Jurnal Keperawatan Priority

Description of Emotional on Child Patients with Epilepsy at H. Adam Malik General Hospital Medan

Cornelia Rosa Liliani Panjaitan — 2025-07-13

Epilepsy in children has the potential to have a significant negative impact on cognitive function, with a high risk of attention deficits and impaired executive function. Quality of life has been associated with cognitive performance, especially in verbal memory, which is one of the domains most sensitive to the negative effects of epilepsy. The purpose of this research is to know connection quality Sleep with emotional on pediatric patients with epilepsy. This study is an observational analytical study conducted at Haji Adam Malik General Hospital, Medan from August 2024 to September 2024. Calculation big sample use formula big non-experimental correlative sample based on previous studies, which produced a minimum sample size of 25 samples. The collected data was processed and analyzed univariately to describe the characteristics of the research respondents. The results showed that the subjects of the study were 6 (20.0%) children and 24 (80.0%) adolescents. Male gender 17 (68.0%) and female 8 (32.0%). Toddler age 5 (20.0%), childhood 16 (64.0), and early adolescence 4 (16.0%). Disturbed sleep quality 15 (60.0%) and undisturbed sleep quality 10 (40.0 %). Emotional disturbance 21 (84.0%) and sleep behaviour 4 (16.0%). Mean sleep duration 7.54 hours, minimum 6 hours, and maximum 10 hours. concluded that, the prevalence of sleep disorders in children with epilepsy at RSUP H. Adam Malik Medan was male 17 (68.0%), duration sleep has an average of 7.54 hours, sleep quality was disturbed there were 15 (60.0%), and disturbances emotional was disturbed by 21 (84.0%).

The Relationship of Authoritarian Parenting with Social Anxiety in College Students

Yisya Malika Areva — 2025-08-03

College students are in early adulthood, a developmental stage vulnerable to psychological pressure, including social anxiety. One of the contributing factors to this condition is authoritarian parenting, which is typically characterized by strict control, lack of open communication, and high parental expectations. These traits can negatively affect an individual’s mental health. This study employed a quantitative research design with a cross-sectional and correlational approach. A total of 75 undergraduate nursing students at Universitas Muhammadiyah Sukabumi were selected using purposive sampling. Data were collected through the Parenting Styles and Dimensions Questionnaire (PSDQ) and the Hamilton Anxiety Rating Scale (HARS), and analyzed using the Chi-Square test. The results revealed that 65.3% of the respondents experienced authoritarian parenting, and most reported moderate to severe levels of social anxiety. Statistical analysis indicated a significant relationship between authoritarian parenting and social anxiety among students (p = 0.001). Authoritarian parenting was positively correlated with social anxiety levels. The higher the authoritarian style in parenting, the higher the level of social anxiety experienced by the students. This study highlights the importance of balanced parenting approaches and emotional support to minimize the risk of social anxiety disorders among college students.

The Relationship Between Permissive Parenting Style and Bullying Behavior Among Nursing Students

Shovi Nur Aziz — 2025-08-01

This study aimed to examine the relationship between permissive parenting style and bullying behavior among undergraduate nursing students at Muhammadiyah University of Sukabumi. University students experience significant social and psychosocial development, and inadequate internalization of parental values can lead to maladaptive behaviors such as bullying. This research employed a quantitative cross-sectional design with purposive sampling. Data were collected using validated questionnaires on parenting style and bullying behavior and analyzed using the Chi-Square test. The results showed a significant relationship between permissive parenting style and bullying behavior (p=0.000, p<0.05). Students raised with a permissive parenting style were more likely to exhibit moderate levels of bullying behavior. These findings suggest that permissive parenting, which grants children excessive freedom with minimal supervision, can increase the likelihood of aggressive behaviors such as bullying. Efforts to strengthen parental involvement and guidance are essential to prevent bullying among university students.

The Influence of Family Emotional Support on the Quality of Life among the Elderly

Reza Saputra — 2025-07-30

The Central Statistics Agency reported a continued rise in the elderly population in Indonesia, indicating a growing demographic shift toward an aging society. Alongside this trend, a considerable proportion of older adults have been facing various health challenges. Many elderly individuals reported experiencing health problems within a recent period, reflecting a notable level of morbidity among this age group. The Central Statistics Agency of Sukabumi City noted, based on the results of the 2020 census, the elderly population in Sukabumi City amounted to 42,275 people and in Cibeureum sub-district there were 4,518 people and in Cibeureum Hilir Health Center there were 300 elderly people, using quantitative descriptive collegiate with a cross-sectional approach. the results of the static test using the chi-square p> value were 0.002 < 0.05 that the form of attention, assistance, enthusiasm and motivation from the family played a role in improving the quality of life of the elderly. So, it can be concluded that there is a relationship of family emotional support to the quality of life of the elderly in the working area of the Cibeureum Hilir Health Center, Sukabumi City. The researcher assumes that if each respondent receives good family support, their quality of life will be better. Conversely, if the emotional support from the family is lacking, it will negatively affect the elderly's quality of life.

Cardiovascular Preventive Activities and its Associated Factors Among Female Nurses in Universiti Sains Malaysia Hospital

Nik Siti Fatimah Mohamed — 2025-06-30

Cardiovascular diseases (CVDs) are the leading cause of death globally, significantly impacting healthcare providers, including nurses. Despite their critical role in health promotion, many nurses neglect their cardiovascular preventive activities (CVPAs). This study assessed the prevalence and associated factors of good CVPAs among female nurses at Universiti Sains Malaysia (USM) Hospital. 212 registered female nurses participated in a cross-sectional study that was carried out between June and August 2015. Data on sociodemographic characteristics, work-related factors, and CVPAs were collected through a structured self-administered questionnaire. Good CVPAs were defined as adherence to dietary guidelines, regular physical activity, non-smoking, alcohol avoidance, and regular health screenings. Logistic regression analysis was used to identify factors associated with good CVPAs. Only 14.2% of nurses practiced good CVPAs. While 75.5% were physically active, only 17.9% consumed five or more servings of fruits and vegetables regularly. Nurses in medical-based departments had lower odds of practicing good CVPAs compared to those in surgical-based units (OR = 0.24, 95% CI: 0.08-0.76, p = 0.015). The prevalence of good CVPAs among female nurses at USM Hospital is low, especially regarding dietary adherence. The work department significantly influences preventive practices, suggesting the need for targeted interventions to promote cardiovascular health among nurses.

Factors Influencing Tuberculosis Infection in Children with Close Contact of Adult Pulmonary Tuberculosis Patients

Fadhliani Mayasri — 2025-07-13

This research aims to determine the factors that influence tuberculosis infection in children with close contact with adult pulmonary tuberculosis sufferers. This research is an analytical observational study with a consecutive sampling method at the Glugur Darat Health Center in November 2024 until January 2025. Bivariate analysis using chi-square to determine whether there is a relationship between the independent and dependent variables. The type of test used is the Fisher Exact and Kruskal Wallis Test. There is no multivariate test because there are no significant variables in the bivariate test. In total, in 42 samples there were 10 children with positive Mantoux tests. Of the 23 female children there were 7 (30.4%) with positive results and of the 19 male children there were 3 (15.8%) positive results. Of the 39 children with a history of BCG immunization, there were 10 (25.6%) with tuberculosis infection. Of the 37 children with parents whose income was <UMR, 10 children (27%) had tuberculosis infection. 37 children whose parents had junior high school education, 9 people (24.3%) had tuberculosis infection. 10 children aged 1-5 years and 6-10 years, there were 2 (20%) each with tuberculosis infection. 26 children aged 11-18 years, there were 6 people (27.3%) with tuberculosis infection. There was no significant relationship between age, gender, immunization status, nutritional status, parental income and parental education level in this research.

Relationship Between Role Family and Independence of The Elderly in Daily in The Health Center

Suarnianti Suarnianti — 2025-07-18

The elderly are an age group that is vulnerable to a decline in physical and mental abilities, so they need help with daily activities. The role of the family is important in helping the elderly stay healthy. The aim of this research is to determine the relationship between the role of the family and the independence of the elderly in fulfilling daily activities (ADL) in the UPT BLUD Bajoe Health Center, Bone Regency. The design of this study was quantitative research with a Cross Sectional, the method of taking samples using Purposive Sampling and Cluster Sampling, as many 147 respondents, collected through questionnaires. The results of the research show that there is a relationship between the role of the family and the independence of the elderly in fulfilling daily activities (ADL), with a result of ρ=0.004, then Ha is accepted. The conclusions and suggestions in this research show that there is a relationship between the role of the family and the independence of the elderly in fulfilling daily activities (ADL) in the Working Area of UPT BLUD Bajoe Health Center, Bone Regency. It is hoped that this research can provide information for health workers and families to pay more attention to the elderly in fulfilling their daily activities.

The Relationship Between Parent-Adolescent Communication and Adolescents' Self-Protection Skills Against Sexual Violence in Medan City

Afrila Syahrani — 2025-06-30

Sexual violence is a forced sexual act without consent and has consequences for health problems, namely reproductive health, physical health, and mental health, which can be felt in the short and long term. It has become a global issue that requires immediate attention. This study aims to analyze the relationship between parent-adolescent communication and adolescents' ability to protect themselves against sexual violence in Medan City. The research employs a quantitative approach using a descriptive correlation method, involving 52 respondents-students in grades X and XI at MAS Al-Jamiyatul Washliyah school in Medan City-selected through purposive sampling. The Chi-Square test was utilized for data analysis. Research data collection was carried out by distributing questionnaires using the google form application in May 2024, and computerized data processing using SPSS with univariate and bivariate data analysis. The findings revealed that 73.1% of respondents exhibited good parent-adolescent communication, 98.1% demonstrated effective self-protection skills, and 94.2% were considered at low risk of sexual violence. The results of the Chi-Square test indicated a significant relationship between parent-adolescent communication and the incidence of sexual violence, with a p-value of 0.003 (α = 0.05). However, there was no significant relationship found between adolescents' self-protection skills and the risk of sexual violence, as indicated by a p-value of 0.803 (α = 0.05). In conclusion, both parent-adolescent communication and self-protection skills are essential preventive measures against sexual violence. It is expected that schools can provide education related to the importance of parent-adolescent communication to prevent sexual violence.

The Effect of Siamese Oranges on Distress, Pulse, Blood Pressure

Tajudin Tajudin — 2025-07-02

Distress is one of the daily psychological complaints of modern society that cannot be avoided. Distress can attack students who are in the learning process, especially first-year students. The level of distress in first-year students is relatively high due to adjustment to the new environment, lack of adaptability and many demands that must be done such as completing assignments. High distress can be reduced by giving aromatherapy. One of them is aromatherapy produced by Siamese oranges. Siamese oranges have many benefits, one of which is obtained from their skin which can emit aromatherapy that can provide a sense of calm and relieve anxiety. The aim was to determine the effect of siamese oranges on distress, pulse, blood pressure in Level 1 Nursing Students of Health Polytechnic of Pangkal Pinang. The research design used was a quasi-experimental one group pretest and posttest. The sample was 74 people with a total sampling technique. The variables were Distress with the Kessler Psychological Distress Scale, Pulse and BP. This study showed that before the intervention the average distress was 3.5, pulse 81.43 times/minute, SBP 109 mmHg, DBP 75.47 mmHg and after the intervention the average distress was 2.16, pulse 83.07, SBP 106.49 mmHg, and DBP 73.38 mmHg and there was an effect of tangerine on distress (0.000), pulse (0,043), and BP (0,000) in Level 1 students of the Ministry of Health Polytechnic of Pangkal Pinang. Tangerine produces aromatherapy that can affect the reduction of distress, pulse and blood pressure.

The Relationship Between Patient Length of Stay and Family Anxiety Levels in the ICU

Dera Ariawan — 2025-07-19

Anxiety is a common psychological response experienced by family members of patients treated in the Intensive Care Unit (ICU). The longer the duration of patient care, the greater the uncertainty and emotional burden that may be experienced by families. This study aims to determine the relationship between the length of patient hospitalization and the level of family anxiety in the ICU of RSUD Jampang Kulon. The research employed a quantitative correlational design with a cross-sectional approach. Data were collected from family members of patients treated in the ICU through a total sampling technique, with a sample size of 34 respondents. The Hospital Anxiety and Depression Scale (HADS) questionnaire was used to measure anxiety levels, and patient treatment duration was obtained from medical records. The results showed that most respondents experienced moderate to high levels of anxiety, with a tendency for increased anxiety corresponding to longer treatment durations. Statistical analysis using the Spearman Rank test indicated a significant relationship between the length of hospitalization and the level of family anxiety p-value = 0.001 (p-value < 0.05). The findings suggest that prolonged ICU care can elevate anxiety among family members, which may impact their psychological well-being and ability to support the patient. It is concluded that healthcare providers should consider implementing supportive interventions for families, especially when patient care in the ICU is extended, to help manage and reduce anxiety effectively.

Correlation Between Nurses Workload and Work Stress in the Emergency Department

Taopik Hidayat — 2025-07-19

Workload and work stress among nurses, especially in the Emergency Room (ER), are crucial issues that affect the quality of health services. This study aims to determine the relationship between nurses’ workload and work stress in the ER of Jampang Kulon Regional General Hospital. A quantitative correlational research design was used with a cross-sectional approach. The population consisted of 29 ER nurses, selected through total sampling. Data were collected using the NASA-TLX (Task Load Index) questionnaire to measure workload and a work stress questionnaire developed based on the HSE (Health and Safety Executive) standards. The results showed that 62.1% of nurses experienced a high workload, while 58.6% experienced moderate work stress. The Spearman rank test indicated a significant positive correlation between workload and work stress (p = 0.001; r = 0.642), meaning that an increase in workload is associated with an increase in work stress. This finding highlights the importance of workload management to reduce stress levels among nurses. Improving work scheduling, increasing staffing ratios, and providing regular stress management programs are recommended to enhance the nurses' well-being and service performance. In conclusion, there is a significant relationship between workload and work stress among nurses in the ER of Jampang Kulon Hospital.

The Effect of Health Education on Family Knowledge in Caring for Patients with Hypertension

Icha Puspitadewi — 2025-07-19

Hypertension is a major health problem that requires effective management not only by the patient but also through the support and knowledge of the family. This study aims to determine the effect of health education on family knowledge in caring for patients with hypertension in the working area of Surade Public Health Center. This research used a pre-experimental design with a one-group pretest-posttest approach. The population in this study consisted of 71 family members of hypertensive patients, selected using a total sampling technique. Data collection was carried out using a knowledge questionnaire administered before and after the health education intervention, which was conducted in a 45-minute session using verbal explanations, visual materials, and interactive discussions delivered by trained health educators. The results showed a substantial improvement in the level of family knowledge after the health education intervention. Before receiving education, the majority of respondents (88.7%) were categorized as having poor knowledge, with only 5.6% each in the good and fair categories. After the intervention, there was a significant shift: 28.2% of respondents were categorized as having good knowledge, 69% as fair, and only 2.8% remained in the poor category. These findings indicate that the health education intervention effectively improved the knowledge level of families in caring for patients with hypertension. The Wilcoxon signed-rank test further confirmed this improvement with a significance value of 0.001 (p < 0.05), indicating a statistically significant difference in knowledge levels before and after the intervention. The study concludes that health education has a significant effect on increasing family knowledge in caring for patients with hypertension. Therefore, providing regular and structured health education is highly recommended to empower families in managing hypertension effectively.

Overview of Adolescents' Perceptions of Bullying

Hasna Rahel — 2025-07-02

Bullying behavior continues to increase from year to year, one of which occurs among Indonesian students. Most bullying behavior is found at the senior high school level. Adolescent perceptions of bullying play an important role in efforts to prevent and handle this problem. The purpose of this study was to determine the description of students' perceptions towards bullying behaviour that they do at school. The type of research used is quantitative research with a descriptive design involving 73 students using probability sampling techniques with the type of systematic sampling. Data were collected through questionnaires and processed with descriptive statistics. The results showed that the majority of adolescents had good perceptions of bullying, namely 62 respondents (84.9%), and sufficient perceptions, as many as 11 respondents (15.1%). The majority of respondents have good perceptions, so that adolescents are expected to maintain and increase their understanding that bullying is an action that is not commendable, so that the prevention of bullying can increase.

The Relationship Between Breast Care and Breast Milk Production Among Postpartum Mothers

Aisyah Aisyah — 2025-07-06

The postpartum period plays a critical role in establishing successful breastfeeding. Adequate breast milk production is essential to meet the nutritional needs of infants, particularly during the first 1,000 Days of Life (HPK), a window that significantly impacts a child's growth and development. Among the various factors that influence lactation, consistent and proper breast care practices by postpartum mothers are believed to support milk production. This study employed an analytical observational design using a cross-sectional approach. A total of 32 postpartum mothers at Klinik Pratama Hugo Hasena were selected through a total sampling technique. Data on breast care practices and breast milk production were collected using structured questionnaires and analyzed using the chi-square statistical test. The findings revealed that the majority of mothers (81.3%) performed breast care routinely, and the same proportion (81.3%) reported sufficient breast milk production. Statistical analysis showed a significant relationship between breast care and breast milk production (p = 0.000). The study concludes that breast care has a significant association with breast milk production among postpartum mothers. These results highlight the importance of educating and empowering mothers on proper breast care techniques as part of postnatal support to promote successful breastfeeding. Healthcare providers are encouraged to enhance postpartum education programs, particularly focusing on the role of breast care in supporting optimal lactation and infant health during the critical early stages of life.

The Relationship Between Providing Diabetes Mellitus Education and Stress Levels in Diabetes Mellitus Patients

Agnes Gulo — 2025-08-13

Diabetes is a metabolically complex disorder characterized by chronic hyperglycemia caused by abnormalities in insulin production and function. Diabetes is classified into type 1 and type 2. Type 1 diabetes is triggered by an autoimmune process that damages pancreatic beta cells, whereas type 2 diabetes is characterized by insulin resistance. The purpose of this study was to identify the relationship between diabetes mellitus education and stress levels among patients with diabetes mellitus at UPT Puskesmas Sei Agul. This research employed a correlational design with a descriptive approach, using a cross-sectional method to examine the relationship between two variables: the independent variable and the dependent variable. The sampling technique used was total sampling, involving 50 respondents. The results showed a significant relationship between the provision of education and stress levels among respondents. Specifically, 10.0% of respondents with poor education experienced severe stress, while in the good education category, 78.0% experienced mild stress and 12.0% experienced moderate stress, with no cases of severe stress. Statistical analysis revealed a p-value of 0.001, indicating that the level of education significantly influences respondents’ stress levels. In conclusion, there is a significant relationship between education and stress levels, suggesting that effective counseling and education play an important role in reducing stress among patients.