Journal of Telenursing (JOTING) diterbitkan oleh Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE) sebagai media informasi dan komunikasi para praktisi, peneliti dan akademisi yang berkecimpung dan menaruh minat serta perhatian pada pengembangan ilmu keperawatan. Journal of Telenursing (JOTING) terbit dalam dua versi, yakni online/OJS (e-ISSN 2684-8988) dan cetak (p-ISSN 2684-8996)
Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)
Faktor - Faktor yang Mempengaruhi Kepatuhan Perawat dalam Melakukan Edukasi Pencegahan Plebitis kepada Pasien dan Keluarga
This study aims to determine the factors influencing nurses in providing phlebitis prevention education to patients and families at X Hospital, Bandung, in 2025. The method used was descriptive analytical with a cross-sectional approach involving 76 nurses in the inpatient and outpatient wards. The results showed that 70 respondents (92.1%) complied with phlebitis prevention education, 50 respondents (65.8%) showed a positive attitude, 43 respondents (56.6%) had high motivation, and 74 respondents (97.4%) had good knowledge. Conclusion: Nurses' compliance in providing phlebitis prevention education is in the good category. The most influential factor influencing compliance is nurses' attitudes, while motivation and knowledge have no significant relationship. Keywords: Education, Compliance
Copyright (c) 2025 Junatri http://creativecommons.org/licenses/by-nc/4.0
Self Efficacy dan Spiritual Support Berhubungan dengan Self Care Behavior pada Pasien Stroke
This study aimed to determine the relationship between self-efficacy and spiritual support and self-care behavior in stroke patients. This study used a correlational method with a cross-sectional approach. The results showed a significant relationship between self-efficacy and self-care behavior (p-value = 0.002) and spiritual support and self-care behavior (p-value = 0.001) in stroke patients. Increasing these two factors can increase independence, accelerate recovery, and reduce the risk of complications in stroke patients. Conclusion: There is a significant relationship between self-efficacy and self-care behavior, and self-spiritual support and self-care behavior. Keywords: Self-Care Behavior, Self-Efficacy, Spiritual Support, Stroke
Copyright (c) 2025 Jaka Pamong Wahyujati, Sri Rahayu http://creativecommons.org/licenses/by-nc/4.0
Penurunan Tekanan Darah pada Penderita Hipertensi dengan Pemberian Teh Bunga Telang
This study aims to analyze the effectiveness of butterfly pea flower extract tea (Clitoria ternatea) in reducing blood pressure in sufferers of grade I hypertension. The research method employed was a quasi-experimental design with a pre-post test and a control group. The results showed that the intervention group experienced an average reduction in systolic blood pressure of 28.3 mmHg (p = 0.000) and diastolic blood pressure of 11.7 mmHg (p = 0.000). In the control group, there was a decrease in systolic blood pressure of 0.867 mmHg (p = 0.219) and diastolic blood pressure of 0.367 mmHg (p = 0.469). Administration of butterfly pea flower extract was proven to be effective in reducing systolic blood pressure by 81% and diastolic blood pressure by 87% (p=0.000). The conclusion is that drinking butterfly pea flower extract powder tea for 14 days can effectively reduce systolic and diastolic blood pressure in patients with grade I hypertension. Keywords: Butterfly Flower, Hypertension, Reduction, Blood Pressure, Tea
Copyright (c) 2025 Satya Nur Azizah, Dina Indrati Dyah Sulistyowati, Mardiyono Mardiyono, Herry Presetyo http://creativecommons.org/licenses/by-nc/4.0
Kepuasan Pasien terhadap Mutu Pelayanan Keperawatan
This study aims to determine the relationship between the quality of nursing care and patient satisfaction levels in inpatient wards. The method employed was a quantitative approach with a descriptive, correlational, cross-sectional design. The results showed that the majority of respondents rated the quality of nursing care as good (72.9%) and the level of patient satisfaction as satisfied (71.8%). Pearson correlation analysis revealed a robust and statistically significant positive relationship between the quality of nursing care and patient satisfaction (r = 0.876, p < 0.001). The results of the multiple linear regression analysis also showed that all dimensions of service quality significantly influenced patient satisfaction, with an R² value of 0.768, where empathy was the most dominant factor (B = 0.400). In conclusion, the quality of nursing care plays a crucial role in enhancing patient satisfaction and fostering a positive image of healthcare facilities. Keywords: Patient Satisfaction, Nursing Care Quality, Medan Adventist Hospital
Copyright (c) 2025 Mamre Manurung, Nilawati Soputri http://creativecommons.org/licenses/by-nc/4.0
Pelatihan Basic Life Support (BLS) terhadap Peningkatan Pengetahuan dan Keterampilan pada Perawat
This study aimed to determine the effect of BLS training on improving nurses' knowledge and skills. This research method used a quantitative approach with a pre-experimental one-group pre-post test design. The results showed an average knowledge score increased from 64.07 before training to 94.06 after training (p=0.000). The skill score increased from 27.78 to 100.00 (p=0.000). A chi-square test showed a significant relationship between nurses' knowledge and skills in performing BLS (p<0.05). In conclusion, Basic Life Support (BLS) training is effective in improving nurses' knowledge and skills. Regular training programs and ongoing evaluation are needed to maintain nurses' readiness to face cardiovascular emergencies. Keywords: Basic Life Support, Skills, Training, Knowledge, Nurses
Copyright (c) 2025 Sundari Sundari, Irlan Karsa Gumilang, Rosa Kurniasih, Sabam Simanjuntak, Gilang Gelar Pratama http://creativecommons.org/licenses/by-nc/4.0
Faktor-Faktor yang Mempengaruhi Kepatuhan Perawat dalam Penilaian Early Warning Score (EWS)
This study aims to determine the factors that influence nurse compliance in the Early Warning Score (EWS) assessment at X Hospital Bandung in 2025. The research method used is descriptive analytical with a cross-sectional approach. The results showed that 30 respondents (58.8%) were not compliant in conducting the EWS assessment, 26 respondents (51%) showed negative behavior, 31 respondents (60.8%) with effective time management and 29 respondents (56.9%) had high motivation to conduct the EWS assessment. The results of the Chi-Square statistical test analysis showed that the p-value between behavior and EWS assessment compliance was 0.25 (> 0.05), the p-value between time management and EWS assessment compliance was 0.042 (< 0.05) and the p-value between motivation and EWS assessment compliance was 0.001 (< 0.05). The results of the Binary Logistic Regression test indicate that the most influential variables on EWS assessment compliance are motivation with a p-value of 0.002 (<0.05) and time management with a p-value of 0.05 (<0.05). In conclusion, there is a significant relationship between motivation and EWS assessment compliance, as well as between time management and EWS assessment compliance. The most influential factor on EWS assessment compliance is motivation. Keywords: EWS, Compliance
Copyright (c) 2025 Sinta Simanjuntak, Cinthya Yosephine, Elisabeth Elisabeth, Grace Florencia, Nyayu Febriani http://creativecommons.org/licenses/by-nc/4.0
Pengembangan Inovasi Program Keperawatan Lansia Sadar Depresi dalam Meningkatkan Kualitas Kesehatan Lansia
This study aims to provide an evidence-based practice overview of the implementation of the KELASI program, involving 35 elderly people in Peureulak District, selected using convenience sampling. The method used was descriptive, with the KELASI intervention consisting of several meetings and therapy sessions, accompanied by mentoring in six sessions (one session per week), followed by self-monitoring during August-September 2025. The results of the study using the Geriatric Depression Scale showed a change in the level of elderly people's knowledge about depression and a decrease in their depression status in Peureulak District. The mean pre-intervention depression score was 7.84 and post-intervention 5.76, with a decrease of +1.08. In conclusion, the implementation of the KELASI innovation in the elderly group in Peureulak District has shown significant positive results in reducing the incidence of depression. Keywords: Depression, KELASI, Elderly
Copyright (c) 2025 Teungku Muhammad Sabil, Usti Julita, Alhuda Alhuda, Suriani Suriani, Roslaini Roslaini http://creativecommons.org/licenses/by-nc/4.0
Analisis Implementasi Modern Dressing Hidrocolloid terhadap Peningkatan Integritas Kulit pada Anak Usia Sekolah dengan Dermatitis
This study aimed to analyze the implementation of Modern Hydrocolloid Dressing to improve skin integrity in school-age children with dermatitis. The method used was quantitative with a pretest-posttest control group design. The results showed that the use of Modern Hydrocolloid Dressing significantly improved skin integrity in school-age children with dermatitis. In the treatment group, the average dermatitis score decreased from 1.84 (SD = 0.473) to 1.16 (SD = 0.624) with a p-value of 0.001 (p < 0.05). Meanwhile, no significant changes were found in the control group; the average score decreased by only 0.12 points (p = 0.185), with the majority of respondents remaining in the moderate category. This confirms that conventional dressings, or no intervention, are less effective than Modern Hydrocolloid Dressing. In conclusion, the use of Modern Hydrocolloid Dressing has been shown to significantly improve skin integrity in school-age children with dermatitis. Keywords: School-Age Dermatitis, Modern Hydrocolloid Dressing, Skin Integrity
Copyright (c) 2025 Rizky Mauliza, Linur Steffi Harkensia , Eka Sutrisna http://creativecommons.org/licenses/by-nc/4.0
Terapi Digital Virtual Reality terhadap Kecemasan pada Pasien Kanker yang Menjalani Kemoterapi
This study aims to determine the effect of Virtual Reality digital therapy on anxiety in cancer patients undergoing chemotherapy. The research method used a pre-experimental design with a one-group pre-test and post-test approach. The results showed a decrease in anxiety scores with an average difference (post-pre) of 10.267. The Paired Sample t-Test yielded a t-value of 0.785, df = 29, and a significance value (p-value) of 0.000 (p < 0.05), which means that there is a significant effect of VR digital therapy on reducing anxiety in cancer patients undergoing chemotherapy. In conclusion, Virtual Reality digital therapy is effective in reducing anxiety in cancer patients undergoing chemotherapy. This intervention can be used as a non-pharmacological complementary therapy to support the psychological care of cancer patients. Keywords: Anxiety, Cancer, Chemotherapy, Virtual Reality
Copyright (c) 2025 Isran Isran, Andi Nurhikma Mahdi, Israyana Israyana http://creativecommons.org/licenses/by-nc/4.0
Analisis Faktor yang Berhubungan dengan Kinerja Perawat Pelaksana dalam Memberikan Asuhan Keperawatan
This study aims to analyze factors related to nurse performance at Annisa Hospital, Bekasi Regency. This study used an associative research design with a cross-sectional approach. The results showed a significant relationship between motivation and nurse performance (Sig. 0.013). Exp(B) 2.39. The relationship between competence and performance was very significant (Sig. 0.0001). Exp(B) 120.09. There was a very significant relationship between work facilities and nurse performance (Sig. 0.001). Exp(B) 3.33. The relationship between work culture and performance was very significant (Sig. 0.0001). Exp(B) 25.43. The relationship between leadership and performance was very significant (Sig. 0.0001). Exp(B) 346.2. The relationship between discipline and performance was very significant (Sig. 0.0001). Exp(B) 58.89. In conclusion, motivation, competence, work facilities, work culture, leadership, and discipline have a positive and significant relationship to nurse performance at Annisa Hospital, Bekasi Regency. Leadership is the most dominant factor, followed by discipline and work culture. Keywords: Nurse Performance, Nursing Services, Hospital
Copyright (c) 2025 LB Jaenabun Habibillah Ahmad, Budiman Budiman, Iin Inayah, Mulyati Mulyati, Lilis Rohayani http://creativecommons.org/licenses/by-nc/4.0
Intervensi Pendidikan Gizi terhadap Pengetahuan, Sikap, dan Praktik Diet pada Remaja Usia Sekolah
This study aimed to systematically evaluate the effect of a nutrition education intervention on knowledge, attitudes, and dietary practices among school-aged adolescents. The method used was a systematic review and meta-analysis, with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) as a guideline. The Joanna Briggs Institute (JBI) was used for quality assessment. Data were collected from Scopus, PubMed, and Google Scholar databases. The results showed that the nutrition education intervention significantly improved knowledge, attitudes, and healthy dietary practices in adolescents, with greater improvements in the intervention group compared to the control group. In conclusion, the nutrition education intervention was effective in increasing knowledge, developing positive attitudes, and improving dietary practices in school-aged adolescents. Keywords: Nutrition Education, Knowledge, Eating Practices, Adolescents, Attitudes
Copyright (c) 2025 Septiani Septiani, Nurul Hidayah, Trias Mahmudiono http://creativecommons.org/licenses/by-nc/4.0
Faktor-faktor yang Mempengaruhi Kepuasan Kerja Perawat PK 3
This study aims to determine the factors that influence job satisfaction of nurses in the PK 3 category at Cibinong Regional General Hospital, Bogor Regency. The study design used Explanatory Research with a Cross Sectional approach. The population in this study were 157 nurses at the Cibinong Regional General Hospital level PK 3. The number of samples in this study was 157 respondents. Data collection used research instruments that had been tested for validity and reliability. Data analysis used statistical applications including univariate, bivariate, and multivariate analysis. The results of the study, all variables were proven to have a significant effect on job satisfaction (p < 0.05). High motivation increased the chance of job satisfaction by 569 times, followed by interpersonal relationships (111 times), supervision (76 times), and light workload (62 times). A comfortable work environment, career development, and management support also made a positive contribution. Conversely, the perception of dissatisfaction with satisfaction significantly decreased job satisfaction. In conclusion, management support and related factors have a strong influence on nurse job satisfaction. Improving motivation, managing workload, interpersonal relationships, supervision, and a fair compensation system are essential to improving job satisfaction. Keywords: Workload; Interpersonal Relationships; Job Satisfaction; Motivation
Copyright (c) 2025 Arif Fahrudin, Mulyati Mulyati, Lilis Rohayani, Mira Asmirajanti, Oyoh Oyoh http://creativecommons.org/licenses/by-nc/4.0
Analisis Perilaku Perawat dalam Pelaksanaan Program PPI
This study aims to analyze nurses' behavior in implementing the PPI program at Anugerah Sehat Afiat Regional General Hospital, Depok City. The method used was descriptive qualitative, using Focus Group Discussions (FGDs) with purposive sampling techniques. Ten informants, consisting of five ward nurses and five members of the PPI Committee, participated. The results showed that nurses' behavior in PPI was influenced by: irregular program evaluation, supporting factors such as training and the role of superiors, constraints such as workload, limited time and PPE, varying experiences between units, interventions such as posters and feedback, perceptions of infection risk, and differing work cultures. Conclusions indicate the need for strategies to strengthen supervision, ongoing training, and cross-unit coordination to improve compliance with the PPI program. Keywords: Compliance, Patient Safety, Infection Prevention and Control (IPC), Nurses, Behavior
Copyright (c) 2025 Neneng Nurdianti Ningsih, Iin inayah, Oyoh Oyoh, Mira Asmirajati, Setiawati Setiawati http://creativecommons.org/licenses/by-nc/4.0
Pengembangan Model Adaptasi Psikososial terhadap Kualitas Hidup Pasien Hemodialisis
Based on Calista Roy's adaptation theory and self-determination theory, this study aims to develop a psychosocial adaptation model for hemodialysis patients, affecting their quality of life. The method used was a non-probability sampling technique through purposive sampling, with a sample size of 119 hemodialysis patients at the Bina Husada Cipta Canthi Clinic (BHCC) and the Semesta Mandiri Clinic (KSM), calculated using the rule of thumb. Statistical analysis used SEM-PLS. The results showed that stimulus factors, interdependence, self-concept-resilience, and role function influenced quality of life. At the same time, basic psychological needs did not affect the quality of life of hemodialysis patients. This study concludes that the psychosocial adaptation model for hemodialysis patients' quality of life is valuable. Therefore, dialysis unit staff are expected to use this psychosocial adaptation development guideline to improve the quality of comprehensive hemodialysis unit services for hemodialysis patients. Keywords: Adaptation, Hemodialysis, Quality of Life, Psychological, Social
Copyright (c) 2025 Ni Made Sekar Sari, Ika Yuni Widyawati, Elida Ulfiana, Ahmad Abdul Ghofar Abdulloh http://creativecommons.org/licenses/by-nc/4.0
Regulasi Artemisin melalui Jalur CYP11A1 dan LONP1 dalam Mengobati Polycystic Ovarii Syndrome (PCOS) - Related Insulin Resistance
This study aims to analyze the therapeutic potential of Artemisia annua L. derivatives, specifically artemisinin, in modulating disrupted endocrine and metabolic pathways in PCOS. This research method utilized a literature review, with data sources consisting of journal articles and books related to the research topic. The results indicate that the pharmacological properties of artemisinin can treat PCOS-related insulin resistance through its regulatory interaction with the CYP11A1 and LONP1 pathways. Artemisinin can also enhance CYP11A1 degradation by directly binding to the mitochondrial protease LONP1, reducing androgen synthesis and alleviating insulin resistance. By targeting steroidogenesis and mitochondrial function, artemisinin emerges as a promising multi-target alternative therapy for PCOS with fewer side effects. In conclusion, artemisinin shows good molecular and clinical potential for overcoming insulin resistance in PCOS patients. Keywords: Artemisinin, CYP11A1, LONP1, PCOS, Insulin Resistance
Copyright (c) 2025 Muhammad Dary Margolang, Nurul Hidayah, Fairuz Alifia Aksalansia Hudawi, Fara Nayo Faramarisa, Yusa Amin Nurhuda http://creativecommons.org/licenses/by-nc/4.0
Cantik dengan Dermal Filler dalam Sudut Pandang Kesehatan dan Maqashid Al-Shari’ah
This study attempts to analyze the benefits and side effects of this therapy on health, as well as its legal standing and position within Islamic law, from the perspective of maqasid al-Shari'ah (Islamic principles of Islamic law). The research employed qualitative phenomenological methods, including interviews and observations at four beauty clinics, and problem analysis using triangulation. The results demonstrate the benefits of this therapy for treating medical problems and its aesthetic benefits for skin rejuvenation. However, its potential health side effects require careful consideration of several factors, such as drug safety and the competence of the expert to avoid endangering life. The legal standing and position of both therapies, according to maqasid al-Shari'ah, are classified as tertiary needs or tahsiniyyat. In conclusion, dermal fillers are not considered an urgent need; therefore, as long as the procedure does not cause harm, their use is permissible, taking into account applicable medical aspects. Keywords: Dermal Filler, Beauty, Maqasid al-Shari'ah, Health Promotion, Women
Copyright (c) 2025 Ilyu Ainun Najie, Dede Iskandar, Kristiawan Basuki Rahmat, Sabrina Yusrin Al Husna http://creativecommons.org/licenses/by-nc/4.0
Dukungan Sosial Teman Sebaya dengan Kesehatan Jiwa Remaja
This study aims to determine the relationship between peer social support and adolescents' mental health at SMP Negeri 1 Syamtalira Bayu. The research method used a quantitative design with a cross-sectional approach. The results of this study indicate that 85.1% (189 respondents) reported good peer social support, 75.2% (167 respondents) reported normal mental health, and 66.7% (148 respondents) reported good peer social support. The relationship between peer social support and adolescents' mental health at SMP Negeri 1 Syamtalira Bayu was significant, with a p-value of 0.000. Conclusion: There is an essential relationship between peer social support and adolescents' mental health. Keywords: Social Support, Peers, Mental Health, Adolescents
Copyright (c) 2025 Rizky Mauliza, Linur Steffi Harkensia, Riski Dian Ardianti, Teungku Muhammad Sabil; Putri Drissianti http://creativecommons.org/licenses/by-nc/4.0
Kombinasi Massage Effleurage Olive Oil dan Aromaterapi Diffuser Lavender terhadapTingkat Nyeri dan Kenyamanan pada Persalinan Kala I
This study aimed to determine the effect of a combination of olive oil effleurage massage and lavender diffuser aromatherapy on reducing pain and increasing comfort during the first stage of labor, compared to the pursed lip breathing technique and lavender diffuser aromatherapy. The method used was a quasi-experimental design with a non-equivalent pre-test and post-test with a control group design. The results showed a difference in the mean pain scale between the pre-test and post-test results, with the intervention group experiencing a greater reduction in pain than the control group and the mean comfort level. The Wilcoxon test yielded a p-value of 0.00, indicating that both interventions could reduce labor pain and increase comfort. The Mann-Whitney test yielded a p-value of 0.00, indicating a significant difference in pain and comfort levels in the intervention group compared to the control group. In conclusion, the combination of olive oil effleurage massage, lavender diffuser aromatherapy, and pursed lip breathing can help mothers reduce first-stage labor pain and increase comfort. Keywords: Aromatherapy, Effleurage, Comfort, Pain, Labor
Copyright (c) 2025 Yeti Sumiati, Yayat Suryati, Murtiningsih Murtiningsih, Mira Trisyani, Monna Maharani Hidayat http://creativecommons.org/licenses/by-nc/4.0
Pola Makan dan Aktivitas Fisik sebagai Faktor Risiko Diabetes Melitus
This study aims to examine the relationship between diet and physical activity and the incidence of diabetes mellitus. The research method used an analytical survey with a cross-sectional study design. Based on the statistical test results, there was a relationship between diet and physical activity and the incidence of diabetes mellitus, with a p-value of 0.01 (diet) and a p-value of 0.005 (physical activity). In conclusion, a relationship exists between diet and physical activity and the incidence of diabetes mellitus. Irregular diet, consumption of foods high in sugar and fat, and a sedentary lifestyle can increase the body's risk of developing insulin resistance and ultimately lead to a diagnosis of diabetes mellitus. Keywords: Physical Activity, Diabetes Mellitus, Diet
Pola Makan, Aktivitas Fisik, Dabetes Melitus
Copyright (c) 2025 Husnul Khatimah, Masdalis Masdalis, Dinda Tri Lestari, Kartika Sari Wijayaningsih http://creativecommons.org/licenses/by-nc/4.0
Deskripsi Tingkat Ideasi dan Risiko Bunuh Diri Berdasarkan Revised-Suicide Ideation Scale (R-SIS) pada Remaja
This study aims to describe the level of suicidal ideation and risk in adolescents based on the Revised Suicide Ideation Scale (R-SIS) instrument. Suicide is one of the leading causes of death in adolescents worldwide, and early detection of suicidal ideation and risk is essential for effective prevention. The method used is quantitative descriptive research. The sample in this study was 250 adolescents aged 14–19 years who were selected using a purposive sampling technique. Data was collected using the validated Revised-Suicide Ideation Scale (R-SIS) questionnaire. Data analysis was carried out univariately to describe the frequency and percentage distribution of each category of suicidal ideation and risk. The results showed that 62.8% of respondents were female, and 52.8% of respondents had suicidal ideation in the mild category. As many as 44% of respondents showed passive ideation (covert suicidal desire), while 46% showed active and structured ideation (overt resolved plans and preparations). These findings emphasize the importance of early detection and a comprehensive assessment approach to both forms of suicidal ideation in efforts to prevent suicide in adolescents. Keywords: Suicidal Ideation, Mental Health, R-SIS, Adolescents, Suicide Risk
Ideasi Bunuh Diri, Kesehatan Mental, R-SIS, Remaja, Risiko Bunuh Diri
Copyright (c) 2025 Sekani Niriyah, Riau Roslita, Agnita Utami, Faiha Sry Rahmadhani http://creativecommons.org/licenses/by-nc/4.0
Edukasi Kesehatan dengan Model SECI Berbasis Augmanted Reality Terhadap Self-Care Management dan Kepatuhan Cairan pada Pasien Gagal Ginjal Kronis dengan Hemodialisis
This study aims to analyze the effect of health education using the SECI model based on Augmented Reality (AR) on self-care management and fluid adherence in patients with chronic kidney disease undergoing hemodialysis. The method was a quasi-experimental study with a pretest-posttest approach and a control group design. The results showed a significant increase in self-care management and fluid adherence scores in the intervention group compared to the control group (p < 0.05). In conclusion, education based on the SECI model and Augmented Reality has been proven effective in improving self-management skills and fluid adherence in hemodialysis patients and positively impacting their overall quality of life. Keywords: Augmented Reality, Health Education, Chronic Kidney Disease, Hemodialysis, Fluid Adherence, SECI Model, Self-Care Management
Copyright (c) 2025 Theresia Jamini, Lucia Andi Chrismilasari, Candra Kusuma Negara, Ricky Prawira http://creativecommons.org/licenses/by-nc/4.0
Analisis Faktor Risiko Kejadian Gout Arthritis pada Lansia
This study aimed to determine the prevalence of gout arthritis and identify risk factors contributing to its incidence in the Sokaraja Community Health Center I work area. A correlational approach was used to analyze the relationship between gender, nutritional status, diet, and physical activity level with the risk of gout arthritis in the elderly population in the area. The results showed no statistically significant association between the risk factors, with a p-value > 0.05. Based on the analysis, it can be concluded that the incidence of gout is not significantly associated with food type, physical activity, nutritional status, or gender. Although these four factors are often associated as potential risk factors, this study did not statistically demonstrate an effect on the incidence of hyperuricemia in older people in the Sokaraja Community Health Center I work area. Keywords: Physical Activity, Gout, Gender, Food Type, Nutritional Status
Copyright (c) 2025 Ninuk Angelia, Yolinda Suciliyana, Ayu Kurnia S http://creativecommons.org/licenses/by-nc/4.0
Determinan Faktor yang Berhubungan dengan Quality of Nursing Work Life (QNWL) Perawat Perempuan
This study aims to explore factors related to the Quality of Nursing Work Life (QNWL) in female nurses. QNWL is an important indicator that reflects the welfare of nurses and the overall quality of nursing services. The method used is a quantitative approach with a cross-sectional design. Data were collected through questionnaires from 75 female nurses, with variables including individual characteristics (marital status, child status, and education level), work stress level, and QNWL. The results showed that there was a significant relationship between marital status (p-value 0.048), child status (p-value 0.01), and work stress (p-value 0.027) with QNWL. However, there was no relationship between education level (p-value 0.95) and QNWL. In conclusion, several individual factors and work stress levels influence QNWL in female nurses. These findings can be used to formulate hospital policies to create a more conducive work environment that improves nurse welfare and the quality of nursing services. Keywords: Nursing Services, Female Nurses, Work Stress, Quality Of Nursing Work Life
Copyright (c) 2025 Yecy Anggreny, Susi Erianti, Raja Fitrina Lastari http://creativecommons.org/licenses/by-nc/4.0
Distribusi Tenaga Kesehatan Provinsi dan Status Indikator Kesehatan Nasional: Analisis Deskriptif dari Indonesia
This study aims to descriptively map the adequacy of six categories of primary health workers, doctors, nurses, midwives, pharmacists, nutritionists, and sanitarians in 34 provinces in Indonesia and to relate them to the achievement of three health indicators, namely the Maternal Mortality Rate (MMR), Infant Mortality Rate (IMR), and stunting prevalence. The method used is a descriptive analysis of secondary data from official government sources. The study results indicate that most provinces have not met national standards for the availability of health workers, especially in the categories of pharmacy, nutrition, and environmental health workers. In addition, most provinces still have MMR and IMR rates that exceed national standards and stunt prevalence above the national average. In conclusion, the adequacy of health workers quantitatively has not directly impacted the achievement of health indicators, so more attention is needed to aspects of quality, functional distribution, and cross-disciplinary collaboration. These findings fill the evidence gap at the subnational level and provide direction for health worker distribution policies based on regional needs. Keywords: Distribution of Health Workers, Health Indicators, Infant Mortality, Maternal Mortality, Stunting.
Copyright (c) 2025 Rutmauli Hutagaol, Erna Fauziah, Mahdalena Mahdalena, Akhmad Rizani http://creativecommons.org/licenses/by-nc/4.0
Implementasi CQI Meningkatkan Kepatuhan Keluarga Pasien Melakukan Cuci Tangan Menggunakan Booklet Digital di Ruang ICU: Studi Kasus
This study aims to improve the compliance of ICU patient families to wash their hands in 6 steps. The method used is a case study using the CQI IHI Model for the improvement of the PDSA approach through the promotion of a 6-step handwashing digital booklet using a QR barcode scan. The study results showed that in terms of handwashing compliance, 2 days before the intervention, data was obtained that 33.3% of families washed their hands before the patient and 22.2% after the patient (n = 9). On 4 days of intervention, data was obtained that 100 percent washed their hands before and 72.7% after the patient (n = 11), which showed a significant increase, especially before the patient. There was a considerable increase in knowledge, with the average score of patients before the intervention being 32.7, and after the intervention, it increased to 72.7. The conclusion is that education using digital booklets can improve patient families' knowledge and compliance in washing their hands. This is because the media used is more innovative and attractive and has sustainability for use by ICU nurses. Keywords: Digital Booklet, CQI IHI Model, 6-Step Handwashing, Patient Family
cuci tangan 6 langkah, CQI IHI Model, keluarga pasien, booklet digital
Copyright (c) 2025 Juniar Ernawaty, Muhammad Evan Adipa, Nadila Nadila, Nurul Annisya, Risti Amanda Putri, Sri Lestari http://creativecommons.org/licenses/by-nc/4.0
Analisis Faktor Maternal Penyebab Stunting di UPTD Puskesmas Limo Kota Depok Tahun 2025
This study aims to describe the relationship between maternal factors and the incidence of stunting at the Limo Depok Health Center. This research method is cross-sectional with a quantitative approach. The study results showed a relationship between maternal upper arm circumference and stunting with a p-value of 0.040 and a relationship between maternal weight gain and the incidence of stunting with a p-value of 0.036. In conclusion, the right way that health workers can prevent stunting is to provide education and screening as early as possible for pregnant women so that signs of chronic energy deficiency in toddlers can be identified. Keywords: Maternal Factors, Upper Arm Circumference, Stunting
Copyright (c) 2025 Toni Hermawan, Adang bacthiar, Cicilya Candi http://creativecommons.org/licenses/by-nc/4.0
Metode Lean Six Sigma dalam Mengoptimalkan Lead Time Pembekalan Farmasi
This study aims to determine the Lean Six Sigma method in optimizing the lead time of pharmaceutical supplies at the University of Indonesia Hospital. The research method used is a qualitative design through an action research approach focusing on the internal process from submitting pharmaceutical supplies to supplies received by the pharmacy unit. The results of the study indicate that the description of the existing business process flow, then the existing waste can be identified, namely the length of the process that still needs much improvement. Making PO at ULP and receiving goods by logistics are the two processes that take the most time, so the drug supply procurement process takes 35 days. This causes the pharmacy to provide a buffer stock of 2 times the lead time waiting time, namely a buffer stock of 70 days, so drug services are not disrupted due to stock problems. This risks the hospital's cash flow being hampered and the high default on each term of the hospital's debt payment. Conclusion, The Lan Six Sigma method in optimizing the lead of the pharmaceutical supply team at the University of Indonesia Hospital has been carried out with the results of the search for the problem of the length of the lead time in pharmaceutical supplies found in several units related to the Supply Chain Management function, so it is necessary to ensure that each unit in it is consistent in holding their respective roles while making continuous improvements. Keywords: Lead Time, Lean Six Sigma Method, Pharmaceutical Supplies
Copyright (c) 2025 Ayunda Shinta Nurarliah, Ade Surya Darmawan, Arza Putra http://creativecommons.org/licenses/by-nc/4.0
Analisis Hubungan Stress Akademik dengan Gejala Depresi dan Ide Bunuh Diri pada Mahasiswa
This study aims to analyze the relationship between academic stress and symptoms of depression and suicidal ideation in college students. The method used is quantitative descriptive with a cross-sectional design. The results of the study involving respondents with an average age of 21 years, the youngest age 19 years, and the oldest 24 years showed that most respondents experienced low levels of academic stress (59.7%), while 39.6% were at a moderate level, and only 0.7% experienced relatively high academic stress. In terms of depression, respondents with mild depression were 24.5%, moderate depression 23.7%, severe depression 7.9%, and very severe depression 3.6%. Regarding suicidal ideation, the majority of respondents (84.9%) had low levels of suicidal ideation, and 15.1% were at a moderate level. The results of the analysis showed a significant relationship between academic stress and depression, with a p-value of 0.001. There was no relationship between academic stress and suicidal ideation, with a p-value of 0.231. This study concludes that there is a significant relationship between academic stress and depression, but no significant relationship was found between academic stress and suicidal ideation. Keywords: Depression, Suicidal Ideation, Academic Stress
Copyright (c) 2025 Indana Lazulfa, Zafria Atsna, Nunik Angelia http://creativecommons.org/licenses/by-nc/4.0
Analisis Pengaruh Pengetahuan, Persepsi, dan Isyarat untuk Bertindak terhadap Penerimaan Pelaksanaan Pemeriksaan Mantoux Test pada Ibu yang Mempunyai Balita Terduga TBC
This study aims to determine the influence of knowledge, perception, and cues to action on the acceptance of the implementation of the Mantoux test in mothers who have toddlers suspected of having TB at the Rengel Community Health Center, Tuban Regency. This research method is quantitative with a cross-sectional approach. The results of this study found that knowledge was good (88.2%), perception of moderate susceptibility (79.1%), perception of mild severity (68.2%), perception of moderate benefits (73.6%), perception of moderate barriers (84.5%), and cues to action were moderate (74.5%). The results of the partial regression analysis of each independent variable were: there was no influence of the knowledge factor (α = 0.542), perception of susceptibility (α = 0.124), perception of severity (α = 0.969), perception of benefits (α = 0.661), and there was an influence of the perception of barriers (α = 0.000) and the cues to action factor (α = 0.000) on the acceptance of the Mantoux test. The analysis simultaneously showed that knowledge, perceptions (susceptibility, severity, benefits, barriers), and cues to action influenced acceptance of the Mantoux test, with a significance value of α = 0.000 (<α = 0.05). Acceptance of the Mantoux test was influenced by knowledge, perceptions, and cues to action by 86.9% (Adjusted R Square: 0.869), with perceived barriers (β = 0.969) having a greater influence than cues to action (β = 0.626). In conclusion, providing detailed information about childhood TB, susceptibility and severity, benefits, early detection, and the importance of the Mantoux test is necessary. This necessitates effective collaboration between health workers, cadres, and related parties. Keywords: Mantoux test, Acceptance, HBM Theory
Copyright (c) 2025 Fiqhiyah Birroudhoh, Joko Prasetyo, Yuly Peristiowati http://creativecommons.org/licenses/by-nc/4.0
Kombinasi Akupunktur dan Bekam dengan Ayub Stomping, Motor Imagery dan ROM Aktif Pasif terhadap Perubahan Skala Stroke
This study aims to analyze the effectiveness of a combination of acupuncture and cupping therapy with the Ayub Stomping intervention method, Motor Imagery, and active-passive Range of Motion (ROM) exercises on changes in the stroke scale in stroke patients at Holistic Nursing Therapy Probolinggo. The method used was an experiment with a population of 155 patients and a sample of 112 respondents selected through purposive sampling techniques. The instrument used a stroke scale questionnaire, with data analysis using the Wilcoxon and Kruskal-Wallis tests. The results showed that Motor Imagery therapy (TKM) provided clinical improvement but was not statistically significant (p = 0.317). In contrast, active-passive ROM therapy (TKR) was effective in reducing stroke severity significantly (p = 0.025). Complementary nursing therapy (TKK) was also proven significant (p = 0.007), with an increase in the number of patients in the mild category. Ayub Stomping therapy (TKA) showed the most important results (p = 0.000), with 50% of patients experiencing an increase to the mild category. Kruskal-Wallis test showed significant differences between intervention groups (p = 0.000). Conclusion: Ayub stomping therapy is the most effective method in reducing stroke severity and improving stroke patient rehabilitation outcomes. Keywords: Acupuncture, Ayub Stomping, Cupping, Motor Imagery Rehabilitation, Active-Passive ROM, Stroke
Copyright (c) 2025 Ishak Ishak, Indasah Indasah, Agusta Dian Ellina http://creativecommons.org/licenses/by-nc/4.0