Journal Keperawatan

Coping Strategies for Mothers Working as Inpatient Nurses in Hospitals

Eriska Amy Maulita, Ririn Isma Sundari, Arni Nur Rahmawati — Sun, 31 May 2026 00:00:00 +0000

Background: Female nurses working in inpatient settings face significant responsibilities at work and in their families. Work demands, dual roles, and emotional pressure can cause stress, affecting psychological well-being, burnout risk, work quality, and nursing care quality. Coping strategies are one way nurses manage stress while fulfilling their roles as mothers and healthcare workers.

Purpose: To describe the level of coping strategies and dominant types of coping used by mothers who work as inpatient nurses at Dr. R. Goeteng Taroenadibrata Purbalingga Regional General Hospital.

Methods: The study used a quantitative descriptive design with a cross-sectional approach. The study population consisted of 78 female nurses in inpatient settings, with a sample of 65 respondents selected using a purposive sampling technique. Inclusion criteria included female nurses who were married, had children, and worked in inpatient settings. Data were collected using the Brief COPE questionnaire and analyzed univariately using frequency distribution and percentages.

Results: The research results showed that the majority of respondents (45, or 69.2%) used moderate coping strategies. Meanwhile, the most commonly used coping strategy among nurses was problem-focused coping, with 45 respondents (69.2%), suggesting that they tended to solve problems directly when facing stress.

Conclusion: Most mothers working as inpatient nurses have moderate coping strategies, with a predominance of problem-focused coping strategies. These results indicate the need to strengthen adaptive coping strategies through psychological support programs, stress management training, and increased social support in hospitals, especially for maternal nurses.

Internet Addiction Correlates with Sleep Quality in Adolescents

Elfa Dhela Miranda, Bayu Nirwana, Agni Bunga Saafitri — Mon, 27 Jul 2026 00:00:00 +0000

Background: The rapid development of the internet has made it easier for teenagers to obtain information, communicate, play games, and use social media. High levels of internet use can increase the risk of internet addiction in adolescents. Good quality sleep is essential for cognitive function, concentration, academic achievement, and physical and mental health. Late-night internet use, coupled with difficulty controlling the duration of use, can potentially lead to changes in sleep patterns in adolescents.

Purpose: To determine the relationship between internet addiction and sleep quality in adolescents at MAN 1 Subang.

Methods: This study used a quantitative method with a cross-sectional design. The study population consisted of 781 students at MAN 1 Subang, using proportionate stratified random sampling technique and a sample size of 89 respondents. The instruments used were the Internet Addiction Test (IAT) questionnaire to measure internet addiction levels and the Pittsburgh Sleep Quality Index (PSQI) to assess sleep quality.

Results: A total of 46 adolescents (51.7%) experienced moderate internet addiction, while 83 adolescents (93.3%) had poor sleep quality. Spearman's correlation test results showed a significant positive relationship with weak strength between internet addiction and sleep quality in adolescents (rₛ = 0.224; p = 0.035).

Conclusion: Internet addiction is significantly associated with sleep quality in adolescents, although the strength of the relationship is weak. Higher levels of internet addiction tend to be associated with poorer sleep quality. Education on wise internet use and time management is needed to support adolescent sleep quality.

High Blood Glucose Levels Are Associated with Delayed Postoperative Wound Healing in Patients with Diabetes Mellitus

Hermansyah Hermansyah, Helly Susanti — Mon, 27 Jul 2026 00:00:00 +0000

Background: Diabetes Mellitus (DM) is a chronic metabolic disease that increases the risk of postoperative complications, including delayed wound healing, surgical site infection (SSI), wound dehiscence, and prolonged hospitalization. Hyperglycemia impairs leukocyte function, angiogenesis, collagen synthesis, and tissue regeneration, thereby delaying the wound healing process. The high number of postoperative patients with comorbid Diabetes Mellitus at Meuraxa Regional General Hospital, Banda Aceh, highlights the importance of identifying factors associated with postoperative wound healing.

Purpose: To analyze the relationship between blood glucose levels and postoperative wound healing among patients with comorbid Diabetes Mellitus.

Methods: This analytical observational study employed a cross-sectional design involving 60 postoperative patients with comorbid Diabetes Mellitus who were selected using an accidental sampling technique between 17 May and 15 June 2025. Blood glucose levels were measured using a calibrated glucometer, while wound healing was assessed using the Bates–Jensen Wound Assessment Tool (BWAT) during a single postoperative wound evaluation. Data were analyzed using the Chi-square test, and the strength of the association was expressed as the Odds Ratio (OR) with a 95% Confidence Interval (CI).

Results: A significant association was found between blood glucose levels and postoperative wound healing (p = 0.001). Patients with blood glucose levels ≥180 mg/dL were 28.75 times more likely to experience delayed wound healing than those with blood glucose levels of <180 mg/dL (OR = 28.75; 95% CI: 2.96–279.56), indicating that poor glycemic control is strongly associated with impaired postoperative wound healing.

Conclusion: High blood glucose levels are significantly associated with delayed postoperative wound healing in patients with diabetes mellitus. Glycemic control through blood glucose monitoring, patient education, therapy adherence, and multidisciplinary collaboration need to be integrated into perioperative management to accelerate wound healing and reduce postoperative complications.

Experience, Knowledge, and Preparedness as Predictors of Disaster Response Priorities: Perspectives of Nursing Students

Muhammad Muhammad, Sofyan Sufri, Nurhayati Syukri, Yeni Rimadeni — Mon, 27 Jul 2026 00:00:00 +0000

Background: Effective disaster response requires healthcare workers to prioritize appropriate actions in emergency situations. For nursing students, experience, disaster-related knowledge, and preparedness are considered essential competencies; however, evidence regarding their relationship to disaster response prioritization is limited.

Purpose: To analyze the factors of experience, knowledge, and preparedness as predictors for determining disaster response priorities among nursing students.

Methods: This cross-sectional, observational, analytical study involved 73 final-semester Diploma Three Nursing students selected using a total sampling technique. Data were collected using a modified disaster preparedness perception questionnaire to measure experience, knowledge, preparedness, and disaster response priorities. Data analysis was conducted using descriptive statistics, heat map visualization, and ordinal logistic regression.

Results: The results of ordinal logistic regression indicate that knowledge of social disasters is the strongest predictor of students' disaster response priorities (β < 0; p < 0.05). Greater knowledge of social disasters is associated with students' tendency to actively assist victims rather than simply following the directions of formal authorities. Knowledge of non-natural disasters also contributes to response priorities, but the correlation is weaker. Disaster experience and general preparedness do not show a statistically significant relationship with disaster response priorities.

Conclusion: Specific knowledge of disaster types plays a greater role in determining students' response priorities than direct experience and general preparedness. Strengthening disaster education needs to emphasize the characteristics, risks, and response measures for each type of disaster through contextual, inclusive, and simulation-based learning.

Booklet-Based Education as an Intervention to Improve Caregiver Knowledge & Behavior in Tuberculosis Prevention in Children

Tue, 28 Jul 2026 00:00:00 +0000

Background: Tuberculosis (TB) in children remains a public health problem due to the high risk of transmission after close contact with adult TB patients, especially within families. Household-based prevention requires adequate knowledge and behavior from caregivers. Booklets can be used as educational tools because they present information systematically, are easy to understand, can be studied independently, and can be reread.

Purpose: Analyzing the influence of health education using booklets on caregiver knowledge and behavior in preventing TB in children.

Methods: This quasi-experimental study with a one-group pretest–posttest design involved 38 caregivers of TB patients' families at the Muara Dua Community Health Center, Lhokseumawe City, selected using the Total Sampling Technique. The intervention provided was health education using a booklet, each lasting 30 minutes over two sessions. Measurements were taken before the intervention and seven days after the intervention using a knowledge and behavior questionnaire consisting of 15 questions. Data were analyzed using a paired t-test with a significance level of 0.05.

Results: The mean knowledge score increased from 4.16 ± 1.386 to 13.08 ± 1.260, with a mean increase of 8.921 points (p<0.001). The mean behavior score increased from 4.05 ± 1.627 to 12.50 ± 1.736, with a mean increase of 8.447 points (p<0.001). These findings indicate a significant increase in caregiver knowledge and behavior after being given booklet-based health education.

Conclusion: Health education using booklets has the potential to improve caregivers' knowledge and behavior regarding TB prevention in children. This medium can be considered a practical and sustainable educational tool to strengthen family-based TB prevention.