Citra Delima Scientific journal of Citra Internasional Institute
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Development Of Nursing Care Instruments Based On The 3s Framework (Sdki, Slki, Siki) For Inpatient Settings
Full text linkStandardized nursing documentation is essential for ensuring consistency, accountability, and quality in patient care. In Indonesia, the 3S framework—comprising the Standar Diagnosa Keperawatan Indonesia (SDKI), Standar Luaran Keperawatan Indonesia (SLKI), and Standar Intervensi Keperawatan Indonesia (SIKI) serves as a national standard. However, its application in inpatient settings remains inconsistent due to the lack of integrated, user-friendly tools. This study aimed to develop and validate a nursing care documentation instrument based on the 3S framework to improve documentation accuracy, support clinical decision-making, and promote standardization in inpatient wards. A Research and Development (R&D) approach was employed, using a modified Borg and Gall model across five stages: preliminary study, planning, product development, expert validation, and limited field testing. Data were gathered through literature reviews, chart audits, clinical interviews, and focus group discussions with nurses. The instrument was designed to address the 12 most frequently encountered nursing diagnoses in general medical-surgical wards, which were systematically mapped to appropriate SLKI outcomes and SIKI interventions. The final tool features structured diagnosis formats (PES, PR, PS), outcome targets with timelines, and categorized interventions (observation, treatment, education, collaboration), implemented in a shift-based checklist format. Validation by five expert nurses yielded strong content validity (I-CVI range: 0.833–1.000), and field testing with 15 clinical nurses demonstrated acceptable internal consistency (KR-20: 0.790–0.845). Additionally, 87% of nurses reported improvements in documentation quality and workflow efficiency. In conclusion, the 3S-based nursing care instrument is valid, reliable, and practical for clinical use, and its adoption is recommended to enhance nursing documentation standards and the quality of care in hospital settings
The Effect of Warm Blankets on Body Temperature in Hypothermic Post-Caesarean Patients
Full text linkHypothermia is one of the disorders that often occurs in post-operative patients, hypothermia is a condition when body temperature drops to below 36.5oC. One type of surgery that often experiences hypothermia is a cesarean section (CS) which is caused by the use of anesthetic drugs that can suppress the rate of oxidative metabolism, thereby reducing metabolic heat production. One method that can be given to overcome hypothermia is by providing a regular blanket, but with the development of technology, non-pharmacological methods that can be developed are by providing a blanket warmers. The purpose of this study aims to determine the effect of giving blanket warmers on increasing body temperature in post caesarean section (CS) patients. This study was a quasi-experimental design with one group pretest-posttest. The research subjects included hypothermic post caesarean section (CS) patients with SAB anesthesia at Hospital Dr. Mohamad Soewandhi Surabaya. Sample selection was carried out using the total sampling technique with a sample size of 33 respondents. The results demonstrate that a 30-minute application of a blanket warmer significantly increased body temperature in postoperative patients under spinal anesthesia (p = 0.000). This supports the effectiveness of external warming in managing hypothermia, a common complication of spinal anesthesia, and highlights its clinical relevance in improving postoperative thermal stability
Penerapan Terapi Storytelling Digital Mengatasi Kecemasan Pada Anak Usia Pra Sekolah
Full text linkChildren who are hospitalized are most likely to feel anxious. They often experience anxiety, such as crying and being afraid of new people, which can hinder their growth. The hospital environment can also cause anxiety and stress. Playing is an activity that children can do with the aim of stimulating the child\u27s growth and development and playing for children in the hospital is a way for children to express their feelings, relax and divert feelings that are difficult to express. Storytelling connects a story to multiple viewers or listeners through sound and clues, also known as a story. The aim of this research is to determine the effect of digital storytelling play therapy on anxiety levels in preschool children in hospitals. The research was conducted with a quasi-experimental design. Sample selection was carried out using the Total Sampling technique, totaling 55 respondents. Data analysis using the PreTest–PostTest test resulted in a P value of 0.00, which means that the conclusion of this research is that there is a significant influence between providing digital storytelling play therapy on anxiety levels. It is hoped that the results of this research will become a reference source for nurses in providing interventions for hospitalized children who experience anxiety.Anak-anak yang dirawat di rumah sakit kemungkinan besar merasa cemas. Mereka sering mengalami kecemasan, seperti menangis dan takut pada orang baru, yang dapat menghambat pertumbuhan mereka. Lingkungan rumah sakit juga dapat menyebabkan kecemasan dan stress bermain merupakan kegiatan yang dapat dilakukan anak dengan tujuan untuk merangsang tumbuh kembang anak dan bermain pada anak di rumah sakit merupakan cara anak untuk mengungkapkan perasaannya, rileks dan mengalihkan perasaan yang sulit diekspresikan nya. Storytelling menghubungkan sebuah cerita dengan beberapa penonton atau pendengar melalui suara dan petunjuk, juga dikenal sebagai cerita. Tujuan dari penelitian ini diketahui pengaruh terapi bermain Storytelling digital terhadap tingkat kecemasan pada anak usia prasekolah di Rumah Sakit. Penelitian dilakukan dengan design quasi experiment, Pemilihan sampel dilakukan dengan teknik Total Sampling, sebanyak 55 responden. Analisa data menggunakan uji PreTest–PostTest didapatkan hasil P Value 0,00 yang artinya kesimpulan pada penelitian ini terdapat pengaruh yang signifikan antara pemberian terapi bermain storytelling digital terhadap tingkat kecemasan. Hasil dari penelitian ini di harapkan menjadi sumber rujukan untuk perawat dalam memberikan intervensi pada anak dengan hospitalisasi yang mengalami kecemasan
Pengaruh Terapi Aktivitas Kelompok Terhadap Penurunan Frekuensi Halusinasi Pasien Skizofrenia
Full text linkMental disorders are still a hot and serious topic of discussion globally. The number of people suffering from mental disorders increases every year in various parts of the world. One form of mental disorder is schizophrenia. The purpose of this study was to determine the effect of group activity therapy on reducing the frequency of hallucinations in schizophrenia patients. This study is a quantitative study with a quasi experiment using a one group pre-test post-test approach. The sample in this study was 19 patients who were taken through a purposive sampling technique. Data collection was carried out using a questionnaire observation sheet and using the T-test. The results of the study showed that the average score of the frequency of hallucinations before being given group activity therapy was 6.42, while after being given group activity therapy the average score was 5.37. Then from the results of the statistical data analysis showed a p-value of 0.000 <0.05 (?) which means there is a significant difference in the average score before and after being given group activity therapy on reducing the frequency of hallucinations in schizophrenia patients at the dr. Mental Hospital. Samsi Jacobalis Bangka Belitung Islands Province in 2023. The conclusion of this study is that there is an effect of group activity therapy on reducing the frequency of hallucinations in schizophrenia patients. The researcher\u27s suggestion for the form of group activity therapy can be modified according to the situation and conditions at the Hospital.Penyakit gangguan jiwa secara global masih menjadi perbincangan hangat dan serius. jumlah orang yang menderita gangguan jiwa meningkat setiap tahunnya di berbagai belahan dunia. Salah satu bentuk gangguan jiwa adalah skizofrenia. Tujuan dari penelitin ini adalah untuk mengetahui pengaruh terapi aktivitas kelompok terhadap penurunan frekuensi halusinasi pasien skizofrenia. Penelitian ini merupakan penelitian kuantitatif dengan quasi experiment yang menggunakan pendekatan one group pre-test post-test. Sampel pada penelitian ini sebanyak 19 orang pasien yang di ambil melalui teknik purposive sampling. Pengumpulam data dilakukan menggunakan lembar observasi kuesioner dan mengunakan uji T-test. Hasil penelitian didapatkan bahwa skoring rata-rata frekuensi halusinasi sebelum diberikan terapi aktivitas kelompok 6,42, sedangkan setelah diberikan terapi aktivitas kelompok didapatkan rata-rata skoring 5,37. Kemudian dari hasil analisa data statistik menunjukan nilai p-value sebesar 0,000 < 0,05 (?) yang berarti ada perbedaan signifikan nilai rata-rata skoring sebelum dan setelah pemberian terapi aktivitas kelompok terhadap penurunan frekuensi halusinasi pasien skizofrenia di Rumah Sakit Jiwa dr. Samsi Jacobalis Provinsi Kepulauan Bangka Belitung pada tahun 2023. Kesimpulan dari penelitian ini yaitu ada pengaruh terapi aktivitas kelompok terhadap penurunan frekuensi halusinasi pasien skizofrenia. Saran dari peneliti untuk bentuk terapi aktivitas kelompok bisa di modifikasi sesuai dengan situasi dan kondisi di Rumah Sakit
Application of Health Education and Pappasang to Optimize the Psychosocial Development of Adolescents Engaged in Online Gaming
Full text linkExcessive online gaming among adolescents can lead to the development of addiction, which is often compounded by psychosocial problems such as depression and anxiety. To address these concerns, interventions aimed at improving psychosocial development especially in areas related to behavior, peer groups, and extracurricular activities can be implemented through health education and the pappasang approach. The purpose of this study is to examine the impact of health education and pappasang in improving the psychosocial development of adolescents, to prevent online gaming addiction. This research employed a quasi-experimental design with a pre-post test and a control group. The sample for this study consisted of 57 respondents. The sample for this study was determined using total sampling. The instrument used to assess psychosocial development was the Strength And Difficulties Questionnaire (SDQ). The results of the study indicated that the implementation of health education and pappasang was effective in improving adolescent peer group dynamics within the intervention group, with a p-value of 0.001, which is less than the 0.05 significance threshold. Additionally, the intervention was effective in addressing hyperactivity, it was effective after therapy, with a p-value of 0.014, which is also less than 0.05. Furthermore, the intervention effectively improved the behavioral aspect after treatment, with a p-value of 0.014, again meeting the significance criteria. In conclusion, the application of health education and pappasang was found to be effective in improving the psychosocial development of adolescents who engage in online games.Excessive online gaming among adolescents can lead to the development of addiction, which is often compounded by psychosocial problems such as depression and anxiety. To address these concerns, interventions aimed at improving psychosocial development especially in areas related to behavior, peer groups, and extracurricular activities can be implemented through health education and the pappasang approach. The purpose of this study is to examine the impact of health education and pappasang in improving the psychosocial development of adolescents, to prevent online gaming addiction. This research employed a quasi-experimental design with a pre-post test and a control group. The sample for this study consisted of 57 respondents. The sample for this study was determined using total sampling. The instrument used to assess psychosocial development was the Strength And Difficulties Questionnaire (SDQ). The results of the study indicated that the implementation of health education and pappasang was effective in improving adolescent peer group dynamics within the intervention group, with a p-value of 0.001, which is less than the 0.05 significance threshold. Additionally, the intervention was effective in addressing hyperactivity, it was effective after therapy, with a p-value of 0.014, which is also less than 0.05. Furthermore, the intervention effectively improved the behavioral aspect after treatment, with a p-value of 0.014, again meeting the significance criteria. In conclusion, the application of health education and pappasang was found to be effective in improving the psychosocial development of adolescents who engage in online games
Diabetes Self-Care Management Among the Elderly in Rural Areas
Full text linkDiabetes mellitus is susceptible to being experienced by the elderly because of physiological changes caused by the aging process. Diabetes mellitus will accompany the sufferer for life, so the elderly must be able to carry out diabetes self-care management to optimize metabolic control and prevent diabetes complications. In implementing diabetes self-care, this management will certainly be influenced by the characteristics of the sufferer. This study aims to explore the characteristics of elderly with diabetes mellitus in managing their diabetes self-care management in rural areas. The quantitative descriptive research method, with a cross-sectional approach, was carried out among 100 elderly with diabetes mellitus utilizing the purposive sampling method. This research instrument uses The Summary of Diabetes Mellitus Activities. Univariate analysis was performed using frequency distribution. The results of this study show that 57% of the elderly in rural areas had poor diabetes self-care management. Ususally related to the characteristics of the elderly with diabetes mellitus which can influence treatment in managing the disease.This study concludes that there are still elderly people who do not carry out diabetes self-care management independently in their daily lives. This research emphasizes the need for knowledge and awareness to be provided in rural areas regarding Diabetes self-care management. Structured programs need to be designed to improve the behavior of the elderly to promote better adherence to diet, exercise, medication adherence, and proper foot care
Efektivitas Pemberian Jahe Merah (Zingiber Officinale Var Rubrum Rhizoma) Dan Teh Rosella (Hibiscus Sabdariffa) Terhadap Kegawatan Dismenore
Full text linkTeenagers start to experience menstruation is one form of adolescence with biological development. Abdominal pain which is often called dysmenorrhea pain is often experienced by teenagers who are menstruating. The use of red ginger and rosella tea is one form of non-pharmacological treatment to reduce dysmenorrhea pain. The purpose of this study was to determine the effectiveness of red ginger and rosella tea in reducing dysmenorrhea in adolescent girls. The research method used a Quasy Experiment with a nonrandomized pretest - posttest approach, in this study design using 3 (three) groups, namely the group with the treatment of red ginger decoction, the group with the treatment of rosella tea and the control group. The sample in this study was the red ginger intervention group, the rosella tea intervention group and the control group with 30 respondents each. The results of the study were obtained using the Mann Whitney alternative test, a p value of 0.000 was obtained, meaning that statistically red ginger provided effectiveness on the dysmenorrhea pain scale in the intervention group. The conclusion statistically red ginger provided significant effectiveness on the pain scale in the intervention group with a p value of 0.000 (<0.05).Remaja mulai mengalami menstruasi merupakan salah satu bentuk tanda keremajaan dengan adanya perkembangan secara biologis. Nyeri bagian perut yang sering disebut nyeri dismenore sering dialami oleh remaja yang sedang mengalami menstruasi. Penggunaan jahe merah dan teh rosella merupakan salah satu bentuk pengobatan non farmakologi untuk mengurangi nyeri dismenore. Tujuan penelitian ini untuk mengetahui efektivitas jahe merah dan teh rosella dalam penurunan disminorea pada remaja putri. Metode penelitian menggunakan Quasy Experimen dengan pendekatan nonrandomized pretest – posttes, dalam rancangan penelitian ini menggunakan 3 (tiga) kelompok yaitu kelompok dengan perlakuan pemberian rebusan jahe merah, kelompok dengan perlakuan pemberian teh rosella dan kelompok kontrol. Sampel dalam penelitian ini sebanyak kelompok intervensi jahe merah, kelompok intervensi teh rosella dan kelompok kontrol dengan masing – masing sebanyak 30 responden. Hasil penelitian didapatkan menggunakan uji alternatif Mann Whitney didapatkan nilai p value : 0,000 artinya secara statistik jahe merah memberikan efektivitas pada skala nyeri dismenore pada kelompok intervensi. Simpulan secara statistik jahe merah memberikan efektivitas yang signifikan skala nyeri pada kelompok intervensi dengan p value : 0,000 (<0,05)
Pengetahuan dan Perilaku Ibu dalam Pencegahan Stunting pada Balita
Full text linkStunting is a problem of malnutrition that is still experienced by toddlers in Indonesia. According to the 2022 Indonesian Nutritional Status Study (SSGI), the prevalence of stunting in Bangka Belitung Province is highest in South Bangka Regency, which is 23%. One of the causes is the lack of knowledge and behavior of mothers in preventing stunting. The purpose of this study is to describe the knowledge and behavior of mothers in preventing stunting in toddlers in Serdang Village, South Bangka Regency. This research method uses a quantitative method with a descriptive research design which was carried out in April 2024 in the Serdang Village Area. This study involved 35 mothers who have toddlers aged 3-5 years who were selected using simple random sampling. The results of the study showed that the average age of toddlers aged 4 years was 66.9% with the most gender being female. Mothers of toddlers aged 21-64 years were 97.1% with a good knowledge category of 97.1%. All mothers have good knowledge regarding the characteristics of stunting in children with a percentage of 100%, but 40% of mothers do not know the category of healthy children assessed from their height with their age. As many as 88.6% of mothers have good behavior in preventing stunting by getting used to washing their hands before feeding their children. However, 31.4% of mothers never seek information about stunting. The conclusion of the study is that mothers\u27 knowledge and behavior in preventing stunting are in the good category.Stunting merupakan masalah kekurangan gizi yang masih dialami oleh balita di Indonesia. Menurut Studi Status Gizi Indonesia (SSGI) 2022 prevalensi stunting di Provinsi Bangka Belitung tertinggi berada di Kabupaten Bangka Selatan yaitu 23%. Salah satu penyebabnya adalah kurang pengetahuan dan perilaku ibu dalam pencegahan stunting. Tujuan penelitian menggambarkan pengetahuan dan perilaku ibu dalam pencegahan stunting pada balita di Desa Serdang Kabupaten Bangka Selatan. Metode penelitian ini menggunakan metode kuantitatif dengan desain penelitian deskriptif yang dilaksanakan pada bulan April 2024 di Wilayah Desa Serdang. Penelitian ini melibatkan 35 ibu yang mempunyai balita usia 3 – 5 tahun yang dipilih menggunakan simple random sampling. Hasil penelitian rata – rata umur balita 4 tahun sebanyak 66,9% dengan jenis kelamin paling banyak adalah perempuan. Ibu balita berusia 21 - 64 tahun sebanyak 97,1% dengan kategori pengetahuan yang baik sebanyak 97,1%. Seluruh ibu telah memiliki pengetahuan yang baik terkait ciri – ciri stunting pada anak dengan persentase 100% namun 40% ibu belum mengetahui kategori anak sehat dinilai dari tinggi badan dengan usianya. Sebanyak 88,6% ibu yang memiliki perilaku baik dalam pencegahan stunting dengan membiasakan cuci tangan sebelum memberikan makan anak. Namun, sebesar 31,4% ibu tidak pernah mencari tahu informasi tentang stunting. Kesimpulan penelitian terdapat pengetahuan dan perilaku ibu dalam pencegahan stunting dalam kategori baik
Relationship of Husband\u27s Assistance to the Level of Mother\u27s Anxiety in the Active Phase of the First Stage of Normal Labor Process
No full textSpontaneous labor that is low-risk during the early phase often remains so throughout the process. Anxiety, defined as an unclear fear not based on the situation, commonly affects mothers during childbirth. Support from a husband can significantly reduce this anxiety, helping mothers feel more at ease. This study aimed to determine the relationship between husband’s assistance and maternal anxiety levels during the active phase of the first stage of normal labor at Makassar City Hospital. This research used an observational analytic design with a cross-sectional approach. The sample consisted of 60 mothers who had normal deliveries at Makassar City Hospital in December, selected through accidental sampling. Data was collected using questionnaires and analyzed with the chi-square test. The results showed that husband or family assistance with moderate maternal anxiety was reported by 53 respondents (88.3%). Good assistance was associated with severe anxiety in only 2 respondents (3.3%), while adequate assistance with moderate anxiety was seen in 3 respondents (5.0%). Limited assistance with moderate anxiety was reported by 2 respondents (3.3%).The p-value obtained was 0.003, indicating statistical significance (p < 0.05), which leads to the conclusion that there is a significant relationship between husband’s assistance and maternal anxiety levels in the active phase of the first stage of labor.Thus, it can be concluded that the presence and support of a husband during labor can play a crucial role in reducing maternal anxiety during childbirth at Makassar City Hospital
Scoping Review: Analysis of Occupational Stress Levels and Their Associated Factors Among Firefighters
Full text linkFirefighting is a high-stress occupation due to exposure to situations involving extinguishing fires, saving lives, and protecting the property of people affected by fire incidents. The aim of this study was to identify stress-related factors and association in firefighters. A systematic review following the PRISMA 2020 V1 statement was carried out in the Science Direct and Google Scholar databases. The literature search was conducted in April 2025. A total of 12 studies were included in this review. Based on the result and discussion, burnout in firefighters happens because of a mix of different factors such as mental pressure, personal background, behavior, and workplace conditions. When firefighters face heavy workloads, frequent emergencies, poor sleep, and lack healthy ways to handle stress, it can lead to serious mental health problems. A bad work environment only makes things worse. These issues not only affect their personal well-being but also reduce their job performance and put safety at risk. Therefore, it is recommended that fire departments and related institutions implement comprehensive strategies to address these risks. In addition, interventions such as stress management training, regular health screenings, and improvements in the work environment should be prioritized to reduce burnout and enhance the quality of life and performance among firefighters.Firefighting is a high-stress occupation due to exposure to situations involving extinguishing fires, saving lives, and protecting the property of people affected by fire incidents. The aim of this study was to identify stress-related factors and association in firefighters. A systematic review following the PRISMA 2020 V1 statement was carried out in the Science Direct and Google Scholar databases. The literature search was conducted in April 2025. A total of 12 studies were included in this review. Based on the result and discussion, burnout in firefighters happens because of a mix of different factors such as mental pressure, personal background, behavior, and workplace conditions. When firefighters face heavy workloads, frequent emergencies, poor sleep, and lack healthy ways to handle stress, it can lead to serious mental health problems. A bad work environment only makes things worse. These issues not only affect their personal well-being but also reduce their job performance and put safety at risk. Therefore, it is recommended that fire departments and related institutions implement comprehensive strategies to address these risks. In addition, interventions such as stress management training, regular health screenings, and improvements in the work environment should be prioritized to reduce burnout and enhance the quality of life and performance among firefighters