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MENTAL STATUS , ABILITIES MOBILIZATION AND THE RISK OF FALLS IN THE ELDERLY WITH HYPERTENSION; A CORRELATIVE STUDY
Fina Oktafiani;
Dewi Hartinah;
Ashri Maulida Rahmawati
(IJP) Indonesia Jurnal Perawat Vol 10, No 1 (2025): INDONESIA JURNAL PERAWAT
Publisher : Universitas Muhammadiyah Kudus
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DOI: 10.26751/ijp.v10i1.2807
Hypertension, or high blood pressure, is a vascular disorder that hampers oxygen and nutrient supply to body tissues. Elderly individuals are prone to hypertension due to physical and psychological changes, increasing their risk of falls. Falls can significantly impact cognitive function and mobility. This study analyzes the correlation between mental status, mobility, and fall risk among elderly hypertensive individuals in Tanjungrejo Village. This cross-sectional correlation study involved 64 randomly selected participants from Tanjungrejo Village in November 2024. Mini Mental State Exam (MMSE), Elderly Mobility Scale (EMS), and Berg Balance Scale (BBS) assessed mental status, mobility, and fall risk, respectively. Spearman Rank test analyzed the data.Results showed: most elderly hypertensive individuals (45.3%) had probable cognitive impairment. Majority (57.8%) demonstrated independent mobility. Most participants (57.8%) had moderate fall riskA significant correlation exists between mental status, mobility, and fall risk among elderly hypertensive individuals in Tanjungrejo Village, Jekulo Subdistrict, Kudus Regency (p-value 0.05).
FAMILY SUPPORT AND LIFEQUALITY OF KIDNEY FAILURE PATIENTS UNDERGOING HEMODIALYSIS IN HOSPITAL
Hesti Dian Nirmalasari;
Noor Hidayah;
Umi Faridah
(IJP) Indonesia Jurnal Perawat Vol 10, No 1 (2025): INDONESIA JURNAL PERAWAT
Publisher : Universitas Muhammadiyah Kudus
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DOI: 10.26751/ijp.v10i1.2796
Chronic Kidney Failure co, commonly known as CKD, is a condition in which the kidneys experience long-term damage. Patients with chronic kidney failure undergoing hemodialysis have a lower quality of life compared to the general population. Family support is one factor influencing patients' quality of life. The general objective of this study is to determine the relationship between family support and the quality of life of chronic kidney failure patients undergoing hemodialysis at RST Tk. II 04.05.01 dr. Soedjono Magelang. This study uses a correlational research design. The population in this study consists of chronic kidney failure patients undergoing hemodialysis at RST Tk. II dr. Soedjono Magelang, with an average of 72 patients over six months.The sampling technique used was accidental sampling, with 46 respondents. Data collection was conducted using questionnaires. Bivariate analysis was performed using the Spearman Rank correlation test. The independent variable in this study is family support, measured using the Family Support Instrument. In contrast, the dependent variable is quality of life, measured using the World Health Organization Quality of Life (WHOQOL) instrument. The research was conducted from January to February 2025. The Spearman Rank statistical test results indicate a significant relationship between family support and quality of life in chronic kidney failure patients undergoing hemodialysis, with a p-value = 0.000. The correlation direction is positive, with a strong correlation strength (r = 0.628).In conclusion, the lower the family support, the worse the patient's quality of life, and conversely, the better the family support, the higher the patient's quality of life. It is recommended that families provide better emotional and practical support to chronic kidney failure patients to improve their quality of life during hemodialysis.
COGNITIVE IMPAIRMENT AND ACTIVITY DAILY LIVING IN THE ELDERLY
Mohammad Andhika Setyawan;
Dewi Hartinah;
Ashri Maulida Rahmawati
(IJP) Indonesia Jurnal Perawat Vol 10, No 1 (2025): INDONESIA JURNAL PERAWAT
Publisher : Universitas Muhammadiyah Kudus
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DOI: 10.26751/ijp.v10i1.2651
Cognitive decline is common in the elderly, caused by natural brain aging and other factors such as lack of mental and social stimulation, and chronic diseases such as hypertension and diabetes. As a result, elderly people with cognitive impairment often experience decreased independence in daily living activities , quality of life, thus increasing the need for care and support from family and health workers . This research aims analyze the relationship cognitive impairment with activitiy daily living for the elderly in village A. The study used a cross-sectional method. The research sample of 62 respondents was selected through the Random Sampling technique. The activity daily living questionnaire used the Barthel Index and the cognitive impairment questionnaire used the Mini Mental State Exam (MMSE) which was valid and reliable. Data analysis used the Spearman Rank test. The results of the study showed Cognitive disorders in the elderly in Village A were mostly probable cognitive disorders, amounting to 28 respondents (45.2%). Daily living activities in the elderly are mostly dependent on 34 respondents (54.8%). There is a relationship between cognitive disorders and daily living activities in Village A because the p-value is 0.001 (a = 0.05) with a correlation coefficient value (0.443), meaning that the better the cognitive disorder, the lower the dependency on daily living activities.
THE ROLE OF SPIRITUAL MINDFULNESS THERAPY IN INCREASING SELF-ACCEPTANCE AMONG ADOLESCENT
Muhamad Jauhar;
Ashri Maulida Rahmawati;
Anny Rosiana Masithoh;
Edita Pusparatri
(IJP) Indonesia Jurnal Perawat Vol 10, No 1 (2025): INDONESIA JURNAL PERAWAT
Publisher : Universitas Muhammadiyah Kudus
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DOI: 10.26751/ijp.v10i1.3063
Evaluation of the benefits of spiritual therapies, such as mindfulness, for adolescent mental health is needed. Adolescence is a difficult period for self-adjustment and is particularly vulnerable to decreased self-acceptance. In today's educational environment, adolescents often experience various crises that are largely due to low self-acceptance. Spiritual mindfulness is a strategy that is easy to implement and can help adolescents recognize problems without judgment, thus reducing the cost and time required in the therapeutic process. This study aims to determine the effect of spiritual mindfulness on increasing self-acceptance in adolescents. The research design used was a pre-experiment with pre-test and post-test methods and involved a control group. Through purposive sampling, twenty-six high school students in Kudus were selected as respondents and divided into intervention and control groups. The study used the Unconditional Self-Acceptance Questionnaire (USAQ). The researcher conducted six sessions of mindfulness therapy, each lasting 30 minutes for two days. The results showed a statistically significant difference in self-acceptance in the intervention group before and after the intervention, with a value of p=0.04 (p0.05). In contrast, in the control group, no significant difference was found with a value of p=0.477 (p0.05). The intervention group showed an increase in self-acceptance of 1.46 higher than the control group. However, the overall effect of mindfulness therapy was less significant in improving self-acceptance in adolescents p=0.332 (p0.05). Changes need to be made in the way spiritual mindfulness therapy is delivered to adolescents to see a more noticeable improvement in self-acceptance.
CLEAN AND HEALTHY LIVING BEHAVIOR AND THE INCIDENCE OF DENTAL CARIES IN SCHOOL-AGED CHILDREN
Siti Rukhaniyah;
Umi Faridah;
Muhamad Jauhar
(IJP) Indonesia Jurnal Perawat Vol 10, No 1 (2025): INDONESIA JURNAL PERAWAT
Publisher : Universitas Muhammadiyah Kudus
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DOI: 10.26751/ijp.v10i1.2672
Dental and oral health has become a problem that needs to be solved immediately. In Indonesia, the prevalence of dental caries tends to be high (above 70%) in all age groups. There is an improvement in the prevalence of dental caries in school-aged children. This happened because the children did not exhibit healthy hygiene. To determine the relationship between clean and healthy living behavior and the incidence of dental caries in school-aged children. Correlational analytical research type. Cross-sectional approach method. The research variable studied was dental caries. The population of all students at Pecangaan Elementary School Jepara is 80 students. By using the Slovin formula, the final result is 45 students. The research sample was selected based on the inclusion criteria: 1) Having dental caries. 2) Children aged 6-12 years at Pecangaan Elementary School. 3) Willing to be a respondent. Exclusion criteria: 1) Children who were not present during the research. 2) Children who do not agree to informed consent. A stratified random sampling was used to determine the sample for each class. The measuring tool used is a "clean and healthy living behavior" questionnaire. Data analysis used univariate and bivariate with the chi-square test. The implementation was in November 2024. Results: There is a statistically significant relationship between clean and healthy living behavior and the incidence of dental caries in school-age children, with a P value of 0.005 (p 0.05). There is a statistically significant relationship between clean and healthy living behavior and the incidence of dental caries in school-aged children. The participation of teachers, parents, and health centers is very needed to overcome health problems in elementary schools, especially related to dental and oral health.
HEALTH LOCUS OF CONTROL DENGAN KUALITAS HIDUP PADA PASIEN DIABETES MELITUS
Anim Mushlihatin Lailiyyah;
Umi Faridah;
Sukarmin Sukarmin
(IJP) Indonesia Jurnal Perawat Vol 10, No 1 (2025): INDONESIA JURNAL PERAWAT
Publisher : Universitas Muhammadiyah Kudus
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DOI: 10.26751/ijp.v10i1.2460
Menurut Riset Kesehatan Dasar (RISKESDAS) (2018), Prevalensi diabetes di Indonesia berdasarkan diagnosis medis pada usia ≥ 15 tahun adalah 2%, namun berdasarkan hasil tes gula darah, jumlah penderita diabetes adalah 8,5% pada tahun 2018. Studi yang dilakukan oleh Laoh (2015) menunjukkan bahwa (36,7%) responden mengalami kualitas hidup kurang baik. Jafari (2023) mengatakan bahwa Kualitas hidup pasien diabetes merupakan parameter penting dalam pengobatan diabetes, faktor yang mempengaruhi kualitas hidup adalah Health Locus Of Control.Tujuan : Untuk mengetahui hubungan Health Locus Of Control dengan kualitas hidup pada pasien diabetes melitus di Puskesmas Kaliwungu Kudus.Metode : Jenis Penelitian ini adalah penelitian analitik korelasional dengan pendekatan cross sectional. Peneliti menggunakan purposive sampling dengan mengambil jumlah populasi sebanyak 164 responden dengan sampel 48 responden. Uji statistik menggunakan uji Spearman Rho dan instrument yang digunakan adalah lembar kuesioner.Hasil : Hasil penelitian menunjukkan bahwa ada hubungan Health Locus Of Control dengan kualits hidup pada pasien diabetes melitus di Puskesmas Kaliwungu Kudus dengan P value 0,012 serta nilai Rho 0.358.Kesimpulan : Ada hubungan Health Locus Of Control dengan kualitas hidup pada pasien diabetes melitus di Puskesmas Kaliwungu Kudus.
NURSES' CARING BEHAVIOR AND PATIENTS' FAMILY ANXIETY LEVELS IN THE INTENSIVE CARE UNIT
Deddy Adi Wirawan;
Edy Soesanto;
Yulisetyaningrum Yulisetyaningrum
(IJP) Indonesia Jurnal Perawat Vol 10, No 1 (2025): INDONESIA JURNAL PERAWAT
Publisher : Universitas Muhammadiyah Kudus
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DOI: 10.26751/ijp.v10i1.2890
The Intensive Care Unit (ICU) is a specialized area in hospitals where critically ill or injured patients receive specialized and intensive nursing care. In this setting, family members of patients often feel less involved in their care and are unable to accompany them in the ICU, leading to anxiety. This study aims to investigate the relationship between nurses' caring behavior and family anxiety in patients treated in the ICU of RSU PKU Muhammadiyah Banjarnegara. The population of this study consists of 83 people, with a sample size of 45 people. The sampling technique used is Purposive Sampling. This study uses an analytical correlational design with a cross-sectional approach. This study utilized the Caring Assessment Tools questionnaire and the Hamilton Anxiety Rating Scale (HARS) as research instruments. The results revealed a significant correlation between caring behaviors and family anxiety, with a p-value of 0.000. Based on these findings, it is recommended that nurses implement caring behaviors towards patient families to mitigate excessive anxiety related to the patient's condition
BREASTFEEDING AND BABY FIELD MASSAGE LOWER TOTAL BILIRUBIN IN NEWBORNS
Yunita Lukita Sari;
Edy Soesanto;
Yulisetyaningrum Yulisetyaningrum
(IJP) Indonesia Jurnal Perawat Vol 10, No 1 (2025): INDONESIA JURNAL PERAWAT
Publisher : Universitas Muhammadiyah Kudus
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DOI: 10.26751/ijp.v10i1.2760
Neonates are newborns aged 0-28 days. One of the causes of neonatal death is caused by jaundice. The therapy applied is breastfeeding. One of the non-pharmacological approaches is baby field massage. This study aims to determine the effect of breastfeeding and baby field massage on the decrease in newborns' total bilirubin. Quantitative research with quasi-experimental design and one group pre and post-test design. The location of this research was carried out in the Perinatology Room from October to December. Infant bilirubin data is collected using secondary data, namely medical records. With breastfeeding and baby field interventions. Data analysis aims to describe the data being studied. With the Wilcoxone test type. Using a purposive sampling technique with a sample of 31 respondents with inclusion criteria: Babies born at full term on the 3rd to 28th day, jaundiced babies receive phototherapy, babies are given breast milk, Babies are given infant massage techniques. Exclusion criteria: Babies born under the moon, Babies born prematurely, Low birth weight, Very low birth weight of extra babies. The difference in total bilirubin levels before and after the intervention decreased with a significance value of p-0.000 less than 0.05. There is a significant difference in breastfeeding and baby field massage to lower total bilirubin in newborns Always support optimal breastfeeding for newborns and correctly learn baby field massage techniques.
KNOWLEDGE AND BEHAVIOR TO PREVENT PULMONARY TUBERCULOSIS TRANSMISSION
Silvia Putri Arifah;
Umi Faridah;
Sukarmin Sukarmin
(IJP) Indonesia Jurnal Perawat Vol 10, No 1 (2025): INDONESIA JURNAL PERAWAT
Publisher : Universitas Muhammadiyah Kudus
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DOI: 10.26751/ijp.v10i1.2469
Indonesia continues to face major challenges in controlling pulmonary tuberculosis (TB) transmission, with high rates of new cases often linked to inadequate prevention practices such as poor mask compliance, lack of cough etiquette, and insufficient household ventilation, which significantly increase transmission risk within families. This study aimed to analyze the relationship between knowledge and behavior in preventing pulmonary TB transmission at the Kaliwungu Community Health Center. A cross-sectional descriptive design was used with purposive sampling, involving 57 respondents who met the inclusion criteria: patients who tested positive for pulmonary TB, were registered at the Kaliwungu Community Health Center, resided in Kaliwungu District, were aged ≥18 years, and fully conscious during data collection. Exclusion criteria were patients who had recovered, those with TB-HIV or MDR-TB, and respondents who did not complete the questionnaire correctly. Data were collected using a structured questionnaire on TB knowledge and prevention behaviors, then analyzed using univariate analysis and chi-square tests for bivariate analysis. The results revealed a significant relationship between knowledge and prevention behavior (p=0.009; OR=6.000), indicating that respondents with higher knowledge were six times more likely to engage in preventive actions compared to those with lower knowledge. These findings emphasize the critical role of patient knowledge in shaping behavior, suggesting that improving health literacy about pulmonary TB can directly strengthen prevention practices. In conclusion, the study demonstrates a significant association between knowledge and prevention behaviors, highlighting the need for targeted educational interventions to reduce TB transmission at the community level..
BREASTFEEDING HISTORY AND FERTILITY DRUGS USE OF BREAST CANCER INCIDENCE OF PATIENTS AT THE HOSPITAL: A CASE-CONTROL STUDY
Dian Ratnasari;
Noor Hidayah;
Fitriana Kartikasari
(IJP) Indonesia Jurnal Perawat Vol 10, No 1 (2025): INDONESIA JURNAL PERAWAT
Publisher : Universitas Muhammadiyah Kudus
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DOI: 10.26751/ijp.v10i1.2787
Breast cancer is a malignancy that is frequently diagnosed in women and is the leading cause of cancer-related deaths worldwide. Based on previous studies, a history of not breastfeeding and the use of fertility drugs are suspected risk factors for breast cancer in women. This study aims to determine the risk factors of breastfeeding history and the use of fertility drugs for breast cancer among cancer and non-cancer patients at RS Tk. II Dr. Soedjono Magelang.This research employs a quantitative case-control study design. The primary data used in this study are medical records of women visiting the oncology clinic, inpatient ward, and chemotherapy unit at RS Tk. II Dr. Soedjono Magelang over five weeks from December 20, 2024, to January 25, 2025. A total of 228 women aged 20 to 86 years were identified, including 76 breast cancer patients. The control group in this study consisted of 152 non-breast cancer patients, with a case-to-control ratio of 1:1. A total of 76 control data points were randomly selected from the 152 non-cancer patients. Data collection was conducted using a questionnaire that covered breastfeeding history, history of fertility drug use, and breast cancer diagnosis, categorized as either 'yes' or 'no.' Data analysis was performed using univariate analysis (percentage) and bivariate analysis with the chi-square test. The study results showed a significant association between breastfeeding history and breast cancer, with a p-value of 0.006 and an odds ratio (OR) of 2.49. This means that mothers with a history of not breastfeeding have a 2.49 times higher risk of developing breast cancer compared to those who have a history of breastfeeding.