Jurnal Ilmiah STIKES Yarsi Mataram

Demographical Factors Related to The Nursing Students’ Stress at the University After COVID-19 Pandemic

2025-10-31T07:19:54+00:00

Nursing students have affected by the COVID-19 pandemic through many changes in academic learning process. Yet, in the daily life, they also need to adjust the new life which might suppress several students. In this study, presumed that factors including gender, religion, level of semester, living status, and living arrangement would be related to the nursing student’s stress. A total of 237 nursing students from Bachelor degree, which have age higher than 17, and actively registered as students, have been involved in this study. The result showed that more than 50% respondents were female and experienced moderate level of stress. The result from Chi-Square test described that only one factor, the level of semester that has been related to the stress level. Other demographical factors were not statistically significant to the stress level. In each semester, students might face different stressors and used different coping strategies to deal with. This study highlighted the urge of need for nurses who works at the university healthcare centre or community nurses in designing stress management for nursing students based on their year academic level since the stressor might be different.

Factors Associated with Nurses’ Discharge Planning Implementation in Hospital Inpatient Wards

2025-10-31T07:04:58+00:00

Discharge planning is an important component of the nursing process, which affects continuity of care, patient compliance, and prevention of readmission to hospital. However, its implementation in inpatient wards has not been optimal. This study investigates factors related to nurses’ implementation of discharge planning in hospital inpatient wards. This study employed a cross-sectional correlational design. The research population consisted of all 78 nurses in the inpatient wards of Hospital X, with a sample of 39 nurses selected using simple random sampling. The study was conducted at Hospital X in Malang Regency from November 2024 to January 2025. Data on ward supervisor supervision and nurses’ discharge planning implementation were collected using questionnaires and analyzed with Spearman’s rank correlation. The results showed no significant relationship between nurses’ education level or length of service and discharge planning implementation (p-value > 0.05). However, there was a moderate relationship between ward supervisor supervision and nurses’ discharge planning implementation, with a correlation coefficient of 0.479 and p = 0.002. Hospital management is advised to regularly oversee supervision and plan ward head supervision to improve nurses’ performance, particularly in implementing discharge planning.

Logistic Regression Analysis of Factors Affecting Medication Adherence in Hypertensive Patients at a Private Hospital in Jakarta

2025-10-08T07:05:02+00:00

Hypertension is one of the Non-Communicable Diseases (NCD) that can lead to serious conditions such as heart disease, stroke, or death. It can’t be cured; patients need lifelong medication. That is why adherence to treatment is a must for hypertensive patients. This study aims to investigate the relationship between sociodemographic, clinical factors and medication adherence among hypertension patients at a private hospital in Jakarta. This study is a pilot study using a cross-sectional method with 97 hypertensive patients. Patient medication adherence was assessed using the validated ProMAS questionnaire. The patients’ scores were then divided into two categories: good and poor adherence, based on 80% of the total score. Binary logistic regression was used to identify factors associated with adherence, with model selection based on the Akaike Information Criterion (AIC). The Pseudo-R² by Nagelkerke was used in this study for the model's goodness-of-fit, with a value of 0.232 (23.2%). The results showed that 74 (76.3%) patients had poor adherence, while 23 (23.7%) patients had good adherence. Among all the socioeconomic and clinical variables, only the education variables showed a significant correlation with medication adherence. Patients with college and junior high school education levels were more likely to be compliant compared to those with senior high school education (OR = 10.42 and OR = 8.75, respectively). The results of this study show that medication adherence among hypertensive patients in private hospitals varies based on patients’ backgrounds. The findings highlight the need for hospital policies, such as health education programs based on the patients’ education levels, in order to improve the effectiveness of long-term hypertension management.

Effectiveness of Multicomponent Elderly Exercise on Balance and Fall Risk: SKILAS-based Screening in West Lombok Elderly Schools

2025-10-31T08:15:20+00:00

Background: Falls are a major public health problem among older adults, leading to injuries, disability, and loss of independence. Community-based exercise programs are recommended as a preventive strategy. Objective: This study aimed to evaluate the effectiveness of a 4-week multicomponent elderly exercise program on balance and fall risk among Elderly School participants in West Lombok, Indonesia. Methods: A quasi-experimental one-group pretest–posttest design was conducted in February 2025 in Gunungsari, Mambalan Village. Sixty older adults aged ≥60 years were recruited using purposive sampling. Balance and fall risk were assessed using the Berg Balance Scale (BBS) and Timed Up and Go (TUG), while functional status was recorded using the SKILAS form. The intervention consisted of multicomponent exercise sessions conducted twice weekly for four weeks (eight sessions). Paired t-test or Wilcoxon signed-rank test was applied for continuous variables, and McNemar or chi-square test for categorical outcomes. Statistical significance was set at α = 0.05, with effect sizes and 95% confidence intervals (CI) reported. Results: Mean BBS scores significantly increased from 38.5 (95% CI: 37.42–39.58) at baseline to 45.7 (95% CI: 44.72–46.68) post-intervention, indicating a mean improvement of 7.2 points (p < 0.001; Cohen’s d ≈ 0.72). The proportion of participants at risk of falls decreased from 40% (24/60; 95% CI: 28.6–52.6%) to 18% (10/60; 95% CI: 9.3–28.0%), representing an absolute reduction of 22 percentage points (p = 0.002). Conclusion: A 4-week multicomponent elderly exercise program significantly improved balance and reduced fall risk among older adults. This intervention is recommended for routine implementation in Elderly Schools and primary healthcare settings as a practical and effective fall-prevention strategy.

The Effect of Health Education Using Brainstorming and Audiovisual Methods on the Knowledge of Families of Tuberculosis Patients

2026-01-01T12:34:48+00:00

Tuberculosis is an infectious disease caused by the Mycobacterium tuberculosis bacteria. Poor family and community knowledge about pulmonary TB has a greater risk of increasing cases of pulmonary TB, while families and communities with good knowledge about pulmonary TB can reduce the incidence of pulmonary TB cases. This study aims to determine the Effect of Health Education Using Brainstorming and Audiovisual Methods on the Knowledge of Families of Tuberculosis Patients. This study is a pre-experimental study with a one-group pre-post-test design. The population is 35 families of tuberculosis patients at the Ngasem Community Health Center, Kediri Regency. The sample size is 35 families of patients selected using a non-probability sampling technique. The research instrument uses a knowledge level questionnaire. Data analysis uses the Wilcoxon test. The results of the Wilcoxon Signed Ranks Test in SPSS, with a significance value of p value = 0.000 <0.05, meaning H1 is accepted, which means there is an Effect of Health Education Using Brainstorming and Audiovisual Methods on the Knowledge of Families of Tuberculosis Patients. Health centers can use Health Education Using Brainstorming and Audiovisual Methods to increase the knowledge of families of tuberculosis patients.

Compliance with Oral Antihyperglycemic Medication and Fasting Blood Sugar Levels in Type 2 Diabetes Mellitus Patients

2025-10-31T07:50:05+00:00

Diabetes mellitus is an endocrine disease characterized by hyperglycemia, characterized by elevated blood glucose levels. The cause of elevated blood glucose levels is due to ineffective insulin secretion, insulin action, or both. The purpose of this study was to determine the relationship between adherence to oral antihyperglycemic medication and fasting blood sugar levels in patients with type 2 diabetes mellitus. This study employed a non-experimental, descriptive cross-sectional design. This study was conducted at the Balerejo Community Health Center in Madiun in February 2024 with a total sample of 63 patients. The sampling technique used was the consecutive sampling method. The data analysis used in this study was the Spearman Rank test. The results of the most gender characteristics were female 37 people (58.7%), age 46-55 years 35 people (55.6%), high school education 29 people (46.0%), farmer occupation 11 people (17.5%), normal BMI (18.5-22.9 kg / m2) 25 people (39.7%), metformin monotherapy treatment 11 people (17.5%), metformin + glibenclamide combination 24 people (38.1%). Compliance with taking medication was categorized as compliant in 39 people (61.9%), and non-compliant in 24 people (38.1%). Fasting blood sugar (FBS) targets were achieved by as many as 36 people (57.1%), and not achieved by 27 people (42.9%). The results of the analysis showed significant relationship between compliance with oral antihyperglycemic drugs and fasting blood sugar levels in patients with type 2 diabetes mellitus, with a p-value of 0.000 and a correlation coefficient of 0.510. Conclusion: There is a significant relationship exists between compliance with oral antihyperglycemic drugs and fasting blood sugar levels in type 2 diabetes mellitus patients.

Patients’ Cataract Knowledge, Post-Surgery Anxiety and Patiens’ Satisfaction of Cataract Surgery in Surabaya General Hospital: Preliminery Study

2025-10-31T07:25:11+00:00

Patients’ knowledge about cataracts, post-surgery anxiety and the satisfaction of cataract surgery services influence psychologist readiness, obedience, and all surgical experience. Understanding these factors are significant to design education intervention and effective perioperative psychosocial. The study aims: This cross-sectional descriptive preliminary study aimed to describe knowledge level, post-surgery anxiety and patients’ satisfaction of cataracts surgery in Surabaya General Hospital on September 2025, in order to identify problems description which need service improvement. Method: This was consecutive samples of 56 cataract surgery patients. Data collected by structured knowledge questionnaire (validated; KR-20 = 0.82), Zung Self-Rating Anxiety Scale (ZSAS; α = 0.88), and Patients’ Satisfaction Questionnaire (PSQ 2017) adapted from PSQ-18 (α = 0.91). Analysis data found descriptively as frequency, percentage, average, and deviation standard. Result: Most of the participants are female (58.9 %), aged 60-69 years old (48.2 %), and educated from low to medium level. The knowledge level which good is on 50.0 % of the participants (average 11.5 ± 2.0 from 15), medium level is on 17.9 %, and low level is on 32.1 %. Post-surgery anxiety in zero level is 53.6 % (average 45.0 ± 8.0), minor level is on 21.4 %, and major level is on 25.0 %. Major level satisfaction is on 58.9 % (average 39.5 ± 6.0 from 50), medium level is on 16.1 %, and minor level is on 25.0 %. Lower education level and informal job related by lower knowledge and satisfaction. Conclusion: This study shows mostly of the cataract surgery patients have lack of knowledge, major post-surgery anxiety, and low satisfaction. It needs better education intervention and appropriate, intense psychosocial support system as well. This finding gives prime important to serious discrepancy on the preparation and patients treatments nowadays, that needs further study and refinement to optimize patients’ results and all experience of health services

The Relationship Between Diabetes Self-Management Education and Blood Glucose Levels in Patients with Type 2 Diabetes Mellitus

2026-01-02T10:02:08+00:00

Diabetes mellitus is a chronic metabolic disease characterized by elevated blood glucose levels, which can cause serious damage to the heart, blood vessels, kidneys, eyes, and nerves. This study aimed to determine the relationship between diabetes self-management education and blood glucose levels in patients with type 2 diabetes mellitus at the Balerejo Public Health Center. This study used an observational analytical study with a cross-sectional design using consecutive sampling. Data were collected prospectively and analyzed using Spearman's Rank Test on 50 patients. The results of the analysis of the diabetes self-management education questionnaire, in the domain of diet with a good category of 32 people (64%), physical exercise 8 people (16%), foot care 34 people (68%), drug therapy 34 people (68%), and glucose level monitoring 17 people (34%). The blood glucose level values in the normal range are GDP 21 people (42%), GD2PP 27 people (54%), HbA1c 20 people (40%), and lipid profile values of total cholesterol 27 people (54%), LDL 28 people (56%), HDL 29 people (58%), triglycerides 27 people (54%). The results of the Spearman Rank analysis showed that there was a relationship between diabetes self-management education with GDP p-value 0.022; r 0.32, G2PP p-value 0.004; r 0.4, HbA1c p-value 0.036; r 0.3, total cholesterol p-value 0.027; r 0.31, LDL p-value 0.015; r 0.34, HDL p-value 0.008; r 0.37, triglyceride p-value 0.004; r 0.4. Conclusion: There is a significant relationship between diabetes self-management education and blood glucose levels as well as lipid profiles.

Intermittent Fasting as An Alternative Diet Strategy for T2DM Patients: A Systematic Review

2026-01-01T13:28:13+00:00

Type 2 diabetes mellitus is a chronic metabolic disorder that requires lifestyle-based interventions, particularly dietary modification. Intermittent fasting has emerged as a promising approach; however, evidence of its effectiveness remains inconclusive. This research aims to determine how intermittent fasting, implemented as a non-pharmacological dietary strategy, influences metabolic regulation, body composition, and dietary behavior in adults with type 2 diabetes mellitus. This study was designed as a systematic literature review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, focusing on randomized controlled trials (RCTs) published between 2020 and 2025. Comprehensive literature searches were conducted across three primary databases, including PubMed, ScienceDirect, and ClinicalKey. Methodological quality was assessed using the Revised Cochrane Risk-of-Bias Tool (RoB 2), and data were extracted systematically and synthesized narratively. The search identified 382 articles, of which nine RCTs met the inclusion criteria. The results show that 6 out of 9 studies reported statistically significant reductions in HbA1c (p < 0.05), with reductions ranging from -0.91% to -1.9%. Significant weight loss was observed across most studies, ranging from 2.98 kg to 9.7 kg (p < 0.01). Furthermore, lipid profiles showed significant improvements, particularly in triglycerides (p < 0.05) and total cholesterol (p ≤ 0.023) in selected trials. However, none of the reviewed studies examined eating behavior traits, highlighting a research gap. Future studies should explore behavioral and adherence aspects to assess the long-term feasibility of intermittent fasting in diabetes care.

Determinants of Hematological Abnormalities in Patients with Type 2 Diabetes Mellitus: a Cross Sectional Study

2026-01-12T03:24:57+00:00

Hematological abnormalities are commonly observed in patients with type 2 diabetes mellitus (T2DM) and may serve as markers of complication risk, thereby playing an important role in T2DM management; however, the determinants and regional variations remain incompletely understood, particularly in Lampung. This cross-sectional observational study was conducted among patients with T2DM attending the Internal Medicine Outpatient Clinic of RSUD Dadi Tjokrodipo, Bandar Lampung, from April to September 2024, enrolling 80 participants who met the inclusion and exclusion criteria. Data were obtained from complete blood count testing, medical records, and structured interviews with direct observation, and were analyzed using bivariable and multivariable logistic regression. The most frequently identified hematological abnormalities were anemia (45%), leukocytosis (32%), and an elevated neutrophil-to-lymphocyte ratio (NLR) (46%). In multivariable analysis, anemia was independently associated with uncontrolled glycemic status (adjusted OR = 15.914; p = 0.001), not following a recommended dietary pattern (adjusted OR = 7.402; p = 0.003), smoking (adjusted OR = 7.920; p = 0.015), and age ≥61 years (adjusted OR = 29.643; p = 0.004), whereas leukocytosis was independently associated only with uncontrolled glycemic status (adjusted OR = 4.310; p = 0.020). High NLR was independently associated with uncontrolled glycemic status (adjusted OR = 18.811; p = 0.001), employment status (adjusted OR = 8.630; p = 0.003), and not following a recommended dietary pattern (adjusted OR = 5.287; p = 0.015). Overall, uncontrolled glycemic status was the most dominant and consistent factor associated with hematological abnormalities among patients with T2DM.

Exercise Based Intervention for Dysmenorrhea: The Role of Abdominal Stretching and William’s Flexion

2026-01-12T05:07:57+00:00

Adolescence is a critical phase of human development characterized by rapid physical, psychological, and cognitive changes. One of the common reproductive health problems experienced by adolescent girls is primary dysmenorrhea, which is menstrual pain caused by excessive uterine contractions and increased prostaglandin levels. This condition can disrupt daily activities, learning concentration, and overall quality of life. This study aimed to analyze the effects of Abdominal Stretching Exercise and William’s Flexion Exercise on the intensity of menstrual pain among ninth-grade female students at SMP Dharma Bhakti Waypanji, Kalianda, South Lampung. The study employed a quasi-experimental pre–post test design with two intervention groups. The sample consisted of 48 ninth-grade students with primary dysmenorrhea, selected using total sampling. The first group received Abdominal Stretching Exercise, while the second group received William’s Flexion Exercise, each performed for 10–15 minutes per session under supervision to ensure proper execution. Pain intensity was measured before and after the intervention using the Numeric Rating Scale (NRS). Data were analyzed using an Independent t-test with a significance level of α = 0.05. The results showed that both interventions significantly reduced menstrual pain. The mean pain score in the Abdominal Stretching group decreased from 2.79 to 2.58 (p = 0.022), while the William’s Flexion group showed a greater reduction, from 2.79 to 1.54 (p = 0.000). The Independent t-test confirmed a significant difference in post-intervention pain scores (t = 5.802; p = 0.000), with William’s Flexion Exercise being more effective. These findings support the physiological theory that strengthening the abdominal and lumbar muscles, improving pelvic circulation, and promoting neuromuscular relaxation contribute to the reduction of uterine contractions and pain perception. In conclusion, William’s Flexion Exercise is more effective than Abdominal Stretching Exercise in reducing the intensity of dysmenorrhea. It is recommended that schools and health professionals incorporate this exercise as a routine non-pharmacological method for managing adolescent dysmenorrhea.

An An Innovative Approach to Identifying the Location of Myocardial Infarction Using the Einthoven Triangle

2025-10-31T07:48:00+00:00

Introduction. One of the essential competencies for nursing students is the ability to determine the location of myocardial infarction in cases of Acute Coronary Syndrome (ACS). This learning material is considered complex; therefore, specific strategies are needed to help students understand it more easily. The purpose of this study was to determine the effectiveness of the Einthoven triangle illustration in improving nursing students’ ability to identify the location of myocardial infarction. Methods. This study employed a one-group pre-test post-test design with a population of nursing students from the Faculty of Health Sciences, Tribhuwana Tunggadewi University. The study included seventh-semester nursing students with active enrollment who had no prior education or training in infarction localization. A total of 50 respondents were randomly selected. The Einthoven triangle illustration served as the independent variable, and the ability to determine the location of myocardial infarction served as the dependent variable. Data were collected using a test sheet and analyzed using the Wilcoxon test with a significance level of α = 0.05. Results. There was a twofold improvement in students’ ability to identify infarction sites before and after being taught using the Einthoven triangle method (median = 2 vs. 4). The Einthoven triangle illustration was proven effective in enhancing nursing students’ ability to determine the location of myocardial infarction (p = 0.000). Conclusion. To effectively deliver complex learning materials, it is essential to present them in simplified formats—such as diagrams, animated videos, or other visual aids—to facilitate students’ understanding.

The Relationship Between Maternal Knowledge and Vitamin A Capsule Consumption Behavior

2025-06-20T09:54:19+00:00

Vitamin A is an essential micronutrient important in maintaining healthy vision and immunity, especially in toddlers. This study aims to determine the characteristics of respondents (age, education level, income, occupation, knowledge, access to health services, and family support) regarding the taking of vitamin A capsules in toddlers and to determine the relationship between maternal knowledge and taking of vitamin A capsules in toddlers. The ties in the East Bali work area. This study used a quantitative approach with a cross-sectional design and a purposive sampling technique. The number of samples was 186 respondents. Data were collected through questionnaires that had been tested for validity and reliability, and analyzed using SPSS software through univariate and bivariate tests (Chi-square). The results showed that there was a significant relationship between maternal knowledge and the behavior of taking vitamin A capsules in toddlers (p <0.05). Taking vitamin A capsules in toddlers is influenced by socio-economic and cognitive factors of the mother. There is a need for holistic interventions that include increasing health education, easy access to services, and active family involvement in child health programs to increase the coverage of vitamin A provision in the community.

Improving the Lifeskills of the PROLANIS Group Through the Android-Based Application SIPEGI: Chronic Kidney Disease Information System in Kidney Disease Prevention

2025-10-29T07:07:28+00:00

Chronic Kidney Disease (CKD) increases every year, so life skills are needed in preventing kidney disease. Prevention needs to be done in risk groups who already have chronic diseases. PROLANIS is a Chronic Disease Management Program, a group of people with hypertension and diabetes mellitus. These diseases are the biggest risk factors for CKD. An educational approach requires appropriate methods and means to improve Life Skills by maximizing Android facilities through the SIPEGI application (Chronic). This study aims to improve the life skills of the PROLANIS group through the SIPEGI Android-based application: Chronic Kidney Disease Information System in preventing kidney disease. The study used a pre-experimental design. The sample was the PROLANIS group with the following criteria: PROLANIS members from Kepanjen District, Malang, cooperative, able to read and write, and own an Android. The sample size was 30 people with a purposive sampling technique. The variables studied were life skills in preventing kidney disease. The instrument used a pre- and post-test questionnaire with intervention in the form of SIPEGI education. The Wilcoxon statistical test obtained a p value of 0.001, meaning that there was an increase in the life skills of the PROLANIS (Chronic Disease Management Program) group through the SIPEGI Android-based application.