Journal of Telenursing (JOTING) https://journal.ipm2kpe.or.id/index.php/JOTING <p>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)</p> Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE) en-US Journal of Telenursing (JOTING) 2684-8996 Hubungan Pengetahuan dengan Kepatuhan Berobat Pasien Tuberkulosis https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8737 <p><em>This study aims to determine whether there is a relationship between knowledge about the side effects of tuberculosis drugs experienced by patients and compliance with treatment for tuberculosis patients. The method used in this research uses quantitative methods with a cross-sectional approach. The research results based on the Spearman Rank Correlation test obtained p-value = 0.000 &lt; 0.05. In conclusion, the results obtained from this study show a relationship between knowledge about the side effects of Anti-Tuberculosis Drugs (OAT) and compliance with treatment for tuberculosis patients.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Treatment Compliance, Knowledge, Tuberculosis</em></p> Okti Tri Saputri Fahrun Nur Rosyid ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-01-30 2024-01-30 6 1 1 9 10.31539/joting.v6i1.8737 Hubungan Motivasi dan Supervisi Dengan Pendokumentasian Keperawatan https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8627 <p><strong><em>&nbsp;</em></strong></p> <p><em>This research aims to determine the relationship between motivation and supervision with nursing documentation at the Rimbo Bujang Inpatient Health Center, Tebo Regency. This research method was cross sectional involving 52 nurses who worked in the inpatient care at the Rimbo Bujang Community Health Center, Tebo Regency. The statistical test used is chi square. The research results showed that 55.8% of nurses had high motivation, 55.8% carried out good supervision, 51.9% of nurses carried out incomplete nursing documentation. The Chi-Square statistical test obtained a significant value of p = 0.001 &lt; 0.05, indicating that there was a relationship between motivation and nursing documentation. The supervision statistical test obtained a significant value of 0.000 (p &lt; 0.05). There was a relationship between supervision and nursing documentation. The conclusion of the research is that there is a relationship between motivation and nurse supervision in carrying out nursing documentation at the Inpatient Hospital of Rimbo Bujang Community Health Center, Tebo Regency</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Nursing Documentation, Motivation, Supervision</em></p> Mursidah Dewi Yellyanda Yellyanda Ernawati Ernawati Yan Haryanti ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-01-31 2024-01-31 6 1 10 18 10.31539/joting.v6i1.8627 Penerapan Latihan Sepeda Statis Intradialitik dalam Memperbaiki Gejala Kelelahan pada Pasien Hemodialisis https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8286 <p><em>This study aims to implement an intradialytic stationary bicycle exercise intervention to improve fatigue symptoms in hemodialysis patients. The research method used is a literature review. Research results The research results showed that there were significant differences between the experimental group and the control group on fatigue subscales such as decreased motivation (P = 0.02) and mental fatigue (P = 0.046). Also, there were significant differences between the experimental and control groups in all fatigue subscales during the third month of intervention and 1 month after intervention. In addition, the results showed that exercise prevented the development of mental fatigue in the experimental group. In conclusion, exercise with a stationary bicycle prevented an increase in fatigue and its subscales, especially mental fatigue, in the test group</em><em>.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Hemodialysis, Fatigue, Stationary Bike</em></p> Dedeh Ernawati Diana Irawati Dewi Anggraeni Dewi Anggraeni Wati Jumaiyah Rika Mustika Abriyanti ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-01-31 2024-01-31 6 1 19 26 10.31539/joting.v6i1.8286 Analisis Asuhan Keperawatan Pasien Leukemia dengan Pemberian Terapi Musik pada Masalah Keperawatan Nyeri Akut https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/7424 <p><em>This study aims to explain nursing care by providing music therapy for acute pain nursing problems in leukemia patients. The method used is to analyze the nursing care that has been provided, namely music therapy to treat pain in leukemia patients. The results of the study showed that there was a decrease in pain levels in leukemia patients before and after the music therapy intervention was given. The music the patient listens to helps the patient feel relaxed and calm, so that after listening to music he can calm himself down and forget for a moment the pain or pain the patient is experiencing. In conclusion, even though music does not affect the disease itself, this therapy makes patients forget about the condition and pain by focusing on breathing and the music they listen to, even if only for a moment.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Leukemia, Pain, Music Therapy</em></p> Kadek Andal Martadi Prianugraha Ni Made Dwi Yunica Astriani Putu Indah Sintya Dewi ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-01-31 2024-01-31 6 1 27 33 10.31539/joting.v6i1.7424 Tingkat Pendidikan, Pendapatan, Dan Pola Asuh Orang Tua Terhadap Kejadian Stunting Pada Balita https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8418 <p><em>This research aims to identify the relationship between education, income, and parenting patterns with the incidence of stunting among toddlers in Sukamulya Village. The research method used is quantitative correlational and uses secondary data. The research results showed that the Chi-square test obtained a p-value (α = 0.05) on the stunting variable with the father's education of 0.831, the mother's education of 0.209, the parents' income of 0.011, and the parents' parenting style of 0.614. The conclusion is that there is a significant relationship between parental income and the incidence of stunting among toddlers in Sukamulya Village. At the same time, the level of the father's education, the mother's education, and parenting patterns do not have a significant relationship with the incidence of stunting.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Toddlers, Income, Education, Parenting Patterns, Stunting</em></p> Yasmin Salsabila Solihin Citra Windani Mambang Sari Iwan Shalahuddin Laili Rahayuwati Theresia Eriyani ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-01-31 2024-01-31 6 1 34 42 10.31539/joting.v6i1.8418 Pengetahuan Ibu Mengenai Gizi Seimbang pada Pengukuran Antropometri (TB/U) Balita https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8387 <p><em>This study analyzes the relationship between maternal knowledge regarding balanced nutrition and anthropometric measurements (TB/U) in toddlers in Sukamulya Village. The method used is quantitative correlational. The study results showed that maternal knowledge regarding balanced nutrition and the incidence of stunting obtained a p-value of 0.889. In conclusion, there is no significant relationship between maternal knowledge about balanced nutrition and the incidence of stunting in Hamlet 3, Sukamulya Village, Bandung Regency.</em></p> <p><em>&nbsp;</em><em>Keywords: Anthropometrics, Balanced Nutrition, Knowledge, Stunting</em></p> Anita Purnama Theresia Eriyani Adelse Prima Mulya Laili Rahayuwati Ristina Mirwanti ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-01-31 2024-01-31 6 1 43 51 10.31539/joting.v6i1.8387 Mhealth terhadap Manajemen Diri dan Motivasi Pengobatan pada Pasien Hipertensi https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8821 <p><em>This research aims at hypertension management, which is very important to improve public health and reduce suffering from chronic diseases with the support of mobile health technology (mHealth). The research method used is a literature review through electronic databases and websites, namely Scopus, PubMed, Science Direct, and ProQuest. The research results show that from 11 research articles, there is primary education based on health care technology or mHealth in the form of voice calls, web-based, and applications that can provide access, assessment, assistance, awareness, ability, and activation where mechanisms are felt regarding the use of mHealth services in supporting their hypertension self-management. In conclusion, patients can monitor their health status and self-management progress in real time thanks to mHealth services, which in turn encourages more self-management as well as mHealth services also provide patients with access to health education and reminders to help with their Blood Pressure (BP) self-management.</em></p> <p><em>&nbsp;</em><em>Keywords: Hypertension, Self Management, Mhealth, Motivation, Public Health Services</em></p> Ach Maskur Ferry Efendi Dianis Wulan Sari ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-01-31 2024-01-31 6 1 52 60 10.31539/joting.v6i1.8821 Sedentary Lifestyle Berhubungan dengan Status Gizi pada Remaja https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8883 <p><em>This study aims to determine the relationship between a sedentary lifestyle and nutritional status in adolescents at SMPIT Qordova. The method used is correlation analysis with a cross-sectional approach. The research results show that the p-value is 0.000 (p &lt; 0.05) with a correlation coefficient of 0.405, which means there is a relationship in the same direction with moderate strength. In conclusion, a significant relationship exists between sedentary lifestyle and nutritional status in adolescents at SMPIT Qordova.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Adolescents, Sedentary Lifestyle, Nutritional Status</em></p> Syifa Nurul Aulia Sukmawati Sukmawati Udin Rosidin ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-01 2024-02-01 6 1 61 69 10.31539/joting.v6i1.8883 Pelaksanaan Program Perencanaan Persalinan dan Pencegahan Komplikasi https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8609 <p><em>This study aims to determine the implementation of birth planning and prevention of complications. The method used is adapting the Arksey and O'Malley framework with five stages, namely identifying research questions, relevant studies, selecting subjects, mapping data, compiling, summarizing and reporting the results in the PubMed, Science Direct, Wiley databases and the Google Scholar web search engine. The research results showed that there were 16 articles related to the implementation of P4K. In conclusion, most of the prevalence has shown good implementation of P4K.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Prevention of jumps, planning, childbirth</em></p> Novika Mangampe Asri Hidayat ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-01 2024-02-01 6 1 70 78 10.31539/joting.v6i1.8609 Sedentary Lifestyle dan Metabolic Syndrome sebagai Predictor Kejadian Sindrom Koroner Akut pada Dewasa Muda https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8549 <p><em>The aim of this study is to identify Sedentary Lifestyle and Metabolic Syndrome as predictors of the incidence of Acute Coronary Syndrome. The method used in this research was the PRISMA (Preferred Reporting Items for Systematic-Reviews and Meta-Analyses) search strategy. The databases used in the literature search were Clinical Key Nursing, ScienceDirect, Springer link, Proquest, EBSCOHost. The results of the study show that there are two groups of predictors in the literature search that cause Acute Coronary Syndrome in young adults. Conclusions based on the 7 articles analyzed in the study showed that Sedentary Lifestyle and Metabolic Syndrome were the main risk factors determining the incidence of Acute Coronary Syndrome in young adults. </em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Metabolic Syndrome, Predictor, Sedentary Lifestyle, Acute Coronary Syndrome</em></p> Ngakan Nyoman Rai Bawa Elly Nurachmah Muhamad Adam Riri Maria ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-01 2024-02-01 6 1 79 87 10.31539/joting.v6i1.8549 Penerapan Teknik dan Balutan Luka Modern untuk Mempercepat Penyembuhan Luka Infeksi Daerah Operasi (IDO) Paska Persalinan Sectio Caesaria https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8480 <p><em>This study aims to provide an overview of the application of modern techniques and wound dressings to accelerate healing of surgical site infections (SSI) after caesarean section (SC) delivery. This descriptive case study method involved 2 patients who experienced surgical wound infections after SC delivery at the wound care clinic. Participants were given treatment for 4 weeks with 10-12 treatment visits. Planning with TIME management and using modern dressing. The results of the case study include procedures for washing the wound using irrigation techniques and gentle rubbing using 0.9% Nacl and non-toxic </em><em>gentle </em><em>antiseptic soap, followed by compression with polyhexamethyl biguanide (PHMB) solution. The procedure for removing dead tissue uses mechanical techniques using scissors, tweezers and gauze and is followed by autolysis</em><em> debridement</em><em> using zinc cream chitosan. The procedure provides a primary dressing in the form of silver alginate at the wound </em><em>undermining</em><em>, zinc cream chitosan and cadexomer iodine in the wound infection phase, and using zinc hyaluride acid cream in the wound proliferation phase with a secondary dressing of polyurethane foam and fixation with transparent film. Inflammation and infection in the wound area were controlled for 3 days, proliferation until the wound closed with epithelial tissue lasted for 4 weeks. Conclusion: the treatment techniques and wound dressing materials used in wound care can be adjusted to the condition of the wound and the patient's financial ability to prove effective in accelerating wound healing.</em></p> <p><em>&nbsp;</em></p> <p><em>Key Words: Modern Dressings, Surgical Site Infections, Cesarean Wounds, Surgical Wounds, Cesarean Delivery</em></p> Idramsyah Idramsyah Dahrizal Dahrizal Husni Husni ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-01 2024-02-01 6 1 88 95 10.31539/joting.v6i1.8480 Hubungan Kepemimpinan Klinis Perawat dengan Penerapan Budaya Patient Safety https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8358 <p><em>This study aims to analyze the relationship between the clinical leadership of nurses and the implementation of patient safety culture at the H. Sahudin Kutacane Regional Hospital. The method used is descriptive-analytical correlational research with a cross-sectional study approach. The results of the research show that the characteristics of the respondents at H. Sahudin Kutacane Regional Hospital, the majority of respondents were aged 30 - 39 years, the majority of respondents were female, almost all of the respondents had a D-III level of education in Nursing and the majority of respondents had 6 - 10 years of service. years and there is a significant relationship between clinical leadership of nurses and the implementation of patient safety culture with a p-value of 0.015. In conclusion, clinical leadership possessed by nurses is related to the implementation of patient safety culture in hospitals.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Culture, Clinical Leadership, Patient Safety.</em></p> Eliati Eliati Devi Susanti ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-01 2024-02-01 6 1 96 103 10.31539/joting.v6i1.8358 Hubungan Efek Samping Obat Anti Tuberkulosis & Penyakit Penyerta dengan Kualitas Hidup Pasien Tuberkulosis Paru https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8565 <p><em>This study aims to determine the relationship between side effects of anti-tuberculosis drugs (OAT), comorbidities and the quality of life of pulmonary tuberculosis patients. The research method used is quantitative with a correlative descriptive approach, data collection techniques using a cross sectional method. The results of this study showed that 53 respondents (69.7%) of pulmonary TB patients were very certain to experience side effects from Anti-Tuberculosis Drugs (OAT), 54 respondents (71.1%) of pulmonary TB patients had comorbidities and 54 respondents (71.1%) had pulmonary TB patients with Poor quality of life was 51 respondents (67.1%). In conclusion, there is a relationship between the side effects of Anti-Tuberculosis Drugs (OAT), comorbidities and the quality of life of pulmonary tuberculosis patients.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Side Effects of OAT, Quality of Life, Concomitant Diseases</em></p> Siti Nur Alfiyatin Nasichah Beti Kristinawati ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-01 2024-02-01 6 1 104 112 10.31539/joting.v6i1.8565 Hubungan Pemberian Asi Ekslusif dengan Tingkat Stunting pada Balita Usia 1-3 Tahun https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8575 <p><em>The aim of this research is to find out whether there is a relationship between exclusive breastfeeding and the level of stunting in toddlers aged 1-3 years. This research uses a quantitative cross-sectional correlation approach. The sample method in this study was simple random sampling of 93 respondents who had stunted toddlers aged 1-3 years from two sub-districts in the Surakarta area in 2023. The instruments used in this study were height measurements and a demographic questionnaire. The research results were analyzed using frequency and Spearman distribution statistical tests. The results showed that there was a relationship between exclusive breastfeeding and the level of stunting with a value of 0.015 (p=&lt;0.05). Conclusion: There is a relationship between exclusive breastfeeding and the level of stunting in toddlers aged 1-3 years.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Exclusive Breastfeeding, Toddlers, Stunting</em></p> Siti Arifah Arian Wirani Sudariyekti ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-02 2024-02-02 6 1 113 120 10.31539/joting.v6i1.8575 Gambaran Sleep Hygiene pada Remaja https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8571 <p><em>This study aims to describe sleep hygiene in junior high school adolescents. The method used is descriptive quantitative with a cross-sectional approach. The results of the study showed that 76.2% of teenagers at SMP Negeri 2 Pamulihan, Sumedang Regency had moderate sleep hygiene, 20% had good sleep hygiene, and 3.8% had poor sleep hygiene. In conclusion, almost all adolescents have poor sleep hygiene.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Adolescents, Sleep Hygiene, Sleep</em></p> Rositianti Rositianti Mamat Lukman Henny Yulianita ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-02 2024-02-02 6 1 121 129 10.31539/joting.v6i1.8571 Hubungan Cultural Competency Tenaga Kesehatan dalam Layanan Homecare dengan Cultural Safety pada Masyarakat yang Berbeda Suku https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8604 <p><em>This research aims to analyze the relationship between the cultural competency of health workers in homecare services and cultural safety in communities of different ethnicities in Babussalam District, Southeast Aceh Regency. The method used is correlation analytical research with a cross-sectional approach. The research results show that there is a relationship between the cultural competency of health workers in homecare services and cultural safety in communities of different ethnicities with a p-value of 0.016. In conclusion, health workers who have good cultural competency can implement good cultural safety. Therefore, it is recommended that health facility managers support health workers by providing cultural competency training and cross-cultural communication skills as well as forming a representative team of health workers from various ethnic groups in the region.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Cultural Competency, Cultural safety, Homecare. </em></p> Yusnaini Yusnaini Dina Andriani Br. Karo Dini Qurrata Ayuni Mariza Elvira ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-02 2024-02-02 6 1 130 137 10.31539/joting.v6i1.8604 Risiko Obesitas Efek Pengobatan Hipertiroid pada Pasien Hipertiroid https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8405 <p><em>This study aims to determine the risk of obesity and the effects of hyperthyroid treatment in hyperthyroid patients.</em> <em>The research method used is a systematic review through electronic databases and websites, namely ScienceDirect, Pubmed and Wiley Online Library. The research results showed that of the 7 research articles, 4 articles reported that hyperthyroidism treatment had an effect on the body, one of which was weight gain due to the disease. This needs to be controlled so that you don't become obese. There are articles stating that there is a lack of information about treatment options and their long-term consequences so that patients have no mechanism to predict these potential effects, namely weight gain that will lead to obesity. In conclusion, hyperthyroid patients undergoing treatment need to be given information about the drug therapy they are undergoing in order to reduce/avoid unwanted side effects, namely obesity.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords:</em> <em>Hyperthyroid, </em><em>Medication, </em><em>Obesity, Obesity Risk</em><em>, </em><em>Thyroid Disease </em></p> Fajrinandetya Paramita Ika Yuni Widyawati Ika Nur Pratiwi ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-02 2024-02-02 6 1 138 146 10.31539/joting.v6i1.8405 Gejala Primer Serangan Stroke pada Pasien Dengan Serang Pertama https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8378 <p><em>This study aims to identify stroke symptoms that often occur in first-attack stroke patients. Using observational method with secondary data from medical records of stroke patients. The results of the study showed that the symptoms of stroke that often occurred in first stroke stroke patients were experiencing sudden weakness in the movement of half of the body (hands and feet) as many as 89 people (96.08%). Then, the majority of stroke patients had a history of disease, namely hypertension, 88 people (86.3%). and The majority of stroke onset when patients arrived at the hospital in this study was more than 3.5 hours but still under 24 hours. 63 people (61.8%). The conclusion from this study can be seen that the majority of the main symptoms of a stroke are experiencing sudden weakness in the movement of one side of the body (hands and feet) with the onset of stroke when the patient arrives at the hospital in the majority more than 3.5 hours but still less than 24 hours.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Hypertension, Stroke, Stroke onset, Stroke symptoms</em></p> Rizki Nugraha Agung Wati Jumaiyah Iyar Siswandi Rinawati Rinawati Jum’atina Jum’atina ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-02 2024-02-02 6 1 147 155 10.31539/joting.v6i1.8378 Perubahan Pengetahuan dan Sikap Remaja Setelah Diberi Promosi Kesehatan Mental https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8518 <p><em>The aim of this research is to determine differences in changes in knowledge and attitudes of adolescents after being given mental health promotion. This research method is pre-experimental design with one pre-test-posttest group. This research was conducted on students of SMAN 2 Sukoharjo who were given health promotion. The results of the research before being given health promotion were 91 people who had sufficient knowledge. After being given health promotion, 91 people had good knowledge. Before being given the health promotion, 93 teenagers had Sika in the low category. After being given health promotion, 91 people had attitudes in the high category. There is a difference in teenagers' knowledge before and after health promotion (p value = 0.001). There is a difference in teenagers' attitudes before and after health promotion (p value = 0.001). The conclusion is that there is an increase in knowledge and attitudes after being given health promotion regarding mental health in adolescents. It is recommended that nurses provide health promotion to teenagers directly in schools.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Adolescents, Health Promotion, Mental health</em></p> Yeni Rahmawati Arif Widodo ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-05 2024-02-05 6 1 156 163 10.31539/joting.v6i1.8518 Karakteristik Sensori dan Hedonik pada Pacid Kule Ikan Mas (Cyprinus Carpio) Fermentasi https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8406 <p><em>This research aims to determine the best and most preferred sensory and hedonic characteristics of fermented Pacik kule goldfish (cyprinus carpio) typical of the Alas tribe, Southeast Aceh district. The research method was an experiment using a completely randomized design (CRD) with 3 treatments for the storage time of Pacik kule fish typical of Aceh. With 2 repetitions. Statistical tests for sensory use the Kruskal Wallis test and for hedonic tests use the Fiedman test to see test ranking. The results showed that the sensory characteristics for aroma attributes were different for each sample (p = 0.03 &lt; 0.05). For sensory taste, there are differences in each attribute (p = 0.01 &lt; 0.05). The hedonic test of color, aroma, taste and texture that was most liked by the panelists was found in the F2 fermentation time (12 hour fermentation), with a very like classification and the lowest classification, namely F3 (36 hour fermentation) with a dislike classification. The research conclusion is that the aroma sensory characteristic with the highest intensity is the very aromatic attribute of Pacik kule spices typical of Southeast Aceh, for the taste sensory characteristic with the highest intensity is the characteristic fish taste attribute. The best hedonic test was found in the F2 treatment or fermentation for 12 hours.</em></p> <p>&nbsp;</p> <p><em>Keywords: Hedonic</em><em>, </em><em>Pacik kule</em><em>, Sensory</em></p> Yuli Pramesti Gemala Anjani Dase Hunaefi ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-05 2024-02-05 6 1 164 172 10.31539/joting.v6i1.8406 Pemberian Seduhan Ekstrak Kunyit terhadap Tekanan Darah pada Penderita Hipertensi https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8434 <p><em>This study aims to determine the effect of steeping turmeric extract on blood pressure in hypertension sufferers. This type of research is a quantitative method with a quasi experimental design approach with a non-randomized pre and post test design with control group design. The sample for this study was 30 people with a control group of 15 people and an intervention group of 15 people. This data collection technique uses purposive sampling. The measuring instrument used is the observation sheet, Blood Pressure Monitor. The analysis used was Univariate and Bivariate with the statistical test used was paired sample t-test analysis and processed using SPSS 25.0. With the results obtained, the average blood pressure before being given the turmeric extract steeping intervention was 152/87 mmHg with a standard deviation of 8,200/4,867 mmHg, while the average blood pressure after being given the turmeric extract steeping intervention was 141/80 mmHg and the standard deviation 10,025/4,320 mmHg. It was concluded that there was a difference in the effect of steeping turmeric extract on diastolic blood pressure in the intervention and control groups with a significance value of 0.002 &lt; 0.05.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Hypertension, Turmeric Extract Infusion, Blood Pressure</em></p> Choirida Ailani Arina Maliya ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-05 2024-02-05 6 1 173 181 10.31539/joting.v6i1.8434 Terapi Laser untuk Skar Hipertrofik dan Keloid https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8514 <p><em>T</em><em>his study aim</em><em> to evaluate the success rate of laser therapy in hypertorphic, and keloid scar patients based on scar characteristics. The research </em><em>method used is </em><em>systematic review using data from Pubmed, Cochrane Library, Clinicaltrials.gov, and Mendeley from 1994 to July 2022. The </em><em>results found a total of 28 studies, consisting of 3 retrospective studies, 5 randomized controlled trials (RCT), and 20 prospective studies included in the review. This research</em><em> evaluated 11 585nm pulse dye laser (PDL) studies, 2 595nm PDL studies, 3 1064 nm Nd:Yag studies, 3 1550nm Er:Yag studies, 3 2940nm Er:Yag studies, and 6 10,600nm fractional CO2 laser studies. In</em><em> conclusion, </em><em>the 585 nm pulse dye laser showed the best overall therapeutic success rate. Fractional CO2 10,600nm, Er:YAG 2940nm, and Nd:YAG 1064nm lasers showed the best therapeutic response for reducing erythema, pigmentation, height, and scar consistency. Further research is needed to assess the success rate of therapy.</em></p> <p><em>&nbsp;</em></p> <p><em>Keyword: Keloid<strong>, </strong>Laser, Hypertrophic scar, Systematic</em> Review</p> Ritchie Santoso Yuli Kurniawati Sarah Diba Rusmawardiana Rusmawardiana Nopriyati Nopriyati ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-05 2024-02-05 6 1 182 191 10.31539/joting.v6i1.8514 Edukasi terhadap Sikap Upaya Pencegahan Komplikasi pada Penderita Hipertensi https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8435 <p><em>The aim of this research is to determine the effect of educational activities on the attitudes of hypertension sufferers in carrying out preventive measures against the possibility of complications. This research method uses a pre-experimental approach with a pre-test and post-test design in one group. The results of the study showed that the average attitude towards preventing complications in hypertension sufferers before education was 25.13 and after education increased to 35.97. Analysis using the Wilcoxon Test shows a probability value (p) of 0.001, indicating p&lt;0.05, so it can be seen that education has an influence on attitudes towards preventing complications in hypertension sufferers. The conclusion is that there is a significant difference between attitudes towards preventing complications before and after providing education to hypertension sufferers.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Health Education, Hypertension, Complications</em></p> Fera Alfina Dinita Arina Maliya ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-05 2024-02-05 6 1 192 199 10.31539/joting.v6i1.8435 Hubungan Tingkat Nyeri Sendi dengan Aktivitas Fisik pada Lansia Gangguan Sendi https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8692 <p><em>This study aims to determine the relationship between the level of joint pain and physical activity in elderly with joint disorders in the Genuk Community Health Center. The method used is non-experimental quantitative with a cross-sectional approach and using the bivariate spearman rank test. The instruments used in this research were the Numeric Rating Scale (NRS) and the Physical Activities Scale of Elderly (PASE) questionnaire. Results of research showed that 35.1% of elderly experienced unbearable severe joint pain and 59.2% of elderly did less physical activity. The results of the spearman test show that there is a significant relationship between the level of joint pain and physical activity in elderly with joint disorders with p = 0.000 and </em><em>r<sub>s</sub></em><em> = -0.847. The research conclusion is that the higher the intensity of joint pain in the elderly, the lower the physical activity or the less physical activity the elderly, the intensity of joint pain increases.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Elderly, Joint Pain, Physical Activity</em></p> Naila Dhiya’ul Muna Elis Hartati ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-05 2024-02-05 6 1 200 207 10.31539/joting.v6i1.8692 Peningkatan Imunitas Ibu Nifas Melalui Senyawa Flavonoid Hasil Ekstraksi Lemon (Citrus Limon) Menggunakan Teknologi Ultrasound Assisted Extraction https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/5256 <p><em>This study aims to determine the effectiveness of the extraction of lemon liquid (citrus limon) using Ultrasound Assisted Extraction (UAE) technology against increasing the immunity of puerperal mothers. The method used is true experiment&nbsp;&nbsp; with randomized pretest and posttest with control group design.&nbsp; The results showed that&nbsp; the average increase in immunity of postpartum mothers in the pretest intervention group was 264.66 and posttest was 328.16 while in the control group the average result of increasing immunity was 208.76 and posttest was 137.05. The conclusion of giving the results of the extraction of lemon liquid&nbsp; (citrus limon)&nbsp; using Ultrasound Assisted Extraction (UAE) technology at a dose of 7grams / 175ml given for 14 days was proven to have an effect on increasing the immunity of postpartum mothers with a p value of &lt;0.05.&nbsp; </em></p> <p><em>&nbsp;</em></p> <p><em>Keywords : Immunity, Mother Puerperium, Flavonoid Compounds, Lemon Extraction, Ultrasound Assisted Extraction (UAE).</em></p> Camilla Septiani Melyana Nurul Widyawati Kurnianingsih Kurnianingsih Sudiyono Sudiyono Edy Susanto ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-05 2024-02-05 6 1 208 216 10.31539/joting.v6i1.5256 Prinsip Etik Keperawatan Respect to Others Berpengaruh Positif dengan Kinerja Perawat https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8811 <p><em>This research aims to identify the relationship between the application of nursing ethical principles and nurse performance. The method used was quantitative with a cross-sectional approach to 129 nurses on duty in the Inpatient Room at RSAL Dr. Mintohardjo. Data analysis was carried out using a linear regression test. The research results show that factors related to performance include rank or class (p=0.037), respect for others (r=0.621), compassion (r=0.594), advocacy (r=0.610), intimacy (r=0.608). The regression test shows that 7 variables have a joint influence with the equation Y: 31.864+1.127*Respect to Others + 1.689*Education + 1.179 Length of Work - 1.919 *class rank + 0.755 Intimacy – 1.975*career level + 1.054 Advocacy. Respect to others partially has a positive effect on nurses' performance in nursing care (t=2.433, p=0.016), while the other variables are confounding variables (p&gt;0.05, t&lt;1.98). Variables namely education, rank/class, length of service, career level, advocacy, respect for others and intimacy influence nurse performance with a determined influence of 39.3%. Conclusions from the 4 sub-variables of ethical implementation where these four variables have a significant relationship independently to nurse performance.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Nurse Performance, Ethical Principles</em></p> Eva Oktaviarini Krisna Yetti Tuti Afriani Rr Tutik Sri Hariyati Andi Amalia Wildani ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-08 2024-02-08 6 1 217 225 10.31539/joting.v6i1.8811 Pengalaman Perawat dalam Memberikan Asuhan Keperawatan pada Pasien Readmission https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8745 <p><em>This study aims to explore the experiences of nurses in providing nursing care to patients undergoing readmission at the Prof. Mental Hospital. Dr. Muhammad Ildrem Medan. This type of research is qualitative with a descriptive phenomenological approach. The research results showed that there were 5 themes, namely: 1) Care is given to readmission patients, 2) Nurses' feelings about caring for readmission patients, 3) Identifying the causes of readmission patients, 4) Prevention strategies for readmission patients, 5) Barriers to caring for readmission patients. Conclusion, To prevent readmissions, nurses are required to be able to provide education about illnesses and how to care for family members with mental disorders, train families as supervisors of taking medication, and strategies for overcoming crises when caring for people with mental disorders at home.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Nursing Care, Nurse Experience, Readmission.</em></p> Kartika Santi Jenny Marlindawani Purba Siti Zahara Nasution ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-08 2024-02-08 6 1 226 235 10.31539/joting.v6i1.8745 Hubungan Modal Psikologis dengan Kinerja Perawat Pelaksana https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8834 <p><em>This research aimed to analyze the psychological relationship with the performance of executive nurses at the Prof. Mental Hospital. Dr. Muhammad Ildrem Medan in 2023. Quantitative type of research with a cross-sectional design. The population in this study were all executive nurses who worked in the mental inpatient ward at the Prof. Mental Hospital. Dr. Muhammad Ildrem Medan as many as 90 people. The sampling technique used simple random sampling so that 48 people were obtained. Data collection techniques used the Psychological Capital Questionnaire (PCQ) questionnaire with 24 items to measure psychological capital and the nurse performance questionnaire with 25 items. The data that has been obtained will be analyzed univariate and bivariate using the pearson correlation test. The research results showed that the significance value of the psychological capital variable and the performance variable of the implementing nurse was 0.000 (p&lt;0.05). In conclusion, there is a significant positive relationship between psychological capital and the performance of implementing nurses at the Prof. Mental Hospital. Dr. Muhammad Ildrem Medan, where the more positive psychological capital one has, the higher the performance of implementing nurses.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Executive Nurse, Performance, Psychological.</em></p> Rosa Berlina Fransiska Siti Zahara Nasution Taufik Ashar ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-08 2024-02-08 6 1 236 243 10.31539/joting.v6i1.8834 Pentingnya Penerapan Kode Etik pada Pelayanan Keperawatan https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8886 <p><em>This research aims to show the importance of implementing a code of ethics in services and services during the COVID-19 pandemic. The method used is a systematic review that uses PRISMA guidelines. The research results showed that 16 studies were used from 8144 articles. The majority of research used is qualitative research, randomized controlled trials and cross-sectional designs, data collection is carried out by observation, interviews and interventions in several articles. Articles taken from 2018 to 2022. The study of the code of ethics has a positive meaning for students in providing good care for learning and clinical nurses in assisting the decision-making process in ethical dilemmas, preventing the occurrence of ethically poor care services. Conclusion, the importance of hygiene ethics, in conditions where the role of ethics in dealing with dilemma situations is that nurses can still act professionally.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Code of ethics, COVID-19, Nursing</em></p> Nuur Fadhilah Nursalam Nursalam Nuzul Qur’aniati ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-08 2024-02-08 6 1 244 253 10.31539/joting.v6i1.8886 Hubungan Self-Efficacy dan Kepatuhan Pengobatan terhadap Asthma Control Test pada Pasien Asma https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9118 <p><em>This research aims to examine the relationship between self-efficacy and treatment compliance with the asthma control test in asthma patients. This type of research is quantitative using descriptive correlational methods. The number of samples in this study that met the inclusion criteria was 44 patients at the North Sumatra University Hospital, Medan, with the sampling technique used was consecutive sampling. The instruments used in this research were self-efficacy instruments, medication adherence instruments namely MMAS-8 and Asthma control test measurements by (ACT) by the American Lung Association (ALA) questionnaire. Data analysis in this research consists of Univariate analysis and Bivariate analysis using the Chi-Square statistical test. The research results showed that self-efficacy and the Asthma Control Test (ACT) obtained a value of p = 0.01 &lt; 0.05 and the value of treatment compliance with the Asthma Control Test (ACT) obtained a value of p = 0.051 &lt; 0.05. In conclusion, there is no significant relationship between self-efficacy and treatment compliance with the Asthma Control Test (ACT) in asthma patients.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Asthma Control Test, Treatment Compliance, Self-Efficacy.</em></p> Isah Masdiana Girsang Dewi Elizadiani Suza Amira Permatasari Tarigan ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-08 2024-02-08 6 1 254 261 10.31539/joting.v6i1.9118 Evaluasi Penerimaan Penggunaan Rekam Medis Elektronik oleh Petugas Menggunakan Teori UTAUT 2 https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8699 <p><em>The aim of this research is to analyze expectancy, effort expectancy, social influence and facilitating conditions on the acceptance of the use of electronic medical records at Hospital X. This research method is quantitative with a cross sectional approach with the data analysis used in this research is the Simple Linear Regression &amp; Moderated Regression Analysis (MRA) test. Based on the results of the analysis of performance expectancy, effort expectancy, and facilitating conditions, the influence on acceptance of the use of electronic medical records is moderated by gender and age. The social influence variable has no effect on acceptance of the use of electronic medical records with moderation by gender and age. From this research, it can be concluded that what influences officers in using electronic medical records is performance expectancy, effort expectancy, and facilitating conditions. RS So that new users can easily understand how the system works.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Electronic Medical Records</em><em>. </em><em>Effort Expectancy, Facilitating Conditions Performance Expectancy,</em> <em>Social Influence </em></p> Siti Rohmawati Agusta Dian Ellina Joko Prasetyo ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-08 2024-02-08 6 1 262 270 10.31539/joting.v6i1.8699 Penerapan Edukasi Kesehatan Diet Dash terhadap Kepatuhan Dan Tekanan Darah Pasien Hipertensi https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8537 <p><em>This study aims to determine the influence of dietary approaches to stop hypertension (DASH) health education on dietary compliance and blood pressure in hypertensive patients located in the Kertasemaya Health Centre Working Area, Indramayu Regency. The research method used Quasi Experimental Pre-Post Test with Control Group by providing health education to the intervention group. Consecutive sampling was selected in sampling with inclusion criteria, namely 160-190 mmHg systole blood pressure, 90-100 mmHg diastole blood pressure, no disease complications, and adult age. The exclusion criteria for this study were those who did not participate in DASH diet health education activities and experienced cognitive impairment and conditions of decreased consciousness. The results showed that there were significant differences in dietary compliance, systole, and diastole blood pressure in the intervention group before and after provided DASH diet health education (p &lt; 0,005). It is concluded that DASH diet health education affects dietary compliance and systole and diastole pressure of hypertensive patients.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords:</em><em> DASH Diet, Hipertension, Diet Adherence, Blood Pressure</em></p> Evi Supriatun Hasim Asyari Kayubi Kayubi ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-08 2024-02-08 6 1 271 279 10.31539/joting.v6i1.8537 Pelaksanaan Perencanaan Pulang Pasien Berbasis Theory Of Caring Swanson pada Pasien Stroke https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8704 <p><em>This study aims to identify the effectiveness of nurses in carrying out discharge planning for stroke patients and their families based on the components of Swanson's Theory of Caring. The research method used is a systematic review through databases and electronic websites, namely Scopus, Sciencedirect, ProQuest, Research Gate, PubMed and Google Scholar. The research results showed that of the 15 research articles there were articles that reported an increase in knowledge of stroke patients and their families after being given discharge planning so that they could improve care after being at home. Conclusion: Discharge planning based on Swanson's Caring Theory involves five components, namely maintaining belief, knowing, being with, doing for, enabling. There is effectiveness of nurses in implementing caring-based discharge planning for patients with stroke.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Caring, Patient Discharge Planning, Stroke</em></p> Fatimatuzzahra Khairunisa Mira Triharini Eka Mishbahatul Mar’ah Has ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-08 2024-02-08 6 1 280 288 10.31539/joting.v6i1.8704 Instrument Pengukuran Kelelahan pada Pasien HIV https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8567 <p><em>This study aims to identify instruments for measuring fatigue in HIV. The research method used is a narrative review with the criteria for articles published between 2019-2023, complete manuscripts available, and articles using primary data (RCT, cross-sectional, and cohort) in Indonesian and English. The research results showed The Chalder Fatigue Questionnaire (CFQ), Modified Fatigue Impact Scale (MFIS), Fatigue Severity Scale (FSS), Patient-Reported Outcomes Measurement System (PROMIS), HIV-Related Fatigue Scale, Ped-sQL Multidimensional Fatigue Scale (MFS ) and the Functional Assessment of Chronic Illness Therapy Fatigue scale (FACIT-F) are fatigue measurement instruments that can be used in HIV patients. A total of 7 (seven) fatigue measurement instruments were found. The seven instruments have been tested for validity and reliability. In conclusion, nurses can use this instrument to measure fatigue before developing management strategies for people with HIV.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: HIV, Fatigue, Fatigue Measurement</em></p> Bambang Aditya Nugraha Gusgus Ghraha Ramdhanie Sulastini Sulastini ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-09 2024-02-09 6 1 289 297 10.31539/joting.v6i1.8567 Multimodal Strategi untuk Meningkatkan Kepatuhan Hand Hygiene https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8957 <p><em>This research aims to identify multimodal strategies to increase hand hygiene compliance. The method used was a literature study using PubMed, Scient Direct, and Ebsco, with inclusion criteria for articles focusing on multimodal hand hygiene strategies, publications in 2013-2023, available in full text in English. The research results from thirteen analyzed articles showed increased hand hygiene compliance among health workers. Seven articles showed the highest compliance among nurses. Significant improvements show varying results depending on the type of health worker, care unit, and type of intervention. The multimodal hand hygiene strategy comprises five components: system change, education and training, observation and feedback, workplace reminders, and institutional safety climate—conclusion: Multimodal intervention strategies can increase hand hygiene compliance among health workers.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Compliance, Nurses, Multimodal Hand Hygiene Strategy</em></p> <p><em>This research aims to identify multimodal strategies to increase hand hygiene compliance. The method used was a literature study using PubMed, Scient Direct, and Ebsco, with inclusion criteria for articles focusing on multimodal hand hygiene strategies, publications in 2013-2023, available in full text in English. The research results from thirteen analyzed articles showed increased hand hygiene compliance among health workers. Seven articles showed the highest compliance among nurses. Significant improvements show varying results depending on the type of health worker, care unit, and type of intervention. The multimodal hand hygiene strategy comprises five components: system change, education and training, observation and feedback, workplace reminders, and institutional safety climate—conclusion: Multimodal intervention strategies can increase hand hygiene compliance among health workers.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Compliance, Nurses, Multimodal Hand Hygiene Strategy</em></p> Wartini Wartini Maria Komariah Furkon Nurhakim ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-18 2024-02-18 6 1 298 306 10.31539/joting.v6i1.8957 Skin To Skin Contact pada BBLR terhadap Waktu, Durasi dan Dampaknya https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/7054 <p><em>This research aims to examine the implementation of skin-to-skin contact for LBW, which includes an analysis of when it is fastest to start, how long it lasts, and what the impact is. The research method used was a systematic review through searches in electronic databases, namely Proquest, Scopus, EBSCOhost, Clinical Key, and Clinical Key for Nursing from 2013 to 2023. The study results showed that early skin-to-skin contact for LBW was safe from eight research articles. Starting in the first 24 hours of life, including mild to moderate unstable conditions, still using a breathing apparatus and IV line (umbilical or central). The initial duration starts from 40 minutes to 16 hours per day. The impact is in the form of a higher rate of weight gain, reduced need for parenteral nutrition, longer duration of breastfeeding, better immunological function and lung function, better sleep patterns, lower prolonged crying patterns, lower markers of stress in babies and mothers, and mortality rates. In the first month, it was quieter. In conclusion, skin-to-skin contact for LBW is safe to do from an early age, including for unstable LBW in the mild to moderate category; the duration starts from 40 minutes and is increased gradually according to the baby's tolerance and has been proven to have many positive impacts on both the baby and the mother.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: LBW, Premature Babies, Kangaroo Method Treatment, Skin To Skin Contact</em></p> Eva Perawaty Sitinjak Siti Chodidjah Imami Nur Rachmawati ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-23 2024-02-23 6 1 307 315 10.31539/joting.v6i1.7054 Penerapan Model Spiritual Leadership terhadap Peningkatan Kinerja Perawat https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8975 <p>This research aims to see how implementing the spiritual leadership model improves nurse performance. The research method used is a literature review through electronic databases and websites, namely Google Scholar, Science Direct, PubMed, and Semantic Scholar, with inclusion criteria including ten journals with the keywords "Spiritual Leadership" and "Nurse Performance." The research results show that spiritual leadership significantly affects nurse performance, which is mediated by affective commitment and job satisfaction. Spiritual values such as compassion and caring are essential in spiritual leadership and impact nurse performance. In conclusion, spiritual leadership is vital to improving nurse performance through increasing organizational commitment, work involvement, and motivation.</p> <p>Keywords: Nurse Performance, Spiritual Leadership</p> Theresia Hartati Asnet Leo Bunga ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-23 2024-02-23 6 1 316 324 10.31539/joting.v6i1.8975 Hubungan antara Stres Kerja dengan Symptom Depresi https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8866 <p><em>This research aims to determine the relationship between work stress and depressive symptoms in employees at the Meranti Islands District Attorney's Office. This research method uses descriptive analysis with a cross-sectional approach. The results of the study showed that employees at the Pulau Meranti Prosecutor's Office experienced the most job stress with no qualifications, namely 17 people (64%), and the most depressive symptoms with standard qualifications were 17 people (68%) and there was a significant relationship between job stress. Depressive symptoms in employees at the Meranti Islands District Prosecutor's Office which was characterized by a significant p-value of 0.045 &lt; 0.05. In conclusion, there is an essential relationship between work stress and depressive symptoms in employees at the Meranti Islands District Attorney's Office.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Employees, Depression Symptoms, Work Stress</em></p> Nining Gilang Sari ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-27 2024-02-27 6 1 325 331 10.31539/joting.v6i1.8866 Kombinasi Imajinasi Terpimpin dan Nafas Dalam terhadap Penurunan Kecemasan Pasien dengan Premature Ventricular Contraction (PVC) https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8948 <p><em>This study aims to explore interventions to prevent anxiety in Premature ventricular complex (PVC) patients in the ICCU treatment room. This research method uses a case study approach on three patients with PVC with almost the exact etiology and experiencing anxiety since the start of treatment and a combination of interventions carried out for three consecutive days. The results show that there are differences in anxiety parameters before and after intervention in each patient. Anxiety parameters were assessed from the first day to the third day, respectively, before the intervention and after the intervention. Conclusion: The combination of guided imagery intervention and deep breathing relaxation can help reduce anxiety in patients with PVC.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Guided imagination, Anxiety, Deep Breathing, Premature Ventricular Complex</em></p> Ninuk Dian Kurniawati Nissa Aruming Sila Rustiana Tasya Ariningpraja Leli Ika Hariyati Ana Suciari ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-27 2024-02-27 6 1 332 339 10.31539/joting.v6i1.8948 Senam Yin Yoga terhadap Penurunan Kadar Gula Darah pada Pasien Diabetes Mellitus Tipe II https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/6517 <p>This research aims to determine the effect of yin yoga on reducing blood sugar levels with type 2 diabetes mellitus in the Karawang Regency General Hospital. The method used in this research is quantitative with a quasi-experimental design, with a pre-posttest with a control design. The results of the study showed the results of the T-test (paired sample) showed that the average blood sugar level measurement before control was 334.95 mg/dl with a standard deviation of 95.697 mg/dl. The measurement value for the respondents' sugar levels after control was an average of 251.80 mg/dl. In conclusion, both blood sugar levels during pre-intervention and pre-control had similar results.</p> <p>Keywords: Diabetes Mellitus Type 2, Blood Sugar Levels, Yin Yoga Exercises</p> Muhamad Ifadh Arifqy Jayusman Budiman Budiman Ria Eviyantini Sitorus Cecep Eli Kosasih Hotma Rumahorbo ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-28 2024-02-28 6 1 340 348 10.31539/joting.v6i1.6517 Self Care Management Berhubungan dengan Kualitas Hidup pada Penderita Hipertensi https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8578 <p><em>This study aims to determine the relationship between self-care management and quality of life in hypertension sufferers. This research uses a cross-sectional approach, where independent and dependent variable data are observed only once, with no follow-up. The research results based on the chi-square test obtained p-value = 0.000 &lt; 0.05, which means there is a relationship between self-care management and the quality of life of hypertension sufferers. In conclusion, the results obtained from this research show a relationship between self-care management and quality of life in hypertension sufferers.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Hypertension, Quality of Life, Self Care Management&nbsp; </em></p> Krisma Giri Ayuningjati Fahrun Nur Rosyid ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-29 2024-02-29 6 1 349 357 10.31539/joting.v6i1.8578 Terapi Pijat Punggung Effleurage terhadap Intensitas Nyeri Akut Pasca Bedah Fraktur Tulang Panjang https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8697 <p><em>This study examines the effect of effleurage back massage therapy on the intensity of acute pain after long bone fracture surgery. This research method is true experimental with a pretest-posttest control group design. The results showed a significant difference between the NSAID and NSAID groups with effleurage with a p-value &lt;0.05. The range of changes in VAS in the NSAID group with effleurage tended to be higher than in the NSAID group on days 3 and 4. The conclusion is that NSAIDs with effleurage are effective in reducing the intensity of acute pain in patients after long bone fracture surgery and are recommended as a nursing intervention. Independently to ease the pain intensity of fracture patients.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Effleurage, Fracture, Pain</em></p> Yuni Suharnida Lubis Dudut Tanjung Dedi Ardinata ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-29 2024-02-29 6 1 358 366 10.31539/joting.v6i1.8697 Dampak Intervensi Complementary Food pada Anak dalam Pencegahan Stunting https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9024 <p><em>This study explores the importance of providing appropriate complementary foods in preventing stunting during the transition period from exclusive breastfeeding to complementary foods. This research uses a literature review method with electronic databases and websites, namely Ebsco, Scopus, Proquest, and PubMed. The study's results showed that intensive complementary feeding during the first 1000 days of life effectively prevented stunting. This research highlights the combination of Behavior Change Communication (BCC) interventions and education for mothers and families as critical factors for success in preventing stunting. This research recommends the importance of varying complementary food choices adapted to the living environment's characteristics during the first 1000 days of life, as well as the role of health workers in providing BCC in the community. The conclusion is that intensive complementary feeding during the first 1000 days of life, supported by BCC and education interventions, as well as a variety of food choices that are appropriate to the environment, is effective in preventing stunting.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Stunting, MPASI, Intervention</em></p> Eishca Fanani Grathima Esti Yunitasari Retno Indarwati ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-29 2024-02-29 6 1 367 375 10.31539/joting.v6i1.9024 Field Massage Therapy terhadap Stabilitas Fisiologis dan Kadar Bilirubin Bayi dengan Hiperbilirubinemia https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8651 <p><em>This study aims to determine the effect of field massage therapy on the physiological stability and bilirubin levels of babies with hyperbilirubinemia. The method used is quantitative with a one-group post-test research design. The study's results showed that the average bilirubin level of babies after the intervention was given was 10.6 mg/dL. The statistical analysis found that the p-value was 0.000, which means there was an influence from the therapy provided. This research concluded that there were differences in the impact on physiological stability and bilirubin levels before and after being given field massage therapy.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Field Massage Therapy, Hyperbilirubinemia, Neonates</em></p> Fitri Wahyuni Rini Rahmayanti ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-29 2024-02-29 6 1 376 384 10.31539/joting.v6i1.8651 Efektifitas Mobile Applications terhadap Self-Management pada Pasien dengan Kaki Diabetik https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8468 <p><em>This study aims to map the influence of mobile applications as self-management support in management of diabetic feet. This research uses a scoping review method by entering keywords into the CINAHL, Pubmed, and Scopus databases. The research results show that mobile applications are effectived in increasing knowledge, self-care behavior, self-efficacy, compliance with self-care foot care, eating behavior, reducing wound/ulcer recurrence rates, and cost-effectiveness. The effectiveness of mobile applications can be used as a strategy in providing interventions to support self-management in the management of diabetic feet. The use of mobile applications has an impact on improving independent foot care management as well as increasing knowledge of diabetic foot care so that it has benefits in controlling glycemia, increasing adherence to diet, and increasing physical exercise. In conclusion, Mobile application-based based programs had the potential to improve self-management in diabetic foot patients.</em></p> <p><em>Keywords: Diabetic Foot, Mobile Applications, Self-Management</em></p> Dewi Ikawati Tuti Pahria Titis Kurniawan ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-01 2024-03-01 6 1 385 393 10.31539/joting.v6i1.8468 Model Dukungan Sosial Berbasis Health Belief Model untuk Meningkatkan Penerimaan Diri terhadap Stigma dan Diskriminasi Pasien TB https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8752 <p><em>This study aims to develop an effective intervention to improve self-acceptance of TB patients who experience stigma and discrimination using the Health Belief Model-Based Social Support approach. Web of Science, ProQuest and Pubmed databases were used to search for keywords derived from the Medical Subject Headings (MeSH) system for relevant articles in the preparation of this systematic. The results showed the initial literature search yielded 74 articles (48 Web Of Science, 7 from Proquest and 19 from Pubmed). After reviewing the abstracts for relevance and matching the inclusion criteria, 21 articles were selected for full-text review. Finally, 16 articles were selected for review and the results of the 16 articles analyzed showed that social support with the Health Belief Model can help reduce stigma and discrimination in TB patients. The conclusion of this study is that the results of the systematic review provide evidence for policy makers to consider alternative interventions using this method to fight stigma and discrimination so that the treatment process of TB patients becomes faster.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Social support Models, Health belief Model, Accept Yourself, Tuberculosis, Stigma, Discrimination.</em></p> Fransiska Fabiola Mau Leon Tintin Sukartini Makhfudli Makhfudli Hesti Warastuti Luwarsih ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-01 2024-03-01 6 1 394 402 10.31539/joting.v6i1.8752 Pengaruh Crossword Puzzle terhadap Gangguan Fungsi Kognitif pada Pasien Stroke Iskemik https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8839 <p><em>This study aims to apply crossword puzzles to cognitive impairment in patients with ischemic stroke. The method used was a Randomized Controlled Trial with a Quasy Experiment research design carried out at PON Hospital Jakarta. The research results showed that there was a greater and more significant increase in cognitive function scores with a larger effect size than the current results. Meanwhile, for the MMSE method, the results obtained from the Paired T-Test test obtained an effect size value of 6.91 (moderate) and it can be assumed that the application of MMSE improves the results of cognitive function positively. In conclusion, crossword puzzle intervention can improve cognitive outcomes</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: </em><em>Crossword Puzzle, Cognitive, Ischemic Stroke</em></p> Satriani Satriani Yani Sofiani Fitrian Rayasari Ninik Yuntiri Mg Enny Mulyatsih ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-01 2024-03-01 6 1 403 409 10.31539/joting.v6i1.8839 Permainan Tradisional Congklak terhadap Pengembangan Kecerdasan Logis Matematis Anak https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8929 <p><em>This research aims to determine the influence of traditional games on the development of children's mathematical logical intelligence in preschool Kartika and Dta Al-Bilal, Karawang district in 2023. The method used is a quasi-experimental type with a non-equivalent control group design approach. The research results show that the Wilcoxon test results show the asymp value. Sig. (2-taileid) is &lt;.001 &lt; 0.005, so it can be concluded that ho is rejected and ha is accepted, thus it can be concluded that there is an influence of the traditional game congklak on the development of children's mathematical logical intelligence in the Kartika preschool, Karawang district in 2023. The conclusion of this research is that there is an influence of traditional games on the development of children's mathematical logical intelligence at Paud Kartika and Dta Al-Bilal.</em></p> <p><strong><em>&nbsp;</em></strong></p> <p><em>Keywords:</em> <em>Children's Mathematical Logical Intelligence, Traditional Congklak Games, Development</em><em>.</em></p> Rahmadayanti Rahmadayanti Iis Sehan ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-01 2024-03-01 6 1 410 419 10.31539/joting.v6i1.8929 Efektivitas Cognitive Behavioural Therapy (CBT) terhadap Fatigue Pasien Hemodialisis https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/5408 <p><em>This study aims to evaluate the application of Cognitive Behavioral Therapy (CBT) in hemodialysis patients who experience fatigue based on the results of the latest research (Evidence Based Nursing Practice) at RSUD Dr. M. Haulussy Ambon. The method used is quasi-experimental with a pretest and posttest design approach with control group. The research results based on the homogeneity test of respondent characteristics found that there were no significant differences (p&gt;0.05) in the intervention group and the control group. There was a significant improvement in fatigue in the intervention group (p=0.000). In conclusion, there is an influence of Cognitive Behavioral Therapy (CBT) on fatigue in patients undergoing hemodialysis.</em></p> <p><em>&nbsp;</em></p> <p><em>Key words: Behavioral, Cognitive, Fatigue, Hemodialysis, Therapy</em></p> Grace Jeny Wakanno Olivia T alahatu Diana Irawati ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-01 2024-03-01 6 1 420 428 10.31539/joting.v6i1.5408 Pengaruh Terapi Konseling terhadap Tingkat Depresi Pasien Melalui Pemeriksaan Mini International Neuropsychiatric Interview https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9096 <p><em>This study aims to determine the effect of counseling therapy on the level of depression in patients at the Mekarsari Community Health Center as measured by the MINI Form (Mini International Neuropsychiatric Interview). This research is a quasi-experimental quantitative research conducted using patient data based on MINI results, with a sample of 43 for the intervention group and 37 patients for the control group. The research results show that there is strong evidence showing the effectiveness of counseling therapy in reducing levels of depression. Based on research results, patients who were given counseling therapy experienced a decrease in depression levels, while the control group who were not given counseling experienced an increase in depression levels in patients in the Mekar Sari Health Center working area. The conclusion is that counseling therapy using MINI is effective in reducing the level of depression in respondents, as can be seen from the significant reduction in MINI scores after the intervention. Test results in the control group also showed a significant impact. These findings confirm the positive contribution of counseling therapy in overcoming depression, with statistical effects in both groups.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: </em><em>Counseling Therapy, SRQ, MINI.</em></p> Linda Kristian Ningtiyas Yuly Peristiowati Agustin Widyowati ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-01 2024-03-01 6 1 429 437 10.31539/joting.v6i1.9096 Pelaksanaan Pelvic Rocking dengan Birth Ball terhadap Kemajuan Persalinan https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9016 <p><em>The aim of this study was to determine the effect of implementing pelvic rocking with a birth ball on the progress of labor. The method used was pre-experimental using a static group comparison design with accidental sampling technique. Two groups were selected from the sample, the intervention group performed pelvic rocking movements while monitoring the progress of labor in the control group. The research was conducted in November and December 2023. The sample consisted of 60 respondents. Independent Sample Test was used in data analysis. Research findings show that pelvic rocking with a birth ball has an impact on the course of labor, with a p-value of 0.000 &lt; 0.05 and a confidence level of 95%. In short, pelvic rocking with a Birth ball makes it easier to rotate the baby into an optimal position so that the mother in labor can shorten the first stage, providing a feeling of comfort and relaxation, thereby helping the mother psychologically in processing pain.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Birth ball, Labor progress, Pelvic rocking</em></p> Rahmadyanti Rahmadyanti Lulu Hernawati ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-01 2024-03-01 6 1 438 446 10.31539/joting.v6i1.9016 Dampak Permainan Lego terhadap Perkembangan Kognitif Anak Usia Dini https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8927 <p><em>This study aims to determine the effect of Lego games on cognitive development of early childhood (5-6 years) in Ra Bani Asyyfa and Paud Nurul Hassanah Pandeglang Banten. The method used is quesi experiment with Non Equivalent Control Group Design approach. The sampling technique uses total sampling technique. The sampling technique uses total sampling technique. The research results showed that out of 30 games, the majority of children's cognitive balance started to be balanced (MB) when they were given a game of playing, namely 21 games (70%) were playing. Meanwhile, of the 30 respondents, the majority of children's cognitive balance was attributed to playing games, as many as 25 respondents (83%) were categorized as very well balanced (BSB), but there were 5 respondents (17%) whose cognitive development was still developing according to expectations (BSH). This was caused by many types of the respondent's gender is male based on, The results of the Wilcoxon Uiji are known as the Asymp value. Sig. (2-tailed) equal to 0.001 &lt; 0.005. Conclusion There is a significant relationship between the influence of Lego games on the cognitive development of early childhood (5-6 years).</em></p> <p><strong><em>&nbsp;</em></strong></p> <p><em>Keywords:</em> <em>Playing Lego </em><em>, </em><em>Cognitive </em><em>, </em><em>Child Development,</em> <em>Ages 5-6</em></p> Fepy Martini Rahmadyanti Rahmadyanti ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-01 2024-03-01 6 1 447 455 10.31539/joting.v6i1.8927 Dukungan Keluarga, Karakteristik dan Efektivitas Kompres Hangat Kayu Manis terhadap Penurunan Skala Nyeri Rheumatoid Arthritis https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9179 <p><em>This study aims to identify and analyze the influence of family support before and after the action, the characteristics of family members, the influence of the action, and the effectiveness of the action of warm cinnamon and warm compresses on reducing the pain scale for rheumatoid arthritis. This research method is quantitative with a quasi-experimental research design using a pre-test and post-test design with a warm compress control group. The sampling method in this study used total sampling, so the number of samples for each group was: 30 people for the control group and 30 people for the intervention group. This research began in September 2023 – February 2024. Based on the results of statistical tests using the Mann-Whitney and Wilcoxon tests, the P-value was obtained, namely 0.000 &lt; α = 0.05. In conclusion, there is the influence of family support before and after the action is taken, there is the influence of warm cinnamon compresses and warm compresses, then there is the effectiveness of warm cinnamon compresses and warm compresses on reducing the scale of rheumatoid arthritis pain.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Warm Cinnamon Compress, Pain, Rheumatoid Arthritis.</em></p> Muhammad Nur Maghribi Sembiring Siti Zahara Nasution Rika Endah Nurhidayah ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-01 2024-03-01 6 1 456 465 10.31539/joting.v6i1.9179 Pengembangan Layanan Baru dan Penggunaan Teknologi dalam Strategi Inovasi pada Masa Pandemi Covid-19 https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9363 <p><em>This research aims to analyze the development of new services and the use of technology in innovation strategies at Hospital X during the COVID-19 pandemic. The research method uses a case study approach with interviews, document review, and observation, as well as Focus Group Discussions (FGD). The research results show that health service innovation strategies at Hospital hospital services such as registration, payment transactions, service outreach, or online consultations. Apart from that, increasing the use of e-health or IT, such as telemedicine, drive-thru vaccination, drive-thru PCR/antigen/antibody swabs, MCU on site, and home care, etc. can provide speed and accuracy in service delivery. In conclusion, in the digital era, the pace of change has become very fast. Hospital X applies these strategic, creative, execution and organizational factors in innovation. </em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: COVID-19, Innovation, Service Development, Strategy, Technology.</em></p> Selfi Farisha Hardisman Hardisman Abdi Setia Putra Yani Anggina ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-06 2024-03-06 6 1 466 474 10.31539/joting.v6i1.9363 Gambaran Tingkat Kompetensi Perawatan Spiritual pada Mahasiswa Program Profesi Ners https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8976 <p><em>This study aims to identify the level of spiritual care competence in Ners Professional Program (PPN) students. The research method used was descriptive quantitative, with data collection techniques using a questionnaire. The results showed that the level of spiritual care competence was 76.6% in the high category and 23.4% in the medium category. In conclusion, almost all respondents have a level of spiritual care competence in the high category, but in the aspects of referring, personal support and client counseling, as well as professionalization and improving the quality of spiritual care, only some respondents have a level of competence in the high category.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Competence, Ners Professional Program, Spiritual Care </em></p> Tarisa Tarisa Hana Rizmadewi Agustina Indra Maulana ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-06 2024-03-06 6 1 475 483 10.31539/joting.v6i1.8976 Persepsi dan Self-Efficacy terhadap Perilaku STBM Pilar 1 di Daerah Lahan Kering Kepulauan https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8660 <p>This study focuses on The Self-Efficacy and Community Perspectives Regarding STBM Pillar 1, specifically the practice of defecation cessation, in Taebenu district, Kupang Regency, East Nusa Tenggara. The research methodology used is qualitative, utilizing interpretative phenomenological analysis (IPA). Ten individuals were selected as informants as they play a significant role in the community's empowerment process related to sanitation. The data was collected through interviews guided by interview protocols. The outcomes of these interviews and focus Group Discussions (FGDS) were transcribed word-for-word and analyzed thematically. The research findings revealed that the majority of the informants shared latrines with their neighbors. However, they expressed feeling uneasy and rushed while using these facilities. They had to coordinate with their neighbors regarding timing, which often led to defecating in the forest. Additionally, children frequently used their neighbor's latrines. Despite financial constraints, the informants had high self-efficacy and believed that they could afford private toilets. They were motivated to change their behavior regarding defecation cessation to promote good health, maintain cleanliness, avoid embarrassment from neighbors, and protect their children's health.</p> <p>Keywords: Self-Efficacy, Defecation, STBM.</p> Marylin S. Junias Yuliana Marlyn Benu Sarci M. Toy Claudya S. Virlynriana Sudarmadji Atarini A. Lona ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-07 2024-03-07 6 1 484 492 10.31539/joting.v6i1.8660 Tingkat Culture Shock pada Mahasiswa Keperawatan Program Profesi Ners https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8561 <p>This research aims to determine the level of culture shock in nursing students in the professional nurse program at STIKes Dharma Husada Bandung. The research method used is a quantitative descriptive method. The research showed that 60 nursing students in the STIKes Dharma Husada Bandung professional nurse program experienced moderate culture shock (100%). In conclusion, the level of culture shock experienced by nursing students in the professional nurse program at STIKes Dharma Husada Bandung is in the medium category.</p> <p>Keywords: Culture Shock, Nursing Students, Professional Nurse Program</p> Rahadiani Ayu Tuti Pahria Aat Sriati Kusila Devi Rahayu ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-10 2024-03-10 6 1 493 499 10.31539/joting.v6i1.8561 Potensi Susu Fermentasi dalam Mempengaruhi Parameter https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8372 <p><em>This study aims to explain the effect of milk on hematological parameters. The method used is a literature review made through a systematic approach, using the PICO method, by searching for articles in the Pubmed, Scopus, and EBSCOhost databases. The research results showed that 425 articles were found, and seven articles met the inclusion criteria; these articles were fermented milk containing lactic acid bacteria, which are probiotics. Fermented milk products such as yogurt, Yakult, kefir, active, fermented goat's milk, and dahi influence hematological parameters. Namely, they can increase hemoglobin, ferritin, and erythrocyte count and reduce MCV. Milk fermentation affects hematological parameters, namely increasing hemoglobin, ferritin, and erythrocyte count and reducing MCV.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Anemia, Probiotics, Fe Absorption, Fermented Milk, Iron Status</em></p> Annisa Furkaniaty Gemala Anjani Edward Kurnia Setiawan Limijadi Anang Mohamad Legowo Ahmad Syauqy ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-13 2024-03-13 6 1 500 507 10.31539/joting.v6i1.8372 Perbandingan Efektifitas Pemberian Akupresur Titik Hegu dan Penggunaan Squishy Stress Ball terhadap Nyeri Persalinan Kala I https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9257 <p><em>This study aims to determine the effectiveness of Hegu point acupressure and the use of a squishy stress ball on first stage labor pain at 'Aisyiyah Siti Fatimah Tulangan Hospital. The method used is quasi-experimental with a pre-test and post-test design approach. The results of the study showed that Hegu point acupressure and the use of squishies reduced the level of pain in the first stage of labor with results of p=0.004 (P&lt;0.05). The conclusion of this research is that Hegu point acupressure is more effective than using squishies in reducing the level of pain in the first stage of labor.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords : Acupressure, First Stage Labor Pain, Squishy Stress Ball, Hegu Point.</em></p> Wistri Cendra Mulya Dewi Yanik Purwanti Cholifah Cholifah ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-15 2024-03-15 6 1 508 516 10.31539/joting.v6i1.9257 Dukungan Keluarga untuk Kepatuhan Pengobatan Tuberkulosis Paru https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9115 <p>This study aims to investigate family support for compliance with pulmonary tuberculosis treatment. The method used in this research is systematic observation. The research results showed that out of 1,870 articles, 15 articles in this study found that the implementation of family support was not optimal in relation to four important points in family support such as support (informational, instrumental, emotional, and assessment). In conclusion, when the family always provides support in the form of information, emotions, appreciation, and also plays a role for tuberculosis patients, then this encouragement will influence their psychology, so that it will encourage them physically to take medication regularly and adopt a healthy lifestyle as an effort to achieve successful treatment. Apart from that, it is necessary to pay attention to policies, health programs, support for medical and paramedical personnel.</p> <p>Keywords: Family Support, Compliance, Pulmonary Tuberculosis</p> Syahruddin Lahuo Kevin Efrain Tololiu Joni Haryanto Dianis Wulansari ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-25 2024-03-25 6 1 517 525 10.31539/joting.v6i1.9115 Analisis Teknik Relaksasi dan Mobilisasi untuk Mengatasi Nyeri pada Ibu Post Sectio Caesarea https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9159 <p>This study aims to determine the effect of the Benson relaxation technique on the pain scale in post-SC surgery patients at RSU Proklik Karawang in 2023. The research method used pre-experiment with a research design of one group pre and post test design. The results of the research showed that there was a decrease in the average pain score before and after Benson relaxation by 6.13 on the pain scale and the results of the t-test showed that there was a significant difference in pain scores before and after Benson relaxation intervention in patients after caesarean section Sig. (2-tailed) of 0.000 &lt;0.005. In conclusion, there is an effect of Benson relaxation on reducing pain in post-SC surgery patients at RSU Proklik and it is hoped that Benson relaxation can be used as a reference for alternative treatment to reduce pain in post-SC surgery patients.</p> <p>Keywords: Mobilization, Post-operative SC, Pain Scale, Benson Relaxation Technique</p> Rahmadyanti Rahmadyanti Nani Nani ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-25 2024-03-25 6 1 526 533 10.31539/joting.v6i1.9159 Gambaran Kebiasaan Pola Makan pada Ibu Hamil dengan Kekurangan Energi Kronis (KEK) https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9406 <p><em>This study aims to determine the dietary habits of pregnant women with chronic energy deficiency (CHD) at Puskesmas Leles Garut Regency. This research method is descriptive-quantitative by involving 31 pregnant women experiencing first, second, and third trimester SEZ in the age range of 20-35 years at Puskesmas Leles Garut Regency with total sampling. The results showed that 22.6% had bad dietary habits, and 77.4% had good dietary habits. In conclusion, only a small proportion of pregnant women have bad dietary habits because they do not pay attention to the frequency of eating and drinking.</em></p> <p><strong>&nbsp;</strong><em>Keywords: </em><em>Chronic </em><em>Lack </em><em>Of </em><em>Energy (CED), Dietary </em><em>Habits, </em><em>Pregnant</em><em> Women</em></p> Salsa Dila Fitria Hariyani Yanti Hermayanti Ahmad Yamin Mamat Lukman Tetti Solehati ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-25 2024-03-25 6 1 534 542 10.31539/joting.v6i1.9406 Analisis Ubi Jalar Ungu terhadap Kenaikan BB Ibu Hamil KEK https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9149 <p>This research aims to determine the effect of purple sweet potatoes on weight gain in KEK pregnant women at the Keboncau Teluknaga Village Health Center in 2023. The method used is quasi-experimental with a one-group pre-test and post-test research design. The results of the research showed that before LILA was given purple sweet potatoes, the data obtained an average value (mean) of 22.452 cm, a standard deviation value of 0.4976, a minimum LILA size of 21.5 cm, and a maximum LILA size of 23 cm. Before LILA was given purple sweet potatoes, the data obtained an average value (mean) of 23.548 cm, a standard deviation value of 0.5680, a minimum LILA size of 22 cm and a maximum LILA size of 24.5 cm, meaning that the presence of Purple Sweet Potatoes Influences on Increasing the Weight of Pregnant Women in SEZ—Keboncau Teluknaga Village Health Center in 2023 with a p-value of 0.006. Conclusion: after consuming purple sweet potatoes for one month, there was an increase in the average body weight to 42.714 kg or an increase in the average body weight of 0.8857 kg.</p> <p>Keywords: Pregnant Women, KEK, Sweet Potatoes</p> Ise Alhusna Rahmadyanti Rahmadyanti ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-27 2024-03-27 6 1 543 549 10.31539/joting.v6i1.9149 Kepatuhan Pasien pada Program Therapeutic Community https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8346 <p><em>This research aims to determine the factors that influence the compliance of drug abuse patients in participating in therapeutic community programs at social drug rehabilitation institutions. This research is a systematic journal using the preferred item reporting method for systematic and meta-analysis (PRISMA) from online databases. Therapeutic community programs in social drug rehabilitation institutions do not all run smoothly, so it is necessary to know the factors that influence the compliance of patients who are victims of drug abuse in participating in therapeutic community programs in social drug rehabilitation institutions. The results of this research show that the factors that influence patient compliance in participating in a therapeutic community program include family factors, a counselor's skills in interacting with counselors, economic factors, peer factors, environmental factors including social support, social relationships and social interactions. The conclusion of this research is that there are factors that influence patient compliance in participating in the therapeutic community program in social drug rehabilitation.</em></p> <p><em>&nbsp;</em></p> <p><em>Keyword</em><em>: Adherence, Drug Abuse</em><em>,</em><em> Therapeutic Community</em></p> Muhammad Anwarul 'Izzat Ira Nurmala Muji Sulistyowati ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-27 2024-03-27 6 1 550 558 10.31539/joting.v6i1.8346 Pengembangan Dokumentasi Intervensi Keperawatan OTEK Berbasis EMR untuk Peningkatan Kinerja Perawat https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8931 <p><em>This study aims to describe to utilize electronic medical records (EMR) for clinical practice, research, education and surveillance. The research method uses systematic review was prepared based on Preferred Reporting Items for Systematic Reviews and Meta-Analyzes (PRISMA). This study used 8 articles that met the inclusion criteria. The results showed that literature search yielded 12,678 articles (337 from Scopus, 3,414 from Science Direct, 8,880 from Proquest and 47 from Pubmed). The research above explains that digitization in hospital nursing holds promise for changing the organization of care processes and, therefore, providing relief for nursing staff shortages. While advanced technology solutions and many application fields, comprehensive implementation remains challenging. Many publications show that electronic medical records (EMR) can make an important contribution to improving service quality. In conclusion, the results of this systematic review provide evidence for policy makers to be able to consider the development of EMR-based OTEK nursing intervention documentation for improving performance.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Nursing</em><em> documentation, EMR, Nurse Performance, Nurse working time.</em></p> Indrasari Wardani Hanik Endang Nihayati Ika Nur Pratiwi ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-27 2024-03-27 6 1 559 567 10.31539/joting.v6i1.8931 Implementasi Satuan Pendidikan Aman Bencana terhadap Kesiapsiagaan Bencana Gempa Bumi pada Siswa https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9064 <p><em>This research aims to determine whether increased knowledge and changes in disaster preparedness behavior can be formed properly through a comprehensive education process that has a long and sustainable impact. The effectiveness of the learning approach through the disaster curriculum method in schools can optimize educational outcomes from the disaster preparedness curriculum. The method used in this research is cross sectional with a total percentage of 67%, then Quasi-Experiment 27% and Experiment 6%. The results of the research show that the influence of the Disaster Safe Education Unit Program on Disaster Preparedness Education can be seen from the results of the analysis of studies in Indonesia showing that Disaster safety education unit education significantly increases students' knowledge, attitudes and actions in dealing with earthquakes and that this program can certainly increase students' knowledge, metacognitive awareness, safety behavior and general well-being regarding earthquakes. The overall conclusion of this research is that the Disaster Safe Education Unit program has had a significant positive impact on students' preparedness for earthquakes.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Earthquake Disaster Disaster Preparedness, Students, Disaster Safe Education</em></p> Patricia Mega Sri Yulianty Tae Retno Indarwati Ni Ketut Alit Armini ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-27 2024-03-27 6 1 568 577 10.31539/joting.v6i1.9064 Perbedaan Berat Badan Sebelum dan Sesudah Terapi Akupuntur https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9217 <p><em>This study aims to determine the difference in patient weight before and after acupuncture therapy at Rajawali Clinic Jayapura. The method used is an analytical quantitative method with a survey approach. The results showed that respondents consisted of 67% women and came from non-Papuan tribes by 64%. The age of respondents is dominated by the age group of 25-64 years (96%) and education is dominated by college graduates by 78%. Respondents' jobs were dominated by civil servants at 62%. The results&nbsp; of the Wilcoxon test&nbsp; show that the value of sig. (2-tailed) of 0.000 &lt; 0.05 which means that there is a significant difference in patient weight before and after acupuncture therapy at Rajawali Clinic Jayapura.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: </em><em>Acupuncture, </em><em>Weight, </em><em>Therapy. </em></p> Sarce Makaba Minhas Matturungan Hasmi Hasmi Agus Zainuri Rosmin M. Tingginehe Novita Medyati ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-27 2024-03-27 6 1 578 586 10.31539/joting.v6i1.9217 Intervensi Senam Kaki Berdasarkan Self Care terhadap Sensitifitas Kaki Pasien Diabetes Melitus https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9212 <p><em>This study aims to identify the effect of self-care based foot gymnastics intervention on foot sensitivity, The method used is Quasi Experimental Design with Pretest Posttest Nonequivalent Control Group Design design that provides pretest before undergoing intervention. Based on the results of statistical tests using the Paired Samples Test, the resulting P value is 0.000 &lt; 0.05,</em> where there is an effect of Foot Exercises Based on <em>Self care </em>on Diabetes Foot Sensitivity in the intervention group before and after the foot exercise intervention based on self care, <em>Conclusion that there is an effect of Self care Based Foot Exercises on Foot Sensitivity.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Diabetes Mellitus, Foot Sensitivity, Foot Gymnastics, Self Care.</em></p> Topan Ariyanto Nurharlinah Nurharlinah Agus Riyanto Iin Inayah Lina Safarina ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-27 2024-03-27 6 1 587 594 10.31539/joting.v6i1.9212 Literature review Cabai Jawa (Piper Retrofactum Vahl) dalam Proses Penyembuhan Luka https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9264 <p><em>This research aims to find out the extent of research that has been carried out and the results obtained regarding the use of Javanese chilies in the wound healing process. The method used in this research is to conduct a literature review. Literature search using Google Scholar, Science Direct and Pubmed databases from 2010 to 2023 with keywords in Indonesian: Javanese chili and wound healing process, and in English with keywords: piper retrofactum vahl, piper longum and wound healing process. Articles were selected using inclusion and exclusion criteria so that the results were 3 (three) articles in Indonesian that were in accordance with the research objectives. The conclusion of this research is that research on the influence of Javanese chilies in the wound healing process is still limited. Administration of Javanese chili extract can help in the wound healing process by increasing the number of macrophages, reducing leukocyte numbers and increasing the thickness of the epithelium in wounds.</em></p> <p><em>Keywords: Java chili, Wound healing, Literature Review</em></p> Sigit Nian Prasetyo Edy Soesanto Sri Rejeki Satriya Pranata ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-27 2024-03-27 6 1 595 601 10.31539/joting.v6i1.9264 Strategi Intervensi Non-Farmakologi untuk Gangguan Tidur pada Pasien Kanker Payudara https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9307 <p><em>This research aims to determine non-pharmacological intervention strategies in treating sleep disorders in breast cancer patients. The method uses a systematic review, by identifying nursing problems faced by breast cancer survivors, determining research questions, exploring relevant research, and carrying out data extraction. The results show that there are various non-pharmacological intervention strategies for sleep disorders in breast cancer patients, both single and combination therapy. These interventions such as Cognitive Behavioral Therapy for Insomnia (CBT-I), Sleep Hygiene Education (SHE), Bright Light Therapy (BLT), internet-based interventions, Acupressure, Acupuncture, Tai Chi, Dance Therapy, Mindfulness-Based Stress Reduction (MBSR) and Yoga. In conclusion, various non-pharmacological intervention strategies can be carried out by oncology nurses independently, where each intervention has its own advantages. In its implementation to patients, should adapt to cultural backgrounds, be flexible, easy to apply, doesn’t require large costs, effective, efficient, and focuses on patient needs.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Sleep Disorders, Non-pharmacological Intervention, Breast Cancer</em></p> Ni Luh Lasiyani Dewi Gayatri Hening Pujasari ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-27 2024-03-27 6 1 602 612 10.31539/joting.v6i1.9307 Pengaruh Perawatan Paliatif terhadap Kualitas Hidup Pasien Kanker Payudara https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9415 <p><em>This study aims to analyze the effect of palliative care on the quality of life of breast cancer patients. The research method used was a systematic review using the Research gate, Google Scholar, and PubMed databases with inclusion criteria covering 10 journals using the keywords palliative care, quality of life, and breast cancer. The research results showed that of the 10 articles reviewed, all articles showed that good palliative care would improve the quality of life in patients with breast cancer. In conclusion, there is a relationship between palliative care and the quality of life of patients with breast cancer, thus proving that palliative care has an influence on quality of life. Comprehensive palliative care for various aspects of the patient's life plays a very important role in achieving maximum quality of life in breast cancer patients.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Breast Cancer, Palliative Care, Quality of Life.</em></p> Kadek Yemi Ariyanti Yati Afiyanti Riri Maria ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-27 2024-03-27 6 1 613 621 10.31539/joting.v6i1.9415 Program Kader Kesehatan Jiwa terhadap Kecemasan, Stres dan Depresi pada Lansia https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9438 <p><em>This study aims to examine the effect of the mental health care mentoring program on anxiety, stress, and depression in the elderly. The research method used was a pre-experimental design with a one-group Pre-Post Test Design. The results of the study showed that the value of reducing anxiety in the elderly pre-test anxiety was 76 people (32.28%), and post-test anxiety was 52 people (22.4%). The stress reduction value in the elderly pre-test stress was 32 people (13.8%) and post-test stress was 14 people (6%). The value of reducing depression in the elderly, pre-test depression was 33 people (14.28%) and post-test depression was 21 people (9.1%). Meanwhile, the results of the Wilcoxon signed rank test showed that there was an influence because the p-value was 0.000, &lt;0.05, which means there was an influence of cadre mentoring on anxiety, stress, and depression. In conclusion, there is an influence of cadre assistance on anxiety, stress, and depression in the elderly.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Depression, Elderly, Health Cadres, Anxiety, Mentoring Program, Stress.</em></p> Muchammad Nurzaman Suryani Suryani Khrisna Wisunusakti ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-30 2024-03-30 6 1 622 628 10.31539/joting.v6i1.9438 Edukasi Diet Rendah Garam dan Pembatasan Cairan terhadap Self Efficacy dan Motivasi untuk Sembuh pada Pasien Hemodialysis https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8772 <p><em>This study aims to determine low salt diet education and fluid restriction on self-efficacy in controlling fluid salt intake and motivation to recover in haemodialysis patients. The method used in this research is quasi-experimental research. This quasi-experimental uses a Non Equivalent Control Group design or often called Non Randomised Control Group Pretest And Posttest Design.</em> <em>The results showed that based on the results of the Dependent T Test there was a difference in Self Efficacy before and after education in the intervention group with a p-value of 0.001 &lt;0.05 with a t value of 4.661 there was a difference in motivation to recover before and after education in the intervention group with a p-value of 0.001 &lt;0.05 with a t value of 4.001. The conclusion of this study is that low salt diet education and fluid restriction have an effect on Self Efficacy and motivation to recover in haemodialysis patients.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Education, Haemodialysis, Self Efficacy, Motivation </em></p> Yulinawati Yulinawati Katmini Katmini ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-31 2024-03-31 6 1 629 638 10.31539/joting.v6i1.8772 Intervensi Terapi Musik dapat Meningkatkan Fungsi Kognitif pada Lansia https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9263 <p><em>This study aims to identify the effect of music therapy interventions on cognitive function in elderly people in nursing homes. The method used in this research was a systematic review using a systematic search through the ProQuest, Clinical Key Nursing, PubMed, Sage journal, and Scopus databases with articles that met the inclusion criteria with publications between 2014 and 2023, as well as an article search technique using the PRISMA scheme stages. The results of this study show that the search results identified ten articles in which various types of music therapy interventions and durations of interventions stated that music therapy had a positive effect on the cognitive function of the elderly. The conclusion obtained is that music therapy interventions can be effective interventions to improve cognitive function in the elderly.</em></p> Anyta Hera Wahyuni Etty Rekawati Dikha Ayu Kurnia ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-31 2024-03-31 6 1 639 647 10.31539/joting.v6i1.9263 Efektivitas Penggunaan Teknologi Mobile Health dalam Peningkatan Self Management Pasien Diabetes Mellitus Tipe-2 https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9253 <p><em>This review aim to evaluate effectiveness of mobile health (mHealth) technology on self management of Type 2 Diabetes Mellitus (T2DM) patients based on evidence from various studies. The method employed in this review included a systematic search of articles from PubMed, Scopus, and Embased databases using the keywords </em><em>“mobile health and diabetic”, mobile health and diabetes”, dan “mobile health and diabetes mellitus”</em><em>. The analysis was conducted on 1,479 articles, from which 12 met the inclusion criteria. The findings of this review reveal that the utilization of mHealth whether in the form of application or text messages, has the potential to enhance self-management, particularly in diet regulation, physical activity, blood glucoseoo monitoring, medication adherence, and doctoro visits among T2DM patients. mHealth technolgy has proven effective in improving self-management T2DM patients.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords : Diabetes Mellitus, Mobile Health, Self Management, Smartphone. </em></p> Anies Dewi Wirati Indraswari Yulia Yulia Rr. Tutik Sri Hariyati ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-31 2024-03-31 6 1 648 656 10.31539/joting.v6i1.9253 Dukungan Keluarga terhadap Manajemen Hipertensi pada Lansia di Indonesia https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8212 <p><em>This study aims to examine the impact of family support on the management of hypertension in the elderly. The method used is PRISMA as a guide in choosing articles.&nbsp; Search articles using Medical Subject Heading (MeSH) with keywords Family Support or Family Engagement AND Management or Controlling and Hypertension or High Blood Pressure AND Elderly. The article used cross-sectional, quasi-experimental and descriptive studies published from 2018-2023 that discussed the relationship of family support with hypertension control in the elderly. The assessment is based on the Joanna Briggs Institute's (JBI) Critical Appraisal. The results showed that a total of 9 articles that fit the inclusion criteria were analyzed in this study. Participants in the study were families and elderly people with hypertension. All related studies on the effectiveness of providing family support for the management of hypertension in the elderly such as increased family roles, increased adherence to taking medication in the elderly, providing regular physical activity, facilitating the elderly to go to health facilities, prioritizing elderly worship activities, allowing the elderly to choose activities they like while still paying attention to health behavior to improve the quality of life for the elderly with hypertension. Conclusion, families are expected to always support the elderly in order to improve the management of hypertension.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Elderly, Family Support, Hypertension Management</em></p> Nadiya Sahara Annisa Joni Haryanto Kristiawati Kristiawati ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-31 2024-03-31 6 1 657 665 10.31539/joting.v6i1.8212 Kebutuhan Spiritual pada Pasien Kanker Stadium Lanjut https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9404 <p><em>This study aimed to determine the various spiritual needs of patients with advanced cancer. The method used was a systematic review with article searches in nine journal databases, such as PubMed, Scopus, EBSCOhost, ClinicalKey Nursing, SpringerLink, PMC, Sage Journal, ProQuest, and ScienceDirect. Article analysis used the PRISMA method. The results showed that there were six articles that met the criteria that discussed spiritual needs in advanced cancer patients. All articles used quantitative research methods with a cross-sectional design. In conclusion, spiritual needs in advanced cancer patients can include the need for connection, peace, meaning or purpose, and transcendence. Meeting spiritual needs through holistic nursing care can help patients reduce suffering.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Advanced Cancer, Spiritual Needs</em></p> Ibaadi Indra Yati Afiyanti Giur Hargiana ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-31 2024-03-31 6 1 666 674 10.31539/joting.v6i1.9404 Faktor-Faktor yang Mempengaruhi Siklus Menstruasi pada Remaja Putri https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8273 <p>This study aims to analyze the factors that influence the menstrual cycle in adolescent girls at SMA Negeri 2 Ngaglik, explicitly analyzing the influence of body weight, physical activity, and anxiety in teenage girls at SMA Negeri 2 Ngaglik. The method used is quantitative research with descriptive methods and a cross-sectional design. The research results show a significant relationship between body weight and menstrual cycle irregularities with a p-value of 0.001, so the p-value is &lt;0.05. There is an essential relationship between physical activity and menstrual cycle irregularities with a p-value of 0.000, so the p-value is &lt;0.05. There is a significant relationship between anxiety and menstrual cycle irregularities, with a p-value of 0.001 with a p-value &lt;0.05. In conclusion, body weight, physical activity, and anxiety influence menstrual cycle irregularities in young women at SMA Negeri 2 Ngaglik.</p> <p>Keywords: Physical Activity, Body Weight, Menstrual Cycle, Anxiety</p> Jenia Paula Sequeira Bima Suryantara Fatimah Sari ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-31 2024-03-31 6 1 675 683 10.31539/joting.v6i1.8273 Evidence Based Nursing Jacobson’s Progressive Muscle Relaxation untuk Mengurangi Kecemasan dan Depresi pada Pasien Dengan Hiv https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9001 <p>Kecemasan dan depresi yang tidak di obati akan mengganggu proses perawatan HIV dan mengarah pada ketidakpatuhan pengobatan ARV (Manavalan et al., 2023), penurunan kesehatan mental dan kesejahteraan pada ODHA berhubungan dengan jumlah CD4, dan jumlah CD4 yang rendah dapat menjadi indikator depresi yang tidak diobati (Ramirez-garcia et al., 2019). <em>Jacobson’s Progresive Muscle Relaxation</em> (JPMR) telah digunakan untuk mengatasi berbagai jenis masalah kesehatan termasuk untuk mengatasi kecemasan dan depresi pada pasien dengan HIV/AIDS. Dengan metode one group pre test dan post test, partisipan sebanyak 20 responden. Dengan kriteria inklusi pasien HIV/AIDS berusia lebih dari 20 tahun, dan mengalami kecemasan dan depresi. Sedangkan kriteria eksklusinya adalah pasien dengan gangguan depresi berat dan terdapat gangguan system neurologis. Menggunakan instrumen <em>Hospital Anxiety and Depression Scale</em> (HADS) untuk mengukur skor pre test dan post test terhadap kecemasan dan depresi yang dirasakan oleh pasien HIV/AIDS yang berobat ke poliklinik Wijayakusuma RSUP Fatmawati. Pemberian intervensi teknik <em>Jacobson’s Progresive muscle relaxation</em> pada pasien dengan HIV terbukti efektif, efisien merupakan metode non-invasif yang sederhana, hemat biaya dan dapat dilakukan kapan saja dan dimana saja untuk menurunkan kecemasan dan depresi pada pasien dengan HIV.</p> <p>Kata Kunci: Jacobson’s Progresive muscle relaxation, kecemasan, depresi orang dengan HIV/AIDS</p> Retnowati Retnowati Agung Waluyo Anggri Noorana Zahra Sariaman Purba ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-31 2024-03-31 6 1 684 692 10.31539/joting.v6i1.9001 Terapi Akupresur pada Pasien Paska CABG https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9077 <p><em>This study aims to determine the effect of acupressure therapy on patients who experience various complaints of nausea, vomiting, pain, sleep disorders, constipation, and anxiety after cardiac surgery. The method used is searching for several sources using Scoping Review using the PRISMA flow diagram, searching for sources from PubMed, EMBASE, Science Direct, and Scopus. The research results showed that ten articles reviewed the effects of acupressure therapy after CABG heart surgery, such as nausea, vomiting, pain, sleep disorders, constipation, and anxiety. In conclusion, acupressure intervention can be applied to reduce various complaints after CABG heart surgery at the Neiguan (PC6), Shenmen (HT7), Fengchi (GB20), Jiache (ST6), Yintang (EX-HN3), Yongquan (KI1), Hegu ( LI4).</em></p> <p><em>&nbsp;</em><em>Keywords: Acupressure, Open Heart Surgery, Cardiac Surgical Procedures</em></p> Pasti Kurnia Tuti Herawati Riri Maria Agung Waluyo ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-31 2024-03-31 6 1 693 700 10.31539/joting.v6i1.9077 Analisis Asuhan Keperawatan Pasien dengan Myasthenia Gravis pada Kehamilan https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9246 <p><em>This study aims to analyze cases of myasthenia gravis (MG) in pregnancy using the Roy Adaptation model approach. The research method used a case study approach with a case of a patient experiencing MG-weighted flaccid tetraparesis during pregnancy. The research results showed that the nursing care plan used the Roy adaptation model. The main needs found are nutrition (swallowing disorders), mobility (impaired physical mobility), sensation (acute pain) and protection (risk of infection). Interventions provided include self-care assistance: eating, exercise promotion: muscle strength, pain management and infection control. In conclusion, Roy's adaptation model approach is useful in this case because it focuses on the patient's ability to adapt to his illness. The patient had a disease that had been going on for years and had worsened due to her pregnancy. Providing appropriate nursing care can speed up patient recovery so that the length of stay is shorter.&nbsp;Keywords: Roy Adaptation, Nursing Care, Myasthenia Gravis</em></p> Candradewi Mahardika Ranukusuma I Made Kariasa ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-31 2024-03-31 6 1 701 709 10.31539/joting.v6i1.9246 Relaksasi Otot Progresif dalam Manajemen Nyeri Pembedahan Ortopedi https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9303 <p>This study aims to determine the effect of progressive muscle relaxation in reducing pain in patients after orthopedic surgery. The method used was a review of five articles relating to the effects of progressive muscle relaxation on pain in patients after orthopedic surgery identified from the PubMed, Science Direct, Proquest, Francis Taylor databases and published from 2013 to 2023. The results of the study showed that the total number of RCT studies 521 patients who met the inclusion criteria reported significant differences in pain between the intervention group and the control group. The intervention group given progressive muscle relaxation showed better pain reduction than the control group. The heterogeneity of study participants included patients after lumbar surgery (lumbar disc herniation, microdisectomy, laminectomy), after TKA (Total Knee Arththroplasty) and after tibiofibular fracture surgery. Four research articles provided progressive muscle relaxation interventions without combining it with other interventions, while one research article combined providing progressive muscle relaxation with other interventions in the form of physiotherapy. In conclusion, the latest evidence from a number of studies shows the role of progressive muscle relaxation in pain management for patients after orthopedic surgery, whether given together or without in combination with other interventions, showing effective results in reducing pain.</p> <p>Keywords: Pain, Orthopedic Surgery, Progressive Muscle Relaxation</p> Nurul Hendayani Masfuri Masfuri Liya Arista ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-31 2024-03-31 6 1 710 718 10.31539/joting.v6i1.9303 Manfaat Pendidikan Kesehatan terhadap Konsistensi Penggunaan Kondom pada Pasien ODHA https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9305 <p><em>This study aims to see the effect of health education on the consistency of condom use in patients living with HIV. The method used in this writing is a systematic review through several databases, namely Pubmed, Proquest, Science Direct, Sage journals, ClinicalKey Nursing, and Ebsco. Article analysis process using PRISMA method. The results showed that health education provided to PLHIV can influence consistent condom use. Health education provided in person or over the phone can improve the knowledge and self-efficacy of PLHIV about the importance of condom use consistency. In addition, consistent condom use can prevent the transmission of diseases due to unsafe sexual intercourse. In conclusion, consistent condom use among PLWHA can prevent cross infection of the HIV virus and can prevent sexually transmitted infections (STIs).</em></p> <p><em>Keywords: HIV/AIDS, &nbsp;Health Education, Condom Use</em></p> Mimi Jamilah Sri Yona ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-31 2024-03-31 6 1 719 727 10.31539/joting.v6i1.9305 Self Management Berhubungan Dengan Nilai Tekanan Darah Pada Pasien Hipertensi https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9335 <p><em>This study aims to determine whether there is a relationship between self-management and blood pressure values ​​in hypertensive patients at UNS Hospital. The method used in this research is a cross sectional approach with a correlational quantitative descriptive research design. The research results were based on the results of the Spearman rank correlation test between self-management and blood pressure values, with a p-value of 0.000 and a correlation coefficient value of 0.363. The results of the research show that there is a correlation between self-management and blood pressure values ​​in hypertensive patients with the level of strength of the relationship between the two variables in the sufficient category. In conclusion, there is a relationship between self-management and blood pressure values ​​in hypertensive patients.</em></p> <p>&nbsp;<em>Keywords: </em><em>Self Management, Blood Pressure, Hypertension</em></p> Hevy Ambarwati Fahrun Nur Rosyid ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-31 2024-03-31 6 1 728 735 10.31539/joting.v6i1.9335 Instrumen Penilaian Disfungsi Seksual Pasien Kanker https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9380 <p><em>This study aims to identify sexual dysfunction assessment instruments used in population-based studies of cancer patients. The method in this review used a systematic review that began in September - December 2023. Using Ebsco, Scopus, Proquest, and Pubmed databases, the results showed that instruments used to assess sexual dysfunction must have valid and reliable psychometric properties. Conclusion: the choice of sexual dysfunction assessment instrument depends on the type of study and the purpose of the study.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Cancer Patients, Questionnaire, Reliable, Sexual Dysfunction, Valid</em></p> Sri Murtiasih Dewi Gayatri Allenidekania Allenidekania ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-31 2024-03-31 6 1 736 744 10.31539/joting.v6i1.9380 Dampak Dokumentasi Elektronik terhadap Implementasi, Manfaat dan Hambatan pada Pelayanan Home Care https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9401 <p><em>This study aims to determine the role of digitization in the documentation of nursing care for community nurses in home care services. Involving aspects of implementation, benefits and barriers in using electronic nursing documentation. The method used was using electronic databases such as Ebsco, Scopus, Proquest, and PubMed published between 2020-2023. Based on the initial search, there were 8 relevant articles out of 320 articles found. The results showed that the implementation of electronic nursing care documentation has a positive impact on patients, nurses and health services. However, several obstacles were found, namely the skills and knowledge of nurses on electronic documentation are still lacking, so training is needed. Internet network constraints are also very influential, especially in rural areas. In conclusion, there is a gap between the need for internet and internet distribution which is a challenge for the government in developing digitalization in the health sector and improving nurses' skills in electronic documentation.</em></p> <p><strong><em>&nbsp;</em></strong><em>Keywords: Electronic Documentation, Barriers, Benefits</em></p> Agustina Agustina Eka Mishbahatul Mar’ah Has Retno Indarwati ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-01 2024-04-01 6 1 745 752 10.31539/joting.v6i1.9401 Assesment Fungsi Kognitif pada Anak dengan Penyakit Kronik https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9402 <p>This study aims to identify what assessments can be used to screen cognitive function in children with chronic illnesses. The method used is a systematic review using the PRISMA flow diagram. Researchers used PIOs and searched for English language articles published from 2013 to October 2023. The databases used were PubMed, ProQuest, Science Direct, Taylor &amp; Francis, Scopus, and EBSCO Medline. This systematic review showed that the initial total of articles obtained from all databases was 5889. After limiting the articles, 297 articles were obtained, which were then screened according to the inclusion criteria, with the final result being eight articles with a cross-sectional design. In conclusion, four instruments for assessing cognitive function in children with chronic diseases include Ouvrier modified MMSE, EpiTrack Junior (EpitrackJR), pedsFACIT-PCF, and Ped-ANAM. The Ouvrier-modified MMSE is widely used in several kinds of literature and is validated against standard cognitive function examinations by examination.</p> <p>Keywords: Children with Chronic Diseases, Assessment, Cognitive Function</p> Anita Rachmawati Allenidekania Allenidekania Nur Agustini ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-01 2024-04-01 6 1 753 761 10.31539/joting.v6i1.9402 Evaluasi Pelaksanaan Kangaroo Mother Care (KMC) pada Kasus Ibu yang Memiliki Bayi dengan Berat Lahir Rendah https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8257 <p><em>This study aims to evaluate the implementation of Kangaroo Mother Care (KMC) in cases of mothers who have low birth weight (LBW) babies at PKU Muhammadiyah Hospital Yogyakarta. The research method used is qualitative with a case study design. The research results showed that the implementation of KMC at PKU Muhammadiyah Hospital Yogyakarta had followed the established SOP and received a positive response from mothers. The benefits felt include increased emotional bonding between mother and baby, stable baby body temperature, and calm baby. However, mothers face difficulties in implementing KMC at home, especially in installing a sling and depending on the help of others. Additional support is needed to overcome these challenges. In conclusion, KMC has significant benefits in improving the health and development of babies and strengthening the bond between mother and baby.</em></p> <p><em>&nbsp;</em><em>Keywords: </em><em>BBLR</em><em>, Evaluation, KCM</em></p> Khulasoh Khulasoh Farida Kartini Sri Ratnaningsih ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-01 2024-04-01 6 1 762 770 10.31539/joting.v6i1.8257 Hambatan Yang Dirasakan Perawat dalam Implementasi Pencegahan Luka Tekan https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/6719 <p><em>This study aims to review the research and make traps with a scoping review approach. Literature searches were carried out using electronic engines on 5 databases, &nbsp;PubMed, Science Direct, Cochrane, Wiley, and Google Scholar with a time limit of 2010 - 2023 and full text. Of the 9,768 articles, 6 articles were obtained that fit the research objectives. After analysis, 5 themes were identified, high workload, </em><em>lack of </em><em>&nbsp;knowledge and skills, l</em><em>insufficient </em><em>resources, unstable patient condition and </em><em>low</em><em> priority. Pressure </em><em>injuries</em><em> in the ICU can be prevented by reducing </em><em>perceived barrier nurse toward pressure injury</em><em>. Multidisciplinary supports expected to facilitate nurses in implementing maximum pressure </em><em>injuries </em><em>prevention</em></p> <p><em>&nbsp;</em></p> <p><em>Keyword : ICU Nurse, Pressure Injury Prevention, Barrier</em></p> Syamsuriah Lansa ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-01 2024-04-01 6 1 771 778 10.31539/joting.v6i1.6719 Konversi Dokumentasi Keperawatan Berbasis Elektronik https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9444 <p><em>This research aims to improve the quality of nursing services, increase time and cost efficiency, optimize patient data management, improve care coordination, and provide better outcomes for patients overall. The method used was a systematic review carried out using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) method. The databases used are Scopus, Science Direct, Pubmed and the Ners journal. The research results show that electronic-based documentation offers optimization for nurses in providing nursing care to patients. This includes more effective and efficient documentation, more integrated nursing care, and reducing the use of paper (paperless) which can contribute to reducing the impact of global warming and reducing hospital expenditure. In conclusion, changing nursing documentation in paper form to electronic documentation in hospitals requires careful preparation. Preparation for preparing the instruments used, supporting infrastructure and the readiness of nurses to carry out nursing documentation.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Nursing Documentation,Electronic Nursing Documentation</em></p> Siti Kalimah Rizki Fitryasari P.K Herdina Mariyanti ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-01 2024-04-01 6 1 779 788 10.31539/joting.v6i1.9444 Manajemen “KEPO” dalam Perawatan Diabetes Melitus Tipe 2 pada Keluarga Jawa dan Batak https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9531 <p><em>This study aims to analyze the effect of KEPO management in diabetes care on self-care and blood sugar levels of patients with DM in Javanese and Batak families. The method used was quasy experimental nonequivalent control group design. Respondents in this study were diabetics accompanied by one family member totaling 84 people. Data were collected using The Summary of Diabetes Self Care Activities (SDSCA) instrument and blood sugar level observation sheet (KGD). Data were analyzed by parametric T-test for self-care and non-parametric Wilcoxon and Mann Whitney for KGD. The results showed that there was a difference in the average self-care and blood sugar levels of patients with DM in Javanese and Batak families before and after being given KEPO management with a p-value = 0.001 (p &lt;0.005). In conclusion, there is an effect of KEPO management on self-care and blood sugar levels of diabetics in Javanese and Batak families.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Diabetes Mellitus, Blood Sugar Levels, KEPO Management, Javanese Batak Families, Self-Care</em></p> Fitriani Fitriani Siti Zahara Nasution Evi Karota Bukit ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-01 2024-04-01 6 1 789 799 10.31539/joting.v6i1.9531 Campuran Produk Berbasis Alami dan Perawatan Mulut Dasar untuk Pengelolaan Mukositis Mulut dan Xerostamia bagi Pasien Kanker https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9464 <p><em>This study aims to describe the effectiveness of oral care using mouthwash or using herbal solutions to reduce the severity, value of pain, incidence of mucositis and xerostomia and other oral symptoms such as dysphagia for cancer sufferers. This research method uses a literature review by searching articles in 6 trusted databased such as PubMed, ScienDirect, Scopus, Springer, ProQuest and EBSCHost. The results of &nbsp;this study showed that eleven articles out of thirteen showed the effectiveness of herbal solutiona as mouthwash in reducing mucositis and xerostomia. Two of them are the use of herbal solutions which can reduce xerostomia, bad breath and increase the rate of saliva for those undergoing hemodialysis. In conclusion, oral care interventions using mouthwash and herbal solutions as mouthwash and herbal solutions as mouthwash are effective, safe and can be used to reduce mucositis and xerostamia for cancer patients.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords : Mucositis, Cancer Patients, Oral Care, Xerostomia</em></p> Entin Prakartini Enie Novieastari Dewi Gayatri ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-01 2024-04-01 6 1 800 810 10.31539/joting.v6i1.9464 Efektivitas Self-Management Pasien Kanker di Rumah Sakit https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9471 <p><em>This study aims to determine the effectiveness of self-management carried out by cancer patients while in hospital. The method used was a systematic review of several databases, namely Proquest, Science Direct, Sage Pub, Scopus, Ebsco, ClicalKey Nursing, and PubMed, resulting in 15 articles that could be analyzed. The research results show that the self-management behavior that cancer patients can use to overcome symptoms during treatment in hospital is effective in its use, starting from managing symptoms of fatigue, severe pain, anxiety, the effects of specific diseases such as urinary elimination disorders, lymphedema, and mucositis. Conclusion: Strategies that can be used by patients to manage symptoms are by making lifestyle changes, including resting, reducing activity, changing diet, consuming supplements, reading books, doing light sports activities, yoga and meditation. These strategies are expected to improve the quality of life of cancer patients. who is in the hospital.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Cancer Patients, Hospitals, Self-Management</em></p> Siti Herlina Ali Sopiah Agung Waluyo Yati Afiyanti ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-01 2024-04-01 6 1 811 820 10.31539/joting.v6i1.9471 Intervensi Spiritual untuk Meningkatkan Kesejahteraan Spiritual Pasien Kanker https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9475 <p><em>This study aimed to explore and synthesize the scientific literature on the types of spiritual interventions that are effective in improving spiritual wellbeing in cancer patients. The method used was a systematic review through the PubMed, Science Direct, EBSCOhost and Springer Link databases using the keywords: cancer patients OR oncology patients OR patients with cancer AND spiritual interventions AND spiritual well being OR spiritual health OR spiritual healing, with inclusion criteria for cancer patients aged &gt;18 years, January 2010 - September 2023 the selection process used the PRISMA method and the quality assessment of articles using the JBI tools RCT design. The number of initial search articles was 6725 articles with 13 articles used. The results showed that 8 spiritual interventions were found to be statistically effective in improving the mean spiritual well-being score in cancer patients. Conclusion spiritual interventions can be effective in improving spiritual well-being in cancer patients who have metastases and are in palliative care as well as those with chemotherapy.</em></p> <p>&nbsp;</p> <p>Keywords<em>: Spiritual Interventions, Cancer Patients, Spiritual Well-Being</em></p> Dwi Asih Rohmawati Yati Afiyanti Hening Pujasari ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-01 2024-04-01 6 1 821 829 10.31539/joting.v6i1.9475 Efektivitas Virtual Reality terhadap Penurunan Nyeri Prosedural pada Anak dengan Kanker https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9466 <p><em>This study aims to determine the effectiveness of Virtual Reality (VR) to reduce procedural pain in children with cancer. The method use is a systematic review by collecting articles from the Proquest, Sage Journals, ScienceDirect and PubMed databases. The results describe that children with cancer in the VR group reported lower pain scores compared to the control group, both pain scores reported by children and pain scores reported by parents. Conclusions, the use of VR is effective in reducing prosedural pain in children with cancer.</em></p> <p><em>Keywords: Children With Cancer, Procedural Pain, Virtual Reality</em></p> Apriyani Apriyani Yati Afiyanti Tuti Nuraini ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-01 2024-04-01 6 1 830 839 10.31539/joting.v6i1.9466 Analisis Faktor yang Mempengaruhi Kualitas Hidup Pasien Kanker Payudara dengan Limfedema https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9503 <p><em>This study aims to determine the factors that influence the quality of life of breast cancer patients with lymphedema. The research method used is a systematic review through databases and electronic websites, namely Pubmed, Proquest, EbscoHost, and Embase. The results of the study showed that the 10 research articles explained factors that influence quality of life, including operations involving the removal of a number of lymph nodes thereby increasing the possibility of lymphedema, the degree of lymphedema which affects the physical domain, mental domain, social domain and sexuality domain, as well as the accuracy of handling lymphedema. In conclusion, anticipating the impact of lymphedema will improve the quality of life of breast cancer patients.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Breast Cancer, Lymphedema, Quality Of Life</em></p> Rosalinda Bella Allenidekania Allenidekania Tuti Nuraini ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-01 2024-04-01 6 1 840 847 10.31539/joting.v6i1.9503 Efektifitas Edukasi Rokok Elektrik dalam Menurunkan Kejadian Kanker Paru pada Kelompok Remaja https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9411 <p><em>This research aims to evaluate the success of quitting smoking in adolescents through education provided in several countries regarding electronic cigarettes/VAPE. The method used is a systematic review with the PRISMA search strategy. Initial selection involved Sage Journals, Clinical Key, Scopus, and Proquest. The results of the research show that the ten journals in the review show high concern about smoking among school students, education increases knowledge about the dangers of smoking, although the desire to smoke still exists, education via social media according to the style of teenagers is more effective, there is still an opinion that VAPE is not dangerous such as tobacco cigarettes, and there is an effective signal for diversion methods to stop smoking such as yoga, as well as the importance of attention to teenagers, consistent evaluation and application of discipline in schools for not smoking, because it is found that teenagers imitate their parents, teachers and the school environment in terms of smoking. . The conclusion is that there is a need for consistency from health actors, government, education services and health institutions who are concerned about adolescent health to develop smoking cessation programs, the importance of strict laws and consistent evaluation of the interventions carried out.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Education, Teenagers, E-Cigarettes, Lung Cancer</em></p> Ai Aminah Allenidekania Allenidekania Riri Maria ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-01 2024-04-01 6 1 848 856 10.31539/joting.v6i1.9411 Perawatan Topikal Berbasis Minyak pada Pasien Pruritus Uremik dengan Gagal Ginjal Kronis https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9286 <p><em>The aim of this study was to look at oil-based topical treatments that are effective in reducing and reducing the scale of uremic pruritus in patients with chronic kidney failure. The research method used in writing this systematic review was a literature search conducted through the Pubmed, Proquest, Science direct, Scopus databases with articles selected from 2010-2022. The results of this study showed a significant reduction in the scale of uremic pruritus in chronic kidney failure patients within 1-4 weeks of oil-based topical treatment. In conclusion, oil-based topical treatments are effective in reducing complaints of itching and pruritus in chronic kidney failure patients so that they can be used in nursing treatment.</em></p> <p><em>&nbsp;</em></p> <p><em>Key Word: Chronic Renal Failure; Oil Based Treatment ; Uremic Pruritus</em></p> Vitta Margareth Philipus Krisna Yetti Riri Maria ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-02 2024-04-02 6 1 857 865 10.31539/joting.v6i1.9286 Metode dan Strategi Pembelajaran Medication Administration pada Pendidikan Keperawatan untuk Mencegah Medication Error https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9494 <p><em>This research aims to identify various learning methods that have been used in teaching medication safety. The research method is a scoping review where articles are taken from several databases such as PubMed, ProQuest, Science Direct, and Springer Link from year to year. Keywords used include "learning methods", "learning strategies", "drug administration", and "nursing education". The results obtained by researchers found several learning strategies used in the drug administration learning process based on literature searches. In conclusion, several learning strategies used are simulation-based, 3D game simulation, Computer-Based Virtual Learning Environment (CBVLE), and Web-Based Virtual Learning Environment. Other methods include training based on the Teaching for Understanding (TfU) framework, lecture demonstration &amp; video demonstration, flipped classroom (FC) learning with a near-peer education (NPE) approach, Medication Error Encouragement Training (MEET), and drug safety training using the 4C approach /ID.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Medication Administration, Medication Error, Learning Methods, Learning Strategies, Nursing Education.</em></p> Puteri Dianti Lisa Musharyanti ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-02 2024-04-02 6 1 866 875 10.31539/joting.v6i1.9494 Pemanfaatan Multimedia pada Edukasi untuk Meningkatkan Kepatuhan dan Kualitas Hidup Pasien Transplantasi Ginjal https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9512 <p><em>This study aims to determine the effectiveness of the use of multimedia in education in improving compliance and quality of life of kidney transplant patients. The method used in writing this article is literature review on three databases ProQuest, PubMed, ScienceDirect using the keywords multimedia, education, adherence AND 'quality of life' and 'kidney transplantation’. The results of a review show that the types of multimedia that can be used in education include animated videos, applications and artificial intelligence chatbots. The conclusion of this study is that the use of multimedia in education effectively improves adherence and quality of life for kidney transplant patients. However, the use of multimedia in education must consider accessibility, the elderly population and patients with visual and/or cognitive impairments.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords : Education, Adherence, Quality of life, Multimedia, Kidney transplantation</em></p> Nita Indah Pratiwi Yulia Yulia ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-02 2024-04-02 6 1 876 884 10.31539/joting.v6i1.9512 Penggunaan Lumbar Pillow Support pada Pasien Tirah Baring https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9511 <p><em>This study aims to explain the use of lumbar pillows in bed rest patients in a supine sleeping position. The method used is a scoping review by searching for articles using keywords in the Scopus, Science Direct, PubMed, EBSCOhost, and ProQuest databases based on inclusion and exclusion criteria. The research results showed that there were 3 articles consisting of 2 studies conducted on total bed rest patients and a study on healthy respondents. Two studies used a combination therapy of a support pillow with existing therapies. Two studies showed that support pillows help distribute pressure in the pelvic, lumbar and thoracic areas and support the lumbar arch which can reduce pain levels and increase the comfort of respondents. The conclusion from this study is that the lumbar pillow can be applied to patients on bed rest and provides effective results when combined with physical therapy, conservative therapy, and modification of sleeping position.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Lumbar pillow, Pillow support, Comfort, Pain, Bedrest, </em></p> Arni Budi Meisa Ndari Sri Yona Elly Nurachmah Riri Maria ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-02 2024-04-02 6 1 885 892 10.31539/joting.v6i1.9511 Efektifitas Latihan Otot Dasar Panggul dalam Meningkatkan Fungsi Seksual pada Pasien Kanker Ginekologi https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9527 <p><em>This study aims to determine the effectiveness of pelvic floor muscle exercise in improving sexual function in gynecological cancer patients. The method used in this study uses a systematic review using the procedures recommended in the </em><em>Preferred Reporting Items for Systematic Reviews and Meta-Analyses</em> (PRISMA)<em>. The author uses several databases, namely PubMed, Cochrane Library, ProQuest, EbscoHost, Sage Journal, Clinical Key Nursing and Google Scholar. The results of this study contained 12 articles consisting of 6 RCTs, 2 Cohort Studies, 1 single arm, 1 Crossectional, 1 clinical report study, 1 mixed method. The conclusion of this study provides data and evidence that pelvic floor muscle exercise not only affects the improvement of sexual function but also affects the improvement of quality of life, changes in anxiety, depression, and pain of gynecological cancer patients.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Gynecological Cancer, Pelvic Floor Muscle Exercise, Sexual Function</em></p> Aprilia Dian Prawesti Yati Afiyanti ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-02 2024-04-02 6 1 893 902 10.31539/joting.v6i1.9527 Efektifitas Akupresur terhadap Kelelahan dan Kecemasan Pasien Kanker https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9524 <p><em>This study aims to identify the effectiveness of acupressure in treating fatigue and anxiety in cancer patients. The research method used is Systematic Review, through searching articles against six trusted databases, namely Cocharene, EbscoHost, ProQuest, Sage Journals, ScienceDirect, and Scopus, for article analysis using the PRISMA method. The results of the study showed that of the 10 research articles, there were articles which stated that acupressure was effective for overcoming fatigue and anxiety in cancer patients, but there were also articles which stated that acupressure had less significant effectiveness in overcoming fatigue and anxiety in cancer patients, especially when done with a small number of samples and during the chemotherapy process. In conclusion, acupressure has positive benefits in overcoming fatigue and anxiety, although in some cases the impact is not very significant. Acupressure is a therapy that does not use invasive procedures, is safe, cost-effective and easy to apply. Acupressure can be done independently by the patient by massaging the acupoints</em><em>.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Acupressure, Anxiety,</em> <em>Cancer</em><em>,</em><em> Fatigu</em><em>e</em></p> Mahda Chresginova Malau Enie Novieastari Dewi Gayatri ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-02 2024-04-02 6 1 903 910 10.31539/joting.v6i1.9524 Stress, Burnout dan Strategi Coping Perawat Frontline pada Waktu Pandemi COVID-19 https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9600 <p><em>This research aims to determine the stress, burnout, and coping of nurses during the COVID-19 pandemic in hospitals. The research method used is a literature review by selecting a theme and determining keywords (Keywords) and Boolean operators (AND, OR NOT, or AND NOT) before searching for scientific articles online. The literature search in this literature review used 4 databases, namely, Cochrane Library, Pubmed, Scopus, and ProQuest. The research results show that psychological symptoms that appeared in health workers due to the COVID-19 pandemic, such as depression, anxiety, stress, PTSD, fatigue, insomnia, and somatic symptoms, increased during the beginning of this pandemic. In conclusion, nurses experience a lot of work stress, medical professional burnout (emotional exhaustion, depersonalization, and a low sense of personal accomplishment), and mental health. Stress prevention should be adapted to the characteristics of the workplace, taking into account workplace optimization, social support, and compensation for workers' efforts.</em></p> <p><em>&nbsp;</em><em>Keywords: Burnout, Coping Strategies, COVID-19, Nurses, Stress</em></p> Risdayanto Nono Else Maria Rosa ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-02 2024-04-02 6 1 911 920 10.31539/joting.v6i1.9600 Diit Rendah Karbohidrat dan Puasa Intermitten terhadap Tekanan Darah pada Penderita Hipertensi https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9513 <p><span data-preserver-spaces="true">This study aims to analyze the effect of a low carbohydrate diet and intermittent fasting on blood pressure in hypertension sufferers. The research method used literature searches published in electronic databases, namely PubMed, Google Scholar, Scopus, and ScienceDirect, from 2013 to 2023, using the PRISMA method. Research shows that both can reduce blood pressure, especially systolic blood pressure. In conclusion, further research needs to be carried out to look specifically at the impact of a low-carbohydrate, high-fat diet and intermittent fasting on blood pressure in people with hypertension.</span></p> <p>&nbsp;<span data-preserver-spaces="true">Keywords: Low Carbohydrate Diet, Hypertension, Intermittent Fasting, Blood Pressure</span></p> Wahadi Wahadi Elly Nurachmah Riri Maria ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-19 2024-04-19 6 1 921 929 10.31539/joting.v6i1.9513 Hubungan Pengetahuan dan Keterampilan Bencana Mahasiswa dengan Kesiapsiagaan Keluarga Menghadapi Bencana https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9624 <p><em>This research aims to identify the relationship between disaster knowledge and skills of Indonesian Adventist University students and family preparedness for facing disasters. This research method uses descriptive quantitative research with a survey method which will describe the relationship between knowledge and skills of Indonesian Adventist University students as many as 187 respondents. The results of this study show that in general, the subjects have a moderate to high level of knowledge. This is different from the subject's skill level which, when compared with disaster knowledge, is found to be at a lower level. In conclusion, there is a significant relationship between disaster knowledge and family preparedness as well as between students' disaster skills and family preparedness in facing disasters that can occur at any time.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Family Preparedness, Disaster Skills, Disaster Knowledge</em></p> Sylvana Claudia Tambunan Gilny Aileen Joan Rantung ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-20 2024-04-20 6 1 930 938 10.31539/joting.v6i1.9624 Intervensi Non Farmakologi terhadap Stres dan Nyeri pada Anak dengan Gangguan Hematologi https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8762 <p><em>This research aims to identify the relationship between disaster knowledge and skills of Indonesian Adventist University students and family preparedness for facing disasters. This research method uses descriptive quantitative research with a survey method which will describe the relationship between knowledge and skills of Indonesian Adventist University students as many as 187 respondents. The results of this study show that in general, the subjects have a moderate to high level of knowledge. This is different from the subject's skill level which, when compared with disaster knowledge, is found to be at a lower level. In conclusion, there is a significant relationship between disaster knowledge and family preparedness as well as between students' disaster skills and family preparedness in facing disasters that can occur at any time.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Family Preparedness, Disaster Skills, Disaster Knowledge</em></p> Betti Arisanti Saragih Allenidekania Allenidekania ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-20 2024-04-20 6 1 939 947 10.31539/joting.v6i1.8762 Rerata Kenaikan Berat Badan Per Hari pada Bayi Berat Lahir Rendah dengan Perawatan Metode Kanguru https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9409 <p><em>This study aims to analyze the weight gain of premature babies and Low Birth Weight (LBW) babies after carrying out Kangaroo Method Treatment (PMK). The research method used is a systematic review through searching for articles from the ProQuest, ScienceDirect, PubMed, Sage Journal and Taylor &amp; Francis Online databases. The results of the study showed that FMD intervention would be able to increase the weight of premature babies more than routine care. In conclusion, by doing PMK regularly, the baby's weight will increase. A duration of six hours has been proven to be more effective in increasing a baby's weight than a duration of one hour. PMK can be used as a cheap complementary care intervention for premature or low birth weight babies when care facilities are limited.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: low-birth-weight, kangaroo care, premature baby, weight gain</em></p> Melissa Selviany Allenidekania Allenidekania Yeni Rustina ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-20 2024-04-20 6 1 948 955 10.31539/joting.v6i1.9409 Latihan Relaksasi Secara General terhadap Tingkat Mual dan Muntah pada Pasien Kanker dengan Induksi Kemoterapi https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9450 <p><em>This study aims to determine the effectiveness of general relaxation exercises on the level of nausea and vomiting in cancer patients receiving chemotherapy induction. The method used in this research is a systematic review of several databases through searches of trusted journals, such as Scopus, E</em><em>BSCO</em><em>host, Springer</em> <em>Link, Proquest and Science Direck, Google Schooler with article analysis using the PRISMA method. The results of the study showed that a total of 10 articles had been analyzed in which there were several relaxation exercise interventions that were given generally and successively proven to reduce the level of nausea and vomiting in cancer patients who received chemotherapy induction. Conclusion: Providing relaxation exercise interventions in general is flexible, simple, easy to learn, and helps reduce the level of nausea and vomiting in cancer patients receiving chemotherapy induction.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: General relaxation exercises, Cancer, Nausea, Vomiting</em></p> Indarti Dwi Ningsih Tuti Nuraini Yati Afiyanti ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-20 2024-04-20 6 1 956 964 10.31539/joting.v6i1.9450 Kompetensi Mahasiswa Keperawatan Tingkat Dua dalam Pelaksanaan Keterampilan Praktik Klinis https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9607 <p>This study aims to determine the competency abilities of Level 2 nursing students in clinical practice in private hospitals. The method used is univariate descriptive analysis. The research results show five categories of skills: highly skilled, skilled, moderately skilled, less skilled, and not skilled. This data shows that the average percentage of level 2 nursing students carrying out clinical practice competencies in hospitals is in the highly skilled, skilled, and quite skilled competency categories. Level 2 nursing students have pretty good skill competencies in carrying out clinical practice competencies in hospitals, with a highly skilled percentage of 12 people (26.9%), skilled as many as 14 people (31.1%), quite skilled as many as nine people (21 .0%), less skilled as many as four people (10.1%), unskilled as many as five people (10.9%). In conclusion, second-level nursing students were able to carry out 32 assessment items on the achievement of clinical practice skills competency from the Child, KMB, and Maternity courses.</p> <p>Keywords: Skills, Competencies, Clinical Practice</p> Kayla Debrisya Naibaho Lyna M. N. Hutapea ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-20 2024-04-20 6 1 965 972 10.31539/joting.v6i1.9607 Faktor Penghambat Kembali Bekerja pada Pasien Gangguan Mental Umum https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9459 <p>This research aims to analyze the factors that prevent individuals who experience mental disorders in general from being able to return to work. The method used is a systematic review by searching for articles tailored to formulating research questions with PEO formulations in seven databases: Scopus, ScienceDirect, Pubmed, Proquest, Sage Journals, Oxford, Taylor &amp; Francis. The research found two categories: internal factors, job status, workability, positive attitude, symptom severity, self-efficacy, and&nbsp;male. In contrast, external factors were supervisor support, loss of work contract, initial unemployment, low control over work, job tension, inflexible working hours, and&nbsp;no possibility of working from home. In conclusion, recovery can be achieved if internal and external factors work together and contribute positively to the client.</p> <p>Keywords: Inhibiting Factors, Common Mental Disorders, Return to Work</p> Eliza Cahyani Novy Helena Catharina Daulima Giur Hargiana ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-24 2024-04-24 6 1 973 981 10.31539/joting.v6i1.9459 Faktor-Faktor yang Memengaruhi Psikologis Pasien dan Keluarga saat Menerima Bad News tentang Kanker https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9533 <p><em>This research aims to determine the factors that influence psychology when receiving bad news about cancer. The method uses a systematic review approach on ten journals analyzed using PRISMA. Database search via Springer, Scopus, PubMed, ClinicalKey, and ScienceDirect. The results of a systematic review show that the factors that influence psychological factors are supportive communication, information, nurse presence, environment or privacy, emotional and empathic support, language, stage of disease, family involvement, and demographic characteristics. In conclusion, delivering bad news about cancer must consider factors that can influence the psychology of patients and families. Training related to delivering bad news needs to be given to nurses who provide oncology services to reduce the psychological factors that occur when patients and families receive bad news about cancer.</em></p> <p><em>&nbsp;</em><em>Keywords: Bad News, Cancer, Patients and Families, Psychology</em></p> Indida Leli Indah Febrianty Dewi Gayatri ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-24 2024-04-24 6 1 982 989 10.31539/joting.v6i1.9533 CBT-I Online Efektif Meningkatkan Kualitas Tidur Lansia https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9559 <p><em>This study aims to examine the effectiveness of implementing online CBT-I on older adults with sleep disorders. The method used is a Systematic Review guiding a search of 4 databases, ScienceDirect, Scopus, PubMed, and UI Lib, in October 2023 with article publication years starting from 2019-2023 to identify all relevant journal articles. The search technique follows the PRISMA flow. The research results showed that online CBT-I was proven to be effective in treating insomnia sleep disorders in the elderly. CBT-I can even treat secondary disorders due to insomnia, such as depression and anxiety. In conclusion, Online CBT-I can be implemented in health services provided that there is adequate computer and internet accessibility.</em></p> <p><em>&nbsp;</em><em>Keywords: Online CBT, Insomnia, Sleep Disorders, Elderly</em></p> Ida Faridah Etty Rekawati Junaiti Sahar ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-24 2024-04-24 6 1 990 997 10.31539/joting.v6i1.9559 Pengetahuan dan Perilaku Merokok pada Pasien Hipertensi https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9608 <p><em>This study aims to examine the relationship between the level of knowledge and smoking behavior in hypertensive patients at the Bandar Lampung Adventist Hospital. This research is a simple descriptive quantitative research. The results of the study showed that the relationship between knowledge and smoking behavior in hypertensive patients at Bandar Lampung Adventist Hospital had a significance value of 0.047 (p &lt;0.05) and r = 0.272, which means there was a relationship between knowledge and smoking behavior and smoking behavior in patients at the hospital. Bandar Lampung Adventist. In conclusion, a person's knowledge has a significant relationship with the smoking behavior of patients with hypertension.</em></p> <p><em>&nbsp;</em><em>Keywords: Hypertension, Knowledge, Smoking Behavior</em></p> Citra Wachyuni Nainggolan Ernawaty Siagian ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-24 2024-04-24 6 1 998 1006 10.31539/joting.v6i1.9608 Hubungan Tingkat Religiusitas, Tingkat Kebersyukuran dengan Kejadian Depresi pada Remaja https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9504 <p><span data-preserver-spaces="true">This study aims to determine the relationship between the level of religiosity, the level of gratitude, and the incidence of depression in teenagers in high schools in Labakkang District, Pangkep Regency. The research method used is a cross-sectional method. The&nbsp;</span><span data-preserver-spaces="true">results of the study</span><span data-preserver-spaces="true">&nbsp;showed that the highest level of religiosity was 98.5%, moderate level of gratitude was 97%, and no depression was 98.5%. Of the 200 respondents who had a high level of religiosity, 200 (100.0%) also did not experience depression, while</span><span data-preserver-spaces="true">&nbsp;3&nbsp;</span><span data-preserver-spaces="true">respondents had a moderate level of religiosity, as many as 3 (100.0%). Meanwhile, the relationship between gratitude and the incidence of depression shows that of the 197 respondents who had a moderate level of&nbsp;</span><span data-preserver-spaces="true">gratitude</span><span data-preserver-spaces="true">, 3 (1.5%) experienced mild depression, while of the</span><span data-preserver-spaces="true">&nbsp;6&nbsp;</span><span data-preserver-spaces="true">respondents who had a high level of&nbsp;</span><span data-preserver-spaces="true">gratitude</span><span data-preserver-spaces="true">, 6 (100.0%) did not experience depression. In conclusion, there is a relationship between the level of religiosity and the incidence of depression, and there is no relationship between the level of gratitude and the incidence of depression.</span></p> <p>&nbsp;<span data-preserver-spaces="true">Keywords: Depression, Gratitude, Religiosity</span></p> M.Agus jabir Akemat Pawirowiyono Rahmi Imelisa Iyus Yosep Krisna Wisnu Sakti ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-28 2024-04-28 6 1 1007 1015 10.31539/joting.v6i1.9504 Terapi Musik terhadap Nyeri Anak di Pediatric Intensive Care Unit https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9566 <p><em>This study aims to analyze the benefits of music therapy intervention on pain experienced by children treated in the Pediatric Intensive Care Unit (PICU). The method used is&nbsp;through&nbsp;searching for articles adapted to the formulation of research questions using the PICO formula in the EMBASE, Clinicalkey for Nursing, Proquest, ScienceDirect, Springer Link, Pubmed, and Scopus databases. The research results showed that music therapy for children treated in the PICU varied, including live music therapy, recorded music therapy,&nbsp;music therapy and&nbsp;hand massage, and&nbsp;music and video therapy.&nbsp;In conclusion,&nbsp;intervention through music therapy has proven to be&nbsp;effective in reducing pain, increasing comfort, and stabilizing children's hemodynamics.</em></p> <p><em>&nbsp;</em><em>Keywords: Children, Pain, Pediatric Intensive Care Unit, Music Therapy</em></p> Lilis Kurniawati Allenidekania Allenidekania Nani Nurhaeni ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-28 2024-04-28 6 1 1016 1024 10.31539/joting.v6i1.9566 Peran Mahasiswa Keperawatan dalam Pemenuhan Kebutuhan Spiritual Selama Praktik https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9606 <p><em>This study aims to determine the extent to which student nurses provide spiritual nursing care to clients in private hospitals. The method used is descriptive quantitative. The research results show that the role of nursing students in fulfilling the spiritual needs of patients is very often (16.7%), often (52.8%), rarely (27.8%), and&nbsp;never (2.8%). In conclusion, the role of nursing students in fulfilling spiritual needs&nbsp;often&nbsp;falls into the increasing category.</em></p> <p><em>&nbsp;</em><em>Keywords: Spiritual Needs, Nursing Students, Clinical Practice</em></p> Andra Eunike Vieira Bianca Situmeang Lyna M Hutapea ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-28 2024-04-28 6 1 1025 1031 10.31539/joting.v6i1.9606 Faktor Risiko yang Mempengaruhi Kematian Maternal https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9673 <p><em>This study aims to determine the risk factors that influence maternal mortality, which consist of close determinants, intermediate determinants, and distant determinants. The method used is observational with a case-control study. The research results obtained show that the risk factors that influence maternal mortality based on multivariate analysis are pregnancy complications and late referral. In conclusion, maternal deaths are influenced by various factors such as delays in referral, especially the first delay, low levels of maternal education, low levels of family income, and the inability to implement the Mother Love Movement (GSI) optimally throughout Ermera Municipality as the government's effort to reduce maternal deaths.</em></p> <p><em>&nbsp;</em><em>Keywords: Risk Factors, Maternal Death, Case-Control Study</em></p> Jermias da Cruz ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-29 2024-04-29 6 1 1032 1040 10.31539/joting.v6i1.9673 Teknologi Edukasi Perawatan Bayi Prematur https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9408 <p><em>This study aims to identify the most effective technology for preterm infant care, so as to improve knowledge, maternal skills and growth of preterm infants. The research method used was systematic review using five databases, namely Proquest, ScienceDirect, Emeraldinsight, PubMed, ClinicalKey. The results showed that 10 research articles could improve the knowledge, skills, and growth of preterm infants, such as: Booklet, tele-rehabilitation-based educational technology EI (Early Intervention), Family Integrated Care and Mobile Technology (m-FiCare m-Health, Telenursing education of premature, web application. Conclusion The most effective educational technology and has the advantage of accessing education is the web.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Baby </em><em>C</em><em>are, Premature, Technology</em></p> Rachmayanti Purawita Wardhani Allenidekania Allenidekania Yeni Rustina ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-29 2024-04-29 6 1 1041 1048 10.31539/joting.v6i1.9408 Efektivitas Relaxation Technique dalam Menurunkan Kecemasan pada Pasien Heart Disease https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9442 <p><em>Introduction: This systematic review aims to determine the effectiveness of relaxation therapy in reducing anxiety in heart disease patients and knowing what relaxation techniques are more effective than other techniques. The method used in this review is a review of various data bases including ProQuest, ScienceDirect and Pubmed published between 2013-2023 with the search keywords Relaxation Technique, Anxiety, Heart Disease. The results showed that there were four articles that showed the effectiveness of relaxation therapy in reducing anxiety in patients with heart disease. Conclusion: Relaxation therapies such as Benson's Relaxation Technique, prayer therapy, TaiChi, Meditation can be used effectively in the management of anxiety in heart disease patients. </em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Heart Disease, Anxiety, Relaxation Technique</em></p> Tutut Riana Hapsari Agung Waluyo Denissa Faradita Aryani ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-29 2024-04-29 6 1 1049 1057 10.31539/joting.v6i1.9442 Perbandingan Angka Cakupan Imunisasi Dasar Anak Sebelum, Selama dan Setelah Pandemi Covid-19 https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9763 <p><em>This research aims to provide a clear picture of the impact of the Covid-19 pandemic on children's basic immunization coverage at the Parongpong Community Health Center, West Bandung Regency from 2019-2023. The research uses a quantitative descriptive approach with sampling techniques using methodstotal sampling. The data used is secondary data from monthly reports of routine immunization results every month. The research results show that the basic immunization coverage rate for children in the Parongpong Community Health Center working area before the 2019 Covid-19 pandemic had good coverage with the highest coverage in December amounting to 1237 (115%). In 2020, during the pandemic, basic immunization coverage for children experienced a significant decline with the highest coverage in January being only 514 children (48%) and in 2021 increasing with the highest coverage being 953 children (88%). In 2022 there will be an insignificant decline. After the Covid-19 Pandemic in 2023, the figure for basic immunization coverage among children showed an increase of 88% or around 953 children were vaccinated. Conclusion, there is a comparison of basic immunization coverage rates for children before, during and after the Covid-19 pandemic. This shows the need for special attention in efforts to restore and increase children's basic immunization coverage after the pandemic.</em></p> <p>&nbsp;</p> <p><em>Keywords: Immunization Coverage, Covid-19, Basic Immunization </em></p> Irene Primagdasary Leokuna Monalisa Sitompul ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-30 2024-04-30 6 1 1058 1066 10.31539/joting.v6i1.9763