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Lalu Syamsul Hak Elsani
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INDONESIA
Journal of Nursing Perspectives
Published by Gema Cendekia Institute
ISSN : -     EISSN : 31232558     DOI : https://doi.org/10.71094/jonp
Core Subject : Health,
Medicine & Pharmacology Nursing
Journal of Nursing Perspectives (JONP) is an open-access and peer-reviewed journal published by Gema Cendekia Institute with online version of e-ISSN: 3123-2558. JONP provides a forum for publishing the scientific works of nurse practitioners, academics, and researchers. It publishes original papers, reviews, and short reports on all aspects of nursing. This journal considers submissions on any aspect of nursing across age groups and settings. The focus and scopes of the journal include adult Nursing, Emergency nursing, Gerontological nursing, Community nursing, Mental health nursing, Pediatric nursing, Maternity nursing, Nursing leadership and management, Complementary and alternative medicine (CAM) in nursing and Education in nursing. JONP provides open access to anyone so that the information and findings in these articles are useful for everyone.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 10 Documents
 1 
Intervensi Terapi Spherical Grip dalam Upaya Melatih Gerak ROM Ekstermitas Atas untuk Meningkatkan Kekuatan Otot pada Pasien Stroke Lia Astuti
Journal of Nursing Perspectives Vol. 1 No. 1: Journal of Nursing Perspectives, August 2025
Publisher : Gema Cendekia Institute

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Background: Stroke is one of the leading causes of disability worldwide and significantly affects physical mobility. This study aimed to describe the application of spherical grip therapy in improving upper extremity muscle strength in stroke patients. Methods: A descriptive case study design was used involving one patient diagnosed with stroke and impaired upper extremity mobility. The intervention was spherical grip therapy conducted for 10–15 minutes once daily for six consecutive days. Muscle strength was measured using a standardized muscle strength grading scale before and after the intervention. Results: Before the intervention, the patient’s muscle strength in both upper extremities was scored at 3 (movement against gravity only). After six therapy sessions, muscle strength improved to 4 (movement against gravity with minimal resistance). The patient also reported reduced stiffness and improved relaxation during daily activities. Conclusion: Spherical grip therapy is effective as a non-pharmacological nursing intervention to enhance upper extremity strength and mobility in stroke patients. This therapy may be recommended as part of nursing care interventions to support stroke rehabilitation programs.
Pemberian Visioterapi Dada Terhadap Efektifitas Bersihan Jalan Nafas pada An. N Dengan Pneumonia di Wilayah Kerja Puskesmas Karang Taliwang Kota Mataram Muhammad Moza'i
Journal of Nursing Perspectives Vol. 1 No. 1: Journal of Nursing Perspectives, August 2025
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Pneumonia is an acute infection affecting the lung tissue, which may be caused by various microorganisms such as viruses, fungi, or bacteria. One of the most common nursing problems observed in children with pneumonia is ineffective airway clearance, resulting from the inflammatory process within the lungs. Based on the assessment conducted on November 16, 2023, it was found that patient N, a 7-year-old child, was medically diagnosed with pneumonia and presented with complaints of shortness of breath, productive cough, and runny nose with secretions. The respiratory rate was 30 breaths per minute, and additional breath sounds (rhonchi) were heard. According to the Indonesian Nursing Diagnosis Standards (SDKI), the nursing diagnosis established was ineffective airway clearance related to retained secretions. The nursing interventions were formulated according to the Indonesian Nursing Intervention Standards (SIKI), specifically airway management, by applying evidence-based nursing (EBN) through the administration of chest physiotherapy. The goal of the intervention was to assist in the removal of airway secretions. The nursing care was implemented over three visits, with chest physiotherapy administered twice daily—at 09:30 a.m. and 04:30 p.m. Each session lasted for 1–2 minutes and was repeated over a duration of 10–15 minutes. Following the implementation of nursing interventions, the patient's nursing problem was resolved. The expected outcomes were achieved, as evidenced by a patent airway (no additional breath sounds), decreased secretion accumulation, and effective secretion expectoration during coughing. After three days of chest physiotherapy, approximately 40 cc of secretions were expelled, the respiratory rate returned to normal (22 breaths per minute), and the effectiveness of coughing improved. Conclusion: Chest physiotherapy was found to have a positive effect on the effectiveness of airway clearance in children experiencing ineffective airway clearance associated with pneumonia.
Aplikasi Edukasi Keluarga Terhadap Kemampuan Keluarga Dalam Merawat Pasien dengan Isolasi Sosial di Wilayah Kerja Rumah Sakit Bhayangkara Mataram Hadi Nor Rahmat
Journal of Nursing Perspectives Vol. 1 No. 1: Journal of Nursing Perspectives, August 2025
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Mental health disorders such as schizophrenia remain a major public health issue worldwide, with social isolation being one of the most frequent manifestations that negatively affects patients’ psychosocial functioning (Rhoads, 2011; Stuart, 2009). Social isolation not only reduces communication ability and social participation but also increases relapse rates if not properly managed (Wardani, 2009). Family support plays a crucial role in the continuity of care, as inadequate knowledge and negative stigma often hinder the recovery process (Hawari, 2003; Lestari, 2008). This study aimed to analyze the effectiveness of family education in improving the ability of families to care for patients with social isolation at Bhayangkara Hospital Mataram. The research employed a case study approach with one patient diagnosed with schizophrenia and exhibiting social isolation. Interventions consisted of structured family education sessions emphasizing communication training, involvement in daily activities, and gradual social interaction. Five sequential sessions were implemented focusing on psychoeducation, skills practice, and reinforcement strategies for family caregivers. The results demonstrated that after six weeks of intervention, the patient showed increased willingness to interact socially, reduced withdrawal behavior, and improved verbal communication. Concurrently, the family’s knowledge and confidence in providing care improved significantly. These findings are consistent with prior studies indicating that psychoeducational interventions reduce relapse frequency and enhance social functioning among patients with schizophrenia (Wiyati et al., 2010; Pardede & Siregar, 2016). The study underscores the critical role of nurses in empowering families through structured education, which not only facilitates patient recovery but also helps diminish stigma surrounding mental illness. It is recommended that family education programs be systematically integrated into psychiatric nursing practice to optimize outcomes for patients with social isolation and strengthen the role of families as primary caregivers.
Hubungan Tingkat Pengetahuan dengan Kepatuhan Minum Obat pada Pasien Tuberkulosis (TBC) di Puskesmas Kediri Niswatun Fahmi
Journal of Nursing Perspectives Vol. 1 No. 1: Journal of Nursing Perspectives, August 2025
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Abstract

Tuberculosis (TB) remains one of the major public health problems in Indonesia. The success of TB treatment largely depends on the level of patient adherence to taking anti-tuberculosis drugs (OAT) regularly and completely. However, poor adherence often becomes the main obstacle in achieving optimal recovery. One of the key factors suspected to influence adherence is the patient’s level of knowledge regarding TB and its treatment. This study aimed to analyze the relationship between knowledge level and medication adherence among TB patients undergoing treatment at the Kediri Public Health Center, West Lombok Regency. This research employed a descriptive correlational design with a cross-sectional approach. The study population consisted of all TB patients who were actively undergoing treatment during the period of January–June 2025. The sample was determined using a purposive sampling technique, resulting in 60 respondents. The instruments used were a validated and reliable questionnaire assessing knowledge about TB and the Morisky Medication Adherence Scale (MMAS-8) to measure medication adherence. Data analysis was conducted using univariate and bivariate tests, with the Chi-square test applied at a significance level of α = 0.05. The results showed that the majority of respondents had a good level of knowledge (56.7%) and a high level of adherence (61.7%). Statistical analysis revealed a significant relationship between the level of knowledge and medication adherence among TB patients (p = 0.021). These findings indicate that adequate knowledge about TB and its treatment benefits can enhance patients’ adherence to OAT therapy. The study recommends that nursing personnel strengthen continuous educational interventions through both individual and group counseling approaches to improve TB patients’ knowledge and motivation in completing their treatment regimen.
Efektivitas Pemberian Rebusan Daun Kelor Terhadap Penurunan Tekanan Darah Pada Penderita Hipertensi di Desa Banyu Urip Gerung Lombok Barat Yulinda Rahayu
Journal of Nursing Perspectives Vol. 1 No. 1: Journal of Nursing Perspectives, August 2025
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Abstract

Hypertension is one of the non-communicable diseases that continues to be a major public health problem due to its high prevalence and the risk of causing serious complications such as stroke, heart disease, and kidney failure. Non-pharmacological efforts through the use of herbal ingredients such as Moringa oleifera (moringa leaves) are considered promising because of their bioactive compounds, including flavonoids, potassium, and sterols, which play roles as antihypertensive and antihyperlipidemic agents. This study aimed to determine the effectiveness of boiled moringa leaf decoction in reducing blood pressure among patients with hypertension in Banyu Urip Village, Gerung, West Lombok. The study employed a pre-experimental design with a one-group pretest-posttest approach. The sample consisted of 18 respondents with hypertension selected using purposive sampling techniques. The intervention involved administering 150 ml of moringa leaf decoction every morning after breakfast for seven consecutive days. Blood pressure measurements were taken before and after the intervention using a sphygmomanometer. Data were analyzed using the Wilcoxon signed-rank test with a significance level of p < 0.05. The results showed a significant decrease in respondents’ blood pressure. The mean systolic blood pressure before the intervention was 135.33 mmHg, which decreased to 122.50 mmHg after the intervention. The mean diastolic blood pressure before the intervention was 94.11 mmHg, which decreased to 84.56 mmHg afterward. Statistical analysis showed a p-value of 0.000 (< 0.05) for both systolic and diastolic pressures, indicating a significant effect of the moringa leaf decoction on reducing blood pressure. In conclusion, the moringa leaf decoction was effective in lowering both systolic and diastolic blood pressure among hypertensive patients. These findings support the use of herbal therapy as a complementary alternative for hypertension management in the community. It is recommended that healthcare services consider incorporating education on the use of moringa leaf decoction as a complementary therapy for hypertension control.
Pengaruh Pelatihan Bassic Life Support Terhadap Kesiap Siagaan Perawat Instalasi Gawat Darurat (IGD) RSUD Patut Patuh Patju Gerung Indra Arianto; Arlan Fikriadi
Journal of Nursing Perspectives Vol. 1 No. 2: Journal of Nursing Perspectives, December 2025
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Nurses in EDs should be able to respond fast and appropriately when life threatening conditions such as cardiac arrest occur in order to avoid morbidity and mortality. Introduction Basic Life Support (BLS) skills provide essential knowledge to the nurses, which is critical in effective initial resuscitation until advanced care is achieved. But even ready when we are no longer in regular practice and there has been little updating of clinical skills. The purpose of the study was to determine the effect of Basic Life Support training on emergency nurse readiness at RSUD Patut Patuh Patju Gerung. The current study utlilised a quasi-experimental design with pretest-posttest and included all of the ED nurses who were eligible. Preparedness included surveyed perceptions on knowledge, initial response, technical skills and perceived readiness as well as direct observation of psychomotor skill using a standardized list. The intervention included theoretical teaching sessions, teacher demonstrations, practice, and simulated emergencies under the guidance of certified trainers. Data was statistically analyzed by paired t test (p < 0.05). Results The results showed improvement in preparedness for the full group after training (overall knowledge score, compression quality, AED placement and coordinated performance during simulated CPR). Participants also felt more confident in dealing with cardiac arrest, and simulation was considered to be the most helpful training modality for improving preparedness. These findings suggest that being trained in BLS has an effect on nurses' preparedness for emergency care provision and as such emphasizes the need for structured ongoing professional development courses within hospital emergency units. It is recommended that regular training, retraining and refresher courses should enhance the resuscitation abilities of staff towards better patient safety using good quality emergency care services.
Hubungan Pendampingan Orang Tua dengan Tingkat Kecemasan Anak Prasekolah pada Prosedur Pemasangan Infus di RSUD Awet Muda Narmada Iwan Zulkarnaen; Sukaram
Journal of Nursing Perspectives Vol. 1 No. 2: Journal of Nursing Perspectives, December 2025
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Hospitalization is often a distressing experience for preschool children, particularly when they are exposed to invasive nursing procedures such as intravenous (IV) insertion. At this developmental stage, children have limited cognitive ability to understand the purpose of medical interventions, which may lead to fear, anxiety, and negative behavioral responses; high anxiety during IV insertion can result in resistance, prolonged procedures, and increased stress for both children and healthcare providers, highlighting the importance of effective non-pharmacological approaches in pediatric nursing care. Parental accompaniment is widely recognized as a supportive strategy that provides emotional comfort and a sense of security, helping children feel safer, improve coping abilities, and cooperate more effectively during nursing interventions, although its implementation during IV insertion is not always consistent in clinical practice. This study aimed to examine the relationship between parental accompaniment and anxiety levels among preschool children undergoing IV insertion at Awet Muda Narmada Regional General Hospital, Indonesia, using a quantitative correlational design involving preschool-aged children who received IV therapy during hospitalization. Children’s anxiety levels were assessed through an observational anxiety measurement tool, while parental accompaniment was documented based on parental presence during the procedure, and the data were analyzed using appropriate statistical methods. The findings showed that preschool children accompanied by their parents during IV insertion experienced lower anxiety levels, demonstrated calmer behavior, and showed better cooperation compared to those who were not accompanied. These results indicate that parental accompaniment plays a significant role in reducing anxiety among preschool children during IV insertion and support the application of family-centered and atraumatic care practices in pediatric nursing services at Awet Muda Narmada Regional General Hospital.
Pengaruh Konseling Keperawatan terhadap Tingkat Kecemasan Pasien dengan Penyakit Kronis di Wilayah Kerja UPT Puskesmas Gunungsari Sri Maryani
Journal of Nursing Perspectives Vol. 1 No. 2: Journal of Nursing Perspectives, December 2025
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Patients with chronic diseases frequently experience anxiety related to prolonged treatment, physical limitations, fear of complications, and uncertainty about disease prognosis, which may negatively affect treatment adherence and overall well-being. In primary healthcare settings, nurses have a pivotal role in addressing psychosocial problems through holistic nursing care, including structured nursing counseling. This study aimed to examine the effect of nursing counseling on anxiety levels among patients with chronic diseases in the working area of UPT Puskesmas Gunungsari. A quasi-experimental study with a pretest–posttest design was conducted involving patients diagnosed with chronic conditions who met the inclusion criteria and were selected using purposive sampling. Anxiety levels were assessed before and after the intervention using a standardized and validated anxiety measurement tool. The nursing counseling intervention was delivered through structured individual sessions focusing on emotional support, health education, coping strategies, and problem-solving related to disease management, conducted by trained nurses in the primary care setting. Statistical analysis was performed to compare anxiety scores before and after the intervention using appropriate inferential tests. The results demonstrated a significant reduction in anxiety levels among patients following the nursing counseling intervention, indicating that counseling effectively alleviated anxiety in patients with chronic diseases. These findings support previous evidence that psychosocial nursing interventions can improve mental health outcomes and enhance patient adaptation to chronic illness (Stuart, 2013; Townsend & Morgan, 2021). In conclusion, nursing counseling is an effective and feasible intervention to reduce anxiety among patients with chronic diseases in primary healthcare services. Integrating structured nursing counseling into routine nursing care at community health centers is recommended to promote mental well-being, strengthen patient-centered care, and support comprehensive chronic disease management.
Pengaruh Teknik Guided Imagery Terhadap Perubahan Nyeri pada Pasien Post Operasi Abdomen di Ruang Plamboyan RSUD Praya Kabupaten Lombok Tengah Sarifudin
Journal of Nursing Perspectives Vol. 1 No. 2: Journal of Nursing Perspectives, December 2025
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Postoperative pain is a common problem experienced by patients after abdominal surgery and may negatively affect recovery, mobility, and overall quality of life, making effective pain management an essential component of nursing care. In addition to pharmacological therapy, non-pharmacological interventions such as guided imagery can be applied to reduce pain perception and improve patient comfort. This study aimed to determine the effect of guided imagery on changes in pain levels among post-abdominal surgery patients in the Plamboyan Ward of RSUD Praya, Central Lombok Regency. A pre-experimental study with a one-group pretest–posttest design was conducted involving 30 respondents selected through purposive sampling. Pain intensity was measured using the Numeric Rating Scale (NRS) before and after the guided imagery intervention, which was administered for approximately 10–15 minutes in a calm and comfortable setting. Data analysis was performed using a paired t-test with a significance level of 0.05. The results demonstrated a decrease in the mean pain score after the intervention compared to before the intervention, and statistical analysis showed a significant difference in pain levels before and after guided imagery (p < 0.05). These findings indicate that guided imagery has a significant effect on reducing postoperative pain in patients undergoing abdominal surgery and can be considered an effective independent nursing intervention to support postoperative pain management and enhance patient comfort.
Hubungan Peran Perawat Dalam Merawat Pasien Dengan Resiko Infeksi Post Operasi Di Rumah Sakit Dkt Sidoarjo Reni Apriliyana
Journal of Nursing Perspectives Vol. 1 No. 2: Journal of Nursing Perspectives, December 2025
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Postoperative infection remains a significant challenge in hospital settings and contributes substantially to patient morbidity, prolonged length of stay, and increased healthcare costs. Nurses play a pivotal role in preventing postoperative infections through comprehensive and consistent nursing care practices. This study aimed to examine the relationship between nurses’ roles in caring for postoperative patients and the risk of postoperative infection at DKT Hospital Sidoarjo. A descriptive analytical study with a cross-sectional design was conducted involving 30 nurses who were directly involved in postoperative patient care. Total sampling was applied to ensure comprehensive representation. Data were collected using structured questionnaires and observation sheets that assessed nursing roles, including monitoring vital signs, wound management, early mobilization, rehabilitation support, and discharge planning. Bivariate analysis was performed to determine the relationship between nursing roles and postoperative infection risk. The results demonstrated a statistically significant relationship between the role of nurses and the risk of postoperative infection (p = 0.038), indicating that optimal nursing performance is closely associated with lower infection risk. These findings highlight that effective nursing care, delivered through professional competence, vigilance, and holistic patient-centered approaches, is essential in supporting postoperative recovery and preventing complications. The study underscores the importance of strengthening nursing roles through continuous education, institutional support, and policy alignment to enhance quality of care. Empowering nurses to practice evidence-based postoperative care is not only beneficial for patient outcomes but also contributes to overall healthcare quality improvement. This study provides valuable insights for nursing practice, hospital management, and future research focusing on infection prevention strategies within postoperative care settings.

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