Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery)
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Colaboration Strategy on Prevention and Handling of Sexual Violence on Adolescents between Indonesian Family Planning Association
The increase in adolescent sexual activity puts adolescents at risk of experiencing sexual violence, including on campus. Several universities have made efforts to prevent and address sexual violence on campus. This study aimed to compile a Collaboration Strategy of college with Indonesian Family Planning Association with College in East Java in the prevention and handling of Sexual Violence among adolescents. The design qualitative method with a Focus Group Discussion approach. This focus group discussion was attended by prevention and handling of Sexual Violence on adolescents’ experts from Indonesian family planning association, and lecturers from 4 universities in East Java, namely from Jember University, Bina Sehat PPNI Mojokerto University, Institute of Health Science Ar-Rahmah Gempol Pasuruan and health sciences Surya Mitra Husada Kediri Kediri. The sampling technique used purposive sampling with 4 informants. Triangulation was carried out on 3 informants from Indonesian family planning association. The research instrument was the researcher himself and the Focus Group Discussion guidelines. The data analysis used data reduction, data presentation, data verification, and data validity testing. The informant's university of origin stated that it had implemented efforts to prevent and handle sexual violence against adolescents and had reported the implementation to Belmawa Information System. The obstacles faced were the limited number of expert human resources, partners, and information media. The recommendation from the Focus Group Discussion was a collaborative strategy between Universities and Indonesian family planning association in efforts to prevent and handle sexual violence against adolescents on campus
Educational Videos on Local Wisdom “Topeng Dance and Basa Walikan” to Motivate the New Culture Clean and Healthy Living Behavior
Environmental and behavioral factors influence health, so community empowerment is very important to achieve a healthy paradigm. The lack of clean and healthy living behavior in minimizing the risk of disease is due to lack of socialization, availability of facilities, and strong local culture. Further efforts are needed to achieve optimal results. The research aimed to determine the effectiveness of educational video local wisdom "Topeng Dance and Basa Walikan" on clean and healthy living behavior cultural motivation in preventing disease at the Mojolangu Malang Community Health Center. This was quantitative research with quasi-experimental design, pre-post test with control group design. Simple random sampling was used as the sampling technique. The population was 150 people who sought outpatient treatment at the Mojolangu Community Health Center. The get sample size software divides the sample into two groups; margin of error 5% for 110 samples. The intervention group was given five educational videos in stages over 15-30 minutes. The control group used the available brochures. The data collection used questionnaires. The data analysis used the Wilcoxon sign rank test and the Mann-Whitney test. The data analysis showed that the intervention affected the perceptions of vulnerability (p-value=0.000), Perception of Severity (p-value=0.000), Perception of Barriers (p-value=0.000), Perception of Benefits (p-value=0.000), cues to action (p-value=0.017), self-efficacy (p-value=0.000), and motivation (p-value=0.000). Meanwhile, in the control group there were no differences in pre-post-test. Health promotion needs to be increased to encourage sustainable healthy living behavior activities so that people can achieve the highest level of health
Food Massage as an Alternative to Improve Sleep Quality of Elderly Patients
A high proportion of elderly in Indonesia experienced poor sleep quality. The psychological impact of poor sleep quality is decreased cognitive function, decreased immunological function, and negative and more emotional changes in thoughts. Foot massage can induce deep relaxation, alleviate anxiety and pain, and enhance sleep quality. This research aimed to determine the impact of foot massage on the sleep quality of elderly patients. This was quantitative research, a type of pre-experimental research. The design used a group pre-test and post-test design. The number of respondents was 20 elderly patients with a composmentis who were treated in the inpatient ward of the Budi Rahayu Catholic Hospital and were taken using purposive sampling—data collection using PSQI questionnaires before and after foot massage. The research indicated that the average sleep quality score was 8.4 before the foot massage, and decreased to 4.85 after the massage. The Wilcoxon signed ranked massage test results obtained a p-value of 0.000. It can be concluded that there is a notable difference in sleep quality score before and after foot massage in elderly patients. Nurses are encourage to utilize foot massage as an independent intervention to enhance the sleep quality of elderly patients. Nurses can educate the patient’s family on foot massage techniques to enhance the quality of the patient’s sleep and help speed up the healing process
Reproductive Health Knowledge Correlated with Adolescent Attitudes Towards the Perception of Early Marriage
Adolescence is a transition period from childhood to adulthood to find identity. At this time there is a feeling of wanting to try new things. Early marriage is a marriage of a couple aged 19 years or can be categorized as adolescences. One of the serious problems faced by developing countries including Indonesia. The impacts of early marriage include low birth weight, spontaneous abortion, anemia and can cause defects in babies. This happens because the reproductive organs are not physiologically mature. This study aimed to determine the correlation between reproductive health knowledge and adolescent attitudes towards the perception of early marriage. This was correlation quantitative research with Cross-sectional approach. The population of this assessment was female adolescents at SMKN 1 Kademangan class XI. The sample was taken using the simple random sampling technique and obtained 48 respondents. The data analysis used Spearman rank. The research instrument used a questionnaire. From the study, it was found that there was a correlation between reproductive health knowledge and adolescent attitudes towards the perception of early marriage. Knowledge is one of the factors that can determine adolescents' attitudes towards perceptions of early marriage. Reproductive health education needs to be given to adolescents, especially female adolescents, to form attitudes and change perceptions of early marriage
Body Image and Social Support as Contributing Factors to the Quality of Life of Breast Cancer Patients
Physical changes due to the disease and treatment of breast cancer affect patients' body image and cause significant emotional impacts. Social support is crucial in helping patients cope with these changes, reducing stress, and improving overall quality of life. The aim of the research was to determine the correlation between body image and quality of life, and to assess the relationship between social support and quality of life of breast cancer patients at the Surgical Polyclinic of Raden Mattaher General Hospital Jambi. The research used a quantitative method with a cross-sectional approach. The sample comprised 61 breast cancer patients, obtained by using the Lemeshow formula and purposive sampling method. The research instruments included the Body Image Scale questionnaire, the modified MOS Social Support questionnaire (MSS), and the EORTC-QLQ-BR23 questionnaire. The univariate results showed that the average quality of life score was 56.70 (moderate category), body image had an average score of 24.18 (moderate category), and social support had an average score of 62.80 (moderate category). The bivariate analysis found a correlation between body image and quality of life with a p-value of 0.000 < 0.05 and r = 0.940 and a correlation between social support and quality of life with a p-value of 0.003 < 0.05 and r = 0.371. Nurses can improve patients' quality of life by providing education about physical changes, offering emotional support, referring patients to support groups, and involving families in the healing process
Nutritional Status Correlated with Frailty Among Elderly
Nutritional status is a critical issue for older adults and is closely linked to various health problems. Insufficient or excessive dietary intake can impair the body’s ability to manage physical disorders and diseases, leading to increased weakness in this population. This research aimed to analyze the correlation between nutritional status and frailty in the elderly. This research utilized a cross-sectional design, employing consecutive sampling to gather data from 65 patients in four nursing homes. Participants were elderly individuals over 45 years old, residing in nursing homes, cooperatives, and willing to participate. Sample size determination was performed using G*power 3.1.9.7 software, with a medium effect size of 0.41, a p-value of 0.05, and a power of 0.90. Non-parametric tests were used for data analysis, employing the MNA-SF and Frailty Index Questionnaire-40 (FI-40) instruments. The average age of participants was 75.92 (+9.45) years, with the majority of the sample being elderly, and women constituted 80% of all participants. There was a significant correlation between nutritional status and frailty (p=0.005 <0.05), with a moderate negative relationship (r=-0.344). This research concluded that the better the nutritional status, the lower the frailty level. This research indicated that better nutritional status was linked to reduced frailty in the elderly, highlighting the need for healthcare teams to implement strategies that enhance patient adherence in managing factors that negatively affect nutrition
The Effectiveness of Moxibution on Salivary Cortisol Levels in Primiparous Breastfeeding Mothers: Quasi-Experimental Study
Optimal breastfeeding practices play a crucial role in enhancing the health of infants and children. However, increased anxiety among postpartum mothers can lead to higher cortisol levels. Moxibustion is a traditional therapy that has been shown to improve blood circulation, reduce discomfort, and influence the central nervous system by stimulating specific meridian points. This study aimed to examine the effect of moxibustion on cortisol levels in breastfeeding mothers. A quasi-experimental design with pretest and posttest was used. Participants were divided into two groups: an intervention group that received moxibustion and a control group that received acupuncture. A total of 32 breastfeeding mothers from Ngaliyan Public Health Center in Semarang participated in the study, with 16 individuals in each group. Moxibustion was applied to specific meridian points (CV17, LI4, SP6, ST16, ST18, ST36, BL17, and BL18). Cortisol levels were measured using the Enzyme-Linked Immunosorbent Assay (ELISA) method, and data were analyzed using the Mann-Whitney test. The results showed no significant difference in cortisol levels between the two groups (p = 0.864). The average cortisol change was -0.063 in the intervention group and -0.113 in the control group. It was concluded that moxibustion had no significant effect on cortisol levels. Further studies are recommended to explore other factors that may influence cortisol levels in postpartum mothers
Complementary Therapy Training for Teenager in Reducing the Prevalence Rate of Stunting: An Experimental Study
It is not yet known precisely which targets and forms of health education can be used in handling stunting both on a national and global scale. This gap requires study to find an effective and efficient solution. This research aimed to examine the target and whether complementary therapy methods, health education, are appropriate in preventing stunting. This research used quantitative methods with an experimental design. Carried out in Gogagoman Village, subdistrict of Kotamubagu Barat of Bolmong Raya, North Sulawesi. The population was 76 teenagers, and the sample was 50. The instrument used a questionnaire distributed online. The inclusion criteria was teenagers who lived in Bolmong Raya. The exclusion criteria was teenagers who lived outside Bolmong Raya. Primary data was from the questionnaires, pre and post-tests. The secondary data came from reputable journals. The training participants were divided into two groups, 25 people in the treatment group and 25 people in the control group. Data analysis used SPPS by conducting a paired t-test. The average knowledge value of 25 respondents in the control group after participating in the training increased by 16%. The treatment group was an increase of 7.3%. This complementary therapy training, play major role in preventing and overcoming stunting with a p-value (0.001 and 0.034) < 0.05, which means there is a significant difference between before and after training. It is recommended that complementary therapy and health education programs targeting teenagers in Bolmong Raya, North Sulawesi, be implemented as an effective strategy for preventing and addressing stunting
The Love My Breast Android Application as Educational and Early Detection of Cancer
Breast cancer is one of the leading causes of death in women worldwide. Lack of information and awareness about women's health problems results in delays in early detection, diagnosis, and treatment, and worsens the prognosis. In this digital era, practical and flexible educational media are needed as an effort to increase public knowledge. This study aimed to analyze the effectiveness of educational media and early detection of breast cancer through the use of the Love My Breast Android application in women of childbearing age. The method was Research and Development (RnD). The population was women of childbearing age (20-49 years). The sampling technique used purposive sampling. In this study, there were two test groups: a limited trial group of 10 respondents and 30 respondents in the broad trial group with Wilcoxon Signed Rank test Analysis. The instruments used the Love My Breast Android application as an educational medium and a questionnaire to measure respondents' attitudes, knowledge, and behavior. The results of this study obtained the application is suitable for use as an educational medium and early detection of Breast Self-Examination. Based on the data, the Love My Breast Android application educational media is effective in increasing respondents' knowledge, attitudes, and behavior. Early detection is an effort to identify abnormalities or diseases that are not yet clinically apparent. The development of easy, practical, and flexible application media is necessary in this digital era to support proactive and preventative efforts in health issues, particularly breast cancer
Self-Efficacy Correlated with Basic Life Support Skills: Cardiopulmonary Resuscitation of Nursing Student
Success in providing basic life support to cardiac arrest patients is influenced by self-efficacy related to readiness and confidence in giving first aid. Students as prospective health workers are required to be able to provide basic life support in emergencies. Limited training and direct experience in providing basic life support causes students' skills and self-efficacy to be less than optimal. This study aimed to identify the relationship between self-efficacy and the ability of cardiopulmonary resuscitation performed by students. A quantitative cross-sectional study was conducted on 107 diploma III nursing students selected using the proportional stratified random sampling technique. Primary data were collected using the General Self-Efficacy Scale questionnaire and basic cardiopulmonary resuscitation skills observation sheets. Hypothesis testing in the form of Spearman correlation was conducted to identify the general objectives of the study. The results of the study showed a mean value of self-efficacy of 36.06 and a mean value of basic life support skills of 89.00. The results of the Spearman test obtained a p-value of 0.0001 with a relationship strength of 0.813. It is concluded that there is a very strong positive relationship between self-efficacy and basic life support skills, which means that higher self-efficacy in performing cardiopulmonary resuscitation is directly proportional to the higher success of implementing basic life support. Researchers hope that nursing students can improve their self-efficacy related to cardiopulmonary resuscitation through regular knowledge refresher activities and basic life support skills training