TRIAGE Jurnal Ilmu Keperawatan

Faktor-Faktor yang Berhubungan dengan Anemia pada Ibu Hamil di Puskesmas Karanganyar

2026-06-15T18:16:00+07:00

Anemia in pregnant women remains a common health problem and can pose serious risks to both mothers and fetuses. Iron deficiency is the primary cause, and the prevalence of anemia in the working area of Karanganyar Health Center is relatively high. This study aims to identify factors associated with the occurrence of anemia in pregnant women. This study employed a quantitative approach with a cross-sectional design. The sample consisted of 62 pregnant women selected through purposive sampling. Data were collected using questionnaires and analyzed with the Chi-Square test. The majority of respondents were aged 20–35 years (64.5%), had a high school education or equivalent (74.2%), and were employed (53.2%). Statistical analysis showed a significant association between the frequency of antenatal care (ANC) visits (p=0.000) and adherence to iron tablet consumption (p=0.005) with the occurrence of anemia. In contrast, age, education, employment, income, and parity were not significantly associated with anemia. Compliance of pregnant women in attending ANC visits and routinely consuming iron tablets plays an important role in preventing anemia. Health workers are encouraged to enhance education, monitoring, and motivation for pregnant women. The findings can also serve as a reference for health centers, communities, and educational institutions in developing anemia prevention strategies

Hubungan Pola Makan terhadap Kadar Gula Darah pada Penderita Diabetes Melitus Tipe 2 di Puskesmas Baki Sukoharjo

2026-06-15T18:16:08+07:00

Background: Type 2 diabetes mellitus is a chronic condition characterized by elevated blood glucose levels due to metabolic disorders. Dietary management is an essential strategy to control blood glucose levels. However, many patients fail to adhere to healthy eating principles (type, timing, and amount), potentially worsening their condition. This study aims to determine the relationship between dietary patterns and blood glucose control among patients with type 2 diabetes mellitus. Methods: This study used a quantitative correlational design with a cross-sectional approach. A total of 103 respondents with type 2 diabetes mellitus were selected through purposive sampling at Baki Health Center, Sukoharjo. Data were collected using a Food Frequency Questionnaire (FFQ) and random blood glucose testing using a glucometer. Data analysis was performed using the chi-square test with a significance level of p < 0.05. Results: The findings showed a significant association between dietary patterns and blood glucose control, with an exact p-value of 0.002. Respondents with good dietary patterns were more likely to have controlled blood glucose levels than those with poor dietary patterns. Conclusion: There is a significant correlation between dietary patterns and blood glucose control among patients with type 2 diabetes mellitus. Continuous education on healthy dietary practices is essential to support preventive and curative diabetes management. Healthcare professionals have an important role in assisting patients to consistently adopt appropriate dietary habits to reduce the risk of long-term complications.

Pengaruh Pemberian Murottal Al-Qur’an dengan Kecemasan pada Pasien Penyakit Gagal Ginjal Kronis yang Menjalani Hemodialisa di Rumah Sakit PKU Muhammadiyah Surakarta

2026-06-15T18:16:13+07:00

Background: People suffering from chronic kidney disease (CKD) and undergoing hemodialysis often experience anxiety due to their chronic condition, lifelong therapy, and psychosocial impacts. One therapeutic intervention is reciting the Qur'an, which is a non-pharmacological method that can be used. Objective: To determine how recitation of the Qur'an affects the anxiety levels of patients undergoing hemodialysis for CKD. Methods: A pretest–posttest quasi-experimental study with a control group was conducted in April–May 2025 at the Hemodialysis Unit of PKU Muhammadiyah Hospital in Surakarta. A total of 24 participants were selected with the following inclusion criteria: age ≥18 years, undergoing hemodialysis for ≥6 months, conscious, and willing to participate in the study. The intervention group (n=12) received recitation of Surah Ar-Rahman for 30 minutes three times, while the control group underwent routine procedures. Anxiety was measured using the Hamilton Anxiety Rating Scale (HARS). Data analysis was performed using the Paired Sample t-test, Independent Sample t-test, and Shapiro-Wilk normality test. Results: The mean anxiety score of the intervention group decreased from 29.5 ± 5.63 to 19.33 ± 2.39, while that of the control group decreased from 27.7 ± 5.12 to 23.17 ± 3.08. A significant decrease occurred in both groups (intervention p=0.000; control p=0.004). The improvement in the control group may have been influenced by adaptation to the procedure, stable HD room conditions, or patient coping mechanisms. The post-intervention difference showed an additional effect of murottal (p=0.003), but this needs to be interpreted with caution. Conclusion: Al-Qur’an murottal therapy is effective in reducing anxiety in patients undergoing hemodialysis due to CKD and can be recommended as a spiritual-based non-pharmacological therapy in nursing

Pengaruh Penggunaan Selimut Hangat terhadap Kejadian Shivering pada Pasien dengan Spinal Anestesi

2026-06-15T18:16:16+07:00

One of the complications that often occur in postoperative patients is the occurrence of hypothermia and shivering as a mechanism for the body's compensation mechanism against the hypotheremia. The purpose of this study is to determine the effect of the use of warm blankets on the incidence of shevering with spinal anesthesia in the Operating Room of the Klaten Islamic Hospital. Research method, a type of quantitative research with a quasi experiment design. The study involved 22 samples consisting of 11 people from the intervention group and 11 people from the control group. The treatment group was given a warm blanket from a temperature of 40OC before surgery until the end of the surgery. The control group was given a cloth blanket commonly used at RSI Klaten. The occurrence of shivering was observed during surgery until the patient was transferred to a recovering room. Bivariate analysis using chi square test. The results of the study showed that most of the respondents were female (59.1%), aged 26-55 years, and had a normal body mass index (50%). Of the 22 respondents, 14 (64%) experienced shivering, 10 of which occurred in the control group, the results of p value = 0.000 (α = 0.05) can be said to have an effect on the use of warm blankets on the incidence of shevering with spinal anesthesia. In conclusion, the administration of warm blankets has been shown to be effective against shivering recovery time. Warm blanket gynecology can be used for the prevention of shivering during surgery, especially in patients at risk of aging, thinness, and prolonged surgery.

Efektivitas Latihan Range of Motion (ROM) terhadap Kekuatan Otot pada Pasien Post-ORIF

2026-06-15T18:16:17+07:00

Background: Patients following Open Reduction Internal Fixation (ORIF) often experience decreased muscle strength due to postoperative immobilization, which may hinder functional recovery of the extremities. Range of Motion (ROM) exercises are non-pharmacological interventions that may help improve muscle strength. Objective: This study aimed to determine the effectiveness of ROM exercises in improving muscle strength among post-ORIF patients. Methods: This quantitative study employed a quasi-experimental design with a pre-test and post-test design without a control group. The sample are post-ORIF patients (n=6) who were treated in the surgical inpatient ward of RSUD dr. Tjitrowardojo Purworejo. ROM exercises were initiated on the first postoperative day and administered twice daily for 3 consecutive days, with each session lasting 15 minutes. Muscle strength was assessed using Manual Muscle Testing (MMT) and analyzed using the Wilcoxon Signed Rank Test. Results: The mean muscle strength score increased 0.83 point after the intervention. Statistical analysis showed a significant improvement in muscle strength following ROM exercises (p = 0.025; p < 0.05). Conclusion: ROM exercises are effective in improving muscle strength among post-ORIF patients and may be recommended as a nursing intervention during the inpatient recovery period.

Peran Work–Life Balance terhadap Kepuasan Kerja Perawat

2026-06-15T18:16:17+07:00

High work demands among healthcare professionals, particularly nurses, may affect Work-life balance and Job satisfaction. Nurses are required to provide optimal care while facing long working hours, shift systems, and high emotional demands. An imbalance in Work-life balance can reduce Job satisfaction, increase work-related stress, and negatively impact the quality of healthcare services. This study aimed to examine the relationship between Work-life balance and Job satisfaction among female nurses at PKU Muhammadiyah Prambanan Hospital, Klaten. This study employed an analytical correlational design with a cross-sectional approach. The study population consisted of all female nurses, with a total sample of 35 respondents selected using total sampling. The research instruments were Work-life balance and Job satisfaction questionnaires that had been tested for validity and reliability. Bivariate data analysis was conducted using the Spearman Rank test. The results showed that the mean age of respondents was 25.63 ± 3.719 years. Most respondents were unmarried (65.7%), had no children (85.7%), held a Diploma in Nursing (74.3%), had a length of employment of 0–1 year (54.3%), and worked in inpatient units (48.6%). The majority of respondents had good Work-life balance (80%) and high Job satisfaction (88.6%). The Spearman Rank test indicated a positive and significant relationship between Work-life balance and Job satisfaction (p = 0.011), meaning that better Work-life balance was associated with higher Job satisfaction among nurses. In conclusion, there is a significant relationship between Work-life balance and Job satisfaction among nurses. Therefore, healthcare institutions should implement work policies that support Work-life balance to enhance nurses’ Job satisfaction.

Hubungan Overcrowded dengan Response Time di ruang IGD RSUD Dr. MOEWARDI

2026-06-15T18:16:18+07:00

Overcrowded or congestion in the Emergency Department (ED), refers to a condition in which the high number of patient visits is not proportional to the available capacity and resources in the ED. Overcrowded in the Emergency Department is a problem that can affect the quality and timeliness of patient care. One indicator of service effectiveness in the ED can be observed through the nurses' response time in providing initial treatment for emergency conditions. This study aims to know the relationship between overcrowded and response time in the Emergency Department of Dr. Moewardi Regional General Hospital. This study employed a non-experimental quantitative method with an analytic observational design using a cross-sectional approach. The study population consisted of 65 emergency department nurses, with a sample of 54 respondents selected based on the inclusion and exclusion criteria. Overcrowded was measured using the National Emergency Department Overcrowding Score (NEDOCS) instrument, while response time was measured using a stopwatch and an observation sheet. Data analysis was conducted through univariate and bivariate analyses using the Spearman Rank test. The results showed that the majority of overcrowded conditions were at level 5 (severely overcrowded), accounting for 38.9%, and most nurses' response times were categorized as fast, at 59.3%. The statistical test results indicated a significant relationship between overcrowded and response time, with a p-value of 0.001 and a correlation coefficient of r = 0.429, indicating a moderate correlation strength. It can be concluded that the higher the level of overcrowded, the more likely the nurses' response time in the Emergency Department tends to be slower. Therefore, effective management strategies are recommended to reduce overcrowded in order to maintain the quality of emergency care services.

Gambaran Perilaku Hidup Bersih dan Sehat (PHBS) pada Siswa Sekolah Dasar Negeri Tengklik

2026-06-15T18:16:18+07:00

Clean and Healthy Living Behavior (PHBS) is a series of actions aimed at maintaining health. The spread of enteric germs, along with habits such as not washing hands before meals and after defecation, can allow bacteria to enter the body through food, leading to diseases such as diarrhea and worm infections among school-age children. This study aimed to describe the implementation of PHBS among students at Tengklik Public Elementary School. A descriptive quantitative cross-sectional method was employed. The sample consisted of 63 students from grades IV, V, and VI, selected through simple random sampling. The research instrument was a questionnaire with 28 statements, and data were analyzed using mean, minimum, maximum, and frequency distribution. The findings showed that 61.9% of students demonstrated good clean and healthy living behavior. Specifically, students reported high compliance in washing hands with soap before and after meals (90.5%), proper use of clean and healthy latrines (68.3%), exercising regularly (63.5%), not smoking at school (49.2%), disposing of waste properly (93.7%), and participating in community service activities (92.1%). However, some behaviors were only moderate, including consuming healthy food (65.1%) and eradicating mosquito larvae (58.7%). It can be concluded that the general characteristics of respondents were ages 10–13 years, with the majority being female (40 students) and most coming from grade VI (22 students). Overall, most students at Tengklik Public Elementary School had implemented Clean and Healthy Living Behavior with a prevalence of 61.9%.

Skrining SRQ-20 dan Solusi Komunitas Gangguan Mental Emosional Anak Pekerja Migran di Kuala Lumpur

2026-06-15T18:16:19+07:00

Emotional mental disorders resulting from bullying are an important public health issue among children in non-formal educational settings in Malaysia, particularly those from Indonesian migrant worker families with social vulnerability and limited psychosocial support. This study aimed to analyze emotional mental disorders resulting from bullying using the Self-Reporting Questionnaire-20 (SRQ-20) and to conduct structured problem analysis and solution planning at Sanggar Bimbingan Kampung Bharu, Kuala Lumpur. A descriptive-analytic cross-sectional design was applied with total sampling of 37 students. Data normality was assessed using the Shapiro–Wilk test. Associations between age and total SRQ-20 score were analyzed using Spearman rank correlation, while associations between gender and emotional mental disorder categories and individual SRQ-20 items were examined using Chi-square and Fisher Exact tests. Problem analysis included identification, prioritization, solution formulation, and cost–benefit–based decision-making. The results showed that 67.6% of respondents had indications of emotional mental disorders, with persistent fatigue as the most dominant symptom (72.0%), followed by anxiety-related symptoms (64.0%) and feelings of unhappiness (56.0%). Age was significantly correlated with total SRQ-20 score (r = −0.354; p = 0.032). No significant association was found between gender and overall emotional mental disorder category (p = 0.909); however, gender was significantly associated with persistent fatigue (p = 0.027). Based on problem analysis, a Plan of Action (PoA) focusing on mental health education, early detection, and bullying prevention was developed. In conclusion, integrated analysis and intervention improved students’ understanding of bullying, its mental health impacts, and appropriate preventive actions.

Systematic Review: Intervensi Nonfarmakologis Manajemen Demam pada Anak di Rumah Sakit

2026-06-15T18:16:20+07:00

Fever is a physiological response of the body to infection, characterized by an increase in body temperature above the normal range. This condition is common among children and is one of the primary reasons parents seek emergency medical care for their children in hospitals. The management of fever in children can generally be divided into two approaches: pharmacological treatment using antipyretics and non-pharmacological therapy. Non-pharmacological techniques are considered an effective alternative to help lower body temperature safely and naturally. However, many healthcare professionals remain uncertain and inconsistent in implementing or recommending non-pharmacological methods for managing fever in children. Therefore, this study aims to synthesize various articles discussing non-pharmacological fever management techniques in hospitalized children. Literature searches were conducted through several databases, including Google Scholar, ScienceDirect, and Semantic Scholar, covering publications from 2011 to 2021. The article selection process followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. From a total of 18,693 identified articles, only 8 met the inclusion criteria and were further reviewed. The findings revealed that several non-pharmacological interventions such as cold compresses, warm sponge baths, tepid sponge techniques, and warm foot immersion are effective in reducing fever in children during hospital care. Overall, these methods provide practical and safe alternatives that can be used alongside pharmacological interventions to enhance fever management in pediatric patients.