NERSMID : Jurnal Keperawatan dan Kebidanan

Asuhan Keperawatan dengan Intervensi Foot Massage terhadap Masalah Kelelahan pada Pasien Chronic Kidney Disease

Cut Nur Hafizhah — 2026-10-25

Chronic Kidney Disease (CKD) is a progressive impairment of kidney function in which the body is unable to maintain metabolism, fluid balance, and electrolyte balance, leading to elevated urea levels. Chronic kidney disease can affect various cardiovascular systems, necessitating medical treatment, one of which is hemodialysis. Patients with chronic kidney disease undergoing hemodialysis often experience malnutrition and anemia, leading to fatigue due to their dependence on the dialysis machine.

The purpose of this study is to provide nursing care using foot massage as an intervention for fatigue in patients with chronic kidney disease. This study employed a case study method involving a single subject, namely An. Tj, a patient with chronic kidney disease. The study was conducted from January 27 to February 2, 2025. The nursing care provided consisted of foot massage interventions to reduce fatigue levels in patients with chronic kidney disease. The interventions were administered for 15 minutes each day over a 6-day treatment period. Nursing care monitoring was conducted before and after the foot massage interventions to assess fatigue levels in patients with chronic kidney disease. The results of the study indicate that nursing care incorporating foot massage interventions can reduce fatigue levels in patients with chronic kidney disease. The conclusion of this study is that foot massage interventions can address fatigue in patients with chronic kidney disease.

Pengaruh Slow Deep Breathing Dan Akupresur SP6 Terhadap Nyeri Persalinan Kala I

Diah Permatasari Putri — 2026-10-25

Labor pain during the active phase of the first stage of labor is a common experience for women, potentially affecting both their physical and psychological well-being throughout the birthing process. Non-pharmacological interventions, such as slow deep breathing techniques and acupressure at the SP6 point, can be utilized to help alleviate labor pain. This study aimed to examine the effects of slow deep breathing and SP6 acupressure on labor pain among women in the active phase of the first stage of labor at KBLP Hospital in 2024. A qualitative case study approach was employed. The sample consisted of two women in the active phase of the first stage of labor, selected via purposive sampling based on specific inclusion and exclusion criteria. Pain levels were assessed using the Numeric Rating Scale (NRS) both before and after the interventions. The findings indicate that the slow deep breathing technique reduced the pain score from 9 to 6, while SP6 acupressure reduced the pain score from 9 to 4 following the intervention at the third hour. Based on these results, SP6 acupressure is more effective than the slow deep breathing technique in reducing pain during the active phase of the first stage of labor. Consequently, both non-pharmacological methods can be implemented as alternatives to help mitigate pain and enhance maternal comfort during the birthing process.

Pengaruh Pendidikan Kesehatan tentang Pencegahan Jatuh terhadap Tingkat Pengetahuan dan Sikap Lansia

Zamharira — 2026-10-25

Physical changes in the elderly can cause imbalance, causing the risk of falling. One of the efforts to prevent falls is to provide education through health education with the hope that the elderly can find out about efforts to prevent falls. The purpose of this study was to determine the effect of health education about fall prevention on the level of knowledge and attitude of the elderly.This research is pre-experimental with a one group pretest-posttest design approach. This research is preexperimental with a one group pretest posttest design approach. The population was all elderly people who were active in the integrated service post as many as 107 people. The sampling technique used purposive sampling so that the number of samples was 15 respondents. The data collection instrument used a questionnaire sheet. This research was conducted at the Integrated Service Post of Gampong Ie Masen Ulee Kareng, Banda Aceh City on May 29, 2024. The research results show that there is a difference in the level of knowledge before and after being given health education about fall prevention (p-value = 0.000). Then there is a difference in attitude before and after being given health education about fall prevention (p-value = 0.001). The conclusion of this study is that there is an effect of health education about fall prevention on the knowledge and attitudes of the elderly at the integrated service post of Gampong Ie Masen Ulee Kareng, Banda Aceh City.

Tinjauan Literatur mengenai Mekanisme Neurobiologis Vestibular Migraine

Nurul Annisa Amin — 2026-10-25

Neurological disorders remain a major global health problem that can lead to reduced quality of life, disability, and limitations in daily activities. One of the increasingly recognized disorders is Vestibular Migraine, which is an important cause of recurrent vertigo with a prevalence of approximately 3% in the adult population and occurs more frequently in women. This condition is characterized by a combination of vertigo, balance disturbances, migraine headache, and hypersensitivity to visual and auditory stimuli. Objective: This study aims to analyze the neurobiological mechanisms of vestibular migraine based on literature studies, including the roles of the vestibular system, trigeminovascular system, neurotransmitters, neuroinflammation, and brain network connectivity disorders. Methods: This research is a literature review based on national and international scientific articles obtained from Google Scholar, PubMed, Elsevier, NCBI, and Clinical Key databases using relevant keywords. Results: The findings show that the mechanism of vestibular migraine involves activation of the trigeminovascular system, which triggers the release of neurogenic inflammatory mediators such as calcitonin gene-related peptide (CGRP), serotonin, and substance P. This activation increases the sensitivity of vestibular neurons and disrupts central neural signal transmission. In addition, increased glutamatergic activity leads to excessive neuronal excitability, contributing to vertigo and balance disturbances. Neuroimaging studies also reveal reduced connectivity in the sensorimotor network (SMN), dorsal attention network (DAN), and visual network, leading to impaired multisensory integration. Altered activity in the brainstem, cerebral cortex, and cerebellum further contributes to motion perception disturbances and sensory hypersensitivity. Conclusion: Vestibular migraine is a complex neurological disorder involving multisystem central nervous system dysfunction. Understanding its mechanisms is essential for improving diagnosis and developing more effective therapeutic strategies.

Pengaruh Protein Hewani Dan Nabati Terhadap Tumbuh Kembang Balita Di Puskesmas Kedungwaru

Friska Oktaviana — 2026-10-25

The first 1,000 days of life represent a critical "golden window" for a child's growth and development. Adequate protein intake—from both animal and plant sources—is an essential nutritional component that plays a vital role in the formation of body tissues, hormone synthesis, and the cognitive development of toddlers. This study aims to analyze the influence of feeding patterns involving animal and plant-based proteins on the growth and development status of toddlers aged 12–59 months. A mixed-methods approach with a descriptive-analytical cross-sectional design was employed. This design was chosen to provide a comprehensive overview by quantitatively examining the relationship between feeding patterns while qualitatively exploring mothers' perceptions and the barriers they face. Data were collected through structured questionnaires, anthropometric measurements, and in-depth interviews with 20 mothers of toddlers aged 12–59 months within the working area of the Kedungwaru Community Health Center (Puskesmas), Tulungagung Regency. Quantitative results indicate that 65% of mothers provide animal-based protein regularly (at least once a day), while 80% of respondents provide plant-based protein daily. Toddlers who receive regular animal-based protein intake show a higher prevalence of normal nutritional status (72.3%) compared to those who do not (41.2%). Bivariate analysis using Fisher's Exact test reveals a highly significant association between the frequency of animal-based protein consumption and nutritional status as measured by the height-for-age (HAZ/TB/U) indicator (p=0.002; X²=12.170). However, no statistically significant association was found for the weight-for-age (WAZ/BB/U) indicator (p=0.303; X²=1.831). Qualitatively, in-depth interviews reveal that economic factors and a lack of knowledge regarding menu variety are the primary barriers for mothers. In conclusion, the regular provision of animal-based protein has a significant impact on preventing stunting (as measured by height-for-age) in toddlers. Nutritional education for mothers needs to be enhanced to optimize the fulfillment of protein requirements during the first 1,000 days of life (1000 HPK).

Hubungan Dukungan Sosial Terhadap Kesejahteraan Psikologis Santriwati Baru

Syarifah Masthura — 2026-10-25

Psychological well-being is an important aspect in the education of female students at Islamic boarding schools because it plays a role in supporting the adaptation process, emotional stability, and character formation of students to enable them to live mentally healthy and positive lives in the dormitory environment. One supporting factor that can influence psychological well-being is social support obtained from family, peers, and caregivers. This helps them adapt, cope with stress, and feel safe while living at the Islamic boarding schools. The purpose of this study was to determine the relationship between social support and the psychological well-being of new female students. This research type is descriptive correlation with a cross-sectional study design. The population in this study was all 62 new female students in grade VII with the sampling technique being total sampling. Data collection instruments used questionnaire test. The data analysis in this study used univariate and bivariate analysis with the Chi Square test. The research result, namely the relationship between social support and the psychological well-being of new female students, obtained a p-value of 0.651 (p > 0.05). The conclusion of this study is that there is no relationship between social support and the psychological well-being of new female students at Madrasah Tsanawiyah Swasta Babun Najah, Banda Aceh City.

Analisis Pengaruh Durasi Bermain Game Online terhadap Gangguan Tidur dan Perilaku Emosional

Jubir — 2026-10-25

Online gaming duration is the span of time or the length of time a person spends playing digital games. This factor is a critical determinant in assessing whether the activity serves as healthy entertainment or has the potential to trigger addiction. Excessive online gaming duration is closely linked to decreased sleep quality and emotional instability. Prolonged screen time late into the night suppresses melatonin production due to blue light exposure, triggering insomnia, chronic fatigue, as well as increased aggressiveness and reactivity in players, which can trigger emotional behavior. The purpose of this research is to determine the effect of online game playing duration on sleep disturbances and emotional behavior in adolescents.The purpose of this study was to determine the relationship between the duration of playing online games and sleep disorders and emotional behavior in adolescents. The type of research is analytic correlation with a cross-sectional study design. The population in this study consisted of all 84 students, with a simple random sampling technique using the Slovin formula, resulting in a sample size of 50 people. The data collection instrument uses a questionnaire sheet. This research was conducted at SMP Negeri 1 Kuta Baro, Aceh Besar Regency, from May 25 to 28, 2026. Analisis data yaitu univariat dan bivariat menggunakan uji regresi linear sederhana. Based on the statistical test results, the relationship between playing duration and sleep disorders obtained a p-value of 0.002, and emotional behavior obtained a p-value of 0.000. The conclusion of this study is that there is a relationship between the duration of playing online games and sleep disturbances and emotional behavior among adolescents at SMP Negeri 1 Kuta Baro, Aceh Besar Regency.

Pengetahuan dan Sikap yang Berhubungan Dengan Kolaborasi Interprofesional Perawat dan Dokter

Yeni Ulfa — 2026-10-25

Interprofessional collaboration between nurses and physicians is a form of cooperation, partnership, and integrated communication among healthcare professionals in various settings to provide safe and effective patient care. This practice focuses on patient safety and improving the quality of care. One way to foster effective interprofessional collaboration between nurses and physicians is to enhance their knowledge and attitudes. Knowledge and attitudes are critical to the success of interprofessional collaboration between nurses and physicians, where a clear understanding of roles, mutual respect, and open communication are key to improving patient safety. The purpose of this study is to determine the knowledge and attitudes associated with interprofessional collaboration between nurses and doctors. The type of research is an analytical correlation study with a cross-sectional design. The population consisted of all doctors and nurses at the hospital, totaling 144 people. Using purposive sampling, a sample of 59 people was selected. The data collection instrument consists of a questionnaire. This study was conducted at Pertamedika Ummi Rosnati Hospital in Banda Aceh from July 13 to 25, 2026. Data analysis was performed using the Chi-Square test. The research results show that there is a relationship between knowledge and interprofessional collaboration between nurses and doctors with p < 0.000. Then there is a relationship between attitude and interprofessional collaboration between nurses and doctors with p < 0.002. Based on the research results, it can be concluded that knowledge and attitude are related to interprofessional collaboration between nurses and doctors at Pertamedika Ummi Rosnati Hospital Banda Aceh.

Pengaruh Edukasi Kesiapsiagaan Bencana Banjir Sebagai Upaya Meningkatkan Pengetahuan Siswa

Rukya Makbula — 2026-10-28

Flood disasters are among the most frequent disasters and can impact the safety and educational processes of school-aged children. Low knowledge regarding disaster preparedness can increase the risk of panic and errors in performing self-rescue actions. This study aims to determine the effect of flood disaster preparedness education on students’ knowledge. This research is pre-experimental with a one group pretest-posttest design approach. The population consists of all 90 students at the school, with the sampling technique being simple random sampling using the Slovin formula, resulting in a sample size of 47 people. The data collection instrument uses a questionnaire sheet, namely knowledge about flood disaster preparedness. This research was conducted at MIN 30 Beureunuen, Pidie Regency, on August 11-12, 2026. The results of the study show that the average knowledge score was 9.89 on the pretest and 13.68 on the posttest. Furthermore, the effect of flood disaster preparedness education on students’ knowledge yielded a p-value of < 0.000. The conclusion of this study is that flood disaster preparedness education has an effect on students’ knowledge at MIN 30 Beureunuen in Regency Pidie.