International Journal Of Nursing And Midwifery Science (IJNMS)
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TOO YOUNG TO CARRY: UNDERSTANDING THE DOUBLE BURDEN OF ANEMIA AND EARLY PREGNANCY AMONG ADOLESCENTS IN RURAL TANGERANG
Get PDFBackground: Anemia during pregnancy continues to be a significant public health concern, especially among adolescents in low-resource settings. This study examines the prevalence of anemia among pregnant adolescents (<20 years) in Cisoka Puskesmas, Indonesia. Methods: Employing a cross-sectional design with total sampling, we examined medical records from January to December 2024. Hemoglobin levels were measured using Onemed HbCheck Hemoglobin Test Meter, with anemia defined as Hb <11.0 g/dL. Descriptive statistics were analyzed using SPSS 26. Results: Among 76 participants, the prevalence of anemia was 46.1%, peaking in the third trimester (54.3%). Mean hemoglobin levels showed a notable decline across trimesters (11.48 g/dL in the first trimester to 10.43 g/dL in the third trimester). Most participants (67.1%) had inadequate antenatal care (<4 visits). Moderate anemia predominated (51.4%), particularly in the second trimester (62.5%). Conclusion: This study reveals high anemia prevalence among pregnant adolescents in rural Tangerang, closely linked to advanced gestation and inadequate antenatal care. These results highlight the necessity for adolescent-specific iron supplementation and enhanced antenatal services for this vulnerable population
EPIDEMIOLOGY AND CLINICAL CHARACTERISTICS OF MUMPS AMONG CHILDREN AND ADOLESCENTS: A CROSS-SECTIONAL STUDY IN CISOKA PUSKESMAS, INDONESIA
Get PDFBackground: Mumps remains a vaccine-preventable illness with periodicoutbreaks in areas with low immunization coverage. Rural settings oftenshow higher susceptibility due to limited healthcare access.Aims: To determine the prevalence and clinical characteristics of mumpsamong children and adolescents at Cisoka Puskesmas, Indonesia.Methods: A cross-sectional study was conducted on all pediatric patientsclinically diagnosed with mumps from January to March 2025 based onWHO criteria. Demographic data, MR vaccination status, clinical features,and household exposures were obtained through interviews and clinicalevaluation. Descriptive analysis was performed using SPSS 26.0.Result: Seventy-six mumps cases were identified, yielding a prevalence of4.38%. The highest age-specific prevalence occurred in children aged 6–11years (6.45%). Unilateral parotitis accounted for 71.1% of cases. Commonsymptoms included fever (96.1%), chewing pain (61.8%), and painfulswallowing (51.3%). Only 59.2% had received MR vaccination, and 65.8%lived in close contact with at least one active smoker.Conclusion: Mumps continues to circulate among the pediatric population inrural Tangerang, driven by inadequate MR vaccination coverage andmodifiable household-level exposures such as close contact with smokers.Strengthening immunization uptake and reducing preventable exposures arecritical to mitigate future outbreaks
THE EFFECT OF RESISTANCE EXERCISE AND WARM WATER SOAKING ON FOOT SENSITIVITY IN PATIENTS WITH DIABETES MELLITUS
No full textDiabetes mellitus (DM) is a chronic metabolic disorder characterized by hyperglycemia. One complication in DM patients is diabetic ulcers that begin with peripheral neuropathy. This peripheral neuropathy causes decreased sensitivity in the feet, so that people with diabetes mellitus often experience loss of sensation in the feet. The purpose of this study was to determine the effect of a combination of resistance exercise and warm water soaks on the sensitivity value of the feet of diabetes mellitus patients. The research method used was quantitative with a Pre-Experimental design, namely One Group Pretest-Posttest design. The population of this study were all type II Diabetes Mellitus patients under the management of the Blooto Health Center Work Area, Mojokerto City. The sampling technique used was purposive sampling with a sample size of 32 respondents. The results of the statistical test with the Wilcoxon Rank Test showed a p value = 0.001 (p <0.05), indicating that there was a significant difference between before and after the intervention. The z value = -5.099 also strengthens the existence of significant changes with the direction of change indicating improvement
A DESCRIPTIVE STUDY ON TRIGLYCERIDE AND BLOOD GLUCOSE LEVELS IN THE ELDERLY POPULATION
Get PDFPenyakit degeneratif merupakan penyakit yang terjadi karena penurunan fungsi organ tubuh akibat bertambahnya usia serta penyakit tersebut dapat berlangsung lama atau kronis. Penyakit degeneratif menjadi masalah besar di seluruh dunia karena ada kecenderungan peningkatan kelompok usia lanjut (lansia). Prevalensi penyakit degeneratif di Indonesia juga terus meningkat sejalan dengan peningkatan usia harapan hidup. penyakit jantung dan diabetes melitus merupakan penyakit degeneratif yang kejadiannya terus meningka
QUALITY OF LIFE OF THE ELDERLY IN DISASTER-PRONE AREAS
Get PDFBackground: Elderly individuals are inherently vulnerable, facing a decline in physical and cognitive functions that significantly impacts their quality of life (QoL). QoL is a vital, multidimensional concept influenced by physical health, psychological state, independence, social relationships, personal beliefs, and environment. A good QoL enables the elderly to enjoy life, maintain independence, and feel respected. However, disaster conditions, such as floods, are high-risk, unexpected events that drastically affect QoL by causing loss, physical injury, and psychological trauma. Songgorunggi Village, Sukoharjo, Central Java, is a known flood-prone area that suffered significant impact in 2024. Despite this, some elderly residents have demonstrated adaptive and resilient coping mechanisms. The purpose of this study was to describe the quality of life of the elderly in this disaster-prone region. The method employed a descriptive analytical research design utilizing the established WHOQOL quality of life questionnaire. The results indicated that the majority of the elderly participants in the Songgorunggi area were female, and a significant percentage—65.5%—reported a poor quality of life. In conclusion, the QoL of the elderly residing in the disaster-prone area of Songgorunggi village was categorized across both the good and poor spectrums, with a substantial majority falling into the poor category following the disaste
The effect of acupressure therapy on the ciliary point (BL32) and lavender aromatherapy on reducing the intensity of labor pain
No full textChildbirth is a joyous experience, but that joy can turn into anxiety and pain when contractions become more intense. Mothers about to give birth experience pain and discomfort due to uterine contractions that initiate the labor process. Efforts to reduce the intensity of pain in mothers giving birth can be done by using acupressure therapy at the BL 32 point and lavender aromatherapy. The purpose of this study was to examine the effect of acupressure therapy at the ciliao point (BL32) and lavender aromatherapy on reducing the intensity of labor pain. The study was conducted on August 27 - October 7, 2025. This study used a pre-experimental method with a pre-test and post-test. The study population was mothers giving birth in the active phase of the first stage. The sampling technique used was accidental sampling with 16 respondents. The results of the study were that almost all pain scales before being given a massage of the BL 32 point and lavender aroma therapy were 9.06 with a standard deviation of 0.772, and after being given a massage of the BL 32 point and lavender aroma therapy were 7.56 with a standard deviation of 0.814. The Wilcoxon Signed Ranks test results ρ = 0.00, so the conclusion is that there is an effect of giving BL 32-point therapy and lavender aroma therapy on reducing the intensity of labor pain
THE ROLE RESILIENCE AND ACADEMIC SELF-EFFICACY IN INCREASING ACADEMIC ENGAGEMENT OF UNDERGRADUATE NURSING STUDENTS
Get PDFAcademic Engagement is an important concern considering that nursing students will be directly involved with patients and provide nursing care to patients directly. Ideally, undergraduate nursing students in the emerging adulthood phase have a high level of academic engagement. However, reality shows that there are still many students with relatively low levels of academic engagement. This will later have an impact on low academic achievement, low student competence, increased disengagement and increased drop out rates among students. Previous research results show that academic engagement is related to academic resilience and academic self-efficacy. Therefore, the aim of this research is to determine the influence of academic resilience and academic self-efficacy on the academic engagement of undergraduate nursing students. This type of research is correlational with a cross-sectional approach. The research sample was 312 undergraduate nursing students from STIKes Dian Husada Mojokerto with a sampling technique using stratified random sampling. Statistical analysis uses multiple linear regression. The research results show that academic resilience and academic self-efficacy influence the academic engagement of nursing students
THE EFFECT of BALANCED NUTRITION EDUCATION on NUTRITION FULFILLMENT BEHAVIOR in an EFFORT TO PREVENT STUNTING in PRECONCEPTION WOMEN
Get PDFNutrition during preconception is the main factor that affects the condition of women of childbearing age during pregnancy and the well-being of the baby. Nutritional status during preconception is one of the determinants of the quality of human life, especially for mothers and babies, with the fulfillment of balanced nutrition. In 2020, the risk of KEK in Indonesia was 9.7% in pregnant women (Ministry of Health, 2021). In 2022, the number of pregnant women experiencing KEK was 5.6%. In Probolinggo Regency in 2021, 12.7% of pregnant women had KEK. Providing nutritional education is one effort to convey nutritional knowledge to preconception women. This study aimed to analyze the Effect of Balanced Nutrition Education on Nutritional Fulfillment Behavior in efforts to prevent stunting in Preconception Women. The research design used was cross-sectional. The population in this study were all preconception women in Gading Village, Probolinggo, totaling 67 people. The sampling technique used was simple random sampling. The sample in this study was some women in Gading Village, Probolinggo, totaling 46 people. The analysis used is the Wilcoxon test statistical test using SPSS. The results of the study obtained the results of the analysis test using the Wilcoxon test showed a sig value of 0.000. Preconception nutritional preparation for prospective mothers is very necessary in preventing stunting
ANALYSIS OF PROVIDING REPRODUCTIVE HEALTH EDUCATION FOR ADOLESCENTS BEFORE MENARCHE IN SUPPORT GROUPS IN MOJOKERTO CITY PRIMARY SCHOOLS
Get PDFAdolescence is a very important period in human life, because it is a transition from childhood to adulthood. Many teenagers experience difficulties in dealing with their first menstruation (menarche) if they have not received the right information from their surrounding support groups, including parents, family members, teachers or their immediate environment. This research aims to analyze the provision of reproductive health education for adolescents approaching menarche in support groups at SDN Mojokerto City. The research method used was pre-experimental. The instrument is a questionnaire to assess knowledge. The sample in this study consisted of 56 parents, 56 students and 28 teachers. The results of this research showed that there was a significant influence on the treatment given to each sample, indicated by a significance value of 0.000 < 0.005 in the peer support group, and a significance value of 0.000 < 0.005 in the parent support group, while in the teacher support group significant results show 0.001 < 0.005. Based on the results, it can be concluded that reproductive health education which is carried out effectively has an impact on increasing knowledge of reproductive health in the three support groups, including peers, parents and teachers
ACTIVE CYCLE OF BREATHING TECHNIQUE (ACBT) AGAINST PEAK EXPIRATORY FLOW IN COPD PATIENTS
Get PDFCOPD patients often experience the accumulation of secretions in the respiratory tract. To overcome the buildup of secretions in the respiratory tract, the Active Cycle Of Breathing Technique (ACBT) can be applied to the respiratory tract and increase the value of peak expiratory flow. This study aims to determine the effect of active cycle of breathing technique therapy (ACBT) therapy on peak expiratory flow in COPD patients. This research is a Pre-experimental type research that uses a One Group Pretest-Posttest design with the provision of ACBT intervention done 1x on the respondent. Instruments in evaluating lung function lung function of this study using the Peak Flow Meter. The sample in this study amounted to 30 respondents who had been selected through purposive sampling based on inclusion and exclusion criteria by researchers. Data analysis technique data in this study using the Paired T-Test test with the help of the SPSS program. Before being given ACBT intervention, the average value of peak respiration flow was found to be 83.67 lpm and after the ACBT intervention, the average value of peak flow of respiration was found to be 185.00 lpm. The results of statistical test analysis using Paired T-test obtained the results of p-value obtained 0.000 < α0.05 then there is a difference in the average value of peak expiratory flow before and after ACBT in patients with Chronic Obstructive Pulmonary Disease. This study concludes that there is a significant effect of the application of the Active Cycle of Breathing Technique (ACBT) intervention on the value of peak respiration flow in COPD patients