Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery)
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High Protein Milk Affected the Increase of the Hb Levels of Third-trimester of Pregnancy with Anemia
Full text linkAnemia is a risk factor that contributes to 50% of all maternal deaths. The main factors causing anemia are low iron intake and infection. Protein intake, especially animal protein intake, helps increase iron absorption. This study aims to determine the effect of providing high protein milk intake on increasing hemoglobin levels in pregnant women in the third trimester with iron deficiency. This type of research is Pre-Experimental with One Group Pretest-Posttest Design. The population in this study was all third-trimester of pregnant women with pale faces in the of the Gondanglegi Public Health Center Kabupaten Malang. The sample was 33 people taken by using the total sampling technique. The measuring test was the Wilcoxon Marked Rank Test. The examination results showed that the average hemoglobin level before treatment was 10.1 gr/dl, and after treatment was 11.1 gr/dl. The results showed that there was an effect of giving high-protein milk on increasing hemoglobin levels in third-trimester pregnant women with pale skin in Gondanglegi Health Center (p-value = 0.000). This study concludes that milk protein consumption basically affects the increase in hemoglobin levels in pregnant women. It is recommended for pregnant women who get anemia to focus on their food intake, especially protein consumption
Effect of Theory-Based Education on Diabetic Ulcer Prevention Among Diabetes Mellitus Patients
Full text linkDiabetic ulcers are one of the complications often experienced by patients with diabetes mellitus. The incidence of diabetic ulcers has an impact on patients, families, health care, and society in general. Education plays an important role in the prevention of diabetic ulcers. This study aims to analyze the effect of health education based on the theory of planned behavior on the main factors of theory of planned behavior (attitudes, subjective norms, perceived behavioral control), intentions and diabetic ulcer prevention in patients with diabetes mellitus. The quasi-experimental approach pre-test and post-test with control group design was used in this study. There were 84 patients with diabetes mellitus divided into intervention groups and control groups. Questionnaires are used to assess attitudes, subjective norms, perceived behavioral control, intentions, and behavior prevention of diabetic ulcers. The statistical analysis showed significant differences in attitudes, subjective norms, perceived behavioral control, intentions, and diabetic ulcers prevention between the intervention group and the control group (p=0,000). This research suggests that education based on the theory of planned behavior can enhance the construction of the Theory of Planned Behavior (attitude, subjective norms, perceived behavioral control), intention, and diabetic ulcer prevention in patients with diabetes mellitus. Patient behavior change strategies can be done by applying health education based on the theory of planned behavior
Anemia in Pregnant Women Correlated with The Estimated Fetal Weight
Full text linkDuring pregnancy, the body's need for oxygen increases, causing an increase in erythropoietin production. An increase in plasma volume has an effect on fluid retention and blood dilution in pregnancy, causing a decrease in hematocrit, causing a decrease in Hb concentration and causing anemia. One possible impact is hampering fetal growth and development. The development of the fetus in the womb can be monitored by estimating the fetus's weight to detect fetal growth abnormalities early. This study aimed to understand the correlation between anemia in pregnant women and estimated fetal weight in the working area of the Sambi Health Center, Kediri Regency. The design of the study was cross-sectional, with a sample of 34 pregnant women with anemia. The sampling technique applied consecutive sampling. The instruments of the study were met line, Sysmex hematology analyzer and observation sheet. The results of this study were analyzed using the Kendall Tau test, and obtained a ρ value of 0.03˂α 0.05, namely H0 was rejected so that there was a correlation between anemia in pregnant women and the estimated weight of the fetus in the working area of the Sambi Community Health Center, Kediri Regency. When a pregnant woman experiences anemia, it results in disturbances in metabolism and exchange of substances in the tissues, then the placenta shrinks, resulting in a decrease in the transfer of important nutrients for the growth and development of the fetus. The impact of this situation is a slowdown in fetal growth which results in a low estimated fetal weight
Relationship Between Patient Satisfaction and Dimensions of Health Service Quality with Revisit Interest of Outpatient in Lumajang Health Center
Full text linkHigh outpatient revisit interest reflects good health services that meet patient expectations. However, in Lumajang, 25 health centers experienced a decline in outpatient revisit numbers. This study aimed to examine the relationship between patient satisfaction and dimensions of service quality with outpatient revisit interest at Lumajang Health Center. Using a cross-sectional design, the study involved 386 outpatients selected through purposive sampling. Inclusion criteria included health centers with a decline of over 200 visits, patients aged 15-50 years, literate, spiritually healthy, and visiting for the first time between December 2023 and February 2024. Exclusion criteria were severe illness or mental disorders hindering questionnaire completion. Data were collected through direct questionnaires and analyzed using chi-square tests. Results showed that 90.4% of patients were satisfied with health services. Service quality dimensions scored as follows: tangibility (91.2%), reliability (60%), responsiveness (93.8%), health insurance (95.6%), and empathy (87.8%). The chi-square analysis revealed a significant relationship between responsiveness and revisit interest (p=0.034). However, no significant relationship was found between revisit interest and satisfaction, tangibility, reliability, health insurance, or empathy (p>0.05). In conclusion, while most patients expressed satisfaction with the services provided, the key factor influencing revisit interest was the responsiveness of health workers. This highlights the importance of responsive healthcare in fostering patient loyalty and improving outpatient revisit rates
The Effectiveness of Modern Acoustic Music as Distraction Technique for Reducing Menstrual Pain
Full text linkMenstrual discomfort is characterized by lower abdominal cramps with varying intensity ranging from mild to severe. The root cause of menstrual discomfort lies in the increased or imbalanced production of endometrial prostaglandins during menstruation. Menstrual discomfort has negative impacts on daily life by disrupting activities, reducing focus and motivation for learning, and causing significant financial losses due to the high costs of medication and medical treatments. The aim of this study was to determine the effectiveness of using acoustic music as a distraction method to reduce menstrual pain. Research sample of 38 respondents was selected using simple random sampling from a total population of 256 students. This study employed a pre-experimental design with a one-group pretest-posttest procedure. Research instrument consist menstrual data, general questionnaire sheets, Numeric Rating Scale (NRS) sheets, standard operating procedures (SOPs), smartphones, earphones, and modern audio music. The data analysis indicated that the use of modern acoustic music as distraction technique was effective to reduce menstrual pain among female students at SMAN 4 Kota Kedir
Factors Impacting on Clinical Competence of Nursing Student in a Problem based Learning Curriculum during Clinical Learning
Full text linkClinical competence of Nursing student depends on the supervision received during clinical learning. Supervisors in the clinical area plays an important role for Nursing student when developing their clinical competence in a clinical learning phase. During clinical learning, the expectation is that Nursing student should be able to integrate theory and practice when working with patients. This paper aims to account for those factors that affect competence during clinical learning of Nursing student through a Problem Based Learning curriculum. Thus, the paper reflects a section from a study whose objective was to investigate and outline professional nurses’ understandings of the clinical competencies of final-year Nursing student participating in a Problem Based Learning curriculum during clinical training in the North West Province, South Africa. A qualitative, explorative, descriptive and contextual research design was employed in the main study which had a target population of professional nurses in three hospitals in which the Nursing student following a Problem-Based Learning curriculum were placed for clinical learning. The study employed purposive sampling techniques with semi-structure interviews. In this paper, two themes and six subthemes are ported as follows: 1. that there was dysfunctional collaboration between all stakeholders including facilitators and professional nurses and 2. Professional nurses had attitudes towards Problem Based Learning. Clinical placements required meticulous planning and identification of specific theoretical learning which matched the practical learning requirements pertinent to the Nursing student’ training levels. It is therefore concluded that the development of the clinical competence of Nursing student in a Problem Based Learning curriculum is dependent on stakeholder collaboration
Sunrise Model “Transcultural Nursing Leininger” on Toddler Stunting Incidents
Full text linkStunting is chronic malnutrition due to prolonged lack of nutrients, short or very short stature based on length/height for age. It is estimated that nearly a quarter of children in Indonesia are stunted. Stunting is an unresolved nutritional problem in Indonesia. The purpose of this study was to analyze the factors of stunting in toddlers based on the Transcultural Nursing theory. The research was conducted in the working area of Puskesmas Panggungrejo, Margomulyo Village. The sampling technique used purposive sampling. The sample size of this study was 154 respondents. The dependent variable of this study is the incidence of stunting. Independent variables consisted of technological factors, religiosity and philosophy, social support, cultural values and lifestyles, politics and legal, economic and educational factors. Data were collected using a questionnaire and analyzed using the Spearman rank statistical test with a significance level of α <0.05. The results of this study indicate that there is a relationship between technological factors p = 0.000, religiosity and philosophy factors p = 0.010, social support factors p = 0.002, cultural values and lifestyle factors p = 0.000, political and legal factors p = 0.000, economic factors p = 0.021 with the incidence of stunting while the education factor p = 0.128 is not associated with the incidence of stunting
The Analysis of Factors in Children’s Dietary Patterns That Affect Physical Fitness
Full text linkFitness for children is related to optimal physical condition. Fitness influences mental and social development, especially children's concentration and learning abilities. Fitness must be maintained to support activities. Diet is a supporting factor for children's physical fitness. Diet is the foundation for long-term health. The research aimed to determine factors related to eating patterns that influence children's physical fitness. The research design was cross-sectional. The research population was school children aged 10-12 years totaling 96 students in 2023 using the total sampling method. The independent variables were BMI (Body Massa Index), physical activity, and rest, and the dependent variable was the child's physical fitness. The instrument used the Physical Activity Questionnaire to measure activity, eating patterns using Food Frequency, rest using The Pittsburgh Sleep Quality Index, and physical fitness, calculated using the Technical Guidelines for Health Screening and Periodic Examination of School-Age Children and Adolescents in 2018. The analysis test used linear regression (P<0.05) to determine the relationship between factors related to eating patterns and influencing children's physical fitness. The results of the study showed that there was no relationship between BMI (p 0.661), physical activity (0.783), and rest (p 0.756) on eating patterns. An eating pattern is a significant mediator for physical activity and rest but not for BMI (p 0.733) on children's physical fitness. Rest (p 0.000) and physical activity (p 0.004) influence children's physical fitness. BMI does not measure the position and location of fat, so people with the same BMI have different fitness levels
Integration Telemental Health to Reach Out Patients at Community Mental Health Services: A Systematic Review
Full text linkLow- and middle-income countries (LMICs) need to digitize mental health services to address disparities and improve access to healthcare. This study systematically reviewed the digitalization of integration mental health services that can reach interactions between service providers and recipients with media such as telemental health and mobile health. A literature search was conducted in March 2023. Randomized controlled trial (RCT) data were used from available studies. RCT data sources were obtained from internationally reputable journal articles with the theme of telehealth. The literature used was obtained from the databases Scopus, Web of Science, and PubMed. Integration digitalized mental healthcare system under the auspices of the Ministry of Health that reach-nationally, official psychiatrists and other professional mental healthcare that provides mental healthcare support to areas lacking specialists consisting crisis and emergency, stable conditions, as well as the process of counseling and follow-up therapy with telemental health and mobile health media. Telemental health plays a major role in mental health services and modality therapy that can be accessed effectively and efficiently, especially for mental patients in remote areas who experience barriers to attending in person
The Development of a Family Support Program for Caregivers of Hemodialysis Patients
Full text linkFamily caregivers of hemodialysis patients have a heavy burden based on negative experiences, long-term care hours, total physical dependence of patients, comorbid health conditions, and financial stress treatment procedures. This study design is a mixed method followed by 114 participants in the quantitative phase and eight participants in the qualitative phase. The research instrument used Zarit Burden, a demographic profile form, semi-structured interview questions, and a recorder. Data analysis used ANOVA, t-test, and thematic analysis. The results showed that most participants were 51 to 60 years old, patients' wives, college graduates, had a monthly income below ph10,000.00 and had cared for patients for 20 to 24 hours. Participants have experienced high physical and financial burdens and loss of control over life, as well as very high emotional and social burdens. Significant differences were found in the levels of emotional, social, and financial burdens when grouped by education level. Monthly income affects the level of social and financial burdens. Physical exhaustion, emotional suffering, limited social life, role conflict, financial poverty, and fear of the future are the themes of challenges in caregiving. Participants coped with their challenges by seeking help and sleep, emotional adjustment, acceptance, maintaining friendships, resisting the urge to participate in social activities, utilizing family resources, seeking financial support from politicians and government agencies, and borrowing money. The proposed stress relief support program has the potential to be an intervention to enable family care with various forms and levels of caregiving burden