Jurnal Keperawatan Komprehensif (JKK)
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Effectiveness of Thermotherapy in Reducing Pain in Patients with Acute Coronary Syndrome: A Quasi-Experimental Study
Full text linkBackground: Chest pain is the most common and distressing symptom experienced by patients with Acute Coronary Syndrome (ACS), often requiring rapid and effective management. While pharmacological therapies are standard, integrating non-pharmacological interventions such as thermotherapy may enhance pain control and patient comfort.
Objective: This study aimed to evaluate the effectiveness of thermotherapy in reducing pain levels among patients with ACS.
Methods: A quasi-experimental design was employed, involving 36 patients diagnosed with ACS at a hospital in Indonesia. Participants were divided equally into an intervention group (n = 18), who received thermotherapy in addition to standard care, and a control group (n = 18), who received standard care alone. Pain intensity was measured using the Numerical Rating Scale (NRS) before and after the intervention. Data were analysed using paired t-tests to compare pre- and post-intervention pain levels within each group, and independent t-tests to assess differences between groups.
Results: The intervention group showed a statistically significant reduction in pain levels after receiving thermotherapy (p < 0.001). In contrast, the control group showed no significant change in pain levels (p = 0.088). Between-group analysis using an independent t-test revealed a significant difference in post-intervention pain scores (p < 0.001), indicating the effectiveness of thermotherapy.
Conclusion: Thermotherapy is effective in reducing chest pain in patients with ACS and can be considered a complementary nursing intervention alongside standard care
Determinants of Patient Safety Competence Among Diploma-Level Nursing Students in Jakarta
Full text linkBackground: Ensuring patient safety is a core component of healthcare quality; however, the persistence of medical errors highlights an ongoing global challenge. In Indonesia, Diploma III nursing programs are instrumental in preparing novice nurses, yet variability in curriculum design and clinical experience may affect their ability to uphold safety standards.
Objective: This study aimed to identify factors associated with patient safety competence among Diploma III nursing students in Jakarta, Indonesia.
Methods: A cross-sectional design was applied, involving 200 students from accredited Diploma III nursing institutions in Jakarta. Participants were recruited through multistage cluster sampling. Data collection utilized a structured survey comprising the Health Professional Education in Patient Safety Survey (H-PEPSS), the Quality of Clinical Learning Environment (QCLE) Scale, and the General Self-Efficacy Scale (GSES). Multiple linear regression analysis identified key predictors of safety competence.
Results: Patient safety competence demonstrated significant positive associations with self-efficacy (r = 0.52, p < 0.001), quality of training (r = 0.41, p < 0.001), and institutional culture (r = 0.34, p < 0.001). Regression results revealed that self-efficacy (β = 0.42, p < 0.001) and training quality (β = 0.26, p = 0.002) significantly predicted competence, jointly explaining 37.2% of the variance. Institutional culture, however, was not a significant predictor (β = 0.09, p = 0.118).
Conclusion: Self-efficacy and clinical training quality are key contributors to patient safety competence in Jakarta’s Diploma III nursing students. Educational strategies targeting these domains may enhance safety outcomes. Future research should explore the long-term influence of institutional culture
Strengthening Palliative Care Systems in Indonesia: A Strategic Policy Brief to Address Health System Gaps
Full text linkBackground: Cancer is one of the most burdensome diseases in Indonesia, ranking as the second-highest cost contributor in the National Health Insurance (Jaminan Kesehatan Nasional) scheme, with expenditures reaching 3.2 trillion rupiahs (approximately 221 million USD). Palliative care is an essential component of cancer management, aimed at alleviating physical, emotional, and psychosocial suffering. However, access to palliative care in Indonesia is extremely limited, with services available in only seven hospitals across three major islands, leaving most regions underserved.
Objective: This policy brief aimed to analyze existing challenges and propose strategic policy recommendations for strengthening palliative care services to address healthcare system pressures in Indonesia, particularly related to cancer.
Methods: A narrative policy analysis was conducted using secondary data from national healthcare reports, cost analyses, and peer-reviewed literature on palliative care effectiveness. The review assessed service coverage, accessibility, financial burden, and policy frameworks to identify key gaps and opportunities.
Results: The analysis highlighted critical disparities in access to palliative care across Indonesia’s geographically dispersed regions. Despite evidence supporting the cost-saving and quality-of-life benefits of palliative services, implementation remains centralized and fragmented. Lack of national integration, workforce capacity, and public awareness were identified as major barriers.
Conclusion: Developing an integrated, nationwide palliative care strategy is urgently needed to mitigate healthcare costs and improve quality of life for patients with cancer and other life-limiting illnesses. Policy efforts should focus on decentralizing services, expanding training for health professionals, and incorporating palliative care into primary healthcare systems
Effectiveness of the Kalkulating Platform (Stunting Detection Calculator) for Increasing Hemoglobin Levels in Adolescents
Full text linkBackground: Anemia in adolescents is one of the contributing risk factors to stunting in early adulthood. Early detection and community-based interventions are essential for promotive and preventive efforts, particularly within school settings. One strategy implemented is the use of the adolescent stunting risk detection feature in the Kalkulating platform, applied by the Youth Information and Counseling Center (PIK R) at SMAN 1 Baregbeg.
Objective: This study aimed to determine the effectiveness of the adolescent stunting risk detection feature in reducing anemia cases among adolescents.
Methods: This study employed a quantitative descriptive design with a pre-post intervention approach. The subjects were students from SMAN 1 Baregbeg actively engaged in PIK R activities. Hemoglobin (Hb) levels were measured twice by the Baregbeg Public Health Center (Puskesmas Baregbeg), in October 2024 and May 2025. Initially, 44 adolescents were identified with anemia. After interventions including education and routine monitoring using the Kalkulating feature, a follow-up test showed only 10 cases of anemia.
Results: There was a reduction of 34 anemia cases from a total of 44, indicating an effectiveness rate of 77.27% and Cohen’s 3,34. According to the effectiveness classification based on percentage change, this intervention falls under the effective category.
Conclusion: The implementation of the adolescent stunting risk detection feature in the Kalkulating platform was effective in reducing anemia rates among adolescents. This model can be replicated in school-based health programs with multisectoral support, including primary healthcare providers such as community health centers
Effectiveness of the EM 2R3SW Digital Application on Parental Outcomes for Childhood Leukemia Prevention: A Quasi- Experimental Study in Depok, Indonesia
No full textBackground: Childhood acute lymphoblastic leukemia (ALL) is a leading cause of cancer-related morbidity and mortality in low- and middle-income countries, including Indonesia. Parental gaps in knowledge, attitudes, preventive behaviors, and healthy lifestyle practices contribute to delayed detection and poor outcomes. Digital health platforms offer scalable strategies to strengthen preventive health literacy in families.
Objective: To evaluate the effectiveness of EM-2R3SW, a web-based digital education application, on parental knowledge, attitudes, preventive behaviors, and healthy lifestyle practices related to childhood leukemia prevention.
Methods: A quasi-experimental pretest–posttest study was conducted among mothers of children aged 0–18 years in Sukmajaya District, Depok, Indonesia (N = 112). Participants accessed leukemia-prevention multimedia content within EM-2R3SW over two weeks. Validated questionnaires measured outcomes at baseline and post-intervention. Data were analyzed using Wilcoxon signed-rank tests due to non-normal distribution (Kolmogorov–Smirnov p < 0.05).
Results: Significant improvements were observed across all outcomes. Knowledge scores increased from 16.48 to 27.65, attitudes from 68.15 to 85.95, preventive behaviors from 72.39 to 112.20, and healthy lifestyle practices from 68.39 to 109.27 (all p < 0.001). Category transitions demonstrated marked progression from inadequate to good–very good levels, particularly in preventive practices.
Conclusion: The EM-2R3SW digital intervention effectively improved parental literacy and behavioral determinants for childhood leukemia prevention. This approach is feasible, low-cost, and scalable for community-based cancer prevention efforts in resource-limited settings. Larger randomized studies with long-term follow-up are recommende
The Artificial Intelligence Implementation in Nursing Services: Literature Review
No full textBackgroud : Major changes to clinical practice are likely to occur as a result of the introduction of AI into the healthcare industry. Virtual assistants (e.g., AI documentation tools such as Nuance DAX and AI-enabled medical diagnostic tools) are one of the ways artificial intelligence has been applied in our daily lives; one example is its use in the documentation process in the nursing profession. However, there are concerns about false data and possible unintended effects on patients when AI is used in nursing care. In addition, there is only 2% research on AI and its potential benefits for nurses. There is a need for more in-depth research on the use of AI in nursing care.
Aims : This study to review the findings and evidence base related to the use of artificial intelligence (AI) in nursing care.
Methods : The research approach used was a literature review. Articles on the use of AI in nursing care were searched using topics and keywords related to nursing, artificial intelligence, and nursing care. Relevant research was searched using the Boelean formula and filtered for articles published between 2019 and 2024, including PUBMED, Scopus, and Google Scholar. Research involving the creation or verification of artificial intelligence (AI)-based technologies used in nursing care was considered for inclusion, as were research designs that included experimental or observational methods and quantitative or qualitative data analyses, or a mixture of both. The retrieved articles were screened and discussed according to the research criteria.
Results : The results of this study obtained 10 articles that met the criteria and met the requirements (out of a total of 2,490 publications) which were then discussed. The articles discussed the use and application of AI in nursing services for both clinical and academic purposes.
Conclutions : There are many potential advantages to implementing AI into nursing services, but they must be carefully considered. To overcome these barriers to the use of AI to improve nursing services, further research is needed. In the future, nurses need to be technologically literat
Overcoming Constipation in Stroke Patients Using the I Love You and Swedish Massage Techniques
No full textAims: This study aims to determine the effectiveness of a combination of the I LOVE YOU and Swedish techniques in relieving constipation in stroke patients.
Methods: This study employed a quasi-experimental design with a pre-post test in a single-group setting, involving 30 stroke patients. The intervention consisted of abdominal massage therapy using a combination of the I LOVE YOU and Swedish techniques, applied twice daily for 30 minutes over three consecutive days. The Bristol Stool Scale and a 5-point Likert scale for patient constipation assessment were used to measure outcomes. Descriptive statistics and the Wilcoxon test were applied to analyze the data.
Results: The findings indicated that the combination of the I LOVE YOU and Swedish techniques significantly improved bowel movements and reduced constipation in stroke patients, as evidenced by the Wilcoxon test results.
Conclusion: This study demonstrates that non-pharmacological abdominal massage techniques using the I LOVE YOU and Swedish methods can serve as effective alternatives for managing constipation in stroke patients
The Influence of the Jigsaw Learning Method Using Word Square Evaluation Media on the Understanding of Patient Safety in Nursing Students
No full textBackground : Understanding patient safety is crucial for nursing students to prevent incidents and reduce adverse events during clinical practice. The jigsaw learning method combined with word square evaluation is an effective and interactive approach to enhance students\u27 understanding, proving more beneficial than conventional teaching methods.
Objective : This study aimed to assess the impact of the Jigsaw learning method with Word Square evaluation media on nursing students\u27 understanding of patient safety.
Method A quantitative study was conducted using a quasi-experimental design with a control group, pre-test, and post-test. The sample consisted of 40 Level I nursing students, selected through simple random sampling. Data were collected using a knowledge and understanding questionnaire.
Results The intervention group, which received education using the Jigsaw learning method with Word Square evaluation media, showed significant improvement in understanding patient safety. Statistical analysis using the Wilcoxon signed-rank test indicated a significant difference (p = 0.000), and the Mann-Whitney test also confirmed a significant difference between the intervention and control groups (p = 0.000).
Conclusion: The Jigsaw learning method with Word Square evaluation media significantly enhances nursing students\u27 understanding of patient safety. This method can be implemented as an effective learning strategy at STIKep PPNI Jawa Barat
Effectiveness of Diaphragmatic Breathing Exercises in Enhancing Pulmonary Recovery and Expediting Water Seal Drainage (WSD) Removal in Pleural Effusion Patients at Persahabatan Hospital
No full textAims: Pleural effusion, characterized by the abnormal accumulation of pleural fluid, poses significant health risks and often necessitates interventions such as water seal drainage (WSD) placement. Diaphragmatic breathing exercises (DBE) are non-invasive techniques that may enhance pulmonary recovery and expedite WSD removal by optimizing respiratory mechanics. Despite the potential benefits, limited research has explored their effectiveness in patients with pleural effusion.
Objective: This study aimed to evaluate the effectiveness of diaphragmatic breathing exercises in enhancing pulmonary recovery and expediting WSD removal in pleural effusion patients at Persahabatan Hospital, Jakarta, Indonesia.
Methods: A quasi-experimental, single-group pretest-posttest design was employed. Seventeen adult patients diagnosed with pleural effusion undergoing WSD placement were recruited through purposive sampling. Participants performed DBE twice daily for 15 minutes over seven days. Pulmonary recovery and WSD outcomes were assessed using a validated Pulmonary Recovery Assessment Questionnaire. Data were analyzed using paired t-tests, with statistical significance set at p < 0.05.
Results: The mean age of participants was 51.71 years (±10.12), with 64.7% female. Peak current respiration significantly improved from 103.53 L/min (±36.22) pre-intervention to 165.52 L/min (±75.28) post-intervention (p = 0.000). DBE also reduced the duration of WSD placement, indicating enhanced pulmonary recovery. Participants reported high feasibility and acceptability of the intervention.
Conclusion: Diaphragmatic breathing exercises significantly improve pulmonary recovery and expedite WSD removal in pleural effusion patients. These findings highlight the potential of DBE as a cost-effective, non-invasive adjunct in respiratory rehabilitation. Further research with larger sample sizes and long-term follow-up is recommended to validate these results
A Quasi-Experimental Study on Lifestyle Education and Peripheral Circulation in Type 2 Diabetes Patients
Full text linkBackground: Type 2 diabetes mellitus (DM) poses a high risk for macrovascular complications such as Peripheral Arterial Disease (PAD). The Ankle Brachial Index (ABI) is a non-invasive, reliable screening tool for early detection of PAD. Lifestyle factors, particularly physical activity and dietary adherence, play a crucial role in maintaining vascular health. However, structured educational interventions integrating these aspects with ABI assessment remain limited.
Objective: This study aimed to determine the effect of physical activity education and dietary compliance on ABI values in patients with type 2 diabetes mellitus.
Methods: A quasi-experimental one-group pretest-posttest design was employed. Thirty type 2 DM patients from Riung Bandung Community Health Center and Bandung City Hospital participated in a 7-day structured educational intervention focusing on physical activity and diet. Data collection included a modified version of the Summary of Diabetes Self-Care Activities (SDSCA) questionnaire and ABI measurements. Statistical analyses used Wilcoxon signed-rank test and Spearman correlation.
Results: Post-intervention, participants showed improved dietary adherence (fruit/vegetable consumption increased from 3.2 to 4.9 days/week) and physical activity (specific exercise increased from 3.1 to 4.7 days/week). The mean ABI value increased from 0.94 to 1.02, with 80% of participants experiencing ABI improvement. There was a significant positive correlation between improved physical activity and dietary adherence with increased ABI values (p < 0.05).
Conclusion: A 7-day structured educational intervention effectively improved physical activity and dietary compliance, leading to better vascular function as indicated by ABI improvement. This approach is promising for community-based prevention of vascular complications in type 2 DM patient