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<![CDATA[The Effect of Pursed Lip Breathing and Orthopneic Position on Increasing Peak Expiration Flow in Chronic Obstructive Pulmonary Disease Patients at Kartini Karanganyar Hospital ]]>
<![CDATA[Nava Hanantari]]>;
<![CDATA[Novita Kurnia Wulandari]]>;
<![CDATA[Maria Wisnu Kanita]]>
<![CDATA[ JURNAL KEPERAWATAN MERSI Vol. 14 No. 2 (2025): Oktober ]]>
Publisher : <![CDATA[Prodi Keperawatan Purwokerto ]]>
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DOI: 10.31983/jkm.v14i2.13886
<![CDATA[Background: Chronic Obstructive Pulmonary Disease (COPD) is a condition characterized by chronic respiratory symptoms, including shortness of breath and cough, decreased Peak Expiratory Flow (PEF), caused by airway obstruction. Interventions such as Pursed Lip Breathing and orthopnea positioning can potentially improve PEF in COPD patients. Objective: This study aims to analyze the effect of Pursed Lip Breathing and orthopnea position on increasing PEF in COPD patients at Kartini Karanganyar Hospital. Method: This study used a quasi-experimental design with a pretest-posttest approach. The sample consisted of 64 COPD patients who were divided into two groups: the intervention group who received Pursed Lip Breathing and orthopnea position every morning for 5 minutes for 3 days, and the control group who only received the intervention according to hospital standards. PEF measurements were taken before and after the intervention using a Peak Flow Meter. Results: The results showed that the combination of the two interventions had a significant effect on increasing the patient's PEF indicating an improvement in respiratory function (p=0.00). Conclusion: Pursed Lip Breathing and orthopnea positioning are effective in improving PEF in COPD patients, so it can be recommended as part of respiratory care.]]>
<![CDATA[Gambaran Quality of Life Peserta Prolanis di Puskesmas Kutawis Purbalingga ]]>
<![CDATA[Mu'thiya Hasymah]]>;
<![CDATA[Madyo Maryoto]]>;
<![CDATA[Ita Apriliyani]]>
<![CDATA[ JURNAL KEPERAWATAN MERSI Vol. 14 No. 2 (2025): Oktober ]]>
Publisher : <![CDATA[Prodi Keperawatan Purwokerto ]]>
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DOI: 10.31983/jkm.v14i2.13925
<![CDATA[Background: The increasing number of elderly in Indonesia has an impact on the increasing prevalence of chronic diseases, especially hypertension and diabetes mellitus, which has implications for reducing Quality of Life. The Chronic Disease Management Program (Prolanis) organized by BPJS Kesehatan aims to maintain the health condition of participants to avoid complications and improve Quality of Life. Objective: This study aims to determine the description of Quality of Life of Prolanis participants at the Kutawis Community Health Center, Purbalingga. Method: This study used a quantitative descriptive design with a cross-sectional approach. The research sample was 49 respondents from 93 Prolanis participants selected using an accidental sampling technique. The research instrument used the WHOQOL-BREF questionnaire that assesses quality of life in four domains, namely physical, psychological, social, and environmental. Results: The results showed that the quality of life of Prolanis participants was generally in the moderate category (49%). Based on the domain, most respondents had a moderate quality of life category, namely physical (75.5%), psychological (85.7%), social (71.4%), and environmental (83.7%). Conclusion: It can be concluded that the quality of life of Prolanis participants at the Kutawis Community Health Center in Purbalingga is mostly in the moderate category across all four domains. Therefore, although Prolanis plays a role in maintaining quality of life, further intervention and evaluation are needed to improve participants' quality of life to the high category.]]>
<![CDATA[Perawatan Kateter Urine Dengan Chlorhexidine Gluconate 5% dalam Mencegah Infeksi Saluran Kemih ]]>
<![CDATA[Mudhofar, Muhamad Nor]]>;
<![CDATA[Purnomo, Heru]]>;
<![CDATA[Mu'awanah, Mu'awanah]]>
<![CDATA[ JURNAL KEPERAWATAN MERSI Vol. 13 No. 1 (2024): April ]]>
Publisher : <![CDATA[Prodi Keperawatan Purwokerto ]]>
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DOI: 10.31983/jkm.v13i1.10389
<![CDATA[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.]]>
<![CDATA[Tingkat Kecemasan Keluarga Pasien yang Dirawat di Ruangan ICU Rumah Sakit Santa Elisabeth Medan ]]>
<![CDATA[Siringoringo, Eny Elfrida]]>;
<![CDATA[Sigalingging, Vina Yolanda]]>
<![CDATA[ JURNAL KEPERAWATAN MERSI Vol. 12 No. 2 (2023): Oktober ]]>
Publisher : <![CDATA[Prodi Keperawatan Purwokerto ]]>
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DOI: 10.31983/jkm.v12i2.10391
<![CDATA[Background: While the patient is being treated in the ICU, the patient's family experiences difficulties in helplessness, temporary separation from the family, feelings of grief, feelings of hopelessness, resting and sleeping, and various emotions that can arise as reactions in each person. Objective: This study aims to determine the level of anxiety of the families of patients treated in the ICU at Santa Elisabeth Hospital, Medan. Methods: The type of research design used is quantitative with a descriptive design with a sample size of 32 people. The sampling technique used was total sampling. The research was conducted January-February 2023. The Zung Self-Rating Anxiety Scale (ZSAS) questionnaire was used to measure anxiety levels. Results: The results showed that the majority of respondents had a severe level of anxiety, namely 29 people (90.60%) and 2 people (6,30%) was panic. Conclusion: The results of this study showed that the majority showed severe anxiety. Researchers recommend that families always have positive thoughts by increasing spirituality and improving coping so that the anxiety experienced can be reduced.]]>
<![CDATA[Gambaran Pengetahuan Ibu Tentang Manajemen Laktasi di Rumah Sakit Santa Elisabeth Medan ]]>
<![CDATA[Nadeak, Lilia Twin]]>;
<![CDATA[Br. Barus, Mardiati]]>;
<![CDATA[Br. Ginting, Friska]]>
<![CDATA[ JURNAL KEPERAWATAN MERSI Vol. 12 No. 2 (2023): Oktober ]]>
Publisher : <![CDATA[Prodi Keperawatan Purwokerto ]]>
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DOI: 10.31983/jkm.v12i2.10394
<![CDATA[Background: Lactation management is an effort made to help mothers achieve success in breastfeeding so that babies can be breastfed properly and correctly, especially exclusive breastfeeding. Lactation management begins during pregnancy (antenatal), after delivery (perinatal) and during breastfeeding until the child is two years old. Implementation of breastfeeding can be done properly and correctly if there is complete information about the benefits of breastfeeding and lactation management. Exclusive breastfeeding is inhibited by several things such as breastfeeding behavior that is less supportive about lactation management, awareness of the importance of breastfeeding. If lactation management is not carried out, it will have an impact on reducing breastfeeding so that it will have an impact on increasing rates of malnutrition and undernutrition which are at risk of increasing infant morbidity and mortality. Objective: This research aims to determine the factors that influence exclusive breastfeeding. Methods: This research design is descriptive analytic, which aims to describe (describe) important events that occur in the present. Event descriptions are carried out systematically and emphasize factual data rather than conclusions (Nursalam, 2014). Results: Based on the results of research conducted on "Description of Mother's Knowledge About Lactation Management at Santa Elisabeth Hospital Medan" it was concluded that the level of knowledge of the respondents was sufficient, namely as many as 17 respondents (56.6%). This is influenced by the age, education, occupation of the respondent and the lack of information about the mother regarding lactation management. For this reason, it is hoped that pregnant women and breastfeeding mothers can increase their knowledge about pregnancy and successful breastfeeding both from health books and from health workers. Conclusion: The results of this research concluded that 9 people (30%) had good knowledge, 17 people (57%) had sufficient knowledge, while 4 people had insufficient knowledge (13%).]]>
<![CDATA[Hubungan Antara Dukungan Sosial dengan Tingkat Kecemasan pada Pasien Kanker Payudara ]]>
<![CDATA[Nurhidayah, Dwi]]>;
<![CDATA[Mulidah, Siti]]>;
<![CDATA[Purnomo, S.Eko Ch.]]>;
<![CDATA[Sudiarto, Sudiarto]]>
<![CDATA[ JURNAL KEPERAWATAN MERSI Vol. 13 No. 1 (2024): April ]]>
Publisher : <![CDATA[Prodi Keperawatan Purwokerto ]]>
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DOI: 10.31983/jkm.v13i1.10564
<![CDATA[Background: Breast cancer is the most common cancer experienced by women. In Indonesia, there are 68,858 cases of breast cancer with 30.9% of them in Central Java. The impact on the bio-psychosocio-spiritual aspects of breast cancer patients is anxiety. One effort to reduce anxiety levels in patients is to provide social support. Objective: To determine the relationship between social support and the anxiety level of breast cancer patients. Methods: The research design used is descriptive quantitative with correlational methods and cross-sectional approaches. A total of 60 respondents were selected using the consecutive sampling technique. The Medical Outcomes Study Questionnaire: Social Support Survey (MOS: SSS) was used to measure social support and the State-Trait Anxiety Inventory (STAI) to measure anxiety levels. Data analysis used Spearman's rank test. Results: There are 54 respondents of 60 respondents who have received social support in the high category, while the level of anxiety they experience tends to be in the low category (65.3%). The results of Spearman's Rank analysis showed a social relationship with anxiety (p-value = 0.021, rcount = 0.298) which means that the higher social support received, the lower the level of anxiety experienced by breast cancer patients. Conclusion: There is a negative correlation between social support and anxiety levels in breast cancer patients. The higher the social support the patient gets, the lower the level of anxiety in breast cancer patients. ]]>
<![CDATA[Hubungan Dukungan Sosial Perawat dengan Mekanisme Koping Keluarga Pasien di Rumah Sakit Santa Elisabeth Medan ]]>
<![CDATA[Derang, Imelda]]>;
<![CDATA[Saragih, Helinida]]>;
<![CDATA[Br. Sinulingga, Chindy Kalista]]>
<![CDATA[ JURNAL KEPERAWATAN MERSI Vol. 12 No. 2 (2023): Oktober ]]>
Publisher : <![CDATA[Prodi Keperawatan Purwokerto ]]>
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DOI: 10.31983/jkm.v12i2.10568
<![CDATA[Background: Nurses provide social support to the patient's family in the intensive care unit in the form of emotional and informational support through communication about developments in the condition of family members. Good social support will form coping mechanisms so that each individual was able to adapt to the situation they were experiencing and can help the process. Social support also makes a person feel cared for, respected, and loved. It was utilized to give care and healing for sick family members. Objective: The aim of this study was to investigate the relationship between nurses' social support and the coping mechanisms of the patient's family. Methods: A cross-sectional study was undertaken at Santa Elisabeth Hospital Medan. 36 samples were taken using an accidental sampling technique. The data was analyzed using Spearman rank. Results: 29 respondents (80.6%) fulfilled social support from nurses, 7 respondents (19.4%) do not fulfill it, 27 respondents (75.0%) adaptive coping, 9 respondents (25.0%) maladaptive coping. The correlation between the social support of nurses and the coping mechanisms of families of intensive care unit patients is significant, as indicated by the Spearman rank test results with a p value = 0.000 (p <0.05). The correlation coefficient is 0.851**, indicating a very strong level of relationship strength between the nurse's social support variable and the coping mechanism. Conclusion: Further study can be conducted in inpatient rooms and other locations.]]>
<![CDATA[Non Malefficence pada Pasien Hipertensi: Analisis Konsep ]]>
<![CDATA[Kuswati, Ani]]>;
<![CDATA[Awaludin, Sidik]]>
<![CDATA[ JURNAL KEPERAWATAN MERSI Vol. 13 No. 1 (2024): April ]]>
Publisher : <![CDATA[Prodi Keperawatan Purwokerto ]]>
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DOI: 10.31983/jkm.v13i1.10631
<![CDATA[Background: The principle of nonmaleficence (no harm) means not causing physical and psychological harm/injury to the patient. The principle of nonmaleficence means that health workers in providing health services must always have the intention of helping patients overcome their health problems. Nonmaleficence in hypertensive patients depends on how the nurse or health worker provides assistance or nursing care so as not to cause harm/danger to the patient. Objective: the concept analysis aimed to explore Non-Malefficence pada Pasien Hipertensi. Methods: This concept analysis was carried out with the help of literature about non-maleficence obtained through the Google Scholar and Preplexity databases. The keywords used are "non-maleficence concept" and "hypertension sufferers". The years of publication of books and articles start from 1989 to 2021. Results: An estimated 1.13 billion people worldwide suffer from hypertension, the majority (two-thirds) living in low- and middle-income countries. In 2015, 1 in 4 men and 1 in 5 women suffered from hypertension. Less than 1 in 5 people with hypertension have the problem under control. Conclusion: This concept analysis was carried out using the methods and steps proposed by Walker and Avant. Method of identifying attributes, antecedents and consequences of non-maleficence. This gives rise to the operational definition of mal noneficence, namely a person's moral principles in making decisions to provide treatment/action/therapy with appropriate benefits without causing physical or mental harm, harm or danger.]]>
<![CDATA[Gambaran Pola Makan Remaja dan Status Gizi di SMA Swasta Katolik Budi Murni 2 Medan Tahun 2023 ]]>
<![CDATA[Siringo-ringo, Magda]]>;
<![CDATA[Tapoleuru, Teresia Nosrat]]>
<![CDATA[ JURNAL KEPERAWATAN MERSI Vol. 12 No. 2 (2023): Oktober ]]>
Publisher : <![CDATA[Prodi Keperawatan Purwokerto ]]>
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DOI: 10.31983/jkm.v12i2.10657
<![CDATA[Background: Nutritional status is a condition caused by a balance between the intake of nutrients from food with the needs of nutrients needed for the body's metabolism. Nutritional status in adolescents often experience food intake, causing nutritional imbalances in the body. Adolescents who are malnourished will cause the body's immune system to become weak so that it is susceptible to disease, especially the risk of infectious diseases and non-communicable diseases. Imbalance of food consumed with the needs in adolescents can cause nutritional problems, both undernourished and overnourished. Based on an initial survey of adolescents at Budi Murni 2 Catholic Private High School Medan, it was found that the nutritional status was less than 20%. Objective: This study aims to determine the picture of adolescent diet with nutritional status at Budi Murni 2 Catholic Private High School Medan in 2023. Methods: This study was descriptive with a cross-sectional design. The population is 425 people, with a sample of 70 people, using simple random sampling techniques. Data collection using interview and observation techniques using questionnaires. Results: The results of the study found that the diet of adolescents staple foods with sufficient categories was 62.9%, animal side dishes in the sufficient category by 67.1%, sufficient vegetable side dishes by 68.6%, sufficient vegetables by 51.4%, sufficient fruits by 51.4%, more snacks by 50.0% and sufficient drinks by 62.9% while the nutritional status of the normal category was 58.6%. Conclusion: It is expected that adolescents can regulate a good and regular diet by eating three times a day and consuming staple foods, side dishes, vegetables, fruits and water in a balanced manner.]]>
<![CDATA[Gambaran Kecemasan Pasien Gagal Ginjal Kronik yang Menjalani Hemodialisa di Rumah Sakit Santa Elisabeth Medan Tahun 2023 ]]>
<![CDATA[Sinta, Okfi Maya]]>;
<![CDATA[Tondang, Gryttha]]>;
<![CDATA[Siringoringo, Magda]]>
<![CDATA[ JURNAL KEPERAWATAN MERSI Vol. 12 No. 2 (2023): Oktober ]]>
Publisher : <![CDATA[Prodi Keperawatan Purwokerto ]]>
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DOI: 10.31983/jkm.v12i2.10658
<![CDATA[Background: Chronic renal failure is the presence of progressive kidney damage in the human body characterized by uremia (urea in other wastes circulating in the blood and its complications. Hemodialysis is a high-tech substitute for removing metabolic waste from human blood circulation such as water, sodium, potassium, hydrogen, urea, creatinine, uric acid, and other substances through a  semi-membrane Permeable as a separator of blood and dialysate fluid in artificial kidneys where diffusion, osmosis and ultra filtration processes occur. Proses hemodialysis 1-3 times a week and each time takes 2-5 hours, this activity will continue 3-4 hours per therapy. Anxiety in hemodialysis patients arises because during the hemodialysis process they see tubes that are fed by blood entering the body, they also have to pay costs when undergoing hemodialysis, and uncertainty about recovery. Objective: To find out the anxiety picture of chronic kidney failure patients undergoing hemodialysis at Santa Elisabeth Medan Hospital 2023. Methods: To find out the anxiety picture of chronic kidney failure patients undergoing hemodialysis at Santa Elisabeth Medan Hospital 2023. Method: This study is a descriptive research. Sampling using Total Sampling technique amounting to 40 respondents. The research instrument uses Zung Self Rating Scale (ZSAS) questionnaire. Results: The results of this study found that the anxiety of chronic kidney failure patients undergoing hemodialysis at the Santa Elisabeth Hospital in Medan in 2023 mostly experienced mild anxiety as much as 50.0%, moderate anxiety as much as 40.0% and severe anxiety as much as 7.5% and panic as much as 2.5%. Conclusion: This researcher illustrates that the anxiety level of patients with chronic kidney failure undergoing hemodialysis is influenced by characteristics such as age, type of health, and education.]]>
