Journal Keperawatan https://jourkep.jurkep-poltekkesaceh.ac.id/index.php/jourkep <p><strong>Journal Keperawatan</strong> or which has the abbreviation JOURKEP was created and developed by the Department of Nursing at Poltekkes Kemenkes Aceh. This journal is published regularly twice a year in February and August and publishes research articles in the field of nursing in general. Submitted articles will be selected by editors and bestari partners. Journal Keperawatan in its next publication will accept all research articles, reviews and case studies in the field of nursing science.</p> en-US taufikasyraf166@gmail.com (Taufik) journalkeperawatan@gmail.com (Fedri Hidayat) Tue, 28 May 2024 03:39:36 +0000 OJS 3.3.0.13 http://blogs.law.harvard.edu/tech/rss 60 Pengaruh Pemberian Informasi Pra Bedah Terhadap Penurunan Tingkat Kecemasan Pasien Operasi di Rumah Sakit Pertamedika Ummi Rosnati Banda Aceh https://jourkep.jurkep-poltekkesaceh.ac.id/index.php/jourkep/article/view/59 <p><strong><em>Background:</em></strong><em> Operation or surgery is a treatment that uses invasive methods by opening or exposing the part of the body that will be treated. When facing surgery the patient will experience various (causes). The stressor that is often found in patients who are about to undergo surgery is anxiety, which is an unclear and pervasive worry related to feelings of uncertainty and helplessness.</em></p> <p><strong><em>Purpose:</em></strong><em> To determine the effect of providing pre-surgical information on reducing the anxiety level of surgical patients at Pertamedika Ummi Rosnati Hospital. </em></p> <p><strong><em>Methods:</em></strong><em> This type of research is a quantitative type of research using One Group Pre and Post Test design with a Quasi-experimental design. The sample in this study were patients who had undergone surgery for the first time, totaling 66 respondents. </em></p> <p><strong><em>Results:</em></strong><em> The research showed that the p.value = 0.001, (p.value &lt; 0.05) which means that there is an influence of providing pre-operative information on the patient's pre-operative anxiety level.</em></p> <p><strong><em>Conclusion: </em></strong><em>There is a significant influence of pre-surgery information on pre-operative patient anxiety levels</em></p> Maizar Maizar, Maimun Tharida, Angga Satria Pratama, Isneini Isneini Copyright (c) 2024 Maizar Maizar, Maimun Tharida, Angga Satria Pratama, Isneini Isneini https://creativecommons.org/licenses/by-sa/4.0 https://jourkep.jurkep-poltekkesaceh.ac.id/index.php/jourkep/article/view/59 Tue, 28 May 2024 00:00:00 +0000 Kesejahteraan Spiritual Berkorelasi dengan Kualitas Hidup Pasien Stroke https://jourkep.jurkep-poltekkesaceh.ac.id/index.php/jourkep/article/view/67 <p><strong><em>Background</em></strong><em>: Stroke is still one of the major health problems, not only in Indonesia but in the world. A person who experiences a stroke will affect several aspects such as physical, psychological, social and spiritual health aspects. Stroke does not only involve neurological aspects but has an impact on the crisis of belief in God the giver of strength, the meaning of life he experiences and hope. The attack in stroke patients occurs suddenly, causing changes and more complex problems. So that spirituality becomes very important to improve the quality of life.</em></p> <p><strong><em>Purpose</em></strong><em>: This study aims to analyze the relationship of spiritual well-being to quality of life in stroke patients at RA Kartini Jepara Hospital.</em></p> <p><strong><em>Methods</em></strong><em>: This type of research is quantitative correlational, using crossectional research design, sampling technique with total sampling, and data collection using SWBS and WHOQOL-BREF instruments.</em></p> <p><strong><em>Results</em></strong><em>: The results of the study of 34 respondents found as many as 30 respondents (88.2%) had high spiritual well-being and as many as 21 respondents (61.8%) had a very good quality of life. Based on the results of the spearman rank test, a significance number (p value) of 0.001 &lt;0.01 was obtained so that H<sub>a</sub> was accepted and H<sub>0</sub> was rejected.</em></p> <p><strong><em>Conclusion</em></strong><em>: There is a significant relationship between spiritual well-being and the quality of life of stroke patients at RA Kartini Jepara Hospital.</em></p> Devi Setya Putri, Linda Nur Maulinda Azahro, Hirza Ainin Nur, Emma Setiyo Wulan, Luluk Cahyanti, Nila Putri Purwandari Copyright (c) 2024 Devi Setya Putri, Linda Nur Maulinda Azahro, Hirza Ainin Nur, Emma Setiyo Wulan, Luluk Cahyanti, Nila Putri Purwandari https://creativecommons.org/licenses/by-sa/4.0 https://jourkep.jurkep-poltekkesaceh.ac.id/index.php/jourkep/article/view/67 Tue, 28 May 2024 00:00:00 +0000 Persepsi Caring Behaviour Perawat Pada Pasien Pre Operatif https://jourkep.jurkep-poltekkesaceh.ac.id/index.php/jourkep/article/view/52 <p><strong><em>Background</em></strong><em>: Caring behavior is a form of basic nursing practice that is shown by being patient, honest, confident, present, touched, affectionate and humble in carrying out the actions to be performed so that patients feel comfortable and assisted in a faster healing process for patients.</em></p> <p><strong><em>Purpose</em></strong><em>: This study aims to describe the perceptions of caring behavior of nurses in preoperative patients at Meuraxa Hospital in Banda Aceh</em></p> <p><strong><em>Methods</em></strong><em>:</em> <em>The type of research in this research is quantitative by using the correlation method with the Cross Sectional Study approach with a total sample of 57 respondents.</em></p> <p><strong><em>Results</em></strong><em>: The level of caring given by nurses to preoperative patients was mostly in the good category, namely as many as 40 respondents (70.2%) and found that there was a significant relationship to the perception of caring behavior of nurses in preoperative patients at Meuraxa Hospital, Banda Aceh with a score p.value 0.032 &lt; 0.005</em></p> <p><strong><em>Conclusion</em></strong><em>: There is a significant relationship in the description of nurses' perceptions of caring behavior in preoperative patients at Meuraxa Hospital, Banda Aceh</em></p> Fadiatul Ahya, Erlangga Galih Zulva Nugroho, Dewi Marianthi, Wirda Hayati, Yeni Rimadeni, Ria Purnawian Sulistiani, Diya Amalia Copyright (c) 2024 Fadiatul Ahya, Erlangga Galih Zulva Nugroho, Dewi Marianthi, Wirda Hayati, Yeni Rimadeni, Ria Purnawian Sulistiani, Diya Amalia, Ainal Mardhiah, Asniah Syamsuddin https://creativecommons.org/licenses/by-sa/4.0 https://jourkep.jurkep-poltekkesaceh.ac.id/index.php/jourkep/article/view/52 Tue, 28 May 2024 00:00:00 +0000 Pengetahuan dan Sikap Ibu Tentang Pemberian Makanan Bergizi Berkorelasi dengan Perkembangan Kognitif Balita di Desa Bale Busu, Kec. Mutiara Barat, Kab. Pidie https://jourkep.jurkep-poltekkesaceh.ac.id/index.php/jourkep/article/view/57 <p><strong><em>Background</em></strong><em>: Cases of deviations in the cognitive development of toddlers in Indonesia are still very high. The latest data shows that around 62.02% of toddlers experience this problem. One of the causes is a lack of nutritious food intake and of course this is influenced by the parenting style given by mothers of toddlers, including the mother's level of knowledge and attitudes regarding providing nutritious food.</em></p> <p><strong><em>Purpose:</em></strong><em> To determine the relationship between mothers' knowledge and attitudes about providing nutritious food on the cognitive development of toddlers</em></p> <p><strong><em>Methods</em></strong><em>: This research is a quantitative and cross-sectional design. The study population consists of households with children under five years old and a sample of 45. The search ran from December 2022 to January 2023 in Bale Busu Village. Data analysis using Chi-Square Test includes primary data and secondary data.</em></p> <p><strong><em>Results</em></strong><em>: Based on the research results, it was found that knowledge had a p-value of 0.025, while the attitude p-value was 0.023. Both values are &lt;0.05, so there is a relationship between mother's knowledge and attitudes about providing nutritious food on the cognitive development of toddlers.</em></p> <p><strong><em>Conclusion</em></strong><em>: : There is a relationship between maternal knowledge and attitudes about the provision of nutritious food to early childhood cognitive development.</em></p> Teuku Jamni, Suwardi Suwardi, Rosi Novita, Rizki Wan Oktabina, Desiana Desiana, Lathifah Hanum Copyright (c) 2024 Teuku Jamni, Suwardi Suwardi, Rosi Novita, Rizki Wan Oktabina, Desiana Desiana, Lathifah Hanum https://creativecommons.org/licenses/by-sa/4.0 https://jourkep.jurkep-poltekkesaceh.ac.id/index.php/jourkep/article/view/57 Tue, 28 May 2024 00:00:00 +0000 Korelasi Efikasi Diri dengan Tingkat Intradialitic Weight Gain (IDWG) Pada Pasien Gagal Ginjal Kronik https://jourkep.jurkep-poltekkesaceh.ac.id/index.php/jourkep/article/view/68 <p><strong><em>Background: </em></strong><em>Kidney failure in carrying out its functions at the terminal stage requires treatment in the form of hemodialysis. In hemodialysis patients, adhering to fluid intake restrictions has a very vital role to prevent further complications. The success of fluid and diet management in therapy is measured by the level of Interdialytic Weight Gain (IDWG). One of the things that affects IDWG during the hemodialysis therapy period is self-efficacy. </em></p> <p><strong><em>Purpose:</em></strong><em> To determine the relationship of self-efficacy with the level of Interdialytic Weight Gain (IDWG) of chronic kidney disease patients in the hemodialysis unit of RAA Soewondo Pati Hospital.</em></p> <p><strong><em>Methods: </em></strong><em>This study is a correlational analytical study, with a cross-sectional research design, a sampling method using consecutive sampling, with a total sample of 68 respondents and data collection using questionnaires. </em></p> <p><strong><em>Results: </em></strong><em>The results of this study found that respondents with high category self-efficacy and IDWG levels in the mild category were 38 respondents (50.5%), the results of the analysis with the spearman rank correlation test obtained p value = 0.000&lt; α (0.05) which can be concluded to be a relationship between self- efficacy and the interdialytic weight gain (IDWG) level of chronic kidney disease patients in the hemodialysis unit of RAA Soewondo Pati Hospital. <strong>Conclusion: </strong>There was a significant relationship between self-efficacy and interdialytic weight gain (IDWG) levels of chronic kidney disease patients in the hemodialysis unit of RAA Soewondo Pati Hospital.</em></p> Nila Putri Purwandari, Aldam Fajar Ahmad, Noor Faidah, Devi Setya Putri Copyright (c) 2024 Nila Putri Purwandari, Aldam Fajar Ahmad, Noor Faidah, Devi Setya Putri https://creativecommons.org/licenses/by-sa/4.0 https://jourkep.jurkep-poltekkesaceh.ac.id/index.php/jourkep/article/view/68 Tue, 28 May 2024 00:00:00 +0000 Mobilisasi Dini dan Proses Penyembuhan Luka Post Operasi Abdominal Pada Fase Inflamasi https://jourkep.jurkep-poltekkesaceh.ac.id/index.php/jourkep/article/view/63 <p><strong><em>Background:</em></strong><em> Abdominal surgery is a type of surgical operation performed on the abdominal area by making an incision in the lining of the abdominal wall to get parts of problematic organs such as bleeding, perforation, cancer, and obstruction. The incisions made during abdominal surgery cause large wounds and require a long recovery time and constant care, and are at risk of complications. The problem that often occurs in post-abdominal surgery patients is the lack of patient behavior to carry out early mobilization. Early mobilization is a series of light post-operative activities, starting from moving on the bed to being able to get out of bed, walk to the toilet, and get out of the toilet. </em></p> <p><strong><em>Purpose:</em></strong><em> To determine the relationship between early mobilization and the wound healing process after abdominal surgery in the inflammatory phase. </em></p> <p><strong><em>Methods: </em></strong><em>The quantitative research used a cross-sectional study method in the Surgical Ward of Meuraxa Hospital, Banda Aceh City from March 23 to May 20 2023. </em><em>Data collected by interviewing and observe 30 postoperative patients who were selected according to the inclusion criteria and data analyzed by Chi-square test. </em></p> <p><strong><em>Results:</em></strong><em> The results of the chi-square statistical test with CL=95% and α=0.05 showed a p-value of 0.032. This p value is &lt;0.05, which means there is a significant relationship between early mobilization and the healing process of post-abdominal surgery wounds in the inflammatory phase.</em></p> <p><strong><em>Conclusion:</em></strong><em> There is a relationship between early mobilization and the healing process of post-abdominal surgery wounds in the inflammatory phase.</em></p> Intan Daiyana, Hermansyah Hermansyah, Setio Budi Raharjo, Lathifah Hanum Copyright (c) 2024 hermansyah hermansyah, Intan Daiyana, Setio Budi Raharjo, Lathifah Hanum https://creativecommons.org/licenses/by-sa/4.0 https://jourkep.jurkep-poltekkesaceh.ac.id/index.php/jourkep/article/view/63 Tue, 28 May 2024 00:00:00 +0000 Fenomena Pengalaman Pengasuh Anak Korban Kekerasan Fisik di Kota Banda Aceh: Studi Kualitatif https://jourkep.jurkep-poltekkesaceh.ac.id/index.php/jourkep/article/view/69 <p><strong><em>Background</em></strong><em>: Violence against children is a global phenomenon that poses significant challenges to the health care system because it has serious consequences for victims.</em></p> <p><strong><em>Purpose</em></strong><em>: To examine the experiences of caregivers in Banda Aceh who provide assistance to children who have been physically abused. The event under consideration involves perception, adaption reaction, physiological delivery, supporting the child's adaptation process concerning interdependence, and assisting the child's adaptation process concerning self-concept, role, and function. </em></p> <p><strong><em>Methods</em></strong><em>: This study used a qualitative, phenomenological approach to its investigation. The caregiver serves as the major informant for this study, providing care and meeting the needs of children who are physically abused. Key informants have traits including providing for the everyday needs of the children they live with, living at home with child victims of violence, and effectively communicating their experiences. Interviews and pertinent literature reviews were used to gather research data, which was subsequently analyzed using the Colaizzi.</em></p> <p><strong><em>Results</em></strong><em>: The study's findings are as follows: 1) The caregiver is aware that the child's perception of physical violence is a result of their wrongdoings, 2) The principal caregiver observes the detrimental effects of physical abuse on the kid, 3) The violent child receives physical assistance from the primary caregiver. current physiological requirements by obtaining resources, 4) By offering moral support, the caregiver assists children who experience physical abuse in their self-concept. 5) Using techniques to enhance the child's role function, the caregiver supports children who have experienced physical abuse in this area, and 6) The caregiver seeks counseling support in order to assist children who are physically abused in the area of interdependence.</em></p> <p><strong><em>Conclusion</em></strong><em>: caregivers are capable of improving perception, adaptation reactions, physiological delivery, supporting the child's adaptation process based on interdependence, and helping the child adapt to self-conceptions, roles, and functions.</em></p> Eka Oktarina Riani, Said Devi Elvin, Julianti Jauhari, Nirwan Nirwan Copyright (c) 2024 Eka Oktarina Riani, Said Devi Elvin, Julianti Jauhari, Nirwan Nirwan https://creativecommons.org/licenses/by-sa/4.0 https://jourkep.jurkep-poltekkesaceh.ac.id/index.php/jourkep/article/view/69 Tue, 28 May 2024 00:00:00 +0000 Depresi Pada Mahasiswa Keperawatan https://jourkep.jurkep-poltekkesaceh.ac.id/index.php/jourkep/article/view/72 <p><strong>Background:</strong> Depression is a very important component in the implementation of education and student development, because it can increase productivity and success in the academic and training activities they undergo. To determine the appropriate intervention to reduce student depression, empirical evidence is needed about the level of depression at each level of students in the Diploma III Nursing Program.</p> <p><strong>Purpose:</strong> To identify differences in depression in Diploma III students suffering from each level.</p> <p><strong>Methods:</strong> This research has an analytical survey design using a comparative approach. The number of samples in this study was 642 respondents. The questionnaire used was the Center for Epidemiologic Studies Depression Scale.</p> <p><strong>Results:</strong> The results of this study show that there is a significant difference in average depression between levels in Diploma III Nursing Polytechnic Health students with the results of the Kruskall Wallis test p-value: 0.02 (p&lt;0.05).</p> <p><strong>Conclusion:</strong> There are differences in levels of depression in level I, II and III nursing students.</p> Eka Warnidar, Eka Oktarina Riani, Said Devi Elvin, Afdhal Afdhal, Ritawati Ritawati, Nurhayati Nurhayati Copyright (c) 2024 Eka Warnidar, Eka Oktarina Riani, Said Devi Elvin, Afdhal Afdhal, Ritawati Ritawati, Nurhayati Nurhayati https://creativecommons.org/licenses/by-sa/4.0 https://jourkep.jurkep-poltekkesaceh.ac.id/index.php/jourkep/article/view/72 Tue, 28 May 2024 00:00:00 +0000 Karakteristik dan Pola Hidup dengan Kejadian Batu Ginjal di Poliklinik Urologi Rumah Sakit Pertamedika Ummi Rosnati Banda Aceh https://jourkep.jurkep-poltekkesaceh.ac.id/index.php/jourkep/article/view/62 <p><strong><em>Background</em></strong><em>: Kidney stones are one of the 3 most common diseases in the field of urology after urinary tract infections and benign prostate enlargement. This disease usually occurs at the age of 60 – 69 years and occurs 3 – 4 times more in men than women. The procedures that are often performed are non-invasive.</em></p> <p><strong><em>Purpose</em></strong><em>: Knowing the relationship between characteristics and lifestyle with the incidence of kidney stones.</em> <em> </em></p> <p><strong><em>Methods</em></strong><em>: This research is a quantitative research with a cross sectional analytical research design. The sample for this study was 47 kidney stone patients at the Pertamedika Ummi Rosnati Hospital, Banda Aceh.</em></p> <p><strong><em>Results</em></strong><em>: From the results of the Fisher Exact analysis, it was found that the relationship between characteristics and lifestyle with the incidence of kidney stones included age (p=0.003), occupation (0.046), activity status (0.007), diet (0.005) and elimination pattern (0.001). Meanwhile, education (0.560) had no relationship with the incidence of kidney stones.</em></p> <p><strong><em>Conclusion</em></strong><em>:</em> <em>There is a relationship between age, occupation, activity status, diet and elimination patterns with the incidence of kidney stones. Meanwhile, education has no relationship with the incidence of kidney stones.</em></p> Muhammad Hardian, Nanda Desreza, Syarifah Masthura, Sofyan Sufri Copyright (c) 2024 Muhammad Hardian, Nanda Desreza, Syarifah Masthura, Sofyan Sufri https://creativecommons.org/licenses/by-sa/4.0 https://jourkep.jurkep-poltekkesaceh.ac.id/index.php/jourkep/article/view/62 Tue, 28 May 2024 00:00:00 +0000 Korelasi Pemahaman Remaja Tentang Kegawatdaruratan Narkoba Dengan Kesiapan Menyatakan Sikap Menolak Menggunakan Narkoba https://jourkep.jurkep-poltekkesaceh.ac.id/index.php/jourkep/article/view/58 <p><strong><em>Background</em></strong><em>: The threat of drugs continues to haunt people's lives, causing parents to worry about the safety and security of their children's future, including causing widespread negative impacts both physically, psychologically, economically, socially, culturally and etc. If drug abuse is not properly anticipated, it will damage and threaten the sustainability of Indonesia's young generation. Teenagers are a group of people who are at risk of drug abuse and are often synonymous with searching for identity, thus encouraging teenagers to want to try something new, including trying to take drugs.</em></p> <p><strong><em>Purpose:</em></strong><em> To find out whether there is a relationship between teenagers' understanding of the emergency of drugs and their readiness to express an attitude of rejecting drug use. </em></p> <p><strong><em>Method:</em></strong><em> The research method used is observational with a cross-sectional study design, where measurements are only carried out once between the independent and dependent variables. The number of samples used was 37 respondents from Madrasah Tsanawiyah Negri 3 Tapaktuan, South Aceh. </em></p> <p><strong><em>Results:</em></strong><em> There is a significant relationship between teenagers' understanding (P=0.001) and teenagers' daily interactions with their readiness to express their attitude of rejecting drugs (P=0.000) where the p value is &lt;0.05. </em></p> <p><strong><em>Conclusion:</em></strong><em> There is a relationship between adolescent understanding and adolescent interactions with readiness to reject drugs.</em></p> Fathimi Fathimi, Yenni Sasmita, Orisinal Orisinal, Hilma Yasni, Rasima Rasima, Desriati Devi Copyright (c) 2024 Fathimi Fathimi, Yenni Sasmita, Orisinal Orisinal, Hilma Yasni, Rasima Rasima, Desriati Devi https://creativecommons.org/licenses/by-sa/4.0 https://jourkep.jurkep-poltekkesaceh.ac.id/index.php/jourkep/article/view/58 Tue, 28 May 2024 00:00:00 +0000 Penerapan Terapi Hiperbarik Oksigen Terhadap Penyembuhan Luka Pada Pasien Ulkus Kaki Diabetik: Studi Literatur https://jourkep.jurkep-poltekkesaceh.ac.id/index.php/jourkep/article/view/47 <p><strong><em>Background</em></strong><em>: Diabetic foot ulcers are advanced complications experienced by people with diabetes mellitus that have a negative impact and must be treated immediately. One method that can be done to overcome the incidence of diabetic foot ulcers is hyperbaric oxygen therapy. This therapy is known to facilitate wound healing by improving wound tissue perfusion, increasing fibroblast replication and collagen production and increasing phagocytic ability.</em></p> <p><strong><em>Purpose</em></strong><em>: The purpose of this study was to determine the application of hyperbaric oxygen therapy to wound healing in diabetic foot ulcer patients.</em></p> <p><strong><em>Methods</em></strong><em>: The method used in this writing is literature review, with secondary data obtained from previous research with empirical studies of the last 10 years, data sources are accessed through the google scholar database, by taking journals that are relevant to the research topic.</em></p> <p><strong><em>Results</em></strong><em>: This study shows that the results that have been carried out on the administration of hyperbaric oxygen therapy to diabetic foot ulcers, show the ability to heal wounds in a fast time and more effective results.</em></p> <p><strong><em>Conclusion</em></strong><em>: Based on the results of literature review research by collecting several journals, it is concluded that the management of hyperbaric oxygen therapy in diabetic foot ulcer patients is more effective, cost-effective, and increases the prevalence of wound healing.</em></p> Aida Khairunisa, Pulung Herdianto, Elja Mifta, Asniah Syamsuddin Copyright (c) 2024 Aida Khairunisa, Pulung Herdianto, Elja Mifta, Asniah Syamsuddin, https://creativecommons.org/licenses/by-sa/4.0 https://jourkep.jurkep-poltekkesaceh.ac.id/index.php/jourkep/article/view/47 Tue, 28 May 2024 00:00:00 +0000 Asuhan Keperawatan Pada Lansia dengan Hipertensi di Desa Lamglumpang Kota Banda Aceh https://jourkep.jurkep-poltekkesaceh.ac.id/index.php/jourkep/article/view/64 <p><strong><em>Background</em></strong><em>: Hypertension is a state of change where blood pressure increases chronically. The hypertensive disease is often called a “silent killer” because it can appear without symptoms or warning signs, so many people fail to recognize it. </em></p> <p><strong><em>Purpose</em></strong><em>: To provide an overview of nursing care for patient, who suffers from hypertension. </em></p> <p><strong><em>Methods</em></strong><em>:</em> <em>The research method used is descriptive qualitative with a case study approach described through the nursing process. The implementation of nursing interventions was carried out for 5 days and the main problems were measured using the Numeric Rating Scale (NRS).</em></p> <p><strong><em>Results</em></strong><em>: The result showed that client has an increased understanding of non-pharmacological pain deep breath relaxation techniques, and there is a decrease in pain scale form 4 NRS to 0 NRS. For the diagnoses of ineffective health management, the result showed increased knowledge related to hypertension, warm water foot baths, and the application of dietary patterns. Thus, it resulted in a decrease in blood pressure, which was 9/15 mmHg.</em></p> <p><strong><em>Conclusion</em></strong><em>: After implementing warm water foot soak therapy for 5 consecutive days, it can be concluded that warm water foot soak therapy is very influential in controlling and reducing the client's blood pressure. Warm water foot soak therapy shows effective results where blood pressure is reduced by 9/10 mmHg.</em></p> Dara Febriana, Khairani Khairani, Nurul Khairani, Ainal Mardhiah, Taufik Taufik Copyright (c) 2024 Dara Febriana, Khairani Khairani, Nurul Khairani, Ainal Mardhiah, Taufik Taufik, https://creativecommons.org/licenses/by-sa/4.0 https://jourkep.jurkep-poltekkesaceh.ac.id/index.php/jourkep/article/view/64 Tue, 28 May 2024 00:00:00 +0000