Journal of Nursing Education and Practice

Hubungan Pengetahuan Dengan Tingkat Kecemasan Pada Pasien Pre Operasi Ablasi Retina

Rini Trisnawati — 2026-10-29

Introduction: Retinal disorders, including retinal detachment, are one of the leading causes of blindness worldwide. Surgical procedures and anesthesia are often a source of stress for patients, as they are perceived as a threat to one's physical and psychological integrity. Patients undergoing retinal detachment surgery generally experience anxiety both before and after the operation.

Objectives: This study aims to examine the relationship between knowledge and anxiety levels in patients undergoing preoperative retinal ablation.

Method: This study is a quantitative analytical study. The research design used is a cross-sectional study. The population in this study consisted of 108 respondents who were preoperative retinal ablation patients at Jec Menteng Hospital. The research sample consisted of 85 respondents using purposive sampling. The research instrument used a questionnaire. Data analysis was performed using univariate and bivariate analysis with the chi-square test.

Result: Based on the results of the chi-square statistical test, the p-value = 0.000, meaning that the p-value < α (0.05).

Conclution: There is a Relationship between Knowledge and Anxiety Levels in Preoperative Retinal Ablation Patients at Jec Menteng Hospital in 2025.

Asuhan Keperawatan dengan Masalah Keperawatan Nausea pada Ibu dengan Emesis Gravidarum Melalui Penerapan Terapi Akupresur Titik Pc6

Widdy Meilania Feron — 2026-10-29

Introduction: Hyperemesis gravidarum is a condition of excessive nausea and vomiting during pregnancy that may affect nutritional status, sleep patterns, and psychological well-being of pregnant women. Acupressure at the PC6 point is a non-pharmacological intervention that can be applied in maternity nursing care to reduce nausea. This study aimed to describe the application of PC6 acupressure in maternity nursing care for reducing nausea in patients with hyperemesis gravidarum.

Objectives: This study employed a case study design involving two patients with hyperemesis gravidarum hospitalized in the X Hospital, South Lampung.

Method: The main intervention was PC6 acupressure, administered for 3×10 minutes per day over 3×24 hours in accordance with standard operating procedures. Data were collected through interviews, observations, and documentation review. Nausea levels were assessed using The Rhodes Index of Nausea, Vomiting and Retching (INVR).

Result: The results demonstrated a decrease in nausea levels in both patients after the application of PC6 acupressure. At the beginning of care, both patients experienced nausea accompanied by vomiting and decreased appetite. After 3×24 hours of intervention, nausea and vomiting complaints decreased and were no longer reported on the third day. Improvements in sleep patterns and reductions in anxiety levels were also observed.

Conclusion: The application of PC6 acupressure in maternity nursing care may help reduce nausea in patients with hyperemesis gravidarum and support improvements in sleep patterns and psychological conditions. This intervention can be considered as a complementary non-pharmacological nursing intervention for pregnant women experiencing nausea and vomiting.

Asuhan Keperawatan pada Pasien Post Operasi Ca Mammae dengan Pemberian Intervensi Genggam Jari dan Terapi Musik Alam untuk Menurunkan Tingkat Nyeri di RS Muhammadiyah Metro Tahun 2025

Ilyas Indra Prayoga — 2026-10-29

Introduction: Music therapy is a form of therapy in the health sector using music and musical activities to address various problems. Empirical evidence supports the use of classical music therapy in various conditions including psychiatric disorders, medical problems, physical disabilities, sensory disorders, developmental disabilities, aging problems, improving learning concentration, supporting physical exercise, reducing stress and anxiety, as well as additional treatment in cancer patients and pain management.

Objectives: The purpose of this scientific paper is to provide nursing care to post-cancer surgery patients by providing finger grip interventions and natural music therapy to reduce pain levels at Muhammadiyah Metro Hospital in 2025.

Method: The design of this scientific paper uses a descriptive design. The data collection method uses interviews, observations and then provides finger grip relaxation and music therapy to deal with pain carried out 3 times a day, and can be repeated if the pain recurs. The implementation time is around 15-30 minutes per session, when doing finger grip while the subject is given natural music.

Result: The results of the nursing implementation on Mrs. L were carried out on August 16-18, 2025 and on Mrs. K were carried out on August 22-25, 2025, which were carried out on acute pain. Nursing Evaluation on Mrs. L and Mrs. K, the results of pain were measured using a numeric rating scale. The initial pain scale on Mrs. L scale 6 decreased on day 3 to 4. On Mrs. K scale 7 decreased on day 3 to 5.

Conclusion: The conclusion of this care was that respondents were given finger grip relaxation balanced with music therapy to deal with pain carried out 3 times a day effectively in reducing pain.

Asuhan Keperawatan dengan Masalah Keperawatan Nausea pada Ibu dengan Emesis Gravidarum Melalui Penerapan Terapi Akupresur Titik Zusanli (ST36)

Yulita Pentasari — 2026-10-29

Introduction: Emesis gravidarum is a condition characterized by excessive nausea and vomiting during the first trimester of pregnancy, which can lead to dehydration, electrolyte imbalance, weight loss, sleep disturbances, and decreased quality of life in pregnant women. Appropriate management is required to prevent further complications.

Objectives: This study aimed to evaluate the effectiveness of acupressure therapy at the Zusanli (ST36) point as a non-pharmacological intervention to reduce nausea and vomiting in pregnant women with emesis gravidarum at Airan Raya Hospital in 2024.

Method: This study used a case study design involving two patients with hyperemesis gravidarum who experienced nausea in the Mutmainah 327 ward of Airan Raya Hospital, Bandar Lampung, in 2025. The intervention consisted of acupressure therapy at the Zusanli (ST36) point, performed three times a day for 10 minutes each session. Data were collected through interviews, observations, and documentation. The level of nausea was measured using the Rhodes Index of Nausea, Vomiting, and Retching (INVR) questionnaire to compare conditions before and after the intervention while adhering to research ethics principles.

Results: The results showed a decrease in the nausea score from 10 to 4, indicating a significant reduction in nausea complaints.

Conclusion: These findings indicate that ST36 acupressure is effective, safe, simple, non-invasive, and economical. Therefore, it can be recommended as an additional therapy in maternal nursing care practice to manage emesis gravidarum.

Hubungan Anemia Dan Gangguan Integritas Kulit (Pruritus) Dengan Kualitas Hidup Pasien Penyakit Ginjal Kronik Yang Menjalani Hemodialisis Di Rumah Sakit PELNI Tahun 2025

seli andini — 2026-10-30

Abstract

Introduction: Chronic kidney disease (CKD) is a progressive condition that requires long-term hemodialysis therapy and is often accompanied by various complications, such as anemia and impaired skin integrity. skin in the form of pruritus. These complications can impact the physical, psychological, and social aspects of patients, thus affecting their quality of life. Objective: To determine the relationship between anemia and impaired skin integrity (pruritus) with the quality of life of chronic kidney disease patients undergoing hemodialysis at Pelni Hospital in 2025. Method: Quantitative descriptive correlational design with a cross-sectional approach. Sample: A total of 86 respondents were selected using a purposive sampling technique. Anemia data were obtained from hemoglobin (Hb) levels in medical records, impaired skin integrity (pruritus) was measured using the 5-D Itch Scale questionnaire, and quality of life was measured using the KDQOL-36 questionnaire. Data analysis was performed univariately and bivariately using the Chi-Square test in jamovi Software 2.3.28. with a significance level of p <0.05. Results: The study showed that most respondents experienced mild anemia (64.0%), mild pruritus (59.3%), and had a good quality of life (73.3%). Statistical tests showed a significant association between anemia and quality of life (p = 0.017) and between pruritus and quality of life (p < 0.001). It was concluded that anemia and pruritus are significantly associated with quality of life in CKD patients undergoing hemodialysis.

Keywords: Chronic Kidney Disease, Anemia, Pruritus, Quality of Life, Hemodialysis.

Hubungan Family Support System, Lamanya Pengobatan, Karakteristik Responden dengan Tingkat Stres pada Pasien Kanker yang Menjalani Kemoterapi

Wahyu Dati — 2026-10-29

Latar belakang: Kanker merupakan penyakit yang sering berkembang tanpa gejala awal dan dapat menyebabkan kematian. Pasien kanker tidak hanya menghadapi ancaman terhadap kelangsungan hidup, tetapi juga penderitaan fisik dan psikologis yang berkepanjangan, seperti penolakan, kecemasan, stres, dan depresi.

Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan antara family support system, lamanya pengobatan, dan karakteristik responden dengan tingkat stres pada pasien kanker yang menjalani kemoterapi di RS Mandaya Royal Puri.

Metode: Penelitian ini menggunakan metode kuantitatif dengan desain cross sectional. Populasi penelitian adalah seluruh pasien kanker yang menjalani kemoterapi di RS Mandaya Royal Puri Tangerang dengan rata-rata 120 pasien per bulan. Sampel penelitian berjumlah 92 responden yang ditentukan menggunakan rumus Slovin. Instrumen penelitian menggunakan kuesioner, dengan analisis data univariat dan bivariat menggunakan uji Spearman Rank.

Hasil: Hasil uji statistik menunjukkan bahwa family support system (p=0,000), lamanya pengobatan (p=0,000), stadium kanker (p=0,000), total kemoterapi (p=0,001), dan lama terdiagnosis (p=0,000) ada hubungan dengan Tingkat stres. Sementara itu, jenis kelamin (p=0,343), usia (p=0,209), dan status perkawinan (p=0,824) tidak ada hubungan dengan tingkatstres.

Kesimpulan: Terdapat hubungan antara family support system, lamanyapengobatan, stadium kanker, dan total kemoterapi dengan tingkat stres pasien kanker. Rumah sakit diharapkan dapat meningkatkan pelayanan holistik dengan memperhatikan aspek psikologisserta melibatkan keluarga dalam proses perawatan untuk membantu menurunkan tingkat strespasien selama menjalani kemoterapi.

Analisis Praktek Keperawatan Berbasis Bukti Efektivitas Senam Yoga Terhadap Ibu Hamil Dengan Kecemasan Di Rumah Sakit X

Kristina — 2026-10-29

Introduction: Anxiety in pregnancy is a common psychological problem that can impact maternal health and fetal development. Managing anxiety during pregnancy is important to improve the mother's quality of life and support a healthy pregnancy. One non-pharmacological intervention that can help reduce anxiety is yoga, which has been shown to promote physical and mental relaxation.

Objectives This study aims to determine the effectiveness of yoga in reducing anxiety levels in pregnant women.

Method: This EBN used a quasi-experimental design with a pre-test and post-test approach without a control group. The sample consisted of four purposively selected pregnant women. Anxiety levels were measured using a valid anxiety scale instrument before and after the yoga exercise intervention. Data were analyzed using the Wilcoxon statistical test to determine significant differences between pre- and post-intervention conditions.

Result: Before the intervention, the majority of respondents, 3 (75%), were in the anxious category. After the yoga intervention, all 4 (100%) respondents were in the non-anxious category. A mean score of 1.78 and a p-value of 0.004 (<0.05) indicated a significant difference between anxiety levels before and after the intervention.

Conclution: Yoga is effective in reducing anxiety levels in pregnant women, so it can be a safe and beneficial non-pharmacological strategy to support mental health during pregnancy..

The Hubungan Literasi Digital Dan Supervisi Kepala Ruangan Dengan Kesesuaian Dokumentasi Asuhan Keperawatan Berbasis Electronic Medical Record Di Ruang Rawat Inap Rumah Sakit Dr. Hafiz Cianjur

Rissma Nirmala — 2026-10-29

Abstrak

Pendahuluan: Dokumentasi asuhan keperawatan merupakan bagian penting dari rekam medis. Di era digital saat ini, dokumentasi asuhan keperawatan telah beralih ke rekam medis elektronik (Electronic Medical Record) yang menuntut pengisian data secara lengkap, sistematis, dan sesuai standar, sehingga literasi digital perawat serta supervisi kepala ruangan berperan penting dalam memastikan kesesuaian dokumentasi asuhan keperawatan di ruang rawat inap. Tujuan: Tujuan penelitian ini untuk mengetahui hubungan literasi digital dan supervisi kepala ruangan dengan kesesuaian dokumentasi asuhan keperawatan berbasis electronic medical record di ruang rawat inap Rumah Sakit Dr. Hafiz Cianjur. Metode: Penelitian ini merupakan penelitian kuantitatif dengan desain cross-sectional menggunakan pendekatan observasional, di mana pengumpulan data dilakukan secara bersamaan pada satu waktu sehingga setiap subjek penelitian hanya diobservasi satu kali. Sampel dalam penelitian ini merupakan perawat pelaksana yang bekerja di ruang rawat inap Rumah Sakit Dr. Hafiz Cianjur. Teknik pengambilan sampel menggunakan probability sampling dengan pendekatan proportionate stratified random sampling dengan 106 responden. Uji analisis bivariat dalam penelitian menggunakan uji chi-square dan fisher’s exact test. Hasil: Hasil analisis hubungan antara literasi digital dan supervisi kepala ruangan dengan kesesuaian dokumentasi asuhan keperawatan berbasis Electronic Medical Record (EMR) menunjukkan nilai p-value masing-masing sebesar 0,000 dan 0,004 (p < 0,05), sehingga hipotesis nol (H₀) ditolak dan hipotesis alternatif (Hₐ) diterima. Kesimpulan: Simpulan penelitian ini menunjukkan bahwa terdapat hubungan yang signifikan antara literasi digital dan supervisi kepala ruangan dengan kesesuaian dokumentasi asuhan keperawatan berbasis Electronic Medical Record di ruang rawat inap Rumah Sakit Dr. Hafiz Cianjur.

Kata Kunci: Literasi Digital, Supervisi Kepala Ruangan, Kesesuaian Dokumentasi Asuhan Keperawatan, Rekam Medis Elektronik

Abstract

Introduction: Nursing care documentation is an important part of medical records. In today's digital era, nursing care documentation has shifted to electronic medical records (EMR), which require complete, systematic, and standardized data entry. Therefore, nurses' digital literacy and ward head supervision play a crucial role in ensuring the appropriateness of nursing care documentation in inpatient wards. Objective: The purpose of this study was to determine the relationship between digital literacy and ward head supervision and the appropriateness of electronic medical record-based nursing care documentation in the inpatient wards of Dr. Hafiz Hospital, Cianjur. Methods: This study was a quantitative study with a cross-sectional design using an observational approach, where data collection was carried out simultaneously at one time so that each research subject was only observed once. The sample in this study were nurses working in the inpatient wards of Dr. Hafiz Hospital, Cianjur. The sampling technique used probability sampling with a proportionate stratified random sampling approach with 106 respondents. Bivariate analysis tests in the study used the chi-square test and Fisher's exact test. Results: The results of the analysis of the relationship between digital literacy and supervision of the head of the room with the suitability of nursing care documentation based on Electronic Medical Record (EMR) showed p-values of 0.000 and 0.004 (p < 0.05), respectively, so that the null hypothesis (H₀) was rejected and the alternative hypothesis (Hₐ) was accepted. Conclusion: The conclusion of this study shows that there is a significant relationship between digital literacy and supervision of the head of the room with the suitability of nursing care documentation based on Electronic Medical Record in the inpatient ward of Dr. Hafiz Hospital Cianjur.

Keywords: Digital Literacy, Supervision of the Head of the Room, Compliance of Nursing Care

Pengaruh Intradialytic Exercise terhadap Penurunan Tekanan Darah pada Pasien Hemodialisis di Mayapada Hospital Tangerang

Eni Kurniati — 2026-11-03

Background: Patients undergoing hemodialysis may experience changes in blood pressure during dialysis. Intradialytic exercise is a non-pharmacological intervention that can be performed during hemodialysis and may help improve hemodynamic responses. Objective: This study aimed to analyze the effect of intradialytic exercise on blood pressure among hemodialysis patients at Mayapada Hospital Tangerang.

Purpose of the study: A quasi-experimental one-group pretest-posttest design without a control group was used. The study population consisted of 103 hemodialysis patients, with total sampling according to the inclusion and exclusion criteria. The intervention consisted of intradialytic exercise/active range-of-motion exercises for 20–30 minutes.

Results: Tekanan darah diukur sebelum dan sesudah intervensi menggunakan tensimeter digital. Analisis dilakukan dengan uji normalitas Shapiro–Wilk dan uji paired t-test dengan α= 0,05. Hasil: Rata-rata tekanan darah sistolik sebelum intervensi adalah 153,36±9,087 mmHg dan diastolik 91,69 ± 5,860 mmHg. Setelah intervensi, rata-rata sistolik menjadi 142,35±7,462 mmHg dan diastolik 84,13±4,783 mmHg. Hasil uji statistik menunjukkan p<0,001, yang menunjukkan adanya perbedaan bermakna antara tekanan darah sebelum dan sesudah intradialytic exercise

Conclusions and suggestions: In the studied group, blood pressure changed significantly after intradialytic exercise. This intervention may be considered as a non-pharmacological intervention with appropriate monitoring of the patient's clinical condition and hemodynamic response.