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Jurnal Riset Keperawatan dan Kesehatan
Published by CV. Literasi Intelektual
ISSN : 30643236     EISSN : 30643228     DOI : https://doi.org/10.71203/jrkk
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health
Jurnal Riset Keperawatan dan Kesehatan (JRKK) Publikasi ilmiah yang memuat artikel-artikel penelitian, kajian, dan ulasan dalam bidang keperawatan dan kesehatan. Jurnal ini berfungsi sebagai platform untuk mendiseminasi hasil penelitian terbaru yang relevan bagi para akademisi, praktisi, dan pembuat kebijakan di bidang kesehatan. JRKK terbit sejak bulan Oktober 2024 dalam versi cetak dan online. JRKK terbit setiap dua bulan (Februari, April, Juni, Agustus, Oktober, dan Desember) oleh CV. Literasi Intelektual... Fokus dan Ruang Lingkup Keperawatan: Meliputi penelitian tentang asuhan keperawatan, model praktik, pendidikan keperawatan, dan pengembangan peran profesional keperawatan. Kesehatan: Menjangkau berbagai topik kesehatan masyarakat, promosi kesehatan, epidemiologi, manajemen layanan kesehatan, serta intervensi berbasis bukti untuk meningkatkan kualitas hidup pasien. Pendekatan Interdisipliner: Jurnal ini juga membuka ruang untuk kajian yang melibatkan disiplin ilmu lain seperti teknologi kesehatan, farmasi, atau kebijakan publik yang relevan dengan bidang keperawatan dan kesehatan.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 96 Documents
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Kajian Literatur Kebutuhan Vitamin K pada Bayi dan Perannya dalam Pencegahan Perdarahan Rahma Aprillia; Revalina Annisa Putri; Riestifa Tri Nastiawan; Shafa Salsabilla; Dwi Rukma Santi
Jurnal Riset Keperawatan dan Kesehatan Vol. 3 No. 3 (2026): Jurnal Riset Keperawatan dan Kesehatan
Publisher : Literasi Intelektual

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71203/jrkk.v3i3.110

Abstract

Background: Vitamin K is a fat-soluble vitamin that plays a crucial role in blood coagulation in newborns. Newborns are at high risk of vitamin K deficiency due to limited placental transfer, low body stores, immature liver function, and low vitamin K concentrations in breast milk, which may lead to Vitamin K Deficiency Bleeding (VKDB). Objective: This study aimed to review the relationship between vitamin K deficiency and the risk of bleeding in newborns and to evaluate the effectiveness of vitamin K prophylaxis in preventing VKDB. Methods: A literature review with a qualitative descriptive approach was conducted by searching national and international articles published between 2022 and 2026 in the Google Scholar, PubMed, and ScienceDirect databases. Relevant articles were selected based on predetermined inclusion criteria and analyzed descriptively. Results: The review showed that vitamin K deficiency increases the risk of bleeding disorders in newborns, including cutaneous, gastrointestinal, and intracranial hemorrhage, which may result in severe morbidity and mortality. Premature infants and exclusively breastfed infants were identified as high-risk groups. Intramuscular vitamin K administration was consistently reported to be more effective than oral administration because it provides more sustained protection against VKDB. In addition, parental and healthcare providers' knowledge was identified as an important factor in improving adherence to vitamin K prophylaxis. Conclusion: Vitamin K prophylaxis, particularly through intramuscular administration immediately after birth, is an effective strategy for preventing VKDB. Strengthening education for parents and healthcare professionals is essential to improve awareness and reduce the incidence of vitamin K deficiency-related bleeding in newborns
Hubungan Self-Efficacy dengan Kualitas Hidup Pasien Gagal Ginjal Kronik yang Menjalani Hemodialisis Icha Nopita Sari; Heltty Heltty; Sitti Masriwati
Jurnal Riset Keperawatan dan Kesehatan Vol. 3 No. 3 (2026): Jurnal Riset Keperawatan dan Kesehatan
Publisher : Literasi Intelektual

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71203/jrkk.v3i3.116

Abstract

Latar Belakang: Gagal ginjal kronik merupakan penyakit progresif yang membutuhkan hemodialisis jangka panjang dan dapat berdampak pada kondisi fisik, psikologis, serta sosial pasien sehingga menurunkan kualitas hidup. Self-efficacy merupakan salah satu faktor yang berperan dalam membantu pasien mengelola penyakit dan menjalani perawatan. Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan self-efficacy dengan kualitas hidup pada pasien gagal ginjal kronik yang menjalani hemodialisis di RSUD Bahteramas Provinsi Sulawesi Tenggara. Metode: Penelitian menggunakan desain analitik dengan pendekatan cross-sectional. Sampel berjumlah 126 responden yang dipilih menggunakan teknik purposive sampling. Kriteria inklusi meliputi pasien gagal ginjal kronik yang menjalani hemodialisis 1-3 kali per minggu, telah menjalani hemodialisis <1 sampai >3 tahun, memiliki kesadaran penuh, bersedia menjadi responden, serta kooperatif dan mampu berkomunikasi dengan baik. Self-efficacy diukur menggunakan Chronic Kidney Disease Self-efficacy Scale, sedangkan kualitas hidup menggunakan Kidney Disease Quality of Life Short Form. Analisis data menggunakan uji Chi-Square. Hasil: Sebagian besar responden memiliki self-efficacy kategori sedang (51,6%) dan kualitas hidup kategori sedang (49,2%). Uji Chi-Square menunjukkan terdapat hubungan yang signifikan antara self-efficacy dengan kualitas hidup (p=0,001). Nilai Cramer's V sebesar 0,718 menunjukkan hubungan yang kuat. Kesimpulan: Terdapat hubungan yang signifikan antara self-efficacy dengan kualitas hidup pasien gagal ginjal kronik yang menjalani hemodialisis di RSUD Bahteramas Provinsi Sulawesi Tenggara. Peningkatan self-efficacy melalui edukasi, motivasi, dan konseling dapat menjadi bagian dari upaya keperawatan untuk mendukung kualitas hidup pasien.
Pengaruh Edukasi Proper Body Mechanics terhadap Tingkat Nyeri Punggung Bawah pada Tenaga Kerja Bongkar Muat Marwan Sulistiawan Maane; Heltty Heltty; Titi Saparina
Jurnal Riset Keperawatan dan Kesehatan Vol. 3 No. 3 (2026): Jurnal Riset Keperawatan dan Kesehatan
Publisher : Literasi Intelektual

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71203/jrkk.v3i3.117

Abstract

Latar Belakang: Nyeri punggung bawah merupakan keluhan umum pada pekerja manual, termasuk tenaga kerja bongkar muat yang berulang kali melakukan aktivitas mengangkat, menarik, mendorong, dan memindahkan beban. Tujuan: Menganalisis pengaruh edukasi Proper Body Mechanics terhadap tingkat nyeri punggung bawah pada tenaga kerja bongkar muat di Pelabuhan Nusantara Kendari. Metode: Penelitian kuantitatif ini menggunakan desain pre-eksperimental one-group pretest-posttest dengan pengukuran berulang. Sebanyak 26 tenaga kerja dengan nyeri punggung bawah dipilih menggunakan purposive sampling dari 34 tenaga kerja yang memenuhi kriteria. Intensitas nyeri diukur menggunakan Visual Analogue Scale (VAS) sebelum intervensi, 30 menit setelah edukasi (Hari ke-0), serta pada Hari ke-1, ke-2, dan ke-3. Edukasi Proper Body Mechanics diberikan melalui ceramah, demonstrasi, dan praktik yang mencakup prinsip mekanika tubuh, penilaian beban, teknik mengangkat, mendorong, menarik, menjangkau, membawa beban, dan postur kerja yang benar. Data dianalisis menggunakan uji Friedman, dilanjutkan dengan uji Wilcoxon Signed-Rank dengan koreksi Bonferroni (α = 0,005). Hasil: Rerata skor nyeri menurun dari 4,46 pada pretest menjadi 4,42 pada Hari ke-0, 3,83 pada Hari ke-1, 2,54 pada Hari ke-2, dan 2,12 pada Hari ke-3. Uji Friedman menunjukkan adanya perbedaan skor nyeri yang bermakna antarwaktu pengukuran (χ² = 84,78; df = 4; p < 0,001; N = 24), dengan effect size besar (Kendall’s W = 0,883). Analisis post-hoc menunjukkan penurunan nyeri yang bermakna mulai Hari ke-1 dengan effect size besar (r = 0,806–1,000). Tidak terdapat perbedaan bermakna segera setelah edukasi (pretest vs. Hari ke-0, p = 0,739) maupun antara Hari ke-2 dan Hari ke-3 setelah koreksi Bonferroni (p = 0,0075). Kesimpulan: Edukasi Proper Body Mechanics berhubungan dengan penurunan tingkat nyeri punggung bawah pada tenaga kerja bongkar muat. Intervensi ini berpotensi menjadi strategi promosi kesehatan kerja yang sederhana dan berbiaya rendah bagi pekerja manual. Penelitian selanjutnya disarankan menggunakan desain randomized controlled trial dengan kelompok kontrol dan periode follow-up yang lebih panjang.
Skor Item Mungs dan Proses Penyembuhan Luka pada Penderita Diabetic Foot Ulcer Fikri Syawal; Suriadi Jais; Kharisma Pratama
Jurnal Riset Keperawatan dan Kesehatan Vol. 3 No. 2 (2026): Jurnal Riset Keperawatan dan Kesehatan
Publisher : Literasi Intelektual

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71203/jrkk.v3i2.127

Abstract

Background: Diabetic Foot Ulcer (DFU) is a chronic complication of diabetes mellitus associated with delayed wound healing and an increased risk of lower-limb amputation. The MUNGS (Maceration, Undermining, Necrotic tissue, Granulation tissue, and Signs/Symptoms of infection) instrument is widely used to assess wound conditions; however, evidence regarding the relationship between individual MUNGS components and wound healing outcomes remains limited. Objective: To analyse the relationship between patient characteristics, individual MUNGS component scores, and wound healing outcomes in patients with DFU. Methods: A quantitative observational study with a retrospective cross-sectional design was conducted among 47 patients with DFU treated at Kitamura Pancasila Clinic, West Kalimantan, between January and July 2025 using total sampling. Data were obtained from medical records and wound photographs. Data were analysed using univariate analysis, Spearman Rank and Fisher's Exact tests, and binary logistic regression. Results: Bivariate analysis showed that the necrotic (p=0.006), granulation (p=0.010), and signs/symptoms (p=0.009) components were significantly associated with wound healing outcomes, whereas patient characteristics, maceration, and undermining were not (p>0.05). Multivariate analysis identified no significant independent predictor, although necrotic and granulation showed a tendency to be associated with wound healing. Conclusion: The necrotic, granulation, and signs/symptoms components were associated with wound healing outcomes in patients with DFU. Although no independent predictor was identified, the MUNGS instrument remains clinically valuable for evaluating wound healing progression.
Hubungan Kecanduan Game Online dengan Kualitas Tidur pada Mahasiswa Prodi Ilmu Keperawatan Khrisna Wisnusakti; Rizky Ramadhan; Ibrahim Noch Bolla; Rahmi Imelisa; Fifi Siti Fauziah Yani
Jurnal Riset Keperawatan dan Kesehatan Vol. 3 No. 2 (2026): Jurnal Riset Keperawatan dan Kesehatan
Publisher : Literasi Intelektual

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71203/jrkk.v3i2.144

Abstract

Background: Online game addiction has become an increasingly common problem among university students and may negatively affect various aspects of health, including sleep quality. Spending excessive time playing online games can disrupt sleep patterns, resulting in poor sleep quality. Objective: This study aimed to determine the relationship between online game addiction and sleep quality among undergraduate nursing students. Methods: This study employed a quantitative research design with a cross-sectional approach. A total of 259 students were recruited using proportionate quota sampling. Data were collected using the Internet Gaming Disorder Scale Short Form (IGDS9-SF) to assess online game addiction and the Pittsburgh Sleep Quality Index (PSQI) to assess sleep quality. Results: The findings showed that 134 respondents (51.7%) had a moderate level of online game addiction, 106 respondents (40.9%) had a low level of addiction, and 19 respondents (7.3%) had a high level of addiction. Regarding sleep quality, 188 respondents (72.6%) had poor sleep quality, while 71 respondents (27.4%) had good sleep quality. The Chi-square test revealed a significant relationship between online game addiction and sleep quality among students (p-value = 0.000). Conclusion: There was a significant relationship between online game addiction and sleep quality among undergraduate nursing students. Students are encouraged to manage their gaming time appropriately to prevent interference with sleep and academic activities.
Hubungan Dukungan Sosial dengan Stres Akademik pada Siswa Kelas X di SMAN 1 Cimahi Khrisna Wisnusakti; Sindi Royentika Mangku Purwalam; Rahmi Imelisa; Andri Nurmansyah; Ibrahim Noch Bolla
Jurnal Riset Keperawatan dan Kesehatan Vol. 3 No. 3 (2026): Jurnal Riset Keperawatan dan Kesehatan
Publisher : Literasi Intelektual

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71203/jrkk.v3i3.145

Abstract

Background: Academic stress is one of the problems students may experience due to various demands during the learning process. Ten-grade students are in a transitional period from junior high school to high school and therefore need to adapt to a new environment, learning system, and academic demands. Social support from family, friends, and significant others can help students cope with academic pressure. Objective: This study aims to determine the relationship between social support and academic stress among 10th-grade students at SMAN 1 Cimahi. Method: This study employed a quantitative method with an analytical survey design and a cross-sectional approach. The population consisted of 468 students, and the sample comprised 215 respondents selected using the proportionate random sampling technique. Data were collected using the Multidimensional Scale of Perceived Social Support (MSPSS) questionnaire and the Academic Stress Scale, then analysed univariately and bivariate using the chi-square test. Results: The majority of respondents reported high levels of social support 111 students (51.6%) and low levels of academic stress 159 students (74.0%). The results of the Chi-Square test showed a p-value <0.001 (p ≤ 0.05), indicating a significant association between social support and academic stress. Conclusion: There is a significant relationship between social support and academic stress among 10th-grade students at SMAN 1 Cimahi. Students with higher levels of social support tend to experience lower levels of academic stress.
Pendekatan Self-Care berbasis Keluarga dalam Pengendalian Diabetes Mellitus di Pelayanan Kesehatan Primer: A Scoping Review Yenni Lukita; Haryanto Haryanto; Suriadi Jais
Jurnal Riset Keperawatan dan Kesehatan Vol. 3 No. 2 (2026): Jurnal Riset Keperawatan dan Kesehatan
Publisher : Literasi Intelektual

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71203/jrkk.v3i2.148

Abstract

Background: Diabetes Mellitus (DM) is a chronic disease with a continuously increasing incidence that requires long-term management. Glycemic control largely depends on patients’ ability to perform self-care. Dorothea Orem’s Self-Care Deficit Nursing Theory emphasizes that individuals require support when they experience limitations in meeting their self-care needs. In primary care settings, family involvement is an important factor in the effective management of DM; however, evidence mapping regarding the family-based implementation of this theory remains limited. Objective: This scoping review aimed to map the scientific evidence regarding the implementation of a family-based Self-Care Deficit Nursing Theory approach for glycemic control among patients with DM in primary care settings. Methods: A scoping review was conducted following the PRISMA-ScR guidelines. Literature searches were performed in Google Scholar, PubMed, and ScienceDirect for studies published between 2015 and 2025. Eligible studies included primary quantitative, quasi-experimental, randomized controlled trial (RCT), and mixed-methods studies addressing self-care, family support, and glycemic control among patients with DM in primary care settings. Results: Most studies demonstrated that family-based interventions contributed to improvements in dietary adherence, physical activity, self-monitoring of blood glucose, and treatment adherence. These approaches also enhanced patients’ motivation and consistency in performing self-care activities, thereby supporting better glycemic stability. Conclusion: Family-based self-care approaches have the potential to improve glycemic control among patients with Diabetes Mellitus in primary care settings. Integrating nursing theories into family-centered interventions may strengthen the delivery of community-based nursing care.
Family Support, Motivasi, dan Self-Efficacy pada Pasien Multidrug-Resistant Tuberculosis (MDR-TB) Nuratika Nuratika; Sutrisno Sutrisno; Mahin Ridlo Ronas
Jurnal Riset Keperawatan dan Kesehatan Vol. 3 No. 2 (2026): Jurnal Riset Keperawatan dan Kesehatan
Publisher : Literasi Intelektual

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71203/jrkk.v3i2.149

Abstract

Introduction: Multidrug-resistant tuberculosis (MDR-TB) requires prolonged and complex treatment, which may pose challenges to patients in maintaining motivation and confidence in their ability to complete treatment. Family support may provide important psychosocial support during treatment. Objective: This study aimed to analyze the relationship between family support and motivation and self-efficacy among patients with MDR-TB at the Bina Asri Foundation, Pontianak. Methods: This quantitative study employed a cross-sectional design. A total of 33 patients with MDR-TB were selected using accidental sampling. Data were analyzed using Somers’ d correlation test with a significance level of α = 0.05. Results: Family support was significantly associated with motivation (p = 0.018; r = 0.263) and self-efficacy (p = 0.030; r = 0.281). Both relationships demonstrated moderate correlation strength. Conclusion: Family support was significantly associated with motivation and self-efficacy among patients with MDR-TB. Strengthening family involvement in patient support and treatment accompaniment may contribute to comprehensive MDR-TB care.
Ultrasound dan Terapi Latihan terhadap Carpal Tunnel Syndrome Dextra Muhammad Hazar Firmansyah; Kuswardani Kuswardani
Jurnal Riset Keperawatan dan Kesehatan Vol. 3 No. 4 (2026): Jurnal Riset Keperawatan dan Kesehatan
Publisher : Literasi Intelektual

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71203/jrkk.v3i4.118

Abstract

Background: Carpal Tunnel Syndrome (CTS) is the most common entrapment neuropathy caused by compression of the median nerve within the carpal tunnel. This condition is frequently associated with repetitive and prolonged hand activities, resulting in pain, paresthesia, limited range of motion (ROM), decreased muscle strength, and impaired hand function. Physiotherapy interventions, including ultrasound therapy, stretching, and Upper Limb Tension Test (ULTT) exercise, are commonly applied to reduce symptoms and improve functional performance. Objective: To determine the effectiveness of a combination of ultrasound therapy, stretching exercise, and Upper Limb Tension Test (ULTT) exercise in reducing pain and paresthesia and improving joint range of motion, muscle strength, and hand functional ability in a patient with right-sided Carpal Tunnel Syndrome (CTS). Methods: This study employed a case report design involving a patient with right Carpal Tunnel Syndrome who received four physiotherapy sessions. The interventions consisted of ultrasound therapy, stretching, and ULTT exercise. Clinical outcomes were evaluated using the Visual Analog Scale (VAS), paresthesia assessment, range of motion measurement, Manual Muscle Testing (MMT), and the Boston Carpal Tunnel Syndrome (BCTS) Index. Results: Following four treatment sessions, the patient demonstrated reduced pain and paresthesia, improved range of motion, increased muscle strength, and better functional ability, as reflected by an improvement in the BCTS Index score. Conclusion: The combination of ultrasound therapy, stretching, and ULTT exercise provided favorable clinical outcomes in a patient with right Carpal Tunnel Syndrome. These interventions were associated with reduced pain and paresthesia, enhanced joint mobility, increased muscle strength, and improved functional hand performance after four treatment sessions.
Edukasi Alat Bantu Pengambilan Keputusan (ABPK) dan Tingkat Pengetahuan Implant Pasca Salin pada Ibu Hamil Nita Umi Fatmawati; Inggar Ratna Kusuma
Jurnal Riset Keperawatan dan Kesehatan Vol. 3 No. 4 (2026): Jurnal Riset Keperawatan dan Kesehatan
Publisher : Literasi Intelektual

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71203/jrkk.v3i4.119

Abstract

Background: The Maternal Mortality Rate (MMR) in Indonesia remains a significant challege in achieving the Sustainable Development Goals (SDGs) targets. One of the efforts to reduce it is through the Birth Planning and Coplication Prevention program (P4K), which includes postpartum family planning (KB) planning. Although implant contraception has high effectiveness (>99%) and is safe for breastfeeding mothers, its coverage at the Wangon I Health Center is still low (22.67%), blow the national target of 28.39%. This is influenced by the low level of knowledge among pregnant women regarding this methode. Objective: To determine the effect of education using the Decision-Making Aid (ABPK) on pregnant women's knowledge regarding postpartum contraceptive implants at Wangon I Public Health Center. Methods: This is  a quantitative study with a pre-experimen design using a one-group pretest-posttest approach. The sample consisted of 85 prenant women in their second and third trimesters, selected using consecutive sampling. The research instrumen was a knowledge questionnaire that had been tested for validity and reliability. Data were analyzed using the Wilcoxon statistical test. Results: Univariate analysis showed that before the intervention, the majority of respondents had a moderate level of knowledge (88.4%) with a mean score of 67.33. After receiving education through ABPK media, respondents’ knowledge levels significantly increased to the good category (61.6%) with a mean score of 76.89. Statistical test showed a significant difference between knowledge levels before and after the intervention with a p-value <0.05. Conclusion: Education using Decision-Making Tools (ABPK) has a significant effect on increasing pregnan women’s knowledge about postpartum implant contraception. Health workers, especially midwives, are encouraged to optimize the use of ABPK in family planning counseling starting from pregnancy to increase te coverage of long-term contraceptive mothods (MKJP).

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