TRIAGE Jurnal Ilmu Keperawatan

Prevalensi Post-Partum Blues pada Hari Kedua Pasca Persalinan di RSU’AISYIYAH Klaten

Wulandari Nur Fatimah — 2025-12-06

Postpartum blues merupakan kondisi suasana hati yang muncul akibat penyesuaian diri terhadap persalinan, yang muncul antara hari pertama hingga keempat belas pasca persalinan, dan mencapai puncaknya pada hari ketiga hingga kelima. Gejala dari post partum blues meliputi perasaan khawatir berlebih, sedih, gangguan tidur, merasa tidak berguna maupun hilangnya nafsu makan. Ibu dan keluarga umumnya tidak menyadari gangguan tersebut dan tidak dilaporkan sehingga tidak terdiagnosa serta tidak mendapat perhatian dari petugas kesehatan. Pada akhirnya, hal ini menimbulkan tantangan signifikan yang dapat berkembang menjadi penyakit yang lebih parah, khususnya depresi post partum dan psikosis post partum. Penelitian ini bertujuan untuk menjelaskan karakteristik postpartum blues pada ibu nifas di RSU Aisyiyah Klaten. Penelitian ini menggunakan desain deskriptif kuantitatif dengan ukuran sampel 64 orang, terdiri dari post partum spontan dan sectio caessarea (SC), dengan menggunakan teknik pengambilan accidental sampling. Hasil penelitian menunjukkan karakteristik responden antara lain usia responden yaitu diantara 20-35 tahun sebanyak 90.6%, responden yang tidak bekerja mayoritas sebanyak 71.9%, paritas mayoritas yaitu multipara (>1 kali) sebanyak 51.6%, status kehamilan responden mayoritas direncanakan sebanyak 60.9%, dukungan suami mayoritas menemani saat persalinan sebanyak 92.2%, aktivitas olahraga responden mayoritas kadang-kadang sebanyak 70.3%, dan jenis persalinan mayoritas Sectio Caessarrea (SC) sebanyak 76.6%. Berdasarkan hasil penelitian yang dilakukan di RSU’Aisyiyah Klaten tentang Prevalensi Post Partum Blues Pada Hari Kedua Pasca Persalinan terdapat 3.1 % yang mengalami risiko depresi post partum dan sebagian dalam pada tingkat normal sebanyak 96.9%.

Sexual Self-Concept pada Remaja: Kajian Deskriptif di Wilayah Resiko Tinggi Penularan PMS

Devi Permatasari — 2025-12-06

Latar Belakang: Masa remaja adalah fase perkembangan yang ditandai oleh perubahan fisik, psikologis, dan sosial, termasuk eksplorasi identitas seksual. Salah satu faktor yang memengaruhi perilaku seksual remaja adalah sexual self-concept, yaitu persepsi individu terhadap dirinya sebagai makhluk seksual. sexual self-concept yang positif dapat membantu remaja membentuk identitas seksual yang sehat dan menghindari perilaku seksual berisiko. Tujuan penelitian: Mengetahui gambaran sexual self-concept pada remaja di salah satu wilayah yang beresiko tinggi penularan penyakit seksual menular. Metode penelitian: Penelitian ini merupakan studi kuantitatif dengan pendekatan deskriptif. Sampel berjumlah 150 siswa kelas XI dari total 238 siswa, diambil dengan teknik proportional random sampling. Data dikumpulkan menggunakan kuesioner Multidimensional Sexual Self-Concept Questionnaire (MSSCQ) dan dianalisis secara univariat dalam bentuk distribusi frekuensi dan persentase. Hasil penelitian: Sebagian besar responden berusia 15–18 tahun dengan rata-rata usia 16,8 tahun, mayoritas laki-laki (52,7%), dan tinggal bersama orang tua (97,3%). Sebanyak 52,7% responden pernah terpapar pornografi. Hasil menunjukkan hampir seimbang antara remaja dengan sexual self-concept positif (50,7%) dan negatif (49,3%). Kesimpulan: Remaja menunjukkan kecenderungan memiliki sexual self-concept yang positif. Temuan ini menegaskan perlunya penguatan pendidikan seksual komprehensif dan dukungan keluarga untuk membantu remaja membangun sexual self-concept yang lebih sehat. Paparan pornografi yang cukup tinggi juga menunjukkan pentingnya literasi digital sebagai upaya pencegahan dan penguatan perilaku seksual yang bertanggung jawab.

Pengaruh Senam Kaki terhadap ABI Penderita DM di Wilayah Kerja Puskesmas Karanganyar

Putri Sovia Melati — 2025-12-06

Background: Diabetes Mellitus (DM) is a chronic disease that has the potential to cause serious complications, one of which is peripheral circulation disorders that can lead to diabetic ulcers and even amputation. Early detection of circulatory disorders can be done through the Ankle Brachial Index (ABI) examination. One of the non-pharmacological interventions that is useful in improving blood circulation in the lower extremities is diabetic foot exercises. Objective: to determine the effect of diabetic foot exercises on changes in ABI values in DM patients. Method: The study used a pre-experimental design with a one-group pretest-posttest approach. The sample consisted of 76 respondents with DM in the working area of the Karanganyar Community Health Center. The intervention in the form of foot exercises was given three times in two weeks, while the ABI examination was carried out using a manual sphygmomanometer according to standard procedures. Results: The results of univariate data analysis used frequency distribution, while bivariate analysis was carried out using the Paired t-test and Wilcoxon test. The results of the Wilcoxon test showed a p-value of 0.000 (p <0.05), so Ha was accepted and Ho was rejected. This indicates a significant effect of diabetic foot exercises on improving ABI values in DM patients. Conclusion: Diabetic foot exercises have been shown to be effective in improving peripheral blood circulation and increasing ABI values in DM patients. This intervention can be recommended as a simple, inexpensive, and easy-to-implement non-pharmacological method to prevent foot complications, including diabetic ulcers and amputations.

Korelasi Self-Esteem dengan Perilaku Narsistik pada Pengguna Media Sosial

Azzahra Primadivta Anjani — 2025-12-06

Narcissistic tendencies or also called Narcissistic Personality Disorder (NPD) occur due to a person's attitude or behavior that excessively creates excessive fantasies about themselves. In 2023, the Ministry of Health of the Republic of Indonesia reported a 12% increase in personality disorder cases, including NPD, compared to the previous year, with most cases identified among young individuals who were actively engaged in social media use.People who have narcissistic tendencies have a high intensity of social media use. The purpose of this study was to determine the relationship between self-esteem and social media NPD behavior in students of the Health Study Program, Muhammadiyah University of Klaten. This study used quantitative with the Cross-sectional method. The sampling technique in this study used Stratified Random Sampling. The sample in this study was 161 respondents of Level 1 Health Study Program students, Muhammadiyah University of Klaten. The data collection tool in this study used a questionnaire on self-esteem and a questionnaire on NPD. The statistical test in this study used the Spearman rank. The results of this study indicate that most students have a level of self-esteem in the moderate category with a percentage of 41.51% or 66 people, the majority of respondents showed a level of NPD in the moderate category with a percentage of 35.85% or 57 people. Shows that there is a significant and positive relationship between self-esteem and NPD behavior with a p-value of 0.00 <0.05, with a correlation value of 0.405, which is in the medium category, meaning that the higher the student's self-esteem, the greater the tendency for narcissistic behavior on social media

Korelasi antara Dukungan Keluarga dengan Grade Ulkus pada Penderita Diabetes Mellitus

Ervina Tiyara — 2025-12-06

Background: Diabetes Mellitus (DM) is a chronic metabolic disorder characterized by persistent hyperglycemia, which frequently leads to severe complications such as diabetic ulcers resulting from peripheral neuropathy and microvascular angiopathy. These ulcers pose risks of tissue damage, recurrent infections, limited mobility, and even amputation if not adequately managed. They also impair patients’ quality of life while increasing psychological and financial burdens. Consequently, proactive preventive measures are critically needed. Family support plays a strategic role in the management of DM, particularly in aspects like foot care, adherence to pharmacological therapy, dietary regulation, and routine blood glucose monitoring. Objective: This study aimed to determine the correlation between family support and the incidence of ulcers in DM patients at UPT Puskesmas Gondangrejo, Karanganyar Regency. Methods: This research employed a quantitative design with a cross-sectional approach, involving 71 respondents. Research instruments included the Hensarling’s Diabetes Family Support Scale (HDFSS) and the Wagner Ulcer Classification System. Data were analyzed using the Spearman’s rho test. Results: The findings revealed a very strong and significant correlation between family support and ulcer incidence (p = 0.000; Rho = -0.957). The negative correlation indicates that higher family support is associated with a lower risk of ulcers. Conclusion: Adequate family support significantly contributes to reducing the risk of diabetic ulcers. Therefore, family-centered nursing interventions should be optimized to enhance diabetes management and improve patients’ quality of life.

Efektivitas Posisi Semi Fowler 45° pada Kualitas Tidur Pasien Congestive Heart Failure

Nourma Nourma Nurlita Sari — 2025-12-06

Sleep disturbance is a common problem in patients with Congestive Heart Failure (CHF), often caused by disease symptoms such as dyspnea, which negatively impacts their quality of life. The 45° Semi-Fowler's position is a simple non-pharmacological nursing intervention that can improve lung expansion, reduce cardiac workload, and enhance patient comfort, thereby potentially improving sleep quality.This study aimed to determine the effect of the 45° Semi-Fowler's position on the sleep quality of CHF patients at RSUD dr. Moewardi Surakarta. This research employed a quasi-experimental design with a one-group pretest-posttest approach. A total of 32 CHF patients were selected using a purposive sampling technique.The intervention, applying the 45° Semi-Fowler's position, was administered for 30 minutes daily over three consecutive days. Prior to the intervention, patients were generally positioned supine or with minimal elevation. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI), and data were analyzed with the Wilcoxon Signed-Rank Test.The results showed a statistically significant difference in PSQI scores before and after the intervention (p < 0.05), with the median score decreasing from 7.00 (Poor Quality) to 4.00 (Good Quality)10. This clinically significant reduction suggests a positive impact of the positioning.This study concludes that the 45° Semi-Fowler's position is effective in improving the sleep quality of CHF patients and can be recommended as a standard nursing intervention, though future studies should utilize a Randomized Controlled Trial design to control for confounding factors, such as the placebo effect

Hubungan Burnout terhadap Dampak Produktivitas Kinerja Perawat di RSUD Ir. Soekarno Sukoharjo

Erni Fatmawati Putri — 2025-12-06

Burnout is a state of physical, emotional, and mental exhaustion that arises due to high and prolonged work pressure, especially in professions with high levels of work intensity such as nursing. This condition has a significant impact on reducing the enthusiasm, motivation, and productivity of nurses, which ultimately affects the quality of nursing services in hospitals. This study aims to identify the relationship between burnout and decreased work productivity of nurses in the Inpatient Ward of Ir. Soekarno General Hospital, Sukoharjo Regency. This study applies a quantitative method with a cross-sectional research design. The number of respondents consisted of 69 nurses, selected using a purposive sampling method. The tools used in the study consisted of the Maslach Burnout Inventory (MBI) questionnaire to assess the level of burnout and a work productivity questionnaire that has six indicators: ability, work results, motivation, self-development, quality, and efficiency. The research findings indicate that the majority of respondents experienced burnout in the high category (66.7%) and low work productivity (89.9%). Bivariate analysis using the Spearman Rank test produced a p-value of 0.001 < 0.05. The higher the level of burnout experienced by nurses, the lower their work productivity in completing nursing tasks effectively and sustainably. Workload management, strengthening social support, rewarding performance, improving work-life balance, and regular stress management training can support maximum performance and improve the quality of care services comprehensively and sustainably in addressing burnout

Pengaruh Terapi Dzikir terhadap Penurunan Gejala Halusinasi (Pendengaran) di RSJD Surakarta

Nadila Shinta Dewi — 2025-12-06

Auditory hallucinations are one of the main symptoms experienced by patients with schizophrenia, characterized by the perception of voices such as insults, commands, or threats without any external stimulus. This condition can disrupt social functioning, increase anxiety, and impair patients’ ability to control their behavior. Pharmacological therapy remains the primary treatment; however, its side effects and patients’ low adherence highlight the need for complementary non-pharmacological interventions. This study aimed to analyze the effect of psychoreligious dhikr therapy on reducing signs and symptoms of auditory hallucinations among psychiatric inpatients at Surakarta Mental Hospital. This research employed a quasi-experimental design with a pretest–posttest control group involving 36 respondents, divided into an intervention group (n=18) and a control group (n=18). The Auditory Hallucinations Rating Scale (AHRS) was used as the measurement instrument. Dhikr therapy was administered for six consecutive days, while the control group received the hallucination-commanding technique. Data were analyzed using the Wilcoxon and Mann–Whitney tests with a significance level of 0.05. The findings showed a significant reduction in hallucination scores within the intervention group (p = 0.000), marked by a decrease in severe hallucination cases from 55.6% to 0%. In contrast, the control group demonstrated a more limited reduction, with severe symptoms remaining in 27.8% of respondents. Posttest comparison also indicated a significant difference between groups (p = 0.000). In conclusion, psychoreligious dhikr therapy is effective in reducing the intensity of auditory hallucinations and can be recommended as a non-pharmacological nursing intervention in mental health care.

Pengaruh Pendidikan Kesehatan terhadap Pengetahuan Tentang Diet Diabetes Melitus Tipe 2 di RSU Diponegoro 21 Klaten

Indah Suryani — 2025-12-14

Diabetes Mellitus is a degenerative disease that show a trend of increasing cases global, including in both developing and developed countries. It is a chronic, long-term disease characterized by metabolic system disorders and increased blood glucose levels. Health education is a process of conveying information aimed at changing habits, attitudes, and understanding of individual, community and national health. The aim of this study is to determine of the effect of health education of knowledge about type 2 diabetes mellitus at Diponegoro 21 hospital in Klaten. Methods research the method used in this Pre-experimental research. This research uses a pre-consult approach with a pretest-posttest design with Wilcoxon population consisting of type 2 diabetes mellitus patients at Diponegoro 21 Klaten Hospital in 2025, totaling 223 patients. Health education was delivered through leaflets. The result of the level of knowledge in type 2 diabetes mellitus patient showed that respondents were in the good category(77.4%). The results of the Wilcoxon P value test were (0.000) which means P<0.05, there is an effect of education on the level of knowledge about diet type 2 diabetes mellitus patient. Conclusion there is effect of health education on the level of knowledge about diet in patients with type 2 diabetes mellitus. The results of the study showed that there not found between theory and facts, respondents knowledge before being given health education is lacking and sufficient after being given health education.

Gambaran Kepatuhan Minum Obat pada Lansia yang Mengalami Hipertensi di Integrasi Layanan Primer (ILP) Desa Temuireng

Marwanti Marwanti — 2025-12-20

Latar Belakang: Hipertensi adalah tekanan darah yang abnormal terjadi saat kondisi tekanan darah sistolik dan diastolik meningkat yang bisa diderita oleh berbagai usia, terutama yang paling rentan adalah usia lanjut, peningkatan tekanan darah dalam jangka waktu yang panjang dapat merusak pembuluh darah di organ jantung, ginjal, otak, mata, dan dapat mengakibatkan stroke, infark miokard, gagal ginjal. Tujuan : Penelitian ini bertujuan untuk mengetahui Gambaran Kepatuhan Minum Obat Pada Lansia Yang Mengalami Hipertensi Di Integrasi Layanan Primer (ILP) Desa Temuireng. Metode Penelitian : Desain penelitian ini menggunakan deskriptif kuantitatif. Sampel yang digunakan sejumlah 60 lansia yang mengalami hipertensi diambil dengan teknik purposive sampling. Hasil : Karakteristik responden paling banyak berusia 60-70 tahun, mayoritas berjenis kelamin perempuan sejumlah 48 responden (80%), tidak sekolah sejumlah 39 responden (65%), IRT sejumlah 31 responden (51,7%), lama menderita hipertensi >5 tahun sejumlah 50 responden (83,3%), status menikah sejumlah 46 responden (76,7%), berdasarkan gambaran kepatuhan minum obat hipertensi responden paling banyak tidak patuh sejumlah 47 responden (78,3%). Kesimpulan : Dari penelitian ini dapat disimpulkan bahwa kepatuhan minum obat pada lansia yang mengalami hipertensi di Integrasi Layanan Primer (ILP) Desa Temuireng sebagian besar tidak patuh sejumlah 47 responden (78,3%).