Journal of Pubnursing Sciences

Semi-Fowler Position Increasing Oxygen Saturation in Non-Hemorrhagic Stroke Patients: A Quasi-experiment Study

2025-08-07T08:00:47+00:00

Background: Stroke is a disruption of blood and oxygen flow to the brain that represents a major global and national health problem, causing hypoxia and cerebral injury due to obstruction or rupture of cerebral blood vessels, with risk factors including hypertension, lifestyle, and diet. Prompt management is essential, one of which is the 30° semi-Fowler position, which is believed to improve oxygenation. Aims: aimed to analyze the effect of the 30° semi-Fowler position on increasing oxygen saturation in non-hemorrhagic stroke patients at Dr. Rehatta Regional Hospital, Central Java Province. Method: The research design was a quasi-experiment without a control group, conducted in June–July 2025 with a total of 20 respondents using a total sampling technique. Inclusion criteria were patients diagnosed with stroke by a physician, level of consciousness 12–15, and hospitalized, while exclusion criteria were patients with mechanical ventilators. The research instrument was a Nihon Kohden oximeter, type 68042-17 BSM, calibrated in advance. The intervention consisted of the 30° semi-Fowler position for 30 minutes, carried out twice daily for two days (a total of four sessions). Oxygen saturation (SpO₂) was measured at minutes 0, 15, and 30, along with vital signs monitoring. Data analysis using the Wilcoxon Test showed a significant difference in SpO₂ values before and after the intervention (p<0.000; p<0.05). Result: The results demonstrated that the 30° semi-Fowler position effectively increases oxygen saturation in non-hemorrhagic stroke patients. The implication of this study is the need for hospitals to develop standard operating procedures (SOPs) for the application of the 30° semi-Fowler position in non-hemorrhagic stroke patients, especially in Intensive Care Units, as an evidence-based independent nursing intervention to improve the quality of care and patient safety.

The Combination of Progressive Muscle Relaxation and Aromatherapy on Blood Sugar Levels in Type 2 Diabetes

2025-08-15T09:42:10+00:00

Background: Type 2 Diabetes Mellitus (T2DM) is a chronic disease with increasing prevalence in Indonesia, largely due to lifestyle changes. Blood glucose control in T2DM patients not only relies on pharmacological therapy but can also be supported by non-pharmacological interventions such as progressive muscle relaxation and lavender aromatherapy. These therapies are believed to lower blood glucose levels by reducing stress and promoting relaxation. Aims: To examine the effect of a combination of progressive muscle relaxation and lavender aromatherapy on blood glucose levels in T2DM patients. Method: A quasi-experimental design with a pretest-posttest control group approach was used. A total of 30 hospitalized T2DM patients at a hospital in Tasikmalaya were recruited through incidental sampling and divided equally into intervention and control groups. The intervention group received progressive muscle relaxation for 30 minutes and lavender aromatherapy for 5 minutes twice daily over three consecutive days. The control group received standard hospital care. Random blood glucose levels were measured before and after the intervention. Results: A significant reduction in the intervention group from 265.93 mg/dL with an SD of 41.24 to 220.40 mg/dL with an SD of 51.67 (p = 0.000), while the control group showed a non-significant decrease from 281.13 mg/dL with an SD of 45.55 to 268.87 mg/dL with an SD of 51.01 (p = 0.205). A significant difference was also observed between the two groups after the intervention (p = 0.015). Conclusion: the combination of progressive muscle relaxation and lavender aromatherapy was effective in lowering blood glucose levels in T2DM patients. It can be considered as a complementary non-pharmacological therapy in diabetes management.

Spirituality Level and Quality of Life of the Elderly, Mojokerto: A Cross-Sectional Study

2025-08-21T23:04:28+00:00

Background: Spirituality is considered an important factor influencing the quality of life of the elderly, particularly in coping with physical, psychological, social, and environmental challenges of aging. Aims: to determine the relationship between the level of spirituality and the quality of life of the elderly in UPT Pesanggrahan PMKS Majapahit, Mojokerto. Method: The research design used was analytic correlation with a cross-sectional approach. The research population was all elderly people living at the UPT Pesanggrahan PMKS Majapahit, Mojokerto, totaling 48 elderly. The sample size consisted of 42 respondents, who were selected using a purposive sampling technique. The instruments used are the Daily Spiritual Experience Scale (DSES) and the World Health Organization Quality of Life-BREF (WHOQOL-BREF). Results: The results obtained most respondents experienced a high level of spirituality, as many as 32 respondents (76.2%) experienced a high quality of life 30 respondents (71.4%). Data analysis used is Spearman's rho, which gets a significant value of p-value = 0.000 < α 0,05 with a correlation coefficient value of r = 0.760. There is a relationship between the level of spirituality and the quality of life of the elderly. Conclusion: Enhancing spirituality can significantly contribute to improving the quality of life among the elderly, particularly in the physical, psychological, social, and environmental domains. This research also presents opportunities for further exploration of the mechanisms that support or hinder the factors influencing spirituality and quality of life, as well as the development of more holistic intervention models for the elderly.

Kangaroo Mother Care and Lullaby Music Intervention for Stabilizing Pulse Rate and Body Temperature in Low Birth Weight Infants

2025-07-25T23:34:29+00:00

Background: Low Birth Weight (LBW) infants are a vulnerable group who have a high risk of experiencing instability of vital signs due to the imperfection of organs in the baby's body, especially the thermoregulation system and circulatory system. This instability can trigger serious complications and increase neonatal morbidity and mortality rates. Efforts to stabilize physiologically are important steps that need to be taken. Aims: To determine the effect of the combination of kangaroo mother care (KMC) intervention and lullaby music on the stability of pulse rate and body temperature of LBW. Method: This study uses a quantitative method with a quasi-experimental research design with a pretest-posttest with control group approach. The population was 94 people in October-December 2024 in the perinatology room. The research sample was 26 people using purposive sampling. The measuring instruments used include an axillary thermometer, stethoscope, timer, sound level meter, and observation sheet. Results: The results of the study using the paired t-test showed an increase in the average pulse rate and body temperature in the intervention group with a p value of 0.000, the control group with a p value of 0.049, while the results of the independent t-test for pulse rate after intervention with a p value of 0.012 and body temperature with a p value of 0.022. Conclusion: The combination of KMC and lullaby music is more effective in increasing the stability of pulse rate and body temperature of LBW. This combination intervention can be applied by nurses as suportive therapeutic nursing care for LBW.

Effect of Animation Video-Based Health Education on Adolescent Girls Knowledge of Dysmenorrhea Management: A Quasi-experimental Study

2025-07-25T23:31:15+00:00

Background: Adolescent girls often have limited knowledge regarding dysmenorrhea management, partly due to the lack of engaging and comprehensible health education. Aims: To determine the effect of animated video-based health education on the knowledge of dysmenorrhea management among female adolescents aged 13–15 years at SMPN 10 Tasikmalaya. Method: A quasi-experimental study with a one-group pretest-posttest design was conducted. A total of 55 seventh-grade female students were selected using simple random sampling. The intervention involved a 5–10minute animated educational video covering the definition, causes, symptoms, and management of dysmenorrhea. Data were collected using a 25-item validated and reliable knowledge questionnaire (Cronbach’s Alpha = 0.826) administered before and after the intervention. Results: The average knowledge score increased from 42.11 (pretest) to 86.55 (posttest). Statistical analysis using the Wilcoxon signed-rank test showed a significant difference in knowledge levels before and after the intervention (p = 0.000). Conclusion: Animated video-based health education is effective in improving adolescent girls' knowledge of dysmenorrhea management. It is recommended that animated videos be considered as an alternative medium for delivering reproductive health education in school settings.

Validity and Reliability of the First Aid Self-Efficacy Scale for School Emergencies

2025-08-30T09:27:32+00:00

Background: Accidents and injuries are prevalent in childhood. Physical injuries are common reasons for call an ambulance from schools. Teachers and school nurses attempt to create a safe environment in schools. Teachers have not feel enough self-efficacy while they had first aid information. Aims: To develop a valid and reliable scale to evaluate the first aid self-efficacy perceptions of primary school teachers regarding emergency situations that are frequently encountered in schools. Method: A methodological, validity and reliability study was performed. This study that was carried out with 400 teachers. The total samples were randomly divided into exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). The final version of the Teachers’ First Aid Self-Efficacy Perceptions Scale (TFSP) scale contained 26 items. Twenty-one items were positive, and four items were negative. Data were analyzed using SPSS20 and LISREL8.7 programs. Results: The mean age of the total sample was 39.6±9.7. It was determined that 34.8% of teachers were female. The Cronbach’s α coefficient value was 0.937. Kaiser Meyer-Olkin value was 0.922. According to the CFA result, the X2/df was determined to be 2.381. It was determined that the Root Mean Square Error of Approximation (RMSEA) value was 0.08, and the Comparative Fit Index (CFI) value was 0.94. Conclusion: The results obtained show that each structure is acceptable. The TFSP scale is a valid and reliable scale. Teachers' first aid self-efficiency level should be increased. The scale is recommended for use by school health nurses and other health professionals when conducting school-based first-aid training programs among primary school teachers. This scale can be used to determine the teacher's first aid self-efficiency regarding emergency situations that are frequently encountered in schools. Health professionals can use it. It is recommended that the scale items be adapted to other languages or cultures.