Jurnal Keperawatan Indonesia https://jki.ui.ac.id/index.php/jki <p>pISSN: <a title="p-ISSN" href="http://u.lipi.go.id/1180431255" target="_blank" rel="noopener">1410-4490</a>; e-ISSN: <a title="E-ISSN" href="http://u.lipi.go.id/1386652171" target="_blank" rel="noopener">2354-9203</a></p> <p>Jurnal Keperawatan Indonesia (JKI, or Nursing Journal of Indonesia) is the oldest and most respected broad-based nursing journal in Indonesia. The journal was established in 1997, and as the name suggests, JKI has become a pioneer in the publication of nursing journals in Indonesia. Its presence has been invaluable to the vast growth of the nursing profession in the country and to the development of nursing and health in general. In conjunction with this journey, the journal not only covers issues surrounding nursing in Indonesia, but also any topics that are relevant to health nationally and internationally, especially those concerning low-middle income countries in the world.</p> <p>Last accredited (2021-2026) by Directorate General of Higher Education, Research, and Technology of the Ministry of Education, Culture, Research, and Technology of the Republic of Indonesia <a title="JKI Certificate of Accreditation" href="https://bit.ly/SK164-E-KPT-2021" target="_blank" rel="noopener">(No: 164/E/KPT/2021)</a> with First Grade <a title="Journal Profile on SINTA" href="https://sinta.kemdikbud.go.id/journals/detail?id=1001" target="_blank" rel="noopener">(Sinta 1)</a>. SINTA has a grade or level or classification of national accredited journals, which are divided into six categories, namely S1, S2, S3, S4, S5, and S6, that the S1 score is the highest category.</p> <p>This journal has been published by Universitas Indonesia, managed by Faculty of Nursing, Universitas Indonesia.</p> Fakultas Ilmu Keperawatan Universitas Indonesia en-US Jurnal Keperawatan Indonesia 1410-4490 <p>Authors who publish with Jurnal Keperawatan Indonesia agree to the following terms:</p><ol start="1"><li>Authors retain copyright and grant Jurnal Keperawatan Indonesia right of first publication with the work simultaneously licensed under a <a href="https://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution License CC BY</a>Â that allows others to remix, adapt, build upon the work with an acknowledgment of the work's authorship and initial publication and initial publication in this journal.</li><li>Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.</li><li>Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See <a href="http://opcit.eprints.org/oacitation-biblio.html" target="_new">The Effect of Open Access</a>).</li></ol> Cholinesterase Enzyme Association with Quality of Life Among Farmers in Khong Chai District, Kalasin Province, Thailand https://jki.ui.ac.id/index.php/jki/article/view/1418 <div>The agricultural sector in Thailand faces challenges that impact farmers' health and quality of life. This study examines the quality of life, cholinesterase enzyme levels, and factors associated with quality of life among farmers in Khong Chai District, Kalasin Province, Thailand. This cross-sectional analytical study was conducted using systematic random sampling. The respondents had a mean age of 54.97 ± 10.50 years (range 25–75 years) and comprised 75.56% females (n = 204), 24.44% males (n = 66). Data collection included demographic information, blood samples to assess cholinesterase enzyme safety levels, and responses to the World Health Organization Quality of Life Brief-Thai (WHOQOL-BREF-THAI) questionnaire. Data were analyzed using descriptive and inferential statistics. Multiple linear regression was utilized to identify factors associated with WHOQOL-BREF-THAI scores, presenting adjusted mean differences, 95% confidence intervals (95% CI), and p-values. The mean of WHOQOL-BREF-THAI score was 89.97 ± 10.34. Factors associated with higher quality of life scores included gender (male: 3.06; p = 0.032), agricultural land size of 10 Rai (1600 m<sup>2</sup>) or more (2.55; p = 0.039), frequency of cholinesterase blood testing (1 time: 3.01; never: 3.40; p = 0.039; reference: 2 times or more), and blood cholinesterase enzyme safety levels (unsafe: 1.69; p = 0.037). These findings highlight the need for interventions to reduce risk factors, particularly among farmers with unsafe cholinesterase enzyme levels, to improve the quality of life in this population.<br /><br /><strong>Keywords: </strong>cholinesterase enzyme safety levels, farmers, quality of life (QoL)<br /><br /><br /><strong><em>Abstrak<br /><br /></em></strong><em><strong>Enzim Kolinesterase Berhubungan dengan Kualitas Hidup Petani di Distrik Khong Chai, Provinsi Kalasin, Thailand. </strong>Sektor pertanian di Thailand menghadapi tantangan yang mempengaruhi kesehatan dan kualitas hidup petani. Penelitian ini mengeksplorasi kualitas hidup, kadar enzim kolinesterase, dan faktor-faktor yang berhubungan dengan kualitas hidup petani di Distrik Khong Chai, Provinsi Kalasin, Thailand. Kami melakukan studi analisis</em> cross-sectional <em>terhadap petani yang dipilih menggunakan teknik</em> systematic random sampling.<em> Responden memiliki usia rata-rata 54,97 ± 10,50 tahun dengan rentang usia antara 25 hingga 75 tahun. Sebanyak 75,56% responden adalah perempuan (n = 204), 24,44% adalah laki-laki (n = 66). Keuesioner terstruktur mengumpulkan data demografi, sampel darah untuk tingkat keamanan enzim kolinesterase, dan respon terhadap kuesioner</em> World Health Organization Quality of Life Brief-Thai (WHOQOL-BREF-THAI). <em>Data dianalisis menggunakan statistik deskriptif dan inferensial. Regresi linear berganda digunakan untuk mengidentifikasi faktor-faktor yang terkait dengan skor</em> WHOQOL-BREF-THAI, <em>menyajikan </em>adjusted mean differences,<em> 95% </em>confidence intervals (95% CI) <em>, dan nilai p. Penelitian mengungkapkan bahwa rerata skor </em>WHOQOL-BREF-THAI<em> adalah 89,97 ± 10,34. Faktor-faktor yang berhubungan dengan skor ini antara lain jenis kelamin (laki-laki: 3,06; p = 0,032), luas lahan pertanian 10 Rai (1600 m<sup>2</sup>) ke atas (2,55; p = 0,039), frekuensi tes darah kolinesterase (1 kali: 3,01; tidak pernah: 3,40; p = 0,039; referensi: 2 kali atau lebih), dan tingkat keamanan enzim kolinesterase darah (tidak aman: 1,69; p = 0,037). Temuan ini menyoroti perlunya intervensi untuk mengurangi faktor-faktor risiko, khususnya di kalangan petani dengan tingkat enzim kolinesterase yang tidak aman, guna meningkatkan kualitas hidup pada populasi ini.<br /><br /></em><em><strong>Kata Kunci:</strong> kualitas hidup, petani, tingkat keamanan enzim kolinesterase<br /></em></div> Supasin Deeraksa Mayuree Suwunnakhot Khanittha Madngammuang Copyright (c) 2025 Jurnal Keperawatan Indonesia https://creativecommons.org/licenses/by-sa/4.0 2025-07-31 2025-07-31 28 2 57 67 10.7454/jki.v28i2.1418 Community-Based Intervention for Type 2 Diabetes Management in Developing Countries: A Systematic Review https://jki.ui.ac.id/index.php/jki/article/view/1494 <p>Type 2 Diabetes Mellitus (T2DM) poses a significant public health challenge, especially in developing countries with limited healthcare resources. There is a critical need for community-based interventions (CBIs) to promote healthy lifestyles for individuals with T2DM. This study explores CBIs to improve health behavior among T2DM patients in developing countries. It systematically reviews articles from PubMed, Scopus, CENTRAL, and CINAHL databases. The search strategy employed specific keywords following the PRISMA Extension for Systematic Reviews. The quality of the included articles was appraised using the Joanna Briggs Institute (JBI). A narrative synthesis summarized the key findings across the selected articles. The inclusion criteria were full-text primary research reporting randomized controlled trials (RCTs) conducted in developing countries, focusing on community-based interventions, and published between 2014 and 2023. A review of twelve articles, with sample sizes ranging from 54 to 12,140 participants, explored interventions such as exercise, empowerment, peer support, and web-based programs. These interventions showed significant effectiveness: six articles reported improvement in health behavior, two in medical adherence, three in physical activity, four in positive attitudes, and two in quality of life (QoL). Five articles reported a consistent trend toward reduced HbA1c levels. This review highlights the potential of CBIs as effective strategies for addressing the complex challenges of T2DM in developing countries. Community health nurses may play a pivotal role in implementing and leading these interventions, particularly those involving technology-based approaches, to enhance self-care practices and improve glycaemic outcomes among individuals with T2DM.</p> <p><strong>Keywords:</strong> community-based intervention, chronic disease, developing countries, healthy behavior, type 2 diabetes mellitus</p> <p> </p> <p><em><strong>Abstrak</strong></em></p> <p><em><strong>Intervensi Berbasis Komunitas untuk Manajemen Pasien dengan Diabetes Mellitus Tipe 2 di Negara Berkembang: Tinjauan Sistematis.</strong></em> <em>Diabetes Melitus Tipe 2 (DMT2) merupakan tantangan kesehatan yang signifikan, terutama di negara berkembang dengan sumber daya kesehatan yang terbatas. Intervensi berbasis komunitas sangat diperlukan untuk meningkatkan perilaku hidup sehat individu dengan DMT2. Tinjauan ini mengeksplorasi intervensi berbasis komunitas untuk meningkatkan perilaku kesehatan pasien DMT2 di negara berkembang. Tinjauan literatur sistematis dilakukan menggunakan basis data </em>PubMed<em>, </em>Scopus<em>, </em>CENTRAL<em>, dan </em>CINAHL<em>. Strategi pencarian menggunakan kata kunci khusus mengikuti </em>PRISMA Extension<em> untuk Tinjauan Sistematis. Kualitas studi yang disertakan dinilai menggunakan </em>JBI<em>. Sintesis data menggunakan pendekatan naratif, merangkum temuan kunci dari studi yang masuk ke dalam kriteria penyertaan, yaitu merupakan penelitian utama </em>RCT <em>teks lengkap yang dilakukan di negara berkembang, berfokus pada intervensi berbasis komunitas, dan diterbitkan antara tahun 2014-2023. Tinjauan terhadap dua belas artikel, dengan ukuran sampel berkisar antara 54 hingga 12.140 peserta, mengeksplorasi intervensi seperti olahraga, pemberdayaan, dukungan sebaya, dan program berbasis web. Intervensi dalam studi-studi tersebut menunjukkan efektivitas yang signifikan, dengan enam artikel melaporkan peningkatan dalam perilaku kesehatan, dua artikel dalam kepatuhan medis, tiga artikel dalam aktivitas fisik, empat artikel dalam sikap positif, dan dua artikel dalam </em>QoL<em>. Selain itu, lima artikel melaporkan tren penurunan kadar HbA1c yang konsisten. Tinjauan ini menyoroti potensi intervensi berbasis komunitas sebagai strategi yang efektif untuk mengatasi tantangan kompleks dari DMT2 di negara berkembang. Perawat kesehatan masyarakat dapat berperan penting dalam melaksanakan dan menjadi garda depan intervensi ini, khususnya yang melibatkan pendekatan berbasis teknologi, guna meningkatkan praktik perawatan mandiri dan hasil glikemik pada individu dengan DMT2.</em></p> <p><em><strong>Kata Kunci:</strong> diabetes melitus tipe 2, intervensi berbasis komunitas, negara berkembang, penyakit kronis, perilaku sehat</em></p> Lutfian Lutfian Izdihar Javier Wardika Aufa Azizah Fahmi Wildana Yusti Muzdalifa Taplo Riki Wartakusumah Copyright (c) 2025 Jurnal Keperawatan Indonesia https://creativecommons.org/licenses/by-sa/4.0 2025-07-31 2025-07-31 28 2 68 83 10.7454/jki.v28i2.1494 Correlation Between Family Support and Depression Among Pre-Elderly Individuals with HIV in Jakarta https://jki.ui.ac.id/index.php/jki/article/view/1362 <p>Depression among pre-elderly with human immunodeficiency virus (HIV) can significantly impact their quality of life. Family is often the primary source of support for this demographic and is recognized as a protective factor against depression. Therefore, identifying protective factors against depression is essential for promoting healthy aging among pre-elderly with HIV. This study aimed to determine the correlation between family support and depression among pre-elderly with HIV in Jakarta. A total of 120 pre-elderly with HIV from the Indonesia AIDS Coalition who were receiving HIV care at health centers across Jakarta participated in this cross-sectional study. The participants were recruited using convenience sampling. Data collection involved demographic questions, a family support questionnaire, and the Depression Anxiety Stress Scales 21 (DASS-21). The analysis comprised univariate and bivariate analyses. The univariate analysis described the characteristics, family support, and depression levels, while the bivariate analysis assessed the correlation between the variables using the Spearman test. The results indicated that pre-elderly with HIV primarily received support from siblings and spouses. The participants reported low family support (median 25.00) and mild depressive symptoms (median 8.00). A significant moderate negative correlation was found between family support and depression in this population (r = -0.344). This study suggests that enhancing family support for pre-elderly with HIV can help reduce depression. Consequently, there is a critical need for healthcare providers to engage families in the treatment of pre-elderly with HIV to mitigate depression and promote healthier aging.</p> <p><strong>Keywords:</strong> depression, family support, HIV, pre-elderly</p> <p> </p> <p><em><strong>Abstrak</strong></em></p> <p><em><strong>Korelasi antara Dukungan Keluarga dan Depresi: Sebuah Studi pada Pra-lansia dengan </strong></em><strong>HIV </strong><em><strong>di Jakarta.</strong> Depresi pada pra-lansia dengan </em>HIV <em>dapat memengaruhi kualitas hidupnya. Keluarga dapat menjadi sumber dukungan utama bagi pra-lansia dan diketahui merupakan faktor protektif terhadap depresi. Maka dari itu, perlu dilakukan identifikasi terkait faktor protektif terhadap depresi agar pra-lansia dengan </em>HIV <em>dapat menua dengan baik. Penelitian ini bertujuan untuk melihat korelasi antara dukungan keluarga dengan depresi pada pra-lansia dengan </em>HIV <em>di Jakarta. Penelitian </em>cross-sectional <em>ini diikuti oleh 120 pra-lansia dengan </em>HIV <em>yang tergabung di </em>Indonesia AIDS Coalition <em>dan menerima pengobatan </em>HIV <em>di layanan kesehatan Jakarta dengan metode </em>convenience sampling.<em> Digunakan kuesioner karakteristik, kuesioner dukungan keluarga, dan </em>DASS-21<em>. Analisis data terdiri atas analisis univariat untuk melihat gambaran karakteristik, dukungan keluarga, dan depresi, sedangkan analisis bivariat untuk menguji korelasi menggunakan </em>Spearman test.<em> Pra-lansia dengan </em>HIV <em>menerima dukungan keluarga utamanya dari saudara kandung dan pasangan. Didapatkan bahwa partisipan mendapatkan dukungan keluarga yang relatif rendah (median 25,00) dan tingkat depresi yang ringan (median 8,00). Terdapat korelasi negatif yang signifikan dengan tingkat sedang antara dukungan keluarga dengan depresi pada pra-lansia dengan </em>HIV <em>di Jakarta (r = -0,344). Studi ini menunjukkan bahwa peningkatan dukungan keluarga pada pra-lansia dengan </em>HIV <em>dapat membantu menurunkan depresi. Dengan demikian, menjadi penting bagi tenaga kesehatan untuk melibatkan peran keluarga dalam tatalaksana pra-lansia dengan </em>HIV<em>. Melibatkan keluarga dalam perawatan pra-lansia dengan </em>HIV <em>perlu mendapat perhatian khusus untuk mengurangi depresi dan mendukung proses penuaan yang lebih sehat.</em></p> <p><em><strong>Kata Kunci:</strong> depresi, dukungan keluarga, </em>HIV<em>, pra-lansia</em></p> Gracella Tanjaya Surilena Surilena Nicholas Hardi Eva Suryani Copyright (c) 2025 Jurnal Keperawatan Indonesia https://creativecommons.org/licenses/by-sa/4.0 2025-07-31 2025-07-31 28 2 84 94 10.7454/jki.v28i2.1362 Determinants Influencing the Readiness of Non-Medical Hospital Personnel to Perform Basic Life Support https://jki.ui.ac.id/index.php/jki/article/view/1437 <p>All healthcare personnel, including both medical and non-medical staff within hospitals, are expected to possess the capability to administer Basic Life Support (BLS) in order to provide immediate assistance during emergencies. However, many non-medical hospital staff remain unprepared to perform BLS due to a lack of knowledge, willingness, and confidence. This study aims to identify the factors affecting the preparedness of non-medical hospital staff in carrying out BLS at Undata Hospital, a healthcare facility in Central Sulawesi. This research employed quantitative design with a cross-sectional approach. The sample comprised 103 non-medical respondents selected through total sampling. Data were collected through structured interviews and self-administered questionnaires. The variables measured in this study include behavioral beliefs, normative beliefs, control beliefs, intention, and BLS readiness. Data were analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM). The results indicated that behavioral beliefs significantly influenced intention (p = 0.040), while normative beliefs did not (p = 0.128). Control beliefs showed no significant influence on intention (p = 0.058), whereas intention had a significant effect on BLS readiness (p = 0.046). The study concludes that behavioral beliefs influence intention, which in turn significantly affects BLS readiness.</p> <p><strong>Keywords:</strong> basic life support, behavioral beliefs, control beliefs, intention, normative beliefs, non-medical personnel</p> <p> </p> <p><strong><em>Abstrak</em></strong></p> <p><em><strong>Determinan yang Memengaruhi Kesiapan Tenaga Nonmedis dalam Melaksanakan Bantuan Hidup Dasar di Lingkungan Rumah Sakit</strong><strong>.</strong> Seluruh petugas rumah sakit, baik medis maupun nonmedis, diharapkan memiliki kemampuan untuk melakukan Bantuan Hidup Dasar (BHD) guna memberikan pertolongan segera kepada pasien dalam situasi gawat darurat. Permasalahan yang terjadi saat ini adalah masih banyak tenaga nonmedis di rumah sakit yang belum siap melaksanakan BHD dalam kondisi darurat karena keterbatasan pengetahuan, kurangnya kemauan, serta rendahnya rasa percaya diri. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang memengaruhi kesiapan petugas nonmedis rumah sakit dalam pelaksanaan BHD di Rumah Sakit Undata, Provinsi Sulawesi Tengah. Penelitian ini merupakan studi kuantitatif dengan desain potong lintang. Sampel terdiri atas 103 responden nonmedis yang dipilih menggunakan teknik total sampling. Pengumpulan data dilakukan melalui wawancara terstruktur dan pengisian kuesioner berupa daftar pertanyaan yang dijawab langsung oleh responden. Determinan yang diukur meliputi </em>behavioral beliefs, normative beliefs, control beliefs, intention, <em>dan kesiapan melakukan BHD. Analisis data menggunakan Partial </em>Least Squares Structural Equation Modeling (PLS-SEM)<em>. Hasil penelitian menunjukkan bahwa </em>behavioral beliefs<em> berpengaruh signifikan terhadap </em>intention <em>(p = 0,040), </em>normative beliefs<em> tidak berpengaruh signifikan terhadap </em>intention <em>(p = 0,128), </em>control beliefs<em> berpengaruh signifikan terhadap </em>intention <em>(p = 0,058), dan </em>intention <em>berpengaruh signifikan terhadap kesiapan melakukan BHD (p = 0,046). Disimpulkan bahwa faktor-faktor yang memengaruhi </em>intention <em>adalah</em> behavioral beliefs <em>dan</em> control beliefs,<em> sedangkan </em>intention <em>memengaruhi kesiapan petugas nonmedis dalam melakukan BHD.</em></p> <p><em><strong>Kata Kunci:</strong> bantuan hidup dasar, keyakinan kontrol, keyakinan normatif, keyakinan perilaku, niat, petugas nonmedis</em></p> Elin Hidayat Suaib Suaib I Made Rio Dwijayanto Nur Aviva Pemasi Ilne Ai Purana Adel Copyright (c) 2025 Jurnal Keperawatan Indonesia https://creativecommons.org/licenses/by-sa/4.0 2025-07-31 2025-07-31 28 2 95 106 10.7454/jki.v28i2.1437 Effects of An Integrated Nutritional Health Intervention on Energy and Protein Intake in Under Five-Year Malnourished Children https://jki.ui.ac.id/index.php/jki/article/view/1238 <p>Malnutrition is thought to be the cause of more than one third of all child deaths, despite being rarely cited as a cause. In Indonesia, 19.9% of the population is malnourished, which is a very high prevalence. To prevent and treat malnutrition in children, numerous strategies have been developed, including an integrated nutritional health intervention. This research aimed to determine the effectiveness of an integrated nutritional health intervention for the energy and protein intake of malnourished children under the age of five. This study had a quasi-experimental design with a pre- and post-test control group. The research took place in Padang City, West Sumatra Province, between August 2020 and February 2021. The study data were collected using a standardized questionnaire at baseline and six months after the intervention, utilizing a sample size of 140 people. The data were evaluated using dependent and independent t-tests between the study’s baseline and end line. The energy and protein intake variables showed a difference, indicating a significant increase in the score from the baseline to the end line (energy intake: difference-in-differences (DID) = 405.53, 95% confidence interval [CI] = 362.01–449.05, p = .000; protein intake: DID = 4.62, 95% CI = 3.79–5.45, p = .000). This study found that the integrated nutritional health intervention increased the energy and protein intake of malnourished children and had a substantial impact on reducing the prevalence of risk factors when adequate protein and energy intake was provided.</p> <p><strong>Keywords:</strong> energy intake, integrated nutritional health intervention, malnourished, protein intake</p> <p> </p> <p><strong><em>Abstrak</em></strong></p> <p><em><strong>Pengaruh Intervensi Terpadu Kesehatan Gizi terhadap Asupan Energi dan Protein pada Anak Balita yang Mengalami Gizi Buruk.</strong> Malnutrisi diperkirakan menjadi penyebab lebih dari sepertiga kematian anak di dunia meskipun jarang dikategorikan sebagai penyebab utama. Di Indonesia, 19,9% anak mengalami malnutrisi. Angka ini merupakan angka prevalensi yang sangat tinggi. Untuk mencegah dan mengatasi malnutrisi pada anak, berbagai strategi telah dikembangkan, termasuk intervensi kesehatan gizi terpadu. Penelitian ini bertujuan untuk mengetahui efektivitas intervensi kesehatan gizi terpadu terhadap asupan energi dan protein pada anak balita yang mengalami malnutrisi. Studi ini menggunakan desain kuasi-eksperimen dengan kelompok kontrol </em>pre-test <em>dan</em> post-test<em>. Penelitian dilakukan di Kota Padang, Provinsi Sumatera Barat, antara bulan Agustus 2020 hingga Februari 2021. Data penelitian dikumpulkan menggunakan kuesioner standar pada awal dan enam bulan setelah intervensi, dengan jumlah sampel sebanyak 140 orang. Data dianalisis menggunakan </em>dependent <em>dan </em>independent t-test<em> antara data awal dan akhir penelitian. Variabel asupan energi dan protein menunjukkan adanya perbedaan, yang mengindikasikan peningkatan skor yang signifikan dari awal hingga akhir penelitian (asupan energi: perbedaan selisih </em>[difference-in-differences/DID]<em>) = 405,53,</em> confidence interval [CI]<em> 95% = 362,01–449,05, p = 0,000; asupan protein: </em>DID<em> = 4,62, </em>CI <em>95% = 3,79–5,45, p = 0,000). Hasil dari penelitian ini menemukan bahwa intervensi kesehatan gizi terpadu meningkatkan asupan energi dan protein pada anak-anak yang mengalami malnutrisi dan memberikan dampak yang signifikan dalam mengurangi prevalensi faktor risiko ketika asupan energi dan protein yang memadai tersedia.</em></p> <p><em><strong>Kata Kunci:</strong> asupan energi, asupan protein, intervensi kesehatan gizi terpadu, malnutrisi</em></p> Yani Maidelwita Tukimin bin Sansuwito Faridah Mohd Said Copyright (c) 2025 Jurnal Keperawatan Indonesia https://creativecommons.org/licenses/by-sa/4.0 2025-07-31 2025-07-31 28 2 107 118 10.7454/jki.v28i2.1238 Effects of Incremental Shuttle Walk Test on Maximal Oxygen Consumption and Comfort in Patients with Coronary Artery Disease Undergoing Phase 3 Cardiac Rehabilitation https://jki.ui.ac.id/index.php/jki/article/view/1343 <p>Coronary artery disease (CAD) is a condition characterized by impaired cardiac function due to a reduced blood supply to the myocardial tissue, resulting from narrowing or obstructing of the coronary arteries. This condition can negatively impact the physical, psychological, and social dimensions of the patient’s life, often leading to a decline in maximal oxygen consumption (VO2max) and perceived comfort. One solution for increasing the decreased VO2max is cardiac rehabilitation. Cardiac rehabilitation is an effective preventive and recovery intervention that includes assessments of VO2max, and the effects of the incremental shuttle walk test (ISWT) on the VO2max and comfort of CAD patients. This is a quasi-experiment with a pre-post control group design. Consecutive sampling was used to recruit 60 respondents, who were then divided into a control and an intervention group, with 30 respondents in each group. VO2max was measured using the distance achieved in the ISWT, and comfort was assessed using the Shortened General Comfort Questionnaire (SGCQ). Data were analyzed using a paired t test to determine whether the mean pretreatment VO2max and comfort levels significantly changed after the treatment. VO2max and comfort showed significant improvements after the ISWT (p = 0.001 for both variables), confirming the effectiveness of ISWT in CAD patients undergoing phase 3 cardiac rehabilitation. Therefore, ISWT should be considered an integral part of cardiac rehabilitation for the management of CAD patients after hospital discharge.</p> <p><strong>Keywords:</strong> comfort, coronary artery disease, incremental shuttle walk test, VO2max</p> <p> </p> <p><strong><em>Abstrak</em></strong></p> <p><em><strong>Pengaruh </strong></em><strong>Incremental Shuttle Walk Test</strong><em><strong> terhadap Konsumsi Oksigen Maksimal dan Kenyamann Pada Pasien Penyakit Jantung Koroner yang Menjalani Rehabilitasi Jantung Fase 3. </strong>Penyakit Jantung Koroner (PJK) merupakan suatu kondisi yang ditandai dengan gangguan fungsi jantung akibat berkurangnya suplai darah ke jaringan miokardium yang disebabkan oleh penyempitan atau penyumbatan arteri koroner. Kondisi ini dapat berdampak negatif terhadap aspek fisik, psikologis, dan sosial dalam kehidupan pasien, yang sering kali menyebabkan penurunan konsumsi oksigen maksimal</em> (VO2max) <em>serta kenyamanan yang dirasakan. Salah satu solusi untuk meningkatkan </em>VO2max <em>yang menurun adalah melalui rehabilitasi jantung. Rehabilitasi jantung merupakan intervensi yang efektif dalam pencegahan dan pemulihan, yang mencakup penilaian terhadap </em>VO2max <em>serta pengaruh </em>Incremental Shuttle Walk Test (ISWT) <em>terhadap </em>VO2max <em>dan kenyamanan pasien PJK. Penelitian ini merupakan kuasi-eksperimen dengan desain </em>pre-post control group. <em>Pengambilan sampel dilakukan secara </em>consecutive sampling<em> terhadap 60 responden yang kemudian dibagi menjadi dua kelompok, yaitu kelompok kontrol dan kelompok intervensi, masing-masing terdiri dari 30 responden. </em>VO2max <em>diukur berdasarkan jarak yang dicapai dalam pelaksanaan </em>ISWT<em>, sedangkan kenyamanan dinilai menggunakan </em>Shortened General Comfort Questionnaire (SGCQ).<em> Analisis data dilakukan dengan </em>paired t-test<em> untuk mengetahui apakah terdapat perubahan yang signifikan pada nilai rata-rata </em>VO2max <em>dan tingkat kenyamanan sebelum dan sesudah intervensi. Hasil penelitian menunjukkan adanya peningkatan yang signifikan pada </em>VO2max <em>dan kenyamanan setelah intervensi </em>ISWT <em>(p = 0,001 untuk kedua variabel), yang menegaskan efektivitas </em>ISWT <em>pada pasien PJK yang menjalani rehabilitasi jantung fase 3. Oleh karena itu, </em>ISWT <em>sebaiknya dipertimbangkan sebagai bagian integral dalam program rehabilitasi jantung untuk penatalaksanaan pasien PJK pasca perawatan rumah sakit.</em></p> <p><em><strong>Kata Kunci: </strong></em>incremental shuttle walk test,<em> kenyamanan, penyakit jantung koroner, </em>VO2max</p> Mutarobin Mutarobin Tutiany Tutiany Copyright (c) 2025 Jurnal Keperawatan Indonesia https://creativecommons.org/licenses/by-sa/4.0 2025-07-31 2025-07-31 28 2 119–129 119–129 10.7454/jki.v28i2.1343 The Effect of Nursing Process Education on Students’ Perceptions of Nursing Diagnoses https://jki.ui.ac.id/index.php/jki/article/view/1445 <p>The aim of this study is to evaluate the effect of nursing process education on nursing students' perception of nursing diagnoses. This quasi-experimental study was conducted with the second-year students who took the course of internal medicine nursing. One hundred and eleven second-year students (91.72%) who were attending a nursing faculty were included in the pretest. Each of the training sessions given to the students lasted for 60 minutes, and a total of 12 sessions of training were applied as three sessions per week. The online training was given to students by an educator with a presentation and case discussion. Afterwards, the post-test was carried out with a total of 98 (73.68%) students. Data were collected by using a ‘Descriptive Characteristics Form’ and the ‘Perceptions of Nursing Diagnosis Survey’. In the statistical analysis of data, number, percentage, mean score and paired t-test were used. There was no statistical difference between the pretest and posttest total scores of the “Perceptions of Nursing Diagnosis Survey” before and after the online training for the nursing care plan process (p &gt; 0.05). Students had a perception of nursing diagnoses at a moderate level. It was concluded that the case-based interventions had limited effects. The learning and use of the nursing diagnosis process by both nursing students and nurses facilitates its applicability in the field and makes it easier for nurses to provide more evidence-based care in the clinic. It is recommended that the teaching techniques used in the study be enriched and developed.</p> <p><strong>Keywords:</strong> education, nursing diagnosis, nursing process, nursing students, perception</p> <p> </p> <p><em><strong>Abstrak</strong></em></p> <p><em><strong>Pengaruh Pendidikan Proses Keperawatan terhadap Persepsi Mahasiswa tentang Diagnosis Keperawatan</strong><strong>.</strong> Tujuan dari penelitian ini adalah untuk mengevaluasi pengaruh pendidikan proses keperawatan terhadap persepsi mahasiswa keperawatan tentang diagnosis keperawatan. Penelitian kuasi-eksperimental ini dilakukan pada mahasiswa tahun kedua yang mengambil mata kuliah keperawatan penyakit dalam. Seratus sebelas mahasiswa tahun kedua (91,72%) yang mengikuti pendidikan di fakultas keperawatan diikutsertakan dalam</em> pre-test. <em>Setiap sesi pelatihan yang diberikan kepada mahasiswa berlangsung selama 60 menit, dan total 12 sesi pelatihan diterapkan sebanyak tiga sesi per minggu. Pelatihan </em>online <em>diberikan kepada mahasiswa oleh seorang pendidik dengan presentasi dan diskusi kasus. Setelah itu,</em> post-test <em>dilakukan dengan total 98 (73,68%) mahasiswa. Data dikumpulkan dengan menggunakan 'Formulir Karakteristik Deskriptif' dan 'Survei Persepsi Diagnosis Keperawatan'. Dalam analisis statistik data, jumlah, persentase, skor rata-rata dan uji-t berpasangan digunakan. Tidak ada perbedaan statistik antara skor total </em>pre-test <em>dan </em>post-test<em> dari “Survei Persepsi Diagnosis Keperawatan” sebelum dan sesudah pelatihan </em>online <em>untuk proses rencana asuhan keperawatan (p &gt; 0,05). Mahasiswa memiliki persepsi tentang diagnosis keperawatan pada tingkat sedang. Disimpulkan bahwa intervensi berbasis kasus memiliki efek yang terbatas. Pembelajaran dan penggunaan proses diagnosis keperawatan oleh mahasiswa keperawatan dan perawat memfasilitasi penerapannya di lapangan dan memudahkan perawat untuk memberikan perawatan yang lebih berbasis bukti di klinik. Disarankan agar teknik pengajaran yang digunakan dalam penelitian ini diperkaya dan dikembangkan.</em></p> <p><em><strong>Kata Kunci:</strong> diagnosis keperawatan, mahasiswa keperawatan, pendidikan, persepsi, proses keperawatan</em></p> Ezgi Bağrıaçık Burcu Totur Dikmen Copyright (c) 2025 Jurnal Keperawatan Indonesia https://creativecommons.org/licenses/by-sa/4.0 2025-07-31 2025-07-31 28 2 130 140 10.7454/jki.v28i2.1445 The Strategies and Interventions for Interprofessional Collaboration to Improving Patient Safety in Hospitals: A Systematic Review https://jki.ui.ac.id/index.php/jki/article/view/1148 <p>Interprofessional collaboration strategies and interventions are carried out to improve patient safety in hospitals. This study aimed to analyze the strategies and interventions used in interprofessional collaboration to improve patient safety. Interprofessional collaboration strategies and interventions were searched using five English-language databases, eligible studies were extracted, and the risk of bias was independently evaluated by two authors. The literature search yielded a total of 10,729 registered papers. We conducted an analysis on 3,793 health professionals. The following articles were included: 1) articles that described an intervention interprofessional collaboration to improve patient safety; 2) those focused on interprofessional collaboration in hospitals; and 3) the research sample included of health care professionals (doctors, nurses, nutritionists, and pharmacists). Interventions that combine lectures, skills practice, and discussions are carried out using an online format and case study practice. The strategies and interventions identified inductively were categorized into four items: 1) team acceptance and readiness for interprofessional collaboration; 2) acting as a team and not as individuals; 3) developing protocols or guidelines for health professionals; and 4) integrating elements of interprofessional collaboration by health professionals in providing health services. The principles of interprofessional collaboration include the need to prioritize structures, processes, and tools that enable interprofessional collaboration to be established in hospitals. Interprofessional collaboration strategies and interventions in hospitals are effective in being able to make changes to improve patient safety and the quality of service.</p> <p><strong>Keywords:</strong> hospitals, interprofessional collaboration, patient safety</p> <p> </p> <p><strong><em>Abstrak</em></strong></p> <p><em><strong>Strategi dan Intervensi Kolaborasi Interprofesional untuk Meningkatkan Keselamatan Pasien di Rumah Sakit: Suatu Tinjauan Sistematis.</strong> Strategi dan intervensi kolaborasi antarprofesional dilakukan untuk meningkatkan keselamatan pasien di rumah sakit. Penelitian ini bertujuan untuk menganalisis strategi dan intervensi yang digunakan dalam kolaborasi interprofesional untuk meningkatkan keselamatan pasien. Strategi dan intervensi kolaborasi interprofesional dicari menggunakan lima basis data berbahasa Inggris, studi yang memenuhi syarat diekstraksi, dan risiko bias dievaluasi oleh dua penulis secara independen. Pencarian literatur menghasilkan total 10.729 makalah yang telah terdaftar. Kami melakukan analisis pada 3.793 profesional kesehatan. Artikel disertakan jika: 1) menggambarkan kolaborasi interprofesional intervensi untuk meningkatkan keselamatan pasien; 2) berfokus pada kolaborasi antarprofesional di rumah sakit; 3) sampel penelitian termasuk profesional perawatan kesehatan (dokter, perawat, ahli gizi, apoteker). Intervensi yang menggabungkan perkuliahan, praktik keterampilan, dan diskusi dilakukan dengan menggunakan format </em>online <em>dan praktik studi kasus. Strategi dan intervensi yang diidentifikasi secara induktif dikategorikan menjadi empat item: 1) penerimaan tim dan kesiapan untuk kolaborasi antarprofesional; 2) bertindak sebagai tim dan bukan sebagai individu; 3) mengembangkan protokol atau pedoman untuk profesional kesehatan; dan 4) mengintegrasikan elemen-elemen kolaborasi antarprofesional oleh profesional kesehatan dalam memberikan layanan kesehatan. Prinsip-prinsip kolaborasi antarprofesional perlu memprioritaskan struktur, proses, dan alat yang memungkinkan kolaborasi interprofesional terjalin di rumah sakit. Strategi kolaborasi dan intervensi interprofesional di rumah sakit efektif dalam dapat melakukan perubahan untuk meningkatkan keselamatan pasien untuk kualitas layanan yang lebih baik.</em></p> <p><em><strong>Kata Kunci:</strong> keselamatan pasien, kolaborasi interprofesional, rumah sakit</em></p> Keumalasari Keumalasari Krisna Yetti Enie Novieastari Evi Martha Copyright (c) 2025 Jurnal Keperawatan Indonesia https://creativecommons.org/licenses/by-sa/4.0 2025-07-31 2025-07-31 28 2 141 156 10.7454/jki.v28i2.1148 Back Matter (Submission Guide, Author Guidelines, Subscription Form) https://jki.ui.ac.id/index.php/jki/article/view/1911 Jurnal Keperawatan Indonesia Copyright (c) 2025 Jurnal Keperawatan Indonesia https://creativecommons.org/licenses/by-sa/4.0 2025-07-31 2025-07-31 28 2 10.7454/jki.v28i2.1911 Front Matter (Title Page, Table of Content, General Information, and Editorial Team) https://jki.ui.ac.id/index.php/jki/article/view/1910 Jurnal Keperawatan Indonesia Copyright (c) 2025 Jurnal Keperawatan Indonesia https://creativecommons.org/licenses/by-sa/4.0 2025-07-31 2025-07-31 28 2 10.7454/jki.v28i2.1910