Jurnal Gema Keperawatan (ISSN 2620-8695) is a peer-reviewed scientific journal published by the Department of Nursing, Poltekkes Kemenkes Denpasar. The journal is published biannually, in June and December. The journal publishes original research articles in the field of nursing, including quantitative and qualitative studies. The scope of the journal includes community nursing, mental health nursing, pediatric nursing, maternity nursing, and medical-surgical nursing. The journal provides immediate open access to its content in order to support the dissemination of nursing knowledge at national and international levels.
Jurusan Keperawatan Poltekkes Kemenkes Denpasar
Authors retain copyright and grant the journal the right of first publication, with the work simultaneously licensed under a Creative Commons Attribution License, which permits others to share the work with proper acknowledgment of authorship and initial publication in this journal. Authors are permitted to enter into separate, additional contractual arrangements for the non-exclusive distribution of the published version of the work (e.g., posting it to an institutional repository or publishing it in a book), provided that the original publication in this journal is acknowledged. Authors are also permitted and encouraged to post their work online (e.g., in institutional repositories or on their personal websites) prior to and during the submission process, as it can lead to productive exchanges and earlier and greater citation of published work (see the Open Access Effect).
Hubungan Tingkat Self-Disclosure dengan Psychological Well-Being pada Penderita Kanker Payudara
Breast cancer is one of the types of cancer with the highest incidence that causes physical and psychological impacts, including decreased psychological well-being. Efforts to improve psychological well-being of breast cancer patients with self-disclosure. The purpose of this study was to determine the relationship between the level of self-disclosure with psychological well-being in breast cancer patients at Sanjiwani Hospital, Gianyar Regency in 2025. This type of research is quantitative research with a correlational analytic design with a cross-sectional approach. The sampling technique used purposive sampling with a total sample of 85 people. Data analysis techniques using the Spearman Rank statistical test, and data collection using the 32-item Revised Self-Disclosure Scale and Ryff's Psychological Well-Being Scale. The results of the study the level of self-disclosure in the research subjects was mostly high as many as 51 people (60%) and most of the psychological well-being was high as many as 67 people (78,8%). There is a significant relationship p= 0,000, r= 0,776, between the level of self-disclosure with psychological well-being in breast cancer patients. There is a strong relationship with a positive direction between the level of self-disclosure with psychological well-being in breast cancer patients, the higher the level of self-disclosure owned, the higher psychological well-being.
Copyright (c) 2026 I Wayan Candra, Ni Made Dania Dwi Rezanthi, I Nengah Sumirta, Ni Luh Gede Ari Kresna Dewi https://creativecommons.org/licenses/by/4.0
Hubungan Regulasi Emosi dengan Tingkat Resiliensi pada Pasien Kanker Payudara
Breast cancer is the most common type of cancer found in women, and is the second highest cause of death from cancer worldwide. Early symptoms of breast cancer are lumps, changes in breast size, pain or swelling in the breast area. Cancer patients often experience various physical, psychological, and emotional challenges. Emotional regulation and resilience are two important psychological aspects in understanding cancer patients. The purpose of this study was to determine the relationship between emotional regulation and resilience levels in breast cancer patients at Bali Mandara Regional Hospital in 2025. This study was a quantitative study, using a descriptive correlative method, with a cross-sectional approach. Sampling used a purposive sampling technique with a sample size of 70 breast cancer patients. Data collection instruments were in the form of an emotional regulation questionnaire (ERQ) and a resilience scale (CD-RISC) that had been translated into Indonesian. Based on the results of the correlation with the Spearman Rank test, a significance value of 0,025 (p<α= 0,05) and a correlation coefficient value (r)= 0,268. This indicates a weak relationship between emotional regulation and resilience in breast cancer patients at Bali Mandara Regional Hospital in 2025. The stronger the emotional regulation, the higher the resilience in breast cancer patients.
Copyright (c) 2026 I Made Mertha, Komang Putriana Dewita Sari, I Ketut Suardana, Ni Made Wedri, I Wayan Sukawana, I Gusti Ketut Gede Ngurah https://creativecommons.org/licenses/by/4.0
Penerapan Model UTAUT untuk Mengetahui Faktor-Faktor yang Memengaruhi Perilaku Mahasiswa dalam Penerimaan Logbook Digital
Digitalization logbook filling using QR Code is one of the efforts made to improve the quality of service in laboratory management. The use of this digital system needs to be evaluated to obtain feedback from users towards improvement. Therefore, it is very important to know the level of user acceptance, identify factors that can influence user interest and behavior in utilizing digital logbooks. The purpose of this study was to determine the factors that influence student interest and acceptance behavior towards the digital logbook filling system using the UTAUT method. This research is a quantitative descriptive study. The sampling technique used in this study was nonprobality sampling, namely purposive sampling with a sample size of 67 people. Data were collected using a questionnaire uploaded via Google Drive. Data analysis used multiple linear regression analysis. The results showed that not all variables had a significant effect on student behavior in filling out digital logbooks. The variables in the UTAUT model that significantly influence Behavioral Intention (BI) are Social Influence with a p-value of 0.001, and the Facilitating Conditions variable has a significant effect with a p-value of 0.000 on students' Use Behavior in using the digital logbook filling system. Suggestions are needed for ongoing policy support to integrate the digital logbook system into the practical learning process in the laboratory, as well as ensuring the availability of supporting facilities and infrastructure and technical assistance for users.
Copyright (c) 2026 Ni Luh Ketut Suardani, Ni Luh Gede Ari Kresna Dewi https://creativecommons.org/licenses/by/4.0
Persepsi Remaja Laki-Laki terhadap Hubungan Seksual Pranikah: Studi Kualitatif
Adolescence is a transitional phase that is vulnerable to various risky behaviors, including premarital sexual relations. This behavior becomes a global public health issue because it can cause negative impacts such as unwanted pregnancies, sexually transmitted infections, and psycholoical disorders. The prevalence of sexual relationships before marriage in indonesia is increasing. This study aims to explore male adolescents’s perceptions of premarital sexual relations andthe factis that influence the, in order ro provide insights for reproductive health education and prevention efforts. This study uses a descriptive qualitative approach with purposive sampling techniques involving 10 male students in grade XI. Data were obtained through semi-structured in-depth interviews and analyzed using Braun and Clarke’s analysis. The research result produced fourmain themes, namely adolescents perceptions of premarital sexual relationships, driving factors, the impact of premarital sexual relatioships, and adolescents attitude towards premarital sexual relatinships. Adolescents males perceptions of premarital sexual relationships are influenced by internal and external factors, with the majority aware of the negative risks. This study recommends strengthening comprehensive sexual education involving families, schools,and communities to shape healthy and reponsible behavior.
Copyright (c) 2026 iqoh qothrunnada https://creativecommons.org/licenses/by/4.0
Perbedaan Intensitas Dismenore Primer Sebelum dan Sesudah Pemberian Inhaler Stick Aromaterapi Peppermint pada Remaja Putri
Primary dysmenorrhea is a fairly common health problem during the menstrual cycle and often disrupts the activities of adolescent girls. Non-pharmacological management of menstrual pain is increasingly in demand, this is chosen because it is considered to have a higher level of safety and a low risk of side effects. One method used is peppermint aromatherapy through inhalation. The purpose of this study was to identify differences in the intensity of primary dysmenorrhea before and after administration of peppermint aromatherapy inhaler sticks to adolescent girls at STT Dharma Bhakti. This study used a pre-experimental research design with a one group pretest-posttest method. The sample was selected using a purposive sampling technique with 28 respondents. The instrument used in this study was the Numerical Rating Scale (NRS) to measure the level of pain before and after the intervention. Peppermint aromatherapy inhaler sticks with a dose of 0.5 ml were given and inhaled for 10 minutes, once a day on the first two days of menstruation. The results of the analysis showed a decrease in the median pain intensity from 5,00 to 2,00, and the average from 4,86 to 1,82. The Wilcoxon test produced a Z value = -4,737 with a p-value = 0,000 (p < 0,05), which indicated a significant difference between before and after administration of peppermint aromatherapy inhaler sticks. In conclusion, peppermint aromatherapy inhaler sticks are effective in reducing the intensity of primary dysmenorrhea, and can be used as a practical and non-invasive alternative therapy for menstrual pain in adolescent girls.
Copyright (c) 2026 Ni Kadek Dwi Suryaningsih https://creativecommons.org/licenses/by/4.0
Analisa Faktor Kejadian Caregiver Burden pada Keluarga dengan Penyakit Kronis
Chronic illness is a long-term condition that affects not only patients but also their families, who often serve as informal caregivers. Families caring for individuals with chronic illness frequently encounter complex challenges that contribute to caregiver burden. This study aimed to analyze the factors associated with caregiver burden among families of individuals with chronic illness using the Calgary Family Assessment Model (CFAM) and Family Health Assessment (FHA) approaches A cross-sectional study was conducted from November 2023 to January 2024 in Malang Regency, using accidental sampling. 120 respondents participated in the study. Caregiver burden was measured using an adapted version of the Burden Scale for Family Caregivers. Structural equation modeling–partial least squares (SEM-PLS) was employed to analyze the data. The majority of respondents were female (73,3%) and aged 26–33 years (36,7%), with most experiencing a moderate level of caregiver burden. The results revealed a significant negative relationship between contextual factors and caregiver burden (T-statistic = 3,854, p < 0,01). In contrast, functional factors (T-statistic = 2.751, p < 0.01) and structural factors (T-statistic = 3,078, p < 0,01) were positively and significantly associated with caregiver burden. These findings indicate that chronic illness affects not only patients but also family caregivers, with various contextual, functional, and structural factors contributing to the development of caregiver burden. Understanding these factors is essential for developing family-centered interventions aimed at reducing caregiver burden and improving family well-being.
Copyright (c) 2026 Lintang Puspita Prabarini, Bima Aminul Karim, Sekarini https://creativecommons.org/licenses/by/4.0
Pengaruh Terapi Musik terhadap Cemas dan Depresi Pasca Operasi pada Pasien Bedah Jantung: Penerapan Evidence Based Nursing (EBN)
Cardiovascular disease is a leading cause of mortality and morbidity worldwide and constitutes a major global burden. One proven effective treatment for cardiovascular disease is heart surgery, but patients often experience anxiety and depression both preoperatively and postoperatively. Unmanaged anxiety and depression in the postoperative period can negatively impact patient recovery. An intervention that nurses can implement to address anxiety is music therapy. This study aimed to prove the effect of music therapy on postoperative anxiety and depression in heart surgery patients. This study used a quantitative quasi-experimental research design with a two-group (non-equivalent) pretest-posttest control group design. Researchers divided respondents into two groups: the music therapy group and the control group. Respondents from both groups completed a questionnaire before being given the intervention. Respondents in the music therapy group were given classical music intervention twice, approximately 2 hours after post-extubation and the following day. Meanwhile, the control group was given routine room care intervention, namely deep breathing. The study sample consisted of 28 respondents in each group. Anxiety assessment was carried out using the Indonesian version of the Hospitalized Anxiety and Depression Scale (HADS). The results of the statistical test of the difference in mean anxiety and depression scores after both the first and second interventions between the intervention group and the control group using the Independent T-Test showed a significant difference (p<α; α = 0,05). These results indicate that there is an effect of music therapy on postoperative anxiety and depression in cardiac surgery patients. Music therapy can reduce postoperative anxiety and depression in cardiac surgery patients.
Copyright (c) 2026 Dinny Atin Amanah, Elly Nurachmah, Tuti Herawati, Hermin Esti Dianingtyas https://creativecommons.org/licenses/by/4.0
Efektivitas Terapi Akupunktur terhadap Perubahan Skala Nyeri VAS pada Lansia Pasca Menopause dengan Nyeri Muskuloskeletal
Postmenopausal older women commonly experience musculoskeletal pain, which may interfere with daily activities, reduce productivity, and limit their ability to perform physical activities independently. This study aimed to evaluate the effectiveness of acupuncture therapy in reducing pain intensity among postmenopausal older women with musculoskeletal pain. An analytical experimental study was conducted at the UPTD Community Health Center I, West Denpasar Health Office, Bali, Indonesia, from May to September 2025. A total of 30 participants were recruited using purposive sampling and equally allocated into two groups. The intervention group received three sessions of acupuncture therapy, while the control group participated in exercise therapy. Pain intensity was assessed using the Visual Analog Scale (VAS). Data were analyzed using the Mann–Whitney U test to compare pain scores between the two groups following the intervention. The results showed a statistically significant difference in pain intensity between the acupuncture and control groups (Asymp. Sig. [2-tailed] < 0,001). The superior pain reduction observed in the acupuncture group may be attributed to its analgesic mechanism through the gate control theory of pain. Acupuncture is believed to stimulate A-beta nerve fibers in the skin and muscles, promoting the release of endogenous opioids, including endorphins, enkephalins, and dynorphins, which contribute to pain relief. These findings suggest that acupuncture is an effective non-pharmacological intervention for reducing musculoskeletal pain in postmenopausal older women.
Copyright (c) 2026 Listina Ade Widya Ningtyas, Ni Made Dwi Purnamayanti, I Made Sukarja https://creativecommons.org/licenses/by/4.0
Hubungan Peran Teman Sebaya dengan Perilaku Pencegahan Infeksi Menular Seksual di Kalangan Remaja
Adolescents are a population vulnerable to sexually transmitted infections (STIs) due to their involvement in risky sexual behaviors. One factor that is believed to be associated with STI prevention behavior is the role of peers. This study aimed to analyze the relationship between peer roles and STI prevention behavior among adolescents. This research employed a quantitative method with a cross-sectional design. The sample consisted of 92 students from Al-Miftahiyyah Vocational High School, North Jakarta, selected using a stratified random sampling technique. Data were collected using validated and reliable questionnaires measuring peer roles and STI prevention behavior. Data analysis was conducted using the Spearman Rank correlation test. The results showed that the majority of respondents were male (63,0%), aged 18 years (35,9%), and enrolled in grade XI (39,1%). The mean score for peer roles was 22.80, while the mean score for STI prevention behavior was 25,35. The Spearman Rank correlation test revealed a significant positive relationship between peer roles and STI prevention behavior (r = 0,257; p = 0,013). The correlation coefficient indicated a weak relationship between the two variables. This study concludes that better peer roles are associated with better STI prevention behavior among adolescents. Therefore, schools and healthcare professionals are encouraged to develop peer-based reproductive health education programs to improve STI prevention behavior among adolescents.
Copyright (c) 2026 Nur Layla, Hardin La Ramba, Shinta Prawitasari https://creativecommons.org/licenses/by/4.0
Hubungan Dukungan Keluarga dengan Kualitas Hidup pada Anak dengan HIV
Human Immunodeficiency Virus (HIV) is a virus that attacks white blood cells and weakens the body's immune system. Children living with HIV/AIDS often experience stigma and discrimination from both society and their families, which may lead to social withdrawal, feelings of shame, and deterioration in their overall health and well-being. Family support, as the closest source of social support, plays a crucial role in improving the quality of life of children living with HIV/AIDS. This study aimed to analyze the relationship between family support and the quality of life of pediatric patients living with HIV/AIDS. A descriptive correlational study with a cross-sectional design was conducted. Data were collected using structured questionnaires from 30 respondents aged 10–18 years. The results showed that 17 respondents received high levels of family support, while 16 respondents had a good quality of life. Spearman's rank correlation test revealed a statistically significant relationship between family support and the quality of life of children living with HIV/AIDS at the Akar Cinta Kasih Foundation (p < 0,001). The findings indicate a positive association between family support and the quality of life of pediatric patients living with HIV/AIDS. Future studies are recommended to employ different research designs and larger sample sizes to obtain more comprehensive and generalizable findings.
Copyright (c) 2026 I Made Agus Sudarma Putra, I Ketut Labir, Ni Luh Kompyang Sulisnadewi https://creativecommons.org/licenses/by/4.0
Hubungan Tingkat Pengetahuan dan Tingkat Kesadaran dengan Kesiapsiagaan Bencana Kebakaran
Densely populated residential areas are highly vulnerable to fire disasters due to both technical factors, such as inadequate electrical installations, and behavioral factors, including unsafe use of fire. In addressing these risks, the capacity of the community—both at the individual and collective levels—plays a critical role in determining preparedness through knowledge and awareness of fire hazards and their potential impacts. This study aimed to examine the contribution of community knowledge and awareness to fire disaster preparedness among residents of Kalibaru Subdistrict, North Jakarta. A quantitative cross-sectional design was employed in this research. Using purposive sampling, 306 respondents were selected from an estimated population of 1,300 residents. Data were collected using structured questionnaires consisting of a fire knowledge questionnaire, a fire awareness questionnaire, and a fire disaster preparedness questionnaire, all of which had been tested for validity and reliability. The relationships among the study variables were analyzed using Spearman's rank correlation test. The results demonstrated significant positive correlations between the level of knowledge (r= 0,220, p < 0,001) and the level of awareness (r= 0,662, p < 0,001) with community preparedness for fire disasters. These findings indicate that improving community preparedness requires not only increasing knowledge through information dissemination but also strengthening public awareness to promote more adaptive behaviors toward fire risks. Therefore, community-based interventions that emphasize enhancing both knowledge and awareness are recommended as effective strategies for reducing the risk of fire disasters.
Copyright (c) 2026 Asha Maharani, Hardin La Ramba, Shinta Prawitasari https://creativecommons.org/licenses/by/4.0
Minat Baca Buku Kesehatan Ibu dan Anak serta Kepatuhan Kunjungan Antenatal Care pada Ibu Hamil
Pregnant women's interest in reading the Maternal and Child Health (MCH) Handbook plays a crucial role in enhancing knowledge about pregnancy and encouraging adherence to prenatal check-ups. The MCH Handbook has been widely distributed as a health education resource for pregnant women. However, its utilization remains suboptimal. Data from the Indonesian Basic Health Research indicate a declining trend in both the ownership and utilization of the MCH Handbook. This study aimed to describe pregnant women's reading interest regarding the MCH Handbook and their adherence to Antenatal Care (ANC) visits. A quantitative descriptive design with a cross-sectional approach was employed. The sample consisted of 101 pregnant women selected using total sampling. Data were collected using a questionnaire on MCH Handbook reading interest and an observation sheet for ANC visit adherence. Adherence was measured against Ministry of Health standards: a minimum of one visit in the first trimester, two visits in the second trimester, and three visits in the third trimester. Data were analyzed using univariate analysis involving frequency distributions and percentages. The results showed that reading interest in the MCH Handbook fell into the high category (98%), with scores of 93,1% for reading duration, 91,1% for reading content, and 96% for self-confidence. Adherence to ANC visits was also in the high category (98%). The study demonstrates that the majority of pregnant women exhibit high levels of reading interest in the MCH Handbook and high adherence to ANC visits.
Copyright (c) 2026 Selviya Indriani Putri, Desrinah Harahap, Asih Minarningtyas https://creativecommons.org/licenses/by/4.0
Pengaruh Terapi Hipnosis Lima Jari terhadap Tingkat Stres pada Remaja SMA
Adolescence is a critical developmental stage experienced by every individual, characterized by significant physical, biological, socio-emotional, and cognitive changes. Stress during adolescence commonly arises from the inability to adapt effectively to internal and external life demands, resulting in both psychological and physiological disturbances. Five-finger hypnosis therapy is a self-hypnosis intervention that induces deep relaxation, thereby helping to reduce mental tension and psychological burden. This study aimed to analyze the effect of five-finger hypnosis therapy on stress levels among adolescents. A quantitative quasi-experimental pretest-posttest design was employed, involving 40 tenth-grade high school students, with 20 participants assigned to the intervention group and 20 to the control group. Participants were recruited using a consecutive sampling technique. Stress levels were measured before and after the intervention using the Depression Anxiety Stress Scales (DASS) questionnaire. The intervention group received five-finger hypnosis therapy in four 10-minute sessions over one month, while the control group received no intervention. The findings showed that the control group remained predominantly at a moderate stress level before and after the study (60,0%). In contrast, the intervention group initially demonstrated predominantly severe stress (70,0%), which decreased to predominantly mild stress (90.0%) following the intervention. The Mann–Whitney test revealed a statistically significant difference in post-intervention stress levels between the intervention and control groups (p = 0,001; p < 0,05). These findings indicate that five-finger hypnosis therapy is effective in reducing stress levels among adolescents.
Copyright (c) 2026 I Dewa Gede Candra Dharma, Ni Ketut Citrawati https://creativecommons.org/licenses/by/4.0
Hubungan Kebiasaan Merokok dengan Kejadian Hipertensi pada Lansia
Hypertension and smoking are two interrelated factors that have a significant impact on health, particularly among the older adult population aged 60 and older. Hypertension is often referred to as “the silent killer” because it frequently presents no obvious symptoms. Smoking is a modifiable risk factor that contributes to elevated blood pressure through the mechanism by which nicotine causes vasoconstriction of blood vessels. This study aimed to determine the association between smoking habits and the prevalence of hypertension among older adults in the service area of the Banyuputih Community Health Center, Batang Regency, Central Java Province. This study employed a quantitative approach with a cross-sectional design. The study population consisted of 333 older adults aged 60 years and older. A sample of 93 respondents was selected using consecutive sampling and calculated using the Slovin formula with a margin of error of 10%. Data were collected through blood pressure measurements using a digital sphygmomanometer, as well as a smoking habits questionnaire and a sociodemographic questionnaire. Data were statistically analyzed using the chi-square test with a significance level of ρ < 0.05. The prevalence of hypertension among older adults in this study was 73.1%, and the proportion of older adults who smoked was 64.5%. The majority of respondents were heavy smokers (38.7%). The chi-square test results showed a significant association between smoking habits and the incidence of hypertension among the older adults, with a p-value of 0.002. There is an association between smoking habits and hypertension among the older adults in the service area of the Banyuputih Community Health Center; therefore, a health program is needed to address smoking habits among the older adults.
Copyright (c) 2026 Tegar Riniekso, Siwi Sri Widhowati, Isrofah Isrofah https://creativecommons.org/licenses/by/4.0
Pengetahuan dan Upaya Pencegahan Anemia pada Remaja Putri saat Menstruasi
Anemia is a prevalent public health problem among adolescent girls, especially during menstruation, and may cause decreased concentration, fatigue, and lower academic performance. This condition can also affect physical growth and reproductive health in the long term if not properly addressed. The present study aims to describe the level of knowledge and preventive efforts related to anemia among adolescent girls at MTs Negeri 1 Kota Lhokseumawe. A descriptive study with a quantitative approach was conducted involving 75 respondents selected through random sampling. Data were obtained using a structured questionnaire consisting of 10 questions assessing knowledge and 6 questions concerning preventive actions. The findings revealed that most respondents had a moderate level of knowledge about anemia, with 39 respondents (52,0%) categorized as sufficient and 34 respondents (42,7%) as good. However, preventive efforts were still inadequate, with 46 respondents (61,3%) classified as poor. Common preventive actions included consuming nutritious foods rich in iron and taking iron supplements, yet these practices were often inconsistent. The results indicate a considerable gap between knowledge and the actual implementation of preventive behavior. Strengthening health education through school-based programs, counseling, and regular monitoring is crucial to enhance awareness, understanding, and adherence to anemia prevention practices among adolescent girls, particularly during menstruation.
Copyright (c) 2026 Aulia Rahmi, Meutia Zuhra, Feandi Putra, Husna Yeni https://creativecommons.org/licenses/by/4.0