JIKSH: Jurnal Ilmiah Kesehatan Sandi Husada
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Effectiveness of pregnant women's class on the success of exclusive breastfeeding
Full text linkIntroduction: Exclusive breastfeeding (EBF) during the first six months of life plays a crucial role in infant survival, growth, and development. However, the global rates of EBF remain below the recommended targets. Pregnant women's classes are designed to provide education, support, and skills necessary for successful breastfeeding practices. This study aimed to analyze the effectiveness of pregnant women's classes on the success rate of exclusive breastfeeding.
Methods: A quasi-experimental design with a posttest-only control group was employed. The study involved 120 pregnant women in their third trimester, selected through purposive sampling from two community health centers. The intervention group (n=60) participated in a structured pregnant women's class, while the control group (n=60) received standard antenatal care without additional courses. Data on breastfeeding practices were collected three months postpartum using structured interviews and analyzed using the Chi-square test and logistic regression.
Results: The study found a significantly higher rate of exclusive breastfeeding in the intervention group (78.3%) compared to the control group (53.3%) (p<0.01). Attendance in the pregnant women's class was associated with a 2.9 times higher likelihood of practicing exclusive breastfeeding (OR=2.9; 95% CI: 1.5–5.6). Key factors contributing to success included increased maternal knowledge, self-efficacy, and support from health educators during antenatal.
Conclusions: Participation in pregnant women's classes effectively increases the success rate of exclusive breastfeeding. Integrating structured breastfeeding education into routine antenatal care is recommended to improve maternal practices and promote better infant health outcomes
Factors related to the knowledge of implementing nurses in handling emergency patients
Full text linkIntroduction: The effectiveness of emergency care heavily depends on the knowledge and skills of nurses. Errors in emergency treatment often lead to severe disability or death, highlighting the need for ongoing nurse training. This study aims to identify factors related to the knowledge of implementing nurses in handling emergency patients.
Method: An analytical survey with a cross-sectional approach was used, involving 30 respondents. Data were analyzed using univariate and bivariate techniques, including the Chi-Square test, with a significance level of α = 0.05.
Results: The majority of respondents were aged 20–30 (80%), had higher education (53.3%), and were relatively new in service (60%). More than half (53.3%) had received emergency training. Bivariate analysis revealed significant relationships between knowledge and education (p = 0.011), length of service (p = 0.007), and training attendance (p = 0.014). Nurses with higher education, longer service, and formal training demonstrated better emergency handling knowledge.
Conclusion: Education, experience, and training significantly influence nurses’ knowledge in emergency care. Continuous professional development, through formal education and certified emergency response training, is recommended to improve nursing care quality in emergencie
Optimizing the Role of Family Nurses in Improving Community Health A Holistic Approach: Literature Review
Full text linkIntroduction: Community health is an important foundation in improving the quality of life of the community as a whole. Family caregivers are the vanguard in promoting health, preventing disease, and empowering families to be agents of change. A holistic approach focusing on physical, emotional, social, and environmental aspects has optimised community health outcomes. This study aims to analyze a wide range of literature on family nursing interventions with a holistic approach to improving community health.
Methods: This study uses a systematic literature review method. The studied articles were obtained from electronic databases such as PubMed, Scopus, and CINAHL, with a publication range between 2015 and 2025. The keywords include family nursing, community health, holistic approach, and nursing intervention. Selection was made based on inclusion criteria: empirical research articles, a focus on the role of family caregivers, and the application of a holistic approach. A total of 35 selected articles were analyzed using a narrative synthesis approach to identify key themes.
Results: The study shows that a holistic approach in family nursing practice consistently contributes to improved healthy living behaviours, family-based management of chronic diseases, and increased access to primary health services. Key success factors include strengthening therapeutic relationships between nurses and families, using empathy-based communication, and actively involving families in the health decision-making process.
Conclusions: This literature review reinforces the evidence that optimizing the role of family caregivers through a holistic approach can improve community health effectively and sustainably. To support the sustainability of these practices, there is a need for specialized training for family nurses and the integration of family-based strategies in community health policies
Knowledge about menstruation with readiness to face menarche of elementary school students in the era of reproductive health education
Full text linkIntroduction: Adolescence is a crucial period marked by various physical and psychological changes, including menarche, the first menstruation that often elicits mixed emotional responses. Adequate knowledge about menstruation can help mitigate feelings of fear, anxiety, and confusion, enhancing adolescents' readiness to face this natural developmental stage. This study aimed to investigate the correlation between the level of menstrual knowledge and the readiness to face menarche among female students.
Method: A quantitative research design with an analytical survey and cross-sectional approach was applied. The research was conducted in April 2025 with 40 female students from grades IV to VI, selected via accidental sampling. Data collection used a structured questionnaire, and analysis involved univariate and bivariate statistics using the non-parametric Kendall Tau correlation test.
Results: The results showed that 47.5% of respondents had good menstrual knowledge, and 95% were considered ready to face menarche. However, statistical analysis yielded a p-value of 0.281 with a significance level of 0.045 (α = 0.05), indicating no significant correlation between menstrual knowledge and readiness to face menarche.
Conclusion: Despite most respondents demonstrating good knowledge and readiness, no statistically significant correlation was found. This suggests that other factors may influence menarche readiness beyond menstrual knowledge alone. These findings underscore the need for broader support systems in adolescent reproductive health educatio
Effect of implementing childbirth preparation classes on women's self-efficacy and pregnancy outcomes
Full text linkIntroduction: Childbirth preparation classes play a crucial role in equipping pregnant women with the knowledge and skills necessary to face labor with confidence. Low maternal self-efficacy is often associated with increased anxiety, longer labor duration, and negative birth experiences. This study examines how implementing childbirth preparation classes affects women’s self-efficacy and pregnancy outcomes.
Research Methodology: This quasi-experimental study used a pre-test and post-test control group design. 60 pregnant women in their third trimester were recruited and randomly assigned to either the intervention group (n=30), who received childbirth preparation classes, or the control group (n=30), who received standard antenatal care. The classes were conducted over four sessions, covering the labor process, pain management, relaxation techniques, and postpartum care. Self-efficacy was measured using the Childbirth Self-Efficacy Inventory (CBSEI), while pregnancy outcomes were assessed through medical records and post-delivery interviews.
Result: The results showed a statistically significant increase in self-efficacy scores in the intervention group compared to the control group (p < 0.01). Additionally, women in the intervention group experienced shorter labor durations, lower cesarean section rates, and higher satisfaction with their birth experience. There were no significant differences in neonatal outcomes between the two groups.
Conclusion: Implementing childbirth preparation classes positively influences maternal self-efficacy and improves several pregnancy outcomes. Integrating such programs into routine antenatal care can enhance maternal confidence and promote safer, more positive birth experience
Disease Perception and Duration of Suffering with Self-Care Management in Patients with Diabetes Mellitus
Full text linkIntroduction: Diabetes Mellitus (DM) is a chronic metabolic disorder requiring continuous medical care and patient self-management to prevent complications. Perception of disease and the duration of suffering may influence how patients manage their condition through self-care behaviors. Understanding this relationship is crucial for developing targeted interventions to improve patient outcomes. This study examines the relationship between disease perception and duration of illness with self-care management in patients with diabetes mellitus.
Research Methodology: This quantitative analytical study employed a cross-sectional design involving 150 patients diagnosed with diabetes mellitus at a public health center. Data were collected using validated questionnaires assessing disease perception and self-care management, along with patient medical records to determine the duration of the disease. Statistical analysis was performed using Pearson correlation and multiple regression tests to examine the relationship between disease perception, duration of suffering, and self-care management.
Result: The study found a significant positive correlation between disease perception and self-care management (r = 0.62, p < 0.01). Additionally, patients with a longer duration of suffering demonstrated better self-care practices (r = 0.45, p < 0.05). Multiple regression analysis revealed that disease perception was a stronger predictor of self-care management than duration of illness (β = 0.58, p < 0.01).
Conclusion: A higher perception of the seriousness and controllability of diabetes mellitus positively influences patients' self-care management. Duration of illness also contributes, though to a lesser extent. Health practitioners should enhance patients’ understanding and perception of their disease to improve self-care outcomes
Community Nurses' Strategies for Overcoming Stunting Through a Family Approach
Full text linkIntroduction: Stunting is a public health problem that is still high in Indonesia, especially in rural areas. This condition has a long-term impact on a child's physical growth, cognitive development, and quality of life. Community nurses have an important role to play in stunting prevention and management efforts, particularly through a more holistic and sustainable family-based approach. Research Objectives To identify and analyze the strategies used by community nurses in tackling stunting through a family approach, as well as to understand the challenges faced in implementing these strategies at the community level.
Research Methodology: Penelitian ini menggunakan desain kualitatif deskriptif dengan pendekatan studi fenomenologi. Sebanyak 10 perawat komunitas di wilayah dengan prevalensi stunting tinggi diwawancarai secara mendalam. Teknik purposive sampling digunakan dalam pemilihan partisipan, dan data dianalisis menggunakan metode tematik untuk mengidentifikasi strategi utama yang diterapkan dalam pendekatan keluarga.
Result: Hasil penelitian menunjukkan bahwa perawat komunitas menerapkan beberapa strategi utama, yaitu: (1) edukasi kesehatan kepada keluarga tentang gizi, sanitasi, dan perawatan anak, (2) kunjungan rumah secara berkala untuk pemantauan pertumbuhan dan pembinaan keluarga, (3) kolaborasi dengan kader posyandu dan tokoh masyarakat dalam pelaksanaan program, serta (4) pemberdayaan ibu melalui kelompok pendampingan dan konseling. Perawat juga menekankan pentingnya membangun hubungan kepercayaan dengan keluarga untuk mendorong perubahan perilaku. Kendala yang dihadapi meliputi rendahnya kesadaran keluarga, budaya lokal yang bertentangan dengan praktik sehat, dan keterbatasan sumber daya.
Conclusion: Strategi yang dilakukan oleh perawat komunitas melalui pendekatan keluarga terbukti efektif dalam upaya menanggulangi stunting. Pemberdayaan keluarga dan kolaborasi lintas sektor menjadi kunci keberhasilan. Diperlukan dukungan berkelanjutan untuk memperkuat kapasitas perawat komunitas dalam menjalankan peran ini secara optimal
Level of public knowledge on the use of mefenamic acid painkillers
Full text linkIntroduction: Mefenamic acid is a non-steroidal anti-inflammatory drug (NSAID) with analgesic, anti-inflammatory, and antipyretic effects. This medication is used for mild to moderate pain, including headaches, toothaches, postoperative and postpartum pain, dysmenorrhea, and osteoarthritis. This study aims to provide an overview of public knowledge about mefenamic acid pain relievers.
Method: This study uses quantitative descriptive research, which conducts direct research on respondents (the community) who are taken as research subjects. This study describes the level of public knowledge about mefenamic acid anti-pain.
Results: The most users of mefenamic acid are women, which is 49 people (62.12%), with the most vulnerable age, namely 17-25 years old, as many as 26 people (35.62%), with the most work, which is not working as many as 37 people (50.68%), with the last education of each respondent in high school, which is 35 people (47.95%). Patient knowledge about the use of mefenamic acid reached 75.02%, which was obtained from the processing of data from community research on mefenamic acid, including quite good knowledge.
Conclusion: Mefenamic acid is more commonly found in women, especially in young age groups. Most users are unemployed and have a high school-level education background. The level of public knowledge about the use of mefenamic acid is quite good, but further educational efforts are still needed to increase a more comprehensive understanding of the use of the drug. It is recommended that regular counseling be carried out on the appropriate and rational use of drugs, especially for young age groups and people who do not have a background in health education
Mother’s level of education and attitude determines the provision of complete basic immunization in infants
Full text linkIntroduction: Immunization is an effort to introduce vaccines into the body to increase a person's immunity to prevent a disease. The impact or risk that occurs due to incomplete immunization is that children are more susceptible to illness, are at more risk of infecting family members or the environments, and the quality and life expectancy decrease. During the research, data was found that 19 out of 35 infants did not receive complete immunization. The purpose of this research was to find out the relationship between the mother’s level of education and attitude towards the provision of complete basic immunization in infants at the Tombatu Community Health Center, Winorangian Satu Village.
Methods: Partial analytical observational research with a cross-sectional design with independent variables and dependent variables conducted once at the same time with a sample size of 35 respondents. The analysis method used is Chi square.
Result: The mother's education level was higher in the high category (>junior high school) and the mother's attitude with a frequency of 19 respondents (not supporting <50%). The results of the Chi square test showed that there was a relationship between maternal education level and the provision of complete basic immunization in infants at the Tombatu Community Health Center, Winorangian One Village, p-value = 0.00. The results of the Chi square test showed that there was a relationship between maternal attitudes and the provision of complete basic immunization in infants at the Tombatu Community Health Center, Winorangian Village. One p-value = 0.00.
Conclusion: From the results of the study was found that there is a relationship between the mother’s level of education and the provision of complete basic immunization to babies at the Tombatu Community Health Center. Winorangian Satu Village and there is a relationship between the mother's attitude and the provision of complete basic immunization in infants at the Tombatu Community Health Center, Winorangian Satu Village
Relationship of nurse therapeutic communication to inpatient satisfaction
Full text linkIntroduction: Patient satisfaction is a key indicator of healthcare service quality. One of the most influential factors in determining patient satisfaction is the quality of communication between nurses and patients. As a purposeful and goal-oriented interaction, therapeutic communication plays a critical role in building trust, reducing anxiety, and improving patient outcomes. This study analyzes the relationship between nurse therapeutic communication and inpatient satisfaction in a hospital setting.
Research Methodology: This research used a quantitative, cross-sectional design. Data were collected through questionnaires distributed to 120 inpatients across medical and surgical wards in a general hospital. The instrument measured nurse therapeutic communication using a standardized scale and patient satisfaction using a validated satisfaction questionnaire. The data were analyzed using the Pearson correlation test and multiple linear regression to determine the strength and significance of the relationship.
Result: The study found a significant positive correlation between nurse therapeutic communication and inpatient satisfaction (r = 0.68, p < 0.001). Regression analysis showed that therapeutic communication contributed to 46% of the variance in patient satisfaction (R² = 0.46). Empathy and active listening were the strongest predictors of patient satisfaction among the dimensions of therapeutic communication.
Conclusion: Therapeutic communication by nurses has a strong and significant relationship with inpatient satisfaction. Enhancing nurses’ skills in empathetic interaction, active listening, and clear communication may improve overall patient experiences and satisfaction levels