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Nursing Case Insight Journal
Published by CV. Literasi Publikasi Indonesia
ISSN : 30465915     EISSN : 30465915     DOI : https://doi.org/10.63166
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health
Journal - Nursing Case Insight Journal (NCIJ) contains scientific articles in the form of research results covering science, technology, and teaching in the field of Nursing. The Nursing Case Insight Journal (NCIJ) is published every four months. Authors worldwide are welcome to submit their research papers to prestigious journals that meet the required criteria. The Nursing Case Insight Journal (NCIJ) provides immediate access to its content on the principle that making research freely available to the public supports the greater global knowledge exchange. ISSN 3046-5915 Nursing Case Insight Journal (NCIJ) indexed by: Google Scholar
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 59 Documents
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Nursing Care of An Orthodox Patient with Post-Traumatic Stress Disorder and Leg Ulcers - A Case Study Wojda, Piotr
Nursing Case Insight Journal Vol. 3 No. 3 (2025): Nursing Case Insight Journal
Publisher : CV. Literasi Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63166/d0y5a802

Abstract

Taking care of patients from a different cultural background is a challenge for health care workers. Post-traumatic stress disorder (PTSD) is known in all cultures, but behavioral symptoms may vary depending on the patient's cultural context. This study aims to answer whether adapting nursing interventions to the cultural expectations of a patient impacts the acceptance of offered nursing care and the improvement of the condition of a patient from a different cultural background. The study uses a case study of a female patient of Ukrainian origin. After collecting data through narrative interviews, indirect and direct observation, nursing diagnoses were made and nursing interventions were undertaken, adapting them to the cultural needs of the patient. Providing nursing care and adapting it to the patient's culture has a positive impact on the therapeutic relationship and treatment outcomes, and the course of nursing care. The patient's cultural origin significantly determined the course of PTSD treatment. Flexible adjustment of medical care to the patient's cultural expectations resulted in increased trust in staff, better cooperation, and improved mental state of the patient.
Two-Stage Total Hip Arthroplasty for Severe Hip Joint Destruction in SAPHO Syndrome: A Case Report Meshram, Vaishnavi; Sakharwade, Prerna
Nursing Case Insight Journal Vol. 3 No. 3 (2025): Nursing Case Insight Journal
Publisher : CV. Literasi Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63166/j2dqg654

Abstract

The syndrome of synovitis, acne, pustulosis, hyperostosis, and osteitis (SAPHO) is becoming more well-known. The hip joint is a less commonly afflicted location in SAPHO syndrome, and there have been few reports of hip joint illnesses caused by SAPHO syndrome, thus effective treatment for this disease spectrum is yet unknown. The case of a 22-year-old man who was hospitalized for SAPHO syndrome and later diagnosed with advanced secondary hip arthritis and severe right hip pain is described. The identification of SAPHO syndrome was delayed; in a prior tertiary health center, the patient was diagnosed with osteomyelitis and treated with extensive courses of antibiotics and open surgical debridement. In our facility, the patient had two stages of joint replacement surgery. He is doing well a year after surgery, with minor right hip discomfort and a functional prosthesis. This case demonstrates the safety and efficacy of a two-stage joint replacement in the treatment of degenerative hip disease caused by SAPHO syndrome, which mimics infectious arthritis
Enhancing Family Health Management in Hypertensive Patients: A Case Study Riansyah, Alvi; Permana, Gin Gin Sugih; Roslan Hidayat, Dian; Daniati, Eva
Nursing Case Insight Journal Vol. 4 No. 1 (2026): Nursing Case Insight Journal
Publisher : CV. Literasi Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63166/ncs5e271

Abstract

Hypertension is a highly serious non-communicable health problem. In the working area of the Tarogong Public Health Center, it ranks fifth among the top ten most prevalent diseases. This condition requires proper management to prevent adverse effects on the family's overall functions and roles. This study aims to describe the implementation of direct and comprehensive family nursing care for a family with a hypertensive member. This research uses a descriptive method with a case study approach focusing on one family (Mr. A's family, specifically Mrs. R) in the Tarogong Public Health Center's working area. Data collection techniques include interviews, observations, and physical examinations. Based on the assessment, the primary nursing problems identified were ineffective family health management and ineffective coping. After receiving nursing interventions for three days, the family demonstrated significant behavioral changes by modifying their lifestyle through the adoption of a low salt diet and actively utilizing healthcare facilities.The implementation of structured and comprehensive family nursing care has been proven to improve clinical outcomes and the client's quality of life by enhancing the family's independence in managing health problems
Correlation between Early Initiation of Breastfeeding and Exclusive Breastfeeding Success at Pagesangan Health Center, Mataram City Nurhidayah; Wahyuningsih, Yuyu; Srihardiani; Sukardin
Nursing Case Insight Journal Vol. 4 No. 1 (2026): Nursing Case Insight Journal
Publisher : CV. Literasi Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63166/dqgjhx65

Abstract

Early Initiation of Breastfeeding (IMD) is the process of placing the baby on the mother's chest immediately after birth and allowing the baby to self-feed for at least one hour. IMD is beneficial for providing colostrum, increasing immunity, and supporting the success of exclusive breastfeeding. In Mataram City, exclusive breastfeeding coverage is still below the national target, with Pagesangan Health Center recording the lowest achievement in 2023 at 42.01%. This study aims to analyze the relationship between IMD and the success of exclusive breastfeeding at Pagesangan Health Center, Mataram City. This study used an observational analytic design with a cross-sectional approach. The population was 398 mothers with infants aged 7-12 months. A sample of 80 respondents was selected using purposive sampling. Data was collected through questionnaires and analyzed using the Chi-Square test with a 95% confidence level (α=0.05). Of the 80 respondents, 55 (68.8%) performed IMD and 50 (62.5%) successfully gave exclusive breastfeeding for up to six months. Statistical analysis showed a significant relationship between IMD and the success of exclusive breastfeeding (p=0.005; OR=7.855). IMD is significantly associated with the success of exclusive breastfeeding. Health workers need to strengthen education and support for postpartum mothers to improve IMD practices and exclusive breastfeeding coverage.  
Analysis of Mental Nursing Care for Sensory Perception Disorder: Auditory Hallucinations with Thought Stopping Therapy Diana Putri, Neng; Suryawantie, Tanti
Nursing Case Insight Journal Vol. 4 No. 1 (2026): Nursing Case Insight Journal
Publisher : CV. Literasi Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63166/6m12q691

Abstract

Mental disorders are conditions characterized by disharmonious relationships with others, hostility, threats, and often unproductivity. Hallucinations are false perceptions without external objects. This case study aimed to analyze the effect of Thought Stopping therapy on controlling auditory hallucinations in a patient with schizophrenia. A 54-year-old female patient (Mrs. P) with auditory hallucinations was included. Though stopping therapy was administered for 10-15 minutes per session, twice daily for 3 days. The intervention included teaching the patient to say “STOP” loudly and internally when hallucinatory thoughts appeared, then replacing negative thoughts with positive ones. Outcomes were measured by changes in hallucination frequency, duration, and patient’s ability to control hallucinations. Results showed a progressive decrease in hallucination frequency from 1-2 times daily to rarely occurring. The patient could perform thoughts, stopping independently by day 3. No adverse effects were observed. Thought stopping therapy effectively reduced auditory hallucination symptoms in this patient with schizophrenia. This non-pharmacological intervention is recommended as an adjunct therapy in mental health nursing care
Overview of Burnout Among Final Semester Students of the Bachelor of Nursing Study Program Hazel Khadafi, Mochamad; Wahyudin; Dipa Nagara, Angga
Nursing Case Insight Journal Vol. 4 No. 1 (2026): Nursing Case Insight Journal
Publisher : CV. Literasi Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63166/s0zp0007

Abstract

Burnout is a psychological condition characterized by persistent negative feelings, often accompanied by decreased motivation, especially in the learning context. Final‑year nursing students are at high risk of physical, emotional, and mental exhaustion due to academic pressure and thesis completion. This study aimed to describe the burnout level among final‑semester Nursing students. A quantitative descriptive design was used. The sample consisted of 87 students selected by purposive sampling. Data was collected using the BAPER (Student Burnout in Thesis Completion) questionnaire. Univariate analysis was performed to obtain frequency distributions. Almost all respondents (74.7%, n=65) had moderate burnout, while 25.3% (n=22) had mild burnout. No student had severe burnout. Most respondents were aged 20–24 years (98.9%) and female (70.1%). Many final‑year nursing students experienced burnout at a moderate level. Institutions are advised to provide structured academic and psychological support, time management training, and stress management programs to prevent burnout escalation
Foot Reflexology Massage for Hypertension in the Elderly: A Case Study Nursafitri, Riska; Puspita, Tantri; Suliyawati, Eti
Nursing Case Insight Journal Vol. 4 No. 1 (2026): Nursing Case Insight Journal
Publisher : CV. Literasi Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63166/4q1k6t07

Abstract

Non-communicable diseases (NCDs) have become a public health problem. One of the diseases included in NCDs is hypertension. Hypertension is a condition in which systolic blood pressure increases to 140 mmHg or more and diastolic blood pressure increases to 90 mmHg or more based on two or more measurements. The global prevalence of hypertension is more than 30% of the world's total population. In Indonesia, hypertension also increased in 2018, namely from 34.11% of the total population. Based on the incidence rate, age is one of the causes of hypertension. With increasing age, organ function decreases, affecting sympathetic nerve function, increasing renin secretion, and increasing angiotensin II and aldosterone production. This case study aims to determine the effectiveness of foot reflexology massage therapy in elderly people with hypertension. The method used is a descriptive case study by conducting anamnesis, observation, physical examination, and medical records. The tool used was a sphygmomanometer. The study was conducted on Mrs. T, a 64-year-old female with hypertension. Providing regular foot reflexology massage to hypertensive patients affects the contraction of capillary walls so that vasodilation or widening of the capillary blood vessels and lymph vessels occurs, which results in a decrease in blood pressure from 175/85 mmHg to 150/85 mmHg. The flow of oxygen in the blood increases, the disposal of metabolic waste becomes smoother, thus stimulating the endorphin hormone which functions to provide a sense of comfort and reduce pain in Mrs. T. Regular foot reflexology massage techniques are effective in lowering blood pressure in the elderly with hypertension.
Application of Swedish Massage Therapy on Reducing Blood Pressure in Elderly with Hypertension at BPSTW Budi Luhur: A Nursing Case Study Nur Fatimah, Tri; Indah Yulitasari, Brune
Nursing Case Insight Journal Vol. 4 No. 1 (2026): Nursing Case Insight Journal
Publisher : CV. Literasi Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63166/z3h03z88

Abstract

Hypertension is a common cardiovascular disease in the elderly and is known as a "silent killer" because it often causes no symptoms. Uncontrolled hypertension can increase the risk of cardiovascular complications and reduce the quality of life in the elderly. One non-pharmacological therapy that can be used as a complementary therapy to help lower blood pressure is Swedish massage. This study aimed to determine the effect of Swedish massage therapy on reducing blood pressure in elderly patients with hypertension at BPSTW Budi Luhur, Yogyakarta Social Services. The method used was a descriptive case study involving two elderly respondents. Nursing care was provided for three consecutive days, applying Swedish massage therapy interventions. Blood pressure measurements were taken using a sphygmomanometer before and after 30 minutes of Swedish massage using effleurage, friction, petrissage, and tapotement techniques. Two nursing diagnoses were identified: acute pain and disturbed comfort. After three days of Swedish massage intervention, the average blood pressure before intervention was 163/101 mmHg, and after intervention it was 154/99 mmHg, with a reduction of 8 mmHg in systolic blood pressure and 2 mmHg in diastolic blood pressure. These results indicate that Swedish massage can be used as a non-pharmacological complementary therapy to help reduce blood pressure in elderly patients with hypertension
The Relationship Between Cognitive Function and Quality of Life Among Elderly Patients in the Prolanis Program at Sleman Primary Health Center, Yogyakarta Cantika Puteri, Mariska; Indah Yulitasari, Brune; Mulyanti
Nursing Case Insight Journal Vol. 3 No. 3 (2025): Nursing Case Insight Journal
Publisher : CV. Literasi Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63166/qt0kzy26

Abstract

Increasing age leads to physical, psychological, and social changes that affect the quality of life of the elderly, especially those suffering from chronic diseases such as Diabetes Mellitus (DM). The elderly are prone to cognitive function impairment, including decline in memory, concentration, and problem-solving abilities. Data from BPS (2023) show an increase in the elderly population, with the Special Region of Yogyakarta being the province with the highest proportion. A preliminary study at Sleman Primary Health Center indicated that 40% of the elderly experience mild to severe cognitive function impairment. To determine the relationship between cognitive function and quality of life among elderly patients in the Prolanis program at Sleman Primary Health Center, Yogyakarta. This study employed a quantitative research design using a cross-sectional approach. The total population was 476 respondents, with a sample of 83 respondents selected through purposive sampling. The study was conducted at Sleman Primary Health Center, Yogyakarta. The research instruments used were the MMSE questionnaire and the WHOQOL-BREF questionnaire. Bivariate analysis was performed using Kendall's Tau test. The majority of the elderly were aged 60–74 years (69.9%), female (75.9%), unemployed (49.4%), and had had DM for more than 5 years (44.6%). A total of 48.2% had moderate cognitive function, and 62.7% had moderate quality of life. The Kendall's Tau test showed a positive and significant relationship between cognitive function and quality of life (r = 0.301; p = 0.002). There is a positive and significant relationship between cognitive function and quality of life among the elderly. The better the cognitive ability of the elderly, the higher their perceived quality of life.

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