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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 70 Documents
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Hubungan Kecanduan Game Online Dengan Motivasi Belajar Siswa Kelas VII Di MTs Negeri 1 Jakarta Selatan Frisangel Lopulalan; Ratna Sari Dinaryanti; Nila Rostarina
Journal of Bionursing Vol 8 No 2 (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.2026.8.2.12853

Abstract

Background. Online games are one of the games that are very popular and have become a special attraction for various ages, especially for adolescent, because of the sophistication of online games which offer interesting and newest features so that it makes teenagers continue to play online games and ultimately adolescent will become addicted to online games. The impact of playing online games is that it makes someone addicted to online games and can disrupt their activities, one of which is the learning process, namely learning motivation. Methods. The research design uses quantitative methods with a cross sectional approach. The sample for this research consisted of 141 respondents using a stratified random sampling technique. The instruments in this study used questionnaires from the Game Addiction Scale for Adolescent (GASA) and the Motivated Strategies for Learning Questionnaire (MSLQ). The data analysis used was chi square. Results. The results of the chi square statistical test show a significant relationship between online game addiction and the learning motivation of class VII students at MTs Negeri 1 South Jakarta, with p-value = 0.001 < 0.05. Conclusion. So this research can be used to educate about online game addiction with student learning motivation. Keywords: Online Game Addiction, Learning Motivation, Adolescent
Stigma, Health Literacy, and Treatment-Seeking Behavior among Caregivers of Stunting Toddlers in Rural Areas Adella Risma Triwijayanti; Indanah Indanah; Muhamad Jauhar
Journal of Bionursing Vol 8 No 2 (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.2026.8.2.15854

Abstract

Stunting is a health problem that threatens human quality and the competitiveness of the nation. This condition has an impact on the physical, mental, and cognitive development of toddlers and increases the risk of disease. There are still many toddlers who are diagnosed with stunting but do not receive treatment. Treatment-seeking behavior is influenced by knowledge, attitudes, stigma, and community beliefs. This research aims to analyze the relationship between stigma and health literacy with treatment-seeking behavior. The research design uses a correlational analytical approach that is cross-sectional. The independent variables are stigma and health literacy, while the dependent variable is treatment-seeking behavior. This research was conducted in the Keling II Community Health Center Working Area, Jepara Regency, in January 2025. The research sample was 100 caregivers of stunted toddlers and was taken using techniques of purposive sampling. The research instrument includes a stigma questionnaire using (SSCI-8), a questionnaire on health literacy using (HLS-EU-Q16), and a questionnaire on treatment-seeking behavior using (GHSQ). Data analysis using chi-square tests. The results of this study show that there is a significant relationship between stigma (p=0.002; r=0.394) and health literacy (p=0.000; r=0.448) with treatment-seeking behavior in caregivers of stunted toddlers. Stigma and health literacy play a role in shaping behavior in seeking health assistance, especially among caregivers of toddlers with stunting in rural areas. There needs to be intervention to reduce negative stigma and increase health literacy so that caregivers of stunted toddlers have the awareness to carry out screening and treat stunting in health service facilities.
Duration, Compliance, and Value of Interdialytic Weight Gain in Chronic Kidney Disease Patients Undergoing Hemodialysis Muhamad Jauhar; Muhammad Adi Saseno; Umi Faridah
Journal of Bionursing Vol 8 No 2 (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.2026.8.2.15881

Abstract

Background: Chronic Kidney Disease (CKD) is a life-threatening problem. CKD patients who require hemodialysis therapy experience a significant increase; one of the important indicators in hemodialysis therapy is interdialytic weight gain (IDWG). In practice, there are still cases where patients experience high IDWG, which is suspected to be due to non-compliance with the schedule or length of hemodialysis sessions. Objectives: This study aimed to determine the relationship between frequency and compliance with the value of IDWG in CKD patients undergoing hemodialysis. Methods: This quantitative study uses a correlative analytical research method with a cross-sectional approach. The population was 47 chronic kidney failure patients undergoing hemodialysis at the Muhammadiyah Mayong Hospital, Jepara. The instruments used were weight scales, patient medical records, and End-Stage Renal Disease Adherence Questionnaire (ESRD-AQ) questionnaires. Bivariate analysis in this study used the Spearman Rho test. Results: The results of this study are that most respondents have undergone hemodialysis for more than 12 months, as many as 20 respondents (42.6%); respondents who are compliant with hemodialysis are 25 respondents (53.2%); and most respondents experienced a mild weight gain category of 16 respondents (34%). There is a relationship between the length of time (p-value = 0.001, r= 0,762) and hemodialysis compliance (p-value = 0.003, r= 0,578) with the interdialytic weight gain value in chronic kidney disease patients undergoing hemodialysis at the hospital. Conclusion: Frequency and compliance have a relationship with the value of IDWG in CKD patients undergoing hemodialysis. The correlation between two variables are direct and positive means that the more compliant with HD, the value of IDWG is lower.
Knowledge, Stress, and Treatment Compliance among Hypertension Clients in Rural Areas Lisa Tiyansi; Dewi Hartinah; Muhamad Jauhar; Novi Tiara
Journal of Bionursing Vol 8 No 2 (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.2026.8.2.17367

Abstract

Hypertension is a major risk factor for increasing mortality and morbidity rates. This is supported by the increasing prevalence of hypertension cases every year worldwide. If blood pressure cannot be controlled, it will lead to complications such as stroke, retinopathy, heart failure, heart attack, kidney failure, and disability. Therefore, adherence to treatment is crucial to prevent these complications. However, in the treatment of long-term diseases such as hypertension, which require lifelong treatment, barriers to medication adherence often occur. The purpose of this study was to analyze the relationship between knowledge and stress with medication adherence in hypertension patients in rural areas. The study design used correlation analysis with a cross-sectional approach. The independent variables were knowledge and stress, while the dependent variable was medication adherence. This study was conducted in two villages in Kudus Regency, which is the locus of hypertension, in April 2025. The study sample consisted of 97 respondents selected through a cross-sectional approach through purposive sampling based on inclusion and exclusion criteria. The instruments used include the Hill-Bone Compliance to High Blood Pressure Therapy Scale, the Hypertension Knowledge-Level Scale, and the Perceived Stress Scale (PSS-10). Data analysis using the chi-square test. The results of the study showed a significant relationship between knowledge (p=0.000) and stress (p=0.000) with medication adherence. Knowledge and stress are associated with medication adherence in hypertensive clients. Community health centers need to implement innovative programs to improve medication adherence through structured health education and stress management.
The Effect of Zikr Therapy and Progressive Muscle Relaxation on Anxiety Levels in Elderly People with Hypertension in Karangturi Village Inaz Avriliana; Reza Fajar Amalia; Asep Iskandar
Journal of Bionursing Vol 8 No 2 (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.2026.8.2.18470

Abstract

Background: Hypertension can affect the psychological condition of the elderly, one of which is triggering anxiety. Anxiety can be overcome in various ways, non-pharmacological therapies that can be given include zikr therapy and progressive muscle relaxation. Objective: This study aims to determine the effect of zikr therapy and progressive muscle relaxation on the level of anxiety of elderly with hypertension in Karangturi Village. Methodology: The method used is a descriptive case study with the application of Evidence Based Practice (EBP). The intervention was carried out on 5 clients. A pretest was conducted before the intervention using the Geriatric Anxiety Scale (GAS) questionnaire to assess the client's anxiety level. The intervention was carried out for 7 consecutive days twice a day, every morning and evening with a duration of 15 minutes. Evaluation of anxiety levels was carried out on the last day. Researchers also measured blood pressure using a digital tensiometer before and after each procedure. Results: The results of the study showed a decrease in the average level of anxiety in clients after the intervention for 7 days twice a day. Conclusion: Zikr therapy and progressive muscle relaxation have an effect in reducing anxiety levels in elderly with hypertension.
Digital Literacy and Career Intention among Nursing Students: Evidence from Indonesian Nursing Education Zahra Athina Deapriandita; Wastu Adi Mulyono; Hasby Pri Choiruna
Journal of Bionursing Vol 8 No 2 (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.2026.8.2.19479

Abstract

Background Digital transformation in healthcare and nursing education increases the need for nursing graduates who are digitally capable and work-ready, making digital literacy a foundational competency that should be deliberately developed rather than assumed. At the same time, nursing students’ career intentions are shaped by educational and contextual influences, and intention-related patterns are relevant to workforce sustainability, including in Indonesia where nursing students may consider varied career trajectories. Students’ perceptions of digital health technologies also suggest that digitalization can shape how they imagine their future nursing roles, reinforcing the educational importance of digital competence development. Objective To examine whether digital literacy significantly predicts intention to become a nurse among Indonesian undergraduate nursing students, controlling for age, sex, PKK training/competence, and cohort. Methods A cross-sectional survey was conducted among undergraduate nursing students at Jenderal Soedirman University, Indonesia (n = 282). Digital literacy was measured using an 11-item instrument (α = 0.87), and intention to become a nurse was measured using a 4-item instrument (CVI = 0.93; α = 0.78). Multiple linear regression tested whether digital literacy predicted intention to become a nurse after adjusting for covariates. The use of cross-sectional survey designs and regression modeling aligns with common approaches in nursing education research examining digital literacy-related competencies and career intention outcomes. Results Participants were predominantly female (84.4%) with mean age 19.4 ± 1.6 years. Mean digital literacy score was 45.54 ± 5.54 (range 23–55), and mean intention to become a nurse was 16.37 ± 2.73 (range 6–20). Digital literacy significantly predicted intention to become a nurse (B = 0.187, SE = 0.026, t = 7.08, p < 0.001), controlling for age, sex, PKK, and cohort. The model was significant (F (8, 273) = 10.97, p < 0.001) with R² = 0.243 (adjusted R² = 0.221). Cohort was significant for Batch 2022 (p = 0.018), Batch 2023 (p = 0.050), and Batch 2025 (p = 0.042). Conclusion Higher digital literacy is associated with stronger intention to become a nurse among Indonesian nursing students, independent of demographic factors and educational cohort. These findings support curricular strategies that assess and strengthen nursing students’ digital literacy as part of developing digitally fluent, work-ready graduates, consistent with broader calls to embed digital capability development within nursing education.
Analisis Tingkat Edukasi Pengetahuan dan Aktivitas Fisik dengan upaya Pencegahan Hipertensi pada Remaja di MAN 2 Setu Bekasi Virna Pratiwi; Aprilina Sartika; Yulidian Nurpratiwi; Hana Priscilla Frudence Sohilait
Journal of Bionursing Vol 8 No 2 (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.2026.8.2.20202

Abstract

Hypertension is a health problem that is increasingly found among adolescents due to low levels of knowledge and lack of physical activity. This condition increases the risk of cardiovascular diseases in the future. This community service activity aims to analyze educational interventions on knowledge and physical activity in preventing hypertension among adolescents. The implementation method was carried out through health education sessions, delivery of educational materials, and simple physical activity practices conducted directly with students at MAN 2 Setu Bekasi. Evaluation was conducted using pretest and posttest to measure knowledge levels, as well as observation of participation in physical activities. The results showed an improvement in adolescents' knowledge about hypertension and increased awareness of engaging in physical activity as a preventive effort. In addition, participants demonstrated a positive response to the educational activities provided. This activity proves that structured and participatory education is effective in improving knowledge and promoting healthy behavior among adolescents.
Study Deskriptif tentang Gaya Hidup Modern Mahasiswa dalam Memelihara Kesehatan Ginjal Handoyo Handoyo; Herry Prasetyo; Hartati Hartati
Journal of Bionursing Vol 8 No 2 (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.2026.8.2.20468

Abstract

ABSTRACT Background. The kidneys are vital organs that function to filter blood and remove metabolic waste. The consumption pattern of ultra-processed food (UPF) and unhealthy drinking habits can put an excessive burden on kidney function. Health students, although they have knowledge about kidney health, do not necessarily implement consumption behaviors that support the maintenance of kidney function. Methods. This study used a descriptive quantitative approach with a survey method of 45 nursing students from the Nursing Study Program in Purwokerto City. Data were collected using a questionnaire that had been tested for validity and reliability, then analyzed descriptively. Results. The results showed that 82.2% of respondents consumed ultra-processed food more than three times a week, and 73.3% had met the daily water consumption needs of ± 2 liters. The habit of consuming ultra-processed foods can have a negative impact on kidney health. This condition can be worsened when they also pay less attention to drinking at least 1.5-2 liters of mineral water per day. Conclusion. There are habits of nursing students in drinking water to support kidney health, but not for the habit of consuming ultra-processed food. Therefore, educational interventions and healthy campus policies are needed to encourage changes in consumption behavior. Keywords: life style, student, health, kidneys.
Critical Thinking and Nurses' Caring Behavior in Clinical Practice: A Cross-sectional Study Ailsa Ayu Fadhilla; Nurfika Asmaningrum; Dodi Wijaya; Nurul Arifah; Dwi Yoga Setyorini; Desy Listyaningrum
Journal of Bionursing Vol 8 No 2 (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.2026.8.2.20635

Abstract

Background: Caring behavior is essential in nursing professionalism and is linked to the quality of nursing care. Nurses are responsible for providing holistic, patient-centered healthcare that includes various dimensions of well-being. However, nursing practice often lacks a holistic approach, especially as patient cases become more complex. Balancing critical thinking skills with caring behavior is crucial to meet the demands of nursing practice. Objective: To examine the association between critical thinking skills and caring behavior among ward inpatient nurses at Perkebunan Jember Klinik Hospital. Methods: A cross-sectional correlational study was conducted among all 82 nurses in tbe inpatient ward through total sampling. Critical thinking ability were measured using a NCT-4 Practice, and Caring behavior were assessed using Caring Behavior Questionnaire. Descriptive statistics were calculated for participant characteristics and study variables. The association between critical thinking skills and caring behavior was tested using Kendall’s Tau C (a =0,05). Results: Participants had a median age of 35 years and the work experience of nurses 10,5 years, were most female (76,8%), with the nurses’ highest education is in the nursing profession (72%) and the majority nurses are married (93,9%). The majority partisipants also attended the training (91,5%). Kendall’s Tau C indicated a statistically significant, weak correlation between critical thinking skills and caring behavior, with moderate critical thinking skills tending to be associated (|τ| = 0,376, p = 0,000), with caring conduct that is nonetheless considered to be deficient Conclusion: Critical thinking skills were significantly correlation with caring behavior among ward inpatient nurses.The development of evidence-based practice and the enhancement of clinical reasoning capacity through training and independent literature exploration are recommended to improve daily clinical critical thinking skills.
Studi Kasus Penerapan Cognitive Behavioral Therapy (CBT) pada pasien Depresi Berat dengan Gejala Psikotik dan Risiko Bunuh Diri di RSJD dr. Arif Zainudin Surakarta Kholita Nurati; Wahyu Ekowati; Jumali Jumali; Wahyudi Mulyaningrat; Reza Fajar Amalia; Indah Ramadhan
Journal of Bionursing Vol 8 No 2 (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.2026.8.2.21075

Abstract

Introduction: Severe depression with psychotic symptoms is a mental disorder that increases the risk of suicide due to feelings of hopelessness, worthlessness, and loss of hope. Cognitive Behavioral Therapy (CBT) is one of the psychotherapeutic interventions that is effective in reducing symptoms of depression and suicidal ideation.Objective: To analyze the application of CBT in patients with severe depression exhibiting psychotic symptoms and a risk of suicide.Method: A case study of a 31-year-old male patient treated at RSJD dr. Arif Zainudin Surakarta after a suicide attempt. Data were obtained thru interviews, observations, mental status examinations, and medical record reviews. CBT was administered in five sessions over three days to identify and modify negative thoughts and enhance adaptive coping.Results: After the intervention, the patient was able to recognize negative automatic thoughts, develop more rational thinking, improve the ability to express feelings, and use more adaptive coping strategies. The frequency of suicidal thoughts decreased, and hope and more realistic life plans emerged.Conclusion: CBT contributes to the reduction of suicidal ideation and the improvement of coping abilities in patients with severe depression and psychotic symptoms.

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