Jurnal Keperawatan Komprehensif (JKK)
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The Effect of Contrast Therapy on Phlebitis Severity in Toddlers and Preschoolers: A Clinical Study at Cibabat Hospital, Cimahi
Full text linkBackground: Phlebitis remains a prevalent complication associated with intravenous therapy in pediatric populations, particularly among toddlers and preschool-aged children. Managing phlebitis effectively is essential to minimize discomfort and prevent further complications. Non-pharmacological interventions, such as contrast therapy which involves alternating applications of warm and cold compresses have shown potential in reducing local inflammation and improving patient outcomes.
Objective: This study aimed to assess the effectiveness of contrast therapy in reducing phlebitis severity among young children receiving intravenous treatment at a public hospital in Indonesia.
Methods: A quasi-experimental study was conducted using a non-equivalent control group design with pretest and posttest assessments. A total of 30 pediatric patients diagnosed with phlebitis were recruited and allocated to either the intervention group (contrast therapy) or the control group (cold compress only). Phlebitis severity was evaluated using the Visual Infusion Phlebitis (VIP) Scale. Statistical analyses included the Wilcoxon signed-rank test and Mann–Whitney U test for bivariate comparisons, and logistic regression for multivariate analysis.
Results: The application of contrast therapy significantly reduced the phlebitis grading scale within the intervention group. However, when comparing the intervention and control groups, the difference in mean phlebitis score reduction was not statistically significant.
Conclusion: Contrast therapy serves as an effective non-pharmacological approach to managing phlebitis in pediatric patients. Nonetheless, its clinical effectiveness in comparison to cold compress therapy alone appears comparable. Further research with larger sample sizes and randomized designs is recommended to validate these findings and optimize clinical practice
Effectiveness of Virtual Reality–Based START (Simple Triage and Rapid Treatment) Triage Education on Earthquake Preparedness Among Community Members
Full text linkBackground: Indonesia’s position along the Pacific Ring of Fire exposes it to frequent seismic events. The recent magnitude 5.6 earthquake in Cianjur highlighted notable deficiencies in community preparedness, especially in areas such as knowledge, disaster education, and emergency response planning. Insufficient public awareness remains a major obstacle to effective disaster risk management.
Objective: This study aimed to determine the impact of Virtual Reality (VR)-based education using the Simple Triage and Rapid Treatment (START) method on enhancing earthquake preparedness among community members.
Methods: A quasi-experimental design with pre- and post-tests and a control group was employed. A total of 112 participants were selected via purposive sampling and divided into intervention and control groups. The intervention group engaged in VR simulations focused on the START triage process as part of their disaster education curriculum. Knowledge improvement was measured using the N-Gain Score to evaluate pre- and post-intervention changes.
Results: The VR-based START triage training led to a 64.47% increase in participants’ knowledge, reflecting a moderate level of effectiveness. Compared to the control group, those in the intervention group showed significantly greater improvements in earthquake preparedness.
Conclusion: Incorporating START triage into VR-based educational programs can substantially boost community members’ understanding of earthquake preparedness. This interactive and scalable method holds promise for enhancing public disaster education and fostering greater resilience in vulnerable populations
Outpatient Nursing Care (IONC) Model Effect on Self Care Patients with Pain in Outpatient Hospital
Full text linkBackground: Supporting self-care and managing pain effectively are critical elements of nursing practice in outpatient settings. Despite their importance, structured care models aimed at enhancing self-care behaviors among patients with pain are still underutilized in many outpatient environments.
Objective: This study aimed to assess the effectiveness of the Inayah Outpatient Nursing Care (IONC) Model in improving self-care abilities among patients experiencing pain in a hospital outpatient setting.
Methods: A quasi-experimental approach with a non-equivalent control group design was employed. The study was conducted at a public outpatient hospital in Bogor, West Java, Indonesia. A total of 200 patients were selected through purposive sampling, with 100 participants each in the intervention and control groups. Those in the intervention group received nursing care guided by the IONC Model, while the control group received standard outpatient nursing care. The impact on self-care was evaluated using a paired t-test to compare pre- and post-intervention scores.
Results: Participants who received care based on the IONC Model showed a statistically significant improvement in self-care abilities for pain management (p = 0.0001). The control group did not exhibit a comparable change (p = 0.172). A significant difference was also observed between the post-test scores of the two groups (p = 0.0001), indicating the model’s effectiveness.
Conclusion: The IONC Model demonstrates strong potential for enhancing self-care among outpatients dealing with pain. Incorporating this model into routine nursing practices could lead to improved health outcomes in outpatient care settings
The Effectiveness of Mindfulness Practices in Alleviating Stress Among Emergency Care Nurses
No full textAims: All hospital staff were at risk of experiencing stress, but nurses often faced higher levels of stress, especially in the emergency department. If the stress experienced by nurses was not addressed promptly, it could lead to psychosocial issues and negatively impact their performance. This study evaluated the effectiveness of a 15-minute mindfulness intervention in reducing stress among nurses in the emergency department.
Method: This study was a quasi-experimental with a one group pretest-posttest design, conducted from December 15 to 17, 2023, in an emergency department at a hospital in Sragen. A total of 15 respondents were selected using total sampling. This study only utilized 14 items to measure stress of the DASS (Depression Anxiety Stress Scale) before and after the Mindfulness intervention, which was conducted in a group setting for 15 minutes. Data were analyzed using the Wilcoxon Rank Test.
Results: The analysis showed a p-value of 0.000 (p<0.05).
Conclusion: Mindfulness practices significantly impacted the stress levels of nurses in the emergency department. This study supports the integration of mindfulness practices in stress management programs for emergency department nurses
Square Stepping Exercise for Stress Management in Among Elderly: An Experimental Study
No full textBackground : Stress is a common psychological issue among older adults, particularly those residing in nursing homes. This condition can negatively affect both physical and mental health. Physical activity-based interventions, such as Square Stepping Exercise (SSE), have been explored as a potential strategy to alleviate stress in the elderly. This study aims to analyze the effect of Square Stepping Exercise on stress levels among older adults living in nursing homes. Objective: This study aims to evaluate the effect of Square Stepping Exercise (SSE) on stress levels in elderly people living in nursing homes. Method: The method used in this research is an experiment with a pre-test and post-test design. A total of 33 elderly people in nursing homes took part in the SSE program. The stress scale was measured before and after the intervention using a measuring tool, the Perceived Stress Scale (PSS). Result: The results of the analysis show that there is a significant decrease in the stress scale after SSE training, with a p value <0.05 and Δ = 10,7. This may indicate that SSE training is effective in reducing stress levels in the elderly. This reduction in stress is associated with increased physical activity, improved balance, and social interaction during exercise. Conclusion: Square Stepping Exercise can be used as an alternative intervention to reduce stress in elderly people in nursing homes, which has a positive impact on their quality of life
The Direct and Indirect Effect of Spirituality and Self-Care on Quality of Life Among Patients with Chronic Kidney Failure
No full textAims: Chronic kidney failure (CKF) is a significant global health issue, with profound impacts on patients\u27 quality of life (QoL). Self-care and spirituality have been identified as key determinants influencing QoL among CKF patients undergoing hemodialysis. However, the interactive effects of these factors remain underexplored, particularly in Indonesia.
Objective: This study aims to investigate the direct and indirect effects of spirituality and self-care on QoL among CKF patients undergoing hemodialysis at Sekarwangi Hospital, Sukabumi Regency.
Methods: A correlational research design was employed, involving 71 CKF patients undergoing routine hemodialysis. Participants were selected using purposive sampling based on inclusion criteria. Data were collected using validated instruments: the Hemodialysis Patients’ Self-Care Measurement Scale (HPSCMS), Spiritual Well-Being Scale (SWBS), and Kidney Disease Quality of Life Short Form (KDQOL-SF™ v1.3). Path analysis was conducted to assess the direct and indirect effects of spirituality and self-care on QoL.
Results: Spirituality exhibited a significant direct effect on QoL (β = 0.381, p < 0.001) and an indirect effect through self-care (β = 0.384), with a total effect of 0.765. Self-care also had a significant direct effect on QoL (β = 0.547, p < 0.001). Higher spirituality and better self-care practices were associated with improved QoL in CKF patients.
Conclusion: The findings underscore the importance of spirituality and self-care in enhancing QoL among CKF patients undergoing hemodialysis. Integrating spiritual support and promoting self-care behaviors into patient care could significantly improve outcomes. Future interventions should adopt a holistic approach, addressing both physical and spiritual dimensions of care
Enhancing Wound Healing through Family Support among Diabetes Mellitus Patients: A Study at Bekasi District Hospital
No full textBackground: Diabetes mellitus encompasses a range of metabolic disorders marked by chronic hyperglycemia due to impaired insulin secretion or resistance. One of its serious complications is delayed wound healing, particularly in cases involving gangrene, which demands prolonged medical care. Emotional and practical support from family members plays a crucial role in enhancing patients\u27 motivation, emotional well-being, and recovery outcomes.
Objective: This study aimed to evaluate the influence of family support on the effectiveness of wound care in patients with diabetes mellitus.
Methods: A quantitative, quasi-experimental study was conducted using a one-group pretest-posttest design. The research involved 30 diabetic patients suffering from gangrenous wounds, selected through total sampling. Data were analyzed using univariate and bivariate approaches, with statistical significance tested via the Wilcoxon signed-rank test.
Results: The findings demonstrated a statistically significant effect of family support on wound healing outcomes in diabetic patients (p = 0.000, p < 0.05).
Discussion: The presence of supportive family members appears to positively influence the recovery process by fostering patient motivation and adherence to treatment protocols. These results highlight the critical role of family involvement in managing chronic wound care.
Conclusion: Family support significantly contributes to successful wound healing in diabetic patients, as observed in Bekasi Regency Hospital
Reducing Menarche-Related Anxiety Through Reproductive Health Education: A Quasi-Experimental Study
No full textBackground: Menarche is the first menstruation when a teenage girl enters puberty. Anxiety is the symptom that most often occurs in adolescent girls when facing menarche.
Objective: To identify the influence of adolescent reproductive health education on anxiety about facing menarche in grade 7 and 8 female students at MTS Al Husna Gembor, Tangerang City.
Method: Quasy Experimental with pre and posttest without control (without a control group), the researcher only intervened in one group without a comparison. The effect of treatment is assessed by comparing the pre-test scores with the post-test. The research sample was 54 respondents.
Results: Before being given reproductive health education interventions, the majority of respondents experienced moderate anxiety (66.7%). After being given reproductive health education interventions, the majority of respondents experienced mild anxiety (66.7%). There is an influence of health education on the level of anxiety facing menarche in grade 7 and 8 female students at MTS Al Husna Gembor Tangerang (p: 0.000).
Suggestion: It is hoped that health services, especially Community Health Centers, will increase health education and counseling activities that can increase adolescent knowledge regarding reproductive health, especially regarding menarche for adolescent girls. This is to increase the knowledge of young women so that they can reduce their anxiety levels when facing menarche
School-Based Peer Group Support as a Psychosocial Strategy to Promote Mental Health in Adolescents: A Quasi-Experimental Approach
No full textBackground: Adolescents are vulnerable to psychological distress due to rapid developmental changes and social pressures. School-based psychosocial strategies such as peer group support may enhance early mental-health promotion.
Objective: To evaluate the effectiveness of peer group support on mental health indicators among junior high school students.
Methods: A quasi-experimental pretest–posttest control group design was conducted among 84 adolescents aged 12–15 years at SMPN 4 Klari, Karawang Regency, Indonesia. The intervention group received 8 peer-support sessions across 8 weeks. Mental health was assessed using the Strengths and Difficulties Questionnaire (SDQ). Data were analyzed using paired and independent t-tests and ANCOVA.
Results: The intervention significantly improved adaptive coping (+42.4%), reduced stress symptoms (−35.8%), and increased health-maintenance behaviors (+43.1%). Between-group post-intervention differences were statistically significant (p < .001). Effect size analysis indicated a large treatment impact (Cohen’s d > 0.8).
Conclusion: Peer group support effectively enhances adolescent mental health and coping abilities. Integrating peer-based interventions into school programs is recommended to foster a supportive psychosocial environment
The Relationship Between Self-Efficacy and Diet Compliance in Hypertensive Patients with Comorbidities
No full textBackground: Hypertension is referred to as “the silent killer” because it often does not show any symptoms, so people are unaware that they have it. This condition can increase the risk of various serious diseases such as aneurysms, heart failure, metabolic syndrome which can trigger diabetes mellitus, heart disease, stroke, dementia, and an increased risk of end-stage kidney disease. Dietary compliance is very important to avoid complications of hypertension, where self-efficacy is one of the main determinants of success in maintaining dietary compliance.
Objective: This study focuses on determining the relationship between self-efficacy and diet compliance in patients with hypertension and comorbidities.
Methods: This study is a quantitative study with a cross-sectional design. The sampling technique used was purposive sampling, where 120 respondents with hypertension and comorbidities at Dr. Moewardi General Hospital, Surakarta, were selected. The research instruments used were a self-efficacy questionnaire and a dietary compliance questionnaire.
Results: Statistical test results using SPSS and Chi-Square analysis showed a significant relationship between self-efficacy levels and diet compliance in hypertensive patients with comorbidities (P-value <0.001). Most respondents had high self-efficacy and adhered to their diet, namely 59 respondents (93.7%), while 55 respondents (96.5%) of those with low self-efficacy were non-adherent.
Conclusion: This study indicates that the higher a person\u27s self-efficacy, the higher their confidence in adhering to a diet. Therefore, interventions aimed at increasing self-efficacy can be an effective strategy for improving diet complianc