Jurnal Ilmiah Keperawatan IMELDA

EFEKTIFITAS PERAWATAN LUKA METODE CONVENTIONAL DRESSING DAN HYDROCOLLOID PADA PASIEN DENGAN LUKA KAKI DIABETIK POST OPERASI DEBRIDEMENT DI RUANG EDELWEISS RSUD BAYU ASIH KABUPATEN PURWAKARTA

Anwar Anwar — 2025-09-30

PENERAPAN TERAPI AKUPRESUR TITIK PERIKARDIUM 6 UNTUK MENGATASI NAUSEA PADA PASIEN DENGAN GASTROPATI DIABETES MELITUS TIPE I: STUDI KASUS

Ismonah — 2025-09-30

Diabetic gastropathy may develop as a complication of Type 1 Diabetes Melitus, where the stomach experiences delayed emptying, called gastroparesis. Nausea, vomiting, abdominal pain, heartburn, and early satiety after meals characterize this condition.Previous research provided an overview of the decrease in nausea in the third and seventh weeks after acupressure therapy at pericardium point 6, but the researcher wanted to describe the change in nausea score every time acupressure therapy was given at pericardium point 6.This study used a single case study method with one subject experiencing diabetic gastropathy. The main nursing intervention was to lower nausea of the patient by using the 6-pericardial acupressure point therapy for five minutes twice a day. The aim of this study was to analyze the decrease in nausea score every time acupressure therapy was given through measuring the Gastroparesis Cardinal Symptom Index (GCSI) score. After three days of treatment, the patient’s nausea value decrease from 5 (very severe) to 0 (none) followed with the decreasing of the GCSI score from 35 (severe gastroparesis) to 0 (no gastroparesis). The 6-pericardial acupressure point therapy activated the flow of body’s bioenergy or Qi to restore the body’s homeostasis for the medulla oblongata in controlling nausea and vomiting.

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KUALITAS TIDUR PASIEN HEMODIALISIS

Arta Marisi Dame — 2025-09-30

Background: Sleep quality is defined as a state where a person is satisfied with their sleep so that they do not show signs of sleep disorders. Patients undergoing hemodialysis are 25% more likely to experience sleep disorders than normal adults. Objective: This study aims to determine the factors associated with sleep quality in hemodialysis patients. Method: This study is a quantitative study with an analytical survey design through a cross-sectional approach. The sampling technique in this study was accidental sampling. The sample in this study were patients who underwent hemodialysis regularly at least 2 times a week. Data collection used the Pittsburgh Sleep Quality Index (PSQI) questionnaire in Indonesian, a physical activity questionnaire and a Fatigue Severity Scale (FSS) questionnaire with a total of 58 hemodialysis patients at RSU Imelda Pekerja Indonesia. Data analysis used bivariate data analysis with the chi-square test. Results: This study showed that there was no significant relationship between age (p=0.956), gender (p=0.225), employment status (p=0.462), duration of hemodialysis (p=0.559) and sleep quality of hemodialysis patients at Imelda Buruh Indonesia Hospital. There was a significant relationship between comorbidities (p=0.001), smoking habits (p=0.026), coffee consumption (p=0.003), physical activity (p=0.000) and fatigue levels (p=0.000). Conclusion: Lifestyle factors (smoking habits, coffee consumption), comorbidities, physical activity and fatigue levels are related to sleep quality of hemodialysis patients. Suggestion: Future researchers should examine the sleep quality of hemodialysis patients with different methods and research designs.

EFEKTIVITAS METODE BREAST CARE PROLAKTIN ACCUPRESSURE DAN OXYTOCIN MASSAGE DALAM MENINGKATKAN PRODUKSI ASI PADA IBU POST PARTUM

Sudarianti — 2025-09-30

Breast milk is the best nutrition for babies, especially during the first six months of life, playing an important role in boosting immunity, preventing stunting, and accelerating postpartum recovery in mothers. However, exclusive breastfeeding coverage remains low, with one of the causes being barriers to milk production during the early postpartum period. Non-pharmacological interventions such as breast care, prolactin acupressure, and oxytocin massage can stimulate hormones involved in breast milk production and ejection, but comprehensive studies comparing the three methods are still limited. This study aims to evaluate and compare the effectiveness of breast care, prolactin acupressure, and oxytocin massage in increasing breast milk volume in postpartum mothers. This study is a quasi-experimental study with a post-test control group design. The sample consisted of 60 postpartum mothers aged 0–7 days who met the inclusion criteria, then divided into four groups with 15 respondents each. The intervention was conducted over three days using standard procedures for breast care, prolactin acupressure, and oxytocin massage. Breast milk volume was measured on the fourth postpartum day using an electric pump for 15 minutes. Data analysis included normality tests, one-way ANOVA, and post hoc Tukey HSD. The results showed significant differences between groups (F = 86.342, p < 0.01). Oxytocin massage resulted in the highest breast milk volume and was significantly different compared to breast care (p < 0.001) and prolactin acupressure (p = 0.019), while breast care and prolactin acupressure were not significantly different (p = 0.561). These findings emphasize the importance of oxytocin stimulation in the let-down reflex and recommend oxytocin massage as the primary non-pharmacological intervention to support breast milk production.

HUBUNGAN SPIRITUAL DENGAN KUALITAS HIDUP PASIEN HIV/AIDS

Syahrul Handoko Nainggolan — 2025-09-30

The body can cause a decrease in the immune system, which can lead to AIDS. HIV/AIDS sufferers oftenexperience various complex problems in all aspects, including biological, psychological, social, andspiritual aspects. Spiritual problems that often arise in sufferers include blaming God, refusing toworship, disturbances in worship, and spiritual distress. Spiritual distress will impact their healthcondition in the form of a decreased quality of life because they have not accepted their illness and thetreatment that must be undergone. The purpose of this study was to determine the relationship betweenspirituality and the quality of lifeof HIV/AIDS sufferers at the RSU Imelda Pekerja IndonesiaMedan.This type of research is a quantitative approach with a cross-sectional research design. The sample in thestudy was determined by non-probability sampling with a purposive sampling technique of 111 HIV/AIDSpatients. Data analysis used the chi-square test. The results of the study indicate a relationship betweenspirituality and the quality of life of HIV/AIDS patients. It is recommended that the hospital use this asinformation and basic data regarding howspirituality applies to the quality of life of HIV/AIDS patientsso that the hospital can make policies to provide better services to HIV/AIDS patients undergoingtreatment atRSU Imelda Pekerja IndonesiaMedan.

PREDIKTOR GANGGUAN TIDUR PADA LANSIA: IMPLIKASI SKRINING DI TATANAN KOMUNITAS

Shinta Silaswati Silaswati — 2025-09-30

PENGEMBANGAN MODEL EDUKASI M-CHAT BERBASIS CHATGPT UNTUK DETEKSI DINI AUTISME PADA ANAK USIA 16-30 BULAN

Mardiah Mardiah — 2025-09-30

Early detection of autism in children aged 16–30 months is crucial for timely intervention and improved developmental outcomes. This study aims to analyze the effectiveness of the ChatGPT-based M-CHAT educational model in enhancing parental knowledge and assisting with the completion of the Modified Checklist for Autism in Toddlers (M-CHAT). This model is designed as an interactive assistant that provides explanations about autism, the function of the M-CHAT, and guidelines for self-completion and initial interpretation of screening results. The research method employs a quasi-experimental approach with a pre-test and post-test design involving 60 parent respondents. The research instrument consisted of a 1-5 Likert scale questionnaire measuring three domains: knowledge about autism and M-CHAT, self-completion ability, and satisfaction and usability of the model. Validity was analyzed using Pearson correlation, reliability using Cronbach's alpha, and effectiveness was tested using a paired sample t-test. The results showed that all questionnaire items were valid and reliable. The average pre-test scores in the domains of knowledge, completion, and usability significantly increased in the post-test (p < 0.001). Thus, the ChatGPT-based M-CHAT educational model is effective in improving parents' understanding, self-completion ability, and user satisfaction and can be used as a tool for early autism screening.

HAMBATAN KETIDAKPATUHAN PASIEN TUBERKULOSISTERHADAP PENGOBATAN; SEBUAH STUDI KUALITATIF

Nixson Manurung — 2025-09-30

The increasing burden of TB is caused by poverty, failure of TB activities due to inadequate political commitment and funding, unavailability of services in the community leading to reduced problem innovation and inappropriate diagnosis, reduced supply of medicines and unreported movement of people. This study aims to determine the barriers to non-adherence of tuberculosis patients to their treatment. This research is a qualitative study with a phenomenological approach. Data were collected using in-depth interviews and then analyzed using content analysis. The informants in this study consisted of 16 participants, consisting of 8 participants from the family of tuberculosis patients and 8 participants from tuberculosis patients. The results of this study found four themes, namely (1) Prolonged illness and long treatment, (2) Family persistence, (3) Interaction patterns, (4) Medication adherence. It is concluded that by knowing the obstacles of tuberculosis patients during their treatment, solutions can be found that influence increasing the patient's compliance to take medication regularly and make regular control/visits. It is also recommended that families encourage patients to continue to participate in religious activities while still complying with health procedures

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN RESILIENSI PASIEN KANKER PAYUDARA: STUDI CROSS-SECTIONAL

Nurlelasari Harahap — 2025-09-30

TINGKAT PENGETAHUAN DAN PERILAKU MENCEGAH KOMPLIKASI PASIEN HIPERTENSI

Nancy Susanita — 2025-09-30

PENGARUH PIJAT BAYI TERHADAP KENAIKAN BERAT BADAN PADA BAYI PREMATUR DI RSUD SIDIKALANG

Heriaty Berutu — 2025-09-30

A premature baby is a baby born before 37 weeks of gestation. Generally, premature babies in Indonesia weigh less than expected and are at high risk of various health complications, including growth and developmental disorders, one of which is slow weight gain. The purpose of this study was to examine the effect of touch therapy on weight gain in premature babies at Sidikalang Regional General Hospital. The method was a correlational study with a one-group pre-test and post-test design. The population was 16 premature babies born in the Perinatology Ward of Sidikalang Regional General Hospital. Purposive sampling was used for sampling. The research instruments were the tools used for data collection. Data collection used standard operating procedures (SOP) for infant massage, infant massage equipment, and baby weight scales, as well as checklists. Statistical analysis used the Wilcoxon Signed Rank Test. The results showed an effect of infant massage therapy on weight gain in premature babies, with the Wilcoxon test showing a Z value of -3.535 and p = 0.000 (p < 0.00). Conclusion: There is an effect of infant massage therapy on weight gain in premature babies.

PENGALAMAN TENAGA KESEHATAN DALAM PENCEGAHAN INFEKSI NOSOKOMIAL MYCOBACTERIUM TUBERCULOSIS

Luter Kristian Zai — 2025-09-30

Nosocomial infection of Mycobacterium tuberculosis is a serious challenge in hospitals due to the high risk of transmission to healthcare workers due to direct exposure to tuberculosis patients. This study aims to explore the experiences of healthcare workers in preventing nosocomial Mycobacterium tuberculosis infections at Imelda Buruh Indonesia General Hospital, Medan. This study used a descriptive qualitative research type with a phenomenological approach, involving six participants selected through a purposive sampling technique. Data were collected through in-depth interviews and analyzed using the Colaizzi method. The results revealed four themes, namely: healthcare workers' understanding of nosocomial Mycobacterium tuberculosis, healthcare workers' experiences in preventing nosocomial Mycobacterium tuberculosis infections, challenges faced by healthcare workers in preventing nosocomial Mycobacterium tuberculosis infections, healthcare workers' suggestions for improving policies for preventing nosocomial Mycobacterium tuberculosis infections. The conclusion of this study is that healthcare workers have understood how tuberculosis is transmitted and implemented preventive measures such as the use of masks and patient education. However, limited isolation room facilities, lack of standard personal protective equipment, and low patient and family compliance with protocols are significant obstacles

FAKTOR RISIKO TERJADINYA GANGGUAN FUNGSI KOGNITIF PADA PASIEN PASCA STROKE BERULANG DI RUMAH SAKIT UMUM IMELDA PEKERJA INDONESIA MEDAN TAHUN 2024

Sarida Surya Manurung — 2025-09-30

Stroke is a neurological condition that can cause impaired cognitive function. The risk of post-stroke cognitive impairment is higher in individuals who have experienced a recurrent stroke. This study aims to identify the main risk factors that contribute to impaired cognitive function in post-stroke patients. This research was conducted using qualitative descriptive research methods, the research location was carried out at the Imelda Workers Indonesia General Hospital, Medan. The research time from the start of preparing the proposal to completion was from March 2024 to August 2024. Research data was collected through in-depth interviews with participants and analyzed. The results of this research consist of 4 themes, namely: 1. (The influence of age on impaired cognitive function after a stroke). 2. (Between men and women who have the greatest potential to experience impaired cognitive function after a stroke). 3. (The patient's daily habits before experiencing impaired cognitive function after a stroke change). 4. (Is there a history of other diseases that can cause impaired cognitive function after a stroke). The conclusions from this research are: 1. Age influences cognitive function disorders after a stroke. 2. Women are more at risk of experiencing impaired cognitive function than men. 3. Activity has a big influence on impaired cognitive function after a stroke. 4. Participants' ignorance about post-stroke cognitive function disorders is increasing.

FAKTOR – FAKTOR YANG MEMPENGARUHI TINGKAT PENGETAHUAN IBU NIFAS TENTANG PERAWATAN LUKA SECTIO CAESAREA

Elyani Sembiring — 2025-09-30

Caesarean section (SC) is an artificial delivery in which the fetus is delivered through an incision in the abdominal wall and uterus, which can cause bleeding and incision wounds. Caesarean section causes an incision wound in the abdomen. Many factors influence the healing process of caesarean section wounds. One factor that can influence this is nutrition, age, education, source of information, and occupation. The level of patient knowledge about wound care is an important factor in reducing the incidence of surgical site infections in SC patients. The purpose of this study was to determine the factors that influence the level of knowledge of postpartum mothers about SC (sectio caesarea) wound care at Estomihi Medan Hospital. This study used Analytical method with Cross Sectional Approach. The population in this study amounted to 87 respondents, namely postpartum mothers of sectio caesarea with a sample size of 47 respondents. Data collection using a questionnaire. The results of the chi-square test obtained a P-Value factor value of 0.000 <0.05, which means that there is a relationship between the Knowledge Factors of postpartum mothers about Sectio Caesarean Wound Care at Estomihi Medan Hospital.

PENGALAMAN PERAWAT DALAM MENGANTISIPASI FLUKTUASI PASIEN DI INSTALASI GAWAT DARURAT RUMAH SAKIT UMUM IMELDA PEKERJA INDONESIA (RSU IPI) MEDAN

Hamonangan Damanik — 2025-09-30

The Emergency Department (IGD) is a part of the hospital that provides initial services to sick and injured patients. Overcrowding in the ER can result from a shortage of nursing staff, the number of patients waiting to be seen, a shortage of beds, delays in treating or assessing patients who are already in the ER, or patients who have been discharged from the hospital but have not paid their bills and are being held in the ER. This study aims to determine the experience of nurses in anticipating patient fluctuations in the emergency room at the Imelda Workers Indonesia General Hospital, Medan. The method used in this research is descriptive qualitative using a phenomenological approach. This research was conducted in the IGD RSU IPI Medan. The research process was carried out from March 2024 to August 2024. The sampling technique in this research was purposive sampling. In this research, there were 6 (six) participants who underwent in-depth interviews. This research uses the Colaizzi method to analyze data. The research results obtained were that there were 4 themes produced including expressions of nurses' feelings, inhibiting factors, supporting factors and solutions. For hospital institutions, especially the management department, to pay more attention to anticipating patient fluctuations in the ER, so that they have alternative solutions when facing patient fluctuations.

PENGARUH INTERVENSI RIZAL (REMINDER INFORMASI ZEALOUS SUPPORT ASSISTANCE LIFESTYLE MONITORING) BERBASIS KELUARGA TERHADAP KEMANDIRIAN PASIEN HIPERTENSI

Rizal Fauzi — 2025-09-30

Di Indonesia, situasi hipertensi menunjukkan pola yang mengkhawatirkan. Khusus di wilayah kerja Puskesmas Ciranjang, data tahun 2024 menunjukkan prevalensi hipertensi mencapai 23.158 atau 80% dari total populasi dewasa dengan tingkat kepatuhan pengobatan sebesar 25.842 (Profil Kesehatan Puskesmas Ciranjang, 2024). Penerapan Intervensi RIZAL (Reminder Informasi ZealousSupport Assistance Lifestyle Monitoring) adalah salah satu metode untung meningkatkan kemandirian pasien dengan melibatkan peran keluarga. Tujuan : Menganalisis dan mengukur pengaruh intervensi RIZAL berbasis keluarga terhadap kemandirian pasien hipertensi di wilayah kerja Puskesmas Rawat Inap Ciranjang. Metode : Jenis penelitian yang digunakan adalah penelitian kuantitatif dengan desain quasi eksperimental, dengan rancangan penelitian menggunakan one group pretest-posttest dengan total sampel sebanyak 35 orang. Hasil : Hasil penelitian menunjukkan bahwa sebelum intervensi RIZAL diberikan, mayoritas responden berada pada tingkat kemandirian I (54,3%) dan tingkat kemandirian II (34,3%), yang menunjukkan bahwa bahwa pasien hipertensi sering memiliki kemandirian rendah dalam pengelolaan penyakitnya, terutama terkait pengetahuan tentang kondisi dan kepatuhan pengobatan, sedangkan setelah dilakukan intervensi RIZAL terjadi perubahan signifikan pada tingkat kemandirian pasien hipertensi. Mayoritas responden berada pada tingkat kemandirian III (51,428%), diikuti tingkat kemandirian II (25,714%), dan tingkat kemandirian IV (20,0%). Ini menunjukkan adanya peningkatan kemampuan pasien dalam mengelola penyakit hipertensinya secara mandiri. Kesimpulan : berdasarkan hasil penelitian didapatkan pengaruh yang signifikan terhadap peningkatan kemandirian pasien hipertensi di wilayah kerja Puskesmas Rawat Inap Ciranjang. Hal ini dibuktikan dengan hasil uji Wilcoxon Signed Rank Test yang menunjukkan nilai p=0,000 (p<0,05), dengan 88,6% responden mengalami peningkatan tingkat kemandirian setelah intervensi diberikan.