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Analysis of the quality of health services on satisfaction, anxiety, and physical health of pregnant women Dewi, Sri Komala; Silawati, Vivi; Widowati, Retno; Rukmaini
Nursing and Health Sciences Journal (NHSJ) Vol. 6 No. 1 (2026): March 2026
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v6i1.598

Abstract

Healthcare constitutes a fundamental societal necessity, wherein rising social standards have driven an intensified public demand for quality services. Within this framework, pregnant women's satisfaction with midwifery care is significantly influenced by effective communication, personalized attention, professional competence, and the adequacy of facilities at community health centers. This study aims to analyze healthcare service quality on satisfaction, anxiety, and physical health of pregnant women. This quantitative study uses a descriptive correlational approach. The respondents in this study were 246 pregnant women receiving healthcare services. The sampling technique used was stratified random sampling. Analysis was conducted using linear regression tests. The results showed a significant relationship between healthcare quality and the three variables (P < 0.001). Maternal satisfaction was the strongest factor, with a coefficient B of 5.451 and an odds ratio (OR) of 233.026. The quality of healthcare services significantly influences maternal satisfaction, anxiety, and physical health, with satisfaction being the dominant variable. Pregnant women are advised to be active with healthcare providers, undergo regular check-ups, and improve health communication literacy to improve satisfaction and physical health, as well as reduce anxiety during pregnancy.
Determinants of husbands’ readiness to provide birth support during childbirth in maternal care settings Aprilianti, Lia; Indrayani, Triana; Rifiana, Andi Julia; Silawati, Vivi
Nursing and Health Sciences Journal (NHSJ) Vol. 6 No. 1 (2026): March 2026
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v6i1.599

Abstract

Maternal mortality serves as a critical barometer of global health equity, exposing profound disparities in access to quality services across socioeconomic strata. Elevated maternal mortality rates (MMR) are driven by multifactorial challenges, including compromised maternal health status, inadequate pregnancy readiness, insufficient antenatal care, and limited access to skilled birth attendance. This study aimed to analyze childbirth companion readiness at the maternity clinic. This study used a quantitative, cross-sectional design. The sample comprised 65 prospective birth companions. The data were analyzed using univariate, bivariate, and multivariate logistic regression tests. The study showed that most respondents had a low level of readiness (53.8%). Statistically significant relationships were observed between knowledge, compliance, attitude, perception, economic status, religiosity, leadership style, and physical readiness and readiness to assist childbirth (p < 0.05). However, no significant relationship was found between occupation and cultural factors with readiness. Multivariate analysis indicated that knowledge was the most dominant variable influencing readiness, with a beta coefficient of 9.914 and a p-value of 0.002 (< 0.05). Knowledge is the most dominant factor influencing the readiness of birth companions. Midwives provide education and communication to prospective birth companions (husbands) to improve childbirth readiness.
Analysis of the causative factors of chronic energy deficiency and the health impact on adolescent girls Handayani, Delly; Widowati, Retno; Silawati, Vivi; Rukmaini
Nursing and Health Sciences Journal (NHSJ) Vol. 6 No. 1 (2026): March 2026
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v6i1.613

Abstract

Chronic Energy Deficiency (CED) among adolescent girls remains a major public health concern. This condition affects not only physical health but also psychological well-being and overall quality of life, necessitating a comprehensive study of its contributing factors and impacts. This study aimed to identify the factors contributing to CED and assess its impact on the health of adolescent girls. A quantitative design with a descriptive correlational approach was employed. Using stratified random sampling by grade level, 184 respondents were selected using Slovin's formula. Data were collected via standardized questionnaires, Mid-Upper Arm Circumference (MUAC) measurements, and hemoglobin examinations. Data analysis used Pearson's Correlation and multiple linear regression. The prevalence of CED among adolescent girls was 60.9%. Significant factors associated with CED included knowledge, nutritional intake (energy, carbohydrates, protein, fat), sleep quality, stress, and family support (p < 0.05), which collectively accounted for 77% of the variance in CED incidence. Conversely, body image showed no significant association. Regarding health impacts, CED was significantly correlated only with self-efficacy (r = -0.270; p < 0.001); hemoglobin levels, menstrual cycles, and academic performance showed no significant associations. Nutrition education programs are needed to improve balanced dietary intake. Furthermore, strengthening the roles of families and schools is recommended to support the prevention and management of CED among adolescent girls.