Jurnal Ilmiah Keperawatan IMELDA

FAKTOR-FAKTOR YANG MEMPENGARUHI SATURASI OKSIGEN PADA PASIEN POST OPERASI DI RUANG PACU RSI PURWOKERTO

2026-02-13T09:26:45+00:00

Background: Oxygen saturation is one of the important parameters in assessing the patient's oxygenation condition, especially during the recovery phase in the Post-Anesthesia Care Unit (PACU). This phase is very crucial because patients who have just undergone anesthesia are at risk of oxygenation disorders due to the effects of anesthesia, surgical procedures, or the patient's physiological condition. Objective: to identify and analyze factors that influence oxygen saturation in post-operative patients in the Post-Anesthesia Care Unit (PACU) and are expected to contribute to improving the quality of post-operative care and preventing serious, potentially life-threatening complications. Method: the data analysis technique uses descriptive analysis, namely presenting the distribution of oxygen saturation data and patient characteristics descriptively in the form of tables or graphs. The sample in this study was post-operative patients in the PACU room of RSI Purwokerto with a total of 62 patients. And using inferential analysis, namely the spearman Rho Test: to examine the relationship between age, gender, smoking status, and blood pressure with oxygen saturation and logistic regression test: to determine the most dominant factor influencing oxygen saturation with n = 62 patients. Results: shows a significant relationship between blood pressure and oxygen saturation, with a correlation coefficient value of 0.742 (very strong relationship category, p <0.05), and in gender, a correlation coefficient value of -0.332 (weak relationship, p <0.05) was obtained, the same as in smoking status showing a correlation coefficient of -0.369 (weak relationship, p <0.05). Conclusion: blood pressure, gender, and smoking status factors are related to oxygen saturation in postoperative patients. Suggestion: for further researchers, it is hoped that they will conduct research in various scopes, for example peri-operative.

HUBUNGAN TINGKAT PENGETAHUAN DENGAN SIKAP KELUARGA DALAM MERAWAT LANSIA STROKE DI WILAYAH KOMUNITAS

2026-02-13T09:32:05+00:00

Stroke in older adults often causes physical, cognitive, and emotional limitations that require long-term care at home. In this condition, the family acts as the primary caregiver, making family knowledge and attitudes important factors in the success of caring for older adults with Stroke. Although many studies have discussed the role of families in Stroke care, most focus on caregiver burden or patient quality of life, while studies examining the relationship between family knowledge and attitudes in caring for older adults with Stroke in the community remain limited. This study aimed to analyze the relationship between the level of knowledge and family attitudes in caring for older adults with Stroke in Limo District, Depok City. This study used a quantitative analytic design with a cross-sectional approach. The sample consisted of 124 families caring for older adults with Stroke, selected using a total sampling technique. Data were collected using the Stroke Knowledge Assessment Tool (SKAT) questionnaire to measure knowledge and the Family Caregiver Patient Stroke questionnaire to assess family attitudes. Data were analyzed using the Chi-Square test. The results showed that most families had low knowledge levels and negative attitudes toward caring for older adults with Stroke. Bivariate analysis showed a significant relationship between knowledge level and family attitudes (p < 0.001). These findings indicate that family knowledge plays an important role in shaping attitudes toward caring for older adults with Stroke at home.

PERBANDINGAN REVERSE BARBEAU TEST (RBT) DAN PENILAIAN KLINIS PADA PATENSI ARTERI RADIALIS PASCA KATETERISASI JANTUNG

2026-01-28T07:42:06+00:00

Transradial cardiac catheterization is increasingly preferred due to its safety and patient comfort; however, radial artery occlusion (RAO) remains a concern as it may limit future radial access. The Reverse Barbeau Test (RBT) has been recommended as an objective method to assess radial artery patency, although clinical assessment is still commonly applied in the ICU of Panti Rapih Hospital. This study aimed to compare the Reverse Barbeau Test and clinical assessment in evaluating radial artery patency among post–cardiac catheterization patients. A comparative study design was conducted using accidental sampling involving 35 post-catheterization patients with radial compression devices admitted to the ICU of Panti Rapih Hospital, Yogyakarta. The study was conducted from May 23 to June 17, 2025. Data were analyzed using the McNemar test. The results showed a statistically significant difference between RBT and clinical assessment at 15 minutes after radial compression application (p = 0.001). RBT was more sensitive in detecting early impairment of radial artery patency, identifying 34.3% of cases compared to only 2.9% detected by clinical assessment. These findings indicate that the Reverse Barbeau Test is more sensitive for early detection of radial artery patency disturbances. Reverse Barbeau Test is objective, non-invasive, easy to perform, and cost-effective; therefore, its use is recommended, particularly during the first 15 minutes following radial compression device application.

EFEKTIFITAS LATIHAN RANGE OF MOTION KOMBINASI JIGSAW PUZZLE TERHADAP KEKUATAN EKSTREMITAS ATAS PASIEN PASKA STROKE

2026-01-17T02:42:28+00:00

Stroke is the leading cause of disability that causes upper limb hemiparesis, resulting in post-stroke patients having difficulty moving their hands, which impacts their ability to perform daily activities. If left untreated, this can lead to various complications such as contractures. During the rehabilitation phase, post-stroke patients need to undergo physical training, especially in the first 3 months after stroke, to pursue neuroplasticity so that hemiparesis can be restored. The purpose of this study was to analyze the effectiveness of combined ROM exercises and jigsaw puzzles in increasing upper limb muscle strength in post-stroke patients at a private hospital in Makassar. The research design used was a quasi-experimental pre-test and post-test equivalent control group design. The sampling technique used was purposive sampling. There were 40 respondents in each group. Data analysis used paired t-tests, with results showing that the combination of ROM exercises and jigsaw puzzles had an effect on the intervention group (p value < 0.05) with a mean value of 5.103, and that ROM exercises had an effect on the control group (p value < 0.05) with a mean value of 3.738. The results of the t-test showed a difference in upper extremity muscle strength between the intervention group and the control group (p value < 0.05). Thus, jigsaw puzzle combination ROM exercises are more effective at increasing muscle strength than regular ROM exercises, making them a suitable combination therapy for nursing care in hospitals.

PENGARUH PENERAPAN PULSED ELECTROMAGNETIC THERAPY TERHADAP KEKUATAN OTOT PENDERITA STROKE DENGAN KELEMAHAN EKSTREMITAS

2026-01-28T07:45:28+00:00

Background: Stroke is a condition in which the body experiences neurological changes due to impaired blood flow to the brain. Stroke can cause long-term decline in body function due to muscle weakness and difficulty performing daily activities. Post-stroke patients require therapy and rehabilitation programs to restore functional abilities and avoid further complications. The purpose of this study was to examine the effect of pulsed electromagnetic therapy on muscle strength in post-stroke patients with limb weakness. Methods: This was a quasi-experimental study involving 28 respondents experiencing limb weakness due to stroke who were undergoing home care, divided into 18 intervention groups and 10 control groups. The study was conducted in September-October 2025. The sample selection method was purposive sampling. The instrument used to assess muscle strength was a manual muscle strength test. Data were tested using the Mann Whitney test. Researchers measured muscle strength in the upper extremities twice before and after the procedure, while in the control group it was assessed after 2 weeks without intervention. Results: There was no difference in muscle strength between the intervention and control groups before the procedure with a p-value of 0.42. After pulsed electromagnetic therapy was administered to the intervention group for 2 weeks, there was a difference in muscle strength between the intervention group and the control group with a p-value of 0.039. Conclusion: Regularly performing pulsed electromagnetic therapy can increase muscle strength in stroke patients experiencing limb weakness.

ANALISIS FAKTOR YANG MEMPENGARUHI MORTALITAS PASIEN NON HEMORRHAGIC STROKE (NHS) DI RSUD TORABELO SIGI SULAWESI TENGAH

2026-01-28T07:43:08+00:00

Non-hemorrhagic stroke is one of the leading causes of mortality and disability that significantly affects patients’ quality of life. Various clinical and comorbid factors are suspected to influence patient mortality, therefore comprehensive analysis is required to identify these determinants. This study aimed to analyze the factors associated with mortality among patients with Non-Hemorrhagic Stroke (NHS) at Tora Belo Regional Hospital, Sigi Regency, Central Sulawesi. This study employed a quantitative design with an analytic observational method using a retrospective approach. The study was conducted from September to October 2025 at Tora Belo Regional Hospital, Sigi Regency, using secondary data obtained from medical records of NHS patients from September 2024 to 2025. The population consisted of 179 patients, and 124 respondents were selected as samples using probability sampling with a simple random sampling technique. Independent variables included systolic blood pressure, diastolic blood pressure, patient treatment time, Glasgow Coma Scale (GCS) score, blood glucose level, cholesterol level, history of diabetes mellitus, and history of heart disease. Confounding variables included age, body mass index (BMI), duration of diabetes mellitus, diabetes complications, and duration of hypertension, while the dependent variable was NHS patient mortality. Data analysis was conducted through univariate analysis, bivariate analysis, and multivariate analysis using linear regression with SPSS version 23.The bivariate analysis showed significant associations between systolic blood pressure (p=0.002), diastolic blood pressure (p<0,001), treatment time (p<0,001), GCS score (p<0,001), blood glucose level (p<0,001), cholesterol level (p=0.003), history of diabetes mellitus (p=0.006), and history of heart disease (p=0.025) with NHS patient mortality. Confounding variables that significantly affected mortality included age (p=0.002), duration of diabetes mellitus (p<0,001), diabetes complications (p=0.047), and duration of hypertension (p<0,001), while BMI showed no significant association (p=0.086). Multivariate analysis indicated that treatment time was the most influential factor associated with NHS patient mortality (p=0.022) with an Adjusted R Square value of 0.331.These findings indicate that clinical and comorbid factors play an important role in the mortality of non-hemorrhagic stroke patients, emphasizing the importance of early detection and prompt management to improve patient survival outcomes.

PERSEPSI PASIEN HEMODIALISIS TENTANG KETIDAKPATUHAN TERHADAP PROSEDUR HEMODIALISIS DI RUMAH SAKIT IMELDA PEKERJA INDONESIA

2026-03-05T03:15:09+00:00

ABSTRAK

Latar Belakang: Hemodialisis adalah pengobatan pengganti ginjal yang penting, tetapi kepatuhan terhadap pengobatan masih menjadi masalah. Tujuan penelitian ini adalah untuk mempelajari pengalaman dan perspektif pasien tentang prosedur hemodialisis di Rumah Sakit Imelda. Metode. Persepsi pasien dengan pendekatan fenomenologis. Teknik pengambilan sampel yang digunakan adalah purposive sampling, melibatkan lima pasien hemodialisis sebagai partisipan. Penelitian dilaksanakan di RSU Imelda Pekerja Indonesia tahun 2025. Penelitian ini mengumpulkan data melalui wawancara semi-terstruktur dengan lima pasien hemodialisis. Data yang terkumpul dianalisis menggunakan analisis tematik untuk mengidentifikasi tema-tema utama terkait persepsi pasien. Hasil: Hasil penelitian menunjukkan bahwa persepsi pasien terhadap prosedur hemodialisis sangat dipengaruhi oleh pemahaman mereka tentang manfaatnya, perasaan tidak nyaman selama proses, serta dukungan sosial yang meliputi pengalaman pasien, pemahaman pengobatan, kepatuhan terhadap jadwal, dukungan sosial, pelayanan rumah sakit, serta faktor lingkungan dan ekonomi. Kesimpulan: Temuan ini menegaskan perlunya untuk meningkatkan komunikasi dan pendidikan kesehatan untuk memperbaiki persepsi pasien dan meningkatkan kepatuhan.

HUBUNGAN KOMORBIDITAS DENGAN KUALITAS HIDUP & EFIKASI DIRI PADA PASIEN GAGAL GINJAL KRONIS

2026-02-13T09:33:27+00:00

The majority of patients with chronic renal failure prefer hemodialysis as a replacement therapy for their kidney function. However, hemodialysis therapy can affect aspects of life such as physical and psychological, where one of the factors that can complicate their condition is the presence of comorbidities, namely hypertension and diabetes mellitus. In the end, these comorbidities will affect the quality of life and self-efficacy of chronic renal failure patients. The purpose of this study was to analyze the relationship between comorbidities with quality of life and self-efficacy in patients with chronic renal failure undergoing hemodialysis. The research method used was cross sectional and involved 108 chronic renal failure patients at the Pandaoni Medika Hemodialysis Clinic Jakarta. The sample determination was determined through non-probability sampling technique in the form of purposive sampling. The instruments used in this study were KDQOL-36 to measure quality of life and CKD-SE to measure self-efficacy of chronic renal failure patients. The results showed that there was a significant relationship between comorbidities with quality of life (p-value = 0.003) and self-efficacy (p-value = <0.001). The results of this study are expected to help emphasize the importance of comorbidity management to maintain good quality of life and self-efficacy.

HUBUNGAN PENGETAHUAN DAN EFIKASI DIRI DENGAN KINERJA PERAWAT DALAM MELAKUKAN RESUSITASI JANTUNG PARU DI RUANG GAWAT DARURAT DAN INTENSIF

2026-02-13T09:35:24+00:00

Resusitasi Jantung Paru (RJP) adalah prosedur penyelamatan nyawa darurat yang dilakukan ketika jantung berhenti berdetak. Baik tidaknya kinerja perawat dalam melakukan RJP dapat ditentukan oleh pengetahuan dan efikasi diri, dampak jika kinerja perawat saat melakukan RJP tidak baik, maka RJP kemungkinan besar tidak akan ROSC sehingga nyawa pasien akibat cardiac arrest tidak tertolong.. Tujuan penelitian ini adalah untuk mengetahui hubungan pengetahuan dan efikasi diri terhadap kinerja perawat dalam melakukan resusitasi jantung paru pada ruang gawat darurat dan intensif. Jenis penelitian adalah penelitian kuantitatif dengan pendekatan cross-sectional dan survei analitik, sampel berjumlah 36 dengan teknik total sampling, alat pengumpulan data menggunakan kuesioner dan analisis data menggunakan korelasi Kendall Tau-b. Hasil penelitian menunjukkan ada hubungan yang signifikan pengetahuan (p<0,001) dan efikasi diri (p<0,001) dengan kinerja perawat dalam melakukan resusitasi jantung paru di ruang gawat darurat dan intensif. Disarankan bagi perawat yang bekerja di gawat darurat dan intensif perlu untuk meningkatkan pengetahuan guna mencapai efikasi diri dan kinerja yang maksimal dalam melakukan RJP agar dapat memperbesar peluang hidup pada pasien yang mengalami henti jantung.

PENGALAMAN DUKUNGAN KELUARGA PADA PASIEN PENYAKIT GINJAL KRONIK YANG MENJALANI HEMODIALISA: STUDI FENOMENOLOGI DI RUMAH SAKIT IMELDA PEKERJA INDONESIA MEDAN

2026-03-05T03:18:54+00:00

Hemodialysis is one of the treatments for chronic kidney disease. Because of this condition, it not only causes problems with declining physical health, but also has the potential to cause psychological, social and even spiritual problems, therefore family support from various aspects is one way to overcome this. Family is the closest person who can form interpersonal relationships in attitudes and actions. Therefore, family support has an important influence on chronic kidney disease patients to improve physical, psychological, social and even spiritual health. The purpose of this study was to determine family support for chronic kidney disease patients at the Imelda Buruh Indonesia Hospital, Medan. With qualitative descriptive research through a phenomenological approach. This study was conducted from December 2024 to April 2025. The sampling technique in this study used Purposive Sampling with a total of 8 participants. The research data were collected through interviews and analyzed thematically. The instrument in this study was the researcher himself with interview guideline tools, field notes and recording tools. The results of the study consisted of 4 themes, namely emotional support, information support, instrumental support and appreciation support. The conclusion of this study is that emotional support from the family to the patient is given in the form of the family's willingness to be a companion and provide encouragement and motivation, information support is given in the form of advice and reminders for the patient, instrumental support is given in the form of financing treatment, fulfilling transportation, accompanying and accompanying the patient, while appreciation support is given in theform of assessment and positive encouragement to the patient.

KESIAPAN KELUARGA DALAM MERAWAT PASIEN PASCA STROKE: STUDI FENOMENOLOGI DI RUMAH SAKIT UMUM IMELDA PEKERJA INDONESIA MEDAN

2026-03-05T03:17:06+00:00

Stroke is a neurological disease that can cause physical, emotional, and cognitive impairment in sufferers. Recovery of cognitive function in post-stroke patients requires an active role for the family as the primary caregiver in the rehabilitation process at home. This study aims to explore family readiness in caring for post-stroke patients. The research method used a qualitative approach with a phenomenological design. Data collection was conducted through in-depth interviews with five participants selected using a purposive sampling technique at the Imelda Buruh Indonesia General Hospital in Medan. Data analysis used thematic analysis through a process of coding, categorization, and theme determination. The results of the study identified five main themes, namely: (1) family knowledge about post-stroke patient care, (2) family skills in meeting the patient's basic needs, (3) family readiness in supporting cognitive function recovery, (4) utilization of health services, and (5) barriers to care, such as limited time and emotional burden. The findings indicate that families play an important role in the patient's recovery process, but still face limited knowledge and challenges in implementing optimal care. Therefore, ongoing education and support from health workers are needed to improve family readiness in caring for post-stroke patients at home.

IMPLEMENTASI MASSAGE AROMATERAPI LAVENDER DALAM MANAJEMEN NYERI NEUROPATI DIABETIK

2026-03-12T09:17:53+00:00

Diabetes mellitus is a chronic disease that is often accompanied by diabetic neuropathy complications, one of the main symptoms of which is chronic neuropathic pain. Uncontrolled pain can reduce quality of life, especially in the elderly. Various limitations of pharmacological therapy have prompted the need for safe and applicable non-pharmacological interventions, one of which is lavender aromatherapy massage.This study aims to determine the effectiveness of lavender aromatherapy massage in reducing pain intensity in elderly people with diabetes mellitus. This study used a quasi-experimental design with a non-equivalent control group pretest-posttest design. This study was conducted at H. Adam Malik Central Hospital in October 2025. The sample consisted of 70 respondents divided into an intervention group and a control group, each with 35 respondents. The intervention group received lavender aromatherapy massage three times a week for four weeks, while the control group received standard care. Pain intensity was measured using the Visual Analog Scale (VAS). Data analysis was performed using paired t-tests and independent t-tests. The results showed a significant decrease in pain intensity in the intervention group after lavender aromatherapy massage (p < 0.05), while no significant changes were found in the control group (p > 0.05). A post-test comparison between the intervention group and the control group also showed a statistically significant difference (p < 0.05). It was concluded that lavender aromatherapy massage is effective in reducing pain intensity in elderly people with diabetes mellitus. This intervention can be considered as a complementary therapy in nursing care to help improve patient comfort and quality of life.

HUBUNGAN KECERDASAN EMOSIONAL DAN SELF-EFFICACY DENGAN EFEKTIVITAS KINERJA PADA PERAWAT PELAKSANA DI RUANG RAWAT INAP

2026-03-05T03:20:04+00:00

Low nurse performance in hospitals is an important issue that requires serious attention, as suboptimal performance may affect the overall quality of hospital services. Nurse performance that remains relatively low is closely related to individual internal factors, such as emotional intelligence and levels of self-efficacy. This study aimed to analyze the relationship between emotional intelligence and self-efficacy with the effectiveness of performance among staff nurses in the inpatient wards of Hospital X. This study employed a quantitative method with a cross-sectional approach and involved the entire population as the research sample, totaling 116 respondents. Data analysis was conducted using frequency distribution to describe respondent characteristics, Chi-Square tests to examine relationships, and Multiple Logistic Regression analysis using SPSS. The results of the multivariate analysis showed no significant relationship between emotional intelligence (p-value = 0.188) and self-efficacy (p-value = 0.108) with the effectiveness of nurse performance in the inpatient wards of Hospital X. This study is expected to serve as a reference for hospital management in paying attention to factors that may influence nurse performance effectiveness. In addition, the findings may be used as a basis for developing self-development training programs to support more effective nurse performance.

FENOMENOLOGI IBU BEKERJA DALAM PEMBERIAN ASI EKSKLUSIF DI RSU IMELDA MEDAN

2026-03-05T03:25:11+00:00

Exclusive breastfeeding is the provision of breast milk for the first 6 months of a baby's life without other food or drink except vitamins, medicines and oralit. The function of breast milk is to meet the baby's nutritional intake, strengthen the immune system, and reduce infant mortality and morbidity. The purpose of this study was to determine the Experience of Working Mothers in Providing Exclusive Breast Milk at the Imelda Buruh Indonesia General Hospital, Medan. The research method used is a qualitative research type with a descriptive phenomenological approach. The location of this research was carried out at the Imelda Buruh Indonesia General Hospital, Medan. The time of this research was carried out from March to August 2024. The number of participants in this study was 5 people. Research data were collected through in-depth interviews with participants and analyzed thematically. The results of the study consisted of 4 themes, namely: 1 (Working Mothers' Anxiety regarding the Fulfillment of Exclusive Breast Milk for Babies), 2 (Practices and Strategies in Pumping and Storing Breast Milk for Working Mothers), 3 (Support from Husband and Family in the Success of Working Mothers in Providing Exclusive Breast Milk), 4 (Benefits of Breast Milk for Maternal and Infant Health). The conclusion of this study shows that working mothers face various challenges in ensuring exclusive breastfeeding for their babies, especially related to concerns about the schedule and quality of breast milk, breast milk management, and the important role of family support. Consistency in breast milk expression scheduling and appropriate storage strategies are essential to maintain adequate breast milk supply. In addition, support from husbands and families, as well as supporting facilities at the workplace, play an important role in the success of exclusive breastfeeding, which has a significant positive impact on maternal and infant health.