The Jurnal Keperawatan Suaka Insan (JKSI), with e-ISSN: 2580-7633 and p-ISSN: 2527-5798, is a scholarly journal published biannually, with issues released in June and December. Utilizing a rigorous peer review process for article selection, JKSI is dedicated to presenting high-quality nursing research that meets strict scientific standards. https://astraudtrucks.org/hubungi-kami/24h-technical-assistance/ https://isnujombang.org/ https://sushiteigroup.org/ https://kinleybistro.org/ https://ojs.ejournalunigoro.org/ https://danantaraindonesia.org/about-us/ https://nanyangroastery.com/ https://bistronomix.org/ https://palmbeachseafood.org/ https://ktbfuso.org/ https://tbpnickel.org/ https://ojs.ejournalunigoro.com/sintesi https://conference.indonesiafocus.net/ https://www.geospatialhealth.net/ https://ojs.ejournalunigoro.com/JEMeS https://research.kpru.ac.th/journal_science/ https://dergipark.anas.az/ https://sandiegohills.org/family-facilities/ TOTO 4D https://lppm.una.ac.id/ https://jgp.ejournal.unri.ac.id/ https://www.reumatismo.org/reuma/about/submissions TOTO 4D https://ejurnal.unik-cipasung.ac.id/ https://jurnal.eka-prasetya.ac.id/ https://gmscholars.com/ JKSI is intended for practitioners, academics, professionals, students, and the public involved in and interested in developing Health Sciences and Nursing Sciences, including training, education, and practice. JKSI received relevant articles in the health and nursing fields, including Original research (Research articles), Review Articles or Concept analyses, Case Reports/Case Studies, and Brief Articles or feature articles. JKSI has become a member of CrossRef, with a DOI of https://doi.org/10.51143/jksi.v7i1. Thus, all articles published by JKSI will have a unique DOI number. JKSI was first published in 2016 and has been regularly published twice yearly. Since then, JKSI has begun to receive large quantities of high-quality articles. JSKI is accredited by the Ministry of Research, Technology and Higher Education, Republic of Indonesia, which is ranked three Grades (Peringkat 3, Sinta 3) from Volume 7 No.1, 2022, until Volume 11 No. 2, 2026, based on Decree No. 0173/C3/DT.05.00/2025. slot88 rokokbet https://kunoozu.edu.iq/scholarship/ ROKOKBET https://sep.ejournal.unri.ac.id/ Rokokbet https://jbf.cusur.udg.mx/ ROKOKBET https://conevidencia.cucs.udg.mx/ ROKOKBET TOTO 4D ROKOKBET FOR4D ROKOKBET FOR4D FOR4D FOR4D FOR4D
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CORRELATION BETWEEN CHEST PAIN AND PHYSICAL ACTIVITY IN PATIENTS WITH CORONARY HEART DISEASE: A STUDY AT H.BOEJASIN REGIONAL GENERAL HOSPITAL, TANAH LAUT REGENCY
Chest pain is a primary symptom in patients with coronary heart disease (CHD), often limiting physical activity and reducing quality of life. This study aimed to identify the relationship between chest pain intensity and physical activity among CHD patients at H. Boejasin District Hospital, Tanah Laut. A quantitative correlational design was employed, involving 94 patients selected by purposive sampling. Chest pain was measured using the Numeric Rating Scale (NRS), and physical activity was assessed with the Global Physical Activity Questionnaire (GPAQ) from WHO. The results showed that most respondents experienced moderate chest pain (78.7%) and engaged in light physical activity (74.5%). Spearman's rho test revealed a significant correlation between chest pain and physical activity (correlation coefficient 0.649; p < 0.05), indicating that higher levels of chest pain are associated with lower levels of physical activity. These findings highlight the importance of optimal pain management in CHD patients to support increased physical activity and prevent further complications. The use of standardized instruments such as NRS and GPAQ is crucial in nursing practice to monitor patients’ conditions comprehensively.
Copyright (c) 2025 Solikin Solikin, Zea Maysita, Nurhikmah Nurhikmah https://creativecommons.org/licenses/by/4.0/
ACUPRESSURE THERAPY IN HOLISTIC NURSING FOR THE RECOVERY OF CRITICALLY ILL PATIENTS IN THE INTENSIVE CARE UNIT
Critically ill patients with various complications and symptoms that can affect their quality of life. Acupressure has garnered interest as a potential non-pharmacological adjunctive therapy to accelerate the recovery of critically ill patients in the ICU, a technique that nurses can perform. This study employed a scoping review methodology. Literature searches were conducted across leading medical databases, including PubMed, Science Direct, and ProQuest. Inclusion criteria comprised original studies, systematic reviews, and case reports published within the last five years. The review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The results show that various acupressure therapy methods used for critically ill patients with clinical conditions such as degenerative diseases and cardiovascular diseases, have the potential to reduce pain and anxiety, improve sleep quality, lower blood pressure, reduce nausea and vomiting, and enhance immune system function for ICU patients. This research aims to provide a foundation for integrating acupressure into holistic nursing care for critically ill patients, thereby improving both their quality of life and recovery.
Copyright (c) 2025 Hana Priscilla Frudence Sohilait, Nurul Safira Lahati https://creativecommons.org/licenses/by/4.0/
THE RELATIONSHIP BETWEEN LIFESTYLE AND WEIGHT STATUS AMONG SENIOR HIGH SCHOOL STUDENTS IN INDONESIA: A CASE STUDY IN LAMPIHONG
The increasing prevalence of Non-Communicable Diseases (NCDs) constitutes a global health challenge driven by unhealthy lifestyle risk factors. This phenomenon is now increasingly widespread among adolescents, potentially affecting their weight status. This study aimed to analyze the relationship between lifestyle and weight status among adolescents at SMAN 1 Lampihong. This quantitative study employed a correlational design with a cross-sectional approach. A sample of 68 students was selected via purposive sampling. Data were analyzed using univariate analysis for frequency distribution and bivariate analysis using the Spearman rank correlation test. The results indicated that a majority of respondents (58.8%) had an unhealthy lifestyle, and 41.2% had an abnormal weight status based on Body Mass Index (BMI). However, the correlation test revealed no statistically significant relationship between the two variables (p = 0.219; ? = 0.05). It was concluded that within this study population, no significant relationship exists between lifestyle and adolescent weight status.
Copyright (c) 2025 Khoiriyati Khoiriyati, Mohammad Basit, Onieqie Ayu Dhea M, Latifah Latifah https://creativecommons.org/licenses/by/4.0/
ACTIVITY PATTERNS AND HYPERTENSION IN THE ELDERLY WITHIN THE WORKING AREA OF HALONG COMMUNITY HEALTH CENTER BALANGAN, INDONESIA
Hypertension is a prevalent health issue among the elderly population and is often associated with low levels of physical activity. This condition can diminish quality of life and elevate the risk of further complications. This study aimed to analyze the relationship between physical activity patterns and the incidence of hypertension in the elderly. A quantitative study with a correlational design was conducted within the working area of the Halong Community Health Center, Balangan Regency. A total of 91 elderly respondents participated in this research, selected using a simple random sampling technique. Data were analyzed using the Spearman Rank correlation test to examine the relationship between variables. The results indicated that the majority of respondents had a good activity pattern (57.1%) and suffered from stage I hypertension (44.0%). Bivariate analysis confirmed a statistically significant negative correlation between activity patterns and the incidence of hypertension (p = 0.017). It was concluded that there is a significant relationship between activity patterns and the incidence of hypertension in the studied elderly population, wherein better activity levels are correlated with a lower incidence of hypertension.
Copyright (c) 2025 Sahmilni Sahmilni, Mohammad Basit , Latifah Latifah, Cynthia Eka Fayuning Tjomiadi https://creativecommons.org/licenses/by/4.0/
HEALTH LITERACY AND MOTHERS' KNOWLEDGE OF ACUTE RESPIRATORY INFECTIONS IN TODDLERS: A CORRELATIONAL STUDY
Acute Respiratory Infection (ARI) constitutes a major health problem among toddlers in Indonesia, with a high prevalence in the under-five age group. Preventive efforts are often hindered by low maternal health literacy, which limits the ability of mothers to effectively comprehend and apply health information. This study aimed to analyze the relationship between health literacy and the level of mothers' knowledge regarding ARI in toddlers within the working area of the Lampihong Community Health Center (Puskesmas). This study employed a quantitative, correlational design with a sample of 47 mothers of toddlers. Data were analyzed using the Spearman Rank Correlation test. The main results indicate that a majority of the mothers (85.1%) had 'poor' health literacy, while their knowledge level of ARI was predominantly categorized as 'sufficient' (42.6%). Statistical analysis revealed a significant positive correlation between health literacy and maternal knowledge level (p<.001). In conclusion, a significant relationship exists between health literacy and mothers' knowledge of ARI. Enhancing health literacy is a crucial potential strategy for improving maternal knowledge in the prevention of ARI in toddlers.
Copyright (c) 2025 Linda Herbayanti, Mohammad Basit, Latifah Latifah https://creativecommons.org/licenses/by/4.0/
THE RELATIONSHIP BETWEEN THE QUALITY OF HEALTH SERVICES AND PATIENT SATISFACTION AT THE ENT POLYCLINIC OF MUARA TEWEH REGIONAL GENERAL HOSPITAL
High patient volume at the Otorhinolaryngology (ENT) polyclinic is driven by expectations for health improvement and satisfactory service delivery. Service quality is a critical factor for patients and a key competitive advantage for healthcare facilities, making its assessment essential. This study aimed to identify the relationship between healthcare service quality and patient satisfaction at the ENT Polyclinic of Muara Teweh Regional Hospital. This study employed a quantitative method with a correlational design, recruiting 62 respondents through accidental sampling. Data were analyzed using univariate analysis and the Spearman Rank correlation test. The results indicated that a vast majority of patients perceived the service quality as poor (93.5%) and reported dissatisfaction (71.0%). Specifically, the service quality dimensions receiving the most negative evaluations were empathy and tangibles. Bivariate analysis revealed a strong and statistically significant correlation between healthcare service quality and patient satisfaction (p=0.001<0.05). This finding underscores that service quality, particularly concerning interpersonal interactions and physical facilities, is a significant predictor of patient satisfaction at the ENT Polyclinic of Muara Teweh Regional Hospital.
Copyright (c) 2025 Sapmiati Hanimah, Mohammad Basit, Muhammad Arief Wijaksono , Hariadi Widodo https://creativecommons.org/licenses/by/4.0/
A Systematic Review of the Effectiveness of Resistance Training in Lowering Blood Glucose Levels in Patients with Type II Diabetes Mellitus
Resistance training is a frequently recommended form of physical exercise for individuals with diabetes mellitus. The objective of this study was to investigate the effect of resistance training on the reduction of blood glucose levels in patients with type 2 diabetes mellitus. A systematic literature review was conducted by searching the PubMed and Google Scholar databases using predefined keywords. Following the application of inclusion and exclusion criteria, five relevant articles were selected for analysis. The review revealed significant evidence supporting the effectiveness of resistance training in lowering blood glucose concentrations among this patient population. These findings highlight the potential of resistance training as a viable non-pharmacological intervention for managing type 2 diabetes; however, further research is warranted to comprehensively assess its long-term impact on glycemic regulation.
Copyright (c) 2025 Diah Larasati, Suriadi Suriadi https://creativecommons.org/licenses/by/4.0/
The Effectiveness of a Short Video Intervention in Improving CPR Knowledge: A Study in Karangbayat Village
Limited public knowledge regarding Cardiopulmonary Resuscitation (CPR) necessitates the development of effective and easily accessible educational methods. Short videos have emerged as a promising medium to enhance this understanding. Consequently, a study was conducted to determine the effectiveness of a short video intervention on CPR knowledge among the residents of Karangbayat Village. The study employed a quasi-experimental one-group pretest-posttest design involving 32 randomly selected participants. Knowledge was assessed using a validated questionnaire before and after the intervention, with the data subsequently analyzed using the Wilcoxon signed-rank test. The results revealed a significant improvement in knowledge. At baseline, the majority of participants (65.6%) had knowledge classified as 'poor'. However, following the video intervention, the proportion of participants with 'sufficient' knowledge surged dramatically to 97%, increasing from 11 to 31 individuals. This difference was proven to be statistically significant (p = .001). These findings demonstrate that short videos are a highly effective medium for CPR education. This tool can serve as an accessible and impactful alternative to enhance community preparedness for handling medical emergencies. Therefore, the widespread implementation of such media is highly recommended to bolster public life-saving skills
Copyright (c) 2025 Nanda Cecilia Pramundari, Feri Ekaprasetia, Arief Judi Susilo https://creativecommons.org/licenses/by/4.0/
Soursop (Annona Muricata Linn) Leaf Decoction as an Adjunctive Therapy for Lowering Blood Pressure in Hypertensive Women of Reproductive Age: A Quasi-Experimental Study
Hypertension is one of the non-communicable diseases often referred to as a “silent killer”. In women of reproductive age, it is commonly caused by unhealthy lifestyle behaviors and hormonal imbalances. Hypertension can be managed through non-pharmacological therapies. One such therapy is consuming a decoction of soursop leaves. The intervention provided was an adjunct therapy to pharmacological treatment. This study aimed to investigate the effect of soursop leaf decoction on blood pressure among women of reproductive age with hypertension in the working area of Martapura 1 Health Center. A quantitative quasi-experimental method was used with a pre-test and post-test repeated measures design. The study involved 40 respondents selected through purposive sampling. Data were analyzed using the Wilcoxon test. The results showed a significant effect of soursop leaf decoction on both systolic and diastolic blood pressure, with a p-value of 0.000 (p < 0.005). These findings suggest that soursop leaf decoction effectively lowers blood pressure in hypertension women of reproductive age in the working area of Martapura 1 Health Center. This therapy is expected to serve as a potential alternative treatment for managing blood pressure in women of reproductive age with hypertension.
Copyright (c) 2025 Fir'ad Setya Nugraha, Martini Nur Sukmawaty, Iis Pusparina, Raziansyah Raziansyah https://creativecommons.org/licenses/by/4.0/
The Effectiveness of Website-Based Educational Media on the Knowledge and Skills of Cadres in Stunting Prevention in the Kapuas River Border Region
Stunting has become a global concern, as reflected in worldwide nutrition improvement initiatives. In efforts to detect and prevent stunting, collaboration with various stakeholders is required, one of whom is community health cadres. Cadres need to acquire basic information and technology-based skills to support stunting prevention. This study aimed to examine the effectiveness of website-based educational media on cadres’ knowledge and skills. The research employed a quasi-experimental design with a pre-test post-test control group approach. Total sampling was used, involving 100 respondents divided into two groups, with sessions lasting 45–60 minutes each. Research instruments included questionnaires assessing cadres’ knowledge and skills related to stunting prevention. The results, analyzed using the marginal homogeneity test, showed a p-value of 0.000 (p < 0.05), indicating the effectiveness of website-based educational media in improving cadres’ knowledge and skills regarding early detection of stunting compared to the control group that used leaflet media. Website-based educational media proved effective in enhancing cadres’ knowledge and skills in early stunting detection, including identifying child growth curves and developmental milestones according to age. This study recommends cross-sectoral collaboration to improve internet access, provide continuous cadre assistance, and integrate digital educational media into community health programs to optimize stunting prevention.
Copyright (c) 2025 Masmuri Masmuri, Nurul Hidayah, Dodik Limansyah https://creativecommons.org/licenses/by/4.0/
The Role of Perception in Medication Adherence among Elderly Patients with Diabetes Mellitus: A Health Belief Model Approach
Medication adherence is a key determinant for maintaining quality of life and preventing serious complications in older adults with diabetes mellitus. However, adherence is often hindered by various factors, particularly individual perceptions of the disease and its therapy. Negative perceptions or inadequate understanding can constitute a major obstacle to successful treatment outcomes. This study aimed to evaluate the association between the perceptions of older adults with diabetes, as measured by the Health Belief Model (HBM) framework, and their level of medication adherence. This cross-sectional, correlational study was conducted from November 20 to December 17, 2024, in the Babakan Sari sub-district. A sample of 64 respondents was recruited using simple random sampling. Data were collected using the Health Belief Model questionnaire and a medication adherence questionnaire, and subsequently analyzed using univariate and bivariate analysis with the Spearman Rank correlation test. The analysis revealed a statistically significant, strong positive relationship between HBM-based perceptions and medication adherence (r = .716, p < .001). Perceived barriers and perceived benefits were identified as the two most influential HBM components in determining medication adherence among older adults with diabetes mellitus. Interventions targeting these two perceptions have the potential to improve therapeutic success in this population.
Copyright (c) 2025 Aliyah Nur Alfita, Neti Juniarti, Citra Windani Mambang Sari https://creativecommons.org/licenses/by/4.0/
MEDICATION ADHERENCE AND QUALITY OF LIFE AMONG HYPERTENSIVE PATIENTS: A CROSS-SECTIONAL STUDY IN A PRIMARY HEALTH CARE SETTING IN INDONESIA
Hypertension is a chronic condition that necessitates medication adherence for effective blood pressure control. Hypertensive patients who are compliant with their medication regimen often exhibit higher emotional well-being, which significantly influences their quality of life (QoL).The aim of this study was to identify the correlation between medication adherence and quality of life among hypertensive patients. This quantitative correlational study employed a cross-sectional design involving 122 respondents selected based on pre-defined inclusion and exclusion criteria. Data were collected using the MMAS-8 (Morisky Medication Adherence Scale) and the WHOQOL-BREF questionnaire. The data were then subjected to univariate and bivariate analysis using the Chi-Square test.The findings revealed a significant relationship between medication adherence and quality of life among hypertensive patients (p-value = 0.001). This significant correlation suggests that patients with higher medication adherence reported a better quality of life. It is anticipated that these results will encourage individuals with hypertension to develop greater awareness of the importance of adhering to prescribed medications as a means of improving their overall quality of life. Furthermore, this study can serve as a valuable reference for healthcare professionals in their efforts to improve patient adherence through appropriate education and scheduled consultations.
Copyright (c) 2025 Sylvia Maria Sembiring Meliala, Tri Widyaningsih, Tivani Sesilia Angow, Catharina Guinda Diannita, Gracia Aktri Margaret Manihuruk https://creativecommons.org/licenses/by/4.0/
Expressive Arts Therapy for Indonesian Nursing Students: A Mixed-Methods Evaluation of Self-Esteem and Catharsis
Nursing education can negatively impact students' psychological well-being and self-esteem. While Expressive Arts Therapy (EAT) is a promising intervention, research on its effectiveness using hybrid methods in non-Western contexts like Indonesia is limited. This study evaluated a free-drawing-based EAT intervention to enhance the self-esteem of Indonesian nursing students. This mixed-methods study used a quasi-experimental, one-group pre-test-post-test design. From 415 students screened in South and Central Kalimantan, 24 participants with low-to-medium self-esteem were selected (purposive sampling). Data were collected using the Nurses' Self-Concept Questionnaire (NSCQ) pre- and post-intervention. Quantitative data were analyzed using a paired-samples t-test; qualitative data from in-depth interviews and FGDs (10 participants) were thematically analyzed. Quantitatively, the increase in mean self-esteem scores was not statistically significant (t(23) = -0.850, p = .202). In stark contrast, qualitative analysis revealed substantial benefits across four themes: (1) enhanced self-insight and awareness; (2) emotional catharsis and stress reduction; (3) drawing as vital non-verbal expression; and (4) a positive therapeutic experience. Although the EAT intervention did not yield statistically significant improvement in self-esteem scores, it provided profound psychological benefits like emotional catharsis and enhanced self-awareness. EAT is a valuable tool for supporting nursing students' mental well-being, functioning as an effective method for stress management and self-exploration.
Copyright (c) 2025 Maria Frani Ayu Andari Dias, Anastasia Maratning, Ferry Rolando, Zhulfikri Budianto https://creativecommons.org/licenses/by/4.0/
Effectiveness of Telehealth for Self-Care in Stroke Survivors: A Systematic Review
Declining self-care ability in stroke survivors impairs recovery and lowers long-term quality of life. This systematic review evaluates the effectiveness of telehealth interventions in improving self-care capacity. Based on the PRISMA framework, five databases: PubMed, Science Direct, Scopus, Sage Journals, and ProQuest were searched for literature published between 2020-2024. This search returned 387 results, of which 10 randomized controlled trials were selected and evaluated according to a critical checklist. The results of this review suggest that self-care telehealth interventions significantly improve physical (mobility and muscle strength, performance of daily activities) and psychological components (self-efficacy, depression and anxiety) that constitute a better quality of life. Telehealth technologies promote autonomy in stroke survivors by remote health monitoring, and lessen dependence on direct care. Yet, technological barriers and lower digital literacy in older and/or marginalized populations are challenges that must be overcome to achieve fair access and impact
Copyright (c) 2025 Dewi Sartika Sinaga, I Made Kariasa, Riri Maria, Liya Arista https://creativecommons.org/licenses/by/4.0/
THE RELATIONSHIP BETWEEN SLEEP HYGIENE AND SLEEP QUALITY IN PATIENTS WITH DIABETES MELLITUS: A CROSSSECTIONAL STUDY IN BABAKAN SARI, INDONESIA
Sleep disturbances are a common comorbidity among individuals with diabetes mellitus and can negatively impact blood glucose regulation and overall quality of life. This study aims to examine the relationship between sleep hygiene and sleep quality among patients with diabetes mellitus in Kelurahan Babakan Sari. A correlational quantitative design with a cross-sectional approach was applied. A total of 75 respondents were selected using purposive sampling. Data were collected using the Pittsburgh Sleep Quality Index (PSQI) and Sleep Hygiene Index (SHI) instruments. The findings revealed that most respondents had a moderate level of sleep hygiene (50.7%) and poor sleep quality (92%). Pearson correlation analysis indicated a significant positive relationship between sleep hygiene and sleep quality (r = 0.620, p < 0.001). These results suggest that sleep hygiene plays a vital role in determining sleep quality among individuals with diabetes. Therefore, educational interventions promoting healthy sleep habits should be integrated into community-based diabetes management programs.
Copyright (c) 2025 Gina Utami Utami, Neti Juniarti, Citra Windani Mambang Sari https://creativecommons.org/licenses/by/4.0/
Challenges in Using Electronic Medical Records to Improve Hospital Service Quality: A Systematic Literature Review
Meskipun Rekam Medis Elektronik (RME) berpotensi meningkatkan efisiensi dan keselamatan pasien, hambatan implementasi sering kali menghalangi tercapainya kualitas layanan yang optimal. Studi ini bertujuan mengidentifikasi, mengkategorikan, dan mensintesis hambatan utama yang membatasi efektivitas RME dalam meningkatkan kualitas layanan rumah sakit. Tinjauan literatur sistematis dilakukan mengikuti pedoman PRISMA 2020 dengan menganalisis 28 studi empiris yang diterbitkan dalam bahasa Inggris antara tahun 2020 hingga 2024 dari basis data Scopus dan PubMed. Sintesis naratif mengidentifikasi delapan tantangan utama, yaitu masalah kegunaan dan beban kerja; kesenjangan pelatihan; risiko interoperabilitas dan keamanan; tata kelola yang lemah; kendala infrastruktur; resistensi adopsi; manajemen perubahan yang tidak memadai; serta implikasi terhadap keselamatan pasien. Oleh karena itu, efektivitas implementasi RME bergantung pada strategi multidimensi di luar aspek teknis. Penguatan tata kelola, jaminan interoperabilitas, pelatihan berkelanjutan, serta kepemimpinan yang kuat dan manajemen perubahan proaktif sangat penting untuk mengatasi resistensi budaya dan memaksimalkan kontribusi RME terhadap kualitas layanan rumah sakit. Despite the potential of Electronic Medical Records (EMR) to enhance hospital efficiency and patient safety, implementation barriers often hinder optimal service quality. This study identifies, categorizes, and synthesizes the primary barriers limiting EMR effectiveness in improving hospital service quality. A systematic literature review was conducted following the PRISMA 2020 guidelines, analyzing twenty-eight peer-reviewed empirical studies published in English between 2020 and 2024 retrieved from Scopus and PubMed. The narrative synthesis revealed eight dominant themes posing major challenges: usability and workload issues; training gaps; interoperability and security risks; weak governance; infrastructure constraints; resistance to adoption; insufficient change management; and negative implications for patient safety. Consequently, the effectiveness of EMR implementation depends on multidimensional strategies beyond technical capabilities. Strengthening governance, ensuring secure interoperability, and providing continuous user training, alongside strong leadership and proactive change management, are essential to overcome cultural resistance and maximize EMR contributions to hospital service quality.
Copyright (c) 2026 Hani Purwo Ariyanto, Yusuf Alam Romadhon, Aflit Nuryulia Praswati https://creativecommons.org/licenses/by/4.0/
Adherence to The Surgical Safety Checklist And Patient Adverse Event: A Scoping Review
Daftar Periksa Keselamatan Bedah (SSC) vital untuk keselamatan pasien, namun kepatuhannya bervariasi secara global. Tinjauan scoping ini menyintesis bukti mengenai kepatuhan SSC dan dampaknya terhadap kejadian tidak diinginkan pada pasien. Mengikuti pedoman PRISMA-ScR, 30 studi (2020–2025) dari Scopus, PubMed, dan Springer Nature Link dianalisis. Analisis tematik mengidentifikasi dimensi kunci termasuk komunikasi tim, hambatan implementasi, dan inovasi teknologi. Hasil secara konsisten menunjukkan bahwa kepatuhan tinggi yang ditandai dengan keterlibatan tim aktif dan bukan sekadar penyelesaian administratif secara signifikan mengurangi komplikasi bedah dan mortalitas. Sebaliknya, kepatuhan rendah sering kali disebabkan oleh ritualisasi dan hambatan hierarkis. Tinjauan ini menyimpulkan bahwa peningkatan keselamatan berkelanjutan memerlukan pergeseran dari formalitas daftar periksa menuju budaya keselamatan matang yang didorong oleh kepemimpinan, adaptasi kontekstual, dan pelatihan antarprofesi. The Surgical Safety Checklist (SSC) is vital for patient safety, yet adherence varies globally. This scoping review synthesizes evidence on SSC compliance and its impact on adverse events. Following PRISMA-ScR guidelines, 30 studies (2020–2025) from Scopus, PubMed, and Springer Nature Link were analyzed. Thematic analysis identified key dimensions including team communication, barriers, and technological innovation. Results consistently show that high adherence defined by active team engagement rather than administrative completion significantly reduces surgical complications and mortality. Conversely, low compliance often stems from ritualization and hierarchical barriers. The review concludes that sustainable safety improvements require shifting from checklist formality to a mature safety culture driven by leadership, contextual adaptation, and interprofessional training.
Copyright (c) 2026 Wisnu Baskoro, Muzakar Isa, Siti Soekiswati https://creativecommons.org/licenses/by/4.0/
The Effect of HIIT Zumba with Nusantara Music on Stress and Sleep Quality in Working Women: A Pre-Experimental Study
Wanita pekerja rentan terhadap stress dan kualitas tidur buruk akibat gaya hidup sedentary dan tuntutan ganda. Kondisi ini meningkatkan risiko penyakit kronis dan menurunkan produktivitas kerja. Penelitian ini berfokus pada intervensi latihan fisik High Intensity Interval Training (HIIT):Zumba yang diiringi Musik Nusantara (Dangdut dan lagu daerah) dengan tempo 130-150 BPM sebagai solusi preventif. Tujuan dari penelitian ini adalah menguji pengaruh HIIT:Zumba terhadap kualitas tidur dan Tingkat stress pada Wanita pekerja di Banjarmasin, Kalimantan Selatan. Penelitian ini menggunakan desain pra-eksperimen one-group pretest-posttest design dengan pendekatan Preliminary Intervention Study. Sebanyak 30 wanita pekerja berusia produktif (15-64 tahun) dengan Tingkat stress sedang dan kualitas tidur buruk dipilih melalui purposive sampling. Intervensi berupa latihan HIIT: Zumba dilakukan selama 6 minggu. Kualitas tidur dan Tingkat stress diukur menggunakan kuesioner PSQI dan PSS Sebelum dan sesudah Intervensi. Data dianalisis dengan uji Wilcoxon Signed-Rank Test. Intervensi menunjukkan terdapat perbedaan yang signifikan pada kualitas tidur sebelum dan sesudah HIIT: Zumba dilakukan (p = 0.013) namun sebaliknya tidak ada perbedaan yang signifikan pada Tingkat stress sebelum dan sesudah intervensi (p = 0.166), kemungkinan karena beban eksternal yang kompleks (seperti tuntutan profesional dan domestik ganda) yang tidak sepenuhnya ditangani oleh intervensi fisik saja. Working women are vulnerable to stress and poor sleep quality due to sedentary lifestyles and the burden of dual demands (professional and domestic). This condition increases the risk of chronic disease and reduces work productivity. This study focused on the physical exercise intervention of High Intensity Interval Training (HIIT): Zumba accompanied by Nusantara Music (Dangdut and region song) with a tempo of 130-150 BPM as a preventive solution. This research utilized a pre-experimental one-group pretest-posttest design and is presented as a Preliminary Intervention Study. A total of 30 working women of productive age (15-64 years) with moderate stress levels and poor sleep quality were selected through purposive sampling. The intervention, which involved HIIT Zumba Exercise was conducted for six weeks. Sleep quality and stress levels were measured using the PSQI and PSS. The data was analyzed by the Wilcoxon Signed-Rank Test. The intervention showed significant differences in sleep quality before and after HIIT: Zumba was performed (p = 0.013) however there was no significant difference in stress levels before and after the intervention (p = 0.166), likely due to complex external burdens (such as dual professional and domestic demands) that were not fully addressed by the physical intervention alone.
Copyright (c) 2026 Fransiska Dwi Hapsari, Maria Silvana Dhawo, Dyah Trifianingsih, Joan Cintya Putri Aholiab, Ester Triayuni https://creativecommons.org/licenses/by/4.0/
Hypnodialysis and its Effect on Quality of Life in Patients with Chronic Kidney Disease: A Pre-Experimental Study
Kualitas hidup pasien Chronic Kidney Disease (CKD) sering kali buruk akibat berbagai komplikasi gejala, menjadikannya area fokus penting. Hipnodialisis, kombinasi hipnoterapi dan dialisis telah terbukti mengurangi kecemasan dan meningkatkan kepatuhan pengobatan pada pasien CKD. Namun, penelitian mengenai pengaruh hipnodialisis terhadap kualitas hidup pasien CKD masih sangat terbatas terutama di Indonesia. Studi pra-eksperimental ini menggunakan desain one-group pretest-posttest. Sampel terdiri dari 30 responden yang dipilih berdasarkan kriteria inklusi. Kuesioner WHOQOL-BREF digunakan untuk mengukur Kualitas Hidup pasien sebelum dan sesudah intervensi hipnodialisis. Analisis data menggunakan Uji Peringkat Bertanda Wilcoxon (Wilcoxon Signed-Rank Test) karena skor selisih tidak terdistribusi normal. Intervensi menyebabkan pergeseran positif dengan p value 0,001 (<0,05) di semua domain kualitas hidup. Hipnodialisis menunjukkan hasil yang efektif sebagai terapi komplementer yang secara signifikan meningkatkan kualitas hidup pasien CKD dan direkomendasikan untuk perawatan paliatif. The quality of life for Chronic Kidney Disease (CKD) patients is often poor due to various symptomatic complications, making it a critical area of focus. Hypnodialysis, a combination of hypnotherapy and dialysis has been shown to reduce anxiety and improve treatment adherence in CKD patients. However, research on the effects of hypnodialysis on the quality of life for CKD patients remains very limited, especially in Indonesia. This pre-experimental study used a one-group pretest-posttest design. The sample consisted of 30 respondents selected based on inclusion criteria. The WHOQOL-BREF questionnaire was used to measure patients’ quality of life before and after the hypnodialysis intervention. Data analysis used the Wilcoxon Signed-Rank Test due to non-normal distribution of difference scores. The intervention resulted in a positive shift with a p-value of 0,001 (<0,05) across all domains of quality of life. Hypnodialysis shows promise as an effective complementary therapy for significantly improving the quality of life of CKD patients and is recommended for palliative care.
Copyright (c) 2026 Maria Silvana Dhawo, Sally Pobas, Rika Putri Yustina, Helda Iriani https://creativecommons.org/licenses/by/4.0/
The Effect of Husband’s Support on Fear of Cancer Recurrence in Gynecological and Breast Cancer Survivors
Cancer is a leading cause of death, and survivors face a wide range of therapies and psychological challenges. A key need reported by cancer survivors, particularly gynecological and breast cancer survivors, at the end of their treatment is fear of recurrence, which many factors, including husband support, can influence. The purpose of this study was to analyze the effect of husband support on fear of recurrence in gynecological and breast cancer survivors. This study was conducted at Ulin Hospital, Banjarmasin, with 211 respondents who underwent outpatient evaluation and had undergone at least one treatment. The research instrument used the Fear of Cancer Recurrence Inventory (FCRI) questionnaire. This study design was cross-sectional. The main findings of this study showed no statistically significant association between husband support and fear of recurrence in gynecological and breast cancer survivors (P-value 0.06). Based on the statistical results, the global score is not significant, but the specific domains show significance there was a specific correlation in one subtype of husband's support (instrumental support, specifically in the contributing factor domain, with a p-value of 0.03 and a correlation coefficient of r=?0.15) with one domain of fear. The conclusion of this study indicates that overall, there is no relationship between husband's support and the contributing factor, but there is a significant relationship between instrumental and important support. This can provide recommendations for further research, including using a longitudinal design to obtain more accurate results.
Copyright (c) 2026 Heryani Heryani, Yati Afiyanti, Yustan Azidin, M. Syafwani, Solikin Solikin, Dini Rahmayani https://creativecommons.org/licenses/by/4.0/