Jurnal Keperawatan Komprehensif (JKK)
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Enhancing Breast Milk Production and Body Weight through Complementary Oxytocin Massage Therapy
No full textBackground: Newborns\u27 nutrition and development depend on breast milk, but many moms don\u27t produce enough, which is bad for their babies\u27 health and development. One non-pharmacological approach that has been shown to improve milk ejection is oxytocin massage. Few research have investigated its combined impact on low-resource settings and newborn weight increase, despite indications of its usefulness.
Objective: Specifically, we want to know how well oxytocin massage treatment works as a supplement to increase milk supply and boost baby weight gain.
Methods: A quasi-experimental research was carried out in Sukabumi, West Java, with 70 postpartum moms and their infants aged 0-3 months. The study used a pre-test and post-test control group design. Two groups were established: one that received regular postpartum care and another that received oxytocin massage daily for seven days. We assessed breast milk supply and baby weight before and after the intervention. The data was examined by means of multivariate regression analysis, paired t-tests, and independent t-tests.
Results: In comparison to the control group, the intervention group demonstrated a notable rise in both baby body weight (mean difference: 0.5 kg, p = 0.001) and breast milk production (mean difference: 240 mL/day, p < 0.001). Treatment with oxytocin massage continued to be associated with better results even after controlling for factors such as mother age, parity, and level of education.
Conclusion: Boosting breast milk supply and promoting newborn weight growth are both achieved with complementary oxytocin massage treatment. This intervention provides a practical and affordable way to enhance the health of newborns and the success of breastfeeding, especially in areas with limited resources. The advantages over the long run and its applicability to more diverse groups should be the focus of future researc
Virtual Reality for Mitigating Fall Risk in the Elderly: A Bibliometric Analysis
No full textBackground: Fall risk among the elderly is a global health concern impacting quality of life and mortality. Virtual Reality (VR) is gaining traction as a tool in fall prevention strategies.
Objective: To map research trends, authorship, country productivity, and keyword themes related to VR in fall risk mitigation using bibliometric methods.
Methods: A bibliometric study of 166 publications (2007–2025) retrieved from Scopus was conducted using VOSviewer and Scopus analytics. Indicators included author productivity, subject areas, and keyword clusters.
Results: The number of publications has risen markedly since 2018, with the highest output in 2023. The United States, UK, and Israel led in research output. Research themes focused on VR-based balance training, rehabilitation, and psychological interventions such as fear of falling.
Conclusion: VR is a growing multidisciplinary field in elderly care. These insights inform future research directions and intervention policy
The Relationship between Self-efficacy, Resilience and Social Support with Relapse Tendency in Substance Use Disorder in Indonesia
No full textBackground: Substance use disorder (SUD) remains a major public health concern, with high relapse rates following detoxification treatment. Psychosocial factors such as self-efficacy, resilience, and social support may influence relapse outcomes, yet their roles remain underexplored in Indonesia.
Objective: This study aimed to examine the relationship between self-efficacy, resilience, social support, and relapse tendency among Indonesians with SUD.
Methods: A cross-sectional study was conducted at a rehabilitation center in Jakarta, Indonesia. Participants (n = 200; mean age = 37.56 ± 5.89 years) were adults (≥18 years) diagnosed with SUD by a psychiatrist. Standardized questionnaires assessed social support, self-efficacy, resilience, and relapse tendency. Correlation and mediation analyses were performed using bootstrapping with 5,000 samples (95% CI).
Results: Social support was negatively correlated with relapse tendency (r = –0.42, p < 0.01), while self-efficacy and resilience were significant mediators in this relationship. The direct effect of social support accounted for 58% of the total effect, and the indirect effect through self-efficacy and resilience accounted for 37.34%.
Conclusions: Higher social support reduces relapse risk, partly by enhancing self-efficacy and resilience. Strengthening these factors could be a key strategy in relapse prevention programs for Indonesians with SUD
The The Relationship Between Internet Addiction and Academic Procrastination in Nursing Bachelor Students Who Are Compiling Thesis in Bandung
No full textBackground: Academic procrastination is a widespread issue affecting university students, often linked to behavioral factors such as uncontrolled internet use. Among final-year nursing students, extended time spent on non-academic online activities—exceeding four hours daily—may contribute to delays in completing academic responsibilities.
Objective: This study aimed to explore the relationship between internet addiction and the tendency to procrastinate academically among undergraduate nursing students.
Method: A correlational quantitative approach was utilized in this study. The target population included 90 final-year students, with 86 respondents selected using an accidental sampling method. Data were collected through two standardized questionnaires—one measuring internet addiction levels and the other assessing academic procrastination. Statistical analyses included both univariate and bivariate procedures, with Spearman\u27s rank correlation used to examine the association between the two variables.
Results: Of the 86 participants, 60 students (69.8%) demonstrated moderate internet addiction, while 56 students (65.1%) reported moderate levels of academic procrastination. Analysis showed a statistically significant positive correlation between internet addiction and procrastination behavior (p = 0.007; r = 0.288). These findings suggest that higher levels of internet dependency are associated with an increased likelihood of delaying academic tasks.
Conclusion: There is a meaningful association between excessive internet use and academic procrastination. It is recommended that students develop better time management strategies by limiting recreational internet use and allocating focused periods for academic work to reduce procrastination tendencies and improve academic outcomes
The Relationship Between Postoperative Pain and Sleep Quality in Cesarean Section Patients at Koja Hospital
Full text linkBackground: Maternal mortality continues to be a pressing global health issue, particularly in low- and middle-income countries. Postpartum complications, including poor sleep quality, can impede maternal recovery and are often exacerbated by unmanaged postoperative pain following cesarean section. Understanding the link between pain and sleep disturbance is critical to enhancing maternal care and recovery outcomes.
Objective: This study aimed to examine the correlation between postoperative wound pain and sleep quality among women undergoing cesarean section at Koja District Hospital in 2020.
Methods: A cross-sectional study was conducted involving 40 postpartum women who met the inclusion criteria. Participants were selected through total sampling. Pain intensity was measured using a standardized numerical pain rating scale, while sleep quality was assessed using a validated sleep quality questionnaire. Data were analyzed using the Pearson chi-square test to evaluate the relationship between pain severity and sleep quality.
Results: The analysis revealed a statistically significant correlation between the intensity of cesarean wound pain and sleep quality (p = 0.001). Women reporting higher levels of postoperative pain were more likely to experience disturbed or poor-quality sleep.
Conclusion: A significant relationship exists between postoperative pain and sleep quality in post-cesarean patients. These findings underscore the importance of effective pain management as part of comprehensive postpartum care to improve sleep quality and facilitate optimal recovery. Future studies are recommended to explore longitudinal effects and potential interventions targeting both pain and sleep in the postpartum period
Assessing the Impact of Income and Expenditure on the Prosperity of Nurses in Private Hospitals in North Jakarta
Full text linkBackground: Nurses are central to effective healthcare delivery, yet their economic welfare is often undervalued, especially in private healthcare institutions. Disparities in income and expenditure can significantly influence nurses’ overall well-being, impacting their physical, psychological, social, spiritual, and financial conditions.
Objective: This study aimed to analyze how income and expenditure influence the prosperity of nurses employed in private hospitals in North Jakarta.
Methods: A quantitative cross-sectional study was conducted with 348 nurses selected through proportional random sampling. Data were gathered using structured questionnaires, complemented by direct observations and literature review. Prosperity was evaluated across five dimensions: physical, psychological, social, spiritual, and economic. Univariate analyses described frequency distributions, while Chi-square tests with continuity corrections were used to explore associations between financial variables and prosperity outcomes.
Results: Most respondents reported positive levels of physical (78.45%), psychological (78.16%), spiritual (83.3%), and economic (70.97%) well-being. However, social prosperity was less prevalent (49.4%). Bivariate analysis showed a statistically significant relationship between income and overall prosperity (p = 0.004), as well as between expenditure levels and prosperity (p = 0.044), indicating that both earnings and spending patterns are influential factors.
Conclusion: Nurse prosperity in North Jakarta’s private hospitals remains an under-addressed issue, particularly regarding fair wages and financial protections. Inconsistencies with regional wage regulations persist in some institutions. Policymakers and healthcare administrators should reinforce fair compensation and promote financial planning initiatives to support nurses\u27 holistic well-being and improve workforce retention
Family Support vs. Family Strain: Determining Aggression Pathways in Adolescents from Bandung
No full textBackground: Aggressive behavior remains a significant concern during adolescence, a developmental period marked by emotional instability and social adjustment. Family functioning is known to shape adolescents’ emotional regulation and behavioral outcomes. However, evidence regarding how family function relates to aggressive tendencies among Indonesian adolescents remains limited.
Objective: This study aimed to analyze the relationship between family function and aggressive behavior in adolescents.
Methods: A cross-sectional correlational design was used involving 140 students recruited using convenience sampling at SMK Bina Warga Bandung. Data were collected using two validated instruments: the Family Assessment Device (FAD) to assess family functioning and the Buss-Perry Aggression Questionnaire (BPAQ) to measure aggressive behavior. Data analysis was performed using the Pearson correlation test.
Results: The mean score for family function was 141.06 ± 9.73, indicating generally good family functioning. Meanwhile, the mean score for aggressive behavior was 77.32 ± 4.51, with hostility as the highest-scoring domain. Pearson correlation analysis revealed a significant negative relationship between family function and aggressive behavior (r = –0.287, p < 0.001), indicating that adolescents who perceive their family functioning as better tend to exhibit lower levels of aggression.
Conclusion: Family function plays a crucial protective role in reducing aggressive behavior among adolescents. Interventions that enhance family communication, emotional support, and collaborative problem-solving may effectively prevent aggression and promote healthy adolescent development. Further research incorporating longitudinal designs and broader socio-cultural variables is recommended
Effectiveness of Lemongrass Essential Oil Therapy Combined with Foot Marble Exercises on Foot Sensory Function in Patients with Type 2 Diabetes
No full textBackground: Peripheral neuropathy is one of the most common chronic complications of Type 2 Diabetes Mellitus (T2DM), characterized by decreased sensory nerve function, numbness, and high risk of foot ulceration. Non-pharmacological foot care interventions, including foot exercises and essential oils, are increasingly recognized as complementary treatments for improving peripheral nerve sensitivity.
Objective: This study aims to evaluate the effectiveness of combining Lemongrass Essential Oil (ESSOL) massage and marble-based foot exercises in improving foot sensitivity among patients with T2DM.
Methods: A quasi-experimental pretest–posttest design with a control group was employed, involving 40 respondents selected through inclusion and exclusion criteria. Participants were divided into intervention (n = 20) and control (n = 20) groups. Foot sensitivity was assessed using the 10 g Semmes-Weinstein monofilament test before and after the intervention. Data were analyzed using appropriate statistical tests with α < 0.05.
Results: There was a significant improvement in foot sensitivity in the intervention group compared to the control group (p < 0.05). The findings indicate that the combined intervention effectively enhances peripheral sensory response in individuals with T2DM.
Conclusion: The combination of ESSOL massage and marble foot exercises is an effective non-pharmacological strategy to improve foot sensitivity among patients with T2DM and has the potential to prevent diabetic foot complications
Development and Validation of a 3D Hologram-Based Learning Media for Emergency Preparedness in Islamic Boarding Schools
No full textBackground: Islamic boarding schools (pesantren) have distinctive educational settings, yet emergency preparedness education remains limited by conventional learning methods.
Objective: This study aimed to develop and validate a three-dimensional (3D) hologram-based learning media on school safety zones and first aid for students in Islamic boarding schools.
Methods: This research employed a Research and Development (R&D) approach using the 4D model, consisting of the Define, Design, and Develop stages. Validation was conducted by two material experts and two media experts using standardized assessment instruments covering aspects of content accuracy, visual quality, and practicality. Data were analyzed descriptively to determine the feasibility level of the developed media.
Results: Validation by material experts yielded an average score of 93.33%, while media experts obtained 92.94%, both categorized as very feasible. These findings indicate that the 3D hologram-based learning media meets both substance and technical standards required for preparedness and first-aid education.
Conclusion: The developed 3D hologram-based learning media was declared very feasible based on expert validation, making it a valid and appropriate educational tool for future implementation in nursing and health education programs
The Influence of Dhikr on Anxiety in Acute Coronary Syndrome (ACS) Patients at Dr. Chasbullah Abdulmadjid Hospital, Bekasi City
No full textAims: This study was to determine the effect of dhikr on anxiety in ACS patients at Dr. Chasbullah Abdulmadjid General Hospital, Bekasi City.
Methods: The research method used pre- and post-quasy experiments in the control group and the intervention group. This study used the HARS questionnaire and family support for 76 respondents.
Result: Data analysis using multiple logistic regression tests The results showed that the proportion in the control group with mild-moderate anxiety was 31.6% and severe anxiety was 18.4%; the proportion in the intervention group with mild-moderate anxiety was 46.1% and severe anxiety was 3.9%. Dhikr (p = 0.006) and history of heart disease (p = 0.023) significantly influence anxiety after being controlled by age (p = 0.244) (p = 0.001 omnimbus). The dominant factor that influences anxiety is dhikr (OR 10.674).
Conclusions : Dhikr is an act of remembering Allah that can be used to reduce anxiety in SKA patients. This can be done independently by reading istigfar, tasbih, hauqalah, and takbir for 15 minutes in the morning and evening. Therefore, nursing services using dhikr as an effort to reduce anxiety in ACS patients