): July 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.v6i3.3780

Abstract

Background: Chronic kidney disease (CKD) may progress to kidney failure requiring hemodialysis. Hypertension, diabetes mellitus, obesity, and older age are commonly associated with CKD, but local evidence remains limited. Purpose: To examine factors associated with kidney failure requiring hemodialysis among patients treated at a regional hospital in Central Java, Indonesia. Method: This case-control study included 122 participants: 61 patients receiving maintenance hemodialysis as cases and 61 controls. Cases were selected using purposive sampling and controls using consecutive sampling. Age and histories of hypertension, diabetes mellitus, and obesity were assessed using a structured questionnaire. Associations were examined using chi-square tests with continuity correction and reported as odds ratios (ORs) with 95% confidence intervals (CIs). Results: Age >60 years was not significantly associated with kidney failure requiring hemodialysis (p = 0.237; OR 0.58, 95% CI 0.26-1.26). Histories of hypertension (p = 0.016; OR 2.67, 95% CI 1.26-5.67), diabetes mellitus (p = 0.018; OR 2.84, 95% CI 1.26-6.39), and obesity (p = 0.033; OR 5.78, 95% CI 1.21-27.63) were significantly associated with the outcome. Conclusion: Hypertension, diabetes mellitus, and obesity were associated with kidney failure requiring hemodialysis, whereas age >60 years was not. These estimates are unadjusted bivariate associations and should not be interpreted as causal effects.
Comparison of dermatoglyphic patterns between children with and without Down syndrome Nitra Syafa Irzika; Mala Kurniati; Zulhafis Mandala; Astri Pinilih
JOURNAL OF Medical Surgical Concerns Vol. 6 No. 3 (2026): July 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.v6i3.3781

Abstract

Background: Dermatoglyphic patterns develop during embryogenesis and are influenced by genetic and intrauterine factors. Trisomy 21 may alter epidermal ridge formation, making fingerprint patterns a potential non-invasive supportive marker of developmental variation. Purpose: To compare participant-level categorical fingerprint patterns between children with and without Down syndrome. Method: This comparative cross-sectional study included 59 participants: 29 children with Down syndrome and 30 children without Down syndrome. Fingerprint impressions were obtained using an ink pad and fingerprint paper, and each child was assigned one participant-level category (loop, whorl, or arch). Fisher's exact test compared the loop and whorl distributions because no arch patterns were observed; p < 0.05 was considered statistically significant. Results: Loop patterns were reported in 23 children with Down syndrome (79.3%) and 27 children without Down syndrome (90.0%). Whorl patterns were reported in 6 children with Down syndrome (20.7%) and 3 children without Down syndrome (10.0%); no arch patterns were identified. The distribution was not significantly different between groups (p = 0.299). Conclusion: Participant-level loop, whorl, and arch pattern distributions were not significantly different between children with and without Down syndrome in this sample. These broad categories should not be interpreted as a stand-alone diagnostic marker.
Mobility after combined range-of-motion and neck exercises in patients with stroke Siti Anggraini; Sukarmin Sukarmin; Fitriana Kartikasari
JOURNAL OF Medical Surgical Concerns Vol. 6 No. 4 (2026): August 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.v6i4.3856

Abstract

Background: Stroke frequently results in impaired physical mobility and dependence in activities of daily living. Range-of-motion (ROM) and neck exercises may support recovery by maintaining joint mobility, muscle activity, postural control, and functional performance. Purpose: To compare mobility changes between stroke patients receiving combined ROM and neck exercises and those receiving standard hospital therapy. Method: This quasi-experimental study used a pretest–posttest design with a control group and involved 52 patients with non-hemorrhagic stroke, comprising 26 participants in the intervention group and 26 in the control group. Allocation was sequential rather than randomized. The intervention group received a 30-minute combined ROM and neck-exercise program, whereas the control group received standard hospital therapy. Mobility was measured using the Barthel Index. Within-group changes were analyzed using the Wilcoxon signed-rank test, and post-test mobility was compared between groups using the Mann–Whitney U test. Results: The mean Barthel Index score increased from 7.8 to 12.6 in the intervention group and from 7.9 to 8.4 in the control group. Mobility improved significantly within the intervention group (p < 0.001) but not within the control group (p = 0.066). Post-test mobility differed significantly between groups (p < 0.001). Conclusion: Combined ROSM and neck exercises were associated with greater short-term mobility improvement than standard hospital therapy in this non-randomized sample.
Household secondhand smoke exposure and recurrent acute respiratory infection among young children Famela Mutiara Sari; Nina Herlina; Nopi Sani; Astri Pinilih
JOURNAL OF Medical Surgical Concerns Vol. 6 No. 4 (2026): August 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.v6i4.3883

Abstract

Background: Acute respiratory infection (ARI) is common among young children, whose respiratory and immune defense mechanisms are still maturing. Household secondhand smoke exposure may increase susceptibility to recurrent respiratory infection by impairing mucociliary clearance and airway defense. Purpose: To examine the association between household secondhand smoke exposure and recurrent ARI among children aged 1–5 years. Method: This analytical observational study used a cross-sectional design and involved 93 children aged 1–5 years attending Balai Agung Community Health Centre, who were selected through purposive sampling. Household secondhand smoke exposure and recurrent ARI were assessed using a caregiver-completed questionnaire. Data were analyzed using the Pearson chi-square test, with statistical significance set at p < 0.05. Results: Of the 93 children, 56 (60.2%) were classified as having low household secondhand smoke exposure and 37 (39.8%) as having moderate exposure, and recurrent ARI was reported in 69 children (74.2%). Recurrent ARI occurred in 32 of the 37 children with moderate exposure (86.5%) and in 37 of the 56 children with low exposure (66.1%). Household secondhand smoke exposure was significantly associated with recurrent ARI (p = 0.028). Conclusion: Household secondhand smoke exposure was significantly associated with recurrent ARI among children aged 1–5 years. Because the study used a cross-sectional design, this finding should be interpreted as an association rather than as evidence of causation.
Benson relaxation for pain-related discomfort in older adults with hypertension: A two-patient case study Siti Masrukah; Indah Pujiati; Suliati Suliati; Yuli Ari Setyowati; Sonhaji Sonhaji
JOURNAL OF Medical Surgical Concerns Vol. 6 No. 4 (2026): August 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.v6i4.3964

Abstract

Background: Older adults with hypertension may experience pain-related discomfort, headache, dizziness, and sleep disturbance arising from multiple causes. Benson relaxation is a non-pharmacological technique intended to promote a relaxation response and may be used as an adjunct to routine nursing care. Purpose: To describe nursing care using Benson relaxation for pain-related discomfort in older adults with hypertension. Method: This study used a descriptive case-study design and involved two older adults with hypertension who received nursing care in the Dahlia 2 Ward of Dr. Loekmono Hadi Regional General Hospital, Kudus, Indonesia, between March 9 and 11, 2026. Data were obtained from nursing assessments, a pain assessment form, the hospital Benson-relaxation standard operating procedure, implementation records, and evaluation notes. Results: Both patients presented with headache, dizziness, sleep disturbance, and pain-related discomfort. For Patient 1, for whom complete pre- and post-care numerical data were available, pain intensity decreased from 5 to 2, blood pressure from 171/93 to 155/89 mmHg, and respiratory rate from 22 to 20 breaths/min, while oxygen saturation increased from 96% to 98% over the nursing-care period. Equivalent complete numerical pre- and post-intervention outcomes were not reported for Patient 2. Conclusion: Benson relaxation was documented as part of nursing care and was accompanied by reduced pain and improved comfort in the patient for whom complete outcome data were available. Because this was a two-patient descriptive case study without a control condition and with incomplete outcome documentation for the second patient, the observations cannot establish treatment effectiveness.
Body mass index, physical activity, and hypertension grade among Prolanis participants Muhammad Fauzi Zaim Falah; Muhammad Purnomo; Yulisetyaningrum Yulisetyaningrum
JOURNAL OF Medical Surgical Concerns Vol. 6 No. 4 (2026): August 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.v6i4.4038

Abstract

  Background: Hypertension is a major cardiovascular condition, and its severity may be associated with modifiable factors such as body mass index (BMI) and physical activity. Purpose: To examine the associations of BMI and physical activity with hypertension grade among Prolanis participants. Method: This analytical correlational study used a cross-sectional design and involved 63 participants drawn from a population of 167 patients with hypertension enrolled in the chronic disease management program (Prolanis) at Kaliwungu Kudus Community Health Centre. BMI was calculated from measured height and weight, physical activity was assessed using the International Physical Activity Questionnaire (IPAQ), and blood pressure was measured using a sphygmomanometer. Data were analyzed using Spearman's rho, with statistical significance set at p < 0.05. Results: Overweight was the most frequent BMI category (34 participants, 54.0%), high physical activity was reported by 26 participants (41.3%), and grade I was the most frequent hypertension category (23 participants, 36.5%). BMI was significantly associated with hypertension grade (r = 0.585, p < 0.001). Physical activity was significantly and inversely associated with hypertension grade (r = -0.511, p < 0.001). Conclusion: BMI and physical activity were significantly associated with hypertension grade among Prolanis participants. Because the study used a cross-sectional design, the findings indicate associations rather than causal effects.
Foot-care practices and diabetic foot ulcers among patients with type 2 diabetes Roza Marlinda; Rhona Sandra
JOURNAL OF Medical Surgical Concerns Vol. 6 No. 4 (2026): August 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.v6i4.4357

Abstract

Background: Diabetic foot ulcers are serious complications of type 2 diabetes and can lead to infection, hospitalization, amputation, and reduced quality of life. Consistent foot-care practices are an important component of diabetes self-management and may be associated with ulcer prevention. Purpose: To examine the association between foot-care practices and diabetic foot ulcer status among patients with type 2 diabetes. Method: This cross-sectional analytical study included 77 adults with type 2 diabetes attending the Surgical and Internal Medicine Outpatient Clinics of Dr. Rasidin Regional General Hospital, Padang, Indonesia. Participants were recruited through purposive sampling from April 17 to 26, 2026. Foot-care practices were assessed using the Foot Self-Care Behavior Questionnaire, and foot ulcer status was assessed by direct observation. The association was analyzed using the chi-square test. Results: Of 77 participants, 48 (62.3%) had a diabetic foot ulcer. Among participants with ulcers, 33 (68.8%) were classified as having inadequate foot-care practices, whereas 15 (31.2%) had adequate foot-care practices. Foot-care practices were significantly associated with diabetic foot ulcer status (p < 0.001). Conclusion: Foot-care practices were significantly associated with diabetic foot ulcer status among patients with type 2 diabetes. Because the study was cross-sectional, the findings indicate an association and do not establish causality.

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