Indonesian Journal of Nursing Research (IJNR) https://jurnal.unw.ac.id/index.php/ijnr <div class="body"> <div class="description"> <div style="border: 2px #444F71 solid; padding: 3px; background-color: #f0ffff; text-align: left;"> <ol> <li class="show">Nama Jurnal: Indonesian Journal of Nursing Research (IJNR)</li> <li class="show">Singkatan: IJNR</li> <li class="show">Frekuensi: Mei &amp; November</li> <li class="show">ISSN: Print 2656-9590 | Online 2615-6407</li> <li class="show">Editor in Chief: Dr. Eko Mardiyaningsih, S.Kep., Ns., M.Kep.,Sp.Kep.Mat.</li> <li class="show">DOI: 10.35473/IJNR</li> <li class="show">Akreditasi : Sinta 5</li> <li class="show">Penerbit: Program Study of Nursing, Universitas Ngudi Waluyo, Indonesia</li> </ol> </div> <p>Indonesian Journal of Nursing Research (IJNR) is a journal of nursing published by Faculty of Nursing, Universitas Ngudi Waluyo, annually in May and November. IJNR welcomes any research-based as well as concept-based manuscripts dealing with its focus and scope</p> </div> </div> Program Studi S1 Keperawatan Universitas Ngudi Waluyo en-US Indonesian Journal of Nursing Research (IJNR) 2615-6407 <ol><li>Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a <a href="http://creativecommons.org/licenses/by/3.0/" target="_new">Creative Commons Attribution License</a> that allows others to share the work with an acknowledgement of the work's authorship 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> Faktor-Faktor Yang Berhubungan dengan Pemberian MP-ASI Instan pada Bayi Usia 6-11 Bulan di Desa Tum Kecamatan Werinama Kabupaten Seram Bagian Timur https://jurnal.unw.ac.id/index.php/ijnr/article/view/4580 <p><em>Curently, there are two types of complementary feeding,instan and handmade. Complementari feeding are foods and drinks containing complete nutrition that are given tu babies starting 6 months of age in addition to elusive breastfeeding to archieve normal growth. However, the use of instant MPASI should not be too frequent so that children are not only exposed to instant flavors and preservatives, but also need to be supported by serving natural and fresh food from the family. This study aims to determine the factors related to the provision of instant MP-ASI in babies aged 6-11 months in Tum Village, Werinama District. Method: Using a Cross-sectional design and a sample of 43 respondents using a total sampling technique using an instrument in the form of a questionnaire. The analysis used is the Chi- Square test. The results: show that there is a relationship between knowledge and the provision of instant complementary feeding to infants aged 6-12 months in Tum Village, Werinama District Seram Bagian Timur Regency with a value (p-value = 0.000), there is a relationship between maternal occupation and the provision of instant complementary feeding to infants aged 6-12 months in Tum Village, Werinama District Seram Bagian Timur Regency with a value (p-value = 0.002) and there is a relationship between family support and the provision of instant complementary feeding to infants aged 6-11 months in Tum Village, Werinama District Seram Bagian Timur Regency with a value (p-value = 0.000) Conclusion: there is a relationship between knowledge, maternal occupation and family support with the provision of instant complementary feeding to infants aged 6-11 months in Tum Village, Werinama District Seram</em></p> <p><em> </em></p> <p><strong>Abstrak</strong></p> <p>Pada saat ini ada dua jenis makanan pendamping ASI (MP-ASI) yaitu MP-ASI instan dan MP-ASI buatan tangan. MP-ASI adalah makanan dan minuman yang mengandung nutrisi lengkap yang diberikan kepada bayi mulai usia 6 bulan disamping ASI ekslusif untuk mencapai pertumbuhan normal. Namun, penggunaan MPASI instan sebaiknya tidak terlalu sering agar anak tidak hanya terpapar cita rasa instan dan zat pengawet, melainkan juga perlu didukung oleh penyajian makanan alami dan segar dari keluarga. Tujuan: penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan pemberian MP-ASI instan pada bayi usia 6-11 bulan di Desa Tum Kecamatan Werinama Kabupaten Seram Bagian Timur. Metode: Menggunakan desain Cross sectional dan jumlah sampel sebanyak 43 responden menggunakan teknik total sampling dengan menggunakan Instrumen berupa kuesioner. Analisis yang digunakan yaitu uji Chi-Square. Hasil: menunjukan bahwah terdapat hubungan antara pengetahuan dengan pemberian MP- ASI Instan pada bayi usia 6-11 bulan di Desa Tum Kecamatan Werinama Kabupaten Seram Bagian Timur dengan nilai (p-value =0.000), terdapat hubungan antara pekerjaan ibu dengan pemberian MP-ASI Instan pada bayi usia 6-11 bulan di Desa Tum Kecamatan Werinama Kabupaten Seram Bagian Timur dengan nilai (p-value =0.002) dan terdapat hubungan antara dukungan keluarga dengan pemberian MP-ASI Instan pada bayi usia 6-11 bulan di Desa Tum Kecamatan Werinama Kabupaten Seram Bagian Timur dengan nilai (p-value =0.000) Terdapat hubungan antara pengetahuan, pekerjaan ibu dan dukungan keluarga dengan pemberian MP-ASI Instan pada bayi usia 6-11 bulan di Desa Tum Kecamatan Werinama Kabupaten Seram Bagian Timur.</p> Supriyanto Copyright (c) 2026 2026-05-19 2026-05-19 9 1 1 10 10.35473/ijnr.v9i1.4580 Pengaruh Edukasi Pena Gizi Terhadap Pengetahuan Ibu Pada Anak Usia 0-5 Tahun https://jurnal.unw.ac.id/index.php/ijnr/article/view/4609 <p><em>Malnutrition among children remains a significant public health problem that requires serious attention. This condition is generally caused by mothers’ low level of knowledge regarding the importance of balanced nutrition, inappropriate feeding patterns, and limited access to attractive and easy-to-understand nutritional information. Increasing mothers’ knowledge through nutrition education using interactive media is a strategic step in preventing malnutrition from an early age. This study aims to determine the effect of education using the “Pena Gizi” video on mothers’ knowledge regarding the prevention of malnutrition in children aged 0–5 years. This research employed a quasi-experimental design with a pretest-posttest control group approach involving 68 mothers, consisting of 34 in the intervention group and 34 in the control group. Data were collected using a structured questionnaire and analyzed using the Wilcoxon Signed Rank Test and the Mann-Whitney U Test. The results showed that the median score of mothers’ knowledge in the intervention group significantly increased from 70 (pretest) to 90 (posttest) with p = 0.000, while the control group also showed a statistically significant difference (80 to 80; p = 0.008), although the improvement was not practically significant. The Mann-Whitney test indicated a significant difference in posttest scores between the intervention and control groups with p = 0.000. These findings indicate that education using the “Pena Gizi” video is effective in improving mothers’ knowledge regarding the prevention of malnutrition in children. It is recommended that interactive video-based nutrition education be routinely implemented in Posyandu to enhance mothers’ awareness and support children’s nutritional health.</em></p> <p><strong> </strong></p> <p><strong> </strong></p> <p><strong>Abstrak</strong></p> <p>Masalah malnutrisi pada anak balita masih menjadi permasalahan kesehatan masyarakat yang memerlukan perhatian serius. Kondisi ini umumnya disebabkan oleh rendahnya pengetahuan ibu tentang pentingnya pemenuhan gizi seimbang, pola makan anak yang kurang tepat, serta kurangnya akses terhadap informasi gizi yang menarik dan mudah dipahami. Upaya peningkatan pengetahuan ibu melalui edukasi gizi berbasis media interaktif menjadi langkah strategis dalam mencegah malnutrisi sejak dini. Penelitian ini bertujuan untuk mengetahui pengaruh edukasi menggunakan media video Pena Gizi terhadap pengetahuan ibu mengenai pencegahan malnutrisi pada anak usia 0–5 tahun. Penelitian ini menggunakan desain quasi-experiment dengan pendekatan pretest-posttest control group, penelitian ini melibatkan 68 ibu yang dibagi menjadi 34 ibu pada kelompok intervensi dan 34 ibu pada kelompok kontrol. Kriteria inklusi meliputi ibu yang memiliki anak usia 0–5 tahun yang terdaftar dan aktif di Posyandu Desa Jurang, Kecamatan Gebog, Kabupaten Kudus, bersedia menjadi responden, memiliki buku KMS, memiliki telepon genggam dengan aplikasi YouTube dan WhatsApp, serta bersedia mengikuti penelitian hingga selesai. Kriteria eksklusi adalah ibu yang tidak mengikuti seluruh tahapan penelitian (pretest dan posttest) serta ibu dengan kondisi kesehatan yang tidak memungkinkan untuk berpartisipasi dalam penelitian. Data dikumpulkan menggunakan kuesioner terstruktur dan dianalisis dengan uji Wilcoxon Signed Rank Test serta Mann-Whitney U Test. Hasil penelitian menunjukkan bahwa nilai median pengetahuan ibu pada kelompok intervensi meningkat secara signifikan dari 70 (pretest) menjadi 90 (posttest) dengan p = 0,000, sedangkan pada kelompok kontrol juga menunjukkan perbedaan bermakna secara statistik (80 menjadi 80; p = 0,008), meskipun peningkatannya tidak signifikan secara praktis. Uji Mann-Whitney menunjukkan adanya perbedaan signifikan pada nilai posttest antara kelompok intervensi dan kontrol dengan p = 0,000. Temuan ini menunjukkan bahwa edukasi menggunakan media video Pena Gizi efektif dalam meningkatkan pengetahuan ibu mengenai pencegahan malnutrisi pada anak. Disarankan agar edukasi gizi berbasis video interaktif diterapkan secara rutin di Posyandu untuk meningkatkan kesadaran ibu dan mendukung kesehatan gizi anak.</p> Faizatul Aini Indanah Diana Tri Lestari Copyright (c) 2026 2026-05-25 2026-05-25 9 1 11 20 10.35473/ijnr.v9i1.4609 Analisis Multivariat Durasi Operasi sebagai Prediktor Independen Post-Operative Nausea and Vomiting (PONV) pada Pasien Bedah Ortopedi: Sebuah Studi Kohort Retrospektif https://jurnal.unw.ac.id/index.php/ijnr/article/view/4739 <p><em>Postoperative nausea and vomiting (PONV) remains a frequent and distressing complication affecting recovery, particularly in prolonged orthopedic surgeries. To determine whether surgery duration exceeding 120 minutes acts as an independent predictor of PONV in orthopedic surgery patients. A retrospective cohort study was conducted on 45 adult patients (ASA physical status I–II) undergoing Open Reduction Internal Fixation (ORIF) under general anesthesia. Data were collected using structured data collection sheets and analyzed using multiple logistic regression. The overall PONV incidence among 45 subjects (predominantly female and non-smokers) was 57.8%. Bivariate analysis indicated significant associations between surgery duration, sex, and smoking status with PONV (p&lt;0.05). Multivariate analysis confirmed surgery duration &gt;120 minutes as the strongest independent predictor (adjusted Odds Ratio [aOR] 8.41; 95% CI 2.10–33.65; p=0.003). Surgery duration exceeding 120 minutes is an independent determinant of PONV and should serve as a basis for implementing multimodal antiemetic prophylaxis.</em></p> <p><strong> </strong></p> <p><strong>Abstrak</strong></p> <p><em>Post-Operative Nausea and Vomiting</em> (PONV) masih menjadi komplikasi pasca-anestesi yang sering dan mengganggu pemulihan, terutama pada bedah ortopedi dengan durasi operasi panjang. Mengetahui apakah durasi operasi &gt;120 menit merupakan prediktor independen PONV pada pasien bedah ortopedi. Studi kohort retrospektif terhadap 45 pasien dewasa ASA I–II yang menjalani ORIF dengan anestesi umum instumen penelitian menggunakan lembar observasi / lembar pengumpul data (<em>Data Collection Sheet</em>); data dianalisis menggunakan regresi logistik ganda. Insidensi PONV pada 45 subjek (dominan perempuan dan bukan perokok) mencapai 57,8%. Durasi operasi, jenis kelamin, dan status merokok berhubungan signifikan dengan PONV pada uji bivariat (p&lt;0,05). Analisis multivariat mengonfirmasi durasi operasi &gt;120 menit sebagai prediktor independen terkuat (aOR 8,41; 95% CI 2,10–33,65; p=0,003). Durasi operasi &gt;120 menit merupakan determinan mandiri PONV dan perlu dijadikan dasar pemberian profilaksis antiemetik multimodal.​</p> Muhammad Rossy Rachasiwi Bayu Despriyanto Pratama Copyright (c) 2026 2026-05-25 2026-05-25 9 1 21 31 10.35473/ijnr.v9i1.4739 A Systematic Review of The Association Between Sedentary Behavior and Mental Health in Adolescence https://jurnal.unw.ac.id/index.php/ijnr/article/view/4821 <p><em>Today's technological advancements provide convenience in various fields such as work activities, lifestyle, leisure time utilization and modern medicine. However, these technological advances also indirectly affect the decline in physical activity in general. Sedentary behavior occurs in all age ranges from children to the elderly. Children and adolescents are relevant age groups for this behavior because at this age there are a real physical and mental changes. One of the health consequences of sedentary behavior is mental health problems. This systematic review followed the PRISMA reference and applied review tools to assess quality and identify articles. Articles were obtained by searching PubMed, Springer Link and Scopus databases. From the search results, 9 suitable articles were obtained. Inclusion criteria include adolescence aged 10-19 yearas old, a quantitative studies, adolescents in general good health were included in the study due to the possible confounding effects of chronic physical health conditions. The most important part was that the negative impact of symptoms associated with these disorders could be recognizedThe 9 articles found that most adolescents experienced sedentary behavior and also health mental problem. The result of this study, 7/9 articles showed that the most common mental health was depression followed by anxiety. There is a relationship between sedentary behavior and mental health problems with the most common problem being depression</em></p> Trimawati Trimawati Mona Saparwati Copyright (c) 2026 2026-05-25 2026-05-25 9 1 32 41 10.35473/ijnr.v9i1.4821 Perbedaan Brain Gym dan Puzzle Therapy terhadap Fungsi Kognitif Lansia https://jurnal.unw.ac.id/index.php/ijnr/article/view/4997 <p><em>Cognitive function is an imporotant aspect of elderly life that is vulnerable to decline due to the aging process. The decline may affect the ability to think, remember, and solve problems, making appropriate interventions assential to maintain and improve cognitive function. Brain Gym and Puzzle Therapy are non-pharmacological intervention used to stimulate cognitive function in the elderly. This study aims to determine the difference between Brain Gym and Puzzle Therapy on the cognitive function of the elderly. This is a quantitative study using a pre-experimental design with a one-group pre-test and post-test approach, conducted at Panti Wening Werdoyo Ungaran from April 14 to 26, 2025. The sample consisted of 60 elderly participants selected using purposive sampling, with 30 responden in the Brain Gym group and 30 in the Puzzle Therapy group. Cognitive function was measured using the Indonesian version of the Montreal Cognitive Assesment (MoCA-Ina). Bivariate anaysis in this study used the Wilcoxon test and the Mann-Whitney test. The Mann-Whitney test showed a significant difference (p = 0,041), with greater improvement in cognitive function in the Brain Gym group. The improvement in cognitive function was observed in the delayed recall aspect, which was more optimally enhanced in the Brain Gym group compared to the Puzzle Therapy group. Based on the result of this study, it can be concluded that Brain Gym is more effective in improving cognitive function in the elderly.</em></p> <p><strong> </strong></p> <p><strong>Abstrak</strong></p> <p>Fungsi kognitif merupakan aspek penting dalam kehidupan lansia yang rentan mengalami penurunan seiring proses penuaan. Penurunan ini dapat memengaruhi kemampuan berpikir, mengingat, serta memecahkan masalah, sehingga diperlukan intervensi yang tepat untuk menjaga dan meningkatkan fungsi tersebut. Brain Gym dan Puzzle Therapy merupakan intervensi nonfarmakologis yang digunakan untuk menstimulasi fungsi kognitif pada lansia. Penelitian ini bertujuan mengetahui perbedaan antara Brain Gym dan Puzzle Therapy terhadap fungsi kognitif lansia. Jenis penelitian ini kuantitatif dengan desain penelitian yang digunakan yaitu pre-eksperimental dengan pendekatan one group pre-test and post-test, yang dilaksanakan di Panti Wening Wardoyo Ungaran pada tanggal 14–26 April 2025. Sampel dalam penelitian ini berjumlah 60 lansia yang dipilih menggunakan teknik purposive sampling, terdiri dari 30 responden kelompok Brain Gym dan 30 responden kelompok Puzzle Therapy. Pengukuran fungsi kognitif menggunakan instrumen Montreal Cognitive Assessment versi Indonesia (MoCA-Ina). Uji bivariat dalam penelitian ini menggunakan uji Wilcoxon dan uji Mann-Whitney. Hasil uji Mann-Whitney menunjukkan perbedaan signifikan (p = 0,041), dengan peningkatan fungsi kognitif lebih tinggi pada kelompok Brain Gym. Peningkatan fungsi kognitif terlihat pada aspek delayed recall yang lebih optimal pada kelompok Brain Gym dibandingkan kelompok Puzzle Therapy. Berdasarkan hasil penelitian tersebut, dapat disimpulkan bahwa Brain Gym lebih efektif dalam meningkatkan fungsi kognitif lansia.</p> Indra Nur Azizah Siti Juwariyah Prita Adisty Handayani Copyright (c) 2026 2026-05-25 2026-05-25 9 1 42 53 10.35473/ijnr.v9i1.4997 Penerapan Si PERI EMA Sebagai Strategi Edukasi Preventif Anemia Pada Remaja Putri di SMP An Nur Ungaran https://jurnal.unw.ac.id/index.php/ijnr/article/view/4738 <p><em>Anemia prevention is crucial because this condition of hemoglobin deficiency has serious impacts on health and productivity, such as chronic fatigue, decreased concentration and academic achievement, and weakened immune systems. In adolescent girls and pregnant women, anemia increases the risk of childbirth complications, premature births, low birth weight (LBW), and stunting. Anemia in adolescent girls remains a serious public health problem in Indonesia. Preventive efforts through health education are crucial, particularly with engaging media approaches such as animated videos. The aim is to determine the effectiveness of anemia risk prevention education (Si PERI EMA) on adolescent girls' knowledge of anemia risk prevention. This study used a quasi-experimental pretest–posttest with a control group design. The sample consisted of 30 respondents, divided into 15 respondents in the intervention group, who received a 10-minute animated video about Anemia Risk Prevention in Adolescent Girls, and 15 respondents in the control group. Data were analyzed descriptively (mean and SD), using paired sample t-tests to compare pretest and posttest results within each group, and independent sample t-tests to compare posttest results between groups. The average knowledge score increased significantly in the intervention group from 10.164 to 12.401, while in the control group the increase was insignificant from 9.283 to 9.342, with a p-value of 0.001 &lt; α (0.05). Therefore, it can be concluded that education on anemia risk prevention using animated audiovisual media is effective in increasing knowledge among female students at An Nur Ungaran Middle School. Regular education about anemia using animated video media can be widely used in schools as part of adolescent health education programs.</em></p> <p><strong> </strong></p> <p><strong>Abstrak</strong></p> <p>Pencegahan anemia sangat penting karena kondisi kekurangan hemoglobin ini berdampak serius pada kesehatan dan produktivitas, seperti kelelahan kronis, penurunan konsentrasi dan prestasi belajar, dan daya tahan tubuh lemah. Pada remaja putri dan ibu hamil, anemia meningkatkan risiko komplikasi persalinan, bayi prematur, berat badan lahir rendah (BBLR), serta stunting. Anemia pada remaja putri masih menjadi masalah kesehatan masyarakat yang serius di Indonesia. Upaya pencegahan melalui pendidikan kesehatan sangat penting, terutama dengan pendekatan media yang menarik seperti video animasi dengan tujuan mengetahui efektifitas edukasi pencegahan risiko anemia (Si PERI EMA) terhadap pengetahuan pencegahan risiko anemia pada remaja putri. Penelitian ini menggunakan quasi-experimental pretest–posttest with control group design. Sampel terdiri dari 30 responden, yang terbagi menjadi 15 responden pada kelompok intervensi yang diberikan perlakuan berupa pemberian edukasi melalui video animasi berdurasi ±10 menit tentang Pencegahan Risiko Anemia pada Remaja Puteri dan 15 responden untuk kelompok kontrol. Data dianalisis secara deskriptif (mean dan SD) dan Paired Sample T-Test untuk membandingkan pretest dan posttest dalam masing-masing kelompok, dan Independent Sample T-Test untuk membandingkan hasil posttest antar kelompok. Rata-rata skor pengetahuan meningkat signifikan pada kelompok intervensi dari 10,164 menjadi 12,401, sedangkan pada kelompok kontrol peningkatan tidak signifikan dari 9,283 menjadi 9,342 dan nilai p-value (0,001) &lt; α (0,05), sehingga dapat disimpulkan bahwa edukasi tentang pencegahan risiko anemia dengan media audiovisual animasi efektif untuk meningkatkan pengetahuan pada siswi SMP An Nur Ungaran. Edukasi tentang anemia secara teratur menggunakan media video animasi dapat digunakan secara luas di sekolah-sekolah sebagai bagian dari program edukasi kesehatan remaja.</p> Umi Aniroh Tina Mawardika Copyright (c) 2026 2026-05-25 2026-05-25 9 1 54 60 10.35473/ijnr.v9i1.4738 Overview of The Level of Anxiety in Preschool-Age Children Undergoing Hospitalization In The Children's Room of dr. H Jusuf SK Hospital https://jurnal.unw.ac.id/index.php/ijnr/article/view/4826 <p><em>Hospitalization is a crisis situation in children, when the child is sick and treated in the hospital. Anxiety is a negative emotional state characterized by premonition and somatic tension, such as a racing heart, sweating, difficulty breathing. The ability of a person or individual to adapt varies, so that stress or anxiety can arise. Efforts from the health sector that can be developed to minimize the negative impact of child care are by approaching parents, providing a comfortable and safe environment for children, providing toys or things that are loved by children and suggesting the implementation of family-centered care. The purpose of this study was to determine the level of anxiety in preschool-aged children who were hospitalized in the Children's Ward of Dr. H. Jusuf SK Hospital. This study used quantitative descriptive research with a survey design and used a purposive sampling technique, with a sample size of 36 respondents. The instrument used was the Facial Image Scale (FIS) observation sheet. Data analysis used univariate analysis to determine the distribution of each assessment category. The results showed that the level of anxiety of respondents in the Children's Ward of Dr. H. Jusuf SK Hospital was mostly in the moderate anxiety category, namely 18 people (50.0%). For further researchers, this research can be developed by examining other influences that can affect the level of anxiety in preschool children during hospitalization that have not been studied in this study.</em></p> Septisari Natalia Devi Oktarina Copyright (c) 2026 2026-05-25 2026-05-25 9 1 61 66 10.35473/ijnr.v9i1.4826 Effectiveness of The Riliv Mindfulness App on Anxiety Among Hypertensive Patients: A Quasi-Experimental Study https://jurnal.unw.ac.id/index.php/ijnr/article/view/4882 <p><em>Hypertension affects both physical and psychological health, including increasing anxiety, which can further worsen patients’ conditions. The Riliv application offers a practical solution for managing anxiety independently and effectively. The purpose of this study was to determine the effect of implementing the Riliv mindfulness application on anxiety levels in hypertensive patients. This study employed a quantitative approach with a pretest–posttest control group design using a quasi-experimental method. The sample was selected through purposive sampling and consisted of 30 respondents, divided into 15 respondents in the intervention group and 15 respondents in the control group. The intervention was conducted over a period of 10 days with 10 sessions using the Riliv mindfulness application. Anxiety levels were measured using the Hamilton Anxiety Rating Scale (HARS) as the primary instrument. Data analysis was performed using paired t-test and independent t-test. The results showed that in the intervention group, the mean anxiety score decreased from 18.27 to 15.73 (p &lt; 0.001). While the control group showed an increase in the mean anxiety score from 18.27 to 18.67 (p = 0.189). The independent t-test results indicated a statistically significant difference in anxiety levels between the intervention group and the control group, with a p-value of 0.005 (p &lt; 0.05). The Riliv mindfulness app significantly reduced anxiety scores in hypertensive patients after 10 days of intervention.</em></p> Nur Banati Ritriana Diana Tri Lestari Sukarmin Copyright (c) 2026 2026-05-26 2026-05-26 9 1 67 76 10.35473/ijnr.v9i1.4882 Sapalunak “Sarung Spalk Untuk Anak” Menurunkan Kecemasan pada Anak Dalam Pemasangan Infus di Igd Rs Tk III Wijayakusuma Purwokerto https://jurnal.unw.ac.id/index.php/ijnr/article/view/5003 <p><em>Preschoolers often experience anxiety during invasive procedures such as IV insertion in the emergency department (ED). This anxiety resulting from hospitalization can hinder children's involvement in medical procedures and delay recovery, necessitating effective interventions. This study aimed to analyze the effect of using a Child's Surgical Sarong (SAPALUNAK) on reducing anxiety levels in preschoolers during IV insertion procedures in the ED, with outcomes including decreased anxiety scores, increased cooperation, and smoother procedures. Methods: The study used a quasi-experimental design with a post-test-only non-equivalent control group approach. Data were collected from April to May 2025 at the ED of Wijayakusuma Hospital III Purwokerto. A sample of 48 preschoolers was allocated into two groups: an intervention group receiving SAPALUNAK and a control group receiving animated cartoons as a distraction. Consecutive sampling was used as the sampling technique. Anxiety levels were measured post-intervention using the Face Image Scale (FIS), and data were analyzed statistically using the Mann-Whitney test. Results: Statistical analysis showed a significant difference in anxiety levels between the two groups (p &lt; 0.05). Nursing SAPALUNAK can be implemented as a non-pharmacological intervention in pediatric nursing practice to improve patient comfort and cooperation, and support smooth IV administration. Its use also has the potential to be implemented as part of atraumatic care-based nursing standards in the emergency department. These findings indicate that the use of SAPALUNAK is effective and feasible in reducing procedural anxiety in preschool-aged children during IV administration in the emergency department.</em></p> <p><strong> </strong></p> <p><strong>Abstrak</strong></p> <p>Anak usia prasekolah sering mengalami kecemasan selama prosedur invasif seperti pemasangan infus di IGD. Kecemasan akibat hospitalisasi ini dapat menghambat keterlibatan anak dalam tindakan medis dan memperlambat pemulihan, sehingga diperlukan intervensi yang efektif. Tujuan: Penelitian ini bertujuan untuk menganalisis pengaruh penggunaan Sarung Spalk untuk Anak (SAPALUNAK) terhadap penurunan tingkat kecemasan anak usia prasekolah selama prosedur pemasangan infus di IGD, dengan outcome berupa penurunan skor kecemasan, peningkatan kooperatif, dan kelancaran prosedur. Desain penelitian yang digunakan adalah quasi-eksperimen dengan pendekatan post-test only non-equivalent control group. peneliti ini mengambil data pada bulan April-Mei 2025 di IGD RS TK III Wijayakusuma Purwokerto. Sampel berjumlah 48 anak prasekolah yang dialokasikan ke dalam dua kelompok: kelompok intervensi yang menerima SAPALUNAK, dan kelompok kontrol yang diberikan distraksi menonton animasi kartun. teknik sampling menggunakan consecutive sampling. Tingkat kecemasan diukur pasca-intervensi menggunakan Face Image Scale (FIS) dan data dianalisis secara statistik menggunakan uji Mann-Whitney. Analisis statistik menunjukkan adanya pengaruh tingkat kecemasan yang signifikan antara kedua kelompok (p &lt; 0,05). Implikasi keperawatan: SAPALUNAK dapat diterapkan sebagai intervensi nonfarmakologis dalam praktik keperawatan anak untuk meningkatkan kenyamanan dan kooperatif pasien, serta mendukung kelancaran tindakan pemasangan infus. Penggunaannya juga berpotensi untuk diimplementasikan sebagai bagian dari standar asuhan keperawatan berbasis atraumatic care di instalasi gawat darurat. Temuan ini menunjukkan bahwa penggunaan SAPALUNAK efektif dan layak untuk mengurangi kecemasan prosedural pada anak usia prasekolah selama pemasangan infus di IGD.</p> Salsha Bila Riska Happy Dwi Aprilina Suci Ratna Estria Atika Dhiah Anggraeni Copyright (c) 2026 2026-05-26 2026-05-26 9 1 77 88 10.35473/ijnr.v9i1.5003 Hubungan Dukungan Keluarga dengan Tingkat Kepatuhan Pasien dalam Merawat Luka Diabetes Melitus di RSU Nurussyifa Kudus https://jurnal.unw.ac.id/index.php/ijnr/article/view/4985 <p><em>Diabetes mellitus is a chronic metabolic disease that continues to increase and may lead to complications such as diabetic wounds. Successful wound care is strongly influenced by patient adherence, which can be strengthened through family support. This study aimed to determine the relationship between family support and the level of patient adherence in caring for diabetic wounds at RSU Nurussyifa Kudus. This study used an analytical observational design with a cross-sectional approach. The sample consisted of 34 respondents selected using total sampling. The instruments were a family support questionnaire and a wound care adherence questionnaire. Data were analyzed using the Chi-Square test. The results showed that most respondents had moderate family support (50.0%) and moderate adherence (52.9%). The Chi-Square test showed p value = 0.000 (p &lt; 0.05) with χ² = 28.059, indicating a significant relationship between family support and patient adherence in diabetic wound care. Better family support tends to be followed by better wound care adherence.</em></p> <p><strong> </strong></p> <p><strong>Abstrak</strong></p> <p>Diabetes melitus merupakan penyakit metabolik kronis yang terus meningkat dan dapat menimbulkan komplikasi berupa luka diabetes melitus. Keberhasilan perawatan luka sangat dipengaruhi oleh kepatuhan pasien, yang salah satunya dapat diperkuat melalui dukungan keluarga. Penelitian ini bertujuan mengetahui hubungan antara dukungan keluarga dengan tingkat kepatuhan pasien dalam merawat luka diabetes melitus di RSU Nurussyifa Kudus. Penelitian menggunakan desain observasional analitik dengan pendekatan cross sectional. Sampel penelitian berjumlah 34 responden yang diambil dengan teknik total sampling. Instrumen yang digunakan adalah kuesioner dukungan keluarga dan kuesioner kepatuhan perawatan luka. Analisis data menggunakan uji Chi-Square. Hasil penelitian menunjukkan sebagian besar responden memiliki dukungan keluarga kategori sedang (50,0%) dan tingkat kepatuhan kategori sedang (52,9%). Hasil uji Chi-Square menunjukkan p value = 0,000 (p &lt; 0,05) dengan nilai χ² = 28,059, sehingga terdapat hubungan yang signifikan antara dukungan keluarga dengan tingkat kepatuhan pasien dalam merawat luka diabetes melitus. Dukungan keluarga yang lebih baik cenderung diikuti oleh kepatuhan perawatan luka yang lebih baik.</p> Dwi Heru Haryanto Ratna Ratna Dwi Puji Susanti Feri Catur Yuliani Copyright (c) 2026 2026-05-27 2026-05-27 9 1 89 97 10.35473/ijnr.v9i1.4985