Professional Evidence-based Research and Advances in Wellness and Treatment
Professional Evidence-based Research and Advances in Wellness and Treatment (PERAWAT) is an integral part of the journal published by CV. Get Press Indonesia. PERAWAT is a means of developing and publishing scientific work for researchers, lecturers and legal practitioners. PERAWAT publishes articles which are the results of research, case studies, results of literature studies, scientific concepts, knowledge and technology that are innovative and up-to-date in the scope of care that focus on (10) pillars of Maternity Nursing, Medical Surgical of Nursing, Pediatric Nursing, Management in Nursing, Community Nursing, Family in Nursing, Emergency and Trauma Nursing, Critical Care Nursing, Mental Health Nursing, Gerontological Nursing. Articles published in PERAWAT have gone through a peer review process with relevant expertise. Professional Evidence-based Research and Advances in Wellness and Treatment (PERAWAT) is used to publish research published every month January, April, and September.
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<![CDATA[Factors That Affect the Work Stress of Nurses in the Inpatient Room at RSUD Dr. Rasidin Padang ]]>
<![CDATA[Mu'awanah]]>;
<![CDATA[Suhardono]]>
<![CDATA[ Professional Evidence-based Research and Advances in Wellness and Treatment Vol. 3 No. 1 (2026): January, 2026 ]]>
Publisher : <![CDATA[CV. Get Press Indonesia ]]>
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DOI: 10.69855/perawat.v3i1.400
<![CDATA[Work stress is a frequent problem faced by health workers, especially nurses, which can adversely affect their performance and well-being. Excessive stress can cause physical and mental fatigue, reduce the quality of health care, and increase the number of absenteeism and turnover of nurses. Purpose: the study aims to identify factors that affect the work stress of nurses in the hospital inpatient dr. Rasidin Padang. Methods: the study used quantitative descriptive design with cross-sectional approach. The samples used were 45 nurses working in the inpatient room, taken by purposive sampling technique. Data collection was conducted using questionnaires that measure the factors that cause work stress, namely workload, organizational factors, social support, and individual factors. Data analysis was conducted using descriptive statistical analysis, frequency test, and Spearman correlation test to see the relationship between variables. Results: the results showed that most nurses in the hospital inpatient dr. Rasidin Padang reported moderate levels of work stress (44.44%), with 33.33% reporting high work stress and 22.22% low work stress. Bivariate analysis revealed that high workload had a significant positive association with work stress (r = 0.632, p < 0.01), while better social support was associated with lower levels of work stress (r = -0.408, p < 0.05). In addition, individual factors associated with personal stress also showed a significant positive association with occupational stress (r = 0.653, p < 0.01). Conclusion: inpatient nursing work stress can be reduced by managing the factors that influence it more effectively.]]>
<![CDATA[Effect of Preoperative Education on Anxiety and Stability of Vital Signs of Preoperative Patients in Siti Rahmah Padang Hospital ]]>
<![CDATA[Heru Purnomo]]>
<![CDATA[ Professional Evidence-based Research and Advances in Wellness and Treatment Vol. 3 No. 1 (2026): January, 2026 ]]>
Publisher : <![CDATA[CV. Get Press Indonesia ]]>
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DOI: 10.69855/perawat.v3i1.401
<![CDATA[Stable vital signs are essential indicators of surgical readiness, yet many patients experience preoperative anxiety that can negatively affect these physiological parameters. This study aimed to determine the effectiveness of preoperative education in improving vital sign stability before surgery. A quasi-experimental pretest posttest design was conducted involving 20 surgical patients at Siti Rahmah Padang Hospital. Systolic and diastolic blood pressure, heart rate, respiratory rate, and anxiety levels were measured before and after structured preoperative education. Paired t-tests were used for data analysis.The results showed significant improvements in vital signs following the intervention. Systolic blood pressure decreased from 135 mmHg to 120 mmHg (p = 0.002), diastolic pressure from 85 mmHg to 80 mmHg (p = 0.002), heart rate from 90 bpm to 75 bpm (p = 0.015), and respiratory rate from 22 to 18 breaths/min (p = 0.004). Anxiety scores also declined substantially, from 18 to 12 (p = 0.001).In conclusion, preoperative education effectively stabilizes vital signs and reduces anxiety, supporting better physical and psychological readiness for surgery. Integrating structured education into routine preoperative care is strongly recommended to enhance overall surgical preparedness and patient outcomes.]]>
<![CDATA[Effect Of Health Education On Oral Hygiene On Reducing The Risk Of Caries In Primary School Children ]]>
<![CDATA[Yuni Astuti]]>;
<![CDATA[Riama Vensya Sitohang]]>
<![CDATA[ Professional Evidence-based Research and Advances in Wellness and Treatment Vol. 3 No. 1 (2026): January, 2026 ]]>
Publisher : <![CDATA[CV. Get Press Indonesia ]]>
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DOI: 10.69855/perawat.v3i1.402
<![CDATA[Health education on oral hygiene plays a crucial role in preventing dental problems, particularly caries, among children. In Indonesia, the prevalence of caries in primary school students remains high, largely due to inadequate understanding of proper oral hygiene practices. This study aimed to evaluate the effect of oral hygiene health education on reducing caries risk in elementary school children. An experimental pretest–posttest design was conducted involving 55 students from SD Negeri 15 Anduring Padang. Data were collected using questionnaires and direct assessments of oral hygiene status and dental caries before and after the health education intervention. Statistical analysis using paired t-tests was applied to determine differences in oral hygiene scores and caries risk following the intervention. The findings demonstrated significant improvements in students’ knowledge and oral hygiene behaviors, accompanied by a substantial decrease in caries risk. The p-value of 0.000 indicated that the educational intervention had a strong positive effect on reducing caries risk. These results emphasize the importance of integrating structured oral hygiene education into the school curriculum and involving both teachers and health professionals in routinely providing information, demonstrations of correct brushing techniques, and guidance on dental health maintenance. Long-term implementation and periodic evaluation of such programs are essential to achieve optimal outcomes and ensure sustainability. In conclusion, health education on oral hygiene effectively reduces caries risk in children and should be consistently implemented as part of routine health promotion activities in primary schools.]]>
<![CDATA[Effectiveness of Progressive Muscle Relaxation Therapy Against Insomnia Symptoms in Adolescents ]]>
<![CDATA[Teguh Wahyudi]]>;
<![CDATA[Mailisna]]>
<![CDATA[ Professional Evidence-based Research and Advances in Wellness and Treatment Vol. 3 No. 1 (2026): January, 2026 ]]>
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DOI: 10.69855/perawat.v3i1.403
<![CDATA[Insomnia is a common sleep disorder among adolescents and can interfere with their health, emotional well-being, and academic performance. Progressive muscle relaxation is a non-pharmacological technique known to reduce tension and improve sleep. This study aimed to evaluate the effectiveness of progressive muscle relaxation therapy in reducing insomnia symptoms in students at SMP Negeri 31 Padang. Using an experimental pretest–posttest design, the study involved 40 adolescents aged 12–15 years experiencing insomnia, selected through purposive sampling. Participants were divided into experimental and control groups, with the intervention delivered in six sessions over three weeks. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI) before and after the intervention. Paired t-tests were used to analyze changes within the experimental group, and independent t-tests compared outcomes between groups. Univariate findings showed that most participants were 12–13 years old and experienced moderate insomnia. The bivariate analysis indicated a significant decrease in PSQI scores in the experimental group after receiving progressive muscle relaxation therapy (p = 0.000), demonstrating improved sleep quality. Independent t-test results also revealed a significant difference between the experimental and control groups after therapy (p = 0.000), confirming the superior effectiveness of the intervention. These results show that progressive muscle relaxation can serve as an effective non-pharmacological alternative for managing insomnia among adolescents. Implementing this therapy in school settings may help enhance students’ sleep quality and overall mental well-being.]]>
<![CDATA[The Effectiveness of Bubble Blowing Therapy to Reduce Pain in Children Undergoing Vaccination ]]>
<![CDATA[Asih Fatriansari]]>;
<![CDATA[Reva Afdila]]>
<![CDATA[ Professional Evidence-based Research and Advances in Wellness and Treatment Vol. 3 No. 1 (2026): January, 2026 ]]>
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DOI: 10.69855/perawat.v3i1.419
<![CDATA[Pain during vaccination is a significant factor that can increase anxiety and reduce children’s cooperation during immunization procedures. Simple non-pharmacological interventions, such as bubble blowing, are considered effective distraction techniques because they are inexpensive, easy to apply, and safe for children. This study aimed to determine the effectiveness of bubble blowing therapy in reducing pain among children undergoing vaccination. This research employed a quasi-experimental design with a one-group pretest–posttest approach. The sample consisted of 20 children aged 3–5 years who received vaccinations at the Posyandu within the working area of Ambacang Padang Health Center. Pain levels were measured using the Face, Legs, Activity, Cry, and Consolability (FLACC) scale. Data were analyzed using univariate and bivariate analyses, with a paired t-test to assess differences before and after the intervention. The results showed that the average pain score before the bubble blowing intervention was 6.15 (SD = 1.27), categorized as moderate to severe pain. After the intervention, the average pain score decreased significantly to 2.45 (SD = 1.08), indicating mild pain. Paired t-test analysis revealed a significant difference between pre- and post-intervention pain scores (p = 0.000; p < 0.05). In conclusion, bubble blowing therapy is effective in reducing pain during childhood vaccination and is recommended as an evidence-based nursing intervention to enhance comfort, improve immunization experiences, and support parental adherence to vaccination schedules.]]>
<![CDATA[The Effectiveness of Baby Massage on the Quality of Sleep of Babies Aged 0-6 Months ]]>
<![CDATA[Grace Carol Sipasulta]]>;
<![CDATA[Lamria Situmeang]]>;
<![CDATA[Ayunin syahida]]>
<![CDATA[ Professional Evidence-based Research and Advances in Wellness and Treatment Vol. 3 No. 1 (2026): January, 2026 ]]>
Publisher : <![CDATA[CV. Get Press Indonesia ]]>
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DOI: 10.69855/perawat.v3i1.420
<![CDATA[Poor sleep quality in infants can affect their physical and emotional growth and development. One intervention that is believed to improve the quality of baby sleep is baby massage. However, the effectiveness of infant massage in improving the quality of sleep of infants aged 0-6 months still needs to be studied more deeply, given the limitations of research in Indonesia related to this. Purpose: this study aims to test the effectiveness of infant massage on the quality of sleep of infants aged 0-6 months in the working area of Ambacang Health Center, Padang. Method: the design of this study is a quasi-experimental pretest-posttest approach. The sample consisted of 15 infants who met the inclusion criteria, who were given an infant massage intervention for 7 consecutive days. Sleep quality measurements were performed before and after the intervention using the infant sleep quality questionnaire. The Data were analyzed by univariate and bivariate analysis, as well as paired T-tests to see significant differences. Result: the results of the univariate analysis showed an increase in sleep quality score from an average of 12.4 (before) to 19.3 (after). The paired T-test showed a significant difference between the quality of the baby's sleep before and after the baby massage (p = 0.002), which indicates the effectiveness of the baby massage in improving the quality of the baby's sleep. Implications: infant massage can be used as a non-pharmacological method to improve infant sleep and can be applied in health centers. Conclusion: baby massage effectively improves sleep quality of babies aged 0-6 months, supporting optimal baby development.]]>
<![CDATA[Effect of Early Skin-To-Skin Contact Intervention By Nurses on Physiological Stability Mother and Baby in RSIA Mutiara Bunda Padang ]]>
<![CDATA[Nelwetis]]>;
<![CDATA[Ni Nyoman Murti]]>
<![CDATA[ Professional Evidence-based Research and Advances in Wellness and Treatment Vol. 3 No. 1 (2026): January, 2026 ]]>
Publisher : <![CDATA[CV. Get Press Indonesia ]]>
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DOI: 10.69855/perawat.v3i1.421
<![CDATA[Skin-to-skin contact is an essential early intervention that supports physiological stability in mothers and newborns during the immediate postnatal period. Although its benefits are well documented, consistent implementation in perinatal nursing practice remains limited. Purpose: This study aimed to evaluate the effect of early skin-to-skin contact interventions performed by nurses on the physiological stability of mothers and newborns at RSIA Mutiara Bunda Padang. Methods: A quantitative study with a quasi-experimental pre–post test design was conducted involving 20 mother–infant pairs who received skin-to-skin contact for 60 minutes after delivery. Maternal physiological parameters included heart rate and body temperature, while newborn parameters included body temperature, respiratory rate, and heart rate. Data were analyzed using descriptive statistics and paired t-tests with a significance level of 0.05. Results: The findings showed improved physiological stability following the intervention. Newborn body temperature increased significantly from 36.5°C to 37.2°C (p < 0.05), indicating better thermal regulation. Maternal heart rate decreased significantly from 95 bpm to 85 bpm (p < 0.05), reflecting improved physiological adaptation. Bivariate analysis confirmed a significant effect of early skin-to-skin contact on physiological stability in both mothers and newborns (p < 0.05). Conclusion: Early skin-to-skin contact interventions by nurses are effective in improving maternal and neonatal physiological stability and should be integrated as a standard practice in postnatal care.]]>
<![CDATA[Analysis of Factors that Influence the Motivation of Generation Z Nurses in RS Islam Siti Rahmah Padang ]]>
<![CDATA[Alfanira]]>;
<![CDATA[Rahmat Syukri]]>
<![CDATA[ Professional Evidence-based Research and Advances in Wellness and Treatment Vol. 3 No. 1 (2026): January, 2026 ]]>
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DOI: 10.69855/perawat.v3i1.423
<![CDATA[The transformation of the world of work challenges hospitals in managing a multigenerational workforce, particularly Generation Z nurses, who have high expectations for career development, work–life balance, and recognition. Unmet expectations may reduce work motivation and affect healthcare quality. This study examines factors influencing the work motivation of Generation Z nurses using a quantitative descriptive approach at RS Islam Siti Rahmah Padang, involving 50 nurses selected through purposive sampling. Data were collected through questionnaires and analyzed using univariate analysis and multiple linear regression. The results showed that compensation and career development were perceived as the most influential factors (70%) and had a significant effect on work motivation (p = 0.000; p = 0.002). In contrast, the work environment and leadership showed no significant effect. These findings emphasize the need to strengthen compensation systems and career development programs to enhance Generation Z nurses’ motivation and healthcare service quality.]]>
<![CDATA[The Relationship of Children's Sleep Patterns with Learning Concentration Levels in Children aged 7-12 Years ]]>
<![CDATA[Tunik]]>
<![CDATA[ Professional Evidence-based Research and Advances in Wellness and Treatment Vol. 3 No. 1 (2026): January, 2026 ]]>
Publisher : <![CDATA[CV. Get Press Indonesia ]]>
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DOI: 10.69855/perawat.v3i1.432
<![CDATA[Low learning concentration in children is often linked to irregular sleep habits, such as going to bed late or experiencing sleep disturbances, which can reduce sleep quality and affect classroom performance. This study aimed to examine the relationship between sleep patterns and learning concentration among students. A quantitative correlational approach was used with a sample of 75 students from Grades 2–6 at SD Negeri 37 Anduring Padang, selected randomly. Data were collected through sleep pattern questionnaires and classroom observation of learning concentration, then analyzed using Pearson correlation. The results showed that most children had irregular sleep patterns, with 40% sleeping less than eight hours per night, while_toggle The majority of students displayed moderate learning concentration levels. Statistical analysis revealed a fairly strong positive relationship between regular sleep patterns and learning concentration (r = 0.65, p < 0.05). These findings suggest that adequate and consistent sleep plays an important role in improving children’s learning concentration. Therefore, parents and schools should work together to promote healthy sleep habits to support optimal learning outcomes in children aged 7–12 years.]]>
<![CDATA[The Effect of Application of Caring Theory Model on Satisfaction of Hospitalized Patient ]]>
<![CDATA[Sutarmi]]>;
<![CDATA[Yannerith Chintya]]>
<![CDATA[ Professional Evidence-based Research and Advances in Wellness and Treatment Vol. 3 No. 1 (2026): January, 2026 ]]>
Publisher : <![CDATA[CV. Get Press Indonesia ]]>
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DOI: 10.69855/perawat.v3i1.422
<![CDATA[Humanistic care plays an important role in improving the quality of health services, particularly through the application of the Caring Theory Model, which emphasizes empathic relationships between healthcare providers and patients. This approach is expected to enhance patient satisfaction during hospitalization. Purpose: This study aimed to analyze the effect of the application of the Caring Theory Model on patient satisfaction levels in the inpatient unit of RSUD dr. Rasidin Padang. Methods: The study used a quasi-experimental design involving 25 inpatients. Data were collected using structured questionnaires to assess patient satisfaction before and after the implementation of the Caring Theory Model. The study was conducted at RSUD dr. Rasidin Padang, in June 2025. Univariate analysis was used to describe the frequency distribution of patient satisfaction levels, while bivariate analysis using paired t-tests was conducted to examine differences in satisfaction before and after the intervention, with a significance level of 0.05. Results: Univariate findings showed that 72% of patients experienced increased satisfaction following the application of the Caring Theory Model, particularly related to emotional care and communication by healthcare personnel, while 28% reported no significant change. Bivariate analysis revealed a statistically significant difference in patient satisfaction before and after the intervention (p = 0.002). Conclusion: The application of the Caring Theory Model has a significant positive effect on patient satisfaction and should be integrated into routine inpatient care to improve service quality.]]>
