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INDONESIA
JURNAL KEPERAWATAN MERSI
Published by Poltekkes Kemenkes Semarang
ISSN : 19797753     EISSN : 27466000     DOI : -
Core Subject :
Arjuna Subject : -
Articles 92 Documents
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Efektivitas Aplikasi Mobile Terintegrasi Internet of Things dalam Edukasi dan Pemantauan Mandiri Pasien Ginjal Kronis Madyo Maryoto; Sugeng Riyadi; Mardiyono Mardiyono
JURNAL KEPERAWATAN MERSI Vol 15 No 1 (2026): April
Publisher : Prodi Keperawatan Purwokerto, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkm.v15i1.14823

Abstract

Background: Chronic kidney disease (CKD) is a global health problem with a prevalence of approximately 10–15% of the adult population and often goes undetected until advanced stages. Management of this disease requires long-term monitoring and active patient involvement in self-management. Advances in digital health technologies such as mobile applications and the Internet of Things (IoT) offer innovative approaches to improve health education and real-time patient monitoring. Objective: To analyze the effectiveness of using an IoT-integrated mobile application in improving clinical outcomes and self-management adherence in CKD patients. Methods: The study used a quasi-experimental design with a two-group approach (intervention and control). A sample of 240 patients with CKD stages 1–5 was selected using a purposive sampling technique. The intervention group used a mobile application integrated with IoT devices such as blood pressure monitors (smart blood pressure monitor) and digital scales (smart body weight scale), while the control group received conventional care. Data analysis used independent t-tests and chi-square tests with a significance level of p<0.05. Results: The results showed that the intervention group experienced significant improvements in clinical parameters compared to the control group. Therapy adherence increased from 64% to 88% in the intervention group (p<0.001). Furthermore, patients quality of life also improved significantly. Conclusion: The use of an IoT-integrated mobile application has proven effective in improving self-monitoring, therapy adherence, and clinical parameters in CKD patients. Integrating digital technology into nursing practice can be an innovative strategy to improve the quality of care for patients with chronic diseases.
The Effect of Cylindrical Grip Exercise on Increasing Upper Extremity Muscle Strength in Non-Hemorrhagic Stroke Novita Kurnia Wulandari; Maria Wisnu Kanita; Mutiah Nur Khasanah
JURNAL KEPERAWATAN MERSI Vol 15 No 1 (2026): April
Publisher : Prodi Keperawatan Purwokerto, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkm.v15i1.14835

Abstract

Background: Non-hemorrhagic stroke is the most common type of stroke and can cause disability due to muscle weakness in the extremities, especially the upper extremities. One effort to prevent disability is to provide maintenance interventions in the form of physical exercises such as Range of Motion (ROM) and cylindrical grip exercises to increase muscle strength. Objective: This study aims to determine the effectiveness of cylindrical grip exercises on increasing upper extremity muscle strength in non-hemorrhagic stroke patients. Methods: This study used This study used a quantitative quasi-experimental design with a pre-test post-test with control design. The sample of this study was 44 respondents who were randomly divided into two groups.  Results: The results of the Wilcoxon test analysis showed that the 22 respondents who received the functional cylindrical grip exercise intervention had an effect on increasing upper extremity muscle strength in nonhemorrhagic stroke patients with a p-value of 0.001, it shows 7 respondents (31.8%) experienced an increase in muscle strength, reaching a score of 4 and 5 in 3 respondents (13.6%). Conclusion: This study shows that functional cylindrical grip exercises for 10 minutes a day for 3 days have an effect on increasing upper extremity muscle strength in non-hemorrhagic stroke patients.

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