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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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Konstelasi Tingkat Pengetahuan Dan Risiko Terkena Penyakit Tidak Menular (PTM) Pada Kalangan Remaja (Studi pada Siswa SMA Muhammadiyah Purbalingga) Subandiyo, Subandiyo; Wahyudi, Wahyudi
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.v13i1.11299

Abstract

Background: Adolescence in the community face high risks of non-communicable diseases. Data show that prevalence of non-communicable disease has increased gradually. Life style and environments have mainly caused non communicable diseases. Objective: The study aimed to describe and analysis knowledge and risks factor of non-communicable disease in adolescence in Purbalingga. Methods: The study was cross sectional correlational design. The samples were 60 subjects Muhammadiyah high school in Purbalingga, recruited by stratified random sampling. Data were analyzed with rank spearman test. Results: The finding shows that knowledge of non-communicable diseases could contribute to decrease risks of non-communicable diseases (r=-0,863; p=0,000). Conclusion: It can be highlighted that the high knowledge of non-communicable diseases in adolescence could lead the awareness of non-communicable disease prevention.
Nonmaleficence pada Pasien Neonatal dengan Hiperbilirubinemia yang Menjalani Fototerapi: Analisa Konsep Setyaningsih, Wahyu; Awaludin, Sidik
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.v13i1.11320

Abstract

Background: The clinical ethical issue of nonmaleficence is not causing harm to patients. The principle of nonmaleficence requires that every medical action be weighed against all benefits, risks, and consequences. This principle reminds practitioners that the benefits of medical action should always be weighed against all risks and consequences. Objective: The concept analysis aimed to explore the nonmaleficence in neonatal hyperbilirubinemia patient undergoing phototherapy. Methods: Walker and Avants's method for concept analysis is used in this paper. This paper defines the attributes using the eight-step Walker and Avant’s process of concept analysis method, such as the main objectives of the concept analysis process are to identify the attributes and provide researchers with a precise definition of the concept. Therefore, this analysis can provide a conceptualized definition of hyperbilirubinemia, phototherapy and nonmaleficence. The search method performing a literature searching PUBMED, Science Direct, ProQuest, and Google Scholar databases using the keywords hyperbilirubinemia, phototherapy, and nonmaleficence as key word and title. Published materials conducted from 2000 to 2023 in English or Indonesian.  Results: The concept analysis showed that health workers in providing health care efforts must always be with the intention of helping patients overcome their health problems. Nurses’ actions must be in accordance with procedures so that there are no errors or negligence that can harm patient and families so that they can provide maximum benefits and minimal risk. Conclusion: Nurse using ethical concept of nonmaleficence tried to explanation to mothers and family members in non-medical language.
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.
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 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.
Pengaruh Terapi Senam dan Pendidikan Kesehatan Hipertensi terhadap Penurunan Tekanan Darah pada Warga dengan Hipertensi Anita Agustina; Ridha Purwantie; Ridho Setiawan; Siti Nor Wafiyah
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.v15i1.14418

Abstract

Background: Hypertension is a chronic disease and a major risk factor for cardiovascular disorders, remaining a significant public health issue. Non-pharmacological approaches such as hypertension exercise and health education are effective strategies for blood pressure control. Objective: This study aimed to determine the effect of hypertension exercise therapy and health education on reducing blood pressure among hypertensive individuals. Methods: This study used a quasi-experimental design with a one-group pretest–posttest approach. A total of 33 respondents were selected using total sampling. The intervention included hypertension exercise for 20–30 minutes and health education for 10–15 minutes. Blood pressure was measured before and after the intervention. Data were analyzed using a paired t-test. Results: The results showed that 87% of respondents experienced a decrease in blood pressure. There was a significant reduction in systolic (p=0.000) and diastolic blood pressure (p=0.026). Conclusion: It is concluded that hypertension exercise combined with health education is effective in reducing blood pressure.
Efektivitas Intervensi Psikoedukasi dan Dukungan Psikososial terhadap Beban Perawat Keluarga Pasien Penyakit Ginjal Kronik Asiandi Asiandi; Irmalita Wigati; Asrin Asrin
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.v15i1.14819

Abstract

Background: Chronic kidney disease (CKD) is a growing global health problem that affects not only patients but also their families as primary caregivers. The caregiving burden often leads to psychological stress, anxiety, depression, and decreased quality of life. Objective: This study aims to analyze the effectiveness of psychoeducational and psychosocial support interventions in reducing caregiver burden and psychological distress among families of CKD patients in community health centers (Puskesmas) in Banyumas Regency. Methods: The study used a randomized controlled trial with two parallel groups (intervention and control) was conducted. A total of 100 caregivers were recruited from four Puskesmas using randomized allocation. The intervention group received an 8-week structured family-based psychoeducation program covering CKD education, treatment and diet management, stress management, coping strategies, family communication, social support, and problem-solving through lectures, group discussions, and counseling. The control group received routine health education without structured psychoeducational components. Data were collected using the Zarit Burden Interview (ZBI), Hospital Anxiety Depression Scale (HADS), Family APGAR, and SF-12 Quality of Life, and analyzed using Repeated Measures ANOVA. Results: The results showed a significant reduction in caregiver burden in the intervention group (p < 0.001). Furthermore, there was a decrease in anxiety and depression levels, as well as an increase in family functioning and quality of life for caregivers. Conclusion: The family psychoeducation intervention was effective in reducing caregiver burden and improving the psychological well-being of families of CKD patients. This intervention is recommended for integration into community nursing services at community health centers.
Implementasi Model Intervensi Keperawatan Berbasis Kader Posyandu untuk Pencegahan Stunting Eka Rita Lestari; Ulfah Agus Sukrillah; Siti Mulidah
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.v15i1.14820

Abstract

Background: Stunting remains a major public health problem in Indonesia, primarily caused by chronic malnutrition during the first 1,000 days of life. Posyandu cadres play a crucial role in early detection and prevention; however, their capacity in implementing community-based nursing interventions is still limited. Objective: This study aimed to analyze the effectiveness of a Posyandu cadre-based nursing intervention model in improving cadre knowledge, skills, and preventing stunting among toddlers in Banyumas Regency. Methods: This study employed a quasi-experimental randomized controlled trial with a pretest–posttest control group design. A total of 60 Posyandu cadres were selected through simple random sampling and divided into intervention and control groups. The intervention group received an eight-week training program, while the control group received standard education. Data were collected using knowledge questionnaires, skills observation sheets, and toddler nutritional status indicators, and analyzed using paired and independent t-tests. Results: The results showed a significant increase in knowledge (56.3 to 82.7; p<0.001) and skills (54.2 to 80.5; p<0.001) among cadres in the intervention group, while no significant changes were observed in the control group. Additionally, there was a 12% reduction in the proportion of toddlers at risk of stunting in the intervention group. Conclusion: The Posyandu cadre-based nursing intervention model effectively improves cadre capacity and contributes to stunting prevention, particularly in community and rural health settings.

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