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Setiyo Adi Nugroho
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Adult Health Nursing Journal
Published by Universitas Nurul Jadid
ISSN : -     EISSN : 30638089     DOI : https://doi.org/10.33650/ahnj.v1i1
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing
Adult Health Nursing Journal has been launched aimed to publish the most recent findings of scientific research in the fields of medical-surgical nursing in acute and chronic situations with an emphasis on evidence-based nursing. This journal publishes papers to health promotion, prevention, disease management, improvement of the health status of patients and their families, also gives current researches’ information to readers and medical-surgical nursing community. Adult Health Nursing Journal is a peer-reviewed open access journal committed to advancing the field of medical-surgical nursing. Our mission is to provide a platform for nurses, healthcare professionals, educators, and researchers to share their expertise, experiences, and innovations in medical-surgical nursing. We welcome original research articles, systematic reviews, case studies, theoretical perspectives, and other contributions relevant to medical-surgical nursing. Adult Health Nursing Journal has been launched aimed to publish the most recent findings of scientific research in the fields of medical-surgical nursing care in acute and chronic situations with an emphasis on evidence-based nursing. This journal publishes papers to health promotion, prevention, disease management, and improvement of the health status of patients and their families in different forms of articles (As mentioned in the Authors Guide) in the below headings: Clinical research in Medical-Surgical Nursing Advanced evidence-based care in medical-surgical nursing Nursing care in acute disorders Nursing care of adult patients Pharmacological and non-pharmacological interventions in nursing Patient safety in medical-surgical wards Professional relationship Professional ethics in medical-surgical wards Chronic Illness and End-of-Life Care Critical Care And Emergency Nursing Nursing care innovative technologies Medical-surgical nursing education and curriculum
Arjuna Subject : Keperawatan - Bedah Medis
Articles 20 Documents
 1   2 
Effect of Mindfulness Meditation on Anxiety in Preoperative Patients Undergoing General Anesthesia: A Study at RSUD Wates Luqyani, Hana Putri; Azizah, Aisyah Nur; Riyadi, Raden Sugeng
Adult Health Nursing Journal Vol 2, No 1 (2025): Adult Health Nursing Journal
Publisher : Fakultas Kesehatan, Universitas Nurul Jadid

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/ahnj.v2i1.11642

Abstract

Introduction: Surgical procedures often cause patients to experience anxiety. Anxiety is a feeling of unease, worry, tension, and fear triggered by situations perceived as threats, the actual source of which is unknown. Preoperative anxiety can affect surgical outcomes. The application of mindfulness meditation during the preoperative phase is used to reduce anxiety levels and provide a calming effect. Objectives:  This study aims to determine the effect of mindfulness meditation techniques on pre-operative anxiety in patients with general anesthesia at RSUD (Regional General Hospital) Wates. Methods:  This type of research employed quantitative study using a quasi-experimental research design with a non-equivalent control group. The number of samples was 34 respondents and was divided into an experimental group and a control group. Data collection techniques applied the Amsterdam Preoperative Anxiety and Information Scale (APAIS) questionnaire. Data analysis performed using the Wilcoxon Signed Rank Test and the Mann-Whitney test. Results:  The results of this study indicate that there is a significant influence of the mindfulness meditation technique on the anxiety of pre-operative patients with general anesthesia of 0.000 <0.05, so Ha is accepted and H0 is rejected; this means that there is a significant influence on the level of anxiety of pre-operative patients. Conclusions:   The mindfulness meditation technique in this study was effective in reducing anxiety levels in pre-operative patients with general anesthesia.
Effectiveness of a Nurse-Led Educational Programme on Telemedicine Knowledge among Nursing Students in Dhaka Chadayan, Chinna; Sweety, Melba Sahaya
Adult Health Nursing Journal Vol 2, No 1 (2025): Adult Health Nursing Journal
Publisher : Fakultas Kesehatan, Universitas Nurul Jadid

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/ahnj.v2i1.10772

Abstract

ABSTRACTBackground: Telemedicine is transforming healthcare delivery, especially in underserved regions, by increasing access to care. Nursing students' knowledge of telemedicine is essential for preparing them for the evolving healthcare landscape.Objective: This study aimed to assess the effectiveness of a nurse-led educational program in enhancing nursing students' knowledge of telemedicine in Dhaka, Bangladesh.Methods: A quasi-experimental pre-test and post-test design was used with 40 nursing students who had no prior formal education in telemedicine. The intervention consisted of a 2-hour interactive session covering key concepts of telemedicine. Knowledge levels were measured using pre-test and post-test questionnaires. Data analysis involved paired t-tests to evaluate knowledge improvements.Results: Pre-test findings showed 67.5% of students had poor knowledge of telemedicine. After the intervention, 57.5% of students scored in the "Excellent" range, and only 2.5% scored in the "Poor" range. A paired t-test showed a significant increase in knowledge (p < 0.05).Conclusion: The nurse-led educational program significantly improved nursing students' knowledge of telemedicine. Age and gender were significant factors influencing knowledge scores, with older students and females performing better. The study recommends integrating telemedicine into nursing curricula to prepare future healthcare professionals.Keywords: Telemedicine, Nurse-led education, Nursing students, Knowledge improvement, Healthcare education, Tele-nursing.
Prediction Model for Low Birth Weight (LBW) in East Lombok Regency Nurlaili, Mustika; Masyhurrosyidi, Hadi; Sastrawan, Sastrawan; Sulaiman, Lalu
Adult Health Nursing Journal Vol 2, No 1 (2025): Adult Health Nursing Journal
Publisher : Fakultas Kesehatan, Universitas Nurul Jadid

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/ahnj.v1i2.11068

Abstract

Introduction: The success of midwifery care has an impact on maternal health and greatly influences future generations of the nation and state. Purpose: recommendations for reducing the incidence of LBW based on an analysis of the influence of the determinants of the cause. Method: observational study with cohort design. The population is all pregnant and giving birth women in East Lombok Regency amounting to 27,463 people. The sample was calculated using the binomial formula, using the simple random sampling technique, and obtained 400 samples (α = 0.05). Results Spontaneous delivery, delivery at the polindes, and delivery assisted by a midwife, while newborns are female and weigh more than 2,500 grams. The determinant effect of the mother on the incidence of low birth weight babies (LBW) consists of the age of the mother with a significance value of 0.005 RR: 1,544 (1,026 to 2,497), gestational age 0,010 RR: 1,406 (1,058 to 2,159), frequency of antenatal care (ANC) 0,005 RR: 1,763 (1,186 to 2,620). The prediction model for LBW incidence was obtained by simultaneously testing the determinants of the causes of LBW incidence in East Lombok District, namely Antenatal Care (ANC) with PR: 2,381, 95% CI (1,387 to 4,088) and a significance of 0.002. Recommendation: health promotion is carried out by taking into account the characteristics of the mother so that it is easy to understand, the team of officers will follow up on the services provided such as providing supplements, blood pressure, healthy diet and adequate family involvement.
Impact of Slow Stroke Back Massage on Blood Pressure Among Individuals With Primary Hypertension: A Quasi-Experimental Study Bastian, Wrestina Ari; Nugroho, Setiyo Adi; Wicaksi, Damon
Adult Health Nursing Journal Vol 2, No 1 (2025): Adult Health Nursing Journal
Publisher : Fakultas Kesehatan, Universitas Nurul Jadid

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/ahnj.v2i1.11277

Abstract

Introduction:  Hypertension is a major global health issue contributing significantly to cardiovascular morbidity and mortality. In Indonesia, the increasing prevalence of hypertension highlights the need for effective, low-cost, non-pharmacological interventions, such as Slow Stroke Back Massage (SSBM), which may offer physiological and psychological benefits.  Objectives:  This study aimed to determine the effect of Slow Stroke Back Massage on reducing systolic and diastolic blood pressure among individuals with primary hypertension.  Methods:  A quasi-experimental study using a non-equivalent control group pretest-posttest design was conducted. Participants aged 40–70 years with primary hypertension were purposively selected and divided into intervention and control groups. The intervention group received SSBM once daily for three consecutive days, while the control group received standard care. Blood pressure measurements were recorded before and after intervention using calibrated digital sphygmomanometers. Data were analyzed using paired and independent t-tests. Results:  The intervention group experienced a significant reduction in both systolic (from 150.2 ± 10.5 mmHg to 137.6 ± 9.8 mmHg) and diastolic (from 95.8 ± 6.2 mmHg to 87.3 ± 5.6 mmHg) blood pressure (p < 0.001). No statistically significant changes were observed in the control group. These results support the efficacy of SSBM as an adjunctive therapy in hypertension management.  Conclusions: SSBM is an effective, low-cost, and non-invasive complementary intervention for lowering blood pressure in patients with primary hypertension. It can be integrated into nursing care practices, especially in primary healthcare settings, to enhance hypertension management outcomes.
Effect of Passive Leg Raising on Blood Pressure in Post-Spinal Anesthesia Caesarean Section Patients: A Study at PKU Muhammadiyah Bantul Hospital Rasidin, Muhammad Sobari; Rosidah, Istiqomah; Azizah, Aisyah Nur
Adult Health Nursing Journal Vol 2, No 1 (2025): Adult Health Nursing Journal
Publisher : Fakultas Kesehatan, Universitas Nurul Jadid

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/ahnj.v2i1.11538

Abstract

Introduction:  Sectio Caesarea mostly uses spinal anesthesia and is most commonly used. The effect of spinal anesthesia is hypotension. In a study of sectio caesarea more than 40% experienced hypotension. Passive Leg Raising (PLR) can be an alternative for the incidence of hypotension in sectio caesarea spinal anesthesia patients.Objectives:  This study aims to determine the effect of passive leg raising on the increase in blood pressure of post spinal anesthesia sectio caesarea patients in the intervention and control groups at PKU Muhammadiyah Bantul Hospital. Methods:  This type of research is quantitative experiment with quassy experimental design pre-test post-test with control group. The sampling technique used simple random sampling technique with a total of 30 respondents. Results:  The results of the Wilcoxon test on systolic blood pressure with a p-value in the intervention group of 0.001 <0.05 and the control group of 0.007 <0.05, while in diastolic blood pressure, the p-value of the intervention group was 0.001 <0.05 and the control group was 0.001 <0.05. In the results of the mann-whitney test, the p-value on systolic blood pressure was 0.008<0.05 and diastolic blood pressure was 0.005<0.05. Conclusions: There is a significant effect between Passive Leg Raising (PLR) on blood pressure of post spinal anesthesia sectio caesarea patients at PKU Muhammadiyah Bantul Hospital.Introduction:  Sectio Caesarea mostly uses spinal anesthesia and is most commonly used. The effect of spinal anesthesia is hypotension. In a study of sectio caesarea more than 40% experienced hypotension. Passive Leg Raising (PLR) can be an alternative for the incidence of hypotension in sectio caesarea spinal anesthesia patients. Objectives:  This study aims to determine the effect of passive leg raising on the increase in blood pressure of post spinal anesthesia sectio caesarea patients in the intervention and control groups at PKU Muhammadiyah Bantul Hospital. Methods:  This type of research is quantitative experiment with quassy experimental design pre-test post-test with control group. The sampling technique used simple random sampling technique with a total of 30 respondents. Results:  The results of the Wilcoxon test on systolic blood pressure with a p-value in the intervention group of 0.001 <0.05 and the control group of 0.007 <0.05, while in diastolic blood pressure, the p-value of the intervention group was 0.001 <0.05 and the control group was 0.001 <0.05. In the results of the mann-whitney test, the p-value on systolic blood pressure was 0.008<0.05 and diastolic blood pressure was 0.005<0.05. Conclusions: There is a significant effect between Passive Leg Raising (PLR) on blood pressure of post spinal anesthesia sectio caesarea patients at PKU Muhammadiyah Bantul Hospital.
Influence of Health Education on Nurses' Perceptions and Attitudes in Emergency Department Triage Sholehah, Baitus
Adult Health Nursing Journal Vol 2, No 2 (2025): Adult Health Nursing Journal
Publisher : Fakultas Kesehatan, Universitas Nurul Jadid

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/ahnj.v2i2.13848

Abstract

Introduction: Compliance with standard operating procedures (SOPs) in intravenous (IV) infusion is essential for patient safety and quality of care. Nurses play a pivotal role in implementing SOPs, and their level of knowledge may significantly influence their adherence.. Objectives: This study aimed to examine the correlation between nurses’ knowledge levels and their compliance with intravenous infusion SOPs in the emergency department. Methods: A cross-sectional correlational study was conducted involving 116 nurses in the emergency department of RSU dr. H. Koesnadi Bondowoso. Data were collected using structured questionnaires to assess knowledge and direct observation checklists to evaluate SOP compliance. Spearman’s rho was used for statistical analysis with a significance level set at p < 0.05. Results: Of the 116 nurses, 88.8% had good knowledge, 6.0% had moderate knowledge, and 5.2% had poor knowledge. Full compliance was observed among nurses with good knowledge, while non-compliance was highest among those with poor knowledge. A strong positive correlation was found between knowledge and compliance (Spearman’s r = 0.730, p = 0.001). Conclusions: There is a significant positive association between nurses’ knowledge levels and their compliance with IV infusion SOPs. Enhancing nurses' knowledge through continuous education and monitoring is essential to promote safe and standardized nursing practices.
Nurses’ Knowledge and Compliance with Intravenous Insertion Standard Operating Procedures in Emergency Care Settings Rahman, Abdur; Fauzi, Ahmad Kholid
Adult Health Nursing Journal Vol 2, No 2 (2025): Adult Health Nursing Journal
Publisher : Fakultas Kesehatan, Universitas Nurul Jadid

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/ahnj.v2i2.13884

Abstract

Background: The emergency department is the main entry point for hospital services and plays a crucial role in providing immediate patient care. Intravenous insertion is a common invasive procedure that may contribute to nosocomial infections if standard operating procedures (SOPs) are not properly followed. Nurses’ compliance with SOPs is therefore essential for infection prevention and patient safety. Objective: This study aimed to examine the relationship between nurses’ knowledge levels and compliance with intravenous insertion standard operating procedures in emergency care settings. Methods: A correlational study with a cross-sectional design was conducted in January 2016. The study involved all nurses working in the emergency department, with a total of 18 participants selected using total sampling. Data were collected using structured questionnaires to assess knowledge and observational checklists to evaluate compliance. Statistical analysis was performed using Spearman’s rho test with a significance level of 5% (α = 0.05). Results: The analysis revealed a statistically significant relationship between nurses’ knowledge levels and compliance with intravenous insertion SOPs (p = 0.001), indicating that higher knowledge levels were associated with better compliance. Conclusion: Nurses’ knowledge is a key determinant of compliance with intravenous insertion SOPs and plays an important role in preventing nosocomial infections in emergency care settings.
Mothers’ Knowledge of Breast Cancer and Anxiety Levels in Preoperative Patients Hartono, Dodik
Adult Health Nursing Journal Vol 2, No 2 (2025): Adult Health Nursing Journal
Publisher : Fakultas Kesehatan, Universitas Nurul Jadid

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/ahnj.v2i2.13890

Abstract

Background: Breast cancer is one of the most feared diseases among women due to its uncertain etiology, limited preventive measures, unpredictable disease progression, and the potential for pain and disability in advanced stages. Limited knowledge about breast cancer and surgical procedures may contribute to anxiety among patients, particularly during the preoperative period, which can negatively affect psychological readiness and clinical outcomes. Objective: This study aimed to examine the relationship between mothers’ knowledge of breast cancer and anxiety levels among preoperative breast cancer patients. Methods: A correlational study with a cross-sectional design was conducted among preoperative breast cancer patients scheduled for surgery in a central surgical unit. A total of 84 respondents were recruited using accidental sampling. Data were collected using structured questionnaires to assess knowledge levels and the Hamilton Anxiety Rating Scale (HARS) to measure anxiety. Statistical analysis was performed using Spearman’s rho correlation test with a significance level of 0.05. Results: The analysis showed a statistically significant relationship between mothers’ knowledge of breast cancer and anxiety levels among preoperative breast cancer patients (p = 0.013), indicating that lower knowledge levels were associated with higher anxiety. Conclusion: There is a significant association between mothers’ knowledge of breast cancer and preoperative anxiety levels. Strengthening patient education through structured health counseling and standardized operating procedures may help reduce anxiety and improve psychological preparedness before surgery.
Association Between Sleep Quality and Physical Fitness Among Practical and Non-Practical Anesthesiology Nursing Students at Aisyiyah University Yogyakarta Fasya, Ricyta Islami; Rohmah, Astika Nur; Pambudi, Triyas Singgih
Adult Health Nursing Journal Vol 2, No 2 (2025): Adult Health Nursing Journal
Publisher : Fakultas Kesehatan, Universitas Nurul Jadid

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/ahnj.v2i2.11790

Abstract

Introduction: Internship and non-internship students have different levels of busyness, internship students are busier than non-internship students, thus disrupting their sleep quality and physical fitness levels. In Indonesia, the prevalence of sleep disorders varies by age group, with sleep deprivation (<7 hours per night) reaching 64.7% in adolescents, around 38% of adolescents in urban areas and 37.7% in suburban areas of Indonesia experiencing sleep disorders. Objectives: To determine the relationship between sleep quality and physical fitness levels in internship and non-internship nursing students of Universitas Aisyiyah Yogyakarta . Methods : Quantitative research method with correlational analysis method through cross-sectional approach. The sample in this study amounted to 128 respondents, categorized as 64 internship anesthesiology nursing students and 64 non-internship anesthesiology nursing students , with simple random sampling technique by random method (drawing). Results: The results of the Spearman Rank test showed that sleep quality and physical fitness levels had a significant relationship with a p-value of 0.000 (p <0.05). The relationship between sleep quality and physical fitness levels in Anesthesiology Nursing Practice Students in the moderate category and Non-Practice in the strong category of Aisyiyah University with a positive (unidirectional) relationship . Conclusions : There is a significant relationship between sleep quality and physical fitness levels in Anesthesiology Nursing Practice and Non-Practice Students of Aisyiyah University Yogyakarta.
Effect of Coloading Fluid on The Incidence of Post Operative Nausea and Vomiting (PONV) in Patients Post Spinal Anesthesia : A Study at RSUD Wates Hubabillah, Fauziyyah; Rosidah, Istiqomah; Azizah, Aisyah Nur
Adult Health Nursing Journal Vol 2, No 2 (2025): Adult Health Nursing Journal
Publisher : Fakultas Kesehatan, Universitas Nurul Jadid

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/ahnj.v2i2.11797

Abstract

Introduction:  Surgery with spinal anesthesia can lead to complications such as nausea and vomiting due to hemodynamic imbalances during and after anesthesia. Perioperative fluid status plays a crucial role in maintaining patients' hemodynamic balance during surgery. One fluid management strategy that can be implemented is co-loading fluid therapy. Objectives: This study aims to determine the effect of co-loading fluid on the incidence of Post Operative Nausea and Vomiting (PONV) in patients after spinal anesthesia at RSUD Wates. Methods: This research employed a quantitative method with a quasi-experimental design. The study design used was a two-group posttest only. The sampling technique utilized non-probability sampling with consecutive sampling, resulting in 36 respondents according to inclusion and exclusion criteria. Data collection was conducted using observation sheets, and data processing in this study utilized the Mann-Whitney test. Results:  Data analysis using the Mann-Whitney test yielded a p-value of 0.015 (p < 0.05), indicating that the alternative hypothesis (Ha) is accepted. This result shows that there is an effect of co-loading fluid therapy on the incidence of Post Operative Nausea and Vomiting (PONV) in patients undergoing spinal anesthesia at RSUD Wates. Conclusions:  There is an effect of co-loading fluid therapy on the reduction of Post Operative Nausea and Vomiting (PONV) in patients after spinal anesthesia at RSUD Wates.

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