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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 157 Documents
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Toward an Empowerment-Based Nursing Framework for Managing Multimorbidity in Older Adults Argi Virgona Bangun; Minerva B. De Ala; Marietta Fabros; Marcus Ochoa
JKG (JURNAL KEPERAWATAN GLOBAL) (JKG) Jurnal Keperawatan Global Volume 11 Number 2 Year 2026
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkg.v11i2.1403

Abstract

Background: Population aging presents major challenges for healthcare systems, particularly in managing the complex needs of older adults with multiple chronic conditions (multimorbidity). This study explores behavioral, cognitive, and contextual factors influencing how older adults navigate complex treatment regimens, with the goal of developing an empowerment-based nursing framework. Methods: This sequential explanatory mixed-methods study involved 127 older adults with chronic conditions in the quantitative phase and 9 participants in the qualitative phase. In-depth semi-structured interviews were conducted with the qualitative subsample and analyzed using thematic analysis, generating codes and themes related to the contextual dynamics of health decision-making. Findings from both phases were integrated to develop an empowerment-based nursing framework, grounded in patient autonomy, shared decision-making, and relational support, aimed at strengthening older adults' capacity to manage multimorbidity effectively.I Results: Quantitative findings revealed that belief about medicine (β = 0.561, p = 0.001), health literacy (β = 0.219, p = 0.025), and perceived social support (β = 0.288, p = 0.001) significantly influenced care-related behaviours. The integration of findings underscored the need for tailored health education, supportive family engagement, emotionally responsive communication, and culturally accessible nursing care. Conclusion:Older adults managing multimorbidity make care-related decisions based on a complex interplay of beliefs, literacy, emotional readiness, and social context. Nurses must adopt a holistic, empowerment-based approach that strengthens both medical understanding and relational support. The proposed framework offers direction for nursing practice and policy to improve adherence, autonomy, and quality of care in geriatric populations.
Fishbowl Health Education Improved Mothers’ Knowledge of Recurrent Acute Respiratory Infection Prevention in Toddlers Eka Diana Permatasari; Arif Rakhman; Rizky Rakhma Hidayah; Nurhakim Yudhi Wibowo
JKG (JURNAL KEPERAWATAN GLOBAL) (JKG) Jurnal Keperawatan Global Volume 11 Number 2 Year 2026
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkg.v11i2.1366

Abstract

ABSTRACT Background: Recurrent acute respiratory infections (ARI) remain a common health problem in early childhood and are closely associated with inadequate maternal knowledge of preventive practices. Fishbowl education is an interactive group learning method in which a small inner circle actively discusses a topic while the outer circle observes and provides feedback. This study aimed to examine the effect of fishbowl-based health education on mothers’ knowledge regarding the prevention of recurrent ARI among toddlers. Methods: A quasi-experimental study with a pretest-posttest control group design was conducted in Kertayasa Village, Central Java, Indonesia. Sixty mothers of toddlers with a history of recurrent ARI were assigned to an intervention group receiving fishbowl-based health education (n = 30) or a control group receiving lecture-based education (n = 30) through lottery allocation. Mothers’ knowledge was measured using a validated and reliable questionnaire. Data were analyzed using the Wilcoxon signed-rank test and the Mann-Whitney U test. Results: Knowledge increased significantly in the intervention group after fishbowl-based education (p < 0.001). Posttest scores in the intervention group were also significantly higher than those in the control group (p < 0.001), indicating that the fishbowl method was more effective than the lecture method. Conclusion: Fishbowl-based health education significantly improved mothers’ knowledge regarding recurrent ARI prevention among toddlers and may be a useful strategy for community health promotion.
The Effect of Family Centered Empowerment Model based on Virtual Education to Improve on Strengthening the Family Role as DOTS Supervisor in Children with Pulmonary TB Loriza Sativa Yan; Syarbaini Syarbaini; Rian Yulyana; Verra Widhi Astuti
JKG (JURNAL KEPERAWATAN GLOBAL) (JKG) Jurnal Keperawatan Global Volume 11 Number 2 Year 2026
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkg.v11i1.1418

Abstract

ABSTRACT Background: Tuberculosis (TB) remains a major public health problem in Indonesia, particularly among children. Effective treatment adherence requires family involvement, where the role of Directly Observed Treatment Short-course (DOTS) supervisors is crucial. Innovative empowerment strategies are needed to strengthen family participation. This study aimed to examine the effect of the Family-Centered Empowerment Model (FCEM) based on virtual education to strengthen the role of families as DOTS supervisors for children with pulmonary TB. Methods: A quasi-experimental design with control and intervention groups was conducted. A total of 74 respondents were recruited using a total sampling approach. The intervention group received FCEM-based virtual education, while the control group received routine care. Data were collected using the FCEM questionnaire and analyzed with the Wilcoxon Signed Rank Test and Mann–Whitney U test. Results: The results showed that elderly respondents predominated in both groups, accounting for 62.2% in the control group and 67.6% in the intervention group. In the control group, most families remained in the low category (64.9%), whereas in the intervention group, the majority shifted to the high category (75.7%). The findings confirmed a significant difference between the two groups after the FCEM based on virtual education intervention (p-value 0,011). Conclusion: It should not contain any references or displayed equations. The FCEM based on virtual education has more effectively strengthened the role of families as DOTS supervisors in children with pulmonary TB. This approach can be used as an innovative strategy to improve treatment success and accelerate progress toward TB elimination targets in Indonesia.
Factors Associated with Undernutrition among Children Under Five Years of Age in Bangkalan: A Cross-Sectional Study Iin Setiawati; Selvia Nurul Qomari; Dana Daniati
JKG (JURNAL KEPERAWATAN GLOBAL) (JKG) Jurnal Keperawatan Global Volume 11 Number 2 Year 2026
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkg.v11i2.1275

Abstract

Background: The malnutrition issue in Indonesia remains a health challenge that the government has not yet completely solved. If we look at overall prevalence of stunting, both mid and severe, the prevalence is 30.8%. The purpose of this study is to analyze the factors associated with stunting among children under 5 years of age in Bangkalan district. Methods: This study This quantitative study employed an analytical observational study with a cross-sectional design to identify factors associated with undernutrition among children under five years of age in Bangkalan Regency. The samples are 398 toodler using proportional random sampling, The dependent variable was undernutrition among children under five and independent sex, History of low birth weight, Maternal anemia during pregnancy and History of chronic energy deficiency, analyzed using chi square. Results: The value <0.001 which means that the nutritional status of the toddler significantly influences stunting in toddlers. The ρ-value 0.007 which means that the anemia history of mothers significantly influences stunting in toddlers and stunting in toddlers is strongly influenced by the mother's CED history, as indicated by the ρ value <α (p value < 0.001). Conclusion: This study identified several maternal and child factors associated with undernutrition among children under five years of age in Bangkalan Regency. Although child sex and a history of low birth weight were not significantly associated with undernutrition, maternal nutritional conditions during pregnancy and the nutritional status of children remain important determinants that should be addressed through comprehensive maternal and child health interventions.
Spousal Caregiving in Stroke: Exploring Caregiver Strain and Marital Satisfaction Within Family Relationships Tri Antika rizki Kusuma Putri; Lutfiyah Winoto; Herdiman Herdiman; Susy Puspasari
JKG (JURNAL KEPERAWATAN GLOBAL) (JKG) Jurnal Keperawatan Global Volume 11 Number 2 Year 2026
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkg.v11i2.1319

Abstract

Background: Stroke caregiving remains a significant concern because the demands of long-term care may affect caregivers’ physical and psychological well-being, as well as the quality of family relationships. However, limited evidence has explored how caregiver strain is associated with marital satisfaction among spouses caring for stroke patients, particularly within the Indonesian cultural context. Therefore, this study aimed to examine the relationship between caregiver strain and marital satisfaction among spouses caring for stroke patients. Methods: This study employed a quantitative, descriptive correlation design. The selection of research samples was made using a purposive sampling technique, with a total of 62 respondents who met the inclusion criteria: spouses of stroke patients who care for their stroke-affected spouses and live in the same household. Data collection using the CGSQ-SF11 (Caregiver Strain Questionnaire-Short Form 11) questionnaire was employed to measure caregiver strain, and the Enrich Marital Satisfaction Scale was used to measure marital satisfaction. Results: The univariate analysis showed that the mean caregiver strain score was 26.08 ± 5.003, while the mean marital satisfaction score was 60.71 ± 4.343. The Spearman rank correlation analysis demonstrated a negligible negative correlation between the variables (r=-0.053), with no statistically significant association observed (p=0.658). Conclusion: This study found no significant relationship between caregiver strain and marital satisfaction among spouses caring for stroke patients. Future research should further investigate other factors that may contribute to marital satisfaction among spousal caregivers, such as coping strategies, social support, family functioning, and caregiver resilience with larger and more diverse samples.
Maternal Factors Associated with Low Birth Weight: A Case Control Study Liza Merianti; Kriscillia Molly Morita; Medina Yonata
JKG (JURNAL KEPERAWATAN GLOBAL) (JKG) Jurnal Keperawatan Global Volume 11 Number 2 Year 2026
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkg.v11i2.1411

Abstract

Background: Low birth weight (LBW) remains a major contributor to neonatal morbidity and mortality globally. LBW remains an important maternal–neonatal health problem, particularly in high-risk referral settings. This study examined maternal and obstetric factors independently associated with LBW. Methods: A retrospective case-control study used medical records of 270 mothers who delivered in 2025. Participants were selected by purposive sampling based on eligibility and record completeness, comprising 135 LBW cases and 135 controls. Eligible records included singleton deliveries without congenital anomalies; incomplete records and severe non-obstetric comorbidities were excluded. Maternal age, gestational age, birth spacing, parity, and documented preeclampsia were analyzed using chi-square tests and multivariable logistic regression. Variables with p < 0.25 entered the multivariable model. Results: Preterm birth was strongly associated with LBW (AOR = 35.16, 95% CI: 16.92–73.09; p < 0.001), as was documented preeclampsia (AOR = 4.37, 95% CI: 1.94–9.80; p < 0.001). Maternal age and parity were not independently associated after adjustment, and birth spacing was not significant.  Conclusion: Preterm birth and documented preeclampsia showed the strongest adjusted associations with LBW. These findings support strengthened antenatal risk screening, preterm-birth surveillance, and timely referral, while providing context-specific evidence from a high-risk referral population.
Multivariate Analysis of Mean Arterial Pressure and Physical Status in Post-Laparotomy Nausea and Vomiting Nur Intan Sari Alimah Suci; Nurul Hidayah; Supono Supono; Sulastyawati Sulastyawati
JKG (JURNAL KEPERAWATAN GLOBAL) (JKG) Jurnal Keperawatan Global Volume 11 Number 2 Year 2026
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkg.v11i2.1414

Abstract

Background: Mean Arterial Pressure (MAP) and American Society of Anesthesiologists (ASA) physical status are factors that influence the severity of postoperative nausea and vomiting (PONV). Untreated PONV can reduce patient comfort, prolong hospitalization, and pose risks such as dehydration, electrolyte disturbances, surgical wound rupture, and pulmonary aspiration. Assess the stability of organ perfusion during surgery. This study aims to identify factors associated with PONV, which is important for enhancing patient safety and the quality of perioperative care. Methods: This quantitative correlational study employed a cross-sectional design and involved 43 patients recruited using purposive sampling. Bivariate analysis was performed using the Spearman Rank test, while multivariate analysis used ordinal logistic regression. This study utilized respondent observation sheets and the Rhodes INVR instrument, with an instrument validity of 0.87 and a reliability of 0.98. Results: The results indicated that most respondents experienced severe PONV (53.3%). MAP had a significant relationship with PONV (p=0.004; r=–0.402), indicating a moderate negative relationship. ASA status showed a stronger relationship (p<0,001); r=–0.583). Simultaneously, MAP and ASA significantly influenced PONV (χ²=18.629; (p<0,001) However, in multivariate analysis, only ASA remained significant as a predictor of PONV (p=0.006).  Conclusion: There is a significant relationship between Mean Arterial Pressure and American Society of Anesthesiologist physical status with Post Operative Nausea and Vomiting in post laparotomy patients with general anesthesia. This study is useful for monitoring hemodynamic status during surgery to prevent PONV.

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