Journal of Vocational Nursing

COVER MAY 2025

JOVIN COVER — 2025-05-30

COVER VOL 6 NO 1 MAY 2025

TABLE OF CONTENT MAY 2025

JOVIN TABLE OF CONTENT — 2025-05-30

TABLE OF CONTENT VOL 6 NO 1 MAY 2025

THE RELATIONSHIP BETWEEN FAMILY SOCIAL SUPPORT AND COMPLIANCE OF CHRONIC RENAL FAILURE PATIENTS UNDERGOING HEMODIALYSIS

Adhe Dewanto — 2025-05-31

Introduction: Chronic kidney disease is defined as kidney damage that lasts long (chronic) and is characterized by a decrease in the kidney's ability to filter blood (GFR). Patients who experience this disease need social support from their families and compliance in undergoing hemodialysis. Therefore, this study aims to determine the relationship between family social support and compliance of chronic kidney failure patients undergoing hemodialysis at Cibitung Medika Hospital. Methods: The research method used in this study is descriptive correlation. The population in this study were all chronic renal failure patients with stable conditions who did outpatient hemodialysis at Cibitung Medical Hospital in the last 3 months, a total of 99 patients. Results: Based on statistical tests, a p-value of 0.000 with (p < 0.05) means Ha is accepted and Ho is rejected, meaning that there is a relationship between family support and the loyalty of chronic kidney failure patients undergoing hemodialysis at Cibitung Hospital in 2023. Conclusions: The conclusion in this study is that the majority of families being observed in this study provide full support to patients undergoing hemodialysis and most of chronic kidney failure patients comply with hemodialysis treatment at Cibitung Medika Hospital.

THE CORRELATION BETWEEN PARENTING AND GADGET SCREEN TIME ON SOCIAL INTERACTION OF SCHOOL-AGE CHILDREN

Dhiajeng Widya Ningrum — 2025-05-31

Introduction: The prevalence of social interaction disorders among school-age children remains high. Parental influence and excessive device usage are two key factors that affect children's social interactions. This study aims to examine the relationship between parenting styles, the duration of gadget use, and social interactions in school-age children. Methods: A cross-sectional design with a correlational analytical approach was employed in this study. The population consisted of 75 children, and a simple random sampling technique was used, resulting in a sample of 63 children. Data were collected using the Parental Authority Questionnaire (PAQ), a closed-ended survey instrument. The data were tabulated and analyzed using the Chi-square test. Results: The results revealed that most parents (38.1%) adopted a democratic parenting style, the majority of children (54.0%) spent more than two hours using technology, and the majority of children (52.4%) exhibited adaptive social interactions. The statistical analysis yielded a p-value of 0.000, indicating a significant correlation (p < 0.05) between school-age children's social interactions and the duration of gadget use. Conclusions: Based on these findings, it is recommended that parents closely monitor their children's technology use and establish time limits to prevent potential negative impacts on their social interactions with others.

IMPLEMENTATION OF AUDIOVISUAL TO INCREASE KNOWLEDGE OF ANEMIA IN ADOLESCENT GIRLS: A CASE STUDY

Fatmawati Fatmawati — 2025-05-31

Introduction: Effective and efficient media is needed to support nutrition education so that the information conveyed can be well received by its targets. Knowledge about anemia in adolescent girls is often underestimated, so the potential for the development of this disease continues. Lack of understanding about anemia in adolescent girls causes them to have unhealthy eating habits. One of the interesting media is video which includes the use of animated images, videos, or sounds (audio). The aim study is to investigate the effect of Anemia Prevention Education Using Animated Videos on Knowledge about Adolescent Girls at SMA N 15 Semarang. Methods: The case study method uses a descriptive design with a nursing process approach. The interventions were pre- and post-tests with a sample size of 10 respondents. The educational intervention used animated video media which was played for ± 10 minutes with 2 animated video series. The subjects of this case study are young women who were taken using purposive sampling techniques under the specified inclusion and exclusion criteria. Evaluation is measured using Hb levels before and after the session. Results: There was a significant change in participants’ knowledge after using animated videos, namely being in a good category (≥10. Conclusions: The results of this study show that providing education using animation media effectively increases knowledge and Hb levels.

APPLICATION OF CONTRAST BATH THERAPY AND 30-DEGREE FOOT ELEVATION TO REDUCE FOOT EDEMA IN PATIENTS WITH CONGESTIVE HEART FAILURE

Melsa Putri — 2025-05-31

Introduction: One of the most common cardiovascular diseases with a high morbidity and mortality rate is congestive heart failure (CHF). Patients with CHF often experience leg edema, which can cause discomfort and increase the risk of skin health issues. Therefore, nursing interventions are necessary to address the problem of leg edema in CHF patients. Methods: This study aims to provide a framework for the application of contrast bath therapy and 30-degree foot elevation procedures. This qualitative study employs a descriptive case study design with a therapeutic communication process approach, involving one participant with leg edema caused by CHF. Results: The implementation of the procedure begins with the pre-interaction phase, which involves assessing the patient's safety and protection needs and formulating a diagnosis regarding the risk of skin integrity damage. During the orientation phase, nurses provide therapeutic greetings, introductions, and obtain informed consent. In the interaction phase, the patient’s feet are soaked in warm water at 39°C for 3 minutes, followed by a soak in cold water at 16°C for 1 minute, then another soak in warm water at 39°C for 3 minutes. Afterward, the feet are dried with a towel, and the patient’s feet are positioned at a 30-degree elevation. The termination phase involves evaluating the patient's complaints and measuring the degree of edema. Conclusions: The contrast bath procedure and the 30-degree foot elevation, when combined with the therapeutic communication stages, can be effectively applied to treat edema in patients with congestive heart failure.

THE RELATIONSHIP BETWEEN ANXIETY LEVELS AND MENSTRUAL CYCLE DISORDERS IN UNDERGRADUATE NURSING STUDENTS WRITING THESES

Nurul Mu’jizah — 2025-05-31

Introduction: In the process of compiling a thesis, female students have a sense of anxiety. Anxiety that arises due to pressure and causes hormones that play a role in the menstrual cycle not to function properly, causing disorders in the menstrual cycle. The purpose of this study was to determine the relationship between anxiety levels and menstrual cycle disorders in female students of the Undergraduate Nursing Study Program who are compiling theses at Maharani Health College (STIKes Maharani). Methods: The research design used was Cross-sectional. Sampling used a purposive sampling technique. The research sample was 40 respondents. Data were collected by distributing questionnaires adopted from previous research that had undergone validity and reliability tests. Results: The results of this study found data on the highest level of anxiety, namely 31 people (77.5%) with moderate anxiety levels and 21 people (52.5%) experiencing menstrual cycle disorders. Based on the Fisher Exact Test, the p-value was obtained = 0.046 <α (0.05). Conclusions: It was concluded that there was a relationship between anxiety levels and menstrual cycle disorders in female students of the Undergraduate Nursing Study Program who were compiling theses at STIKes Maharani. Anxiety often causes menstrual cycles to become irregular. It is hoped that the anxiety experienced by female students while writing their thesis can be anticipated by adapting to their individual levels of anxiety. Female students must also have positive coping adaptations so that they do not have an impact on physiological changes and menstrual cycle disorders.

THE EFFECTIVENESS OF PUZZLE PLAYING THERAPY IN REDUCING ANXIETY IN PRESCHOOL CHILDREN WITH ACUTE RESPIRATORY INFECTIONS: A PRE-EXPERIMENTAL STUDY

Umi Sofiatun — 2025-05-31

Introduction: Acute Respiratory Infections (ARI) are a leading cause of morbidity and mortality in preschool children. Nebulizer therapy is effective for ARI, but it can cause anxiety in pediatric patients, which may hinder their cooperation and recovery. This study aims to evaluate the effectiveness of puzzle play therapy in reducing anxiety levels among preschool children with ARI undergoing nebulizer treatment. Methods: A pre-experimental study utilizing a one-group pretest-posttest design was conducted involving 23 preschool children diagnosed with ARI who received nebulizer therapy in the Children's Room A11 at SMC Telogorejo Hospital, Semarang, between March and April 2024. Anxiety levels were assessed pre- and post-intervention using the Taylor Manifest Anxiety Scale (TMAS), which has demonstrated validity (CVI score = 1.0, reliability = 0.89). Puzzle play therapy was administered alongside nebulizer therapy, and the data were analyzed through paired t-tests.Results: Most participants were 4-year-old males (47.8%) with a hospital stay of more than seven days (56.5%). Before the intervention, 73.9% of participants had severe anxiety (mean = 23.65). Following the intervention, 73.9% of participants reported moderate anxiety (mean score = 12.78), with no instances of severe anxiety. The statistical analysis showed a significant decrease in anxiety levels (p = 0.001). Conclusions: Puzzle play therapy effectively reduced anxiety in children during nebulizer treatment. This intervention can be implemented as a non-pharmacological approach to manage anxiety in pediatric patients during medical procedures. Further research should investigate its long-term benefits and applicability in various clinical settings.

FACTORS RELATED TO QUALITY OF LIFE AFTER PERCUTANEOUS CORONARY INTERVENTION (PCI) IN PATIENTS WITH ATHEROSCLEROSIS HEART DISEASE

Ilham Pangestu Jati — 2025-05-31

Introduction: Atherosclerotic heart disease is one of the leading cardiovascular diseases with a high mortality rate globally. Atherosclerosis occurs due to the accumulation of cholesterol and low-density lipoproteins (LDL) on the inner walls of blood vessels, forming plaques that can completely block arteries, potentially leading to death. One of the interventions used to relieve such blockages is percutaneous coronary intervention (PCI). PCI can have an impact on patients' physical activity and quality of life. The aim of this study is to determine the factors associated with quality of life after PCI in patients with atherosclerotic heart disease. Methods: This study employed a descriptive correlational research design with a cross-sectional approach. The sampling technique used was accidental sampling, resulting in a total of 60 respondents. Data were analyzed using the Spearman rank test and logistic regression. Results: The findings indicated that most respondents (81.7%) reported a moderate quality of life. Factors associated with quality of life after PCI included age, gender, education, anxiety, and illness perception. The results of the multivariate analysis revealed that the most significant factor associated with quality of life post-PCI was education, with an odds ratio (OR) of 9.392. Conclusions: Among all the factors, education emerged as the most dominant determinant of quality of life after PCI, with an odds ratio (OR) of 9.392 and a 95% confidence interval (CI) of 1.252–70.434.

THE EFFECT OF ROLE PLAY METHOD ON ADOLESCENTS’ KNOWLEDGE ABOUT BULYYING PREVENTION

Moch. Hakim Setya Negara — 2025-05-31

Introduction: Adolescence is a transition period from childhood to adulthood. As a teenager, individuals will begin to recognize a wider environment than family, and the socialization experienced by individuals will also be wider. Role-playing or role-playing methods as a treatment for bullies in schools so that they can prevent bullying activities that continue to recur. Methods: This study aims to determine the effect of the role-play method on preventing bullying in teenagers at SMP Negeri 1 Karanggeneng. This study used a quantitative pre-experimental design method with a one-group pre-test-post-test design approach. The population was 471 patients, with a sample of 114 with a simple random sampling technique. Data analysis used the Wilcoxon test. Results: The results of this study obtained 114 respondents for increasing bullying knowledge prevention with the final result being an increase of 94.7% in the good category, 5.3% in the sufficient category, and 0% in the less category. In the statistical test using Wilcoxon, the z value was obtained = -9.858 with a significant p-value = 0.000 where the significance standard p <0.005, meaning that there is an influence of the role-play method on the level of bullying cases in adolescents at SMP Negeri 1 Karanggeneng before and after. Conclusions: The use of role-play techniques in adolescent students to improve bullying prevention knowledge has a significant influence. The use of role-play techniques has significance in increasing bullying prevention, so it can lead to increased knowledge in adolescents of SMP Negeri 1 Karanggeneng.

THE RELATIONSHIP OF NURSES' CARING BEHAVIORS AND THE IMPLEMENTATION OF PATIENT SAFETY IN EMERGENCY DEPARTMENT (ED)

Ilkafah Ilkafah — 2025-05-31

Introduction: Patient safety remains a primary concern in healthcare, focusing on the prevention of medical errors and adverse side effects affecting patients. Despite numerous efforts to improve patient safety, incidents continue to occur, resulting in significant harm to patients. One critical factor in addressing this issue is the role of caring behaviors. Nurses' caring behaviors can serve as a strategy to enhance patient safety. This study aimed to investigate the relationship between nurses' caring behaviors and the implementation of patient safety protocols in the Emergency Department (ED) of Dr. Soegiri Lamongan Hospital. Methods: A correlational research design was employed using a cross-sectional approach. The study involved 28 nurses working in the Emergency Room. The instruments used included the CBI-24 (Caring Behavior Inventory) and a patient safety implementation questionnaire based on the International Patient Safety Goals (IPSG). Data were analyzed using univariate analysis (frequency distribution and percentage) and bivariate analysis (Coefficient of Contingency, with a p-value < 0.05). Results: The results showed that most nurses exhibited caring behaviors, with 18 respondents (64.3%) demonstrating these behaviors, and the majority had implemented patient safety protocols, with 21 respondents (75%) adhering to these measures. The coefficient of contingency test yielded a p-value of 0.023. Conclusions: A significant relationship was found between nurses' caring behaviors and the implementation of patient safety in the Emergency Department. This study highlights the critical role that nurses' caring behaviors play in enhancing patient safety. It is recommended that nurses continue to improve their caring behaviors and implement patient safety measures effectively. This approach will contribute to providing professional and cautious services, thereby improving the overall quality and safety of patient care.

THE RELATIONSHIP BETWEEN FAMILY SUPPORT AND MEDICATION COMPLIANCE IN MENTAL DISORDER PATIENTS

Endah Sri Wijayanti — 2025-05-31

Introduction: Patients with mental disorders who receive rehabilitation at home or as outpatients require support to comply with their treatment programs. One of the significant barriers to improving the health status of these patients is non-compliance with prescribed medications. This study aims to determine the relationship between family support and medication compliance in patients with mental disorders within the working area of the Turi Lamongan Health Center. Methods: This is an analytical study with a cross-sectional approach. The study population consisted of 90 families of patients with mental disorders, with a sample size of 73 respondents. Simple Random Sampling was used as the sampling technique. Data were collected using a questionnaire. The statistical test applied was Spearman's Rank correlation, with α = 0.05. Results: Among the 73 respondents, most reported moderate family support, with 38 respondents (52.1%), while a smaller proportion reported poor support, with 12 respondents (16.4%). Regarding medication compliance, most respondents showed moderate compliance, with 36 respondents (49.3%), and a smaller proportion exhibited good compliance, with 10 respondents (13.7%). The results of the Spearman Rank test revealed a ρ-value of 0.000 < α = 0.05, and the calculated r-value was 0.671. Conclusions: There is a significant relationship between family support and medication compliance in patients with mental disorders in the Turi Lamongan Health Center work area, with a strong degree of association.

THE RELATIONSHIP BETWEEN SELF-CARE AGENCY AND MEDICATION ADHERENCE IN TUBERCULOSIS PATIENTS

Iswatun Iswatun — 2025-05-31

Introduction: Adherence to tuberculosis (TB) medication is a critical factor in curing patients. Incomplete or improper treatment can lead to drug resistance or the recurrence of infection. Self-care agency plays a vital role in helping individuals remain compliant and consistent with their treatment. High medication adherence can also enhance an individual’s self-care agency. This study aims to determine the relationship between self-care agency and medication adherence in TB patients at Lamongan Health Center. Methods: This study utilized a quantitative correlational design with a cross-sectional approach. The study was conducted in March 2023. The study population consisted of 65 TB patients, with a sample size of 56 respondents selected through simple random sampling. The independent and dependent variables were self-care agency and medication adherence, respectively. Data on self-care agency were collected using the ASA Scale questionnaire, and medication adherence was assessed using the MMAS-8 questionnaire. Data analysis was performed using the Spearman rank correlation test. Results: The study found a strong positive relationship between self-care agency and medication adherence in TB patients at Lamongan Health Center, with a significance level of 0.001 (p < 0.05) and a correlation coefficient of 0.635. TB patients with high self-care agency were more likely to adhere to their medication regimen compared to those with lower self-care agency. Conclusions: The findings of this study suggest that improving self-care agency can enhance medication adherence among TB patients. These results can serve as a reference for strategies aimed at increasing medication adherence by strengthening patients' self-care agency.

THE RELATIONSHIP BETWEEN FAMILY SUPPORT AND SOCIAL SUPPORT WITH DIET ADHERENCE OF HYPERTENSIVE PATIENTS

Hesti Norma Sari — 2025-05-31

Introduction: Hypertension is an escalating global health issue, with diet playing a critical role in its management by limiting salt and saturated fat intake while increasing the consumption of fruits, vegetables, and fiber. However, low patient compliance often leads to unstable blood pressure and increases the risk of complications such as stroke, heart disease, and kidney failure. This study aims to analyze the relationship between family support, social support, and diet adherence among hypertensive patients. Methods: This study employed a descriptive survey approach with a cross-sectional research design, conducted among hypertensive patients at the Margorejo Pati Health Center. A total of 40 participants were selected using purposive sampling techniques. Data were collected using a Family Support Questionnaire, a Social Support Questionnaire, and a Hypertension Diet Adherence Questionnaire. The Spearman Rank Correlation test was used to determine the relationship between the variables. Results: The bivariate analysis revealed a strong correlation between family support and diet adherence among hypertensive patients, with a p-value of 0.000 (p ≤ 0.05) and a correlation strength of r = 0.979, indicating a very strong and positive relationship. Additionally, social support was significantly associated with diet adherence, with a p-value of 0.000 (p ≤ 0.05) and a correlation strength of r = 0.912, demonstrating a very strong positive correlation. Conclusions: The findings indicate that both family and social support are strongly and positively correlated with the dietary adherence of hypertensive patients. Based on these findings, it is recommended to enhance family involvement in patient dietary management.

EFFECTIVENESS OF PEER GROUP SUPPORT IN THE APPLICATION OF ACUPRESSURE ON MENSTRUAL PAIN

Rosari Oktaviana Mahundingan — 2025-05-31

Introduction: One of various techniques in reducing menstrual pain is using relaxation techniques, namely acupressure. Group methods and peer group support are used to help teenagers overcome pain. The purpose of this study was to review Peer Group Support in the application of acupressure to menstrual pain in adolescent girls using the Self Determination model approach. Methods: This study used a quasi-experimental design with a pre-test and post-test design, of one group without a control group. The sampling technique used was simple random sampling. The inclusion criteria were respondents who had menstruated, experienced menstrual pain, age at menarche between ≤12 years to ≥14 years, and menstrual duration <3 days to >7 days, as well as being cooperative and willing to be a respondent. The sample size was 35 adolescent girls. Results: The study with the Paired t-test showed that the Acupressure group experienced changes with a p-value = 0.03. The average increase in managing menstrual pain in t-count was 2.45. Conclusions: The pain level was measured at the beginning of menstruation, followed by the acupressure technique independently, then the pain level was measured again and showed a significant increase after the intervention in the group that did not experience acupressure. There were 2 respondents (5.7%) of pain, 26 respondents (74.3%) were at the mild pain level and 7 respondents (20%) were at the moderate pain level.

THE IMPACT OF NUTRITIONAL STATUS ON THE RISK OF ANEMIA IN PREGNANT WOMEN: A CROSS-SECTIONAL STUDY

Emuliana Sulpat — 2025-05-31

Introduction: Pregnancy anemia is the cause of the high maternal mortality rate (AKI) in Indonesia. Nutritional status is one of the factors that affect pregnancy anemia. Poor nutritional status in pregnant women increases the risk of developing anemia, which is 6,500 times greater than in mothers with good nutritional status. This study aims to determine the relationship between nutritional status and the incidence of anemia in pregnant women. Methods: The research method used in this study is a quantitative study with a correlational design with a cross-sectional approach. The population in this study is all pregnant women who have their pregnancy checked at the Balerejo Health Center, a many as 50 people. Purposive sampling technique: a sample of 44 people. The independent variable is nutritional status, and the dependent variable is the incidence of anemia. The data was collected using a questionnaire and a LILA ribbon and analyzed using chi-square. Results: The results of the analysis of the chi-square statistical test showed that there was a relationship between nutritional status and the incidence of anemia, with the result of sig-p = 0.000, p< 0.05. Conclusions: It is recommended that pregnant women maintain their body condition by consuming nutritious food to meet the body's needs and avoid a lack of nutritional status and the occurrence of anemia, which can be fatal to death.

SELF-MANAGEMENT TOWARDS BULLYING PREVENTION IN ADOLESCENTS: A CROSS-SECTIONAL

Masunatul Ubudiyah — 2025-05-31

Introduction: Bullying is a health problem that often affects adolescents, especially some adolescents in schools who do not have good self-management. Self-management plays an important role in improving skills in managing students' emotions, thoughts, and behavior in a positive way to prevent bullying in adolescents. The purpose of this study was to determine the relationship between self-management and bullying prevention in adolescents. Methods: This study used a descriptive design with a cross-sectional study approach. The population in this study was students at one of the public junior high schools in Lamongan Regency who were identified as having experienced bullying in the school environment, with a total of 96 students. This study was conducted on 72 adolescents using purposive sampling. Self-management assessment used a self-management scale questionnaire for students, while bullying prevention was measured using a bullying scale questionnaire. Data were tabulated and analyzed using the Spearman Rank rho test. Results: The results of statistical tests show that self-management is related to the ability to prevent bullying in adolescents with a p-value of 0.000 and a correlation coefficient (r=0.716). Conclusions: Self-management is a key component in preventing bullying in adolescents in schools. The self-management approach requires collaboration with teachers and a positive school climate.