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Fakultas Keperawatan, Universitas Andalas Limau Manis, Pauh, Padang, West Sumatra. 25163 Indonesia
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NERS Jurnal Keperawatan
Published by Universitas Andalas
ISSN : 1907686X     EISSN : 24610747     DOI : https://doi.org/10.25077/njk.v20i1
Core Subject : Health,
Nursing
NERS: Jurnal Keperawatan focuses its article in the field of nursing, which is the branch of health sciences. The scope of this journal articles are: Medical and Surgical Emergency Pediatric Maternity Psychiatric Family and Community Geriatric
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 253 Documents
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Development of Self-Esteem Assessment Instruments for Diabetic Ulcer Patients Dasuki; Nofrida Saswati; Ade Ulfah Setiawati Putri; Wiwik Rofiqah
NERS Jurnal Keperawatan Vol. 22 No. 1 (2026): NJK Volume 22, Number 1
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v22i1.385

Abstract

Poor wound care in patients with diabetic wounds can lead to tissue death, which may require surgical intervention. One example is a foot wound known as a diabetic ulcer. If tissue death occurs in the wound area, surgery is indicated, which can have psychological impacts on the individual. This research aimed to develop a self-esteem assessment instrument for diabetic ulcer patients. The research method that will be carried out is a mixed method with a sequential exploratory design. This research design quantitative research methods that are carried out sequentially. The analysis results of the questionnaire feasibility score showed that the total score obtained by expert 1 was 0.90 and expert 2 was 0.8, included in the very feasible criteria. From the analysis of 38 question items, the results obtained were 35 valid and reliable question items and 3 invalid and unreliable question items. The test was carried out by comparing the calculated r-value of 0.981 for each question with the r-table value of 0.3494. The questionnaire for measuring self-concept in patients with diabetes mellitus wounds is mostly valid and reliable, therefore health workers can use this questionnaire to measure self-concept in patients with diabetes mellitus who have wounds.
Analysis of Factors Affecting Low Measles Rubella Immunization Coverage During School Children Immunization Month in Elementary Schools in Center Area, Padang Rania Suilia; Meri Neherta; Agus Sri Banowo; Rika Sabri; Mahathir; Fitra Yeni
NERS Jurnal Keperawatan Vol. 22 No. 1 (2026): NJK Volume 22, Number 1
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v22i1.396

Abstract

Measles Rubella (MR) immunization is a vaccine aimed at preventing measles and rubella. MR are infectious diseases that can affect anyone, both children and young adults, and can cause serious health problems. These diseases can lead to severe complications such as pneumonia, encephalitis, congenital defects, and even death. Despite being an effective preventive measure, MR immunization coverage has shown a significant decline in recent years, from 88% in 2022 to only 42.4% in 2024. In Padang City, the MR immunization coverage among grade 1 students in 2024 were only 33.1%, far below the national target of 90%. This study aimed to analyze the factors influencing the low coverage of MR immunization in Padang City. This research employed a quantitative approach with a cross-sectional design. The total sample consisted of 136 respondents, specifically mothers who have children enrolled in grade 1 of elementary school. The sampling technique used was simple random sampling. Data were collected through structured questionnaires and analyzed using chi-square statistical tests to identify relationships between variables. The results indicated a significant relationship between attitude, belief, and family support with MR immunization coverage. In contrast, there was no significant relationship between knowledge, health worker support, and community leader support. Among all analyzed variables, belief (22.962), family support (5.606), and attitude (7.148) had the strongest influence on immunization coverage. Therefore, it is recommended that the Health Office and Nanggalo Health Center enhance targeted health promotion strategies and community engagement to improve Measles Rubella immunization coverage.
Self-Care and Family Support Improves the Quality of Life of Coronary Heart Disease Patients Emil Huriani; Rifdatul Jannah; Dally Rahman
NERS Jurnal Keperawatan Vol. 22 No. 1 (2026): NJK Volume 22, Number 1
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v22i1.369

Abstract

Coronary heart disease (CHD) can reduce the patient's quality of life. An important aspect in influencing the quality of life for CHD patients is self-care and family support for CHD patients, but this is often overlooked. This study aimed to determine the relationship between self-care and family support and the quality of life of patients with CHD at the Cardiac Clinic of RSUP Dr. M. Djamil Padang. A cross-sectional approach was used in this study. Totaly 303 participants were recruited in this study using purposive sampling technique. Instrument used were the MacNew Heart Disease Health-related Quality of Life Questionnaire, Self-Care of Coronary Heart Disease Inventory and family support questionnaires. The data analysis used was the Spearman rank test. The results showed that mean score of self-care was 64.95 (SD± 5.993), mean score of family support was 38.73 (SD± 2.827) and mean score of quality of life of was 143.96 (SD± 11.25). There was a relationship between self-care and quality of life (r=0.500; p= 0.001) and there was a relationship between family support and the quality of life of CHD patients (r=0.416; p=0.001). Self-care and family support were positively related to quality of life at moderate level. Patients need to improve their ability to perform self-care while family members need to provide supports to patients in order to increase patients’ quality of life. Health education about self-care needs to be provided to patients and their families to improve self-care skills and the quality of life of patients with coronary heart disease.
Family Treatment Strategies to Reduce Distress Among Family Members of Palliative Patients in the ICU Rhomadona Putra; Nurul Huda; Erika
NERS Jurnal Keperawatan Vol. 22 No. 1 (2026): NJK Volume 22, Number 1
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v22i1.449

Abstract

Psychological problems are often faced by families when a member is hospitalized in the Intensive Care Unit (ICU). One of the most psychological problems often found in family members is psychological distress. An intervention applied to relief this problem is family treatment.  This study aimed to identify family treatment strategies to reduce distress among family members of palliative patients in ICU.An experimental research approach with one group pre-test post-test 15 family members of intensive care unit (ICU) patients were selected. Samples were collected using purposive sampling based on inclusion criteria. The respondent received family treatment which focus on family involvement, education and communication in addition to standard treatment. Distress Thermometer were used to measure study parameters. Data was analyzed using Wilcoxon test. The statistic test showed that majority of respondents were women (93.3%) in the early adult age (26-35 years old) (33.3%), working (53.3%) then having a relationship with patients as nuclear family (73.3%). Most respondents reported sleep problems (60%), anxiety (80%), depression (53.3%), grief and loss (53.3%), and fear (53.3%). Family’s treatment strategies were highly effective (p<0.001) in reducing distress in family member of palliative patients. The family’s treatment strategies were proven to be effective in reducing distress among family of palliative’s patients in ICU. Study recommends the use of family’s treatment strategies packages a means of strategies to reduce family’s distress during their companion in ICU.
Analisis Faktor-Faktor yang Berhubungan dengan Keberhasilan Mahasiswa Program Profesi Ners Marisa Manik; Christine Sommers; Kie Saputra; Eric Jobiliong
NERS Jurnal Keperawatan Vol. 22 No. 1 (2026): NJK Volume 22, Number 1
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v22i1.365

Abstract

It is essential that admitted nursing students complete their degrees and provide safe, high-quality patient care. Identifying factors that may predict student success helps determine the resources needed to support students both academically and psychosocially. This study examined the relationship between selected variables and scores on the Indonesian try-out for the National Nurse Competency Exam using a quantitative descriptive design. Statistical comparisons explored differences in grit scores, calling scores, reasons for wanting to be a nurse, and try-out scores. Two hundred seventy-nine students completed the online form. Regression analysis was used to analyze data and find correlations among experience, attributes, and academic variables. The first-semester GPA, admission scores in Mathematics and Bahasa Indonesia, motivations for becoming a nurse, grit scores, and BCS presence in the calling score were significant predictors of the try-out score. These factors all positively influenced the try-out score. In contrast, the BCS presence variable in the calling score had a negative effect on the try-out score. This suggests that when a student scores high in BCS presence, they tend to receive a lower score on the try-out. Of the seven reasons for wanting to become a nurse, only one showed positive significance in the try-out score, relating to a personal decision or calling. The admission process for nursing students should consider Math and Bahasa Indonesia skills, along with assessments of grit and motivation to become a nurse. Nursing programs must identify the most suitable approaches that best support nursing students.
Implementation of Balance Exercise to Improve Physical Mobility and Prevent the Risk of Falls in Elderly Residents in Nursing Homes Widyawati Dian Lestari; Vivi Sovianti; Maya Cobalt Angio Septianingtyas
NERS Jurnal Keperawatan Vol. 22 No. 1 (2026): NJK Volume 22, Number 1
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v22i1.375

Abstract

Aging is commonly associated with progressive decline in musculoskeletal function, which leads to reduced physical mobility and significantly increases the risk of falls among the elderly. Therefore, effective interventions are needed to improve balance and mobility to prevent falls and maintain functional independence in this population. The aim of this study was to determine the effect of balance training on increasing physical mobility and reducing the risk of falls. This type of research is a pre-experimental study without a control group. The population in this study was 78 people, the sample in this study was 30 respondents who were selected using purposive sampling techniques based on inclusion and exclusion characteristics. The instruments used were the Elderly Mobility Scale and the Timed Up and Go Test which had been tested for validity and reliability. Data analysis used descriptive statistical tests and the Wilcoxon test. The intervention in this study was balance training, which was performed three times a week. The study found that 66.7% of respondents in the pre-test needed assistance, and 60% of respondents were in the moderate risk of falling. The post-test results showed that all respondents were in the moderate risk of falling (63.3%). The Wilcoxon test showed a significant difference before and after the intervention with a p-value of 0.02 (p < 0.05). Balance exercise effectively improves physical mobility and reduces fall risk among elderly nursing home residents. Future studies should apply longer and more intensive interventions with larger samples and control groups to strengthen effectiveness comparisons.
The Relationship between Fatigue and Poor Sleep Quality and the Incidence of Postpartum Blues among Postpartum Mothers Annisa Jasmin; Lina Ayu Marcelina
NERS Jurnal Keperawatan Vol. 22 No. 1 (2026): NJK Volume 22, Number 1
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v22i1.378

Abstract

Postpartum blues is a common mood disorder experienced by mothers after childbirth and has a high prevalence in Indonesia, potentially affecting the well-being of both the mother and the infant. Although numerous studies have explored postpartum blues, research specifically examining postpartum maternal fatigue remains limited. This study aimed to identify the relationship between fatigue and sleep quality with the incidence of postpartum blues among postpartum mothers. A cross-sectional study design was employed, involving 120 respondents selected using a non-probability sampling method. The study was conducted at the Kalideres Sub-district Health Center, a primary health care facility located in the Kalideres sub-district, West Jakarta, Indonesia. Data were collected using standardized and validated instruments, namely the Postpartum Fatigue Scale (PFS) to assess fatigue, the Pittsburgh Sleep Quality Index (PSQI) to measure sleep quality, and Stein’s Maternity Blues Scale (MBS) to evaluate the incidence of postpartum blues. Data were analyzed using univariate and bivariate statistical tests. The results showed that 71.7% of respondents experienced high fatigue, 69.2% had poor sleep quality, and 76.7% exhibited symptoms of postpartum blues. Statistical analysis demonstrated a significant association between fatigue and the incidence of postpartum blues (p < 0.001), as well as between sleep quality and postpartum blues (p < 0.001). This study concludes that high fatigue and poor sleep quality are significantly associated with the incidence of postpartum blues. Therefore, education and supportive interventions for postpartum mothers are recommended to help manage fatigue and improve sleep quality, with active involvement from families and health professionals to prevent postpartum blues.
Public and Healthcare Professional Perceptions of Clinical Nurse Specialists: A Scoping Review Eny Dewi Pamungkas; Mustaqimah; Raphita Diorarta; Hesti Rahayu; T. Widya Naralia; Syamikar Baridwan Syamsir
NERS Jurnal Keperawatan Vol. 22 No. 1 (2026): NJK Volume 22, Number 1
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v22i1.405

Abstract

Clinical Nurse Specialists (CNSs) play a critical role in advanced nursing practice, however, their professional identity and public recognition remain inconsistent across healthcare systems. This study aims to explore how both the public and healthcare professionals perceive the role of CNSs, with attention to perceived competencies, contributions, and challenges. A scoping review was conducted using Arksey and O’Malley’s (2005) framework and reported according to PRISMA-ScR guidelines. Searches were performed in Scopus, PubMed, Wiley, and ProQuest for studies published between 2015 and 2025 using keywords related to CNS roles and perceptions. The screening and selection process was conducted by two independent reviewers. Data from the included studies were analyzed using narrative and thematic approaches. From 1,245 records, five studies met the inclusion criteria. Both the public and healthcare professionals viewed CNSs as highly skilled clinicians with strong leadership, empathetic communication, and key roles in interprofessional coordination and patient empowerment. Challenges included limited public understanding, role overlap with general nurses, and insufficient regulatory support.  While perceptions of CNSs are generally positive, greater regulatory clarity, enhanced advanced nursing education, and improved communication strategies are needed to strengthen recognition and effectiveness of CNS roles in healthcare systems.
Artificial Intelligence and Nursing Informatics in Orthopaedic Rehabilitation: A Systematic Review of Predictive and Monitoring Applications Tomy Suganda; Eli Amaliyah; Agung Pamuji Nugroho
NERS Jurnal Keperawatan Vol. 22 No. 1 (2026): NJK Volume 22, Number 1
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v22i1.407

Abstract

Orthopaedic rehabilitation demands continuous assessment and personalized care. The integration of Artificial Intelligence (AI) into Nursing Informatics (NI) offers opportunities to enhance prediction, monitoring, and decision-making in patient recovery. This review synthesizes recent evidence on AI applications within NI for orthopaedic rehabilitation, focusing on predictive, monitoring, integrative, and ethical dimensions. Following PRISMA 2020, searches were conducted in Scopus and ScienceDirect (2016–2025) for English full-text research and review articles. Data extraction and quality appraisal used the JBI Critical Appraisal Checklist, and findings were analysed thematically. Ten studies met inclusion criteria. AI predictive models improved risk anticipation and recovery forecasting, while monitoring systems enhanced real-time functional assessment. Integration with NI facilitated data interoperability and decision support through Electronic Health Records (EHRs). However, challenges remain limited digital literacy, privacy risks, and ethical concerns about algorithmic transparency. Integrating AI into nursing informatics enhances data-driven, patient-centered rehabilitation. Success depends on digital competency, ethical governance, and interprofessional collaboration to ensure AI supports, rather than replaces, human judgment in intelligent nursing practice.
Factors Associated with Low Back Pain Among Pregnant Women in Padang, West Sumatra Rahmatul Ulfa; Siti Yuliharni; Yanti Puspita Sari
NERS Jurnal Keperawatan Vol. 22 No. 1 (2026): NJK Volume 22, Number 1
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v22i1.410

Abstract

Although low back pain is a common musculoskeletal complaint among pregnant women and is known to negatively affect their quality of life and daily activities, evidence regarding the factors influencing this condition remains limited. Therefore, this study aims to identify the factors associated with low back pain among pregnant women. This study used a cross-sectional study involved 111 pregnant women was selected using consecutive sampling at the Belimbing Public Health Center, Padang, West Sumatra. Data were collected through self-administered demographic questionnaire, Pregnancy Physical Activity Questionnaire (PPAQ), and the Roland Morris Disability Questionnaire (RMDQ), and BMI measurements. The results showed that the average low back pain score was 9.71, ranging from 3 to 20. Based on bivariate analysis using the Mann Whitney test, Kruskall Wallis test, and Spearman rank, it was found that there was a relationship between maternal age (p=0.002), gestational age (p=0.017), parity (p<0.001) with low back pain. Weight gain and physical activity were not related to low back pain, with (p=0.062) and (p=0.140), respectively. Low back pain in pregnant women is associated with maternal age, gestational age, and parity, whereas physical activity and body weight do not appear to have a significant relationship. Targeted education and simple preventive strategies may help reduce lower back pain during pregnancy.

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