Proceedings STIKep PPNI Jawa Barat : is a peer-reviewed journal published by STIKep PPNI Jawa Barat, publication that showcases cutting-edge research, innovations, and advancements presented at conferences on health science and technology. Published twice a year, this proceeding serves as a valuable resource for scholars, healthcare practitioners, researchers, and policy-makers who are focused on the evolving role of technology in health sciences. By emphasizing interdisciplinary work at the nexus of healthcare, clinical practice, and technological development, the proceedings aim to encourage collaboration and stimulate further innovations that enhance patient care, improve health outcomes, and strengthen healthcare systems both locally and globally. Each issue features a curated selection of papers that reflect recent progress across a wide spectrum of health science disciplines, especially those emphasizing the integration and application of technology. We encourage contributions from researchers, practitioners, and innovators in diverse fields, including health science, medicine, engineering, public health, data science, and healthcare policy. By publishing these proceedings, we aim to facilitate a global dialogue on the latest advancements, challenges, and opportunities in health science, with a particular emphasis on how technology can help solve some of the most pressing issues in modern healthcare.
Knowledge and Attitude of Nurses Toward Developmental Care of Premature Babies in Indonesia
Objective: The aim of this study is to assess neonatal nurses' knowledge and attitudes toward developmental care, while also examining the characteristics of the nursing staff. Method: This research employs a quantitative descriptive approach with a cross-sectional design, involving 103 respondents. Inclusion criteria specify that participants must be NICU nurses with over one year of experience. The study utilizes the Individualized Developmental Care Knowledge and Attitude Scale (2023). Results: The findings indicate that nurses scored highest on the subscale related to Creating a Healing Environment, with an average score of 3.53 and a standard deviation of 0.58. In contrast, the subscale for Individualized Developmental Care Practices received the lowest average score, with a mean of 3.36 and a standard deviation of 0.62. Conclusion: The results suggest that neonatal nurses demonstrate the greatest knowledge and positive attitudes towards Creating a Healing Environment, while their knowledge and attitudes towards Individualized Developmental Care Practices are comparatively lower. This underscores the need for targeted education and resources to enhance the application of developmental care in the NICU.
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The Effect of Distracting Lighting and Moving Musical Toys on Pain Levels During Blood Collection in Preschool-Age Children
Objective: To evaluate the impact of lighted and moving musical toys as a distraction technique on pain levels during blood collection in preschool-aged children. Method: This study utilized a quasi-experimental post-test design with two groups. A convenience sampling method was applied to select 80 participants, with 40 assigned to the control group and 40 to the intervention group. The intervention group experienced distraction through lighted and moving musical toys for 5-10 minutes during the blood collection procedure. Pain levels were measured using the Wong-Baker Faces Pain Rating Scale. Data analysis included independent t-tests, ANOVA, and Pearson correlation tests. Results: There was a significant difference in pain scores between the control and intervention groups during blood collection, with a Sig (2-tailed) value of 0.0001 (p < 0.005). Conclusion: The use of lighted and moving musical toys as a distraction technique significantly reduced pain during blood collection in preschool-aged children. This approach provides an effective alternative for pain management in pediatric care settings.
A Digital Education Intervention Based on Protection Motivation Theory on Young Women’s Intention to get HPV Vaccination
Objective: HPV vaccination is a crucial primary prevention strategy to reduce the incidence of HPV infection; however, vaccination rates remain low. This is closely related to individuals' intentions to receive the HPV vaccination, which plays a significant role in decreasing HPV infections and controlling cervical cancer in women. To enhance intention and promote positive health behaviors, effective education is essential. This study aims to assess the impact of Protection Motivation Theory (PMT)-based digital health education on the intention to receive the HPV vaccination among young women. Method: A quasi-experimental design with a two-group pre-post test approach was utilized, involving 136 respondents who were divided into an intervention group (68) and a control group (68). The inclusion criteria included adolescent girls aged 16-18 years. The instrument used was based on a six-domain model. Statistical analyses were performed using paired sample t-tests and ANCOVA. Results: The study found a significant difference in scores within the intervention group that received PMT-based digital health education, with a p-value of 0.000. Conversely, the control group did not show any significant difference in scores, with a p-value of 0.325. A significant difference in scores between both groups was also observed, with a p-value of 0.000. Conclusion: PMT-based digital health education effectively influences the intention to receive the HPV vaccination among young women, suggesting its potential as a key strategy in increasing vaccination uptake and preventing HPV-related diseases.
Development and Usability of a Mobile Application on Pressure Ulcers Among Stroke Patient
Objective: The increasing global use of smartphones has contributed to the growing use of apps for various health conditions, showing promising results. Through mobile apps, it is possible to perform chronological and iconographic follow-up of wounds, such as pressure ulcers, using a simple and practical tool.. Method: The methods used in this research are descriptive, heuristic, and usability studies of an application called "SinoBed". The usability of the application is analyzed by users when the application has been disseminated and can be used. This research was conducted at STIKep PPNI Jawa Barat. Results: The usability test consisted of 15 end users participated, with nurses who have experience working with stroke patients, possess personal cellular devices, and are proficient and acclimated to using cellular applications; 66% of them were women and 33% were men. Their mean age was 34,4 years (SD=9,07), and 80% of them were student non-regular users. Completing the questionnaire and creating an account were the next two tasks that took the longest on average to complete, after downloading and installing the application. With an average usability score of 100.3, the lowest score was 84 and the highest was 124. Usability was therefore framed at one level (80=totally agree), which indicates that the app prototype's usability is good. Conclusion: Test findings indicate that the application prototype's development has a high degree of usability. Users expressed complete agreement with the items on the sure instrument; this suggests that the product was designed with programming that takes into account respondent's satisfaction, effectiveness, and efficiency when the application is later launched.
The Impact of Structured Exercise on the Fear of Childbirth Among Pregnant Women
Objective: This study aimed to examine the effect of structured exercise on FOC among pregnant women. Method: The study utilized a quasi-experimental design with a two-group pre-test and post-test format. A total of 52 pregnant women were selected through convenience sampling, with 26 women in the intervention group and 26 women in the control group. Data were collected using the WDEQ-A questionnaire to measure FOC. The intervention group received structured exercise over 3 weeks, with the first week dedicated to providing information about pregnancy exercises and two weeks of exercise, twice a week, with each session lasting 30 minutes. Data analysis included Wilcoxon, Mann-Whitney, and ANCOVA tests. Results: The results indicated a significant reduction in FOC in the intervention group, with a mean square of 5374.105, F = 54.023, and a significance value of 0.000 (p < 0.005). This demonstrates a strong effect of structured exercise on reducing FOC. Conclusion: Structured exercise was found to be effective in lowering FOC among pregnant women. Given these findings, it is recommended that structured exercise be integrated into prenatal care routines to help reduce the fear of childbirth. Health professionals should enhance education and provide adequate facilities to support pregnant women in engaging in these exercises, ultimately improving their childbirth experience.
Factors Related to Socio-Emotional Development of Children Aged 0-6 Months First Life
Objective: This study aims to identify the factors that affect social-emotional development in children aged 0-6 months. Method: The study used an analytical survey method with a cross-sectional approach. Sampling was conducted using non-probability sampling techniques, with a total of 136 respondents. The inclusion criteria were parents with children aged 0-6 months. The instruments used included a demographic questionnaire and the Ages and Stages Questionnaires: Social-Emotional, Second Edition (ASQ:SE-2). The data analysis methods included ANOVA Bivariate Analysis and Linear Regression Analysis. Results: Bivariate analysis showed significant relationships (p < 0.05) between infant and parental demographics with children's social-emotional development. Linear regression found sex, age, weight, parental education, and occupation significantly influenced emotional status. Girls showed better development than boys (β = 100.23, p = 0.00). The compliance aspect had the highest mean (1.83), while parental anxiety was the lowest (0.03). The overall mean score across seven aspects was 39.90 (SD ± 10.96). Conclusion: Significant factors affecting the social-emotional development of infants aged 0-6 months include the baby's sex, age, current weight, parental education level, and occupation. Among the subdomains, compliance was the most dominant variable, while parental anxiety was the least influential.
The Effect of Al-Qur'an Recitation Therapy on Patient Comfort in the High Care Unit
Objective: This study aims to investigate the effect of Al-Quran recitation therapy on patient comfort in the High Care Unit (HCU). Method: This quantitative study utilized a quasi-experimental design with a two-group pretest-posttest approach. A total of 52 HCU patients were selected through convenience sampling and divided equally into two groups: 26 patients in the intervention group and 26 in the control group. The intervention group received Al-Quran Surah Ar-Rahman recitation therapy for 30 minutes daily over three consecutive days, while the control group received standard hospital care. Patient comfort was measured using the SGCQ questionnaire. Data were analyzed using paired t-tests. Results: The average initial comfort score in the intervention group was 82.3 (±6.06). Following the administration of Al-Quran recitation therapy, the comfort score increased to 96.23 (±5.26). A statistically significant difference was observed in the increase in comfort scores after the intervention when comparing the intervention group, which received Al-Quran recitation therapy, to the control group, which did not receive this therapy (p < 0.001). Conclusion: The integration of critical care with Al-Quran recitation therapy has been shown to enhance patient comfort in the High Care Unit (HCU). Al-Quran recitation (murottal) can be recommended as part of nursing intervention programs for patients in critical care settings
The Relationship Between Learning Motivation and Critical Thinking in Nursing Students
Objective: This research was conducted to investigate how learning motivation influences the development of critical thinking skills among students enrolled in nursing education programs. By examining the interplay between these two variables, the study seeks to provide insights into how motivational factors may contribute to the enhancement of higher-order cognitive abilities within the context of nursing training. Method: A quantitative correlational research design was adopted. The study population consisted of 118 nursing students from STIKep PPNI West Java, with a sample size of 95 respondents. Data were collected using validated questionnaires measuring Learning Motivation and Critical Thinking. Results: The analysis revealed a statistically significant relationship between students’ motivation to learn and their capacity for critical thinking. This association was supported by a p-value of 0.000, indicating a high level of significance as it falls well below the conventional threshold of 0.05. These findings suggest that higher levels of motivation are closely linked to enhanced critical thinking abilities among learners, highlighting the importance of fostering intrinsic motivation in educational settings to support cognitive development. Conclusion: The study concluded that learning motivation has a positive and significant relationship with critical thinking in nursing students. These findings underscore the importance of promoting learning motivation among nursing students to enhance their critical thinking abilities, which are essential for their professional development.
The Effect Of Slow Deep Breathing On Fatigue In Chronic Kidney Disease Patients Undergoing Hemodialysis
Objective: This study aims to explore the impact of slow deep breathing on fatigue in patients with chronic kidney disease receiving hemodialysis. Method: This quasi-experimental study employed a pretest-posttest control group design involving 44 participants selected through purposive sampling. Participants included individuals diagnosed with chronic kidney disease undergoing hemodialysis and experiencing fatigue. The FACIT-Fatigue instrument was used for data collection, and both dependent and independent t-tests were applied for statistical analysis. Results: Findings revealed a significant reduction in fatigue scores in the intervention group following the slow deep breathing intervention, with a mean difference of 6.86 and a p-value of 0.000. In comparison, the control group showed a mean difference of 1.91 and a p-value of 0.000. Conclusion: These results demonstrate the effectiveness of slow deep breathing in reducing fatigue among chronic kidney disease patients undergoing hemodialysis. Slow deep breathing is recommended as a complementary intervention for managing fatigue in this population.
Self-Perceived Burden, Social Support, and Quality of Life Among Elderly with Hypertension
Objective: Self-perceived burden, social support, and quality of life are important aspects of understanding the well-being of the elderly with hypertension. This study aimed to explore the relationship between self-perceived burden, social support, and quality of life among the elderly with hypertension. Method: This descriptive quantitative study with a correlational design included 235 hypertensive older adults using a convenience sampling method. The data were collected using the Indonesian version of the SPBS, the MSPSS, and the WHOQOL-OLD. Spearmen’s correlation and multiple linear regression analyses were performed in this study. Results: The study revealed that the SPBS score of the elderly with hypertension was negatively correlated with the QoL (P<0.05); on the other hand, the MSPSS score was positively correlated with the QoL (p<0.05). The multivariate analysis showed that the MPSS was the most significant variable in the quality of life of the hypertensive elderly. Conclusion: Self-perceived burden and social support were significantly associated with quality of life among elderly individuals with hypertension. Higher perceived burden correlated with lower quality of life, while greater social support was linked to better well-being, emphasizing the importance of psychosocial factors in managing chronic conditions in older adults.
Effectiveness of HD-Self Management (Hd-SEMA) Application on Self-Care Among Hemodialysis Patients
Objective: Self-care is a critical component of self-management in patients undergoing hemodialysis (HD). Management education using Android-based mobile technology can enhance self-care practices in HD patients. The HD-SEMA application aims to assist new HD patients and improve the self-care capabilities of long-term HD patients. Method: This study investigated the impact of the HD-SEMA application on self-care in HD patients using a repeated-measurement quasi-experimental two-group pretest-posttest design conducted in West Java. The study included 60 respondents, divided into intervention and control groups. The intervention group received training sessions twice weekly for 30–40 minutes over four weeks, totaling eight sessions. The control group followed standard hospital practices. The Self-Care CKD Index Questionnaire was used as the research instrument. Results: In the intervention group, pre-test mean scores for self-maintenance, self-management, and self-confidence were 18.17 (SD = 2.605), 12.60 (SD = 1.694), and 23.27 (SD = 4.008), respectively. Post-test mean scores improved to 19.67 (SD = 2.339) for self-maintenance, 13.87 (SD = 1.526) for self-management, and 25.63 (SD = 2.189) for self-confidence. A significant improvement was observed within the intervention group (p-value = 0.000, p < 0.05) and between the intervention and control groups (p-value = 0.000, p < 0.05). Conclusion: The HD-SEMA application demonstrated significant potential in enhancing self-care behaviors among HD patients. Its effectiveness is influenced by factors such as usability, patient engagement, and the inclusion of features tailored to the specific needs of HD patients.
The Relationship Between Knowledge of Coronary Heart Disease Risk Factors and Healthy Living Behavior in The Elderly
Objective: This study aimed to assess the relationship between knowledge of coronary heart disease (CHD) risk factors and healthy lifestyle behaviors in the elderly population. Method: A quantitative, cross-sectional design was conducted with 56 elderly respondents selected through purposive sampling. Data were collected using the CHD Risk Factors Knowledge Questionnaire and a Healthy Lifestyle Behavior Survey. Statistical analysis included Spearman’s rank correlation and multiple logistic regression. Results: Spearman’s rank test showed a significant negative correlation between knowledge of CHD risk factors and healthy lifestyle behaviors (p = 0.012; r = -0.332), indicating that lower knowledge was associated with poorer lifestyle practices. Logistic regression revealed a significant model (p = 0.018) with an odds ratio (OR) of 0.233. Among the influencing variables, smoking contributed 14.6% and gender 15.38% to the variance in behavior. The Nagelkerke R-square value was 0.260, suggesting the model explained 26% of the variability in healthy lifestyle outcomes. Conclusion: Knowledge of CHD risk factors is significantly associated with lifestyle behaviors in the elderly. Improving awareness through targeted education may enhance prevention strategies and promote healthier aging.
The Effect of Content Video Social Media Education on Improving Mental Help Seeking Behavior in Adolescents
Objective: This study aims to examine the effect of educational video content on social media on mental help-seeking behavior among adolescents aged 15-19 years. Method: This research utilized a quasi-experimental design with a pre-post-test approach involving two groups: an intervention group (n=36) and a control group (n=36), for a total of 76 respondents. Data were collected using the Attitudes Toward Seeking Professional Psychological Help Scale – Short Form (ATSPPH-SF) questionnaire. The data were analyzed using paired sample t-tests and ANCOVA. Results: The average age of participants was 16.29 years, with the majority being female (48 participants, 63.2%). Most respondents (71 participants, 93.4%) reported using social media. The intervention group, which received social media educational video content, showed a significant improvement in scores, with a p-value of 0.000. In contrast, the control group showed no significant difference, with a p-value of 0.098. Social media educational video content had a significant effect on mental help-seeking behavior in the intervention group (p=0.000). Conclusion: Educational video content on social media effectively improves mental help-seeking behavior among adolescents
The Effect of Couple-Based Intervention on Sexual Risky Behavior Among Prospective Brides and Grooms in Bandung, Indonesia
Objective: This study evaluates the effect of a couple-based intervention (CBI) on self-efficacy, behavioral intention, and perceived benefits related to sexual risk behaviors among prospective brides and grooms in Bandung, Indonesia Method: A quasi-experimental study design was implemented from May to June 2023, involving 44 participants recruited via convenience sampling. Participants were divided into intervention and control groups. The CBI included psychoeducation, communication skill-building, and practical risk reduction strategies delivered through interactive sessions. Data were collected using the Sexual Behavioural Abstinence and Avoidance of High-Risk Situation Questionnaire (SBAHAQ). Pre- and post-intervention assessments were analyzed using ANCOVA to determine the effectiveness of the intervention. Results: The intervention group exhibited significant improvements in self-efficacy (mean difference = 2.28, p < 0.001), behavioral intention (mean difference = 1.96, p < 0.001), and perceived benefits (mean difference = 3.55, p < 0.001), alongside a notable increase in total scores (mean difference = 7.77, p < 0.001). In contrast, the control group showed minimal or non-significant changes across these variables (p > 0.05). Conclusion: The findings underscore the effectiveness of CBIs in reducing risky sexual behaviors by enhancing self-efficacy, behavioral intention, and perceived benefits among prospective marital couples. Culturally adapted CBIs should be integrated into prenuptial programs to improve sexual and reproductive health outcomes in Indonesia.
Case Study : Family Experiences in Public Society Stigma Among People with Mental Disorders
Objective: To explore the family's experience of public stigma toward individuals with mental disorders. Method: This study employed a qualitative approach with multiple case studies. Data were collected through interviews with families of individuals with mental disorders from one area in the Garut Regency. Methods : This qualitative multiple case study explores family experiences of public stigma toward individuals with mental disorders in Garut Regency. Data were collected via semi-structured interviews, analyzed using content analysis. Ethical standards were maintained, with confidentiality assured. Themes emerged on stigma frequency, impact, and coping strategies. Results: No experiences of public stigma were reported, as individuals with mental disorders were considered neither dangerous nor harmful to society. However, families expressed feelings of anxiety, worry, and sadness regarding their members' conditions, as they had not fully recovered and were facing challenges in the treatment process. Conclusion: Overall, the study concludes that, based on interview data, families of individuals with mental disorders currently do not experience societal stigma. Future researchers should be well-prepared in the data collection process and strive to gather more detailed information related to the topic.
Health Promotion Using The Buzz Group Method Against Sexual Deviant Behavior in Adolescents
Objective: The purpose of this study was to evaluate the effectiveness of a health promotion intervention, delivered through the Buzz Group method, in reducing the risk of sexually inappropriate behavior among adolescent participants. Method: This study adopted a quantitative method with a quasi-experimental framework, specifically utilizing a two-group pre-test and post-test setup. A total of 120 individuals participated, evenly assigned to either the intervention or control group, with 60 members in each. The intervention group engaged in activities based on the Buzz Group technique, implemented across a two-week period. This design enabled the examination of differences in outcomes between the groups before and after the intervention to assess the method’s potential impact. Results: The results showed a significant influence of the Buzz Group method on sexual deviation behavior. A p-value of 0.001 (p<0.005) was obtained through both paired t-test and independent sample t-test analyses, indicating a significant difference between the intervention and control groups. This result suggests that the health promotion intervention had a notable effect on reducing sexual abnormal behaviors in the intervention group. Conclusion: The results showed a notable positive effect from the intervention, emphasizing the effectiveness of interactive group discussions as a strategy for influencing behavioral change in sexual health education, particularly in addressing and preventing inappropriate sexual behavior among adolescents.
The Impact of Web-Based Education on Nurses' Preparedness for Fire Disasters in Hospitals
Objective: This study investigates the effectiveness of web-based education in enhancing nurses’ readiness and response capabilities for managing fire-related emergencies within hospital settings. Method: The research employed a quasi-experimental design with a pre-test and post-test control group structure. A total of 100 participants were selected through convenience sampling. Data collection involved a preparedness questionnaire, which demonstrated strong internal consistency with a Cronbach’s Alpha of 0.828. Paired t-tests were used to analyze the data, aiming to evaluate changes in nurses’ preparedness levels before and after the web-based educational intervention. Results: The findings demonstrated that web-based education had a significant positive effect on nurses' preparedness for hospital fire emergencies. Analysis using the paired t-test showed a statistically significant improvement within the intervention group (p = 0.001). Additionally, the independent t-test comparing post-test scores between the intervention and control groups also yielded a significant result (p = 0.001), indicating a measurable difference attributable to the educational intervention. Conclusion: Web-based education significantly enhances nurses' preparedness in effectively responding to fire emergencies within hospital settings, highlighting its value as a practical and accessible training method for emergency readiness.
Effectiveness of Implementing Supportive Sound (Wellness Therapy) to Improve Sleep Quality in Tuberculosis Patients
Objective: To assess the effectiveness of nature sound music therapy (sound supportive wellness therapy) in improving sleep quality in pulmonary TB patients. Method: The study used a pre-experimental design with 7-day observation. A total of 17 pulmonary TB patients at the Labuan Baji Hospital, Makassar underwent music therapy for 7 sessions with a duration of 40-60 minutes per session. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI) before and after the intervention Results: More than half of the respondents were female (58.82 %), with the avarage of age was 46 years old. After the intervention, there was a significant increase in sleep quality in pulmonary TB patients with a moderate effect (Cohen's d = 0.46; P <0.05). The greatest improvement was seen in subjective sleep quality (Cohen’s d=1.13) and sleep latency (Cohen’s=0.50). The smallest improvement was in sleep duration (Cohen’s d=0.25). Conclusion: Natural sound music therapy is effective in improving sleep quality in pulmonary TB patients, especially in terms of subjective sleep quality, sleep latency and sleep effectiveness. This intervention provides physiological and psychological benefits, supporting the improvement of quality of life in TB patients
Anxiety Levels Among Preoperative Patients in Dr. Hasan Sadikin Hospital, Bandung
Objective: This study aimed to evaluate the level of anxiety experienced by patients prior to undergoing surgery. Method: A quantitative research approach was applied, as the data collected were numerical in nature and analyzed using statistical procedures. The study employed a descriptive design. The target population included preoperative patients admitted to the 4th floor Central Operating Theatre (COT) of RSUP Dr. Hasan Sadikin Bandung. Participants were selected through convenience sampling. Using G*Power software version 3.1.9.4, the minimum required sample size was calculated to be 83 respondents. Results: The demographic characteristics of the respondents showed that 28.92% (24 individuals) were in late adulthood, 61.45% (51 individuals) were female, and 42.17% (35 individuals) had attained a high school level of education. In terms of anxiety levels, 67.5% (56 respondents) reported moderate anxiety related to anesthesia, 68.7% (57 respondents) exhibited moderate anxiety about the surgical procedure itself, and 87.9% (73 respondents) experienced moderate anxiety concerning the information they received. Conclusion: The results indicated that the majority of preoperative patients experienced moderate levels of anxiety. At this level, most patients were generally able to comprehend instructions and apply coping strategies effectively, suggesting the importance of tailored preoperative education and support to address their informational and emotional needs.
Ergonomics Knowledge and Work Posture of Nurses in The Prevention of Musculoskeletal Disorders in The Emergency Room: A Case Study
Objective: This study aimed to explore nurses' understanding of ergonomics and assess their work postures in relation to the prevention of musculoskeletal disorders (MSDs) in the emergency room setting. Method: A qualitative research design was adopted, specifically a single case study approach, to conduct an in-depth exploration of emergency room nurses’ knowledge about ergonomics. Data collection was carried out through semi-structured interviews, allowing for detailed responses and insights. The study focused on gathering rich qualitative data to understand how nurses perceive and apply ergonomic principles in their daily practice to prevent MSDs. Results: Interviews with three emergency room nurses revealed that all participants had a basic understanding of ergonomic principles, including musculoskeletal disorders, proper posture, and injury prevention. They emphasized the importance of correct body mechanics during tasks like lifting patients or prolonged standing. Nurses also recognized the link between poor posture and conditions such as low back pain and neck strain. Conclusion: The study concludes that nurses' understanding of ergonomics is vital in minimizing musculoskeletal injury risks in emergency settings. Enhancing ergonomic awareness and promoting proper work practices support nurses’ health and safety. Integrating ergonomic education into workplace policies is recommended to strengthen injury prevention and improve long-term occupational well-being.
Efectiveness of Foot Muscle Isometrik Execise on Pain Severity of Patients with Lower Limb Fractures
Objective: To identify the effect of foot muscle isometric exercise on pain severity of patients with lower limb fractures. Method: A quasi-experimental research design was employed using a two-group pre-test and post-test approach. A total of 42 participants were selected through convenience sampling. The intervention group received foot muscle isometric exercise, while the control group did not. Pain intensity was measured using the Numeric Rating Scale (NRS), a widely used tool for assessing pain severity in both clinical and research settings. Data analysis was conducted using the independent t-test to evaluate differences between the two groups. Results: The demographic data indicated that the majority of participants were male in both the control group (71.4%) and the intervention group (90.5%). The most common surgical procedure was open reduction and internal fixation (ORIF), performed in 57.1% of the control group and 47% of the intervention group. The findings revealed a statistically significant difference in postoperative pain scores between the two groups, with a p-value of 0.00 (p < 0.05), indicating the effectiveness of isometric exercises in reducing pain. Conclusion: The study suggests that foot muscle isometric exercises are effective in reducing postoperative pain. Future research should investigate its effectiveness in patients with higher pain severity, long-term outcomes, and its integration with other non-pharmacological pain management strategies.
The Effect of Benson Relaxation Therapy on Sleep Quality in Elderly
Objective: The decline in physical function commonly experienced by the elderly can affect various aspects of life, including sleep quality. Poor sleep can lead to further health complications and decreased quality of life, making early intervention essential. This study aimed to examine the effect of Benson relaxation therapy on sleep quality in elderly individuals. Method: This study used a quasi-experimental two-group pre-test and post-test design involving 60 elderly participants, divided equally into control and intervention groups. Purposive sampling was applied, and sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI). Data were analyzed using paired and independent t-tests to determine significant differences. Results: The findings revealed a significant improvement in sleep quality among the intervention group following Benson relaxation therapy. The proportion of participants with good sleep quality increased by approximately 8.2%. The intervention group showed statistically significant improvement with a p-value of 0.000 (p < 0.05), while the control group did not show significant change, with a p-value of 0.161. Conclusion: Benson relaxation therapy has a positive effect on improving sleep quality in the elderly. It is recommended as a non-pharmacological intervention to support better rest and enhance overall well-being in older adults.
The Effect of Motivation Enhancement Therapy on Proactive Coping Smoking Cessation Among Adolescents
Objective: This study aimed to investigate the effectiveness of Motivation Enhancement Therapy (MET) in improving proactive coping strategies related to smoking cessation among adolescents. Method: A quasi-experimental pre- and post-test design with two groups was employed. A total of 144 adolescents aged 15–19 years who were active smokers were selected using purposive sampling. The sample was divided evenly into an intervention group and a control group. The intervention group received MET for one month, focusing on strengthening internal motivation and proactive coping strategies to support smoking cessation. The Proactive Coping Inventory (PCI) was used to measure changes in coping abilities before and after the intervention. Post-test measurements were conducted two weeks after the treatment. Data were analyzed using paired and independent sample t-tests to compare outcomes within and between groups. Results: The findings revealed that participants in the MET group experienced a statistically significant increase in proactive coping scores compared to those in the control group, with a p-value of 0.00 (p < 0.05). This suggests that MET had a meaningful impact on adolescents' ability to proactively cope with smoking cessation challenges. Conclusion: This study provides strong evidence for the efficacy of MET in promoting smoking cessation and enhancing proactive coping among adolescents. By addressing both motivational and coping factors, MET can empower adolescents to make positive changes in their lives and achieve long-term smoking cessation
Online and Offline Interventions to Improve Adolescent Reproductive Health Knowledge and Attitudes: A Scoping Review
Objective: This scoping review aims to identify and classify online and offline interventions to improve adolescent reproductive health knowledge and attitudes, and evaluate their effectiveness. Method: The study employs a scoping review methodology, following the Arksey and O’Malley framework and PRISMA guidelines. Articles published between 2019 and 2024 were retrieved from PubMed, CINAHL, and Scopus using comprehensive search strategies. Inclusion criteria focused on quantitative studies involving adolescents aged 10-19 years that assessed interventions targeting knowledge or attitudes about reproductive health. Data were extracted systematically and critically appraised using the Joanna Briggs Institute (JBI) tool, with articles scoring above 75% considered high quality. Results: Fifteen studies met the inclusion criteria, comprising six online interventions (web-based programs, mobile applications, text messaging) and nine offline interventions (school-based programs, family-oriented initiatives, games, and health education). Sample sizes ranged from 64 to 1,210 participants, predominantly adolescents aged 10-24 years. Both online and offline interventions significantly improved knowledge and attitudes toward reproductive health, with all studies achieving JBI critical appraisal scores above 75%. Conclusion: Both online and offline interventions are effective in enhancing adolescents’ reproductive health knowledge and attitudes. The choice of intervention should align with the target population's characteristics. This review highlights the importance of integrating diverse approaches into reproductive health education to address varying needs and contexts effectively
The Use of Mobile Learning on Increasing Learning Communication Among Nursing Students
Objective: This research investigates the impact of a mobile-based learning tool—created with Smart App Creator—on improving communication-related learning outcomes among nursing students. Method: The study employed a quantitative methodology, utilizing a one-shot case study design. From a total of 163 nursing students, 37 participants were randomly chosen through a simple random sampling method. Data were gathered through a combination of assessments, surveys, direct observations, and semi-structured interviews. Analytical procedures included descriptive statistics, t-tests, and regression techniques to interpret the findings. Results: The findings indicated a meaningful enhancement in students' communication competencies following the use of the mobile learning application. Statistical evidence supported the conclusion that the tool contributed positively to various aspects of learning, including communication skills, learner engagement, motivation, and the ability to retain information. Conclusion: Integrating mobile applications into nursing education can significantly strengthen students' learning communication. These results underscore the potential of digital platforms in advancing communication training. It is recommended that subsequent studies explore the design of more interactive and content-rich mobile learning resources to further support effective teaching and learning processes in healthcare education.
Relationship Between Work Life Balance and Turnover Intention in Nurses at Bandung City Hospital
Objective: This study aims to examine the relationship between work-life balance and turnover intention among nurses at Bandung City Hospital. Method: This quantitative correlation study employed a cross-sectional design with a sample of 134 nurses from Bandung City Hospital. The inclusion criteria were nurses who had worked for at least one year at the hospital. Data were collected using two questionnaires: a work-life balance questionnaire consisting of 17 items, and a turnover intention questionnaire with 6 items. Spearman rank correlation was used for data analysis. Results: The results show that less than half of the nurses were in generation Y (27-42 years) (49.3%). More than half of the respondents were female (67.2%) and had education level in diploma degree (67.2%). More than half of the respondents were married (68.7%), with length of work more than 4 years (64.2%) Working hours per week are mostly >40 hours (83.6%), and the number of holidays per year was mostly >12 times (83.6%). The findings revealed a significant relationship between work-life balance and turnover intention among nurses at Bandung City Hospital, with a strong negative correlation of -0.648 and a p-value of 0.000 (p < 0.05). Conclusion: A lower work-life balance is associated with a higher turnover intention among nurses, suggesting the importance of promoting a balanced work environment to reduce turnover rates.
Effectifitness of Upper Back Massage to Reduce Fatigue Among Nurses at Kemuning Building of Dr. Hasan Sadikin Hospital Bandung
Objective: This study explores the impact of upper back massage as an intervention to alleviate fatigue experienced by nurses working in the Kemuning Building at Dr. Hasan Sadikin Hospital, Bandung. Method: A quasi-experimental design with one group and a pre-test–post-test format was applied. The research involved 85 nurses selected through total sampling. The Fatigue Assessment Scale (FAS) was used to measure fatigue levels before and after the intervention. Statistical analysis was conducted using paired t-tests to evaluate differences in fatigue scores. Results: Demographic analysis showed that the average participant age was 37 years. The majority of nurses were diploma graduates (57.6%), married (77.6%), and worked more than 40 hours per week. Post-intervention analysis using paired t-tests revealed a statistically significant decrease in fatigue levels, with a p-value of less than 0.0005, indicating that the massage therapy had a substantial effect. Conclusion: The findings suggest that upper back massage is a beneficial method for reducing physical fatigue among nurses. Incorporating this non-pharmacological approach into workplace wellness programs may help improve overall well-being and performance among healthcare professionals.
The Effect of Reminiscence Therapy on Stress, Anxiety and Depression Levels in The Elderly
Objective: This study aims to determine the effect of reminiscence therapy on stress, anxiety, and depression levels in the elderly, focusing on its potential to enhance emotional well-being and psychological resilience. Method: This research used a quasi-experimental design with a one-group pre-post design approach, involving 30 elderly respondents. Inclusion criteria were elderly individuals who could still interact and communicate. The instrument used was the Depression Anxiety Stress Scales (DASS-42) questionnaire, with analysis conducted using the Wilcoxon Signed Ranks Test and Paired Sample T-test. Results: The study was conducted on 30 elderly individuals at the Tresna Werdha Budi Pertiwi Social Home and the Titian Benteng Gading Elderly Foundation. The results showed that all the respondents were female (100%), and majority were widowed (80%). The most common reasons for entering the home are personal desire and family decision (40%). The most common health condition was hypertension (45%). Bivariate analysis showed the average stress level score from 18.03 decreased to 14.60, anxiety from 12.57 decreased to 8.53, and depression from 20.00 to 12.09, with a p-value of <0.05 Conclusion: Reminiscence therapy has a significant effect on the levels of stress, anxiety, and depression in the elderly, promoting emotional well-being, enhancing self-esteem, and fostering a sense of social connectedness and purpose.
Differences in Leveling and Zeroing Methods on Intra-Arterial Pressure Parameters in Cardiac Catheterization Patients at Cath Lab Room of RSUP Dr. Hasan Sadikin Bandung
Objective: This study aimed to compare intra-arterial pressure (IAP) measurements obtained using standard transducers and zero-line transducers during cardiac catheterization procedures. Method: A quasi-experimental design was applied involving 73 patients who underwent cardiac catheterization at RSUP Dr. Hasan Sadikin Bandung. Measurements of systolic, diastolic, and mean arterial pressure (MAP) were collected using both standard and zero-line transducer techniques. Statistical analysis was performed using Independent Samples T-tests to evaluate differences in pressure readings between the two methods. Results: The results showed no statistically significant differences in systolic, diastolic, or MAP values between the standard and zero-line transducer groups (p > 0.05). The average difference in measurements was less than 1 mmHg. This minimal variation is likely due to the relatively uniform anatomical characteristics of participants, with a mean chest cavity diameter of 18.33 ± 2.47 cm. Conclusion: Zero-line transducers demonstrate comparable accuracy to standard transducers in measuring intra-arterial pressure during cardiac catheterization. In addition to reliable performance, zero-line transducers offer advantages in operational simplicity, making them particularly suitable for sterile, fast-paced clinical environments.
The Relationship of Family Function with Proactive Coping Smoking Cessation in Adolescents
Objective: This study aimed to examine the relationship between satisfaction with family functioning and proactive coping strategies in relation to smoking cessation among adolescents. Method: A descriptive correlational design with a cross-sectional approach was employed. The study involved 161 adolescent respondents selected through total sampling. Data were gathered using the APGAR questionnaire to assess family function satisfaction and the Proactive Coping for Smoking Cessation (PCSC) questionnaire to evaluate coping mechanisms. Kendall’s Tau-b test was used for statistical analysis to explore the relationship between variables. Results: The majority of respondents were female (57.8%) with an average age of 14 years. Most participants were categorized as passive smokers (72.7%), and nearly all reported having healthy family relationships (96.9%). Additionally, over half of the respondents (52.2%) demonstrated a moderate level of proactive coping. Bivariate analysis showed a statistically significant relationship between family function satisfaction and proactive coping related to smoking cessation, with a p-value of 0.030 (≤ 0.05). Conclusion: There is a significant association between family function satisfaction and proactive coping in adolescents attempting to quit smoking. These findings highlight the role of family support in influencing positive behavioral change. Future studies may use these results as a reference for designing interventions that integrate family dynamics to enhance adolescent smoking cessation efforts.
The Relationship Between Sleep Quality and Hemodynamic Status Among Critical Patients
Objective: This study aims to investigate the association between sleep quality and hemodynamic status in critically ill patients admitted to the Intensive Care Unit, focusing on physiological stability and patient outcomes. Method: A descriptive correlational study with a cross-sectional design was conducted. Sleep quality was assessed using the Richards-Campbell Sleep Questionnaire, while hemodynamic parameters were observed through routine clinical monitoring. The sample included 26 ICU patients who met the inclusion criteria: age ≥18 years, ICU stay of at least 24 hours, and a Glasgow Coma Scale (GCS) score ≥12. Results: The majority of participants were male (61.5%). Diagnoses included coronary artery disease (42.3%), ST-elevation myocardial infarction (23.1%), congestive heart failure (26.9%), and ventilator-associated pneumonia (7.7%). Over half of the patients had comorbid conditions (53.8%). Poor sleep quality was reported by 38.5%, and very poor sleep by 46.2%. A statistically significant correlation was found between sleep quality and heart rate (p = 0.031). Conclusion: Heart rate appears to be the most responsive hemodynamic parameter to changes in sleep quality. In contrast, SpO₂ and MAP are more affected by other clinical factors. Continuous monitoring of both sleep quality and heart rate is crucial for optimizing care in ICU patients, especially those with cardiovascular issues.
Factors Affecting Parent Acceptance Toward Human Papilloma Virus (HPV) Vaccine among Elementary School Children’s Parent
Objective: This study aims to identify the factors influencing parent acceptance of the HPV vaccine for their elementary school-aged children Method: A quantitative research design using a cross-sectional study approach was employed. Data collection involved 120 parents of children aged 9–12, selected through convenience sampling. Five questionnaires were utilized: a demographic questionnaire, knowledge assessment (KAPPAS study), attitudes and beliefs (based on the Health Belief Model and Social Cognition Theory), social media influence, and parent acceptance (KAPPAS study). Statistical analyses included bivariate testing and multivariate analysis to identify significant factors influencing parent acceptance. Results: Bivariate analysis revealed significant associations between parent acceptance and several variables, including income (p = 0.005), age, employment, knowledge, attitudes, beliefs, and social media exposure (all with p-values of 0.000). Multivariate analysis showed that age (p = 0.003), knowledge (p = 0.004), and employment (p = 0.029) were the most influential factors. Conclusion: Among the various factors examined, age, knowledge, and employment emerged as the most significant predictors of parent acceptance of the HPV vaccine for their children.
Association Between Menstrual Pattern and Incidence of Anemia among Adolescent
Objective: The purpose of this study was to examine the association between menstrual patterns and the prevalence of anemia among adolescents. Method: A quantitative research design using a cross-sectional study approach was employed. Data collection involved 120 parents of children aged 9–12, selected through convenience sampling. Five questionnaires were utilized: a demographic questionnaire, knowledge assessment (KAPPAS study), attitudes and beliefs (based on the Health Belief Model and Social Cognition Theory), social media influence, and parent acceptance (KAPPAS study). Statistical analyses included bivariate testing and multivariate analysis to identify significant factors influencing parent acceptance. Results: The study employed a descriptive correlational design within a cross-sectional framework. A total of 130 adolescents, selected through total sampling, participated. Inclusion criteria required that participants had experienced at least six menstrual cycles. Data were analyzed using frequency distribution and chi-square tests to determine the relationship between menstrual characteristics and anemia status. The findings indicated a notable association between irregular menstrual cycles and higher rates of anemia among the participants. Conclusion: The results underscore the importance of implementing targeted health education initiatives in school settings, emphasizing menstrual health awareness and nutritional guidance. Early education may play a critical role in preventing anemia and promoting well-being among adolescents, particularly those experiencing menstrual irregularities.
The Effectiveness of Interactive Video-Based Pregnancy Exercise to Reduce Anxiety of Pregnant Women
Objective: Determine the effectiveness of video-based pregnancy exercise to reduce anxiety of pregnant women. Method: This research was Quasy Experiment with a pre and post-test approach. The population was pregnant women with a sample of 128 people which divided into two groups. Convenience sampling techniques was use to select the samples with inclusion criteria were pregnant women aged 18 years and over with gestational age past the first trimester. Data collection using questionnaires (Pregnancy Related Anxiety Questionnaire- revised 2 (PRAQ-R2). Data analysis was used Independent t test. Results: Majority of respondents were aged 18–25 years, with 50% in the control group and 51.6% in the intervention group. 50% of respondents in the control group and 42% in the intervention group had completed senior high school. More than half of the respondents were in their second trimester of pregnancy, accounting for 62.5% in the control group and 60% in the intervention group. Independent sample test results obtained p value = 0.484 (>0.05) which means there is no significant difference between the two groups. Conclusion: Intervention through video pregnancy exercise for second and third trimester pregnant women is not significant for reducing anxiety levels. Future studies should also explore alternative delivery methods for pregnancy exercise interventions to minimize unintended anxiety increases in both groups
Usability Testing of HD-SEMA Apps For Hemodialysis Patients
Objective: The objective of this study is to conduct usability testing on the HD-SEMA application. Method: This study is quantitative in nature. The design used is a cross-sectional study with a nonequivalent control group design. The research sample consists of 30 respondents selected through convenience sampling. The instrument used is the System Usability Scale (SUS). Results: The results of the descriptive analysis of the questionnaire responses from 30 respondents indicate that the highest average score was for question no. 5, with a mean value of 4.6 (SD = 0.5). The lowest average score was for question no. 8, with a mean value of 1.4 (SD = 0.6). The total average score was 82.17 (SD = 175.867), with a minimum score of 62.5 and a maximum score of 95.0. Conclusion: The study results revealed an average SUS score of 82.17, reflecting the usability level of the HD-SEMA application. The findings indicate that the HD-SEMA application falls into the "Acceptable" category, with a grade scale of B (Excellent), signifying that the score is good and the application is suitable for use.
The Effect of the Combination of Slow Deep Breathing and Murottal Arrahman Surah 55 on Pain in Patients Abdomen Colic
Objective: To find out the effect of the combination of Sloiw Deieip Breithing and Muroittal Ar-rahman surah 55 on pain in patients with abdominal colic. Method: This study is a quasi-experimental study with a pretest-posttest two-group research design. With a sample size of 26 intervention groups and 26 control groups. The instrument used is the Numeric Rating Scale (NRS). Results: The resultsl the average age of respondents is 39.13 years, most of them are female 51.9% have college education 34.6% and 25% of respondents have jobs as housewives. The results of this study indicate that there is a significant difference in scores in the intervention group after being given slow deep breathing and murottal Ar-Rahman intervention with a mean difference of 2.12 and a p value of 0.000 compared to the control group with a mean difference of 0.11 and a p-value of 0.083. From the results of the man whitney u test, a p-value of 0.000 was obtained Conclusion: There is a significant effect between the combination of slow deep breathing and murottal Ar-Rahman surah 55 on pain in abdominal colic patients. Suggestion: the combination of slow deep breathing and murrotal Ar-Rahman can be used as a guide and SOP for dealing with pain at Santosa Kopo Hospital.
The Effect of Earthquake Disaster Simulation Video on Disaster Preparedness Practices Among Elementary School Students
Objective: This study aims determine the effect of providing animated videos and disaster simulations on preparedness in elementary school students Method: This study was quasi experimental design approach with one group pre-post test. A total of the respondents were 60 students. Data collection using earthquake disaster preparedness knowledge questionnaire and data analysis used Wilcoxon test Results: The results of this study showed that the average age of students was 10 years old with the majority was females (66.7 %). There was the means score of preparedness before being given the earthquake disaster simulation video was 5.30 and after intervention was 15.43. The results of the statistical test showed the p-value was 0.000 (<0.05). Conclusion: There is an effect of providing animated videos and earthquake disaster simulations on the preparedness of elementary school children.
The Effect of Peer Learning Method on The Level of Patient Safety Knowledge and Activeness in Nursing Students
Objective: Knowing the effect of peer learning methods on the level of patient safety knowledge and activeness in nursing students Method: This research is a Quasi Experiment research with a two group pretest-posttest research design with control group design. The number of respondents amounted to 48 people with each group of 24 people. The inclusion criteria in this study were level 1 students who had not been given patient safety material. The instrument used was a knowledge level questionnaire and a learning activeness observation sheet. Results: In the Wilcoxon test, showed a significant Asymp. Sig value that is significant in the intervention group is 0.000 <0.05, while in the control group 1.000> 0.05. The Mann Whitney test on the level of knowledge showed a significant Asymp. Sig value is 0.000 < 0.05 and the difference in activeness between the intervention and control groups also shows a significant Asymp. Sig value is significant 0.000 (<0.05). Conclusion: In this study it can be concluded that the peer learning method has an influence on the level of knowledge and activeness of students.
The Effect of Family Empowerment Intervention Through Hand Massage Therapy on Patient’s Anxiety in the High Care Unit of Dr. Hasan Sadikin Hospital Bandung
Objective: This study aimed to examine the effect of family empowerment interventions using hand massage therapy on the anxiety levels of patients treated in the High Care Unit (HCU) of Dr. Hasan Sadikin Hospital, Bandung. Method: A quasi-experimental research design with a one-group pre-test and post-test approach was used. The study involved 32 respondents selected through accidental sampling based on specific inclusion criteria, including patients with stable hemodynamic status and those receiving treatment in a critical care setting for the first time. Data were collected using the State-Trait Anxiety Inventory (STAI) questionnaire to measure anxiety levels before and after the intervention. Data analysis was conducted using the Wilcoxon signed-rank test to assess changes in anxiety levels pre- and post-intervention. Results: Before receiving the family empowerment intervention through hand massage therapy, the majority of patients (24 respondents or 75.0%) experienced moderate levels of anxiety. Following the intervention, most patients (25 respondents or 78.1%) reported a decrease to mild anxiety levels. Statistical analysis using the Wilcoxon test showed a significant difference between pre- and post-test anxiety scores, with a p-value of 0.000 (p < 0.005). Conclusion: The findings indicate that hand massage therapy provided by family members as part of a family empowerment intervention significantly reduces anxiety levels in patients receiving care in the High Care Unit. This approach may serve as an effective, non-pharmacological strategy to support emotional well-being in critically ill patients.
Prevalence of Intention to Seek Counseling, Sleep Quality, Depression, Anxiety, and Stress among Adolescents in Bandung, Indonesia
Objective: This study aimed to evaluate the levels of intention to seek counseling, sleep quality, and symptoms of depression, anxiety, and stress among adolescents in Bandung, Indonesia. Method: A cross-sectional study was conducted involving 308 high school students aged 15–19 years from two schools in Bandung. Data were collected using three validated instruments: the Intention to Seek Counseling Inventory (ISCI), the Pittsburgh Sleep Quality Index (PSQI), and the Depression Anxiety Stress Scales (DASS-21). These tools assessed students’ readiness to seek psychological help, sleep patterns, and emotional well-being, respectively. Data analysis included descriptive statistics and correlation analysis to explore relationships between variables. Results: The findings revealed that a majority of participants experienced moderate to high levels of depression, anxiety, and stress. Poor sleep quality was also prevalent among the respondents. Although many adolescents reported a positive intention to seek professional counseling, several barriers were identified, including stigma surrounding mental health, lack of trust, and limited access to affordable and youth-friendly services. These obstacles often deterred students from seeking timely help. Conclusion: The study underscores the urgent need to develop accessible and youth-oriented mental health interventions. A digital application offering self-assessment tools, counseling access, and educational resources may help bridge existing service gaps. By reducing stigma and enhancing awareness, such platforms could play a critical role in improving the mental health and overall well-being of adolescents. The results serve as a valuable reference for educators, healthcare providers, and policymakers working to address adolescent mental health challenges in school settings
Effectiveness of the INPRO Nursing Services Clinical Governance Model for Enhancing Job Satisfaction and Performance of Nurses in Primary Health Center
Objective: This study aimed to evaluate the effectiveness of the Inpro clinical governance model in improving job satisfaction and performance among nurses in primary health care settings. Method: A quasi-experimental study with a pre-test and post-test control group design was conducted. A total of 56 nurses participated, divided equally into intervention and control groups. The intervention group received implementation of the Inpro clinical governance model, while the control group continued with standard practices. Data on job satisfaction and performance were collected before and after the intervention using validated instruments. Statistical analysis was used to compare changes between the two groups. Results: The findings indicated a significant improvement in both job satisfaction and performance among nurses in the intervention group after the application of the Inpro clinical governance model. In contrast, the control group showed no meaningful changes. The increase in average scores in the intervention group was statistically significant, demonstrating the model's effectiveness in enhancing nursing outcomes. Conclusion: The Inpro clinical governance model proved to be an effective strategy for increasing nurse job satisfaction and performance in primary health centers. It offers a structured approach to improving nursing service quality and can be adopted in similar healthcare settings to support professional development and service excellence.
Identification of Different Types of Sleep Quality Measurement Tools in Critically Ill Patients : Systematic Review
Objective: This systematic review is to find out what sleep quality measurement tool is most appropriate for critical patients in the ICU so that this paper can provide information to nurses regarding the needs of critical patients in fulfilling sleep while the patient is in the ICU. Method: March 2023 database search through PubMed/MEDLINE, ProQuest, Scopus, Sage Journals, Taylor France Online, and ScienceDirect, with the keywords Sleep DAN quality AND instrument OR questioner AND Critical ill OR ICU OR intensive care unit with inclusion criteria: primary sources 2018-2023; full text, English, the number of respondents is at least 10 people Results: The review consisted of 11 articles that met the criteria, out of 11 articles a total of 965 respondents, males amounted to 60.9%, and females amounted to 39.1%, with an average age of 60.5 years in the age range of ≥18-85 years, at least treated in the ICU for 24-72 hours, almost most of the GCS respondents ≥ 13, the most measuring instruments used RSCQ. Conclusion: The fulfillment of the needs of patientsin critical patients is very disrupted. There are many methods for assessing critical patient sleep in the ICU but according to the authors, the RCSQ is the most reliable measuring tool.
English Language Learning Needs and Perceptions among Nursing Students
Objective: English is increasingly used in the global nursing field, requiring nurses to possess strong English proficiency. The shift from general English instruction to English for Specific Purposes (ESP), particularly in nursing, emphasizes the need for language skills tailored to clinical settings. Despite efforts by the Indonesian government to support nurse migration abroad, only 5% of nursing graduates work internationally (BNP2TKI, 2019). One major barrier is limited foreign language proficiency. This study aims to explore the English learning needs and perceptions of nursing students to better align language education with professional requirements. Method: A descriptive quantitative cross-sectional design was used, involving 114 nursing students. Data were collected using a structured questionnaire assessing needs in reading, writing, listening, and speaking. Univariate analysis was conducted to describe frequencies and averages. Results: Participants’ average age was 20.21 years (SD ± 1.05), with most under 20 (74.5%) and in their second year of study (69.3%). The majority were enrolled in the bachelor's nursing program (67.5%) and had graduated from senior high school (69.3%). Among the four skills, reading showed the highest learning need (mean = 31.71, SD ± 3.79), while listening had the lowest (mean = 17.22, SD ± 2.46). There was no significant relationship between demographic variables (age, grade, major, high school background) and total English learning needs. Conclusion: Nursing students require focused English support, particularly in listening skills. Curriculum development should prioritize these needs, as demographic factors do not significantly influence language skill gaps.
Relationship Between Education Level, Disease Duration, Self-Efficacy, and Knowledge In Managing Hypertension: A Cross-Sectional Study
Objective: This study investigates the factors influencing knowledge of self-care management in hypertension, focusing on education level, duration of hypertension, and self-efficacy Method: Using secondary data from a previous cross-sectional study conducted in the working area of Puskesmas Pasundan, Indonesia, the study explores the relationship between these factors and patients’ knowledge and behaviors regarding hypertension management Results: The results revealed that education level and self-efficacy were significantly correlated with knowledge of hypertension self-care, while duration of hypertension was not significantly related to knowledge. A positive and significant correlation was found between education level and knowledge (r = 0.301, p = 0.003), and self-efficacy and knowledge (r = 0.275, p = 0.006), suggesting that individuals with higher education levels and stronger self-efficacy tend to have better knowledge of managing hypertension. Conclusion: These findings highlight the importance of addressing self-efficacy and providing tailored health education as key components of hypertension management interventions. The study suggests that interventions focused on improving self-efficacy and health literacy could enhance hypertension management, particularly in underserved communities. Future research should focus on developing strategies that integrate these factors into practical, community-based healthcare programs.
The Influence Of Intradialytic Exercise Resistance Band Method On Quality Of Life In Patients Undergoing Reguler Hemodialysis
Objective: This research aimed to examine the impact of resistance band exercises conducted during hemodialysis sessions on the quality of life among individuals receiving regular treatment. Method: The study employed a quasi-experimental design using a one-group pretest-posttest approach. Participants were selected through purposive sampling. Out of a total population of 225 hemodialysis patients, 30 individuals met the inclusion criteria and were enrolled in the study. Eligibility required participants to be over 18 years old, actively undergoing routine hemodialysis, and to possess a functioning arteriovenous (AV) shunt. The intervention consisted of a structured intradialytic resistance exercise program, performed for 30 minutes twice a week over a four-week period. Quality of life was measured using the Kidney Disease Quality of Life Short Form (KDQOL-SF 36). Statistical analysis was conducted using a paired sample T-test to assess changes before and after the intervention. Results: Findings revealed a positive shift in participants' quality of life scores, increasing from a baseline average of 74.43 ± 6.91 to 76.33 ± 7.47 post-intervention. The Wilcoxon test indicated a statistically significant improvement in quality of life following the exercise program (p < 0.05), suggesting the intervention was beneficial. Conclusion: The implementation of resistance band exercises during dialysis sessions appears to be an effective strategy to enhance the quality of life in patients undergoing regular hemodialysis. Incorporating such interventions into routine care may offer a non-pharmacological means of supporting patient well-being.