JKG (JURNAL KEPERAWATAN GLOBAL)
type: channel
description: JKG (Jurnal Keperawatan Global) (E-ISSN : 2580-5916; ISSN : 2528-0120) is an nursing journal which publishes scientific works for nurses, academics, and practitioners. JKG welcomes and invites original and relevant research articles in nursing, as well as literature study and case report particularly in nursing.The journal is published regularly in Juny and Desember every year. JKG welcomes and invites researchers from around the world to submit their papers (original research article, systematic review, and case study) for publication in this journal. All papers are published as soon as they have been accepted. Publisher of JKG (Jurnal Keperawatan Global) is Poltekkes Kemenkes Surakarta. ACCREDITATION: RE-ACCREDITATION RESULT Based on Excerpts and Decrees of the Minister of Research and Technology / Head of the National Research and Innovation Agency, Jurnal Keperawatan Global has accredited SINTA 3 (3nd Grade Journal). The Accreditation is valid until 2029. EDITORIAL: ENGLISH LANGUAGE Since Vol. 6 No. 1 March 2021, Jurnal Keperawatan Global only receives full-text manuscript in ENGLISH. Thank you.
publisher: Poltekkes Kemenkes Surakarta
language: en
publication name: JKG (JURNAL KEPERAWATAN GLOBAL)
issn: 2528-0120
items: The Effect of Family Centered Empowerment Model based on Virtual Education to Improve on Strengthening the Family Role as DOTS Supervisor in Children with Pulmonary TB
items: Pop-Up Book–Based Psychoeducation Improves Self-Esteem and Strengthens Bullying Prevention Among Elementary School Children
items: Toward an Empowerment-Based Nursing Framework for Managing Multimorbidity in Older Adults
items: The Influence of Promotion and Prevention Models in Preventing Psychosocial Problems in Nurses at Medan City Hospital
items: Fishbowl Health Education Improved Mothers’ Knowledge of Recurrent Acute Respiratory Infection Prevention in Toddlers
items: Ejection Fraction and Age as Predictors of Sleep Quality after Coronary Artery Bypass Graft (CABG) Surgery
items: Effect of Family Caregiver Empowerment on Binge Eating Behavior in Type 2 Diabetes Patients
items: Nurturing Care Practices and Developmental Outcomes in Acutely Ill Children Aged 12-36 Months: A Cross-Sectional Study
items: Health Status and Quality of Life in Depok Slum Communities through Stunting Prevention
items: Effectiveness of Symbolic Communication Therapy on Expressive Abilities in Post- Stroke Aphasia
items: Evaluation of Spiritual Management Approach on Stress in Palliative Patients
items: Development of Self-Regulation Model Based on Health Promotion Model on Anemia Prevention Behavior in Pregnant Women
items: Augmented Reality Enhances Indonesian Nursing Students’ Knowledge and Motivation in Open Fracture Learning
items: The Effect of Social Support on Self-Care Behavior of People with Leprosy in Madura Indonesia
items: The Effect of Mobile Application “Pergiene Care” On Improving Perineal Hygiene Among Adolescent Girls
items: The Experience of Parents in Reducing Children's Autism Tantrums in West Java: A Phenomenological Study
items: Relationship Between Knowledge and Perception with HIV/AIDS Prevention Efforts in Key Populations
items: Individual Characteristics and Locus of Control as Factors Related to Burnout in Nurses
items: Nursing Process in Central Java Correctional Institutions: Qualitative Descriptive Study
items: The Effectiveness of Cognitive Behaviour Therapy on Relapse in Schizophrenia Patients with Hallucinations
items: Effectiveness of Video-Based Cardiac Health Training on Health Behavior in Acute Coronary Syndrome Patients
items: Can a Group-Based Hope Intervention Reduce the Anxiety Level of Female Inmates?
items: Effect of Islamic Spiritual Mindfulness via Mobile Aplication (SI-DEPAPU) on Social Interaction in Isolated Patients
items: Diabetes Self-Care and Quality of Life Improvement Through Community Self-Help Group
items: The Impact of Online Game Addiction on Work Productivity Among Individuals Residing in Urban Areas of Indonesia
items: Infant Care In The Agricultural Community Of Ethnic Blambangan Banyuwangi
items: Validity and User Satisfaction of Educational Applications for Preventive Care of Diabetic Foot Wounds: A Study in Elderly Diabetes Sufferers
items: The Influence of Spiritual Care with Callista Roy's Adaptation Theory Approach on Serotonin Levels in Ischemic Stroke Patients
items: Exergame: Exercise With Matching Memory Game On Cognitive Function And Physical Fitness Of The Elderly
items: Effectiveness of Non-Invasive Sensor-Based Tools for Blood Glucose Detection

The Effect of Family Centered Empowerment Model based on Virtual Education to Improve on Strengthening the Family Role as DOTS Supervisor in Children with Pulmonary TB
type: item
description: ABSTRACT Background: Tuberculosis (TB) remains a major public health problem in Indonesia, particularly among children. Effective treatment adherence requires family involvement, where the role of Directly Observed Treatment Short-course (DOTS) supervisors is crucial. Innovative empowerment strategies are needed to strengthen family participation. This study aimed to examine the effect of the Family-Centered Empowerment Model (FCEM) based on virtual education to strengthen the role of families as DOTS supervisors for children with pulmonary TB. Methods: A quasi-experimental design with control and intervention groups was conducted. A total of 74 respondents were recruited using a total sampling approach. The intervention group received FCEM-based virtual education, while the control group received routine care. Data were collected using the FCEM questionnaire and analyzed with the Wilcoxon Signed Rank Test and Mann–Whitney U test. Results: The results showed that elderly respondents predominated in both groups, accounting for 62.2% in the control group and 67.6% in the intervention group. In the control group, most families remained in the low category (64.9%), whereas in the intervention group, the majority shifted to the high category (75.7%). The findings confirmed a significant difference between the two groups after the FCEM based on virtual education intervention (p-value 0,011). Conclusion: It should not contain any references or displayed equations. The FCEM based on virtual education has more effectively strengthened the role of families as DOTS supervisors in children with pulmonary TB. This approach can be used as an innovative strategy to improve treatment success and accelerate progress toward TB elimination targets in Indonesia.
subject: Articles
  topic: section
subject: children with pulmonary tuberculosis
  topic: keywords
subject: dots supervisor
  topic: keywords
subject: family centered empowerment model
  topic: keywords
subject: family role
  topic: keywords
subject: virtual education
  topic: keywords
creator: Loriza Sativa Yan
creator: Syarbaini Syarbaini
creator: Rian Yulyana
creator: Verra Widhi Astuti
rights: Copyright (c) 2026 JKG (JURNAL KEPERAWATAN GLOBAL)
date: 2026-08-06
publication date: 2026-08-06
starting page: 141
ending page: 151
doi: 10.37341/jkg.v11i1.1418

Pop-Up Book–Based Psychoeducation Improves Self-Esteem and Strengthens Bullying Prevention Among Elementary School Children
type: item
description: Background: Bullying is a serious problem that is repeatedly. Bullying can be experienced by a person because they have low self-esteem. One way to overcome bullying is to increase children’s self-esteem from an early age through bullying prevention psychoeducation with pop-up book media. This study aims to determine the effect of psychoeducation on bullying prevention with pop-up book media on self-esteem in 3 Kacangan public elementary school children. Methods: This type of quantitative research uses a pre-experimental design with a one-group pretest-posttest design. The sampling technique used was purposive sampling with 36 respondents. The instrument used is the Rosenberg Self-Esteem Scale (RSES). The intervention was carried out 3 times, and data analysis was performed using Paired T-Test. Results: The results of the analysis of the paired sample t-test self-esteem from 36 respondents showed an increase in the level of self-esteem with a p value of < 0.001, so that there was a psychoeducational effect on bullying prevention with pop-up book media on self-esteem in elementary school children. Conclusion: There is an effect of psychoeducation on bullying prevention with pop-up book media on self-esteem in elementary school children. The use of interactive and interesting educational media can increase students' understanding of the causes, impacts, and ways to prevent bullying so that students are better able to control their social behavior. In addition, increasing self-esteem in students is an important factor in forming confidence, positive attitudes, and children's ability to interact healthily with peers.
subject: Articles
  topic: section
subject: bullying
  topic: keywords
subject: pop-up book
  topic: keywords
subject: prevention
  topic: keywords
subject: psychoeducation
  topic: keywords
subject: self esteem
  topic: keywords
creator: Dian Putri Eriyanti
creator: Endang Caturini Sulistyowati
creator: Dwi Ariani Sulistyowati
rights: Copyright (c) 2026 JKG (JURNAL KEPERAWATAN GLOBAL)
date: 2026-06-12
publication date: 2026-06-12
starting page: 83
ending page: 95
doi: 10.37341/jkg.v11i1.1391

Toward an Empowerment-Based Nursing Framework for Managing Multimorbidity in Older Adults
type: item
description: Background: Population aging presents major challenges for healthcare systems, particularly in managing the complex needs of older adults with multiple chronic conditions (multimorbidity). This study explores behavioral, cognitive, and contextual factors influencing how older adults navigate complex treatment regimens, with the goal of developing an empowerment-based nursing framework. Methods: This sequential explanatory mixed-methods study involved 127 older adults with chronic conditions in the quantitative phase and 9 participants in the qualitative phase. In-depth semi-structured interviews were conducted with the qualitative subsample and analyzed using thematic analysis, generating codes and themes related to the contextual dynamics of health decision-making. Findings from both phases were integrated to develop an empowerment-based nursing framework, grounded in patient autonomy, shared decision-making, and relational support, aimed at strengthening older adults' capacity to manage multimorbidity effectively.I Results: Quantitative findings revealed that belief about medicine (β = 0.561, p = 0.001), health literacy (β = 0.219, p = 0.025), and perceived social support (β = 0.288, p = 0.001) significantly influenced care-related behaviours. The integration of findings underscored the need for tailored health education, supportive family engagement, emotionally responsive communication, and culturally accessible nursing care. Conclusion: Older adults managing multimorbidity make care-related decisions based on a complex interplay of beliefs, literacy, emotional readiness, and social context. Nurses must adopt a holistic, empowerment-based approach that strengthens both medical understanding and relational support. The proposed framework offers direction for nursing practice and policy to improve adherence, autonomy, and quality of care in geriatric populations.
subject: Articles
  topic: section
subject: belief about medicine
  topic: keywords
subject: health literacy
  topic: keywords
subject: nursing empowerment
  topic: keywords
subject: older adults with multimorbidity
  topic: keywords
subject: social support
  topic: keywords
creator: Argi Virgona Bangun
creator: Minerva B. De Ala
creator: Marietta Fabros
creator: Marcus Ochoa
rights: Copyright (c) 2026 JKG (JURNAL KEPERAWATAN GLOBAL)
date: 2026-08-03
publication date: 2026-08-03
starting page: 108
ending page: 124
doi: 10.37341/jkg.v11i2.1403

The Influence of Promotion and Prevention Models in Preventing Psychosocial Problems in Nurses at Medan City Hospital
type: item
description: Background: Psychosocial problems experienced by nurses when working in hospitals. Promotion Model Mental Health Promotion and Prevention is a solution that can be offered to prevent psychosocial problems in nurses. The aim of this study is to identify the influence of the promotion and prevention model on the prevention of psychosocial problems among nurses at Medan City Hospital. Methods: Quasi-experimental research design with a control group. The study was conducted on nurses at one of the hospitals in Medan City with a sample of 100 nurses, with details of 50 nurses in the intervention group and 50 nurses in the control group taken using purposive sampling. The research instrument used GAD-7. The intervention provided was a mental health promotion and prevention model (stress management training and self-help group therapy). Data were analyzed using the Wilcoxon Signed-Rank Test to assess within-group differences and the Mann–Whitney U Test to compare post-intervention anxiety levels between the intervention and control groups. Results: The study showed that there was a statistically significant difference in the level of anxiety of nurses after the intervention. There was a significant reduction in anxiety levels among nurses following the implementation of the mental health promotion and prevention model in the intervention group (p = 0.001). Conclusion: It was concluded that the intervention was significantly effective in reducing the anxiety levels of nurses at Medan City Hospital. This mental health promotion and prevention model can be implemented to prevent psychosocial problems early in healthcare workers.
subject: Articles
  topic: section
subject: anxiety
  topic: keywords
subject: nurses
  topic: keywords
subject: promotion
  topic: keywords
subject: preventive models
  topic: keywords
creator: Sri Eka Wahyuni
creator: Wardiyah Daulay
creator: Mahnum Lailan Nasution
creator: Jenny Marlindawani Purba
rights: Copyright (c) 2026 JKG (JURNAL KEPERAWATAN GLOBAL)
date: 2026-06-12
publication date: 2026-06-12
starting page: 96
ending page: 107
doi: 10.37341/jkg.v11i1.1351

Fishbowl Health Education Improved Mothers’ Knowledge of Recurrent Acute Respiratory Infection Prevention in Toddlers
type: item
description: ABSTRACT Background: Recurrent acute respiratory infections (ARI) remain a common health problem in early childhood and are closely associated with inadequate maternal knowledge of preventive practices. Fishbowl education is an interactive group learning method in which a small inner circle actively discusses a topic while the outer circle observes and provides feedback. This study aimed to examine the effect of fishbowl-based health education on mothers’ knowledge regarding the prevention of recurrent ARI among toddlers. Methods: A quasi-experimental study with a pretest-posttest control group design was conducted in Kertayasa Village, Central Java, Indonesia. Sixty mothers of toddlers with a history of recurrent ARI were assigned to an intervention group receiving fishbowl-based health education (n = 30) or a control group receiving lecture-based education (n = 30) through lottery allocation. Mothers’ knowledge was measured using a validated and reliable questionnaire. Data were analyzed using the Wilcoxon signed-rank test and the Mann-Whitney U test. Results: Knowledge increased significantly in the intervention group after fishbowl-based education (p < 0.001). Posttest scores in the intervention group were also significantly higher than those in the control group (p < 0.001), indicating that the fishbowl method was more effective than the lecture method. Conclusion: Fishbowl-based health education significantly improved mothers’ knowledge regarding recurrent ARI prevention among toddlers and may be a useful strategy for community health promotion.
subject: Articles
  topic: section
subject: acute respiratory infection
  topic: keywords
subject: health education
  topic: keywords
subject: knowledge
  topic: keywords
subject: mother
  topic: keywords
subject: toddler
  topic: keywords
creator: Eka Diana Permatasari
creator: Arif Rakhman
creator: Rizky Rakhma Hidayah
creator: Nurhakim Yudhi Wibowo
rights: Copyright (c) 2026 JKG (JURNAL KEPERAWATAN GLOBAL)
date: 2026-08-05
publication date: 2026-08-05
starting page: 125
ending page: 140
doi: 10.37341/jkg.v11i2.1366

Ejection Fraction and Age as Predictors of Sleep Quality after Coronary Artery Bypass Graft (CABG) Surgery
type: item
description: Background: Coronary Artery Bypass Graft (CABG) requires a longer recovery and high risk of complication including sleep quality. This study aims to identify factors associated with sleep quality in patient post-CABG surgery. Methods: This research used cross-sectional method and consecutive sampling with 100 respondents. The questionnaires used in this study were Pittsburgh Sleep Quality Index (PSQI), International Physical Activity Questionnaire (IPAQ), and Depression Anxiety Stress Scale (DASS). Results: Prevalence of poor sleep quality (51%) was quite high compared to good sleep quality (49%). There was a significant correlation between ejection fraction (p 0,031 OR 4,718), age (p 0,039; OR 3,309), and sleep quality of post-CABG surgery. Results of logistic regression contained 4 variables related to sleep quality: ejection fraction (p 0,017 OR 5,520), age (p 0,026 OR 3,659), beta blockers (p 0,067 OR 8,544) and diabetes mellitus (p 0,145 OR 1,918). Conclusion: Ejection fraction and age as a predictor of sleep quality. Nurses should assess the sleep quality of post-CABG surgery by considering these four variables: ejection fraction ≤ 40%, middle age, moderate-risk beta blockers and type 2 diabetes mellitus.
subject: Articles
  topic: section
subject: CABG
  topic: keywords
subject: post-surgery
  topic: keywords
subject: sleep quality
  topic: keywords
creator: Sari Eprina Nadeak
creator: Muhamad Adam
creator: Liya Arista
rights: Copyright (c) 2026 JKG (JURNAL KEPERAWATAN GLOBAL)
date: 2026-02-02
publication date: 2026-02-02
starting page: 58
ending page: 67
doi: 10.37341/jkg.v11i1.775

Effect of Family Caregiver Empowerment on Binge Eating Behavior in Type 2 Diabetes Patients
type: item
description: Background: Improper diet arrangements in type 2 diabetes (T2D) patients can cause eating patterns to be disturbed in the form of binge eating behavior. The family can play a helping role in improving diabetes management. One of the interventions that can be given to empower families is the Family Caregiver Empowerment Model (FCEM). This study aimed to analyze the effect of FCEM on binge eating in T2D patients. Methods: This study was a randomized control group pre-test and post-test design with a total sample of 85 respondents taken by cluster random sampling, divided randomly (treatment = 41; control = 44). The independent variable is FCEM, while the dependent variable is binge eating behavior. Data was collected using the Indonesian version of the Binge Eating Scale questionnaire and analyzed used the Wilcoxon sign rank test and independent T-test. Results: There were differences in binge eating behavior in the treatment group before and after intervention (Z= -5.347; p=0.001), whereas in the control group, there was no difference in pre-test and post-test scores (Z= -0.599; p= 0.549). The study result showed that there was a significant difference in the average value between the treatment and control groups (t =5.017; p=0.001). Conclusion: FCEM intervention can reduce binge eating behavior to increase adherence to the diabetes diet program. Nurses can use FCEM intervention to empower family caregiver to help T2D patients improve and maintain eating habits to improve diabetes self-care behaviors.
subject: Articles
  topic: section
subject: behavior
  topic: keywords
subject: binge-eating
  topic: keywords
subject: empowerment
  topic: keywords
subject: family
  topic: keywords
subject: type 2 diabetes mellitus
  topic: keywords
creator: Rondhianto Rondhianto
creator: Baskoro Setioputro
creator: Agil Agustin
rights: Copyright (c) 2026 JKG (JURNAL KEPERAWATAN GLOBAL)
date: 2026-02-02
publication date: 2026-02-02
starting page: 68
ending page: 82
doi: 10.37341/jkg.v11i1.767

Nurturing Care Practices and Developmental Outcomes in Acutely Ill Children Aged 12-36 Months: A Cross-Sectional Study
type: item
description: Background: The period from 12 to 36 months represents a critical window for child development, yet the relationship between nurturing care practices and developmental outcomes during acute illness remains poorly understood. This study aimed to determine the relationship between maternal nurturing care practices and the developmental status of acutely ill children aged 12-36 months in Bantul Regency, Yogyakarta, Indonesia. Methods: A cross-sectional descriptive-analytic study was conducted among 70 mother-child pairs recruited through consecutive sampling. Maternal nurturing care practices were assessed using a modified questionnaire adapted from UNICEF Knowledge, Attitudes, and Practices tools. Child development was evaluated using the Indonesian Pre-Screening Development Questionnaire (KPSP). Maternal depression was measured using the Beck Depression Inventory-II. Data were analyzed using Fisher's exact test, with statistical significance set at p<0.05. Results: The majority of mothers (57.1%) demonstrated poor nurturing care practices, while 84.3% of acutely ill children showed age-appropriate development. Most mothers (80.0%) were aged 20-35 years, had secondary education (50.0%), and were not experiencing depression (68.6%). Fever was the most common acute illness (44.3%), with a median duration of 3 days. No statistically significant association was found between maternal nurturing care practices and child development status (p=0.331, OR=2.250, 95% CI: 0.543-9.330). Additionally, established developmental predictors including maternal education (p=0.745), family economic status (p=1.000), and maternal depression (p=0.873) showed no significant associations with developmental outcomes. Conclusion: These findings highlight the need for context-specific nurturing care assessment tools and longitudinal research designs to better understand the complex dynamics between caregiving practices, acute illness, and developmental outcomes in young children.
subject: Articles
  topic: section
subject: acute disease
  topic: keywords
subject: child development
  topic: keywords
subject: cross-sectional studies
  topic: keywords
subject: early childhood development
  topic: keywords
subject: Indonesia
  topic: keywords
creator: Amalina Batrisyia Agustin
creator: Fitri Haryanti
creator: Ika Parmawati
creator: Akhmadi Akhmadi
rights: Copyright (c) 2025 JKG (JURNAL KEPERAWATAN GLOBAL)
date: 2025-12-11
publication date: 2025-12-11
starting page: 91
ending page: 106
doi: 10.37341/jkg.v10i2.1304

Health Status and Quality of Life in Depok Slum Communities through Stunting Prevention
type: item
description: Background: There are 11 slum areas in Depok City. Slums are correlated with populations that are easily exposed to diseases and have limited economic capabilities, resulting in the lack of hygiene and healthy living behaviors (PHBS), including adequate nutritional needs. This living condition poses a risk of reducing the quality of life of the residents. This research aims to determine the correlation between health status and quality of life to prevent stunting among residents in slum areas of Depok City. Method: This study employed a quantitative cross-sectional research design. A total of 160 respondents were selected using a non-probability quota sampling technique from a population of 400 heads of households across four identified urban slum areas. Data were collected using the World Health Organization Quality of Life–BREF (WHOQOL-BREF) instrument and were analyzed using Chi-Square test. Results: All dimensions of the health status variable namely physical environment, social conditions, economic conditions, mental health, healthcare support, and family support demonstrated a significant relationship with each dimension of quality of life, including physical health, psychological health, social relationships, and environmental well-being (all dimensions p < 0.05). All independent variables showed p-values < 0.05 based on Chi-Square analysis. Conclusion: Given the proven significant influence of health status on the quality of life of residents in slum areas, it is hoped that the Depok City government will undertake development efforts to improve these slum areas so that the Human Development Index (HDI) of Depok City can be achieved, thereby fulfilling the Sustainable Development Goals (SDGs).
subject: Articles
  topic: section
subject: Health status
  topic: keywords
subject: hygiene and healthy living behaviors
  topic: keywords
subject: slum Areas
  topic: keywords
subject: stunting
  topic: keywords
creator: Tatiana Siregar
creator: Ritanti Ritanti
creator: Indah Permatasari
creator: Dyah Utari
creator: Diah Ratnawati
rights: Copyright (c) 2025 JKG (JURNAL KEPERAWATAN GLOBAL)
date: 2025-12-15
publication date: 2025-12-15
starting page: 147
ending page: 161
doi: 10.37341/jkg.v10i2.1321

Effectiveness of Symbolic Communication Therapy on Expressive Abilities in Post- Stroke Aphasia
type: item
description: Background: Aphasia is a major post-stroke complication that causes communication difficulties and significantly reduces patients’ quality of life. Conventional speech therapy is often limited by time and resources, highlighting the need for technology-based alternatives that can be practiced independently at home. This study aimed to evaluate the effectiveness of a symbolic communication therapy (SCT) application in improving communication skills among stroke patients with aphasia. Methods: A one-group pretest–posttest quasi-experimental design was used with 15 motor-aphasia patients recruited from the Neurology Ward of Haji Medan General Hospital. Participants used an Android-based SCT application for six weeks (two 30-minute sessions per day). Functional communication ability was assessed using the Derby Functional Communication Scale (DFCS) before and after intervention. Data were analyzed using the Wilcoxon Signed-Rank Test. Results: The SCT application significantly improved patients’ communication performance. DFCS scores increased in expression (5.93 to 6.93), comprehension (5.47 to 7.93), and interaction (4.93 to 6.93) domains (p < 0.001). Conclusion: The SCT application effectively enhances functional communication in post-stroke aphasia patients and can serve as a complementary, low-cost tool within neurological rehabilitation programs, particularly in resource-limited healthcare settings.
subject: Articles
  topic: section
subject: Aphasia
  topic: keywords
subject: digital application
  topic: keywords
subject: neurological rehabilitation
  topic: keywords
subject: stroke
  topic: keywords
subject: symbolic communication
  topic: keywords
creator: Evarina Sembiring
creator: Flora Sijabat
creator: Harold Situmorang
creator: Amila Amila
creator: Zuraidah Mastura Daulay
creator: Dearni Trinitas Zebua
rights: Copyright (c) 2025 JKG (JURNAL KEPERAWATAN GLOBAL)
date: 2025-12-12
publication date: 2025-12-12
starting page: 123
ending page: 135
doi: 10.37341/jkg.v10i2.1289

Evaluation of Spiritual Management Approach on Stress in Palliative Patients
type: item
description: Background: A palliative condition refers to a progressive and incurable state, where the focus of healthcare transitions from curative measures to comprehensive support addressing physical, psychological, social, and spiritual aspects, aiming to enhance the quality of life for both patients and their families. The objectives of this study were to evaluate the effect of a Groups ‘Peer Support’ (GPS)-based spiritual management approach on reducing stress among palliative patients in a hospital setting. Method: This study employed a quantitative quasi-experimental design with a pre- and post-test approach without a control group, involving 50 respondents selected through simple random sampling. The research instruments consisted of observation sheets, the Spiritual Care Competence Scale (SCCS), and the Depression Anxiety and Stress Scales (DASS). Data were analyzed using descriptive statistics to determine respondent characteristics, the Wilcoxon Signed Rank Test to assess pre and post intervention differences, and Spearman Rank and simple linear regression tests to identify influencing factors. Results: Most respondents were male (60.0%), aged 41–50 years (34.0%), with elementary education (28.0%), and commonly diagnosed with heart disease (26.0%). The mean stress score decreased from 3.06 to 2.74 after the intervention, with the Wilcoxon test confirming a significant reduction (Z = -2.889; p = 0.004). However, spiritual management (r = 0.062; p = 0.670) and nurse competence (p = 0.601) were not significantly associated with stress levels. Conclusion: The intervention effectively reduced stress in palliative patients, although spiritual management and nurse competence were not significant predictors, suggesting that other factors contributed to stress reduction.
subject: Articles
  topic: section
subject: Palliative care
  topic: keywords
subject: spiritual management
  topic: keywords
subject: stress reduction
  topic: keywords
creator: Adventy Riang Bevy Gulo
creator: Rosetty Rita Sipayung
creator: Siska Dwi Ningsih
creator: Yesta Ricam Fedrik Lase
creator: Wiwik Wiwik
rights: Copyright (c) 2025 JKG (JURNAL KEPERAWATAN GLOBAL)
date: 2025-12-15
publication date: 2025-12-15
starting page: 162
ending page: 174
doi: 10.37341/jkg.v10i2.1290

Development of Self-Regulation Model Based on Health Promotion Model on Anemia Prevention Behavior in Pregnant Women
type: item
description: Background: Anemia prevention in pregnant women is essential to reduce health risks for both mother and fetus. This study aimed to develop a self-regulation model for anemia prevention behavior based on the Health Promotion Model. Methods: An explanatory design with a cross-sectional approach was applied to 115 pregnant women attending health centers in Surabaya, selected through cluster sampling. Data were collected using a structured questionnaire and analyzed using SEM-PLS. Results: The findings showed that anemia prevention behavior was significantly influenced by behavioral self-regulation (T=2.945) through personal regulation (T=5.932), which was shaped by environmental self-regulation (T=8.611) and individual characteristics (T=3.302). Commitment did not directly affect anemia prevention behavior (T=0.144; p=0.886). The model demonstrated substantial explanatory power, with R² values of 71.9% for behavioral self-regulation and 43.1% for anemia prevention behavior. Predictive relevance (Q² > 0) confirmed the model’s robustness across different contexts. Conclusion: This study highlights the pivotal role of self-regulation processes in shaping anemia prevention behavior. The model can serve as a framework for nursing interventions to strengthen self-regulation among pregnant women and improve maternal and fetal health outcomes.
subject: Articles
  topic: section
subject: anemia
  topic: keywords
subject: pregnant women
  topic: keywords
subject: self regulation
  topic: keywords
creator: Mira Triharini
creator: Kusnul Chotimah
creator: Praba Diyan Rachmawati
creator: Eka Mishbahatul Mar’ah Has
rights: Copyright (c) 2025 JKG (JURNAL KEPERAWATAN GLOBAL)
date: 2025-10-02
publication date: 2025-10-02
starting page: 61
ending page: 80

Augmented Reality Enhances Indonesian Nursing Students’ Knowledge and Motivation in Open Fracture Learning
type: item
description: Background: Open fracture cases have complex management that involves bleeding control based on comprehensive knowledge and training. Augmented Reality (AR) offers an interactive learning approach that may enhance nursing students' motivation and knowledge of emergency open fracture cases. This study aims to evaluate the effectiveness of augmented reality in improving the knowledge and learning motivation of Indonesian nursing students regarding open fracture learning. Methods: This study used a cluster randomized pretest–posttest control group design involving four class groups of nursing students (n = 155). Two clusters received the Open Fracture Augmented Reality Application, while two received conventional lectures. Motivation was measured using the validated MSLQ, and knowledge using a 29-item validated questionnaire. Both groups completed pretest and posttest assessments. Data were analyzed using descriptive statistics, Wilcoxon, and Mann–Whitney tests (α = 0.05). Results: A total of 155 nursing students participated, with balanced baseline characteristics between groups. The AR intervention significantly improved knowledge (p = 0.001, r = 0.38) and motivation (p = 0.022, r = 0.27) in the intervention group, while no significant gains occurred in the control group. Between-group analysis showed higher posttest knowledge in the AR group (p = 0.005), indicating that AR was more effective than conventional instruction, particularly for cognitive outcomes. Conclusion: Augmented Reality–based learning significantly improves nursing students’ knowledge of open-fracture management compared with traditional methods, while showing no significant between-group differences in motivation, highlighting AR’s value as an effective supplemental tool for enhancing understanding of complex clinical content.
subject: Articles
  topic: section
subject: Augmented reality
  topic: keywords
subject: knowledge
  topic: keywords
subject: motivation
  topic: keywords
subject: nursing student
  topic: keywords
subject: open fracture
  topic: keywords
creator: Rismawan Yunanto
creator: Baskoro Setioputro
creator: Ruris Haristiani
creator: Nur Safira
rights: Copyright (c) 2025 JKG (JURNAL KEPERAWATAN GLOBAL)
date: 2025-12-12
publication date: 2025-12-12
starting page: 107
ending page: 122
doi: 10.37341/jkg.v10i2.1169

The Effect of Social Support on Self-Care Behavior of People with Leprosy in Madura Indonesia
type: item
description: Background: Leprosy has a long-standing history and continues to cause not only health-related complications but also major social difficulties. Individuals affected by this disease require interpersonal support to perform proper self-care and to minimize the risk of further transmission. This research sought to examine the effect of social group support on self-care practices among people with leprosy in Sumenep Regency, Madura, Indonesia. Method: A cross-sectional study was carried out between August and November 2021 in Sumenep Regency. The target population comprised 232 leprosy patients registered at 28 health centers, from which 145 participants were chosen using proportional random sampling. The research instrument was questionnaire covers two main domains: Social Group Support and Self-Care Behavior. Data were analyzed using Structural Equation Modeling (SEM) with SmartPLS. Results: The findings revealed that social group support had a significant impact on self-care behaviors, with a T-value of 6.368 (>1.96). In addition, personal factors also influenced self-care, as indicated by a T-value of 4.110 (>1.96). Conclusion: Both social and personal support significantly enhance self-care behavior in leprosy patients. Strengthening group-based and individual support is therefore essential to improve self-care practices and decrease the likelihood of disease transmission.
subject: Articles
  topic: section
subject: Indonesia
  topic: keywords
subject: leprosy
  topic: keywords
subject: social support
  topic: keywords
subject: self-care
  topic: keywords
creator: Mujib Hannan
creator: Syaifurrahman Hidayat
creator: Emdat Suprayitno
creator: Ratna Indriyani
creator: Angelina da Costa Fernandes
rights: Copyright (c) 2025 JKG (JURNAL KEPERAWATAN GLOBAL)
date: 2025-12-12
publication date: 2025-12-12
starting page: 136
ending page: 146
doi: 10.37341/jkg.v10i2.924

The Effect of Mobile Application “Pergiene Care” On Improving Perineal Hygiene Among Adolescent Girls
type: item
description: Background: Perineal hygiene is a way to treat and maintain cleanliness of the genital area to preserve the health of reproductive organs. Knowledge and attitudes can improve perineal hygiene. This study aimed to determine the effect of a mobile application on knowledge and attitudes among adolescents about perineal hygiene for preventing vaginal discharge. Methods: This study used a quasi-experimental pretest and posttest with a control group. The sampling technique used was consecutive sampling, with 84 respondents divided into two groups of 42 each. The instrument used was the Perineal Hygiene Knowledge and Attitude Questionnaire. The data were analysed using the T-test and the Mann-Whitney U. Results: The study showed differences in the pre- and post-intervention knowledge and attitudes scores in the intervention group (p=0.001;<0.05). In the control group, there was no difference in the pre- and post-test scores of knowledge (p=0.884; p>0.05) and attitudes (p=0.343; p>0.05). The results of the knowledge and attitude post-test scores between the intervention and control groups were significantly different (p=0.001; p <0.05). Conclusion: The results of the study indicate that there was an increase in knowledge and attitudes towards perineal hygiene after providing health education through the “Pergiene Care” application. The Pergiene Care application can be used as an educational medium for adolescents to improve perineal hygiene.
subject: Articles
  topic: section
subject: adolescent girls
  topic: keywords
subject: attitude
  topic: keywords
subject: knowledge
  topic: keywords
subject: pergiene care application
  topic: keywords
subject: perineal hygiene
  topic: keywords
creator: Isna Rachma Fitriana
creator: Lutfatul Latifah
creator: Lita Heni Kusumawardani
rights: Copyright (c) 2026 JKG (JURNAL KEPERAWATAN GLOBAL)
date: 2026-01-13
publication date: 2026-01-13
starting page: 15
ending page: 25
doi: 10.37341/jkg.v11i1.719

The Experience of Parents in Reducing Children's Autism Tantrums in West Java: A Phenomenological Study
type: item
description: Background: In autistic children, temper tantrums can occur in association with other challenging behaviors like sleep problems, selective eating, anxiety, irritability, self-harm, and aggression. Families who have adult autistic children experience burdens in their lives. Poor communication and interaction with the child at home provoke an emotional tantrum. This study aims to explore family experiences in reducing children's autistic tantrums through family support. Methods: This phenomenological study involved seven parents of adolescents with autism. The study was carried out over a period of six months, from September 2022 to March 2023, covering the stages of preparation, participant recruitment, in-depth semi-structured interviews, and verbatim transcription. Data were analyzed using Colaizzi’s phenomenological method, which comprised verbatim transcription, identification of significant statements, coding, clustering of themes, and the development of an essential description of the parents’ lived experiences. Results: Six themes were constructed from the study: (1) The process of accepting their children with special needs; (2) Parents' expectations of their children; (3) Internal and external support in reducing autism tantrums; (4) Children join with activities; (5) Enforcement of rules in the family; (6) Family isolation. Conclusion: This study highlights the central role of families in caring for children with autism spectrum disorder (ASD), particularly in managing tantrums. Families apply spiritual values, collaborate among members, and use practical strategies such as providing a safe space, allowing calming time, and redirecting children to meaningful activities. The findings emphasize that family-centered approaches can enhance children’s adaptive abilities and quality of life while reducing caregiver burden.
subject: Articles
  topic: section
subject: autistic spectrum disorder
  topic: keywords
subject: children
  topic: keywords
subject: experience
  topic: keywords
subject: tantrums
  topic: keywords
creator: Anni Sinaga
creator: Diana Barsasella
creator: Dian Yuniar Syanti Rahayu
creator: Omay Rohmana
creator: Andi Suhenda
creator: Sugianto Sugianto
rights: Copyright (c) 2025 JKG (JURNAL KEPERAWATAN GLOBAL)
date: 2025-09-04
publication date: 2025-09-04
starting page: 24
ending page: 39
doi: 10.37341/jkg.v10i1.1259

Relationship Between Knowledge and Perception with HIV/AIDS Prevention Efforts in Key Populations
type: item
description: Background: HIV transmission often occurs through unsafe sex, particularly with sex workers, making key populations crucial in the spread of HIV/AIDS. One key strategy to reduce HIV/AIDS morbidity and mortality is implementing prevention programs targeting at-risk groups. The study aims to examine the relationship between knowledge and perception and HIV/AIDS prevention efforts among key populations in Tangerang City. Method: Quantitative with cross-sectional analytical correlation. A sample of 69 people was conducted by snowball technic sampling. This study used the HIV-KQ-18, HIV perceptions statements referring to the six components of the Health Belief Model theory and Behavioral Surveillance Survey (BSS). Data analysis was performed using the Chi-Square Test of Independence to assess the relationship between knowledge level, perception level. Results: respondent characteristics Age ≥ 21 years 59.4%, high school education 69.7%, length of work ≥ 3 years 59.3%. Relationship between knowledge level and HIV/AIDS prevention efforts: p-value 0.002. Relationship between perception level and HIV/AIDS prevention efforts: p-value 0.002. Relationship between knowledge and perception and HIV/AIDS prevention efforts: p-value < 0.001. Conclusion: The study found that knowledge and perception significantly influence HIV/AIDS prevention among female sex workers. However, consistent prevention is hindered by personal, social, and structural barriers, including negotiation difficulties, economic dependence, stigma, and limited-service access. Effective interventions must be comprehensive, combining knowledge improvement with skills training, stigma reduction, barrier removal, and supportive policies.
subject: Articles
  topic: section
subject: Female sex workers
  topic: keywords
subject: HIV/AIDS
  topic: keywords
subject: knowledge
  topic: keywords
subject: perception
  topic: keywords
creator: Siti Latipah
creator: Naryati Naryati
rights: Copyright (c) 2025 JKG (JURNAL KEPERAWATAN GLOBAL)
date: 2025-12-11
publication date: 2025-12-11
starting page: 81
ending page: 90
doi: 10.37341/jkg.v10i1.1234

Individual Characteristics and Locus of Control as Factors Related to Burnout in Nurses
type: item
description: Background: Burnout is a condition of extreme fatigue and exhaustion that is widely experienced by workers. Nurses who work on the front line for 24 hours are at high risk of burnout, which can jeopardise their wellbeing as well as patient safety and quality of care. This study aims to identify the dominant factors, including individual characteristics, work environment, locus of control, and work experience, that influence burnout among hospital nurses. Methods: The study used a cross-sectional study was conducted to evaluate the level of burnout. The sample was 431 nurses who was selected from the hospital using stratified random sampling to ensure the representation of different work units or departments. Date analysis was performed using Structured Equation Modelling (SEM) to examine the complex relationships between the variables. Results: The results of the bivariate analysis indicate that there is a relationship between respondent characteristics and nurse burnout incidence. A significant negative relationship was found between the work environment and burnout occurrence, as well as a relationship between years of work experience and burnout incidence. Meanwhile, the results of the multivariate analysis showed that characteristics, work environment, locus of control, and work experience influence burnout by 10.9%. Conclusion: This study shows that the variables of characteristics, work environment, locus of control, and work experience account for 10.9% of the burnout. This study recommends improving the work environment, strengthening locus of control, and providing mentoring for nurses with low experience to prevent burnout.
subject: Articles
  topic: section
subject: burnout
  topic: keywords
subject: characteristics
  topic: keywords
subject: locus of control
  topic: keywords
subject: nursing
  topic: keywords
subject: Non
  topic: subjects
creator: Antonius Ngadiran
creator: Mona Rentalui
creator: Roselina Tambunan
creator: Dalia Novita Sari
creator: Rosmawati Napitupulu
creator: Kristoforus Triantono
creator: Pangindenan Sinuraya
rights: Copyright (c) 2025 JKG (JURNAL KEPERAWATAN GLOBAL)
date: 2025-09-04
publication date: 2025-09-04
starting page: 40
ending page: 48
doi: 10.37341/jkg.v10i1.1162

Nursing Process in Central Java Correctional Institutions: Qualitative Descriptive Study
type: item
description: Background: Correctional institution nurses in carrying out the nursing process differ from other specialist nurses who work outside the correctional institution facility. A lot of research on the nursing process has been carried out in hospital and puskesmas settings. However, few research is found in the correctional institution setting. The purpose of the study was to describe the implementation of the nursing process in the Central Java Correctional Institution. Methods: The researcher used a qualitative study with a qualitative descriptive approach. Data collection was done online using semi-structured interview guidelines about the nursing process in correctional institutions with a duration of 30 minutes. Study participants were saturated with nine participants of nurses. Data trustworthiness using Guba's idea technique and data analysis in this study used the analytical procedures of Zhang and Wildemuth. Results: In this study, the researchers described several themes based on the research objectives. The five objective themes are conducting record of health checks for new inmates, no standardization of nursing care, regulations in providing services to inmates, the implementation of individual and group nursing care, and collaboration with agencies outside prisons and detention centers. Conclusion: The findings of this study need to get attention from all parties such as the Ministry of Law and Human Rights and Indonesian National Nurses Association (INNA) to maintain the quality-of-care services for inmates. Furthermore, the quality of prison nurses in carrying out nursing practices also should be confirmed in line with nursing professional standards.
subject: Articles
  topic: section
subject: correctional
  topic: keywords
subject: correctional nursing
  topic: keywords
subject: nursing process
  topic: keywords
creator: Abdullah Azam Mustajab
creator: Megah Andriany
creator: Elis Hartati
rights: Copyright (c) 2026 JKG (JURNAL KEPERAWATAN GLOBAL)
date: 2026-01-21
publication date: 2026-01-21
starting page: 26
ending page: 43
doi: 10.37341/jkg.v11i1.1081

The Effectiveness of Cognitive Behaviour Therapy on Relapse in Schizophrenia Patients with Hallucinations
type: item
description: Background: Schizophrenia is a chronic mental disorder characterized by psychotic symptoms such as hallucinations and delusions. Relapses in schizophrenia patients often occur even after undergoing pharmacological treatment. Cognitive Behaviour Therapy (CBT) has been reported to be effective in reducing relapses through cognitive restructuring and improving patients' coping with psychotic symptoms. This systematic review aims to assess the effectiveness of CBT on reducing relapse rates in patients with schizophrenia, especially in hallucination. Methods: The systematic review was conducted using the JBI approach. The included articles were primary studies with an RCT or quasi-experimental design, published between 2015 and 2024, and available in full text. The selection process was conducted using the PRISMA method, and the final results consisted of 7 articles that met the inclusion criteria. Results: Most studies show that CBT is effective in reducing relapse, improving quality of life or social functioning, and reducing positive and negative psychotic symptoms. Culturally-based CBT and CBT by videoconference have been reported to expand access to intervention. The side effects of CBT are relatively low, but some studies report a decline in impact after therapy is discontinued. Conclusion: CBT is effective in preventing relapse in schizophrenia patients with hallucinations by reducing psychotic symptoms and improving patient coping. Further research is needed to evaluate the long-term effectiveness of CBT.
subject: Articles
  topic: section
subject: cognitive behavioral therapy
  topic: keywords
subject: hallucinations
  topic: keywords
subject: readmission
  topic: keywords
subject: relapse
  topic: keywords
subject: schizophrenia
  topic: keywords
creator: Uswatun Khasanah
creator: Yossie Susanti Eka Putri
creator: Mustikasari Mustikasari
rights: Copyright (c) 2026 JKG (JURNAL KEPERAWATAN GLOBAL)
date: 2026-01-13
publication date: 2026-01-13
starting page: 1
ending page: 14
doi: 10.37341/jkg.v11i1.1260

Effectiveness of Video-Based Cardiac Health Training on Health Behavior in Acute Coronary Syndrome Patients
type: item
description: Background: Hospital readmissions among patients with Acute Coronary Syndrome (ACS) are frequently linked to unhealthy lifestyle behaviors such as poor diet, physical inactivity, smoking, and medication nonadherence. These modifiable risk factors significantly contribute to recurrent events and adverse outcomes, highlighting the need for effective secondary prevention strategies. Video-based health education offers a consistent and scalable approach to support behavioral change. This study aimed to evaluate the effectiveness of a video-based cardiac health education program in improving healthy behaviors among ACS patients. Methods: A quasi-experimental, non-equivalent control group design was employed involving 57 ACS patients without severe complications. Participants were recruited via consecutive sampling and assigned to either the intervention group (n = 27) or control group (n = 30). The Modified Cardiac Health Behavior Scale (MCHBS) was used to assess healthy behaviors at baseline and after the intervention. The intervention comprised a video-based cardiac health education program with a 21-day follow-up period. Data were analyzed using paired sample t-tests for within-group comparisons and independent t-tests for between-group differences. Results: Baseline healthy behavior scores did not differ significantly between groups (p>0.05). Post-intervention, both groups showed significant improvement; however, the intervention group demonstrated a significantly greater increase (M±SD = 24.85±5.45) compared to the control group (M±SD = 10.67±6.57), with a mean difference of 14.18 (p<0.001) and a large effect size (Hedges’ g = 2.337). Conclusion: Video-based cardiac health education effectively promotes healthier behaviors in ACS patients and holds promise as a scalable intervention to enhance secondary prevention and reduce hospital readmissions.
subject: Articles
  topic: section
subject: acute coronary syndrome
  topic: keywords
subject: cardiac health education
  topic: keywords
subject: healthy behavior
  topic: keywords
subject: video-based intervention
  topic: keywords
creator: Rika Suryana
creator: Heny Suseani Pangastuti
creator: Khudazi Aulawi
rights: Copyright (c) 2026 JKG (JURNAL KEPERAWATAN GLOBAL)
date: 2026-01-22
publication date: 2026-01-22
starting page: 44
ending page: 57
doi: 10.37341/jkg.v11i1.1243

Can a Group-Based Hope Intervention Reduce the Anxiety Level of Female Inmates?
type: item
description: Background: The prevalence of anxiety disorders is significantly higher among female inmates, often leading to reduced quality of life and maladaptive behaviors. Existing non-pharmacological therapies demonstrate limitations in correctional settings, creating a need for specialized interventions. The objective of this study was to evaluate the effects of group-based hope interventions on anxiety levels among female inmates. Methods: This quasi-experimental study employed a pre-test and posttest design with a control group. A total of 56 participants (n=28 intervention, n=28 control) were selected using purposive sampling. The group-based intervention was delivered in 10 sessions, comprising four for group formation and six core sessions focused on goals, pathways, and agency. Anxiety levels were measured using the State Anxiety Inventory (STAI). Analysis utilized paired t-tests and independent t-tests. Results: The intervention group showed a substantial decrease in mean anxiety scores from 43.00±3.859 (pre-test) to 34.61 ± 4.400 (post test) (Mean different = 8.393; p < 0.001). The control group also exhibited a significant change, with a slight mean increase of 1.821 points (p < 0.001). The independent t-test confirmed that the anxiety reduction in the intervention group was substantially greater than that of the control group (Mean different –10.571; p < 0.001). Conclusion: Group-based hope intervention proved to be significantly effective in reducing anxiety levels in female prisoners compared to the control group. These findings support the implementation of this strategy as an evidence-based, practical mental health approach in correctional settings.
subject: Articles
  topic: section
subject: Anxiety
  topic: keywords
subject: female
  topic: keywords
subject: group-based hope intervention
  topic: keywords
subject: inmates
  topic: keywords
creator: Maria Yoanita Bina
creator: Megah Andriany
creator: Nur Setiawati Dewi
rights: Copyright (c) 2025 JKG (JURNAL KEPERAWATAN GLOBAL)
date: 2025-12-23
publication date: 2025-12-23
starting page: 175
ending page: 187
doi: 10.37341/jkg.v10i2.784

Effect of Islamic Spiritual Mindfulness via Mobile Aplication (SI-DEPAPU) on Social Interaction in Isolated Patients
type: item
description: Background: Social interaction is an important indicator during the process of social isolation treatment. The less active social interaction could lead to other mental disorders such as hallucination, suicide risk, self-care deficit, and violence risk. The study investigated the effect of Islamic Spiritual Mindfulness on Discharged Patient Detection Information System (SI-DEPAPU) application to enhance the social interaction of schizophrenia patients with social isolation. Methods: The research design used was quasi-experimental with a pre-post test method. The study used purposive sampling with 40 respondents divided into two groups of 20 people each. The instruments used were the Social Interaction Questionnaire and Behavioral Observation Sheet, which have been tested for validity and reliability. The statistical tests used included the paired t-test to assess social interaction within the group, the independent t-test to compare before the intervention, and the Mann-Whitney test for after the intervention. Results: The research finding showed the difference in the social interaction of patients before and after the intervention between the intervention group and control group (p=<0.001; <0.05), of which the mean value of the intervention group (43.79) was more significant than the control group (15.21). Conclusion: Based on the research results, it can be concluded that there was an increase in social interaction in patients after receiving Islamic spiritual mindfulness therapy. The SI-DEPAPU application can be implemented as a mental health nursing intervention to improve the social interaction of patients with schizophrenia who suffer from social isolation.
subject: Articles
  topic: section
subject: islamic spiritual
  topic: keywords
subject: mindfulness
  topic: keywords
subject: social interaction
  topic: keywords
subject: social isolation
  topic: keywords
creator: Vivi Sovianti
creator: Meidiana Dwidiyanti
creator: Suhartini Ismail
rights: Copyright (c) 2025 JKG (JURNAL KEPERAWATAN GLOBAL)
date: 2025-09-11
publication date: 2025-09-11
starting page: 49
ending page: 60
doi: 10.37341/jkg.v10i1.724

Diabetes Self-Care and Quality of Life Improvement Through Community Self-Help Group
type: item
description: Background: Type 2 diabetes mellitus (T2DM) remains a major cause of death worldwide due to complications, and its incidence is fairly high and predicted to continue to rise each year. This contributes to a low quality of life and poor self-care management, necessitating an effective treatment strategy consisting of self-help group (SHG) therapy that expands social networks, receives information, and receives emotional support from group members in order to provide numerous benefits. The purpose of this study was to assess if community-based self-help group interventions improve the quality of life and self-care management of individuals with T2DM. Methods: This study employed a Quasi-experiment non-equivalent control group pre-test and post-test design with a self-help group intervention (n=30) for one month. The sample was selected using the approach of purposive selection with the following inclusion criteria: age between 40 and 65 years, T2DM experience between 3 and 5 years, and the ability to converse, read, and write effectively. Statistical paired sample t-test and independent sample t-test were used to assess the data. Results: In both groups, self-care management, quality of life, and blood glucose levels at baseline were comparable. After one month of intervention, self-care management, quality of life, and blood glucose levels were significantly better in the intervention group than in the control group (p<0.05). Conclusion: In this study, the self-care management and quality of life of individuals with T2DM improved following SHG intervention. Integrating public health effort with an interpersonal collaboration approach will provide an optimal integrated contribution to resolving chronic deseases.
subject: Articles
  topic: section
subject: diabetes mellitus
  topic: keywords
subject: quality of life
  topic: keywords
subject: self-care management
  topic: keywords
subject: self-help group
  topic: keywords
creator: Zaroan Supriadi
creator: Kumboyono Kumboyono
creator: Dina Dewi Sartika Lestari Ismail
creator: Niko Dima Kristianingrum
creator: Yati Sri Hayati
creator: Annisa Wuri Kartika
rights: Copyright (c) 2025 JKG (JURNAL KEPERAWATAN GLOBAL)
date: 2025-08-20
publication date: 2025-08-20
starting page: 12
ending page: 23
doi: 10.37341/jkg.v10i1.668

The Impact of Online Game Addiction on Work Productivity Among Individuals Residing in Urban Areas of Indonesia
type: item
description: Background: Indonesia exhibits high smartphone penetration (210.77 million users, 2021) and substantial online gaming engagement, with 26% of gamers aged 18–24 and 20% aged 25–34. Given alarming gaming disorder prevalence (IGD: 14.6% males, 6.2% females; GD: 7.2% males, 2.8% females) and limited research on productivity impacts in urban Indonesia, this study investigates online game addiction's effect on work productivity among young adults in South Jakarta. Methods: A cross-sectional correlational design recruited 95 participants via purposive sampling (aged 18–26, South Jakarta residents, >3 hours/day non-professional gaming). Data collection utilized the validated Indonesian Online Game Addiction Questionnaire (7-item, Cronbach’s α=0.73) and Individual Work Performance Questionnaire (18-item, Cronbach’s α=0.814–0.871). Normality was confirmed with Kolmogorov-Smirnov testing; SPSS v.28 facilitated Pearson correlation and linear regression analyses. Results: Participants were predominantly male (64.21%), high school-educated (72.63%), and private sector employees (61.05%). Key findings revealed: a significant weak negative correlation between online game addiction and work productivity (r = -0.291, p = 0.04); a strong positive correlation between addiction and gaming duration (r = 0.486, p < 0.001); no correlation between gaming duration and productivity (p = 0.312); and regression indicating addiction explains 9.7% of productivity variance (Adjusted R² = 0.088, β = -0.420, p = 0.002). Conclusion: Online game addiction significantly impairs work productivity among urban Indonesian youth, yet accounts for only 9.7% of variance—underscoring the influence of unaddressed mediators like sleep quality and motivation. Findings necessitate integrating psychiatric nursing interventions within workplace mental health frameworks.
subject: Articles
  topic: section
subject: adult people
  topic: keywords
subject: game online
  topic: keywords
subject: work productivity
  topic: keywords
creator: Yanuar Fahrizal
creator: Fatin Indira
rights: Copyright (c) 2025 JKG (JURNAL KEPERAWATAN GLOBAL)
date: 2025-08-19
publication date: 2025-08-19
starting page: 1
ending page: 11
doi: 10.37341/jkg.v10i1.1164

Infant Care In The Agricultural Community Of Ethnic Blambangan Banyuwangi
type: item
description: Background: Data on infant mortality in Banyuwangi shows an increase in the last five years; data on infant breastfeeding has not been achieved either; while Indonesia's history of the Blambangan people, Banyuwangi, is recorded as healthy, strong, and thick with culture, known to be skilled in care, including baby care. Research is needed to find out the culture of infant care in the Blambanga ethnic community so that a good infant care culture can be strengthened to improve health. Methods: The research used an ethnographic research design, with a sample size of 39 people; data were collected through FGDs, in-depth interviews, participatory observation, and documentation and analysed thematically using ethnographic and Colaizzi analysis. Several online applications were used in data processing and diagramming the results, and ethical principles were applied. Results: The themes identified in the culture of infant care in the Blambangan community are cutting the umbilical cord, infant massage, the role of baby shamans, the use of plants as therapy, celebrations for babies, swaddling babies, feeding babies under six months, beliefs related to infant care, and environmental modifications when having children. Some cultures need to be reinforced. Conclusion: The culture of good breastfeeding in the Osing Banyuwangi community, recorded in Indonesian history, must be reconstructed. The culture of good infant care needs to be reinforced to achieve better health, and this research needs to be developed to reconstruct the culture of infant care in the Osing Banyuwangi community.
subject: Articles
  topic: section
subject: infant care
  topic: keywords
subject: infant
  topic: keywords
subject: baby care
  topic: keywords
subject: traditional medicine practitioners
  topic: keywords
creator: Hanny Rasni Sihaloho
creator: Fahrudin Kurdi
creator: Niken Asih Larasati
creator: Tantut Susanto
rights: Copyright (c) 2025 JKG (JURNAL KEPERAWATAN GLOBAL)
date: 2025-01-10
publication date: 2025-01-10
starting page: 133
ending page: 146
doi: 10.37341/jkg.v9i2.996

Validity and User Satisfaction of Educational Applications for Preventive Care of Diabetic Foot Wounds: A Study in Elderly Diabetes Sufferers
type: item
description: Background: Education on using smartphone applications among the elderly to prevent diabetic foot wounds is still limited. Especially if someone pays attention to the limitations of older people with diabetes, such as their lack of mastery in using smartphones, an educational application for preventing diabetic foot wounds, named Rawat Kaki, has been developed by considering various aspects that make it easier for older people to use. This application must be tested for validity and evaluated to obtain an overview of the satisfaction of its users. Methods: The design of this study was exploratory quantitative to see the validity of the application and respondent satisfaction using the Rawat Kaki App. The sampling technique used purposive sampling with a total sample of 140 respondents from the population of Persadia (Indonesian Diabetes Association) members at the RSUD: Surakarta City, Sragen, Salatiga, Klaten Islamic Hospital, and PrambananSleman Yogyakarta Hospital. Five diabetes experts in the medical and nursing fields conduct content validity. Furthermore, respondents tested it three times to measure their satisfaction using the EUCS (End User Computing Satisfaction) questionnaire. Results: The content validity test obtained a value of 1.02 and an alpha Cronbach reliability value of 0.765, so the Rawat Kaki application was declared feasible. Then, the data is collected through a regression test, obtaining an R-value of 0.689, which means 68.9% of application user satisfaction can be explained through the Rawat Kaki application. Conclusion: The high validity and satisfaction of respondents might be a reason to consider using this educational application.
subject: Articles
  topic: section
subject: android app
  topic: keywords
subject: diabetics
  topic: keywords
subject: elderly
  topic: keywords
subject: people with diabetes
  topic: keywords
creator: Suyanto Suyanto
creator: Sri Lestari Dwi Astuti
rights: Copyright (c) 2024 JKG (JURNAL KEPERAWATAN GLOBAL)
date: 2024-12-31
publication date: 2024-12-31
starting page: 71
ending page: 83
doi: 10.37341/jkg.v9i2.1015

The Influence of Spiritual Care with Callista Roy's Adaptation Theory Approach on Serotonin Levels in Ischemic Stroke Patients
type: item
description: Background: Ischemic stroke causes physical disability, which can result in an inability to adapt, causing a 72% decrease in serotonin. Decreased serotonin can cause mood changes that adversely impact stroke outcomes. The aim of this research is to determine the effect of spiritual care using Callista Roy's adaptation theory approach on serotonin levels in Ischemic Stroke Patients. Methods: The type of research is quasi-experimental with a pretest-posttest control group design. The population of the study was outpatients of ischemic stroke patients at Dr. Moewardi Hospital. The sample size was 60 respondents consisting of 30 respondents in the control group and 30 respondents in the intervention group. The intervention group was given a spiritual care intervention by the researcher consisting of 5 sessions each meeting with a duration of 30 minutes. The spiritual care intervention was given once a week 12 times for 3 months and the control group was given standard spiritual therapy by the outpatient nurse at RSUD Dr. Moewardi Surakarta. Serotonin examination using ELISA kit. Data analysis using independent sample t-test. Results: There is an influence of spiritual care with the Callista Roy theory approach on the serotonin levels of ischemic stroke patients with a significance of 0.001 (p value <0.05). Conclusion: Spiritual care interventions with Callista Roy's theoretical approach have a significant influence on improving serotonin levels in ischemic stroke patients, which can reduce anxiety. It is recommended that ischemic stroke patients be given spiritual care 12 times for 3 months.
subject: Articles
  topic: section
subject: ischemic stroke
  topic: keywords
subject: serotonin
  topic: keywords
subject: spiritual care
  topic: keywords
creator: Aria Nurahman Hendra Kusuma
creator: Dwi Pudjonarko
creator: Untung Sujianto
rights: Copyright (c) 2025 JKG (JURNAL KEPERAWATAN GLOBAL)
date: 2025-01-02
publication date: 2025-01-02
doi: 10.37341/jkg.v9i2.1103

Exergame: Exercise With Matching Memory Game On Cognitive Function And Physical Fitness Of The Elderly
type: item
description: Background: Cognitive decline and physical deterioration are common issues among the elderly, significantly impacting their quality of life. The unanticipated cognitive impairments will result in dementia. Effective approaches to simultaneously improving both aspects remain to be further developed and evaluated. Exercise with a matching memory game overcomes the issues. This study aimed to examine the effectiveness of an exergame, combining memory-stimulating games and physical exercise in improving cognitive function and physical fitness among the elderly. Methods: The study was a quick experiment with two groups in a pre-post test design. A number of 119 participants were recruited using purposive sampling and randomly divided into the experimental group (n=60) or the control group (n=59). Cognitive function was assessed using the Mini-Mental State Examination (MMSE), while physical fitness was measured with the 2-minute step test score. Results: The data was analyzed using a paired t-test, which revealed a significant improvement in MMSE and 2-minute scores in the experimental group before and after the intervention (p < 0.05). Additionally, the independent t-test analysis demonstrated a significant difference between the experimental and control groups in both cognitive and physical fitness measures after the intervention (p < 0.05). Conclusion: Implementing exercise has a significant positive influence on cognitive function and physical fitness among the elderly. Incorporating an exergame into community health programs for the elderly could provide substantial benefits to their overall well-being.
subject: Articles
  topic: section
subject: cognitive function
  topic: keywords
subject: elderly
  topic: keywords
subject: exergame
  topic: keywords
subject: physical fitness
  topic: keywords
creator: Gilang Dwi Pratiwi
creator: Wini Hadiyani
creator: Vita Lucya
creator: Yuda Gumelar
rights: Copyright (c) 2025 JKG (JURNAL KEPERAWATAN GLOBAL)
date: 2025-01-08
publication date: 2025-01-08
starting page: 104
ending page: 119
doi: 10.37341/jkg.v9i2.1082

Effectiveness of Non-Invasive Sensor-Based Tools for Blood Glucose Detection
type: item
description: Background: Monitoring blood glucose levels is one of the main pillars of diabetes management to prevent complications and reduce the risk of morbidity and mortality. Today's blood glucose monitoring is a non-invasive method that offers speed, accuracy, and painless convenience. Referring to this need, this study aims to demonstrate the effectiveness of non-invasive sensor-based detection devices in checking blood glucose levels in order to provide a more comfortable and efficient alternative for diabetes patients. Methods: This study developed a non-invasive glucometer using the latest and smaller version of Arduino Uno and tested it on 20 samples, consisting of 10 diabetes mellitus patients and 10 with normal blood glucose. The test was carried out by comparing the measurement results from the non-invasive device and the standard GCU Easy Touch 3-in-1 device to determine the accuracy of the device. The tool-testing method uses sensitivity, specificity, and accuracy. Results: This non-invasive measuring tool is more effective when used to measure patients with diabetes mellitus. This device shows an error rate of 9.21%, a sensitivity of 80%, and a specificity of 50%. Meanwhile, the overall measurement accuracy, calculated at 83.3%, reinforces the tool's effectiveness in providing reliable results. Conclusion: This device has the potential to be a convenient and painless method of blood glucose monitoring for diabetic patients. However, further development is needed to improve the development of machine learning-based algorithms to process sensor data so that tools can identify unique patterns from each individual and provide more accurate results.
subject: Articles
  topic: section
subject: detection tool
  topic: keywords
subject: diabetes mellitus
  topic: keywords
subject: non-invasive
  topic: keywords
creator: Yudha Anggit Jiwantoro
creator: Ni Putu Dian Ayu Anggraeni
creator: Ninik Nurhidayah
creator: I Gusti Ayu Sri Puja Warnis Wijayanti
creator: Cembun Cembun
rights: Copyright (c) 2025 JKG (JURNAL KEPERAWATAN GLOBAL)
date: 2025-01-08
publication date: 2025-01-08
starting page: 94
ending page: 103
doi: 10.37341/jkg.v9i2.1095