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JURNAL KEPERAWATAN MERSI
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Articles 87 Documents
Perawatan Kateter Urine Dengan Chlorhexidine Gluconate 5% dalam Mencegah Infeksi Saluran Kemih Muhamad Nor Mudhofar; Heru Purnomo; Mu'awanah Mu'awanah
JURNAL KEPERAWATAN MERSI Vol 13, No 1 (2024): April
Publisher : Prodi Keperawatan Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkm.v13i1.10389

Abstract

Background: Urinary tract infections that occur in hospitals are mostly caused by the installation of indwelling urinary catheters. Indwelling urinary catheter care is one way to prevent catheter-related urinary tract infections. Objective: This study aims to determine the effect of indwelling urinary catheter treatment using 5% chlorhexidine gluconate on urinary tract infections in the Blora Hospital. Methods: This research uses a quasi-experimental posttest-only design. The sampling technique was purposive sampling, 12 subjects were recruited. The independent variable is indwelling urinary catheter care, and the dependent variable is urinary tract infection. Data were collected using colony counts and bacterial types on the fourth day. Data were analyzed by using the Mann Whitney test. Results: The results of the study showed that there was no difference in the incidence of urinary tract infections between patients in the treatment group who received indwelling urinary catheter treatment using chlorhexidine gluconate 5% and patients in the control group who received standard catheter treatment (p=0.138). Conclusion: Perineal care agents do not affect the incidence of catheter-related urinary tract infections. Further research should involve a larger number of respondents and consider respondent characteristics such as antibiotic use, diabetes mellitus, and urine production to obtain more accurate results.
Perbedaan Efektifitas Pemberian Jus Belimbing Wuluh dan Jus Mentimun terhadap Tekanan Darah Lansia Penderita Hipertensi Rahayu, Siti Suci; Martyastuti, Nonik Eka; Vianti, Remilda Armika; Sulistyowati, Dina Indrati Dyah
JURNAL KEPERAWATAN MERSI Vol 13, No 2 (2024): Oktober
Publisher : Prodi Keperawatan Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkm.v13i2.12278

Abstract

Background: The most common diseases experienced by the elderly are Diabetes Mellitus and Hypertension. One of the non-pharmacological treatments for hypertension is by consuming starfruit juice and cucumber juice. Starfruit and cucumber both contain potassium and are diuretics that can lower blood pressure. Objective: This study aims to determine the difference in the effectiveness of giving star fruit juice and cucumber juice on blood pressure in elderly patients with hypertension. Methods: This study used a quasi-experiment method with a pretest and posttest control group design. This design involves 2 groups (two groups) with a sample of 32 people (16-star fruit juice and 16 cucumber juice group). Star fruit juice and cucumber juice were drunk in the morning before meals for 7 consecutive days with a dose of 100 grams of star fruit and 200 ml of water, 200 grams of cucumber, and 150 ml of water. Results: The results showed that a beverage of cucumber juice lowers significantly systolic blood pressure (p=0.000) and diastolic blood pressure compared with a beverage of star fruit juice (p=0.000). Conclusion: Giving a combination of star fruit juice and cucumber juice for 7 days at a dose of 100 grams of star fruit and 200 ml of water, 200 grams of cucumber, and 150 ml of water is more effective in reducing blood pressure compared to giving only cucumber juice.
Pengaruh Media Video Edukasi terhadap Tingkat Pengetahuan Ibu tentang Penanganan Kejang Demam Pratiwi, Ratih Nadhira; Susmarini, Dian; Purnamasari, Meivita Dewi; Purwandari, Haryatiningsih; Fitriyani, Aris
JURNAL KEPERAWATAN MERSI Vol 13, No 2 (2024): Oktober
Publisher : Prodi Keperawatan Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkm.v13i2.12279

Abstract

Background: Handling febrile seizures in toddlers that we often encounter such as putting a spoon into the mouth can cause airway obstruction and lead to difficulty breathing. This can harm the child and make the febrile seizures worse. The efforts were made to improve the mother’s knowledge about handling febrile seizures by using animated educational videos. The attractive animated video helps to understand the materials and increases the mother’s knowledge. Handling febrile seizures in toddlers that we often encounter such as putting a spoon into the mouth can cause airway obstruction and lead to difficulty breathing. This can harm the child and make the febrile seizures worse. The efforts were made to improve the mother’s knowledge about handling febrile seizures by using animated educational videos. The attractive animated video helps to understand the materials and increase the mother’s knowledge. Objective: The purpose of giving education was to analyze the effect of educational videos on the level of mother’s knowledge in handling febrile seizures. Methods: The type of study was a quasi-experimental pretest-posttest control group design. The samples were collected by simple random sampling and both groups were 44 respondents. The instrument is a Knowledge Questionnaire. about the characteristics of respondents and their knowledge about febrile seizures. Data analysis used paired sample t-test dan independent t-test. Results: The result showed that education with video significantly improves the knowledge of mothers on handling febrile seizures (p=0.000). Conclusion: The education video presented to the respondents improved the level of mother’s knowledge in handling febrile seizures
Hubungan Komunikasi Terapeutik Perawat dengan Kepuasan Pasien Stroke Non Haemorragic di Klinik Neurobehavior RSUD Prof. Dr. Margono Soekarjo Purwokerto Susanti, Pricilia; Yulistiani, Mustiyah
JURNAL KEPERAWATAN MERSI Vol 13, No 2 (2024): Oktober
Publisher : Prodi Keperawatan Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkm.v13i2.12284

Abstract

Background: Hospitals are places where people seek medical assistance for their health problems. In practice, there are often irregularities and complaints in service delivery that reflect patient dissatisfaction with the services provided. Increasing patient satisfaction requires effective communication to explain each stage of care. Objective: To determine the relationship between nurses' therapeutic communication and patient satisfaction in non-haemorrhagic stroke patients at the Neurology. Methods: The study was a correlational design. The study was conducted at the Neurology Clinic of Prof. Dr. Ir. Prof. Hospital. The samples consisted of 64 respondents who were selected through purposive sampling. Univariate analysis was performed using a frequency distribution test, while bivariate analysis used a chi-square test and Spearman rank correlation test. Results: The results showed there was a positive relationship between nurse-therapeutic communication and patient satisfaction in non-haemorrhagic stroke patients (p=0.000). Conclusion: This study found a significant relationship between nurses' therapeutic communication and patient satisfaction in non-haemorrhagic stroke patients To increase patient satisfaction, nurses are expected to improve therapeutic communication in their services.
Gambaran Kepatuhan Diet dan Gula Darah Puasa pada Pasien Diabetes Tipe II Wulandari, Novita Kurnia; Mardiyono, Mardiyono; Rahayu, Umi Margi
JURNAL KEPERAWATAN MERSI Vol 13, No 2 (2024): Oktober
Publisher : Prodi Keperawatan Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkm.v13i2.12277

Abstract

Background: Type 2 diabetes mellitus is a metabolic disorder in which the body does not produce enough insulin or the glucose level in the blood exceeds the normal limit, which is 130 mg/dL for fasting blood sugar levels. There are 4 pillars of management of type 2 diabetes mellitus, including nutrient therapy and pharmacology. Diabetic patients can apply nutrient therapy by adjusting the diet with the 3J principles (amount, schedule, and type). Pharmacological therapy can be carried out by routinely taking antidiabetic drugs according to the recommended dosage. Objective: The aim of the study was to describe dietary compliance and fasting blood sugar levels in people with Type 2 Diabetes Mellitus. Method: This type of research is a quantitative pre-experimental study with one group pre-test-post-test design, with 34 using a purposive sampling method. The instrument in this study used MMAS-8. Result: The results of the univariate analysis showed that most of the research respondents were women (55.9%) with an age range of 61-70 years (64.7%), last education level was high school (47.1%), privately owned employees (55.9%), and duration of suffering from DM 5 years (100%). Conclusion: A significant relationship exists between diet adherence and fasting blood sugar levels in patients with type 2 diabetes mellitus. Conclusion: Based on this research, it is expected that people with type 2 diabetes mellitus can apply a good diet pattern and regularly consume anti-diabetic drugs according to the recommendations of health workers.
Perbedaan Kepatuhan Anak Autis antara Applied Behavior Analysis (ABA) dan Aromaterapi Lavender Hapsari, Eti Dwi; Nani, Desiyani; Fitriyani, Aris
JURNAL KEPERAWATAN MERSI Vol 13, No 2 (2024): Oktober
Publisher : Prodi Keperawatan Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkm.v13i2.11697

Abstract

Background: Autism is a developmental disorder that cannot be cured but its symptoms can be reduced with therapy. One therapy for autistic children is ABA behavioral therapy. The success of ABA behavioral therapy is greatly influenced by the level of compliance of autistic children. Disobedience in autistic children is influenced by the anxiety that occurs, this is because autistic children who are used to living in their world must carry out tasks in the ABA method of behavioral therapy. Lavender aromatherapy has been widely used to reduce anxiety. Lavender aromatherapy is expected to reduce anxiety levels thereby increasing compliance scores in autistic children. Objective: To determine the difference in compliance scores of autistic children when undergoing ABA behavioral therapy without and with lavender aromatherapy. Methods: The research was a post-test control group design. The sample consisted of 12 autistic children recruited using a purposive sampling method. The intervention is the ABA therapy with lavender aromatherapy made of 20 drops in 100 ml. The data were analyzed using the Wilcoxon difference test Results: The average compliance score for autistic children without aromatherapy was 34.54 ± 17.02, while the average compliance score for autistic children with aromatherapy was 46.76 ± 18.98 (z= 0.013, p= 0.05). The ABA with lavender aromatherapy effectively improves the compliance of autistic children. Conclusion: There was a significant difference between the compliance scores of autistic children when ABA behavioral therapy was carried out without and with lavender aromatherapy.
Hubungan Aktivitas Fisik dengan Status Kesehatan Hipertensi pada Lanjut Usia Budiono, Budiono; Hartati, Hartati; Handoyo, Handoyo; Saraswati, Rina
JURNAL KEPERAWATAN MERSI Vol 14, No 1 (2025): April
Publisher : Prodi Keperawatan Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkm.v14i1.12821

Abstract

Background: Diseases or health disorders in old age are generally chronic and degenerative, such as hypertension. Hypertension is greatly influenced by many factors. One of the factors that influences the occurrence of hypertension is physical activity. Regular exercise can stimulate the release of endorphins, which cause euphoria and muscle relaxation effects, so that blood pressure does not increase. Objective: This research aims to identify the relationship between physical activity and hypertension health status in the elderly in Ngabean Village, Mirit District, Kebumen Regency. Method: This study uses a descriptive analytical method with a cross-sectional approach. The sample consisted of 54 elderly residents who were taken purposively. The data were analyzed descriptively and correlatively using Chi Square. Results: Based on the research conducted, it was found that most respondents (50.0%) in Ngabean Village, Mirit District, Kebumen Regency were in the moderate physical activity category. Most respondents (57.4%) in Ngabean Village, Mirit District, Kebumen Regency had normal blood pressure. Conclusion: There is a positive relationship between physical activity and hypertension health status in the elderly in Ngabean Village, Mirit District, Kebumen Regency (p =0.013).
Hubungan antara Status Gizi dan Prestasi Belajar Siswa Rostikawaty, Intan Dwi; Hartati, Hartati; Triana, Noor Yunida
JURNAL KEPERAWATAN MERSI Vol 14, No 1 (2025): April
Publisher : Prodi Keperawatan Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkm.v14i1.11553

Abstract

Background: Nutrition is one of the main determining factors in the quality of human resources. Good nutritional status will influence the growth and development process of children, which can improve intellectual abilities, which will have an impact on learning achievement at school. Objective: This research aims to determine the relationship between nutritional status and learning achievement of class VI students at SD Negeri Mandala 03, Cimanggu District, Cilacap Regency. Method: This research is a correlational and analytical design. The sampling technique was a total sampling of 34 respondents. Data analysis used the Spearman Rank test. Results: The findings show no relationship between nutritional status and the learning achievement of class VI students at SD Negeri Mandala 03, Cimanggu District, Cilacap Regency (p=0.712). Student learning achievement is not only influenced by nutritional status, but also they can be influenced by other factors, such as interest and motivation, environment, social media, ease of access to information, and genetic factors. Conclusion: Student learning achievement is not only influenced by nutritional status.
Perbedaan Mekanisme Koping Penderita Diabetes Mellitus dengan Ulkus dan Tanpa Ulkus Diabetikum Rahmawati, Desta Opchera Dina; Isworo, Atyanti; Sari, Yunita
JURNAL KEPERAWATAN MERSI Vol 14, No 1 (2025): April
Publisher : Prodi Keperawatan Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkm.v14i1.12858

Abstract

Background: Diabetes mellitus is a long-term disease that causes alterations in lifestyle, influences physical, psychological health, and causes many complications, including diabetic ulcers. The alteration of life in diabetic patients that was caused by diabetes mellitus, or diabetic ulcer, could be a stressor for patients. The coping mechanism was formed as an adaptation to that stressor. Coping mechanisms in patients could be problem-focused coping and emotion-focused coping. Objective: This research aimed to determine the differences in coping mechanisms between diabetic patients with and without diabetic ulcers at RSUD Margono Soekarjo Purwokerto. Methods: This research was a comparative research design. The sampling technique was purposive sampling. There were 49 respondents, 18 patients with diabetic ulcers and 31 patients without diabetic ulcers. Data was collected using the COAP questionnaire and analyzed using the Chi-square test. Results: There was no difference in coping mechanisms between diabetic patients with and without diabetic ulcers (p=0.443). Emotion-focused coping was the most used coping mechanism among subjects with and without diabetic ulcers, and the coping mechanism of diabetic patients with and without ulcers was not different. The most important aspects of emotion-focused coping in respondents with and without diabetic ulcers were oriented to religion, which caused positive emotion and mental endurance to face the problem. Conclusion: Coping mechanisms between diabetic patients with and without diabetic ulcers were commonly performed emotion-focused coping.
Hubungan Pengetahuan dan Karakteristik Perawat dengan Kepatuhan Pelaksanaan Standar Operasional Prosedur Perawatan Luka Nitinegari, Martha Megawati; Negoro, M. Syamsul Arif Setyo; Supriyadi, Supriyadi; Supadi, Supadi; Fitriyani, Aris
JURNAL KEPERAWATAN MERSI Vol 14, No 1 (2025): April
Publisher : Prodi Keperawatan Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkm.v14i1.12282

Abstract

Background: Wound care is one of the techniques that nurses must master. The main principle in wound care management is infection control because infection inhibits the wound healing process, causing morbidity and mortality rates to increase. In carrying out wound care, nurses need to maintain the safety of patients and themselves with applicable Standard Operating Procedures (SOPs). Nurse compliance in implementing standard operating procedures is one measure of the success of wound care services. Objective: To know the relationship between the level of knowledge and compliance in the implementation of wound care according to SOP. Methods: The study was a correlational design and was conducted at RSUD K.R.M.T Wongsonegoro Semarang. The samples were 51 subjects collected by purposive sampling technique for surgical ward nurses. The data were analyzed by Spearman rank. Results: The results state that there is a relationship between the level of knowledge and the compliance of wound care SOP (p=0.000), gender and the compliance of wound care SOP (p=0.000), age and the compliance of wound care SOP (p=0.000), education and the compliance of wound care SOP (p=0.000), working length and the compliance of wound care SOP (p=0.000), and training and the compliance of wound care SOP (p=0.000). Conclusion: There is a relationship between the knowledge and characteristics of nurses (gender, age, level of education, length of work, and training) and compliance with the implementation of wound care according to SOPs.