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JKG (Jurnal Keperawatan Global)
Published by Politeknik Kesehatan Kemenkes Surakarta
ISSN : 25280120     EISSN : 25805916     DOI : 10.37341
Core Subject : Health,
Health Professions Nursing
Merupakan jurnal yang menyediakan forum untuk bertukar ide tentang teori, metodologi dan isu-isu mendasar yang terkait dengan dunia keperawatan dan pendidikan keperawatan .
Arjuna Subject : -
Articles 153 Documents
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Augmented Reality Enhances Indonesian Nursing Students’ Knowledge and Motivation in Open Fracture Learning Rismawan Yunanto; Baskoro Setioputro; Ruris Haristiani; Nur Safira
JKG (JURNAL KEPERAWATAN GLOBAL) (JKG) Jurnal Keperawatan Global Volume 10 Number 2 Year 2025
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkg.v10i2.1169

Abstract

Background: Open fracture cases have complex management that involves bleeding control based on comprehensive knowledge and training. Augmented Reality (AR) offers an interactive learning approach that may enhance nursing students' motivation and knowledge of emergency open fracture cases. This study aims to evaluate the effectiveness of augmented reality in improving the knowledge and learning motivation of Indonesian nursing students regarding open fracture learning. Methods: This study used a cluster randomized pretest–posttest control group design involving four class groups of nursing students (n = 155). Two clusters received the Open Fracture Augmented Reality Application, while two received conventional lectures. Motivation was measured using the validated MSLQ, and knowledge using a 29-item validated questionnaire. Both groups completed pretest and posttest assessments. Data were analyzed using descriptive statistics, Wilcoxon, and Mann–Whitney tests (α = 0.05). Results: A total of 155 nursing students participated, with balanced baseline characteristics between groups. The AR intervention significantly improved knowledge (p = 0.001, r = 0.38) and motivation (p = 0.022, r = 0.27) in the intervention group, while no significant gains occurred in the control group. Between-group analysis showed higher posttest knowledge in the AR group (p = 0.005), indicating that AR was more effective than conventional instruction, particularly for cognitive outcomes. Conclusion: Augmented Reality–based learning significantly improves nursing students’ knowledge of open-fracture management compared with traditional methods, while showing no significant between-group differences in motivation, highlighting AR’s value as an effective supplemental tool for enhancing understanding of complex clinical content.
Effectiveness of Video-Based Cardiac Health Training on Health Behavior in Acute Coronary Syndrome Patients Rika Suryana; Heny Suseani Pangastuti; Khudazi Aulawi
JKG (JURNAL KEPERAWATAN GLOBAL) (JKG) Jurnal Keperawatan Global Volume 11 Number 1 Year 2026
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkg.v11i1.1243

Abstract

Background: Hospital readmissions among patients with Acute Coronary Syndrome (ACS) are frequently linked to unhealthy lifestyle behaviors such as poor diet, physical inactivity, smoking, and medication nonadherence. These modifiable risk factors significantly contribute to recurrent events and adverse outcomes, highlighting the need for effective secondary prevention strategies. Video-based health education offers a consistent and scalable approach to support behavioral change. This study aimed to evaluate the effectiveness of a video-based cardiac health education program in improving healthy behaviors among ACS patients.  Methods: A quasi-experimental, non-equivalent control group design was employed involving 57 ACS patients without severe complications. Participants were recruited via consecutive sampling and assigned to either the intervention group (n = 27) or control group (n = 30). The Modified Cardiac Health Behavior Scale (MCHBS) was used to assess healthy behaviors at baseline and after the intervention. The intervention comprised a video-based cardiac health education program with a 21-day follow-up period. Data were analyzed using paired sample t-tests for within-group comparisons and independent t-tests for between-group differences. Results: Baseline healthy behavior scores did not differ significantly between groups (p>0.05). Post-intervention, both groups showed significant improvement; however, the intervention group demonstrated a significantly greater increase (M±SD = 24.85±5.45) compared to the control group (M±SD = 10.67±6.57), with a mean difference of 14.18 (p<0.001) and a large effect size (Hedges’ g = 2.337).  Conclusion: Video-based cardiac health education effectively promotes healthier behaviors in ACS patients and holds promise as a scalable intervention to enhance secondary prevention and reduce hospital readmissions.
The Effectiveness of Cognitive Behaviour Therapy on Relapse in Schizophrenia Patients with Hallucinations Uswatun Khasanah; Yossie Susanti Eka Putri; Mustikasari Mustikasari
JKG (JURNAL KEPERAWATAN GLOBAL) (JKG) Jurnal Keperawatan Global Volume 11 Number 1 Year 2026
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkg.v11i1.1260

Abstract

Background: Schizophrenia is a chronic mental disorder characterized by psychotic symptoms such as hallucinations and delusions. Relapses in schizophrenia patients often occur even after undergoing pharmacological treatment. Cognitive Behaviour Therapy (CBT) has been reported to be effective in reducing relapses through cognitive restructuring and improving patients' coping with psychotic symptoms. This systematic review aims to assess the effectiveness of CBT on reducing relapse rates in patients with schizophrenia, especially in hallucination. Methods: The systematic review was conducted using the JBI approach. The included articles were primary studies with an RCT or quasi-experimental design, published between 2015 and 2024, and available in full text. The selection process was conducted using the PRISMA method, and the final results consisted of 7 articles that met the inclusion criteria. Results: Most studies show that CBT is effective in reducing relapse, improving quality of life or social functioning, and reducing positive and negative psychotic symptoms. Culturally-based CBT and CBT by videoconference have been reported to expand access to intervention. The side effects of CBT are relatively low, but some studies report a decline in impact after therapy is discontinued. Conclusion: CBT is effective in preventing relapse in schizophrenia patients with hallucinations by reducing psychotic symptoms and improving patient coping. Further research is needed to evaluate the long-term effectiveness of CBT.
Effectiveness of Symbolic Communication Therapy on Expressive Abilities in Post- Stroke Aphasia Evarina Sembiring; Flora Sijabat; Harold Situmorang; Amila Amila; Zuraidah Mastura Daulay; Dearni Trinitas Zebua
JKG (JURNAL KEPERAWATAN GLOBAL) (JKG) Jurnal Keperawatan Global Volume 10 Number 2 Year 2025
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkg.v10i2.1289

Abstract

Background: Aphasia is a major post-stroke complication that causes communication difficulties and significantly reduces patients’ quality of life. Conventional speech therapy is often limited by time and resources, highlighting the need for technology-based alternatives that can be practiced independently at home. This study aimed to evaluate the effectiveness of a symbolic communication therapy (SCT) application in improving communication skills among stroke patients with aphasia. Methods: A one-group pretest–posttest quasi-experimental design was used with 15 motor-aphasia patients recruited from the Neurology Ward of Haji Medan General Hospital. Participants used an Android-based SCT application for six weeks (two 30-minute sessions per day). Functional communication ability was assessed using the Derby Functional Communication Scale (DFCS) before and after intervention. Data were analyzed using the Wilcoxon Signed-Rank Test. Results: The SCT application significantly improved patients’ communication performance. DFCS scores increased in expression (5.93 to 6.93), comprehension (5.47 to 7.93), and interaction (4.93 to 6.93) domains (p < 0.001). Conclusion: The SCT application effectively enhances functional communication in post-stroke aphasia patients and can serve as a complementary, low-cost tool within neurological rehabilitation programs, particularly in resource-limited healthcare settings.
Evaluation of Spiritual Management Approach on Stress in Palliative Patients Adventy Riang Bevy Gulo; Rosetty Rita Sipayung; Siska Dwi Ningsih; Yesta Ricam Fedrik Lase; Wiwik Wiwik
JKG (JURNAL KEPERAWATAN GLOBAL) (JKG) Jurnal Keperawatan Global Volume 10 Number 2 Year 2025
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkg.v10i2.1290

Abstract

Background: A palliative condition refers to a progressive and incurable state, where the focus of healthcare transitions from curative measures to comprehensive support addressing physical, psychological, social, and spiritual aspects, aiming to enhance the quality of life for both patients and their families. The objectives of this study were to evaluate the effect of a Groups ‘Peer Support’ (GPS)-based spiritual management approach on reducing stress among palliative patients in a hospital setting. Method: This study employed a quantitative quasi-experimental design with a pre- and post-test approach without a control group, involving 50 respondents selected through simple random sampling. The research instruments consisted of observation sheets, the Spiritual Care Competence Scale (SCCS), and the Depression Anxiety and Stress Scales (DASS). Data were analyzed using descriptive statistics to determine respondent characteristics, the Wilcoxon Signed Rank Test to assess pre and post intervention differences, and Spearman Rank and simple linear regression tests to identify influencing factors. Results: Most respondents were male (60.0%), aged 41–50 years (34.0%), with elementary education (28.0%), and commonly diagnosed with heart disease (26.0%). The mean stress score decreased from 3.06 to 2.74 after the intervention, with the Wilcoxon test confirming a significant reduction (Z = -2.889; p = 0.004). However, spiritual management (r = 0.062; p = 0.670) and nurse competence (p = 0.601) were not significantly associated with stress levels. Conclusion: The intervention effectively reduced stress in palliative patients, although spiritual management and nurse competence were not significant predictors, suggesting that other factors contributed to stress reduction.
Health Status and Quality of Life in Depok Slum Communities through Stunting Prevention Tatiana Siregar; Ritanti Ritanti; Indah Permatasari; Dyah Utari; Diah Ratnawati
JKG (JURNAL KEPERAWATAN GLOBAL) (JKG) Jurnal Keperawatan Global Volume 10 Number 2 Year 2025
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkg.v10i2.1321

Abstract

Background: There are 11 slum areas in Depok City. Slums are correlated with populations that are easily exposed to diseases and have limited economic capabilities, resulting in the lack of hygiene and healthy living behaviors (PHBS), including adequate nutritional needs. This living condition poses a risk of reducing the quality of life of the residents. This research aims to determine the correlation between health status and quality of life to prevent stunting among residents in slum areas of Depok City.  Method: This study employed a quantitative cross-sectional research design. A total of 160 respondents were selected using a non-probability quota sampling technique from a population of 400 heads of households across four identified urban slum areas. Data were collected using the World Health Organization Quality of Life–BREF (WHOQOL-BREF) instrument and were analyzed using Chi-Square test.  Results: All dimensions of the health status variable namely physical environment, social conditions, economic conditions, mental health, healthcare support, and family support demonstrated a significant relationship with each dimension of quality of life, including physical health, psychological health, social relationships, and environmental well-being (all dimensions p < 0.05). All independent variables showed p-values < 0.05 based on Chi-Square analysis.  Conclusion: Given the proven significant influence of health status on the quality of life of residents in slum areas, it is hoped that the Depok City government will undertake development efforts to improve these slum areas so that the Human Development Index (HDI) of Depok City can be achieved, thereby fulfilling the Sustainable Development Goals (SDGs).
Effect of Family Caregiver Empowerment on Binge Eating Behavior in Type 2 Diabetes Patients Rondhianto Rondhianto; Baskoro Setioputro; Agil Agustin
JKG (JURNAL KEPERAWATAN GLOBAL) (JKG) Jurnal Keperawatan Global Volume 11 Number 1 Year 2026
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkg.v11i1.767

Abstract

Background: Improper diet arrangements in type 2 diabetes (T2D) patients can cause eating patterns to be disturbed in the form of binge eating behavior. The family can play a helping role in improving diabetes management. One of the interventions that can be given to empower families is the Family Caregiver Empowerment Model (FCEM). This study aimed to analyze the effect of FCEM on binge eating in T2D patients. Methods: This study was a randomized control group pre-test and post-test design with a total sample of 85 respondents taken by cluster random sampling, divided randomly (treatment = 41; control = 44). The independent variable is FCEM, while the dependent variable is binge eating behavior. Data was collected using the Indonesian version of the Binge Eating Scale questionnaire and analyzed used the Wilcoxon sign rank test and independent T-test. Results: There were differences in binge eating behavior in the treatment group before and after intervention (Z= -5.347; p=0.001), whereas in the control group, there was no difference in pre-test and post-test scores (Z= -0.599; p= 0.549). The study result showed that there was a significant difference in the average value between the treatment and control groups (t =5.017; p=0.001). Conclusion: FCEM intervention can reduce binge eating behavior to increase adherence to the diabetes diet program. Nurses can use FCEM intervention to empower family caregiver to help T2D patients improve and maintain eating habits to improve diabetes self-care behaviors.
Ejection Fraction and Age as Predictors of Sleep Quality after Coronary Artery Bypass Graft (CABG) Surgery Sari Eprina Nadeak; Muhamad Adam; Liya Arista
JKG (JURNAL KEPERAWATAN GLOBAL) (JKG) Jurnal Keperawatan Global Volume 11 Number 1 Year 2026
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkg.v11i1.775

Abstract

Background: Coronary Artery Bypass Graft (CABG) requires a longer recovery and high risk of complication including sleep quality. This study aims to identify factors associated with sleep quality in patient post-CABG surgery. Methods: This research used cross-sectional method and consecutive sampling with 100 respondents. The questionnaires used in this study were Pittsburgh Sleep Quality Index (PSQI), International Physical Activity Questionnaire (IPAQ), and Depression Anxiety Stress Scale (DASS).  Results: Prevalence of poor sleep quality (51%) was quite high compared to good sleep quality (49%). There was a significant correlation between ejection fraction (p 0,031 OR 4,718), age (p 0,039; OR 3,309), and sleep quality of post-CABG surgery. Results of logistic regression contained 4 variables related to sleep quality: ejection fraction (p 0,017 OR 5,520), age (p 0,026 OR 3,659), beta blockers (p 0,067 OR 8,544) and diabetes mellitus (p 0,145 OR 1,918).  Conclusion: Ejection fraction and age as a predictor of sleep quality. Nurses should assess the sleep quality of post-CABG surgery by considering these four variables: ejection fraction ≤ 40%, middle age, moderate-risk beta blockers and type 2 diabetes mellitus.
The Influence of Promotion and Prevention Models in Preventing Psychosocial Problems in Nurses at Medan City Hospital Sri Eka Wahyuni; Wardiyah Daulay; Mahnum Lailan Nasution; Jenny Marlindawani Purba
JKG (JURNAL KEPERAWATAN GLOBAL) (JKG) Jurnal Keperawatan Global Volume 11 Number 1 Year 2026
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkg.v11i1.1351

Abstract

Background: Psychosocial problems experienced by nurses when working in hospitals. Promotion Model Mental Health Promotion and Prevention is a solution that can be offered to prevent psychosocial problems in nurses. The aim of this study is to identify the influence of the promotion and prevention model on the prevention of psychosocial problems among nurses at Medan City Hospital. Methods: Quasi-experimental research design with a control group. The study was conducted on nurses at one of the hospitals in Medan City with a sample of 100 nurses, with details of 50 nurses in the intervention group and 50 nurses in the control group taken using purposive sampling. The research instrument used GAD-7. The intervention provided was a mental health promotion and prevention model (stress management training and self-help group therapy). Data were analyzed using the Wilcoxon Signed-Rank Test to assess within-group differences and the Mann–Whitney U Test to compare post-intervention anxiety levels between the intervention and control groups. Results: The study showed that there was a statistically significant difference in the level of anxiety of nurses after the intervention. There was a significant reduction in anxiety levels among nurses following the implementation of the mental health promotion and prevention model in the intervention group (p = 0.001). Conclusion: It was concluded that the intervention was significantly effective in reducing the anxiety levels of nurses at Medan City Hospital. This mental health promotion and prevention model can be implemented to prevent psychosocial problems early in healthcare workers.
Pop-Up Book–Based Psychoeducation Improves Self-Esteem and Strengthens Bullying Prevention Among Elementary School Children Dian Putri Eriyanti; Endang Caturini Sulistyowati; Dwi Ariani Sulistyowati
JKG (JURNAL KEPERAWATAN GLOBAL) (JKG) Jurnal Keperawatan Global Volume 11 Number 1 Year 2026
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkg.v11i1.1391

Abstract

Background: Bullying is a serious problem that is repeatedly. Bullying can be experienced by a person because they have low self-esteem. One way to overcome bullying is to increase children’s self-esteem from an early age through bullying prevention psychoeducation   with pop-up book media. This study aims to determine the effect of psychoeducation on bullying prevention with pop-up book media on self-esteem in 3 Kacangan public elementary school children. Methods: This type of quantitative research uses a pre-experimental design with a one-group pretest-posttest design. The sampling technique used was purposive sampling with 36 respondents. The instrument used is the Rosenberg Self-Esteem Scale (RSES). The intervention was carried out 3 times, and data analysis was performed using Paired T-Test. Results: The results of the analysis of the paired sample t-test self-esteem from 36 respondents showed an increase in the level of self-esteem with a p value of < 0.001, so that there was a psychoeducational effect on bullying prevention with pop-up book media on self-esteem in elementary school children. Conclusion: There is an effect of psychoeducation on bullying prevention with pop-up book media on self-esteem in elementary school children. The use of interactive and interesting educational media can increase students' understanding of the causes, impacts, and ways to prevent bullying so that students are better able to control their social behavior. In addition, increasing self-esteem in students is an important factor in forming confidence, positive attitudes, and children's ability to interact healthily with peers.

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