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Matius Paundanan
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KEWINUS: Jurnal Keperawatan dan Kesehatan
Published by Universitas Widya Nusantara
ISSN : -     EISSN : 30901472     DOI : -
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health
KEWINUS: Jurnal Keperawatan dan Kesehatan adalah Jurnal ilmiah yang berfokus pada hasil penelitian, studi literatur dan study kasus dari disiplin ilmu keperawatan dan bidang kesehatan lain yang terkait. Jurnal ini diterbitkan oleh Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LPPM) Universitas Widya Nusantara. Junal ini telah memiliki e-ISSN: 3090-1472 mulai edisi Volume 1 Nomor 2, Desember 2024 dengan Nomor SK. 30901472/II.7.4/SK.ISSN/05/2025 Tanggal 08 Mei 2025. KEWINUS: Jurnal Keperawatan dan Kesehatan terbit dua kali dalam setahun yaitu di bulan Juni dan Desember.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 62 Documents
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Tuberkulosis Paru pada Tenaga Kesehatan dengan Komorbid Hipertensi Julyanti Chistine; Wirya Sastra Aman; Alex Setiawan
KEWINUS: Jurnal Keperawatan dan Kesehatan Vol 2 No 1 (2025): Juni
Publisher : Universitas Widya Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65175/kewinus.v2i1.58

Abstract

Pulmonary tuberculosis (TB) remains a major global health problem, particularly in high-burden countries such as Indonesia, where healthcare workers are at increased risk of infection due to repeated exposure to Mycobacterium tuberculosis in healthcare facilities. Comorbidities such as hypertension may exacerbate disease progression, reduce treatment response, and increase the risk of complications, thus requiring an integrated management approach. This case report describes a 45-year-old female healthcare worker presenting with chronic cough lasting more than one month, fatigue, weight loss, and night sweats. Diagnostic evaluations included sputum smear microscopy, GeneXpert MTB/RIF, chest radiography, and routine laboratory tests. Results showed positive sputum smear (++), rifampicin-sensitive M. tuberculosis, and infiltrates in the upper lobes of both lungs, confirming active pulmonary TB with hypertension as a comorbidity. The patient was treated with the first-line TB regimen 2HRZE/4HR based on the Directly Observed Treatment, Short-course (DOTS) strategy, along with antihypertensive therapy of amlodipine 5 mg/day. After two months of treatment, significant clinical improvement was observed, with negative sputum results and well-controlled blood pressure. Regular follow-up demonstrated high treatment adherence and progressive improvement in supportive examinations. This case highlights the importance of routine TB screening among healthcare workers, optimal management of comorbidities, and consistent application of DOTS to improve treatment success, prevent complications, and reduce the risk of nosocomial transmission. A comprehensive approach is essential to protect healthcare workers and maintain the quality of healthcare services.
Pengaruh Teknik Relaksasi Otot Progresif untuk Penurunan Tingkat Nyeri pada Lansia dengan Gout Arthritis Audrey Maurestha Kawile; Surianto; Matius Paundanan
KEWINUS: Jurnal Keperawatan dan Kesehatan Vol 2 No 2 (2025): Desember
Publisher : Universitas Widya Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65175/kewinus.v2i2.61

Abstract

Progressive muscle relaxation technique is a relaxation therapy with movements that tighten and relax muscles at one time to provide a feeling of relaxation. This technique is one of the complementary therapies that can be given to help control and reduce the pain felt. The aim of this study was to analyze the impact of progressive muscle relaxation techniques to reduce the pain levels toward elderly with gouty arthritis in Pandere Public Health Center Working Area, by comparing pain levels before and after intervention to determine the effectiveness of this method in pain management. This type of research is quantitative using a pre-experimental design with a pre-test post-test design in one group (one group pre-test post-test). The sample in this study was 32 respondents with a sampling technique using purposive sampling. The results of the study showed that out of 32 respondents before theprogressive muscle relaxation technique was carried out, most respondents experienced moderate pain, and after the progressive muscle relaxation technique was carried out, most respondents experienced a decrease in pain levels to mild pain. The results of the Wilcoxon test obtained a p-value of 0.000 (p <0.05). There is an effect of progressive muscle relaxation techniques on reducing pain levels in the elderly with gout arthritis in the Pandere Health Center work area.
Hubungan Komunikasi Perawat dengan Tingkat Kepuasan Pasien Rawat Inap di RSUD Undata Provinsi Sulawesi Tengah Sinta Astuti Pasau; Elifa Ihda Rahmayanti; Widyawati L Situmorang
KEWINUS: Jurnal Keperawatan dan Kesehatan Vol 2 No 2 (2025): Desember
Publisher : Universitas Widya Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65175/kewinus.v2i2.68

Abstract

Effective communication is a crucial component of nursing services and plays a significant role in determining patient satisfaction, particularly in inpatient care where nurses interact directly and continuously with patients. This study aimed to analyze the relationship between nurse communication and the level of inpatient satisfaction at Undata Regional General Hospital, Central Sulawesi Province. This study employed a quantitative approach with an analytical survey design using a cross-sectional method. A total of 75 inpatients were selected as respondents using a cluster sampling technique. Data were collected using validated and reliable questionnaires on nurse communication and patient satisfaction. Data analysis was performed using the chi-square test with the assistance of SPSS software. The results showed that the majority of respondents perceived nurse communication as effective (68.0%) and reported satisfaction with inpatient services (65.3%). Statistical analysis indicated a significant relationship between nurse communication and inpatient satisfaction (p < 0.05). Therefore, hospital management should pay special attention to improving the quality of nursing communication through regular patient satisfaction evaluations, performance feedback for nurses, and the development of standard operating procedures (SOPs) that emphasize humane and effective communication.
Analisis Konsep Nurse Program Dalam Kerangka Intervensi Keperawatan Postpartum: Studi Berbasis Teori Cheryl Tatano Beck Riah Damawanti; Imam Subiyono; Satriya Pranata; M. Fatkhul Mubin
KEWINUS: Jurnal Keperawatan dan Kesehatan Vol 2 No 2 (2025): Desember
Publisher : Universitas Widya Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65175/kewinus.v2i2.72

Abstract

In-depth conceptual analysis of the NURSE Program (Nurturing, Understanding, Responding, Supporting, Empowering) intervention for postpartum depression based on Cheryl Tatano Beck's theory is still limited. To analyze and operationalize the NURSE concept into specific nursing actions and test its application in community public health center. Using sequential explanatory mixed methods. The qualitative phase involved concept analysis, followed by a quantitative quasi-experimental one-group pretest-posttest phase involving 30 postpartum mothers (EPDS ≥10) at the public health center. Data were analyzed descriptively and using paired t-tests. The analysis successfully mapped each NURSE concept to the stages of Beck's “Theory of Self-Loss.” The intervention showed a significant decrease in postpartum depression scores (p<0.001). The average EPDS score decreased from 17.2 (moderate-severe) to 8.6 (mild-non-depressed), with 83.3% of respondents experiencing a decrease in category. The NURSE Program is a coherent conceptual construct that integrates theory and is effectively applied. The results of this concept analysis can be used as standard operational guidelines for nurses in theory-based maternal mental health nursing care.
Hubungan Perilaku Asertif Perawat dengan Kualitas Pelayanan Keperawatan Rumah Sakit TK III Dr Sindhu Trisno Mutia Ahsun Raokang; Arniawan; Elifa Ihda Rahmayanti
KEWINUS: Jurnal Keperawatan dan Kesehatan Vol 2 No 2 (2025): Desember
Publisher : Universitas Widya Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65175/kewinus.v2i2.74

Abstract

Abstract Nurses’ assertive behavior is an important aspect of nursing services because it plays a crucial role in establishing effective communication. Suboptimal assertive behavior may lead to a decline in the quality of nursing care. This study aimed to examine the relationship between nurses’ assertive behavior in providing care and the quality of nursing services at TK III Dr. Sindhu Trisno Hospital. A quantitative study with a cross-sectional design was conducted from April 17 to April 27, 2025. The study population consisted of 711 patients from the June 2024 period, with a sample of 42 respondents selected using proportionate stratified random sampling. Data were collected using questionnaires on nurses’ assertive behavior and the quality of nursing services. Data analysis included univariate and bivariate analyses using the chi-square test with a significance level of p < 0.05. The results showed that most respondents rated nurses’ assertive behavior and the quality of nursing services as good (76.2%). Bivariate analysis indicated a significant relationship between nurses’ assertive behavior and the quality of nursing services (p = 0.001). It was concluded that there is a significant relationship between nurses’ assertive behavior and the quality of nursing services at TK III Dr. Sindhu Trisno Hospital; therefore, enhancing nurses’ assertive behavior is expected to improve service quality and patient satisfaction.
Hubungan Kepatuhan Pemasangan Infus dengan Pengetahuan Pencegahan Phlebitis Perawat di RS TK III dr. Sindhu Trisno Dhea Juniarni; Arniawan; Siti Yartin
KEWINUS: Jurnal Keperawatan dan Kesehatan Vol 2 No 2 (2025): Desember
Publisher : Universitas Widya Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65175/kewinus.v2i2.75

Abstract

Phlebitis was one of the most common complications resulting from intravenous infusion, therefore nurses’ compliance with standard operating procedures for infusion insertion was an important factor in phlebitis prevention and was influenced by nurses’ knowledge. This study aimed to determine the relationship between nurses’ compliance with intravenous infusion insertion and knowledge of phlebitis prevention at Tk III Dr. Sindhu Trisno Hospital. This study employed a quantitative design with a cross-sectional approach and was conducted from January 17 to March 27, 2025. The study population included all 69 nurses working in the inpatient wards, and total sampling was applied. Data were collected using a knowledge questionnaire and a compliance observation checklist based on the standard operating procedures for infusion insertion. Data were analyzed using univariate and bivariate analyses with the chi-square test at a significance level of p < 0.05. The univariate analysis showed that most nurses had good knowledge of phlebitis prevention (76.8%) however, the majority were not compliant with infusion insertion procedures (69.6%). The bivariate analysis demonstrated a significant relationship between compliance with intravenous infusion insertion and nurses’ knowledge of phlebitis prevention (p < 0.05). It was concluded that there was a significant relationship between compliance with infusion insertion and nurses’ knowledge of phlebitis prevention at Tk III Dr. Sindhu Trisno Hospital; therefore, improving knowledge through continuous education and training was necessary to enhance compliance.
Hubungan Komunikasi Interpersonal dan Pola Asuh Orang Tua dengan Kenakalan Remaja di SMPN 3 Banawa Masyita; Sringati; Arniawan
KEWINUS: Jurnal Keperawatan dan Kesehatan Vol 2 No 2 (2025): Desember
Publisher : Universitas Widya Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65175/kewinus.v2i2.76

Abstract

Adolescence is a transitional period marked by emotional instability and a tendency toward impulsive behavior. Inadequate parental interpersonal communication and inappropriate parenting styles are considered contributing factors to juvenile delinquency. This study aimed to analyze the relationship between parental interpersonal communication and parenting styles with juvenile delinquency among students at SMPN 3 Banawa. A quantitative study with a crosssectional design was conducted. The population consisted of 114 eighth-grade students, with 53 respondents selected using proportional stratified random sampling. Data were collected using questionnaires and analyzed using the chi-square test. Most respondents had moderate parental interpersonal communication (37.7%), democratic parenting styles (50.9%), and moderate levels of juvenile delinquency (56.6%). Statistical analysis showed a significant relationship between parental interpersonal communication and juvenile delinquency (p = 0.006), as well as between parenting styles and juvenile delinquency (p = 0.000). There is a significant relationship between parental interpersonal communication and parenting styles with juvenile delinquency among students at SMPN 3 Banawa.
Hubungan Mekanisme Koping Dengan Depresi Pada Mahasiswa Tingkat Akhir Sekolah Tinggi Ilmu Kesehatan Indonesia Jaya Jumain Jumain; Wahyu; Agustinus Talindong; Parmi; Saiful Ambodale; Lexy Kareba; Sudirman; Subardin AB
KEWINUS: Jurnal Keperawatan dan Kesehatan Vol 2 No 2 (2025): Desember
Publisher : Universitas Widya Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65175/kewinus.v2i2.92

Abstract

Background: Final year students are vulnerable to academic and psychological stress that can impact mental health, especially depression. Coping mechanisms used by students play an important role in determining an individual's ability to deal with stress. Objective: This study aims to determine the relationship between coping mechanisms and depression in final year students at the Indonesian Jaya College of Health Sciences. Method: This study used a quantitative design with a cross-sectional approach. The sample size was 40 final year students selected using a total sampling technique. Data were collected using a coping mechanism and depression questionnaire, then analyzed univariately and bivariately. The statistical test used was the Chi-square test with a significance level of α = 0.05. Results: The results of the univariate analysis showed that most respondents had adaptive coping mechanisms (27 respondents (67.5%) and did not experience depression (34 respondents (85.0%). The bivariate analysis showed that all respondents with adaptive coping mechanisms did not experience depression (100.0%), while some respondents with maladaptive coping mechanisms experienced depression. The Chi-square test results obtained a p-value of 0.000 (p < 0.05), which indicates a significant relationship between coping mechanisms and depression in final year students. Conclusion: There is a significant relationship between coping mechanisms and depression in final year students at the Indonesia Jaya College of Health Sciences. Adaptive coping mechanisms act as a protective factor against depression.
Pengalaman Ibu Nifas Yang Menjalani Perawatan Tradisional Bapasoa Di Kelurahan Mamboro Barat Provinsi Sulawesi Tengah Sinta Gintu; Tigor H. Situmorang; Ni Nyoman Udiani
KEWINUS: Jurnal Keperawatan dan Kesehatan Vol 1 No 2 (2024): Desember
Publisher : Universitas Widya Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65175/kewinus.v1i2.6

Abstract

Background: The postpartum is a recovery period after deliver that begins after placenta discharge until the uterus organ recover to pre-pregnancy condition within 6 to 8 weeks. Some of the Kaili tribe people of Mamboro Barat Village still trust to sando mpoana (traditional birth attendants) because they feel save when doing postpartum care at Sando. This study aims to find out in depth about the experiences of postpartum women who undergo Bapasoa traditional care in Mamboro Barat Village, Central Sulawesi Province. Methods: This type of research is qualitative with a phenomenological approach. Data collection by using in-depth interviews aims to obtain data and an overview of the traditions of postpartum women care after giving birth. Research Results: The results of this study obtained 10 themes, such of: 1) Changes in the family environment, 2) Benefits of bapasoa, 3) Side effects, 4) Efforts to prevent the side effects, 5) Efforts to achieve recovery, 6) Types of support, 7) Source of support, 8) Obstacles when going to bapasoa, 9) Efforts to overcome obstacles, 10) Expectations. Conclusion: The experience of postpartum women who undergo bapasoa traditional care is able to adapt to undergoing bapasoa traditional care and requires support from themselves, others and health workers to overcome the obstacles. Suggestion: For local medical personnel, this research can be the basis for conducting health promotion and continuous assistance to postpartum women who undergo bapasoa traditional care.
Pengembangan Rencana Strategis Sistem Informasi Dan Teknologi Informasi Pada Dinas Kesehatan Menggunakan Model Zachman Framework Juraidin Juraidin; Chandra Wisnu Nugroho; Leonard Maramis
KEWINUS: Jurnal Keperawatan dan Kesehatan Vol 1 No 2 (2024): Desember
Publisher : Universitas Widya Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65175/kewinus.v1i2.8

Abstract

The Information Systems Strategic Planning (ISSP) aims to align the information system's activities with the organization’s strategic goals. Effective control tools are essential to manage risks associated with organizational, policy, and position changes, ensuring the performance and success of SI/IT implementation. Developing the SI/IT Strategic Plan for the Health Office requires active stakeholder support, involvement, and commitment to achieve the organization's vision and mission. This research aims to create an SI/IT Strategic Plan using the Zachman Framework as a guide. A qualitative case study approach was employed, with problem identification and needs analysis conducted through SWOT analysis, Value Chain, and McFarlan Grid. While the Information System at the Bima Regency Health Office is relatively adequate, it lacks integration and requires development in IT human resources, infrastructure, networks, governance, Standard Operating Procedures (SOPs), stakeholder commitment, financial support, and regulations. Addressing these gaps involves preparing a comprehensive portfolio of planning, policies, infrastructure, and applications tailored to organizational needs. The study concludes that the Bima Regency Health Office requires new or improved systems to support its services. The SI/IT Strategic Plan (2016-2020) includes developing data centers, information systems, infrastructure, network security, human resources, and management processes.

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