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Professional Evidence-based Research and Advances in Wellness and Treatment
Published by CV. Get Press Indonesia
ISSN : -     EISSN : 30644453     DOI :  http://doi.org/10.69855/perawat
Core Subject : Health,
Nursing
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.
Arjuna Subject : Keperawatan - Maternity and Midwifery
Articles 45 Documents
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Factors Affecting the Implementation of Early Initiation of Breastfeeding (IMD) in Postpartum Mothers at RSUD Dr. Kanujoso Djatiwibowo Balikpapan Ni Nyoman Murti; Naomi Isabella Hutabarat
Professional Evidence-based Research and Advances in Wellness and Treatment Vol. 2 No. 3 (2025): September, 2025
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/perawat.v2i3.205

Abstract

Early initiation of breastfeeding (IMD) is a crucial process that allows newborns to begin breastfeeding within the first hour after birth. This practice strengthens the mother-child bond, enhances the baby’s immune system, and reduces neonatal mortality. Despite its benefits, IMD implementation in Indonesia still encounters various challenges, and few studies have examined its influencing factors by region or facility. This study aims to identify the factors associated with IMD implementation among postpartum mothers at RSUD Dr. Kanujoso Djatiwibowo Balikpapan. A descriptive analytic design with a cross-sectional approach was used. The study involved 42 postpartum mothers selected through non-probability saturated sampling. Data collection was conducted using questionnaires, and the results were analyzed with univariate and bivariate methods using the Chi-Square test. A total of 61.9% of respondents practiced IMD. Most had good knowledge (64.3%), belonged to the risk parity group (52.2%), received family support (54.8%), and had support from health workers (57.1%). Significant relationships were found between IMD implementation and maternal knowledge (p = 0.033), family support (p = 0.017), and health worker support (p = 0.003). These findings suggest the importance of education and support to improve IMD practices. In conclusion, IMD implementation is significantly influenced by maternal knowledge, family involvement, and healthcare provider support. Strengthening educational and support interventions is essential to enhance IMD coverage in health facilities.
Factors That Affect the Work Stress of Nurses in the Inpatient Room at RSUD Dr. Rasidin Padang Mu'awanah; Suhardono
Professional Evidence-based Research and Advances in Wellness and Treatment Vol. 3 No. 1 (2026): January, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/perawat.v3i1.400

Abstract

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.
Effect of Preoperative Education on Anxiety and Stability of Vital Signs of Preoperative Patients in Siti Rahmah Padang Hospital Heru Purnomo
Professional Evidence-based Research and Advances in Wellness and Treatment Vol. 3 No. 1 (2026): January, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/perawat.v3i1.401

Abstract

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.
Effect Of Health Education On Oral Hygiene On Reducing The Risk Of Caries In Primary School Children Yuni Astuti; Riama Vensya Sitohang
Professional Evidence-based Research and Advances in Wellness and Treatment Vol. 3 No. 1 (2026): January, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/perawat.v3i1.402

Abstract

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.
Effectiveness of Progressive Muscle Relaxation Therapy Against Insomnia Symptoms in Adolescents Teguh Wahyudi; Mailisna
Professional Evidence-based Research and Advances in Wellness and Treatment Vol. 3 No. 1 (2026): January, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/perawat.v3i1.403

Abstract

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.
The Effect of Storytelling on Reducing Children's Fears in Nursing Procedures Asih Fatriansari
Professional Evidence-based Research and Advances in Wellness and Treatment Vol. 1 No. 1 (2024): January, 2024
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/perawat.v1i1.412

Abstract

The background of this study highlights that children often experience fear when undergoing nursing procedures in hospitals. Such fear not only becomes an obstacle in the implementation of medical actions but also worsens the overall experience of the child and may influence the success of the procedure. One widely used non-pharmacological approach to help reduce fear in children is storytelling, a narrative technique that provides emotional understanding and a calming effect. This study aimed to examine the effect of storytelling on reducing fear among children during nursing procedures. A quantitative design with a quasi-experimental approach was employed. The sample consisted of 30 children undergoing nursing procedures at Dr. Rasyidin Hospital Padang, divided into two groups: an experimental group that received a storytelling intervention and a control group without intervention. Children’s fear levels were assessed using a fear measurement scale before and after the procedure. Data were analyzed using a t-test to determine differences in fear levels between the two groups. The results showed a significant reduction in fear in the experimental group, with an average decrease of 4.5 points, compared to a 1.8-point decrease in the control group. Statistical analysis indicated a significant difference between the groups (p < 0.05). These findings suggest that storytelling is an effective non-pharmacological intervention for reducing children’s fear during nursing procedures. Therefore, storytelling can be integrated into routine nursing practice to enhance positive emotional responses, reduce anxiety, and support a more cooperative medical experience for pediatric patients.
Effect of Play Therapy on Preoperative Child Anxiety Level Herna Alifiani
Professional Evidence-based Research and Advances in Wellness and Treatment Vol. 1 No. 1 (2024): January, 2024
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/perawat.v1i1.413

Abstract

Children who will undergo preoperative procedures often experience significant anxiety due to uncertainty, fear of pain, and an unfamiliar hospital environment. High anxiety during the preoperative phase can affect physiological stability, complicate anesthesia, and slow postoperative recovery. Therefore, effective and easy-to-implement nonpharmacological interventions are needed to support children before surgery. This study aimed to determine the effect of play therapy on preoperative anxiety levels in children at Semen Padang Hospital.The study used a pre-experimental one-group pretest–posttest design involving 15 children aged 4–10 years scheduled for elective surgery. The intervention consisted of 20–30 minutes of play therapy using medical role-play and simple props. Anxiety levels were measured using the Modified Yale Preoperative Anxiety Scale (m-YPAS) before and after therapy. Data were analyzed with a paired t-test at a significance level p value ≤0.05. The results showed a significant decrease in anxiety after the intervention. The mean anxiety score dropped from 52.4 ± 8.7 before therapy to 32.1 ± 7.9 afterward. The paired t-test obtained a result of p = 0.001, showing a significant effect of play therapy . It shows that play therapy has a significant impact on reducing anxiety. Additionally, 80% of participants experienced a shift from moderate to low anxiety. These findings imply that nurses should integrate play therapy into standard preoperative preparation, while hospitals provide adequate facilities to ensure consistent implementation. Play therapy proves effective in reducing preoperative anxiety and can serve as an important strategy to minimize psychological stress in children before surgery.
Factors Affecting the Quality of Life of Chronic Kidney Disease Patients Based on the Simple Quality of Life Scale Alfanira
Professional Evidence-based Research and Advances in Wellness and Treatment Vol. 1 No. 1 (2024): January, 2024
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/perawat.v1i1.414

Abstract

Chronic kidney disease (CKD) greatly affects the quality of life of patients undergoing hemodialysis, who often face physical limitations, emotional distress, and social challenges. This study aimed to identify factors influencing their quality of life using the Simple Quality of Life Scale (SQOLS). A cross-sectional design was conducted involving 50 hemodialysis patients at RSUP Dr. M. Djamil Padang. Data were collected through SQOLS questionnaires covering physical, emotional, social, environmental, and occupational domains, and analyzed using descriptive statistics and multiple linear regression.Results showed that most patients experienced reduced quality of life, with an average SQOLS score of 60.4. Significant factors affecting quality of life were anxiety levels (β = –0.45, p < 0.01), occupational status (β = 0.32, p < 0.05), and social support (β = 0.28, p < 0.05). High anxiety lowered quality of life, while strong social support and active employment improved it. These findings emphasize the importance of psychosocial interventions, including counseling and support groups, to reduce anxiety and strengthen social networks. In conclusion, psychological and social factors play a key role in shaping the quality of life of CKD patients and should be addressed in patient care.
The Relationship Between Individual and Organizational Factors with the Performance of Nurses in the Surgical Ward Rida' Millati
Professional Evidence-based Research and Advances in Wellness and Treatment Vol. 1 No. 1 (2024): January, 2024
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/perawat.v1i1.418

Abstract

This study aimed to analyze the relationship between individual and organizational factors and the performance of nurses in the surgical ward of Dr. M. Djamil Padang Hospital. The problem addressed how individual variables, including nurses’ motivation and skills, and organizational factors, such as work culture and managerial support, influence nurse performance in surgical ward. The purpose of this study was to identify the most significant factors contributing to improve nurse performance in the surgical ward environment. A quantitative approach with a cross-sectional design was applied. The sample consisted of 60 nurses working in the surgical ward, selected using random sampling. Data were collected using structured questionnaires measuring individual factors, organizational factors, and nurse performance. Multiple linear regression analysis was conducted to assess the effect of each independent variable on nurse performance. The results showed that individual factors, namely motivation and skills, contributed 35% to nurse performance, while organizational factors, including managerial support and work culture, contributed 45%. Overall, the regression model explained 70% of the variance in nurse performance (R² = 0.70). Managerial support had the strongest influence (β = 0.38), followed by nurses’ motivation (β = 0.25).
The Effectiveness of Bubble Blowing Therapy to Reduce Pain in Children Undergoing Vaccination Asih Fatriansari; Reva Afdila
Professional Evidence-based Research and Advances in Wellness and Treatment Vol. 3 No. 1 (2026): January, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/perawat.v3i1.419

Abstract

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.

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