Media Husada Journal Of Nursing Science

HUBUNGAN ANTARA DUKUNGAN KELUARGA DENGAN TINGKAT KENYAMANAN PASIEN YANG MENJALANI KEMOTERAPI

Mirna Eka Setyawati — 2025-11-11

HUBUNGAN TINGKAT SPIRITUAL PASIEN DENGAN TINGKAT STRES PADA PASIEN GAGAL GINJAL KRONIS (GGK) YANG MENJALANI HEMODIALISIS

Endah Kurniati — 2025-11-11

Chronic Kidney Disease (CKD) is one of the chronic illnesses that significantly affects patients' quality of life. CKD patients undergoing hemodialysis face various physical, emotional, and psychological challenges that can increase their stress levels. This study aims to explore the relationship between patients' spiritual levels and stress levels in CKD patients undergoing hemodialysis. The research method used is descriptive-analytic observational with a cross-sectional approach. The sample consists of 83 respondents selected through purposive sampling. The results show that most respondents have a high level of spirituality (69.9%) and nearly half of the respondents experience moderate stress levels (47%). Spearman's rho analysis indicates a significant relationship between patients' spiritual levels and stress levels in CKD patients undergoing hemodialysis, with a correlation of +0.444, indicating a moderate relationship. This suggests that spirituality plays an important role in stress management, and patients with higher spiritual levels tend to have better coping mechanisms, helping them manage the physical and emotional pressures caused by hemodialysis. Patients with higher levels of spirituality tend to experience lower levels of stress. To help reduce stress in patients, hospitals should strengthen spiritual support through programs such as spiritual counseling, support groups, and training in spiritual relaxation techniques.

PENGARUH TEKNIK RELAKSASI NAFAS DALAM TERHADAP TINGKAT NYERI PASIEN POST OPERASI SECTIO CAESAREA

Natalia Goncalves — 2025-11-11

Abstrak

Nyeri pasca operasi merupakan pengalaman sensorik dan emosional yang umum dialami pasien, termasuk ibu post-sectio caesarea (SC). Penanganan nyeri yang tepat sangat penting untuk mendukung pemulihan dan kenyamanan pasien. Salah satu intervensi nonfarmakologis yang efektif adalah teknik relaksasi napas dalam, yang membantu mengurangi ketegangan otot, menenangkan sistem saraf, dan mengalihkan fokus dari nyeri. Berdasarkan studi pendahuluan di IHC Rumah Sakit Lavalette, jumlah persalinan SC meningkat setiap tahun, dengan metode relaksasi napas dalam diterapkan untuk mengurangi nyeri akut. Tujuan penelitian ini untuk Menganalisis pengaruh teknik relaksasi napas dalam terhadap tingkat nyeri pada ibu post-SC. Penelitian ini menggunakan desain quasi-experimental dengan rancangan pretest-posttest control group design. Sampel terdiri dari 32 pasien post operasi sectio caesarea di IHC Rumah Sakit Lavalette, dipilih menggunakan teknik purposive sampling. Responden dibagi menjadi kelompok intervensi dan kontrol, dengan pengukuran tingkat nyeri sebelum dan sesudah intervensi menggunakan skala Numerik Rating Scale (NRS). Teknik relaksasi napas dalam diterapkan pada kelompok intervensi sebagai upaya menurunkan nyeri. Analisis data dilakukan menggunakan uji Wilcoxon dengan program SPSS versi 25 untuk melihat perbedaan tingkat nyeri antara kedua kelompok. Hasil sebelum intervensi, mayoritas responden di kedua kelompok merasakan nyeri sedang hingga berat. Setelah penerapan teknik relaksasi napas dalam, tidak ada perubahan signifikan pada kelompok kontrol (Asymp Sig. = 1,000), dengan 87,5% tetap merasakan nyeri sedang. Sebaliknya, kelompok eksperimen mengalami penurunan signifikan, dengan 75% merasakan nyeri ringan dan 25% nyeri sedang (Asymp Sig. = 0,000). Teknik relaksasi napas dalam terbukti efektif menurunkan nyeri, sehingga disarankan untuk diimplementasikan sebagai intervensi non-farmakologis dalam manajemen nyeri.

HUBUNGAN ANTARA TINGKAT PENGETAHUAN TENTANG DIET DENGAN TINGKAT KECEMASAN PASIEN DIABETES MELITUS

Shinta Indriani — 2025-11-11

Adherence of diabetes mellitus (DM) patients to dietary regulation and planning is a significant challenge, often influenced by stress. The duration and intensity of this stress are determined by various difficulties experienced by patients, such as dietary restrictions, the need to measure food portions, and pre-existing unhealthy eating habits prior to illness. This study aims to determine the relationship between the level of knowledge about diet and the anxiety level of diabetes mellitus patients in the Dahlia Ward of RSUD Dr. Saiful Anwar, East Java Province. This research employs a quantitative approach with a cross-sectional design, examining the relationship between two variables: the independent and dependent variables. Based on the chi-square test results using SPSS 25, the Sig (p) value = 0.263 > 0.05. This indicates that H1 is rejected, meaning there is no significant relationship between knowledge about the diabetes mellitus diet and the anxiety levels of diabetes mellitus patients in the Dahlia Ward of RSUD Dr. Saiful Anwar, East Java Province. Overall, the findings of this study show that there is no significant relationship between knowledge about diet and the anxiety levels of diabetes mellitus patients in the Dahlia Ward of RSUD Dr. Saiful Anwar. While dietary knowledge may benefit physical management, patient anxiety is more complex and requires a multidimensional approach, including psychological and social support.

HUBUNGAN BEBAN KERJA PERAWAT INTENSIVE CARE UNIT (ICU) DENGAN TINGKAT STRES PERAWAT

Moh Shohib Al Hasan — 2025-11-11

The importance of hospitals understanding nurses' workloads is a key factor in maintaining the quality of healthcare services. This not only affects the well-being of nurses but also has the potential to impact the overall quality of the hospital. This study aims to determine the relationship between nurses' workloads and their stress levels in the ICU at RSUD Dr. Saiful Anwar, East Java Province. The research design used was an observational analytic description with a cross-sectional method. The population involved all nurses in the ICU at RSUD Dr. Saiful Anwar, totaling 85 respondents, with a sample of 70 respondents selected using purposive sampling. The statistical test used was the Spearman Rho test. The statistical test results show that ICU nurses at RSUD Dr. Saiful Anwar have a moderate workload, with 48 respondents (68.6%) falling into this category. Additionally, the level of job stress is also mostly moderate, with 46 respondents (65.7%) in this category. The statistical test results indicated a significant relationship between the nurses' workloads and their stress levels in the ICU, with a correlation coefficient of (+0.296). That workload has a weak influence on work stress. This positive value indicates that the higher the workload the higher the work stress felt by nurses.From these findings, it can be concluded that workload plays a significant role in affecting nurses' stress levels in the ICU. Therefore, hospital management should consider strategies to manage workloads to reduce nurses' stress and improve the quality of healthcare services.

HUBUNGAN ANTARA MOTIVASI PERAWAT KAMAR OPERASI DENGAN KEPATUHAN PEMAKAIAN ALAT PELINDUNG DIRI SAAT MELAKUKAN PEMBEDAHAN DIKAMAR OPERASI

Riko Citra Lusinda — 2025-11-11

People in healthcare facilities are at high risk of exposure to infection, especially operating room staff, delivery room staff, inpatient ward staff, postpartum ward staff, and others. One of the efforts made by hospitals to avoid the risk of exposure to infection is to provide personal protective equipment (PPE). The objective of this study was to determine the relationship between nurses' motivation to use PPE in the operating rooms of Dr. Saiful Anwar Regional General Hospital in East Java Province. This study used a cross-sectional correlational design. The sampling technique used non-probability sampling with total sampling, sampling 41 operating room nurses. The research instruments were questionnaires and observation sheets. Data analysis used the Spearman's rank correlation test. The data analysis showed that 36 (87.8%) operating room nurses had moderate motivation, and 12.2% had high motivation. A total of 13 (31.7%) operating room nurses were classified as non-compliant in using PPE, and 68.3% were classified as compliant. The results of Spearman correlation test between the motivation of operating room nurses and their compliance in using PPE obtained a correlation coefficient of 0.739 with p equal to 0.000 (p<0.05), thus concluding that operating room nurses' motivation has a significant relationship with their compliance in using PPE. A positive correlation coefficient value can be interpreted that the higher the motivation of operating room nurses, the greater their compliance in using PPE.

HUBUNGAN STIGMA SOSIAL TERHADAP PERILAKU LOST TO FOLLOW-UP PADA PASIEN HIV/AIDS DENGAN TERAPI ARV

Dewi Mufidah — 2025-11-11

Social stigma against HIV/AIDS patients is a significant issue that can affect adherence to antiretroviral therapy (ART). This stigma often leads to discrimination and social isolation, which can affect the health behavior of patients. The aim of this study is to determine the influence of social stigma on lost to follow-up behavior in HIV/AIDS patients receiving ARV therapy at RSUD Dr. Saiful Anwar. The research method used is cross-sectional with a descriptive analytic design. The research population consists of all HIV patients who undergo examinations at the Tropical Infectious Diseases polyclinic of RSUD Dr. Saiful Anwar, totaling 670 respondents. The sample taken consisted of 251 respondents using purposive sampling technique. Data were collected through questionnaires and analyzed using the Spearman's rho statistical test. The research results showed that most respondents had a high category of stigma amounting to 162 respondents (64.5%) and the majority of respondents exhibited a moderate Lost To Follow-Up behavior category with 137 respondents (54.6%) at Dr. Saiful Anwar Hospital, East Java Province. Statistical analysis yielded a p-value of 0.000, which indicates a significant relationship between social stigma and lost to follow-up behavior. The research results indicate that social stigma high can influence patient behavior in terms of engagement with treatment. These findings are very important, considering the challenges faced by HIV/AIDS patients in the context of existing stigma. Therefore, it is important for stakeholders in healthcare services to design interventions that can reduce social stigma and raise awareness about HIV/AIDS. Interventions that involve community education, psychosocial support, and family involvement can help create a more supportive environment for HIV/AIDS patients, making them feel more comfortable continuing their ARV therapy.

Stigma sosial terhadap pasien HIV/AIDS merupakan masalah signifikan yang dapat mempengaruhi kepatuhan terhadap terapi antiretroviral (ARV). Stigma ini sering menyebabkan diskriminasi dan isolasi sosial, yang dapat mempengaruhi perilaku kesehatan pasien. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh stigma sosial terhadap perilaku lost to follow-up pada pasien HIV/AIDS yang menerima terapi ARV di RSUD Dr. Saiful Anwar. Metode penelitian yang digunakan adalah cross-sectional dengan desain deskriptif analitik. Populasi penelitian terdiri dari semua pasien HIV yang melakukan pemeriksaan di poli Tropik Infeksi RSUD Dr. Saiful Anwar, sebanyak 670 responden. Sampel yang diambil sebanyak 251 responden menggunakan teknik purposive sampling. Data dikumpulkan melalui kuesioner dan dianalisis dengan uji statistik Spearman's rho. Hasil penelitian sebagian besar responden memiliki stigma kategori tinggi sebanyak

162 responden (64,5%) dan Sebagian besar responden memiliki Perilaku Lost To Follow-Up kategori cukup sebanyak 137 responden (54,6%) Di Rumah Sakit Dr Saiful Anwar Provinsi Jawa Timur. Analisis statistik menghasilkan nilai p sebesar 0,000, yang mengindikasikan adanya hubungan signifikan antara stigma sosial dan perilaku lost to follow-up. Hasil penelitian menunjukkan bahwa stigma sosial tinggi dapat mempengaruhi perilaku pasien dalam hal keterlibatan dengan pengobatan. Temuan ini sangat penting, mengingat tantangan yang dihadapi oleh pasien HIV/AIDS dalam konteks stigma yang ada. Oleh karena itu, penting bagi para pemangku kepentingan dalam layanan kesehatan untuk merancang intervensi yang dapat mengurangi stigma sosial dan meningkatkan kesadaran tentang HIV/AIDS. Intervensi yang melibatkan pendidikan masyarakat, dukungan psikososial, dan pelibatan keluarga dapat membantu menciptakan lingkungan yang lebih mendukung bagi pasien HIV/AIDS, sehingga mereka merasa lebih nyaman untuk melanjutkan terapi ARV mereka.

HUBUNGAN TINGKAT KECERDASAN EMOSIONAL DENGAN MEKANISME KOPING PADA REMAJA SEKOLAH MENENGAH ATAS

Krisna Dwi Navyanto — 2025-11-11

The use of maladaptive coping mechanisms frequently becomes the reason behind adolescents failure to resolve a problem or manage their sources of stress effectively. This can lead to mental health disorders among adolescents. The use of coping mechanisms in adolescents can be influenced by various factors, one of which is their level of emotional intelligence. The aims of this study was to analyze the correlation between the level of emotional intelligence and coping mechanisms among high school students at SMA Negeri 1 Singosari. This study employed a quantitative observational research method with a cross-sectional approach involving 110 twelfth-grade high school students as respondents. Data were collected in November 2024 using total sampling. The instruments used were The Schutte Self-Report Emotional Intelligence Test (SSEIT) and Coping Orientation to Problems Experienced Inventory (Brief COPE) questionnaires. The analysis was conducted using the Gamma test. A total of 93 respondents (84.5%) exhibited a moderate level of emotional intelligence, dominated by the aspect of managing emotions. Additionally, 104 respondents (94.5%) demonstrated adaptive coping mechanisms, with most using problem-focused coping strategies. There is significant correlation between the level of emotional intelligence and coping mechanisms (p = -0.943).

HUBUNGAN TINGKAT PENGETAHUAN DENGAN SIKAP KELUARGA PASIEN TERHADAP TINDAKAN RESUSITASI JANTUNG PARU (RJP)

Ninik Nailun Nusroh — 2025-11-11

Cardiopulmonary resuscitation is an action carried out to restore and maintain the function of vital organs in patients with cardiac arrest and respiratory arrest. The knowledge and attitudes of the patient's family greatly influence the results of the RJP action. This study aims to determine the relationship between the level of knowledge and the attitude of the patient's family towards cardiopulmonary resuscitation (CPR). This research is a quantitative study with a correlation design and applies a cross-sectional approach. Sampling used nonprobability sampling (purposive sampling), with a total of 68 respondents. Data collection was carried out using a questionnaire and recording it on an observation sheet. In the knowledge level data, the result was that the majority of respondents had a poor level of knowledge, 38 respondents (55.9%), and in the attitude data, the result was that the majority of respondents had a poor attitude towards RJP actions, 40 respondents (58.8%). Statistical results show that there is a relationship between the level of knowledge and the attitude of the patient's family towards CPR, which obtained a significance value of 0.000 (p<0.05). Most of the patient's family knowledge is lacking due to the level of education and age which influence the results of the CPR procedure.

HUBUNGAN KUALITAS PELAYANAN DAN KEPUASAN TERHADAP LOYALITAS PASIEN

Deonizia Fatima Vong Sequeira — 2025-11-11

Patient satisfaction and loyalty are critical for the sustainability and reputation of healthcare services. Service quality, which includes reliability, empathy, and responsiveness, plays a significant role in shaping patient experiences. Despite advancements, hospitals continue to face challenges in maintaining patient loyalty, often influenced by satisfaction derived from service quality. The aim of this study was to analyze the correlation between service quality, patient satisfaction, and loyalty among inpatients at Diamond IHC, Lavalette Hospital Malang. This study employed a cross-sectional design with a quantitative approach. Data were collected through structured questionnaires distributed to 150 inpatients, focusing on dimensions of service quality, patient satisfaction, and loyalty. Statistical analysis was conducted to identify relationships among these variables. The findings indicate a significant positive correlation between service quality and patient satisfaction, which subsequently impacts loyalty. Among the dimensions of service quality, reliability and empathy were identified as key determinants of patient loyalty. This study conclude that enhancing service quality is essential for improving patient satisfaction and fostering loyalty. Hospitals should prioritize continuous improvements in service delivery, focusing on both technical and interpersonal aspects, to build sustainable patient relationships.