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Journal Of Bionursing
Published by Universitas Jenderal Soedirman
ISSN : 26847833     EISSN : 26856484     DOI : https://doi.org/10.20884/1.job.2024.6.3.13087
Core Subject : Health,
Medicine & Pharmacology Nursing Public Health
The Journal of Bionursing is an open-access journal that provides a forum to publish scientific works on Nursing and Health Sciences (pISSN: 2684-7833, eISSN: 2685-6484). This Journal was established in 2019 and developed by the Department of Nursing, Faculty of Health Sciences, Jenderal Soedirman University in collaboration with the Indonesian Biomedical Nurses Association. This journal is published three times a year (January, Mei, and September). Since Volume 2 Number 3 (2022), the Journal of Bionursing has been accredited as a SINTA 4 National Journal. The focus and scopes of the journal cover all aspects of nursing and biomedical research including basic research in nursing, medical and surgical nursing, management nursing, mental health nursing, emergency and critical nursing, gerontological nursing, mental health nursing, maternity nursing, pediatric nursing, community nursing, complementary and alternative medicine (CAM) in Nursing.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 60 Documents
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Effect of a Dementia Care Class on Knowledge of Community-Based Dementia Care among Informal Caregivers: A Pre-Experimental Study Tiara, Novi; Jauhar, Muhamad; Lestari, Diana Tri; Rahmawati, Ashri Maulida
Journal of Bionursing Vol 8 No 1 (2026): Journal of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.job.2026.8.1.16868

Abstract

Background. Dementia is developing rapidly, marked by the increasing prevalence of dementia in the world every year, in line with the growing number of the elderly population. Dementia causes dependence, reduced quality of life, and even disability. It is necessary to prevent and treat dementia by empowering informal caregivers. Objectives.This study aimed to determine the effect of a dementia care class on knowledge of community-based dementia care. Methods. A pre-experimental pretest–posttest design with a control group was employed. This research was conducted in the Work Area of the Kaliwungu and Dawe Health Centers, Kudus Regency. A sample of 24 informal caregivers for each intervention and control group was taken using purposive sampling. The research instrument used the Alzheimer's Disease Knowledge Scale (ADKS). The intervention dementia care class was conducted in 4 sessions on two days with a duration of 45-60 minutes per session. Wilcoxon and Man Whitney were used for data analysis. Results. The results showed a statistically significant increase in knowledge scores among informal caregivers in the intervention group compared to the control group with p-value = 0.001 (p <0.05). Conclusion. Dementia Care Class improves knowledge of informal caregiver. These learning models and media can be integrated into elderly posyandu and elderly health programs in healthcare facilities in community-based dementia management.
Predictor Barriers to Self-Care Management in Diabetes Mellitus Clients in Kudus Regency Lasmini, Lasmini; Jauhar, Muhamad
Journal of Bionursing Vol 7 No 3 (2025): Journal of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.job.2025.7.3.16934

Abstract

Diabetes Mellitus (DM) is a major health problem both globally and nationally. This is indicated by the increasing prevalence of DM every year. Problems that arise in DM clients include lack of self-management behavior caused by self-efficacy, health literacy, health beliefs and family support. If not handled properly, DM disease has an impact on other disease complications such as: heart, blood vessels, eyes, kidneys, and nerves. This ends in disability or death. This study aims to analyzepredictors of barriers to self-care management in diabetes mellitus clients. The research design uses descriptive correlation with a cross-sectional approach.The research was conducted at the Dawe Community Health Center, Kudus Regency in February 2025. The research sample was 106 respondents using purposive sampling technique.Inclusion criteria in this study were patients suffering from Type 2 DM, patients undergoing DM treatment, Age 18-60 years, able to read and write. While the exclusion criteria in this study were type 2 DM patients who had mental or physical limitations, had complications of diabetic ulcers, and retinopathy. The instrument used in this study was the Summary of Diabetes Self-Care Activities (SDSCA) questionnaire,Diabetes Management Self-Efficacy Scale (DMSES),Health Belief Model Questionnaire(HBMQ), Health Literacy Questionnaire (HLQ). Data analysis using Chi Square test. Research Results Show that Self Efficacy, health beliefs, health literacy, and family support are significantly related to Self-Care Management in diabetes mellitus clients with p-valueof 0.000(p value < 0.05).Further research is expected to develop and provide interventions for inhibiting factors.self care managementin improving self-management skills in diabetes mellitus clients.
Association between Health Beliefs and Medication Adherence among Hypertensive Clients in a Community Setting: A Cross-Sectional Study Jelita, Monica Artha; Hartinah, Dewi; Jauhar, Muhamad; Eswanti, Noor
Journal of Bionursing Vol 8 No 1 (2026): Journal of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.job.2026.8.1.17374

Abstract

Background.Non-adherence to hypertension treatment remains a major public health concern and is influenced by patients’ health beliefs. Objective.This study aimed to analyze the relationship between health beliefs and medication adherence among hypertension clients in the community. Methods. A correlational study with a cross-sectional design was conducted in a hypertension locus village in Kudus Regency in April 2025. A total of 80 hypertension clients were recruited using total sampling. Health beliefs were measured using the Health Belief Model (HBM) questionnaire, including perceived susceptibility, perceived severity, perceived benefits, perceived barriers, and self-efficacy. Medication adherence was assessed using the Morisky Medication Adherence Scale (MMAS-8). Data were analyzed using the chi-square test. Results. The results showed a significant relationship between health beliefs and medication adherence (p < 0.001). Conclusions. Stronger health beliefs were associated with higher adherence to hypertension treatment. These findings highlight the importance of strengthening health beliefs to improve medication adherence and support effective hypertension management in the community.
Integrative Non-Pharmacological Interventions for Anxiety Management in Chemotherapy Patients: A Systematic Review Hidayat, Arif Imam; Taufik, Agis; Alivian, Galih Noor; Triyanto, Triyanto
Journal of Bionursing Vol 8 No 1 (2026): Journal of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.job.2026.8.1.17847

Abstract

Abstract Background: Anxiety is a prevalent and debilitating symptom among cancer patients undergoing chemotherapy. Pharmacological anxiolytics can produce undesirable side‑effects and may interact with cancer treatments. Consequently, research has explored non‑pharmacological interventions—such as mindfulness‑based interventions, cognitive–behavioural and acceptance therapies, relaxation practices, and complementary modalities—to reduce anxiety. This review critically evaluates randomized controlled trials (RCTs) and systematic reviews published between 2016 and 2025 on non‑pharmacological interventions for chemotherapy‑related anxiety. Methods: A systematic search of PubMed, Scopus, Web of Science, and Google Scholar (January 2016–September 2025) identified RCTs and meta-analyses on non-pharmacological interventions for anxiety in adult cancer patients receiving chemotherapy or survivors. Non-randomized, pharmacological, and pediatric studies were excluded. Two reviewers independently extracted data on samples, interventions, outcomes, and effect sizes. RCT quality was assessed using Cochrane’s risk-of-bias tool. Results: Twenty-three studies (14 RCTs and nine reviews) met inclusion criteria, evaluating mindfulness-based stress reduction (MBSR), acceptance and commitment therapy (ACT), cognitive behavioral therapy (CBT), virtual reality (VR), music therapy, relaxation techniques, aromatherapy, gratitude or behavioral activation, Tai Chi/Qigong, hypnosis, acupuncture, and reflexology. MBSR showed the strongest effects, reducing distress (SMD = –1.35) and anxiety (SMD = –1.48) and improving self-efficacy. ACT and CBT achieved small-to-moderate anxiety reductions (SMD = –0.41 and –0.61). VR alleviated anxiety, pain, and stress, while music therapy alone or combined with relaxation significantly reduced anxiety and depression. Aromatherapy and gratitude-based interventions yielded modest benefits, whereas Tai Chi/Qigong (SMD = –0.99) and hypnosis improved anxiety. Guidelines recommend MBIs, yoga, hypnosis, relaxation, music, and lavender oil during treatment, and MBIs, yoga, acupuncture, Tai Chi/Qigong, and reflexology post-treatment. Conclusions: Non-pharmacological interventions offer promising adjuncts for chemotherapy-related anxiety. Strong evidence supports mindfulness-based therapies, ACT, CBT, VR, music therapy, relaxation, aromatherapy, and gratitude practices. Tai Chi/Qigong and hypnosis show emerging benefits, while evidence for reflexology and acupuncture remains limited. Integration should reflect patient preferences and resource availability. Future research needs standardized outcomes, larger trials, and combined approaches to strengthen evidence and optimize supportive care in oncology.
The Effect of Lavender Aromatherapy on Reducing Anxiety in the Context of Nursing Care: A Literature Review Sembiring, Nur Maghribi; Sembiring, Atikah Marhamah; Sembiring, Muhammad Simba
Journal of Bionursing Vol 8 No 1 (2026): Journal of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.job.2026.8.1.18257

Abstract

Background : Anxiety is a feeling of fear about something that occurs, caused by the anticipation of danger, and serves as a signal that helps individuals prepare to take action in the face of a threat. Lavender is often used in aromatherapy because it can provide relaxation and has a sedative effect that is very helpful for people experiencing excessive anxiety. Relaxation techniques are a way to reduce anxiety. One relaxation technique that can be used is aromatherapy. Aim This study aims to determine the effect of lavender aromatherapy on reducing anxiety levels. Method : The data used in this study are secondary data obtained from previous research. The data sources were articles or journals relevant to this topic. Articles were obtained from 2021-2025. Data searches were conducted using Google Scholar with the keywords "lavender aromatherapy for anxiety," Proquest with the keywords "lavender aromatherapy and anxiety," and ScienceDirect with the keywords "lavender aromatherapy or anxiety." The search resulted in 1,327 articles. 13 articles were relevant to the literature review. Result : Several findings obtained by the authors regarding non-pharmacological therapy using lavender can be used to manage anxiety levels in clients such as: pregnant women in their third trimester, pre-operative patients, women about to give birth, hemodialysis patients, patients before tooth extraction, and is beneficial for improving sleep quality. Conclusion : The use of lavender
Studi Kasus Pengaruh Akupresur Titik P6 terhadap Tingkat Mual dan Muntah pada Pasien Kanker di RSUD Prof. Dr. Margono Soekarjo Alifah, Yosiana Nur; Taufik, Agis; Anam, Akhyarul
Journal of Bionursing Vol 8 No 1 (2026): Journal of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.job.2026.8.1.18462

Abstract

Latar Belakang: Kanker merupakan salah satu penyebab kematian tertinggi di dunia, termasuk di Indonesia. Kemoterapi sebagai terapi utama sering menimbulkan efek samping berupa mual dan muntah (Chemotherapy Induced Nausea and Vomiting atau CINV), terutama pada penggunaan obat yang memiliki tingkat emetogenik tinggi. Meskipun telah diberikan obat antiemetik, sebagian pasien masih mengalami keluhan tersebut. Akupresur titik Perikardium 6 (P6) atau Neiguan merupakan terapi komplementer non farmakologis yang dapat membantu menekan mual dan muntah akibat kemoterapi.Tujuan: Mengetahui pengaruh pemberian terapi akupresur titik perikardium 6 (P6) terhadap tingkat mual dan muntah pada pasien kanker yang menjalani kemoterapi.Metode: Metode yang digunakan studi kasus pada pasien kanker yang menjalani kemoterapi dengan regimen cisplatin di RSUD Prof. Dr. Margono Soekarjo Purwokerto. Intervensi akupresur titik P6 dilakukan pada hari pertama kemoterapi setelah obat diberikan, dengan frekuensi tiga kali sehari pada pukul 07.00, 12.00, dan 18.00 WIB. Setiap tangan dilakukan selama 10 menit menggunakan minyak zaitun, dan penilaian mual muntah menggunakan Rhodes Index Nausea, Vomiting & Retching (RINVR).Hasil: Rata-rata skor RINVR sebelum intervensi adalah 17 (kategori mual muntah berat), dan setelah intervensi terjadi penurunan rata-rata skor sebesar 9 poin. Hasil ini menunjukkan bahwa akupresur titik P6 efektif menurunkan mual dan muntah pada pasien kemoterapi melalui mekanisme pelepasan β-endorfin dan ACTH yang menekan aktivitas chemoreceptor trigger zone (CTZ).Kesimpulan: Intervensi akupresur titik Perikardium 6 (P6) memiliki pengaruh terhadap penurunan tingkat mual dan muntah pada pasien kanker yang menjalani kemoterapi.
Learning Climate as a Predictor of Nurse Clinical Competence: A Cross-Sectional Regression Analysis Maulana, Muhammad Gilang; Mulyono, Wastu Adi; Sumarwati, Made
Journal of Bionursing Vol 8 No 1 (2026): Journal of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.job.2026.8.1.19496

Abstract

Background: Clinical competence is essential for safe, high-quality nursing care. Workplace learning conditions (learning climate) may be a key organizational lever to strengthen competence among practicing nurses. Aim: To examine whether learning climate predicts nurses’ clinical competence in an Indonesian tertiary referral hospital. Methods: This associative cross-sectional study was conducted at Prof. Dr. Margono Soekarjo Hospital, Central Java, Indonesia (August–December 2025). A total of 125 registered nurses from IRNA 1 and the Emergency Department participated via total sampling. Learning climate was measured using the Clinical Learning Environment and Supervision (CLES) scale, while clinical competence was assessed using a 28-item questionnaire based on Indonesia’s Regulation No. 40/2017. Linear regression tested the predictive effect of learning climate on clinical competence (p < .05). Results: Participants’ mean age was 36.90 years (SD = 8.24) with mean work experience of 12.24 years (SD = 8.75). Mean learning climate and clinical competence scores were 113.52 (SD = 12.53) and 121.02 (SD = 10.05), respectively. Learning climate significantly predicted clinical competence (B = 0.615, p < .001), explaining substantial variance (R² = 596). Age and work experience were not significant predictors. Conclusion: A more supportive learning climate is associated with higher nurse clinical competence. Strengthening supervision, feedback, and learning opportunities may accelerate competence development and improve care quality.
Hubungan Sikap Ergonomi dengan Musculosceletal Disorder Mahasiswa Profesi Ners Universitas Jenderal Soedirman Adelysa, Candrika Zahra; Rahayu, Eva; Iskandar, Asep
Journal of Bionursing Vol 8 No 1 (2026): Journal of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.job.2026.8.1.19532

Abstract

Background. Musculoskeletal disorders are complaints involving the muscular and skeletal system caused by occupational factors, commonly experienced by nurses and nursing students. Ergonomic attitutudes refers to proper and correct body posture in accordance with ergonomic principles. Suboptimal application of ergonomic attitudes may increase the body’s biomechanical load, thereby causing musculoskeletal complaints. This study aims to examine the relationship between ergonomic attitudes and musculoskeletal disorders among nursing students at Jenderal Soedirman University. Methods. This study used a quantitative correlational design with cross-sectional research design. The sample consisted of 38 respondents selected using a total sampling technique. Data analysis was conducted using Somer’s D test. n observational study with cross sectional approach was conducted. Results. The median age of respondents was 22 years, almost all respondents were female (94,7%), and the majority had a normal body mass (63,2%). The analysis showed the most respondents had good ergonomic attitude (52,7%) and low levels of musculoskeletal disorders complaints (57,9%). The results of Somer’s D test analysis obtained a p-value = 0,003 and correlation coefficient (r) = 0,420. Conclusion. There is a significant relationship with a moderate correlation between ergonomic attitude and complaints of musculoskeletal disorders among nursing profession students at Jenderal Soedirman University. These findings highlight the importance of implementing and habituating ergonomic attitudes early in professional education to minimize musculoskeletal complaints. Future researches may explore other factors influencing musculoskeletal disorders or employ different research methods. Keywords: ergonomic attitudes, musculoskeletal disorders, nursing profession students
Model-Model Asuhan Spiritual untuk Praktik Mandiri Keperawatan: Sebuah Practice-Oriented Conceptual Article Mulyono, Wastu Adi
Journal of Bionursing Vol 8 No 1 (2026): Journal of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.job.2026.8.1.19556

Abstract

Praktik mandiri keperawatan perorangan memerlukan kerangka konseptual yang jelas, aplikatif, dan mampu menegaskan identitas profesional perawat. Artikel konseptual berorientasi praktik ini bertujuan untuk menyintesis dan memetakan berbagai model asuhan spiritual yang relevan sebagai pedoman praktik mandiri keperawatan. Melalui telaah kritis terhadap literatur keperawatan, spiritual care, dan praktik keperawatan lanjut, artikel ini mengidentifikasi karakteristik utama model-model asuhan spiritual serta menjelaskan implikasinya dalam asesmen, relasi terapeutik, pengambilan keputusan klinis, dan refleksi profesional perawat praktik mandiri. Artikel ini menegaskan bahwa model-model asuhan spiritual tidak hanya berfungsi sebagai pendekatan pendukung, tetapi sebagai kerangka praktik yang memperkuat kualitas, legitimasi, dan keberlanjutan praktik mandiri keperawatan.
Analisis Faktor Risiko Kejadian Ulkus Diabetik Pada Penyandang DM Tipe 2 Rahayuningsih, Eka; Haryani, Haryani; Kodriyati, Nanik Sri
Journal of Bionursing Vol 8 No 1 (2026): Journal of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.job.2026.8.1.18066

Abstract

Background. Diabetic foot ulcers are a major complication of diabetes that cause increased morbidity and mortality and poor quality of life. Although there are many studies on risk factors for diabetic ulcers, only a few use a case-control design with age matching. Knowledge about this is important to increase awareness of early detection and prevention of diabetic ulcers. Methods. Quantitative case control study using a retrospective approach by identifying groups affected (cases) and not affected (controls) by matching age. Data using medical records from January 2023 to December 2023. The sample used was data from196 type 2 DM patients consisting of 98 diabetic ulcer patients and 98 patients without diabetic ulcers at the Endocrine Polyclinic of Dr. Sardjito Hospital. Data were analyzed using univariate, bivariate odds ratio analysis, and multivariat analysis with STATA application. Results. The prevalence of diabetic ulcers in people with type 2 DM in the Endocrine Clinic of Dr. Sardjito Hospital is 23%. The risk factors for long suffering from DM, hypertension, blood sugar control, neuropathy, and PAD have an OR value > 1. The risk factors for long suffering from DM, DM neuropathy, history of hypertension, and PAD have a p-value < 0.05. Conclusion. The prevalence of risk factors for diabetic ulcers in people with type 2 DM at the Endocrine Clinic of Dr. Sardjito Hospital is quite high. Risk factors for duration of DM, hypertension, blood sugar control, neuropathy, and PAD showed an increased risk. The risk factors of duration of DM, DM neuropathy, history of hypertension, and PAD significantly affect the incidence of diabetic ulcers in people with type 2 DM. Keywords Keywords: risk factors, diabetic ulcers, type 2 diabetes patients.

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