Jurnal Keperawatan Komprehensif (JKK)
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    Overview of Resilience in High School Students

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    Aim: This study aims to determine the description of resilience in students at Bandung High School. Method: This study used a descriptive design with purposive sampling technique, involving 100 respondents consisting of students from grades X to XII aged 12 to 19 years. Data were collected using the Connor-Davidson Resilience Scale (CD-RISC), which consists of 25 statements with a score range of 0-100. The results of the validity and reliability tests showed that the instruments used were valid and reliable. Results: The results showed that 30% of respondents had a high level of resilience (30 students), 42% were at a moderate level of resilience (42 students), and 28% had low resilience (28 students). The average resilience score was 60.94, with a score range between 35 and 100. These findings indicate the need for special attention to students with low resilience, who are at risk for psychological problems such as anxiety and depression. Social support, coping skills, and specially designed intervention programs can help improve resilience among students. Conclusion: This study underscores the importance of understanding high school students’ resilience levels to support their mental and academic well-being. More effective support programs for students with low resilience are needed, as well as further research to explore factors that influence resilience

    Effectiveness of Digital Self-Management Toward Fluid Restriction on Interdialytic Weight Gain Among Patients Undergoing Hemodialysis in Jakarta Islamic Hospital

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    Aims: Controlling interdialytic weight gain (IDWG) in hemodialysis (HD) patients requires a key component of fluid restriction. If IDWG rises, complications related to chronic renal failure may arise. Digital self-management improves fluid restriction in IDWG by empowering patients, increasing data monitoring, and simplifying communication with healthcare providers, perhaps leading to better hemodialysis patient outcomes. Objective: This study aims to determine the effectiveness of digital self-management toward fluid restriction on interdialytic weight gain among patients undergoing hemodialysis in Jakarta Islamic Hospital. Method: The study was quasi-experimental, using a pretest-posttest and control group. Convenience sampling was employed to select 25 intervention and 25 control group members. IDWG digital self-management can track fluid intake, weight, and symptoms, and patients can communicate openly with the health team. The data analysis used in this research is the T-test.  Results: In this study, respondents were categorized by gender, mean age, and duration of HD (months) in the intervention group (men 60%, 49.1 and 27.2) and control group (women 52%, 48.1 and 42.1). IDWG decreased in the intervention group, from 4.06 to 2.45, while it increased in the control group before 3.84 and after 4.34. The paired and independent t-tests demonstrated that digital-based fluid restriction management self-care interventions reduced IDWG with a p-value of 0.001. Conclusion: The digital self-management toward fluid restriction showed a promising impact on improving interdialytic weight gain among patients undergoing hemodialysis in Jakarta Islamic Hospita

    Factors Influencing the Incidence of Stunting in Toddlers in Sukamaju Village, Kadudampit Health Center Working Area, Sukabumi District

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    Aims: This study was to determine the effect of immunization, economic status, maternal motivation, and family support on the incidence of stunting in toddlers. Methods: The study involved 223 toddlers in Sukamaju Village, Kadudampit Health Center Working Area, Sukabumi Regency, with data collected through questionnaires and analyzed using univariate and bivariate methods, passing an ethical review. Results: There is a significant effect of immunization on the incidence of stunting (p-value, 0.031), economic status on the incidence of stunting (p-value, 0.000), maternal motivation on the incidence of stunting (p-value, 0.000), family support on the incidence of stunting (p-value, 0.000). Conclusion: There is an effect of immunization, economic status, maternal motivation, and family support on the incidence of stunting in toddlers

    The Effectiveness of SCIDOTS to Reduce Smoking Behavior Among Patients with Pulmonary Tuberculosis : Systematic Review

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    Aims : The aim of this study is to identify and summarize the results of previous studies on the use of SCIDOTS to reduce smoking cessation in patients with pulmonary tuberculosis. Methods : The research used was a literature review of three articles. The assessment of the articles shall be measured using the CASP (Critical Appraisal Skills Program) format. Results : The result of this study incorporating smoking cessation programs into pulmonary TB control programs, as new diagnoses can increase cessation rates by 71.7%. Various interventions, including counseling sessions, behavioral therapy, and health promotion programs, have proven successful. Conclusions : The study found that the intervention SCIDOTS, or quitting smoking, is highly effective in treating tuberculosis patients, accelerating their active treatment

    The Effectiveness of Health Education Using Falshback and Video Methods on Balanced Nutrition Knowledge Among Children in Elementary School

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    Aims:  This study aims to assess the efficacy of nutrition education using flipcharts and movies in enhancing the knowledge of Balanced Nutrition among elementary school students at SDN 1 Bina Karya Jaya, Putra Rumbia District, Central Lampung Regency in 2023. Method: The study used the Pretest-Posttest Control Group Design methodology to investigate 44 students at SDN 1 Bina Karya Jaya in Putra Rumbia, Central Lampung Regency. Result: The results showed that there were differences in the effectiveness of health education flipcharts and video methods on knowledge of balanced nutrition in students at SDN 1 Bina Karya Jaya, Putra Rumbia District, Central Lampung with a p-value of 0.000. Conclusion: To enable teaching staff to collaborate closely with health workers in order to provide frequent health education on proper nutrition for school-age children, therefore preventing nutritional issues in children

    The Effect of Health Promotion Using E-Health Versus Lecture Toward Knowledge of Personal Hygiene Among Junior High School Students in Banten

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    Aims: Knowing the effectiveness of health promotion between the e-health method and the lecture method on knowledge of personal hygiene external genitalia in junior high school students at Pondok Pesantren Latansa Lebak Banten. Method: The study involved 84 female students at SMP Pondok Pesantren Latansa Lebak Banten, using a quasi-experimental design, pretest-posttest, and control group design. Result: The results of univariate research on personal hygiene knowledge of external genitalia with health promotion e-health method obtained before that most were sufficient 47.6% and after most were good 71.4%. Knowledge of external genitalia personal hygiene with the lecture method health promotion was obtained before most of it was 50.0% and after most it was enough 52.4%. The bivariate results of the paired simple t test were 0.000 and the independent t test obtained a p value = 0.003. Conclusion: The e-health method is more effective in promoting knowledge of external genitalia personal hygiene among junior high school students than lecture methods, and cooperation with health workers is hoped to improve female students\u27 hygiene practice

    Effectiveness of Giving Red Guava Juice and Mung Bean on Hemoglobin Levels Among Post-Partum Mothers with Anemia

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    Aims: to determine the effectiveness of giving red guava juice and mung bean porridge to increase HB levels in postpartum women with anemia. Methods : The study was quasi-experimental, with a pretest-posttest design for two groups. The sample for this study consisted of all postpartum women who developed anemia between June and July 2023 at the Cikampek Health Center, which may be up to 40 participants. The sampling approach is complete sampling. Results : The red guava juice intervention group had an average HB level of 10.220 gr/dl pre-test and 12.460 gr/dl post-test. The green bean porridge intervention group had an average HB level of 10.230 gr/dl before testing and 12.440 gr/dl after testing. Giving red guava juice and mung bean porridge can successfully improve Hb levels in anemic postpartum women (p-value = 0.000). Conclusions : Red guava juice and mung bean porridge can significantly boost Hb levels in anemic postpartum women. It is believed that postpartum women who have anemia will take red guava juice and mung bean porridge as an alternative to prevent anemia

    Evaluating the Impact of Semi-Immersive Virtual Reality on Urinary Catheterization Skills, Motivation, and Satisfaction in Nursing Students

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    Aims: The basic core skill and competency nursing students need is urinary catheterization. Semi-immersive virtual reality (SIVR) based research innovations based on situational learning theory have not been widely used to improve student proficiency. This study aimed to analyze the skills, motivation, and satisfaction of nursing students with urinary catheterization learning before and after the implementation of SIVR. Methods: The study was designed as a pre-test and post-test randomized controlled trial (RCT). The study population was undergraduate nursing students at the Bhakti Wiyata Health Sciences Institute, Kediri. The SIVR group (n=52) received catheterization skill practice through SIVR, whereas the control group (n=52) was given 2-dimensional video learning. The results obtained were catheterization skills, motivation, and satisfaction, which were evaluated before and after the intervention. In this study\u27s statistical test analysis, the chi-square test and the independent t-test were used. Results: Post-test results showed a significant improvement in catheterization skills in the SIVR group (M = 92.74, SD = 1.05, p = 0.032) compared to the control group (M = 79.95, SD = 1.51), a significant improvement in motivation in the SIVR group (M = 6.48, SD = 0.54, p = 0.010) compared to the control group (M = 5.23, SD = 0.49), and a significant improvement in satisfaction in the SIVR group (M = 3.49, SD = 0.83, p = 0.024) compared to the control group (M = 2.88, SD = 0.52). Conclusion: SIVR simulation and video learning can improve nursing students\u27 skills, motivation, and satisfaction. SIVR program learning can be recommended as an intervention for the effectiveness of the quality of practical learning following current technological advances and in the long term it is expected to improve graduates\u27 practical skills

    The Effect of Application-Based Exergames on Cognitive Function in Hemodialysis Patients

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    Aims: Hemodialysis (HD) patients may disrupt physical and cognitive capabilities, affecting older mobility, independence, psychological well-being, and health care expenditures. Home-based exergame training overcomes accessibility issues. Methods: This research examined how mobile app exergames affected cognitive performance in hemodialysis patients. This research used a repeated measurement-quasi-experiment two-group pretest-posttest design in a West Java. The intervention group trained three times a week for 30-40 minutes for two months, totaling 24 sessions (8 weeks). In the control group, participants were told to live normally. Results: Inlcusion criteria was performing HD at least twice a week,  age > 65, living independently, self-reported health, ability to stand for 10 minutes without help, and access to a TV with HDMI connection. The Trail Making Test (TMT) measured psychomotor speed and executive function. ANCOVA was used to compare scores before and after the intervention in both groups.  The repeated ANOVA test revealed that the trial making test A (TMT A) decreased significantly in the intervention group after one month intervention (T2) (from 79.77 ± 7.23 at baseline to 40.87 ± 5.33 at follow up), with the effect size was 0.41, indicating moderate effect size.  The trial making test B (TMT B) decreased significantly in the intervention group after one month intervention (T2) (from 77.6 ± 24.2 at baseline to 70.32 ± 23.3 at follow up), with the effect size was 0.45, indicating moderate effect size. However, there was not significant change of Trial making Test A and B from baseline to follow up time in the control group. Conclusions: Findings of this study could be one of the new solutions to help patients undergoing hemodialysis improve their cognitive function. Exergame training may be done at home, which helps to overcome accessibility constraints

    Implementation of Disaster Preparedness in Hospitals by Emergency Department Nurses

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    Aims: The purpose of this study is to determine the preparedness of emergency room nurses in handling disasters in hospitals. Method: This study employs a qualitative research design, utilizing a single case study that focuses on the implementation of disaster preparedness by emergency room nurses in hospitals. The subjects of this case study are two nurses who meet the inclusion criteria: they have attended disaster preparedness training, work as emergency room nurses, have been part of the hospital disaster team for at least five years, and are considered reliable and competent sources of data related to the research objective. Purposive sampling was used to select the participants, and data was collected through in-depth interviews guided by an interview protocol. Results: Four themes were identified: disaster preparedness, the organizational structure of disaster management functions and tasks, patient grouping, and the communication of clear, effective information along with coordination among medical personnel. Conclusion: The study found that implementing preparedness among emergency room nurses in disaster management is crucial to ensure a prompt and effective response in emergency situations

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