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Jurnal Keperawatan Garuda Pelamonia
Published by Institut Ilmu Kesehatan Pelamonia
ISSN : 25484451     EISSN : 28291107     DOI : -
Core Subject : Health,
Nursing Public Health
Fokus Garuda Pelamonia Jurnal Keperawatan berfokus pada publikasi hasil penelitian, kajian teoritis, dan aplikasi praktis dalam bidang keperawatan dan kesehatan. Jurnal ini bertujuan untuk mendalami perkembangan ilmu keperawatan dengan pendekatan berbasis bukti dan inovasi yang berkontribusi pada peningkatan kualitas pelayanan kesehatan di berbagai konteks. Ruang Lingkup Penelitian Keperawatan: Penelitian asli yang melibatkan berbagai aspek keperawatan, seperti praktik, pendidikan, dan kebijakan keperawatan. Kesehatan Masyarakat: Kajian tentang kesehatan masyarakat dan kebijakan kesehatan yang berkaitan dengan keperawatan. Praktik Keperawatan: Pengembangan dan evaluasi model dan metode dalam praktik keperawatan di rumah sakit, klinik, dan komunitas. Pendidikan Keperawatan: Penelitian yang berfokus pada kurikulum, metode pengajaran, dan pengembangan profesional di bidang pendidikan keperawatan. Inovasi dan Teknologi Keperawatan: Penggunaan teknologi dan inovasi terbaru dalam praktik keperawatan, termasuk pemanfaatan alat medis, teknologi informasi, dan aplikasi mobile dalam perawatan pasien. Kesehatan Mental dan Keperawatan Psikiatri: Penelitian terkait peran keperawatan dalam menangani masalah kesehatan mental dan psikiatri. Kebijakan Kesehatan dan Keperawatan: Analisis kebijakan dan sistem kesehatan yang mempengaruhi praktik dan pengembangan keperawatan. Penyakit Menular dan Tidak Menular: Studi tentang pengelolaan dan pencegahan penyakit menular serta peran keperawatan dalam manajemen penyakit tidak menular.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 20 Documents
 1   2 
Factors Causing Delays in BPJS Health Inpatient Claims at Dr. Harjono S Regional General Hospital in Ponorogo Regency Ike Wahyu Septian; Dwi Nurjayanti
Garuda Pelamonia Jurnal Keperawatan Vol. 7 No. 2 (2025): Agustus : Garuda Pelamonia Jurnal Keperawatan
Publisher : Institut Kesehatan Pelamonia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.4425/garuda.v7i2.877

Abstract

Ike Wahyu Septian, 2025 “Factors Causing Pending BPJS Health Inpatient Claims At RSUD Dr. Harjono S, Ponorogo Regency.” Scientific Paper, Supervisor: Dwi Nurjayanti, S.ST., M.Kes. Study Program of Diploma III in Medical Record and Health Information, STIKES Buana Husada Ponorogo. Pending inpatient BPJS Health claims pose a financial and operational challenge for hospitals. At RSUD Dr. Harjono S Ponorogo, 228 pending claims were identified in November 2024 out of 1,335 total claims. This issue was caused by incomplete supporting documents, coding errors, and non-specific medical diagnoses and procedures. This study used a descriptive qualitative approach through observation and interviews. The sample consisted of four claims officers and 228 inpatient pending claim files. The sampling technique used was purposive sampling. Data were analyzed through data reduction, presentation, and conclusion drawing. The study revealed several contributing factors: (1) Man – lack of accuracy and training among staff; (2) Method – suboptimal claim procedures; (3) Material – incomplete supporting documents; (4) Machine – information system disruptions; and (5) Money – delayed claim payments. The primary causes of pending inpatient claims are incomplete medical documentation and inaccurate coding. Improvements are needed in staff training, claim procedures, and system integration between hospitals and BPJS Health.
Readiness of Electronic Medical Record Implementation at Budi Asih Trenggalek Hospital Using the Fishbone Diagram Method Chery Putria Santoso; Ani Rosita
Garuda Pelamonia Jurnal Keperawatan Vol. 7 No. 2 (2025): Agustus : Garuda Pelamonia Jurnal Keperawatan
Publisher : Institut Kesehatan Pelamonia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.4425/garuda.v7i2.884

Abstract

Electronic Medical Records (EMR) are an important component in supporting the digital transformation of healthcare services, aiming to improve the effectiveness, efficiency, and accuracy of patient medical data management in hospitals. This study aims to determine the readiness of EMR implementation at Budi Asih Hospital Trenggalek using the Fishbone Diagram method as an analytical tool to identify factors influencing implementation readiness. This research employed a descriptive method with a qualitative approach to explore the EMR implementation process comprehensively. Data were collected through in-depth interviews and direct observations involving 20 informants who actively used the EMR system in their daily activities. The results showed that EMR implementation readiness at Budi Asih Hospital was influenced by five main factors: man (human resources), material (tools), machine (data), method (procedures), and money (budget). Healthcare workers and administrative staff were able to operate the EMR system effectively, supported by regular training and workshops. Supporting equipment and systems were available and maintained periodically to ensure stability. Data management was conducted accurately and timely through routine audits to maintain data quality. The hospital also had clear Standard Operating Procedures (SOPs) and budget allocation to support EMR sustainability. Overall, Budi Asih Hospital demonstrated good readiness in implementing EMR and is prepared to further develop the system to improve healthcare service quality.
Penerapan Terapi Pijat Kaki terhadap Kadar Glukosa Darah pada Pasien Diabetes Melitus di Kota Palembang Made Desi; Veroneka Yosefpa Windahandayani; Sanny Frisca
Garuda Pelamonia Jurnal Keperawatan Vol. 8 No. 2 (2026): Agustus : Garuda Pelamonia Jurnal Keperawatan
Publisher : Institut Kesehatan Pelamonia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.4425/garuda.v8i2.891

Abstract

Diabetes Mellitus is a chronic metabolic disease characterized by increased blood glucose levels in the body due to impaired carbohydrate, fat, and protein metabolism. Symptoms that often appear include polyuria (frequent urination) and polydipsia (frequent thirst) as a sign of lack of insulin in the body. In Indonesia, diabetes sufferers will reach 20.4 million people in 2024, with Palembang ranking as the highest number of cases in South Sumatra. One effective non-pharmacological action is foot massage therapy which helps lower blood glucose levels by increasing peripheral blood circulation and providing a relaxing effect. The design of this study is a case study with an intervention carried out from June 22 to 25, 2026 in the internal medicine inpatient ward of Bhayangkara Mohamad Hasan Hospital Palembang. Therapy is given for 30 minutes every day for three consecutive days to three respondents. After the application of therapy, the results of blood glucose levels in Mrs. N were 214 mg/dl, Mrs. Rm was 220 mg/dl, and Mrs. Rl was 278 mg/dl. The application of Evidence-Based Practice (EBP) foot massage has been shown to provide comfort that contributes to blood glucose stability. This therapy is recommended as a non-pharmacological management reference for people with diabetes.
Penerapan Oral Hygiene Terhadap Pencegahan Ventilator-Associated Pneumonia (VAP) di Ruang ICU Santosa Hospital Bandung Kopo Wiwit Andriyani; Wahyuningsih Wahyuningsih; Maulidta Kurnianingtyas Wirawati
Garuda Pelamonia Jurnal Keperawatan Vol. 8 No. 2 (2026): Agustus : Garuda Pelamonia Jurnal Keperawatan
Publisher : Institut Kesehatan Pelamonia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.4425/garuda.v8i2.893

Abstract

Background: Ventilator-Associated Pneumonia (VAP) is one of the most common nosocomial infections among patients receiving mechanical ventilation in the Intensive Care Unit (ICU). Mechanical ventilation increases the risk of bacterial colonization in the oral cavity and upper respiratory tract, which may subsequently lead to VAP. Oral hygiene is recommended as part of the VAP prevention bundle to maintain oral cleanliness and reduce pathogenic bacterial colonization. Objective: To describe the implementation of oral hygiene for the prevention of VAP among patients receiving mechanical ventilation in the ICU of Santosa Hospital Bandung Kopo. Methods: This descriptive case study involved four patients receiving mechanical ventilation in the ICU of Santosa Hospital Bandung Kopo. Oral hygiene using 0.2% chlorhexidine was administered three times daily for two consecutive days according to the hospital's Standard Operating Procedure (SOP). Clinical Pulmonary Infection Score (CPIS) was measured before and after the intervention. Data were analyzed descriptively by comparing CPIS values before and after oral hygiene. Results: Baseline CPIS scores ranged from 3 to 5. Following the intervention, two patients demonstrated a reduction in CPIS scores, from 4 to 3 and from 5 to 2, while the remaining two patients showed no change in their CPIS scores. All patients maintained CPIS values below 6 before and after the intervention, and no increase in CPIS scores was observed during the observation period. Conclusion: Oral hygiene using 0.2% chlorhexidine, performed according to the hospital's SOP, contributed to maintaining patients' clinical condition and supported efforts to prevent VAP among mechanically ventilated patients.
Efektivitas Aromaterapi Lemon untuk Mengatasi Masalah Nyeri Akut pada Pasien Post Sectio Caesarea (SC) dengan Indikasi Makrosomia di RSD Gunung Jati Kota Cirebon Vika Aulia Pratiska; Titin Supriatin; Dyah Sriwigati; Yulia Wahyuni
Garuda Pelamonia Jurnal Keperawatan Vol. 8 No. 2 (2026): Agustus : Garuda Pelamonia Jurnal Keperawatan
Publisher : Institut Kesehatan Pelamonia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.4425/garuda.v8i2.894

Abstract

Latar Belakang: Operasi caesar (CS) adalah persalinan bedah yang prevalensinya terus meningkat, mencapai 21% secara global dan 25,9% di Indonesia pada tahun 2023. Di RSD Gunung Jati Cirebon, CS menyumbang 47,4% dari persalinan pada tahun 2017. Makrosomia, berat lahir di atas 4.000 gram, adalah salah satu indikasi yang terkait dengan trauma jaringan yang lebih luas dan nyeri pasca operasi yang lebih besar. Nyeri akut yang tidak diobati membatasi mobilisasi dini, mengganggu istirahat, dan memperlambat pemulihan, sehingga pendekatan non-farmakologis berdasarkan Praktik Keperawatan Berbasis Bukti (EBNP) diperlukan bersamaan dengan analgesik. Tujuan: Untuk menentukan perubahan tingkat nyeri akut setelah intervensi aromaterapi lemon pada pasien pasca operasi caesar dengan makrosomia. Metode: Makalah ilmiah ini disusun sebagai laporan perawatan keperawatan menggunakan EBNP, yang meliputi asesmen, diagnosis keperawatan, perencanaan intervensi, implementasi, dan evaluasi pada satu pasien berusia 40 tahun di bangsal pasca persalinan. Aromaterapi lemon dihirup melalui diffuser buluh selama 15 hingga 30 menit sekali sehari selama 3 hari berturut-turut, dikombinasikan dengan supositoria pronalges 2x100 mg dan ketorolac 3x30 mg. Intensitas nyeri diukur menggunakan Skala Peringkat Numerik sebelum dan sesudah setiap sesi. Hasil: Hasil menunjukkan penurunan skor nyeri dari 6 (kategori sedang) menjadi 2 (kategori ringan), dengan rata-rata 5,00 sebelum dan 3,67 setelah intervensi dan pengurangan yang konsisten sebesar 1 hingga 2 poin per sesi. Tanda-tanda vital tetap stabil dan pasien beristirahat lebih baik. Kesimpulan & Rekomendasi: Aromaterapi lemon merupakan intervensi komplementer yang efektif untuk mengurangi nyeri akut. Perawat disarankan untuk menerapkannya bersamaan dengan terapi farmakologis, dan pasien dapat mempraktikkannya secara mandiri.
Hubungan Indeks Massa Tubuh Prahamil dan Riwayat Obstetri dengan Kejadian Preeklamsia di Puskesmas Pujon Grazia Sidawati; Nila Widya Keswara
Garuda Pelamonia Jurnal Keperawatan Vol. 8 No. 1 (2026): Februari: Garuda Pelamonia Jurnal Keperawatan
Publisher : Institut Kesehatan Pelamonia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.4425/garuda.v8i1.919

Abstract

Preeclampsia is one of the leading causes of maternal morbidity and mortality, influenced by various factors, including pre-pregnancy body mass index (BMI) and obstetric history. This study aimed to analyze the association between pre-pregnancy body mass index and obstetric history with the incidence of preeclampsia at the Pujon Community Health Center. The study employed an observational analytical design with a cross-sectional approach. The study sample consisted of 30 pregnant women selected using total sampling. Data were obtained from medical records, maternal and child health (MCH) books, and data collection forms. Univariate analysis was used to describe the respondents’ characteristics, while the relationship between variables was analyzed using the Contingency Coefficient test with a significance level of 5%. The results showed that the majority of respondents were aged 20–35 years (70.0%) and had a normal BMI (40.0%), while 56.7% fell into the overweight and obese categories. Hypertension was found in 26.7% of the respondents. The analysis results showed no significant association between pre-pregnancy BMI and the incidence of hypertension as a manifestation of preeclampsia (p=0.332), although there was a weak positive trend (r=0.293). These findings indicate that pre-pregnancy BMI cannot yet be used as a sole predictor of preeclampsia in the study population. Further research with a larger sample size and consideration of other maternal risk factors is needed to obtain a more comprehensive understanding of these relationships as a basis for strengthening the early detection of preeclampsia in antenatal care.
Pengaruh Pemberian Jus Kurma terhadap Durasi Persalinan Kala I Fase Aktif pada Ibu Bersalin di Puskesmas Gunung Batu Besar Hairun Nisa; Nila Widya Keswara
Garuda Pelamonia Jurnal Keperawatan Vol. 8 No. 1 (2026): Februari: Garuda Pelamonia Jurnal Keperawatan
Publisher : Institut Kesehatan Pelamonia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.4425/garuda.v8i1.920

Abstract

Active labor in the first stage of childbirth is a phase that requires effective uterine contractions and adequate energy to ensure an optimal labor process. One non-pharmacological approach that can be used is the administration of date juice, as it contains simple carbohydrates and various nutrients that may support uterine contractions. This study aims to analyze the effect of date juice administration on the duration of active-phase first-stage labor among women giving birth at Gunung Batu Besar Public Health Center. The study employed a quasi-experimental design with a posttest-only control group design. The sample consisted of 36 women in labor, comprising 18 respondents in the intervention group and 18 in the control group, selected using purposive sampling. The intervention group received date juice during the active phase of the first stage of labor, while the control group received standard childbirth care. Data were analyzed using the Independent Samples T-Test after the normality assumption was met. The results showed that the mean labor duration in the intervention group was 157.56 ± 79.20 minutes, shorter than that in the control group at 208.61 ± 83.08 minutes. However, the difference was not statistically significant (p=0.068). Although not statistically significant, date juice administration showed a tendency to clinically shorten labor duration, indicating its potential as a safe and easily applicable complementary nutritional intervention. Further studies with larger sample sizes are needed to confirm the effectiveness of this intervention.
Efektivitas Kualitas Konseling Laktasi terhadap Keberhasilan Menyusui pada Ibu Postpartum di RSUD Dr H Andi Abdurrahman Noor Hairunnisa Hairunnisa; Nila Widya Keswara
Garuda Pelamonia Jurnal Keperawatan Vol. 8 No. 1 (2026): Februari: Garuda Pelamonia Jurnal Keperawatan
Publisher : Institut Kesehatan Pelamonia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.4425/garuda.v8i1.921

Abstract

Successful breastfeeding is a key indicator of improved maternal and infant health; however, it remains influenced by various factors, including the quality of lactation counseling provided by healthcare professionals. Lactation counseling is expected to enhance mothers’ knowledge, skills, and confidence in breastfeeding, thereby supporting successful breastfeeding. This study aims to analyze the effectiveness of the quality of lactation counseling on breastfeeding success among postpartum mothers at Dr. H. Andi Abdurrahman Noor Regional General Hospital. The study used a quantitative analytical design with a cross-sectional approach. The study sample consisted of 30 postpartum mothers selected using purposive sampling. The quality of lactation counseling was measured using a questionnaire, while breastfeeding success was assessed through an observation sheet based on breastfeeding technique, latch, milk ejection, and the type of infant feeding. Data analysis was performed using univariate and bivariate methods, employing the Contingency Coefficient test with a 95% confidence level. The results showed that the majority of respondents rated the quality of counseling as “fair” and “good” (43.3% each), while breastfeeding success reached 86.7%. Statistical analysis revealed no significant association between the quality of lactation counseling and breastfeeding success (p=0.170; r=0.325). These findings suggest that breastfeeding success in this study is likely influenced more by other factors, such as breastfeeding experience, parity, family support, and the mother-baby rooming-in system. Therefore, continuous efforts to improve the quality of lactation counseling are still necessary, taking into account the various factors that influence breastfeeding success.
Pengaruh Terapi Komplementer Aromaterapi Lavender Terhadap Kelancaran ASI Pada Ibu Menyusui Bayi Usia 0–6 Bulan Di Poskesdes Sari Makmur C3 Hana Novita; Nila Widya Keswara
Garuda Pelamonia Jurnal Keperawatan Vol. 8 No. 2 (2026): Agustus : Garuda Pelamonia Jurnal Keperawatan
Publisher : Institut Kesehatan Pelamonia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.4425/garuda.v8i2.922

Abstract

A sufficient supply of breast milk is a key factor in the success of exclusive breastfeeding for infants aged 0–6 months. Various factors, particularly the mother’s psychological state, can affect the milk ejection reflex; therefore, safe and easily implementable nonpharmacological interventions are needed. One complementary therapy with the potential to increase breast milk flow is lavender aromatherapy, which provides a relaxing effect and helps stimulate the release of the hormone oxytocin. This study aimed to analyze the effect of lavender aromatherapy as a complementary therapy on breast milk flow in mothers breastfeeding infants aged 0–6 months at the Sari Makmur C3 Village Health Post. The study employed a pre-experimental design with a one-group pretest–posttest design. The sample consisted of 40 breastfeeding mothers selected using total sampling. Data on breast milk flow were obtained by measuring breast milk volume before and after the intervention and were analyzed using a paired t-test after confirming normality. The results showed that the average breast milk volume increased from 51.77 ± 6.98 mL before the intervention to 84.15 ± 5.46 mL after the administration of lavender aromatherapy, with an average increase of 32.38 mL. Statistical analysis revealed a significant effect on the improvement in breast milk flow (p = 0.000). These findings suggest that lavender aromatherapy can serve as an effective, safe, and easily implemented complementary therapy to support successful breastfeeding and improve the quality of lactation services in primary health care facilities.
Hubungan Kepatuhan Konsumsi dan Pola Minum Tablet Tambah Darah dengan Kadar Hemoglobin pada Ibu Hamil Anemia Hanifiah Mahrifiana Putri; Nila Widya Keswara
Garuda Pelamonia Jurnal Keperawatan Vol. 8 No. 2 (2026): Agustus : Garuda Pelamonia Jurnal Keperawatan
Publisher : Institut Kesehatan Pelamonia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.4425/garuda.v8i2.923

Abstract

Anemia during pregnancy remains a public health issue that increases the risk of maternal and perinatal complications. One preventive measure is the administration of iron supplements; however, their effectiveness is influenced by adherence to the regimen and the correct dosing schedule. This study aims to analyze the relationship between adherence to the iron supplement regimen and dosing schedule and hemoglobin levels in pregnant women with anemia. The study employed a quantitative analytical design with a cross-sectional approach. The sample consisted of 40 anemic pregnant women selected using purposive sampling at the Imas Malarohani, S.Keb. Maternal and Child Health Clinic (TPMB). Data were collected via a questionnaire regarding compliance and intake patterns of iron supplements, while hemoglobin levels were measured using a digital hemoglobin meter. Analyses were conducted using univariate and bivariate methods, specifically the Spearman’s rank correlation test (Rho), as the data were not normally distributed. The results indicated a significant association between TTD consumption adherence and hemoglobin levels (p=0.000; r=0.539), demonstrating a positive correlation of moderate strength. It was concluded that adherence to iron supplement intake and the accuracy of the intake regimen play an important role in increasing hemoglobin levels in anemic pregnant women. Education, counseling, and monitoring of adherence to iron supplement intake need to be strengthened as part of evidence-based antenatal care.

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