Jurnal Keperawatan Profesional (KEPO)
type: channel
description: Detail Journal Information: Journal Title in ISSN: Jurnal Keperawatan Profesional (KEPO) ROAD ISSN | LIPI ISSN DOI: prefix 10.36590 Editor-in-chief: Dr. Rahmawati, S.Gz, M.Si Language: Indonesian or English Frequency: Two issues per year | Mei and November Publisher: Sarana Ilmu Indonesia (salnesia) Accreditation: SINTA 4
publisher: Sarana Ilmu Indonesia (salnesia)
language: en-US
publication name: Jurnal Keperawatan Profesional (KEPO)
issn: 2548-1940
items: Analysis of the Description of Students' Expectancy with Self-Injurious Behavior
items: The Length of Academic Workload and Blood Pressure in Students
items: Complementary Therapy for Treating Pruritus in Chronic Kidney Disease Patients: Systematic Literature Review
items: Factors Associated with Medication Adherence among Patients in the Back-Referral Program (PRB)
items: Application of Foot Massage to Hemodynamic Stability in Ventilator-Adjusted Patients
items: Between Parenting Styles and Difficult Eating Behavior
items: Loneliness and Nomophobia in Nursing Students
items: Factors Associated with the Utilization of Queue Services through the National Health Insurance Mobile Application
items: Skills of Posyandu Cadres in the Use of Standardized Anthropometric Instruments in Gorontalo Regency
items: Perception and Health Workers' Attitudes with the Provision of Palliative Care Services for Terminal Patients
items: Maternal Triglyceride Levels in the Third Trimester and Infant Birth Weight: A Prospective Cohort Study
items: The Use of Slow Deep Breathing and Healing touch for Pain Management Following Laparoscopic Cholecystectomy: Case Report
items: Toxic Parenting and Mental Health Among Adolescents
items: Development of 'NutriFit Teen' Mobile Application on Adolescent Knowledge of Chronic Energy Deficiency (CED) Risk
items: Application of Scheduled Drawing Therapy to Reduce Signs and Symptoms of Auditory Hallucinations
items: Combined Foot Care and Motivational Interviewing in Preventing Diabetic Foot Ulcers
items: Hydrocolloid Dressing on Wound Healing in Patients with Diabetes Mellitus
items: Perception of Diabetic Patients Toward the Risk of Diabetic Foot Ulcers
items: Explosion box Based on Scientific approach to Improve Knowledge and Compliance in Consuming Iron Supplements
items: Warm Water Foot Soaking Therapy in Improving Ankle Brachial Index (ABI) in Patients with Type 2 Diabetes Mellitus: A Case Study
items: Stress Levels Among Older Adults Before and After Empowerment-Based Group Activity Therapy (Gardening and Creative Activities)
items: Inhibiting Factors in the Implementation of Pre and Post Nursing Conferences
items: Academic Stress and Insomnia in Adolescents
items: Knowledge and Family Support with Personal Hygiene Independence in Children with Intellectual Disabilities
items: Group Activity Therapy-Based Tai Chi Exercises on Improving Muscle Strength in Older Adults
items: Sleep Hygiene and Emotional Intelligence of School Students

Analysis of the Description of Students' Expectancy with Self-Injurious Behavior
type: item
description: Self-harm behavior in adolescents is a common mental health problem and is associated with difficulties in emotion regulation. This study aimed to describe the expectations of students who engage in self-harm behavior. A quantitative method with a descriptive design was employed. The sample consisted of 81 students from “SMP X” who had a history of self-harm behavior and were selected using a purposive sampling technique. Data were collected using the Non-Suicidal Self-Injury Expectancy Questionnaire (NEQ) and analyzed using descriptive statistics. The results showed that expectations related to self-harm behavior were in the high category across several aspects. In the affect regulation aspect, most subjects expected to feel calm after engaging in self-harm behavior (mean = 3.27). In the negative social aspect, subjects expected that others would notice them and perceive them as strange (mean = 3.14). In the communication aspect, subjects expected to receive attention and sympathy from others (mean = 2.99). In the pain aspect, subjects expected self-harm to be painful (mean = 3.27). In the negative self-beliefs aspect, subjects expected to feel ashamed after engaging in self-harm (mean = 3.23). In conclusion, students with a history of self-harm behavior have various expectations, particularly related to emotional regulation and social interaction.
creator: Adhisti Nuur Ainii
creator: Suci Ratna Estria
creator: Etlidawati Etlidawati
creator: Indana Lazulfa
rights: Copyright (c) 2026 Jurnal Keperawatan Profesional (KEPO)
date: 2026-05-15
publication date: 2026-05-15
volume: 7
number: 1
starting page: 1
ending page: 9
doi: 10.36590/kepo.v7i1.1398

The Length of Academic Workload and Blood Pressure in Students
type: item
description: The high prevalence of prehypertension and hypertension in adolescents related to campus activity duration is a concern because long working hours have been associated with increased blood pressure, although previous findings remain inconsistent. This study aimed to determine the correlation between the length of campus-related work and blood pressure in medical students. A cross-sectional design with an analytical survey approach was used. The independent variables were measured using self-administered questionnaires, including the Perceived Stress Scale, Pittsburgh Sleep Quality Index, and Global Physical Activity Questionnaire. Blood pressure was assessed through physical examination using a digital sphygmomanometer. A total of 48 subjects were selected through simple random sampling. Bivariate analysis was conducted using Fisher’s exact test. The results showed that duration of campus activity (p-value = 0.176), stress level (p-value = 0.870), physical activity (p-value = 0.694) and sleep quality (p-value = 0.345), all variables had p-values > 0.05. These findings indicated no significant relationship between the duration of campus activity and blood pressure among medical students at Universitas Pembangunan Nasional “Veteran” Jakarta. Future studies were encouraged to include additional variables such as sodium intake and employ alternative designs such as cohort studies.
creator: I Gusti Ngurah A D Raditya
creator: Mila Citrawati
creator: Melly Kristanti
creator: Diana Agustini P
rights: Copyright (c) 2026 Jurnal Keperawatan Profesional (KEPO)
date: 2025-05-15
publication date: 2025-05-15
volume: 7
number: 1
starting page: 10
ending page: 18
doi: 10.36590/kepo.v7i1.1441

Complementary Therapy for Treating Pruritus in Chronic Kidney Disease Patients: Systematic Literature Review
type: item
description: Uremic pruritus was a distressing symptom frequently experienced by patients undergoing hemodialysis, characterized by widespread daily itching that was symmetrical, bilateral, without dermatomal patterns or primary skin lesions. The symptoms could be generalized or localized, particularly on the back, abdomen, and arms. This systematic review aimed to identify complementary therapy methods and their frequency of administration in managing pruritus among patients with Chronic Kidney Disease-associated Pruritus (CKD-aP) undergoing hemodialysis. The study used a systematic literature review design with a PICOST approach. The included studies were randomized controlled trials and quasi-experimental studies published between 2014 and 2024. The literature search was conducted through PubMed, Springer Link, ScienceDirect, SAGE Journals, Taylor & Francis, and Semantic Scholar. Article selection included duplicate removal using Mendeley, followed by title, abstract, and full-text screening based on inclusion and exclusion criteria. A total of 13 articles met the eligibility criteria. The results showed that acupressure, acupuncture, foot reflexology massage, clove oil, violet oil, virgin coconut oil, peppermint oil, EPA supplementation, and dill oil were effective in reducing pruritus among CKD-aP patients. The most frequently used interventions were peppermint oil and virgin coconut oil through topical application or massage. Complementary therapies had the potential to serve as effective adjunctive treatments, although their effectiveness varied and some studies had methodological limitations.
creator: Mita Majdina Anugrah
creator: Nisrina Nur Aini
creator: Nunung Siti Sukaesih
creator: Dedah Ningrum
creator: Helmalia Putri Arabani
creator: Rina Firdayanti Nurhadi
creator: Zahra Marsyifa Rohman
creator: Aditya Muhamad Fadilah
rights: Copyright (c) 2026 Jurnal Keperawatan Profesional (KEPO)
date: 2026-05-15
publication date: 2026-05-15
volume: 7
number: 1
starting page: 19
ending page: 36
doi: 10.36590/kepo.v7i1.1443

Factors Associated with Medication Adherence among Patients in the Back-Referral Program (PRB)
type: item
description: Medication adherence among patients with chronic diseases remains a global health problem, characterized by low adherence rates that contribute to increased complications and healthcare costs. In Indonesia, the Referral Back Program (Program Rujuk Balik/PRB) as a chronic disease management strategy was not optimally implemented, including at the UPT Puskesmas Rappang, where adherence levels were still below the target. This study aimed to analyze factors associated with medication adherence among PRB patients at UPT Puskesmas Rappang, Sidenreng Rappang Regency. A quantitative study with a cross-sectional design was conducted. The population consisted of 156 patients, with 112 subjects selected using simple random sampling. Data were collected through questionnaires and analyzed using the Chi-square test with a significance level of p < 0.05. The results showed that knowledge, access to information, and family support were significantly associated with medication adherence among PRB patients, indicating that these factors play an important role in shaping patient adherence behavior. In conclusion, knowledge, access to information, and family support are significantly related to medication adherence among PRB patients. Therefore, it is recommended that health centers improve continuous health education, expand accessible health information, and actively involve families in supporting patient adherence to long-term treatment.
creator: Ummu Khadijah
creator: Sunandar Said
creator: Mardhatillah Mardhatillah
creator: Pratiwi Ramlan
rights: Copyright (c) 2026 Jurnal Keperawatan Profesional (KEPO)
date: 2025-05-15
publication date: 2025-05-15
volume: 7
number: 1
starting page: 37
ending page: 47
doi: 10.36590/kepo.v7i1.2039

Application of Foot Massage to Hemodynamic Stability in Ventilator-Adjusted Patients
type: item
description: Critically ill patients undergoing medical care in the ICU experience disruption of the body's physiological regulatory mechanisms, which can lead to hemodynamic instability. Efforts to maintain hemodynamic stability can be managed through pharmacological and non-pharmacological therapy. One form of non-pharmacological intervention that has the potential to affect hemodynamic status in patients treated in the ICU is foot massage. This study was conducted to analyze hemodynamic changes in patients using ventilators after being given a foot massage. This case study was conducted using a descriptive plan. The research subjects consisted of 4 patients using ventilators in the ICU. Foot massage was given for 40 minutes every day for two days, where before the foot massage was given an average systolic blood pressure of 154.0 mmHg. Diastolic 82.38 mmHg, MAP 105.75 mmHg, RR 23.5 beats/min, pulse rate 95.13 beats/min and SpO2 98%. The results of the study after foot massage for 2 days showed an improvement in hemodynamic status after foot massage, which was indicated by an average Systolic 147.38 mmHg, Diastolic 82.25 mmHg, MAP 103.75 mmHg, RR 21.63 beats/min, Pulse 89.88 beats/min, and SpO2 99%. This case study concludes that foot massage provides positive changes in the hemodynamic status of critical patients using ventilators in the ICU.
creator: Afiffah Arundina Zakarisma
creator: Sri Rahayu
rights: Copyright (c) 2026 Jurnal Keperawatan Profesional (KEPO)
date: 2025-05-15
publication date: 2025-05-15
volume: 7
number: 1
starting page: 48
ending page: 56
doi: 10.36590/kepo.v7i1.1970

Between Parenting Styles and Difficult Eating Behavior
type: item
description: Feeding difficulties among preschool children can interfere with nutritional intake and negatively impact their growth and development. Parenting style plays a crucial role in shaping children’s eating behaviors because parents determined food choices, feeding practices and the eating environment experienced by the child. This study aimed to identify the relationship between parenting style and feeding difficulties among preschool children in the working area of Bambu Apus Community Health Center in South Tangerang City. A quantitative approach with a cross-sectional design was used, involving 186 respondents selected through purposive sampling. Data were collected using structured questionnaire on parenting style and feeding behavior. Data were analyzed using univariate and bivariate methods with Spearman Rank correlation testing. The results demonstrated a significant relationship between parenting style and feeding difficulties among preschool children. In conclusion, parenting styles are related to children’s feeding difficulties behavior. It was recommended that parents apply supportive parenting practices to build healthy eating habits and that health workers enhance education regarding appropriate feeding practices for preschool children.
creator: Astika Dwi Yanti
creator: Dona Sartika
rights: Copyright (c) 2026 Jurnal Keperawatan Profesional (KEPO)
date: 2025-05-16
publication date: 2025-05-16
volume: 7
number: 1
starting page: 57
ending page: 63
doi: 10.36590/kepo.v7i1.1906

Loneliness and Nomophobia in Nursing Students
type: item
description: Nursing students often faced challenges in adapting socially to new environments, which can lead to feelings of loneliness. In response, many turn to excessive smartphone use, potentially resulting in nomophobia. This study aims to examine the relationship between loneliness and nomophobia among final-year nursing students who are studying away from home. The study employed a correlational design with a cross-sectional approach. A total sampling technique was used, involving 147 subjects. Data collection instruments included validated and reliable questionnaires: the UCLA Loneliness Scale (ULS-20) to assess loneliness, and the Indonesian version of the NMP-Q-10 to measure nomophobia. Data were analyzed using the Spearman rank correlation test. The results showed no significant relationship between loneliness and nomophobia among the subjects (p = 0,621; p > 0,05). Future studies are expected to use longitudinal designs and more complex conceptual models to gain a deeper understanding of the mechanisms underlying this relationship. The researchers recommend that nomophobia studies be conducted offline and linked to other aspects such as length of time spent away from home, frequency of returning home, and intensity of smartphone use.
creator: Siti Ainur Rohmawati
creator: Mamnuah Mamnuah
rights: Copyright (c) 2026 Jurnal Keperawatan Profesional (KEPO)
date: 2026-05-16
publication date: 2026-05-16
volume: 7
number: 1
starting page: 64
ending page: 75
doi: 10.36590/kepo.v7i1.1547

Factors Associated with the Utilization of Queue Services through the National Health Insurance Mobile Application
type: item
description: Mobile National Health Insurance (Mobile NHI) is an application that facilitates users in registering, updating, and accessing membership data, obtaining services from primary and referral health facilities, and submitting feedback. This study aimed to analyze the factors associated with the utilization of queue services through the application in the working area of Rappang Public Health Center. This research employed a quantitative method with a cross-sectional approach. The study population consisted of 14,829 visits of National Health Insurance participants, with a sample of 99 subjects determined using the Slovin formula and simple random sampling technique. Data were collected through observation, documentation, and questionnaires that had been tested for validity and reliability. Data analysis was conducted using univariate and bivariate analysis with the Chi-Square test at a significance level of p < 0.05. The results showed that digital literacy, socialization, education level, and age were significantly associated with the utilization of queue services through the Mobile JKN application. It was concluded that the utilization of this service was still not optimal due to limited technological understanding and insufficient dissemination of information. The implications of this study highlighted the need to improve digital literacy, enhance interactive socialization strategies, and develop a more user-friendly application system to optimize the use of digital health services.
creator: Aliffia Putri Saharani
creator: Sunandar Said
creator: Khaeriyah Adri
creator: Devy Febrianti
rights: Copyright (c) 2026 Jurnal Keperawatan Profesional (KEPO)
date: 2026-05-16
publication date: 2026-05-16
volume: 7
number: 1
starting page: 76
ending page: 87
doi: 10.36590/kepo.v7i1.2040

Skills of Posyandu Cadres in the Use of Standardized Anthropometric Instruments in Gorontalo Regency
type: item
description: Stunting remained a major public health problem in Indonesia, requiring accurate growth monitoring at integrated health service posts (Posyandu). Posyandu cadres played a vital role in performing anthropometric measurements to determine children’s nutritional status; however, measurement accuracy was often affected by limited technical competence. This study aimed to assess the knowledge and skills of Posyandu cadres in using standardized anthropometric tools in Gorontalo Regency. A mixed methods study was conducted using focus group discussions and a cross-sectional design. A total of 56 cadres were selected through proportionate stratified random sampling. Data were collected using structured questionnaires, observation checklists, and comparison with gold standard measurements. The results showed that 71% of cadres had good knowledge, but only 27% demonstrated adequate skills, and 21% correctly followed standard measurement procedures. The mean differences between cadre measurements and the gold standard were +0.03 kg for body weight and −0.21 cm for height/length. Limited training and lack of calibrated equipment were identified as key barriers. Improving regular training and ensuring the availability of standardized tools are essential to enhance measurement accuracy and support effective stunting prevention programs in primary healthcare settings.
creator: Mutia Reski Amalia
creator: Mohamad Anas Anasiru
creator: Indra Domili
creator: Nuryani Nuryani
creator: Imran Tumenggung
creator: Ayu Bulan Febry Kurnia Dewi
creator: Maya Kumalasari Sugiyanto
creator: Erni Mansyur
creator: Shinto Mohamad
rights: Copyright (c) 2026 Jurnal Keperawatan Profesional (KEPO)
date: 2026-05-31
publication date: 2026-05-31
volume: 7
number: 1
starting page: 88
ending page: 96
doi: 10.36590/kepo.v7i1.2035

Perception and Health Workers' Attitudes with the Provision of Palliative Care Services for Terminal Patients
type: item
description: Palliative care aims to alleviate the suffering of patients with serious, complex, and terminal illnesses. However, the availability of palliative care services in Indonesia is still limited, and healthcare professionals' understanding is unequal. Although most healthcare professionals demonstrate positive attitudes toward palliative care, gaps in understanding remain that can impact the quality of care provided to terminally ill patients. This study aimed to analyze the relationship between healthcare professionals' perceptions and their attitudes toward providing palliative care to terminally ill patients at Dr. M. Thomsen Regional General Hospital, Nias. The study used a quantitative approach with an observational analytical design and cross-sectional methods. Data were analyzed using a correlation test to determine the relationship between the two variables. The results showed a correlation coefficient (r) of 0.438 with a significance value (p) of 0.001. This indicates a positive and significant relationship between healthcare professionals' perceptions and their attitudes toward providing palliative care. It was concluded that better perceptions are associated with more positive attitudes toward providing palliative care. Therefore, strengthening palliative care education and training is needed to improve healthcare professionals' competence in providing care to terminally ill patients.
creator: Satdiman Tuberta Gulo
creator: Kristian Lase
creator: Tetra Katukrismawati Gulo
creator: Nurhayati Buulolo
creator: Nomy Vera Hutabarat
rights: Copyright (c) 2026 Jurnal Keperawatan Profesional (KEPO)
date: 2026-05-31
publication date: 2026-05-31
volume: 7
number: 1
starting page: 97
ending page: 109
doi: 10.36590/kepo.v7i1.2059

Maternal Triglyceride Levels in the Third Trimester and Infant Birth Weight: A Prospective Cohort Study
type: item
description: Infants born with non-optimal birth weight, either low or excessive, are at risk of experiencing growth and developmental disorders as well as long-term health problems. Maternal triglyceride levels during the third trimester play a role in lipid metabolism and are presumed to influence fetal growth. This study aimed to analyze the relationship between third-trimester maternal triglyceride levels and infant birth weight. This study employed a prospective cohort design involving 30 third-trimester pregnant women selected through consecutive sampling at an independent midwifery practice in Palembang. The study variables included maternal triglyceride levels and infant birth weight, measured using laboratory examination with the GDO-PAP method and a digital infant scale. Data were analyzed descriptively and using Pearson correlation test after logarithmic transformation of triglyceride data. The results showed that the median maternal triglyceride level was 358.3 mg/dL, while the mean infant birth weight was 3031.8 g. Pearson correlation analysis demonstrated no significant relationship between third-trimester triglyceride levels and infant birth weight (r = −0.079; p = 0.676). Third-trimester maternal triglyceride levels were not significantly associated with infant birth weight. The findings indicate that maternal triglyceride levels during the third trimester were not a determining factor of infant birth weight in this study sample.
creator: Fitri Afdhal
creator: Fitrah Afdhal
creator: Ranida Arsi
creator: Alex Atmasubrata
creator: Delima Ayu Sari
rights: Copyright (c) 2026 Jurnal Keperawatan Profesional (KEPO)
date: 2025-05-31
publication date: 2025-05-31
volume: 7
number: 1
starting page: 110
ending page: 117
doi: 10.36590/kepo.v7i1.2036

The Use of Slow Deep Breathing and Healing touch for Pain Management Following Laparoscopic Cholecystectomy: Case Report
type: item
description: Pain following laparoscopic cholecystectomy can interfere with a patient’s comfort and recovery process. Complementary therapies can be used to supplement pharmacological therapy in pain management. This case report aimed to describe the application of a combination of slow deep breathing and healing touch in a patient following laparoscopic cholecystectomy. This case report employs a single-case study design involving a 46-year-old male diagnosed with cholelithiasis following laparoscopic cholecystectomy. The intervention, consisting of a combination of slow deep breathing and healing touch, was administered for three consecutive days, three times daily. Pain levels were measured using the Numerical Rating Scale (NRS) before and after the intervention. The participant’s initial pain score was in the NRS range of 7–8. After three days of intervention, the pain score gradually decreased to an NRS of 1. Participants also reported improvements in comfort, sleep quality, and mobility. The application of the combination of slow deep breathing and healing touch in this case was followed by a reduction in pain intensity and an increase in comfort during the recovery period. This intervention has the potential to serve as a complementary therapy in holistic nursing practice.
creator: Ira Ayu Ananda
creator: Dian Hudiyawati
rights: Copyright (c) 2026 Jurnal Keperawatan Profesional (KEPO)
date: 2025-05-31
publication date: 2025-05-31
volume: 7
number: 1
starting page: 118
ending page: 126
doi: 10.36590/kepo.v7i1.1971

Toxic Parenting and Mental Health Among Adolescents
type: item
description: Adolescence is a transitional period that is vulnerable to various emotional and psychological changes, requiring a healthy family environment. One factor influencing adolescents’ mental health is parental parenting style. Toxic parenting is a negative parenting practice that can adversely affect adolescents' psychological well-being. This study aimed to examine the relationship between toxic parenting and mental health among adolescents at SMP Negeri 1 Limboto. The research used a quantitative approach with a cross sectional design and involved 82 subjects selected through proportional random sampling techniques. The characteristics of subjects include age, gender, class, parents' marital status, parents' education, parents' occupation, parents' income, and history of bullying. The research instruments included a toxic parenting questionnaire and the Strengths and Difficulties Questionnaire (SDQ). The results showed that most teenagers experienced moderate levels of toxic parenting (65.9%) and had mental health in the borderline category (48.8%). The results of the Chi-square test showed that there was a significant relationship between toxic parenting and adolescent mental health at SMP Negeri 1 Limboto with a Pearson Chi-Square value of 12.551 and a p-value of 0.002 (<0.05). In conclusion, toxic parenting was associated with adolescent mental health, and parents should adopt positive parenting and open communication.
creator: Suci Anggriani Albakir
creator: Ridha Hafid
creator: Siti Hajar Salawali
rights: Copyright (c) 2026 Jurnal Keperawatan Profesional (KEPO)
date: 2025-05-31
publication date: 2025-05-31
volume: 7
number: 1
starting page: 127
ending page: 137
doi: 10.36590/kepo.v7i1.1782

Development of 'NutriFit Teen' Mobile Application on Adolescent Knowledge of Chronic Energy Deficiency (CED) Risk
type: item
description: Chronic Energy Deficiency (CED) in adolescent girls has long-term effects on growth, reproductive health, and future productivity. Low knowledge of CED among adolescents is one of the main causes of this condition. The use of digital technology, particularly mobile applications, offers great potential for effectively improving adolescent nutrition literacy. This study aimed to develop and evaluate the effectiveness of the educational application "NutriFit Teen" in increasing adolescents' knowledge about the risks of CED. The design used was a quasi-experiment with a pretest and posttest approach with a control group. A total of 40 female adolescents aged 15–18 years were divided into two groups: intervention (n=20) and control (n=20). The instrument used was a questionnaire on KEK knowledge that had been tested for validity and reliability. The application was developed participatively and contains interactive information and daily reminders. Data analysis was performed using the Wilcoxon test. The results showed a significant increase in knowledge scores in the intervention group after using the application (p-value < 0.001). This study concluded that the “NutriFit Teen” application is effective in increasing adolescents' knowledge about the risks of KEK.
creator: Septian Mugi Rahayu
creator: Eva Priskila
creator: Adisurya Saputra
rights: Copyright (c) 2026 Jurnal Keperawatan Profesional (KEPO)
date: 2026-05-31
publication date: 2026-05-31
volume: 7
number: 1
starting page: 138
ending page: 147
doi: 10.36590/kepo.v7i1.1622

Application of Scheduled Drawing Therapy to Reduce Signs and Symptoms of Auditory Hallucinations
type: item
description: Auditory hallucinations are a common problem in individuals with severe mental disorders that affect cognitive, emotional, and behavioral functioning and reduce quality of life. This study aimed to determine the effect of scheduled drawing therapy on reducing the signs and symptoms of auditory hallucinations. The method used was a case study with a nursing care approach involving three patients. The intervention was conducted for five consecutive days using structured drawing activities. The results showed a decrease in signs and symptoms in all patients, indicated by reduced self-talking behavior, fear, and improved focus and self-control. It is concluded that scheduled drawing therapy is effective in reducing auditory hallucination symptoms and is recommended as a supportive intervention in mental health nursing practice.
creator: Silvia Firsa Permata
creator: Wita Oktaviana
creator: Joko Purnomo
rights: Copyright (c) 2026 Jurnal Keperawatan Profesional (KEPO)
date: 2026-05-31
publication date: 2026-05-31
volume: 7
number: 1
starting page: 148
ending page: 159
doi: 10.36590/kepo.v7i1.2056

Combined Foot Care and Motivational Interviewing in Preventing Diabetic Foot Ulcers
type: item
description: Type II diabetes mellitus is a chronic metabolic disease with increasing prevalence and a high risk of Diabetic Foot Ulcers, leading to morbidity, amputation, and reduced quality of life. Prevention requires proper foot care and continuous education, yet low patient knowledge and motivation remain major barriers. Motivational Interviewing may improve patient motivation and adherence to self-care. This study aimed to evaluate the effectiveness of combining foot care education and Motivational Interviewing in patients with type II diabetes mellitus. A quasi-experimental pretest-posttest design without a control group was conducted among 15 participants of the Chronic Disease Management Program at Riung Bandung Community Health Center for three months. Interventions included face-to-face education, foot care practice, and motivational counseling. Outcomes were assessed using Diabetic Foot Ulcer risk scores, knowledge, and adherence instruments. The results demonstrated a significant improvement in patient knowledge, but no significant changes in adherence or Diabetic Foot Ulcer risk. The intervention enhanced patients’ understanding of diabetes complication prevention; however, behavioral and clinical outcomes remained unchanged. Future studies should apply longer interventions, involve family support, and include larger samples with control groups.
creator: Vina Vitniawati
creator: Tuti Suprapti
rights: Copyright (c) 2026 Jurnal Keperawatan Profesional (KEPO)
date: 2026-05-31
publication date: 2026-05-31
volume: 7
number: 1
starting page: 160
ending page: 169
doi: 10.36590/kepo.v7i1.1858

Hydrocolloid Dressing on Wound Healing in Patients with Diabetes Mellitus
type: item
description: Diabetes Mellitus (DM) was a chronic disease whose prevalence continues to increase globally, including in Indonesia. In West Java Province, based on data from the Health Office, the number of DM sufferers has increased significantly in recent years. DM patients in West Java experience complications ranging from 15% to 20%. In 2019, Sukabumi Regency recorded 148,447 DM sufferers, while Bandung Regency recorded 45,412 people. The purpose of this study was to determine the effectiveness of Hydrocolloid administration on wound healing. The method used was pre-experimental with pretest-posttest without a control group. The research subjects were DM patients with wounds who visited the nursing home. The sampling technique used was purposive sampling with inclusion and exclusion criteria. The instrument used was the Bates Jensen Wound Assessment Tools (BWAT) which was measured 4 times over 2 weeks. Wound healing data was analyzed using a statistical test: t-test to see the effectiveness of Hydrocolloid dressing wound healing. Results: p-value < 0.05 showed that the administration of Hydrocolloid was proven to be effective in healing wounds in Diabetes Mellitus patients. Suggestion: Seeing the effectiveness of Hydrocolloid dressing in Diabetes Mellitus patients, it was recommended for wound nurses to provide Hydrocolloid as a dressing on wounds to accelerate wound healing.
creator: Ade Tika Herawati
creator: Dede Nuraziz Muslim
rights: Copyright (c) 2026 Jurnal Keperawatan Profesional (KEPO)
date: 2026-05-31
publication date: 2026-05-31
volume: 7
number: 1
starting page: 170
ending page: 176
doi: 10.36590/kepo.v7i1.1869

Perception of Diabetic Patients Toward the Risk of Diabetic Foot Ulcers
type: item
description: The increasing prevalence of Diabetes Mellitus in Indonesia raises concerns about long-term complications such as diabetic foot ulcers, which can lead to amputation, disability, and reduced productivity and quality of life. Despite the availability of health education and promotive-preventive services, 79.1% of Diabetes Mellitus patients have poor foot care practices. Therefore, this study aimed to analyze Diabetes Mellitus patients' perceptions of the risk of diabetic foot ulcers. The method used was descriptive phenomenological, through in-depth interviews and focus group discussions. The sampling technique used purposive sampling until data saturation was achieved. The sample size was 15 DM patients, and the research locations were Riung Bandung Community Health Center and Bandung City Hospital. Data were analyzed using the Colaizzi method. The results showed a negative emotional response at the initial diagnosis that developed into acceptance through family and spiritual support. The perception of diabetic foot ulcers was the most frightening, affecting independence. Preventive behavior was influenced by knowledge, experience, fear of amputation, and access to education. In conclusion, patients perceive diabetic foot ulcers as dangerous, difficult to heal, at risk of infection, and even leading to amputation. Patients' recommendations call for concrete, empathetic, interactive, and ongoing education from healthcare professionals.
creator: Sri Mulyati Rahayu Rahayu
creator: Vina Vitniawati
creator: Ali Hamzah
rights: Copyright (c) 2026 Jurnal Keperawatan Profesional (KEPO)
date: 2026-05-31
publication date: 2026-05-31
volume: 7
number: 1
starting page: 177
ending page: 188
doi: 10.36590/kepo.v7i1.1847

Explosion box Based on Scientific approach to Improve Knowledge and Compliance in Consuming Iron Supplements
type: item
description: One educational tool that can be used to convey health information is the “explosion box”, an interactive learning tool in the form of a layered box that presents material in a visually engaging way. Low adherence to iron supplement intake is often caused by a lack of understanding regarding the importance of preventing anemia. An explosion box based on a scientific approach has the potential to be an effective educational tool because it combines elements of surprise and interactivity to enhance adolescent girls’ knowledge regarding anemia prevention and foster critical thinking. This study aimed to measure the effectiveness of this medium on knowledge and adherence to iron supplement intake among adolescent girls. The method used was a pre-experimental study with a one-group pretest-posttest design. The study subjects consisted of 37 adolescent girls, selected using total sampling. The results showed a significant increase in knowledge (p-value <0.001) and adherence (p-value 0.003) following the intervention using the explosion box based on a scientific approach. Thus, this medium proved effective in improving knowledge and adherence to iron supplement consumption among adolescent girls. An “explosion box” based on a scientific approach was expected to serve as an educational resource in efforts to prevent anemia among adolescent girls.
creator: Adisurya Saputra
creator: Taufik Hidayat
creator: Rita Aprianti
creator: Sri Erliani
rights: Copyright (c) 2026 Jurnal Keperawatan Profesional (KEPO)
date: 2026-05-31
publication date: 2026-05-31
volume: 7
number: 1
starting page: 189
ending page: 198
doi: 10.36590/kepo.v7i1.1606

Warm Water Foot Soaking Therapy in Improving Ankle Brachial Index (ABI) in Patients with Type 2 Diabetes Mellitus: A Case Study
type: item
description: Type 2 Diabetes Mellitus (DM) could lead to peripheral vascular complications, one of which was Peripheral Arterial Disease (PAD), which could be assessed using the Ankle Brachial Index (ABI). A decrease in ABI increased the risk of diabetic foot ulcers and amputation. The aim of this study was to evaluate changes in ABI values after the intervention of warm water foot soaking therapy in patients with type 2 DM. The study design used a descriptive case study conducted on two patients with type 2 DM. ABI was measured before and after routine warm water foot soaking therapy was administered. Both patients showed an increase in ABI values of 0.2, from the category of moderate circulation impairment to normal, indicating an improvement in peripheral perfusion. Warm water foot soaking therapy was shown to have the potential to increase ABI in patients with type 2 DM as a simple and safe non-pharmacological intervention. Further studies with larger sample sizes are needed to confirm the effectiveness and generalizability of the results.
creator: Dhuma Aza Alwintara
creator: Okti Sri Purwanti
rights: Copyright (c) 2026 Jurnal Keperawatan Profesional (KEPO)
date: 2026-05-31
publication date: 2026-05-31
volume: 7
number: 1
starting page: 199
ending page: 206
doi: 10.36590/kepo.v7i1.1932

Stress Levels Among Older Adults Before and After Empowerment-Based Group Activity Therapy (Gardening and Creative Activities)
type: item
description: Elderly people in social care often experience limited interaction, leading to loneliness, social isolation, and stress, while previous studies generally only tested one type of therapy. This quasi-experimental study aimed to test the effectiveness of a combination of gardening and creative therapy in reducing stress levels in the elderly using a purposive sampling technique. The intervention was conducted over two days in April 2026, with data collected through the GDS-15 questionnaire the day before and after the activity, then analyzed using a paired sample t-test. The results showed a significant effect on reducing stress levels in the elderly after the intervention (significance value .0001 < 0.05), so Ha was accepted. This combination of therapies has been proven to foster a sense of responsibility and happiness that effectively divert feelings of low self-esteem, loneliness, and boredom; therefore, future researchers are expected to combine this action with other, more relevant therapies.
creator: Agustia Cahyani
creator: Kartinah Kartinah
rights: Copyright (c) 2026 Jurnal Keperawatan Profesional (KEPO)
date: 2026-05-31
publication date: 2026-05-31
volume: 7
number: 1
starting page: 207
ending page: 216
doi: 10.36590/kepo.v7i1.2057

Inhibiting Factors in the Implementation of Pre and Post Nursing Conferences
type: item
description: The professionalism of nurses was reflected from how nurses communicate with each other. One form of communication carried out by nurses is the nursing conference. This aimed to discuss the patient's condition, which can produce effective strategies and hone critical thinking skills to plan activities in subsequent nursing services for sustainability. In reality, the implementation of nursing conferences is not carried out well. This was due to a lack of direction, lack of nurse knowledge and high workload. The purpose of this study was to analyze the relationship between factors affecting nursing conferences in providing nursing care. The research method used a descriptive correlation with cross-sectional approach. 102 nurses were sampled. Data analysis used the chi-square test. The results obtained were a relationship between nurses' knowledge (p-value < 0.001) and directing function (p-value < 0.001) with obstacles to the implementation nursing conferences. There was no relationship between nurses' workload and obstacles to the implementation of pre- and post-nursing conferences (p-value = 0.185). It can be concluded that there is a relationship between nurses' knowledge and directive function and barriers to implementing nursing conferences. There is no relationship between nurses' workload and barriers to implementing nursing conferences.
creator: Hasna Tunny
creator: Siti Rochmaedah
creator: Yerry Soumokil
rights: Copyright (c) 2026 Jurnal Keperawatan Profesional (KEPO)
date: 2026-05-30
publication date: 2026-05-30
volume: 7
number: 1
starting page: 217
ending page: 230
doi: 10.36590/kepo.v7i1.1661

Academic Stress and Insomnia in Adolescents
type: item
description: Academic stress is one of the psychological problems that teenagers often experience and can affect sleep quality to cause insomnia. This study aimed to determine the relationship between academic stress and insomnia in adolescents at SMA Muhammadiyah Kudus. The study used a quantitative analytical design with a cross-sectional approach. The research sample was 170 subjects from grades 10 and 11 who were selected using purposive sampling techniques. Data collection used the Educational Stress Scale for Adolescents (ESSA) questionnaire to measure academic stress and the Insomnia Severity Index (ISI) to measure insomnia levels. Data analysis was carried out using the Spearman Rank test. The results showed that the majority of subjects were 16 years old, female, and from grade 10. Most of the subjects experienced severe category insomnia as many as 118 subjects (69.4%). The academic stress level of subjects was mostly in the medium category as many as 86 subjects (50.6%), while the high category was 79 subjects (46.5%). The results of the Spearman Rank test showed a significant relationship between academic stress and insomnia in adolescents with a value of p = 0.001 (p-value < 0.05) and a correlation coefficient of r = 0.368 which showed a positive association with moderate strength. The results of the regression analysis showed a determination coefficient value (R²) of 13.5%, which meant that academic stress contributed 13.5% to the incidence of insomnia in adolescents.
creator: Ririn Rindiani
creator: Umi Faridah
creator: Dewi Hartinah
rights: Copyright (c) 2026 Jurnal Keperawatan Profesional (KEPO)
date: 2026-05-30
publication date: 2026-05-30
volume: 7
number: 1
starting page: 231
ending page: 240
doi: 10.36590/kepo.v7i1.1851

Knowledge and Family Support with Personal Hygiene Independence in Children with Intellectual Disabilities
type: item
description: Children with intellectual disabilities possess below-average intelligence, which impacts their growth and ability to perform personal hygiene independently. The family is the primary environment that shapes a child's independence. This study aimed to analyze the relationship between family knowledge and support and personal hygiene independence among children with intellectual disabilities in Bogor City. A quantitative cross-sectional design was used, involving 73 subjects through total sampling at State Special Schools in Bogor City between December 2024 and February 2025. Data were collected using validated questionnaires and analyzed using univariate distribution and the chi-square test (with Fisher's Exact Test as an alternative when assumptions were violated). The majority of parents had insufficient knowledge and the majority of children were in the dependent category. Among the four dimensions of family support examined, only emotional support showed a statistically meaningful association with the child's personal hygiene independence. It was concluded that, among the variables studied, emotional support from the family is the dominant factor associated with personal hygiene independence in children with intellectual disabilities. It is recommended that families strengthen emotional support, in the form of affection, encouragement, and consistent training at home, to foster personal hygiene independence in children with intellectual disabilities.
creator: Monica Regina Caeli
creator: Tuti Asrianti Utami
creator: Sudibyo Supardi
rights: Copyright (c) 2026 Jurnal Keperawatan Profesional (KEPO)
date: 2026-05-30
publication date: 2026-05-30
volume: 7
number: 1
starting page: 241
ending page: 251
doi: 10.36590/kepo.v7i1.2010

Group Activity Therapy-Based Tai Chi Exercises on Improving Muscle Strength in Older Adults
type: item
description: Older adults experience a decline in muscle strength due to the aging process, which leads to limitations in physical activity and an increased risk of dependency. Among the interventions that can be implemented is Tai Chi exercise based on Group Activity Therapy (GAT), which involves physical exercises with slow, controlled movements performed in a group setting to improve physical function and motivation in older adults. This study aimed to determine the effectiveness of Group Activity Therapy (GAT)-based Tai Chi exercises on improving muscle strength in older adults before and after the intervention. This study employed a One-Group Pre-Post Test Design involving 10 older adults at the Tresna Werdha Budi Luhur Social Service Center in Yogyakarta. Muscle strength assessments were conducted before and after the intervention using a manual muscle strength test. The data were analyzed using the Wilcoxon Signed-Rank Test, and the results showed a p-value of 0.003, which is less than 0.05 (p = 0.003 < 0.05). The results indicated a significant difference in muscle strength before and after the intervention, suggesting that group activity therapy-based Tai Chi exercises had a significant effect on improving muscle strength in older adults. Therefore, this intervention may serve as an effective non-pharmacological therapy to support independence and improve muscle strength in older adults.
creator: Zuan Nun Alea Syavinka
creator: Kartinah Kartinah
rights: Copyright (c) 2026 Jurnal Keperawatan Profesional (KEPO)
date: 2026-05-31
publication date: 2026-05-31
volume: 7
number: 1
starting page: 252
ending page: 260
doi: 10.36590/kepo.v7i1.2023

Sleep Hygiene and Emotional Intelligence of School Students
type: item
description: Remaja rentan mengalami gangguan tidur akibat kebiasaan tidur yang buruk, seperti penggunaan gawai sebelum tidur dan waktu tidur yang tidak teratur, sehingga memengaruhi kestabilan emosi. Penelitian ini bertujuan untuk mengetahui hubungan higiene tidur dengan kecerdasan emosional pada siswa SMPN 1 Jatinangor, menggunakan pendekatan kuantitatif survei potong lintang dengan jumlah siswa 276 orang yang dipilih melalui cluster random sampling. Instrumen yang digunakan adalah Indeks Higiene Tidur dan Skala Kecerdasan Emosional Wong and Law versi Bahasa Indonesia, dianalisis dengan uji korelasi Spearman. Hasil penelitian menunjukkan sebagian besar siswa memiliki higiene tidur yang buruk 51,8 persen dan kecerdasan emosional yang tinggi 54,7 persen dan tidak terdapat hubungan yang signifikan antara keduanya. Simpulannya, kebiasaan tidur yang buruk tidak selalu memengaruhi kecerdasan emosional secara langsung karena dipengaruhi oleh faktor lain seperti dukungan sosial, tekanan akademis, dan lingkungan keluarga. Disarankan kepada siswa, sekolah, dan orang tua untuk meningkatkan kesadaran akan pentingnya pola tidur yang sehat dan mengelola emosi melalui edukasi dan kebiasaan positif di sekolah dan rumah.
creator: Dinda Nazwa Azzahra
creator: Nunung Siti Sukaesih
creator: Ida Nurhidayah
rights: Copyright (c) 2026 Jurnal Keperawatan Profesional (KEPO)
date: 2026-05-31
publication date: 2026-05-31
volume: 7
number: 1
starting page: 261
ending page: 273
doi: 10.36590/kepo.v7i1.1806