Journal of Nursing Science Update <p>Journal of Nursing Science Update (JNSU) is a media to share scientific studies about nursing published by the Department of Nursing, Faculty of Health Science, Universitas Brawijaya.</p> <p>This journal is peer-reviewed and published twice a year in May and November.</p> <p>It contains articles about emergency nursing, basic nursing science, community nursing, mental health nursing, pediatric nursing, maternity nursing, geriatric nursing medical and surgical nursing, and management nursing.</p> <p>Jurnal Ilmu Keperawatan: Journal of Nursing Science, with p-ISSN 2088-6012 and e-ISSN 2598-8492, was first published in 2013 and discontinued in Vol. 9, No. 2, 2021. This journal's name was changed to Journal of Nursing Science Update with a new ISSN number started in Vol. 10, No. 1, the Year 2022. This journal has been indexed in Google Scholar, Garuda, SINTA Science, and Technology index, and crossref.</p> Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya en-US Journal of Nursing Science Update <p>The authors who publish their articles in Jurnal Ilmu Keperawatan (Journal of Nursing Science) must approve the copyright statement as follows :</p><p> </p><p>1. The authors agree to automatic transfer of the copyright to the publisher</p><p>2. All material contained in this site is protected by law.</p><p>3. If you find one or more articles contained in the journal that violate or potentially infringe your copyright, please contact us via email<br /> 4. The formal legal aspect of access to any information and articles contained in this journal site refers to the terms of the Creative Commons Attribution-nonCommercial 4.0 International (CC BY NC) license. 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Jurnal ini tidak bertanggung jawab terhadap kerugian yang terjadi karana penyalah gunaan informasi dari situs ini.</p><p> </p><p>Jurnal Ilmu Keperawatan is licensed under</p><p><a href="" rel="license"><img src="" alt="Creative Commons License" /></a></p><p> </p> Literature Study: The Effect of Abdominal Massage to Reduce Gastric Residual Volume in Critically Ill Patients <em>Gastrointestinal dysfunction is one of the most common problems experienced by patients in the ICU, such as abdominal distension, constipation, and increased gastric residual volume. Currently, non-pharmacological interventions have been developed to address these problems. Abdominal massage intervention is considered a method that can improve digestive function. The purpose of this literature study was to determine the effect of abdominal massage to reduce the gastric residual volume in critically ill patients. Selected articles were obtained through online databases such as PubMed, Google Scholar, and ScienceDirect. There were seven articles obtained after going through screening and identified for critical review. There were five study randomized controlled trials, three quasi-experimental designs, one study, one group pre-test post-test, and one article one-shot case study. The results of this study found that abdominal massage was effective in reducing gastric residual volume. Mechanism of abdominal massage with stimulation of peristalsis, changes in intra-abdominal pressure, mechanical and reflexive effects on the intestine, thereby shortening the transition time of food in the intestine, increasing bowel movements, and easier flow of food through the digestive tract. So that nurses in the ICU are expected to use abdominal massage as an intervention option at critical times, considering that this intervention can prevent gastrointestinal dysfunction with low risk and is cost-effective.</em> Adella Indri Afitasari Dian Hudiyawati Copyright (c) 2021 Jurnal Ilmu Keperawatan: Journal of Nursing Science 2021-12-02 2021-12-02 9 2 143 150 10.21776/ub.jik.2021.009.02.1 Diabetes Self-Management Education (DSME) Intervention to Improve Self-Care Management of Diabetes Mellitus Patients <p><em>Self-care management is an important component in the management of Diabetes Mellitus Type 2 (DMT2). Knowledge, self-efficacy, and compliance in self-care are the main factors to improving quality of life and preventing complications. Diabetes Self-Management Education (DSME) in support groups was used in community nursing interventions to improve diabetes self-care management. This study used a one-group pre-post design with t-test analysis to determine the ability of self-management levels and blood sugar values of the group with diabetes before and after the intervention. The instrument used was the Diabetes Self Care Management Questionnaire (DSMQ). Diabetes Mellitus patients received DSME intervention for two months. The number of samplings in this study was 49 people with diabetes. The findings show that in intervention groups, self-care improves, and blood sugar levels fall. There were significant changes in the diabetics' group (n = 48) before and after the intervention on self-care and blood glucose levels (p = 0.000 and p = 0.011). We suggest that the DSME might be given to the diabetes group by nurses as one of the strategies for implementing health education in the public health care program (PERKESMAS).</em></p><p><em> </em></p> Annisa Wuri Kartika Widyatuti Widyatuti Etty Rekawati Copyright (c) 2021 Jurnal Ilmu Keperawatan: Journal of Nursing Science 2021-12-02 2021-12-02 9 2 151 157 10.21776/ub.jik.2021.009.02.2 Literature Study: Effectiveness of Benson Relaxation on Anxiety in Hemodialysis Patients <em>Chronic kidney disease (CKD) is a disease of kidney function disorders that occurs when the body fails to maintain metabolism, fluid, and electrolyte balance which can cause retention of urea and nitrogen waste in the blood. One of the treatments for patients with kidney failure is hemodialysis, but it can also cause psychological issues such as anxiety. Benson relaxation is a nursing intervention that can reduce anxiety. The purpose of this literature is to determine the effectiveness of the Benson relaxation method in reducing anxiety in patients undergoing hemodialysis. The study is a literature review that was conducted using databases such as PubMed, Elsevier, ScienceDirect, Portal Garuda, and Google Scholar, yielding ten articles. The findings indicate that Benson's relaxation therapy is effective in reducing the anxiety level of hemodialysis patients. This exercise will stimulate the brain to release alpha waves that cause humans to feel happy, calm, and feel comfortable. Therefore, Benson relaxation is recommended as an additional intervention for reducing anxiety in hemodialysis patients.</em> Aprilia Kartika Sari Dian Hudiyawati Copyright (c) 2021 Jurnal Ilmu Keperawatan: Journal of Nursing Science 2021-12-02 2021-12-02 9 2 158 167 10.21776/ub.jik.2021.009.02.3 Literature Study: The Effectiveness of Aromatherapy on Reducing Anxiety in Chronic Kidney Failure Patients Undergoing Hemodialysis <em>Chronic Kidney Disease (CKD) is a progressive and irreversible decline in kidney function that results in the decreased ability of the body to retain fluids and electrolytes. Treatment methods in end-stage kidney disease are long-term treatment with hemodialysis and kidney transplantation. Hemodialysis therapy in the long term can cause anxiety. Aromatherapy can assist patients in coping with anxiety. The goal of this study was to determine the efficacy of aromatherapy in reducing anxiety in patients with hemodialysis. Articles were obtained through online databases such as PubMed, Google Scholar, and Science Direct. There are seven articles obtained after going through data screening and will be identified for critical review. The findings show that inhalation aromatherapy was effective in reducing anxiety levels among hemodialysis patients. Inhaled aromatherapy affects the central nervous system and has a balancing effect on the cerebral cortex and nerves in the brain. Inhaled aroma compounds will interact quickly through the central nervous system and olfactory nerves and then stimulate the nerves in the brain under the balance of the cerebral cortex to produce the release of the hormone melatonin, serotonin, which can cause a feeling of relaxation or sedative. Future research should include a variety of aromatherapy variants that can be used based on patient preferences, as well as an assessment of possible side effects.</em> Eka Agustin Dian Hudiyawati Copyright (c) 2021 Jurnal Ilmu Keperawatan: Journal of Nursing Science 2021-12-02 2021-12-02 9 2 168 177 10.21776/ub.jik.2021.009.02.4 Literature Review : Hydrotherapy Reduce Blood Pressure among Hipertensive Clients <em>Hypertension is a cardiovascular disease that has been linked to a number of public health issues. This is due to unhealthy lifestyles and cellular and tissue physiological function impairment. Hydrotherapy is a non-pharmacological intervention that can lower blood pressure. As long as the patient is taking antihypertensive medications, this therapy becomes complementary. This study aims to describe the use of hydrotherapy that lowers blood pressure in hypertensive patients. The research design used is a literature review of national and international indexed journals. The databases used include ProQuest, GALE, OneSearch, RAMA, SINTA, and Google Scholar by using keywords hydrotherapy, blood pressure, and hypertension. Inclusion criteria are the range of publication years is in 2016-2020. While the exclusion criteria is when the independent variable used is a combination therapy. Based on a review of ten articles, hydrotherapy affects lowering blood pressure, therefore this therapy can be used as an adjunct therapy to lower blood pressure. This occurs because warm water dilates blood vessels, lowering blood pressure.</em> Yasmina Izzat Muhamad Jauhar Fajar Surachmi Copyright (c) 2021 Jurnal Ilmu Keperawatan: Journal of Nursing Science 2021-12-02 2021-12-02 9 2 178 186 10.21776/ub.jik.2021.009.02.5 Thermos Ability in Maintaining Crystalloid Liquid Temperature (Ringer’s Lactate and Normal Saline 0,9%): an Alternative in Maintaining Resuscitation Fluid Temperature <em>Haemorrhagic shock should be treated with fluid therapy at 390°C to avoid hypothermia. Storage of infusion fluid in a rice thermos is one method to maintain the temperature of the infusion fluid. This study aimed to determine the effect of using a thermos to maintain a temperature of 390C crystalloid liquid (ringer lactate and normal saline 0,9%) at a room temperature of 250C. This research method uses experimental quantitative (pre-experimental) with a one-shot case study design. Six bottles of Ringer's lactate and six bottles of normal saline 0,9% were warmed to 390C, then stored in a rice thermos at 250C and the temperature changes were measured for 6 hours. A digital thermometer was used to take measurements. The Mann-Whitney test was used to analyze the data. The results show that the temperature of Ringer's lactate fluid was reduced by an average of 4,60C, and normal saline was reduced by an average of 4,30C. There was a significant difference in temperature changes in the ringer's lactate fluid and normal saline 0,9% (p=0,000;α=0,05). The results of the study were that the rice thermos was able to maintain the temperature of ringer's lactate fluid at 390C for 96 minutes and normal saline 0,9% for 78 minutes, while to prevent hypothermia (360C) ringer's lactate fluid for 4 hours 59 minutes and normal saline 0,9 % for 4 hours 55 minutes.</em> Ninda Saputri Abdurrahman Wahid Tina Handayani Nasution Gia Eka Negara Copyright (c) 2021 Jurnal Ilmu Keperawatan: Journal of Nursing Science 2021-12-02 2021-12-02 9 2 187 195 10.21776/ub.jik.2021.009.02.6 The Relationship of Self-Efficacy with Learning Discipline of Teenagers during COVID-19 Pandemic at East Kalimantan, Indonesia <em>As a result of the COVID-19 pandemic, learning activities are now conducted at various levels using online methods, giving students more freedom to organize their learning activities. For this reason, students must be disciplined to complete their learning activities. One of the factors that play an important role in student learning discipline is seIf-efficacy. The purpose of this study was to determine the relationship between self-efficacy and teenagers' learning discipline during the COVlD-19 pandemic. This research design used correlational descriptive with the cross-sectional approach. The research sample amounted to 254 respondents who were taken with stratified random sampling technique. Data were collected through questionnaires to measure teenagers’ self-efficacy and learning discipline during the COVID-19 pandemic. Data were analyzed using the Spearman rank test. The results showed that self-efficacy of teenagers was in the high category as much as 81.5%, and learning discipline during the COVID-19 pandemic was in a good category as much as 42.9%. The findings showed that the significance value was 0.000 (α = 0.05) and the correlation coefficient was 0.309. So we can conclude that there is a significant relationship between teenagers' seIf-efficacy and Learning discipline during the COVlD-19 pandemic. It is expected that nurses and teachers will counsel students and supervise learning activities to ensure that students maintain their learning discipline.</em> Indah Kumala Sari Yati Sri Hayati Nurona Azizah Alfrina Hany Copyright (c) 2021 Jurnal Ilmu Keperawatan: Journal of Nursing Science 2021-12-02 2021-12-02 9 2 196 203 10.21776/ub.jik.2021.009.02.7 Effectiveness of Thermos to Maintain the Temperature of Ringer Lactate and Normal Saline 0.9% at AC Temperature 18˚C <em>Hemorrhagic shock patients require fluid resuscitation, but extra efforts should be made to provide 39 C fluids to avoid hypothermia. One of the media to maintain temperature is a thermos.  The purpose of this research is to identify whether the flasks can keep 39-degree crystalloid fluids at 18 degrees Celsius. This study used a pre-experimental method, with One-Shot Case Study type, 12 bottles of crystalloid liquid was warmed to 39°C, then put into 2 rice flasks, and temperature changes were measured for 6 hours at AC temperature 18˚C. The study was conducted on 30 November 2019. The findings show that temperatures in 6 bottles of RL liquid decreased by 6.8 -7.4 C and in 6 bottles of NS 0.9% liquid decreased by 5.3 - 6.4 C. Statistical results using the Mann-Whitney p-value is 0,000. It was concluded that there was a significant difference between changes in temperature of lactate Ringer's fluid and normal saline 0,9%. A thermos can maintain a temperature of 39˚C for about 1 hour and can prevent hypothermia from reaching 36˚C for about 3 hours.</em> Rifda Nur Achriyana Arif Abdurrahman Wahid Ifa Hafifah Gia Eka Negara Copyright (c) 2021 Jurnal Ilmu Keperawatan: Journal of Nursing Science 2021-12-02 2021-12-02 9 2 204 211 10.21776/ub.jik.2021.009.02.8 The Effectiveness of Telenursing on The Patient’s Quality of Life: A Review <p><em>COVID-19 is a pandemic case that has occurred throughout the world, resulting in restrictions on human activity in all areas, including health services, so that telenursing is one of the long-distance health service solutions in providing interventions. Improved quality of life is an indicator of successful intervention in patients. The study aimed to identify the effectiveness of telenursing in patients' quality of life. This study was conducted using a literature review method with the keywords "effectiveness," "quality of life," and "Telenursing." Several databases were used to find articles, including Ebsco, Google Scholar, Pubmed, and ScienceDirect. Selected articles were published from 2015 to 2020 and resulted in 2060 articles. After three selection processes, ten articles were obtained accordingly. Telenursing can be used to improve the quality of life of patients suffering from a variety of medical conditions. Telenursing plays a role in improving patients' quality of life in physical, mental, and social aspects. Various applications such as WhatsApp, Telegram, and Direct Call are used to conduct telenursing. Nurses can use telenursing to give intervention so that patients can improve their quality of life in physical, mental, and social aspects during a pandemic.</em></p> Yusshy Kurnia Herliani Alisya Putri Shabrina Nadia Putri Andrini Ananda Fairuz Melawardani Hani Aisya Rahmi Muhammad Rifki Maulana Copyright (c) 2021 Jurnal Ilmu Keperawatan: Journal of Nursing Science 2021-12-02 2021-12-02 9 2 212 218 10.21776/ub.jik.2021.009.02.9 Relationship Between Sedentary Behavior and the Incidence of Constipation During the COVID-19 Pandemic <div class="WordSection1"><div class="WordSection1"><div class="WordSection1"><p><em>The COVID-19 pandemic has caused changes in a variety of sectors, including education. Changes in online learning methods during the COVID-19 pandemic can increase the risk of sedentary behavior in students. Sedentary behavior is one of the factors related to constipation. This study aims to determine the relationship between sedentary behavior and the incidence of constipation during the COVID-19 pandemic in students at Universitas Brawijaya. This research is correlation research with a cross-sectional approach. Sampling used total sampling with a sample of 87 students according to the inclusion and exclusion criteria. Sedentary behavior was measured using the International Physical Activity Questionnaire – Short Form (IPAQ-SF) and the incidence of constipation was measured using the Constipation Scoring System (CSS). The correlation between sedentary behavior and the incidence of constipation was statistically analyzed using the Spearman Rank test with alpha=0.05. The results show that As many as 82.8% of students at Universitas Brawijaya have sedentary behavior and 17.2% are constipated. There was a correlation between sedentary behavior and the incidence of constipation (p=0.020; r=+0,249). In conclusion, there is a relationship between sedentary behavior and the incidence of constipation during the COVID-19 pandemic in students at Universitas Brawijaya.</em></p></div></div></div> Elvira Sari Dewi Bella Cendie Asteria Yulian Wiji Utami Copyright (c) 2021 Jurnal Ilmu Keperawatan: Journal of Nursing Science 2021-12-02 2021-12-02 9 2 219 228 10.21776/ub.jik.2021.009.02.10