cover
Article Per Year (5 Year)
All
Home Page
OAI Link
Editorial Team
Contact
Reviewer
Google Scholar
Contact Name
Ahmad Kholid Fauzi
Contact Email
geniusjournalmsn@gmail.com
Phone
+6285230664441
Journal Mail Official
geniusjournalmsn@gmail.com
Editorial Address
Jl. Bromo 181 Triwung Kidul Probolinggo – Indonesia 67224
Location
Kab. probolinggo,
Jawa timur
INDONESIA
Genius Journal of Medical Surgical Nursing
Published by Gerbang Ilmu Nusantara
ISSN : -     EISSN : 31250122     DOI : https://doi.org/10.66763/gjmsn
Core Subject :
Genius Journal of Medical Surgical Nursing (GJMSN) is an international, peer-reviewed, open-access journal dedicated to advancing clinical excellence in medical-surgical nursing. The journal provides a scholarly platform for the publication of high-quality original research, reviews, and clinical studies that strengthen evidence-based nursing practice within hospital and specialized health care settings. The journal focuses on medical-surgical nursing at the clinical level, emphasizing comprehensive adult patient care in acute, critical, perioperative, emergency, and palliative care environments. It highlights advanced clinical assessment, pathophysiology-based nursing interventions, symptom management, patient safety, clinical decision-making, and interdisciplinary collaboration. All submissions undergo a rigorous double-blind peer-review process in accordance with internationally recognized standards of publication ethics and transparent editorial governance.
Arjuna Subject : -
Articles 10 Documents
 1 
Assessing the Effectiveness of Slow Stroke Back Massage on Blood Pressure Regulation in Primary Hypertension Ari Bastian Wrestina
Genius Journal of Medical Surgical Nursing Vol. 1 No. 1 (2026): Genius Journal of Medical Surgical Nursing
Publisher : Genius Publishing (CV. Gerbang Ilmu Nusantara)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.66763/gjmsn.v1i1.12

Abstract

Introduction: Hypertension is a major global health issue contributing significantly to cardiovascular morbidity and mortality. In Indonesia, the increasing prevalence of hypertension highlights the need for effective, low-cost, non-pharmacological interventions, such as Slow Stroke Back Massage (SSBM), which may offer physiological and psychological benefits. Objectives: This study aimed to determine the effect of Slow Stroke Back Massage on reducing systolic and diastolic blood pressure among individuals with primary hypertension. Methods: A quasi-experimental study using a non-equivalent control group pretest-posttest design was conducted. Participants aged 40–70 years with primary hypertension were purposively selected and divided into intervention and control groups. The intervention group received SSBM once daily for three consecutive days, while the control group received standard care. Blood pressure measurements were recorded before and after intervention using calibrated digital sphygmomanometers. Data were analyzed using paired and independent t-tests. Results: The intervention group experienced a significant reduction in both systolic (from 150.2 ± 10.5 mmHg to 137.6 ± 9.8 mmHg) and diastolic (from 95.8 ± 6.2 mmHg to 87.3 ± 5.6 mmHg) blood pressure (p < 0.001). No statistically significant changes were observed in the control group. These results support the efficacy of SSBM as an adjunctive therapy in hypertension management. Conclusions: SSBM is an effective, low-cost, and non-invasive complementary intervention for lowering blood pressure in patients with primary hypertension. It can be integrated into nursing care practices, especially in primary healthcare settings, to enhance hypertension management outcomes.
Chemotherapy Experience and Self-Concept Transformation in Individuals Living with Cancer Ahmad Muhaimin
Genius Journal of Medical Surgical Nursing Vol. 1 No. 1 (2026): Genius Journal of Medical Surgical Nursing
Publisher : Genius Publishing (CV. Gerbang Ilmu Nusantara)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.66763/gjmsn.v1i1.13

Abstract

Introduction: Chemotherapy, while an effective cancer treatment, often brings significant side effects that can negatively impact patients' psychological well-being, including their self-concept. This issue is critical, as a disturbed self-concept may influence patients' overall health and their response to treatment. Objectives: This study aims to determine the relationship between the side effects of chemotherapy and self-concept disturbances in cancer patients. Methods: This research employed a descriptive correlational design using a cross-sectional approach. The population consisted of cancer patients undergoing chemotherapy in January 2016. Data collection used structured questionnaires measuring both the severity of chemotherapy side effects and the level of self-concept disturbance. The Chi-Square test was used for data analysis with a significance level of 5% (α = 0.05). Results: The majority of respondents (83%) experienced severe side effects of chemotherapy, and 67% of them showed negative disturbances in self-concept. The statistical test revealed a significant relationship between chemotherapy side effects and self-concept disturbance (p = 0.015), indicating that patients with more severe side effects tend to have more disturbed self-concepts. Conclusions: There is a significant relationship between the side effects of chemotherapy and self-concept disturbance among cancer patients. These findings highlight the importance of psychological support and counseling in cancer care to help patients maintain a positive self-concept during treatment.
Family Experiences in Critical Care: Stress and Coping Mechanisms in the Intensive Care Unit Sulistiyani Sulistiyani
Genius Journal of Medical Surgical Nursing Vol. 1 No. 1 (2026): Genius Journal of Medical Surgical Nursing
Publisher : Genius Publishing (CV. Gerbang Ilmu Nusantara)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.66763/gjmsn.v1i1.14

Abstract

Introduction: Families of critically ill patients often experience psychological stress due to the uncertainty and emotional burden of intensive care environments. Objectives: This study aimed to examine the relationship between stress levels and coping mechanisms among family members of patients admitted to the Intensive Care Unit (ICU). Methods: A quantitative analytic design with a cross-sectional approach was used, involving 30 respondents selected through quota sampling. Data were collected using structured questionnaires to measure stress levels and coping strategies, and analyzed using Spearman’s rho correlation. Results: The results showed that 60.0% of respondents experienced high levels of stress (Level IV), and 70.0% employed maladaptive coping mechanisms. A moderate positive correlation was found between stress and coping (r = 0.365, p = 0.024), indicating that higher stress levels were associated with an increased use of maladaptive strategies. Conclusions: The study concludes that family members of ICU patients are prone to psychological distress and often lack effective coping mechanisms, highlighting the need for family-centered interventions to support emotional resilience and adaptive coping.
Influence of Spiritual Guidance on Pre-Procedural Anxiety in Patients Undergoing Endoscopy Julhana Julhana
Genius Journal of Medical Surgical Nursing Vol. 1 No. 1 (2026): Genius Journal of Medical Surgical Nursing
Publisher : Genius Publishing (CV. Gerbang Ilmu Nusantara)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.66763/gjmsn.v1i1.15

Abstract

Introduction: Pre-procedural anxiety is a common psychological response among patients undergoing endoscopic examinations. This emotional state may negatively affect patient cooperation and procedural outcomes. Spiritual guidance is a non-pharmacological intervention that offers emotional and psychological comfort rooted in patients’ beliefs and values. Objectives: This study aimed to examine the effect of spiritual guidance on anxiety levels in patients prior to endoscopy. Methods: A quasi-experimental design with a time series approach was employed involving 20 adult patients. Participants received a spiritual guidance intervention consisting of structured sessions tailored to individual beliefs. Anxiety levels were measured before and after the intervention using a standardized scale. Data were analyzed using a paired t-test to determine statistical significance. Results: Prior to the intervention, 70% of patients had no family history of endoscopy and 75% had never received information about the procedure. The majority experienced moderate (45%) to severe (25%) anxiety. After spiritual guidance, anxiety levels decreased significantly, with 45% reporting no anxiety and another 45% reporting only mild anxiety. The mean anxiety score dropped from 2.90 to 1.65 (p = 0.000). Conclusions: Spiritual guidance was effective in reducing anxiety before endoscopic procedures. This finding supports the integration of spiritual care into holistic nursing practice, especially in culturally religious communities. Further research is needed to explore the long-term and broader clinical applications of this intervention.
Relationship Between Functional Limitations and Self-Concept Among Individuals with Stroke Yana Hendriana
Genius Journal of Medical Surgical Nursing Vol. 1 No. 1 (2026): Genius Journal of Medical Surgical Nursing
Publisher : Genius Publishing (CV. Gerbang Ilmu Nusantara)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.66763/gjmsn.v1i1.16

Abstract

Introduction: Stroke is a leading cause of disability worldwide, often resulting in impaired physical function and disrupted self-concept. Extremity weakness, as one of the most common sequelae of stroke, may significantly impact an individual's psychological adjustment. However, the relationship between functional dependency and self-concept remains underexplored in clinical practice. Objectives: This study aimed to investigate the association between functional status and self-concept in individuals recovering from stroke. Methods: A cross-sectional correlational design was employed involving 33 stroke patients selected through non-probability sampling. Functional status was assessed using the Barthel Index, while self-concept was measured with a validated self-concept questionnaire. Statistical analysis was performed using Spearman’s rank correlation test. Results: The majority of patients exhibited total dependency (69.7%) and negative self-concept (60.6%). A significant positive correlation was found between functional status and self-concept (r = 0.578, p = 0.046), indicating that higher functional independence was associated with more positive self-perception. Conclusions: Functional limitations in stroke patients are significantly associated with negative self-concept. These findings suggest the need for holistic rehabilitation strategies that integrate physical and psychological support to optimize recovery and quality of life.
Association Between Nurse Anesthetists’ Caring Behaviors and Preoperative Self-Efficacy Among Surgical Patients: A Cross-Sectional Study Wafirotul Khasanah; Anita Setyowati; Joko Murdiyanto
Genius Journal of Medical Surgical Nursing Vol. 1 No. 2 (2026): Advancing Perioperative Nursing: Patient Readiness, Safety, Recovery, and Innov
Publisher : Genius Publishing (CV. Gerbang Ilmu Nusantara)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.66763/gjmsn.v1i2.37

Abstract

Background:  Preoperative patients often experience fear, anxiety, and reduced confidence when facing anesthesia and surgical procedures. Nurse anesthetists’ caring behaviors may help patients feel safer, more supported, and more confident during the preoperative phase.Objectives: This study aimed to examine the association between nurse anesthetists’ caring behaviors and preoperative self-efficacy among surgical patients at RSUD Sleman, Indonesia.Methods: This study employed a quantitative correlational design with a cross-sectional approach. A total of 80 preoperative patients were selected using purposive sampling. Eligible participants were aged 18–55 years, had undergone pre-anesthesia assessment, were conscious and cooperative, and were scheduled for their first or second surgery. Nurse anesthetists’ caring behaviors were measured using a modified 24-item Caring Behaviors Inventory questionnaire, while preoperative self-efficacy was assessed using the Indonesian version of the General Self-Efficacy Scale. Data were analyzed using descriptive statistics and the Spearman rank correlation test, with statistical significance set at p < 0.05.Results: Most participants perceived nurse anesthetists’ caring behaviors as good (67.5%), and most had high preoperative self-efficacy (80.0%). The Spearman rank correlation test showed a significant positive association between nurse anesthetists’ caring behaviors and preoperative self-efficacy (p = 0.044; r = 0.226), indicating a weak positive correlation. Conclusions: Nurse anesthetists’ caring behaviors were significantly associated with preoperative self-efficacy among surgical patients. Strengthening caring-based communication, reassurance, and emotional support may contribute to patients’ confidence and psychological readiness before surgery.
Effectiveness of Deep Breathing Relaxation Technique in Reducing Postoperative Nausea and Vomiting Among Patients Receiving Spinal Anesthesia: A One-Group Pretest–Posttest Study Najwa Zajida Latifah; Joko Murdiyanto; Aisyah Nur Azizah
Genius Journal of Medical Surgical Nursing Vol. 1 No. 2 (2026): Advancing Perioperative Nursing: Patient Readiness, Safety, Recovery, and Innov
Publisher : Genius Publishing (CV. Gerbang Ilmu Nusantara)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.66763/gjmsn.v1i2.38

Abstract

Background: Postoperative nausea and vomiting (PONV) is a common complication after surgery, including among patients receiving spinal anesthesia. PONV may reduce patient comfort, delay recovery, and increase the need for additional postoperative management. Deep breathing relaxation is a simple nonpharmacological intervention that may help reduce nausea and vomiting by promoting relaxation and parasympathetic activity.Objectives: This study aimed to evaluate the effectiveness of deep breathing relaxation technique in reducing PONV among postoperative patients receiving spinal anesthesia.Methods: This study used a pre-experimental design with a one-group pretest–posttest approach. A total of 60 postoperative patients receiving spinal anesthesia were selected using purposive sampling. PONV severity was measured before and after the intervention using the Rhodes Index of Nausea, Vomiting, and Retching (RINVR). Data were analyzed using the Wilcoxon signed-rank test.Results: Before the intervention, most respondents experienced moderate PONV (56.7%) and severe PONV (40.0%). After deep breathing relaxation, most respondents experienced mild PONV (91.7%), while 8.3% experienced moderate PONV. The Wilcoxon test showed a significant reduction in PONV severity after the intervention (Z = -6.915; p < 0.001).Conclusions: Deep breathing relaxation was effective in reducing PONV among postoperative patients receiving spinal anesthesia. This technique may be used as a safe, simple, and feasible supportive intervention in postoperative care.
Association Between Preoperative Anxiety Level and Increased Blood Pressure and Pulse Rate Among Surgical Patients: A Cross-Sectional Study Annisha Dwi Pricillia Tabara; Joko Murdiyanto; Muhaji
Genius Journal of Medical Surgical Nursing Vol. 1 No. 2 (2026): Advancing Perioperative Nursing: Patient Readiness, Safety, Recovery, and Innov
Publisher : Genius Publishing (CV. Gerbang Ilmu Nusantara)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.66763/gjmsn.v1i2.39

Abstract

Background:  Preoperative anxiety is a common psychological response among surgical patients and may be accompanied by hemodynamic changes, including increased blood pressure and pulse rate. These changes may complicate preoperative preparation and affect perioperative stability.Objectives: This study aimed to examine the association between preoperative anxiety level and increased blood pressure and pulse rate among surgical patients.Methods:  A quantitative observational study with a cross-sectional design was conducted at PKU Muhammadiyah Yogyakarta Hospital, Indonesia. A total of 55 first-time surgical patients aged 17–59 years who were scheduled for elective surgery under general anaesthesia were selected using purposive sampling. Preoperative anxiety was assessed using the Indonesian version of the Amsterdam Preoperative Anxiety and Information Scale, while blood pressure and pulse rate were measured using a calibrated digital sphygmomanometer. Data were analysed using Spearman’s rank correlation test.Results:  Moderate anxiety was the most common category, reported by 25 participants (45.5%). Prehypertension was observed in 37 participants (67.3%), and tachycardia was identified in 36 participants (65.5%). Preoperative anxiety level was significantly and positively associated with blood pressure category (ρ = 0.654, p < 0.001) and pulse-rate category (ρ = 0.515, p < 0.001).  Conclusions: Higher preoperative anxiety levels were associated with higher blood pressure and pulse-rate categories among patients undergoing elective surgery. Routine anxiety screening alongside hemodynamic monitoring may support more comprehensive preoperative assessment and psychological preparation.
Association Between Nurse Anesthetist Therapeutic Communication and Psychological Readiness Among Preoperative Patients Receiving Spinal Anesthesia: A Cross-Sectional Study Muhammad Subhan Syawalani; Ellyda Septiani Pramita; Vita Purnamasari
Genius Journal of Medical Surgical Nursing Vol. 1 No. 2 (2026): Advancing Perioperative Nursing: Patient Readiness, Safety, Recovery, and Innov
Publisher : Genius Publishing (CV. Gerbang Ilmu Nusantara)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.66763/gjmsn.v1i2.40

Abstract

Background: Psychological readiness is essential for patients undergoing surgery with spinal anesthesia because they generally remain conscious during the procedure. Therapeutic communication provided by nurse anesthetists may reduce uncertainty, strengthen trust, and support patients’ cognitive and emotional preparation before surgery.Objectives: To examine the association between nurse anesthetists’ therapeutic communication and psychological readiness among preoperative patients receiving spinal anesthesia.Methods: A quantitative descriptive-correlational study with a cross-sectional design was conducted at the Central Surgical Installation of RS PKU Muhammadiyah Gombong, Indonesia. Seventy-five patients aged 18–65 years were selected using purposive sampling. Therapeutic communication was assessed using a modified 20-item Therapeutic Communication Scale, while psychological readiness was measured using a modified 20-item Preoperative Assessment of Readiness Tool. Descriptive statistics and Spearman’s rank correlation were used for data analysis.Results:   Most participants perceived nurse anesthetists’ therapeutic communication as good (66.7%), and 84.0% demonstrated high psychological readiness. Among participants who reported good therapeutic communication, 48 patients had high psychological readiness. Spearman’s rank correlation showed a statistically significant, strong, and positive association between therapeutic communication and psychological readiness (ρ = 0.681, p < 0.001).   Conclusions:  Better therapeutic communication was associated with higher psychological readiness among preoperative patients receiving spinal anesthesia. Structured communication involving clear information, active listening, empathy, reassurance, and confirmation of understanding should be integrated into routine preoperative anesthesia care.
Effectiveness of Animated Splinting Video Media in Improving Clinical Self-Confidence Among Nurse Anesthesiology Students: A Quasi-Experimental Study Ahmad Syawlan Alfajri; Ellyda Septiani Pramita; Astika Nur Rohmah
Genius Journal of Medical Surgical Nursing Vol. 1 No. 2 (2026): Advancing Perioperative Nursing: Patient Readiness, Safety, Recovery, and Innov
Publisher : Genius Publishing (CV. Gerbang Ilmu Nusantara)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.66763/gjmsn.v1i2.41

Abstract

Background: Clinical self-confidence is essential for nurse anesthesia students when performing emergency procedures such as splinting and bandaging. Animated videos may improve procedural understanding and psychological readiness by providing clear, standardized, and repeatable visual demonstrations.Objectives: To evaluate the effectiveness of an animated splinting video in improving clinical self-confidence among nurse anesthesia students.Methods:  This quasi-experimental study used a pretest–posttest control-group design involving 70 undergraduate nurse anesthesia students at Universitas ‘Aisyiyah Yogyakarta, Indonesia. Participants were assigned to an intervention group (n = 35) and a control group (n = 35). The intervention group viewed an animated video presenting the purposes, principles, indications, safety considerations, and procedural steps of splinting and bandaging, whereas the control group received no intervention. Clinical self-confidence was measured using a validated 20-item questionnaire. Data were analyzed using the Wilcoxon signed-rank test and Mann–Whitney U test.Results:  Before the intervention, 68.6% of students in the intervention group and 85.7% in the control group had low clinical self-confidence. After the intervention, 62.9% of students in the intervention group had very high confidence and 37.1% had high confidence. The intervention group demonstrated a significant pretest–posttest improvement (p < 0.001), whereas no significant change occurred in the control group (p = 0.482). Posttest confidence was significantly higher in the intervention group than in the control group, with mean ranks of 52.91 and 18.09, respectively (Z = −7.168, p < 0.001).Conclusions: The animated splinting video effectively improved clinical self-confidence among nurse anesthesia students. It may be used as a supplementary learning resource before simulation, laboratory practice, and supervised clinical training.

Page 1 of 1 | Total Record : 10

 1 

Filter by Year

2026 2026


Reset
Filter By Issues
All Issue Vol. 1 No. 2 (2026): Advancing Perioperative Nursing: Patient Readiness, Safety, Recovery, and Innov Vol. 1 No. 1 (2026): Genius Journal of Medical Surgical Nursing