Jurnal Keperawatan Dan Kesehatan Holistik (JKKH)
Jurnal Keperawatan Dan Kesehatan Holistik (JKKH) merupakan jurnal ilmiah open-access yang diterbitkan oleh Akper Gita Matura Abadi Kisaran yang memiliki fokus utama pada hasil penelitian bidang keperawatan dan kesehatan yang dikembangkan dengan pendekatan interdispliner dan multidisiplin. Proses penerimaan naskah selalu terbuka di bulan Januari dan July, naskah yang sudah disubmit oleh penulis akan direview oleh reviewer yang memiliki track record jurnal nasional dan internasional bereputasi. Ruang lingkup yang diterbitkan pada jurnal ini membahas topik yang berkaitan dengan klaster bidang keperawatan termasuk keperawatan medikal bedah, keperawatan gawat darurat, keperawatan jiwa, keperawatan anak, keperawatan maternitas, keperawatan komunitas, keperawatan keluarga, keperawatan gerontik dan manajemen keperawatan, kebidanan, kefarmasian, gizi dan kesehatan masyarakat.
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<![CDATA[PENGETAHUAN DAN TINDAKAN REMAJA PUTRI TENTANG PEMERIKSAAN PAYUDARA SENDIRI ]]>
<![CDATA[Sri Legawati]]>;
<![CDATA[Sri Rezeki]]>;
<![CDATA[Efi Irwansyah Pane]]>;
<![CDATA[Nasywa Azra Zeina Sirait]]>
<![CDATA[ Jurnal Keperawatan Dan Kesehatan Holistik Vol. 2 No. 1 (2026): Jurnal Keperawatan & Kesehatan Holistik - Januari ]]>
Publisher : <![CDATA[LPPM AKPER GITA MATURA ABADI KISARAN ]]>
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DOI: 10.65386/jkkh.v1i1.38
<![CDATA[Breast cancer ranks first in terms of the number of cancers in Indonesia and is one of the leading causes of cancer deaths. Approximately 43% of cancer deaths can be prevented if patients regularly perform early detection through breast self-examination (SADARI) and avoid risk factors that cause cancer. The purpose of this study was to determine the behavior of adolescent girls regarding SADARI (Breast Self-Examination). The research type was a descriptive survey. The population in this study was all 273 12th-grade female adolescents attending MAN Asahan. The sample was determined using the Yount formula (1999) using a purposive sampling technique, meaning sampling is based on certain considerations made by the researcher, based on previously known characteristics or traits of the population. The sample size in this study was 27 12th-grade female adolescents at MAN Asahan. The results of the measurement of adolescent knowledge about breast self-examination fell into the good category with a total score of 8.36 (92.88%), and the measurement of actions fell into the good category with a total score of 6.46 (77.77%). The final conclusion of the study on the knowledge and practices of adolescent girls regarding breast self-examination (BSE) at Asahan State Islamic Senior High School (Islamic Senior High School) is that it falls into the good category (85.29%). There is a significant relationship between knowledge level and BSE behavior. Adolescent girls with good knowledge tend to have positive attitudes and better practices in performing BSE. Given the increasing importance of BSE for adolescent girls, schools should incorporate BSE into extracurricular curricula through School Health Program activities. As a smart generation, adolescent girls should be proactive in seeking accurate and reliable information about reproductive health, including BSE.]]>
<![CDATA[PENGETAHUAN KELUARGA TENTANG PENCEGAHAN PENYAKIT MALARIA ]]>
<![CDATA[Azlan Suwanda]]>;
<![CDATA[Sri Legawati]]>
<![CDATA[ Jurnal Keperawatan Dan Kesehatan Holistik Vol. 2 No. 1 (2026): Jurnal Keperawatan & Kesehatan Holistik - Januari ]]>
Publisher : <![CDATA[LPPM AKPER GITA MATURA ABADI KISARAN ]]>
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DOI: 10.65386/jkkh.v2i1.40
<![CDATA[Malaria is a disease caused by protozoa of the genus Plasmodium. Malaria in humans can be caused by P. malariae, P. vivax, P. falciparum, and P. ovale. Malaria is transmitted by female Anopheles mosquitoes, resulting in infection of red blood cells by Plasmodium, which is transmitted through the Anopheles mosquito's bloodsucking. The purpose of this study was to determine family knowledge about malaria prevention. This study used a descriptive survey design with a cross-sectional approach. The study population was 103 heads of families in Darussalam Hamlet, Teluk Piai Village, with a sample of 20 respondents. Respondents were family members suffering from malaria. The sample was selected using the Probability sampling technique or Simple Random Sampling, where the sample was drawn randomly without regard to strata within the population. Based on the results, it was found that family knowledge about malaria prevention was categorized as quite good, with a score of 6.75 (67.5%). Although families understand the basic transmission methods, there are still shortcomings in the technical aspects of independent primary prevention. Conclusion: Family knowledge is at a moderate (sufficient) level. Strengthening health education through a family-centered approach is needed to increase understanding and shift preventive behavior from adequate to good to support the malaria elimination program.]]>
<![CDATA[TINGKAT PENGETAHUAN REMAJA PUTRI TENTANG FAKTOR RESIKO KANKER PAYUDARA ]]>
<![CDATA[Putri Permata Sari]]>;
<![CDATA[Sri Legawati]]>
<![CDATA[ Jurnal Keperawatan Dan Kesehatan Holistik Vol. 2 No. 1 (2026): Jurnal Keperawatan & Kesehatan Holistik - Januari ]]>
Publisher : <![CDATA[LPPM AKPER GITA MATURA ABADI KISARAN ]]>
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DOI: 10.65386/jkkh.v2i1.41
<![CDATA[Breast cancer is one of the leading causes of cancer death in women worldwide. Early detection through Sadari (Breast Self-Examination) relies heavily on an individual's understanding of risk factors. Adolescent girls are a target group for health education strategies to prevent delayed diagnosis in the future. This study aims to determine the level of knowledge of adolescent girls regarding breast cancer risk factors at Mas Muhammadiyah Sei Apung Jayaan. The research method used was descriptive quantitative with a cross-sectional approach. The study was conducted at Mas Muhammadiyah Sei Apung Jaya, with a sample size of 20 female students. The sample size was selected using the Simple Random Sampling (SRS) technique, which involves random sampling without regard to strata within the population. This method is used when the population is considered homogeneous. The instrument used was a structured questionnaire that had been tested for validity and reliability. Data were analyzed univariately to determine frequency distribution. The results showed that the majority of respondents had a knowledge level in the poor category, with the results obtained amounting to 5.6 (46.66%). Most respondents were unaware that disease and menstrual disorders are risk factors for breast cancer. Furthermore, respondents had not received information about breast cancer from health professionals. Conclusion: The level of knowledge of adolescent girls about breast cancer risk factors in Mas Muhammadiyah Sei Apung Jaya remains in the poor category. More intensive promotional efforts are needed from schools and health professionals through counseling or digital information media to increase awareness of adolescent girls regarding breast health.]]>
<![CDATA[GAMBARAN PENGETAHUAN KELUARGA TENTANG MAKANAN YANG DAPAT MENGENDALIKAN HIPERTENSI ]]>
<![CDATA[Dwi Wahyuni]]>;
<![CDATA[Efi Irwansyah Pane]]>
<![CDATA[ Jurnal Keperawatan Dan Kesehatan Holistik Vol. 2 No. 1 (2026): Jurnal Keperawatan & Kesehatan Holistik - Januari ]]>
Publisher : <![CDATA[LPPM AKPER GITA MATURA ABADI KISARAN ]]>
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DOI: 10.65386/jkkh.v2i1.42
<![CDATA[The family plays an important role in controlling hypertension through appropriate healthy food choices, including the consumption of fruits and vegetables; hypertension is a serious health problem, often referred to as a silent killer, with a prevalence that continues to increase, yet initial observations indicate that many families still do not fully understand the types of foods that contribute to blood pressure control. This study aims to describe the level of family knowledge regarding foods that can help control hypertension in Neighborhood IV, Selawan Subdistrict, East Kisaran District, Asahan Regency. The study employed a quantitative descriptive method with a survey approach involving families who have members with hypertension, using a research instrument consisting of twelve questions that had undergone validity and reliability testing, while the data were analyzed univariately using frequency distribution. The results showed that the level of family knowledge was in the moderate category, with most respondents able to recognize commonly recommended foods that help lower blood pressure, although understanding of more specific aspects varied. These findings emphasize the need for more targeted health education so that families can implement appropriate dietary patterns to support hypertension control, and the study recommends increasing educational activities focused on improving understanding of healthy foods and strengthening the family’s role in supporting healthy lifestyle behaviors to prevent increases in blood pressure.]]>
<![CDATA[The Relationship Between Health Locus of Control and Vulnerability and Treatment Adherence in Pulmonary TB Patients at Setio Husodo Hospital: Health Locus of Control and Vulnerability ]]>
<![CDATA[Zulfahri Lubis]]>;
<![CDATA[Indahwati]]>;
<![CDATA[Kristina]]>;
<![CDATA[Afrizal Hasan]]>
<![CDATA[ Jurnal Keperawatan Dan Kesehatan Holistik Vol. 2 No. 1 (2026): Jurnal Keperawatan & Kesehatan Holistik - Januari ]]>
Publisher : <![CDATA[LPPM AKPER GITA MATURA ABADI KISARAN ]]>
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DOI: 10.65386/jkkh.v2i1.48
<![CDATA[ABSTRACT The rise in the count of tuberculosis patientss tems from the low degreeof patient adherence in using anti-tuberculosis medications,which is impacted by the level of insight regarding tuberculosis,drive to heal,remoteness,health care expenses, drug adverse effects,familial backing, and the function of medical personnel.. This study is to determine the relationship between Health Locus of Control and Vulnerability with Treatment Compliance in Tuberculosis patients. The sort of research carried outis an analytical design poll utilizin ga cross- sectional perspective, the quantity of samples in this investigation comprised 27 pulmonary TB sufferers via purposive selection. The data analysis used was Rank Spearman. The findings of the research indicated a noteworthy association between Health Locus of Control and Treatment Adherence among Pulmonary TB sufferers. 0.000 < 0.05,featuring a correlation coefficient of 0.877. There is a significant relationship between vulnerability and Treatment Compliance in Pulmonary TB patients. 0.001 < 0.05. with a correlation coefficient of 0.598. The conclusion of this study is that there is a relationship between Health locus of control and Vulnerability with Treatment Compliance in Pulmonary TB Patients. It's hoped that with this research, health care staff will be more proactive in delivering health in struction concerning dimensions of locus of control, susceptibility to adhering to pulmonary TB therapy.]]>
<![CDATA[PENGETAHUAN KELUARGA TENTANG PENCEGAHAN DAN PENULARAN PENYAKIT TB PARU ]]>
<![CDATA[Debora Enjelina Simanjuntak]]>;
<![CDATA[Sri Legawati]]>
<![CDATA[ Jurnal Keperawatan Dan Kesehatan Holistik Vol. 2 No. 1 (2026): Jurnal Keperawatan & Kesehatan Holistik - Januari ]]>
Publisher : <![CDATA[LPPM AKPER GITA MATURA ABADI KISARAN ]]>
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DOI: 10.65386/jkkh.v2i1.49
<![CDATA[Pulmonary tuberculosis (TB) is a contagious infectious disease whose control is highly dependent on family participation. Family members living under the same roof as a patient are at high risk of transmission if they lack adequate understanding of the transmission mechanisms of Mycobacterium tuberculosis and preventive measures. Objective This study aims to describe the level of family knowledge regarding prevention efforts and transmission mechanisms of pulmonary tuberculosis in Cinta Jadi Village, Ujung Padang District. The research design used was descriptive quantitative. The study population included all families with members with pulmonary tuberculosis in Cinta Jadi Village. Sampling was conducted using a saturated sampling technique, resulting in 18 respondents. Data were collected using a questionnaire covering aspects of transmission and prevention, then processed through univariate analysis to generate frequency distributions and percentages. The study findings indicate that the majority of families' knowledge regarding pulmonary tuberculosis prevention is in the adequate category (68.6%), and knowledge regarding transmission is also in the adequate category (63.1%). Although most respondents understood that transmission occurs through the air, there were still gaps in understanding aspects of prevention, particularly regarding the benefits of sunlight exposure (vitamin D) and the use of clean water. Furthermore, regarding transmission, respondents were not fully aware that infants are at high risk of contracting pulmonary TB. Overall, the knowledge of families in Cinta Jadi Village regarding the prevention and transmission of pulmonary TB still needs to be improved, particularly in the dimensions of environmental health and home lighting. Health workers in Ujung Padang District are advised to optimize door-to-door outreach programs to strengthen preventive behaviors at the family level.]]>
<![CDATA[HUBUNGAN SUPERVISI KEPALA RUANGAN DENGAN PELAKSANAAN FIVE MOMENTS HAND HYGIENE PERAWAT DI RUMAH SAKIT ]]>
<![CDATA[Ismuntania Ismuntania]]>;
<![CDATA[Indah Nursanti]]>;
<![CDATA[Khairunnisa Batubara]]>;
<![CDATA[Kartika Kartika]]>
<![CDATA[ Jurnal Keperawatan Dan Kesehatan Holistik Vol. 2 No. 1 (2026): Jurnal Keperawatan & Kesehatan Holistik - Januari ]]>
Publisher : <![CDATA[LPPM AKPER GITA MATURA ABADI KISARAN ]]>
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DOI: 10.65386/jkkh.v2i1.51
<![CDATA[Supervision by the ward head is one of the factors that influence nurses' compliance in carrying out their duties in the hospital. Supervision is the direct and periodic observation by superiors of the work carried out by subordinates. Then, if problems are found, direct assistance is immediately provided to resolve them. Objective: To determine the relationship between the supervision of the ward head and the implementation of the five moments of hand hygiene for nurses in the ICU Room of Tgk Chik Di Tiro Sigli Regional Hospital. Method: Using a correlation research design to see the relationship between the variables studied. The sample used was 38 patients. The results of the study: the ward head's supervision variable was predominantly good, namely 19 patients (50.0%), and the implementation of the five moments of hand hygiene variable was predominantly not implemented, namely 33 patients (86.8%). Based on the results of the statistical test, it was found that the P value <∝ (0.05) was 0.002, meaning there was a significant relationship between direct supervision and the implementation of the five moments of hand hygiene. Furthermore, the statistical test results showed a P value < ∝ (0.05), namely 0.002, indicating a significant relationship between indirect supervision and the implementation of the five moments of hand hygiene. Hospital management needs to promote handwashing to prevent nosocomial infections.]]>
<![CDATA[PENGETAHUAN KELUARGA TENTANG PENYEBAB PENINGKATAN HIPERKOLESTROLEMIA ]]>
<![CDATA[Novia Elidayanti Gurning]]>;
<![CDATA[Joni Siagian]]>
<![CDATA[ Jurnal Keperawatan Dan Kesehatan Holistik Vol. 2 No. 2 (2026): Jurnal Keperawatan & Kesehatan Holistik - Juli ]]>
Publisher : <![CDATA[LPPM AKPER GITA MATURA ABADI KISARAN ]]>
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DOI: 10.65386/jkkh.v2i2.43
<![CDATA[Families play an important role in preventing the rise of cholesterol levels because adequate understanding of causal factors helps support healthier lifestyle behaviors. This study aims to describe the level of family knowledge regarding the causes of increased cholesterol levels in Mekar Mulio Village, Sei Balai District, Batu Bara Regency. This research used a descriptive survey method involving thirty families who met the study criteria, and data were collected using a structured questionnaire. The findings showed that family knowledge was categorized as low, reflected by limited ability to recognize factors that contribute to elevated cholesterol levels, including high-fat food consumption, insufficient physical activity, stress, smoking habits, and hereditary influences. These results indicate that families require more focused health education to improve understanding and encourage lifestyle changes that support better cholesterol management. The study suggests the implementation of continuous educational programs to strengthen the role of families in preventing increased cholesterol levels through improved dietary habits and healthier daily practices.]]>
<![CDATA[Penerapan Pendidikan Kesehatan Keluarga Tentang Bahaya Asap Rokok Dalam Pencegahan ISPA Pada Balita: Studi Kasus ]]>
<![CDATA[Ramanda Setiawan]]>;
<![CDATA[Resmi Pangaribuan]]>;
<![CDATA[Ade Irma Khairani]]>
<![CDATA[ Jurnal Keperawatan Dan Kesehatan Holistik Vol. 2 No. 2 (2026): Jurnal Keperawatan & Kesehatan Holistik - Juli ]]>
Publisher : <![CDATA[LPPM AKPER GITA MATURA ABADI KISARAN ]]>
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DOI: 10.65386/jkkh.v2i2.55
<![CDATA[Acute respiratory infection (ARI) is one of the diseases that most often attacks toddlers, especially aged 1-4 years. One of the main risk factors for ARI is exposure to cigarette smoke in the home environment. Health education regarding the dangers of smoking is an important step in increasing family awareness to create a healthy environment for toddlers. This research aims to provide health education to families regarding the dangers of smoking on the incidence of ARI in toddlers. This research method is descriptive with a case study approach to family nursing care which includes assessment, diagnosis, intervention, implementation and evaluation. The research was conducted on 2 family respondents who had toddlers aged 1-4 years who lived at home with active smokers. This research was conducted in the work area of the Medan Deli Community Health Center for 1 week with 3 meetings. The instruments used include family assessment formats, questionnaires, and leaflet media. Research results show that there is an increase in family knowledge and awareness after being given health education. Families begin to limit smoking activities at home, open ventilation regularly, and understand the risk of ARI due to exposure to cigarette smoke. Both respondents stated that they had started making rules not to smoke near children. Analysis of the results shows that health education is effective in increasing family awareness of the dangers of smoking which can cause ARI in toddlers. Conclusions and suggestions: Health education given gradually and repeatedly for 1 week can increase family knowledge and attitudes in preventing ISPA in toddlers due to exposure to cigarette smoke. It is hoped that families can continue to maintain this healthy behavior to support optimal growth and development of toddlers.]]>
<![CDATA[Hubungan Antara Keterampilan Perawat Dalam Melaksanakan Bedside Handover Dengan Keselamatan Pasien Di Rumah Sakit ]]>
<![CDATA[Ismuntania]]>;
<![CDATA[Indah Nursanti]]>;
<![CDATA[Khairunnisa Batubara]]>;
<![CDATA[Rinawati]]>;
<![CDATA[Rahmat Ali Putra Harahap]]>
<![CDATA[ Jurnal Keperawatan Dan Kesehatan Holistik Vol. 2 No. 2 (2026): Jurnal Keperawatan & Kesehatan Holistik - Juli ]]>
Publisher : <![CDATA[LPPM AKPER GITA MATURA ABADI KISARAN ]]>
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DOI: 10.65386/jkkh.v2i2.56
<![CDATA[The skill of performing bedside handover is a major strength during bedside handover, because competent skills lead to the assurance of more accurate and up-to-date information regarding the patient's condition, which will affect the degree of patient safety. This study aims to determine the relationship between nurses' skills in performing bedside handover and patient safety. The research design is explanatory research with a cross-sectional approach. The population is all nurses working in the inpatient ward of Tgk Chik Di Tiro Regional Hospital, totaling 212 nurses. The technique for determining the total sample in this study uses the Rule of the Thumb formula with the formula: 5-10 x total indicators so that a total sample of 155 nurses is obtained. The research instrument is a questionnaire on skills in performing bedside handover and patient safety. All question items have been tested for validity and reliability. The data analysis used is descriptive correlation analysis using the chi-square test. The results show that the value in the Pearson chi-square column with Asymptotic Significance is 0.000 <0.05, so it can be concluded that there is a significant relationship between nurses' skills in performing bedside handover and patient safety. It is recommended that hospital management continue to strive to improve the skills of nurses in carrying out bedside handovers so that patient safety increases towards complete health.]]>
