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All Journal International Journal of Public Health Science (IJPHS) Biomedical Engineering Jurnal NERS Media Keperawatan Indonesia JAIM (Jurnal Abdi Masyarakat) AloHA International Journal of Health Advancement (AIJHA) INDONESIAN MIDWIFERY HEALTH AND SCIENCES JOURNAL Journal of Vocational Nursing ABDIMASNU: Jurnal Pengabdian kepada Masyarakat Jurnal Ilmiah Pengabdian Masyarakat Bidang Kesehatan Borneo Nursing Journal
Safaah, Nurus
Institut Ilmu Kesehatan Nahdlatul Ulama Tuban
Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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RELATIONSHIP BETWEEN COPING STRESS STRATEGIES AND STRESS LEVELS IN POST DIVORCE WOMEN IN TUBAN RELIGIOUS COURTS Safaah, Nurus; Saidah, Faridatus
Journal of Vocational Nursing Vol. 1 No. 1 (2020): May 2020
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v1i1.19903

Abstract

Introduction: Divorce is a complex problem for  woman because it is an event that can cause psychological problems that have an impact on daily life causing stress. One way to deal with stress is to use the right coping stress strategy. The purpose of this study was to determine the relationship of coping stress strategies with stress levels in post-divorce women in the Tuban religious court. Methods : The study design uses correlation analytic with cross sectional time approach. The study population numbered 50 post-divorce women in the Tuban religious  according to inclusion and exclusion criteria, the research sample used simple random sampling totaling 42 respondents. The independent variable is the stress coping strategy, while the dependent variable is the stress level. The instruments used ware the revised Way of Coping Questionnaire (WOCQ) and (Depression Anxiety Stress Scales) DASS 42 questionnaire. Results : The results of study were almost 14 (33.3%) post-divorce women using  problem focused coping (PFC) coping strategies experienced mild levels of stress and a small percentage of 1 (2.4%) respondents used emotion focused coping (EFC) coping strategies severe stress level. Contingency coefficient test results obtained p = 0.004 if the value of α = 0.05, then p <α with moderate accuracy (c = 0.494). Conclusion : Based on the description, it can be concluded that there is a relationship between coping stress strategies and the level of stress in women after divorce in the Tuban religious court. Choosing the right coping stress strategy is very important to deal with stress levels in post-divorce women.
Development and validation of the maternal role adaptation system model (MRASM) to improve breastfeeding success Safaah, Nurus; Munir, Miftahul; Qonitun, Umu; Qoyimah, Ilmiatus; Wijayanti, Erna Eka
Jurnal Ners Vol. 20 No. 4 (2025): VOLUME 20 ISSUE 4 (NOVEMBER 2025)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v20i4.77929

Abstract

Introduction: The success of breastfeeding is a critical indicator of comprehensive adaptation during the maternal transition. Existing theoretical models address maternal adaptation separately, resulting in a lack of integration in predicting breastfeeding success. This research aimed to develop and validate the Maternal Role Adaptation System Model (MRASM) using Structural Equation Modeling. Methods: A cross-sectional study was conducted with 150 postpartum women recruited through purposive sampling from five community health centers in East Java, Indonesia. Eight latent constructs measured using validated instruments: focal stimuli (breast pain, fatigue, nutrition), contextual stimuli (spousal and healthcare support, information access, economic status), residual stimuli (social norms, cultural values, beliefs), coping mechanisms, emotional responses, self-concept, role function, and breastfeeding success. Data were analyzed using Structural Equation Modeling with Partial Least Squares (SEM-PLS) via Smart-PLS 4.0. Results: The MRASM demonstrated excellent psychometric properties (Cronbach's α > 0.678, composite reliability > 0.802, AVE > 0.508). Environmental stimuli (focal, contextual, and residual) significantly influenced maternal coping mechanisms, which in turn affected emotional responses, self-concept, and role function. Emotional responses (β = 0.356, p = 0.001) and self-concept (β = 0.268, p<0.001) are the strongest predictors of breastfeeding success, explaining 26.7% of outcome variance. These findings provide healthcare professionals with specific intervention targets: managing physical symptoms, enhancing coping resources, and supporting maternal emotional well-being and self-efficacy. Conclusions: MRASM integrates Roy's and Mercer's models to address postpartum adaptation holistically, providing healthcare professionals with an evidence-based framework to support maternal role transition and breastfeeding success.
COUNSELING TO PREVENT AND OVERCOME ANEMIA IN PREGNANT WOMEN WITH A HEALTHY DIET IN WOLUTENGAH VILLAGE, KEREK DISTRICT, TUBAN REGENCY rahmawati, eva silviana; Safaah, Nurus; Nuraini, Nanik; Erna Eka Wijayanti; eva silviana
ABDIMASNU: Jurnal Pengabdian kepada Masyarakat Vol 5 No 3 (2025): ABDIMASNU
Publisher : Institut Ilmu Kesehatan Nahdlatul Ulama Tuban

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47710/vr1tq252

Abstract

Anemia during pregnancy is a common condition caused by a deficiency of red blood cells or hemoglobin, leading to reduced oxygen in the body. The main causes of anemia in pregnant women are deficiencies in iron, folic acid, and vitamin B12, which can pose risks to both maternal and fetal health, such as fatigue, premature delivery, and impaired fetal growth. Research shows that a healthy diet rich in iron, folic acid, and vitamin B12 can help prevent and manage anemia. Furthermore, factors such as poor diet, inadequate nutrient intake, and impaired nutrient absorption also contribute to the occurrence of anemia. Regular screenings and iron supplementation are essential for detecting and managing anemia. Health education for pregnant women about the importance of a balanced diet rich in essential nutrients has been shown to increase understanding and awareness about preventing anemia. The education sessions using PowerPoint media demonstrated that pregnant women who participated in this session showed improved knowledge regarding the causes, impacts, and prevention of anemia, as well as the importance of consuming iron, folic acid, and vitamin B12-rich foods. Through effective educational approaches, it is expected that pregnant women will adopt a healthy diet that supports their health and optimal fetal development. Keywords : Anemia during pregnancy, Healthy diet, Iron supplementation
Analisis Hubungan Malnutrisi, Usia Ibu, Dan Riwayat Kehamilan Terhadap Kejadian Abortus Di Puskesmas Kabupaten Tuban Ilmiatus Qoyimah; Nurus Safaah; Dwi Kurnia Purnama Sari; Nikita Welandha Prasiwi
Borneo Nursing Journal (BNJ) Vol. 8 No. 1 (2026)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i1.436

Abstract

Abortus merupakan salah satu komplikasi kehamilan yang masih menjadi tantangan signifikan dalam upaya peningkatan kesehatan ibu. Berbagai faktor, termasuk status gizi, usia ibu, dan riwayat obstetri, diketahui berkontribusi terhadap meningkatnya risiko abortus. Penelitian ini bertujuan untuk menganalisis hubungan malnutrisi, usia ibu, dan riwayat kehamilan dengan kejadian abortus pada ibu hamil yang melakukan pemeriksaan di seluruh wilayah kerja puskesmas se-Kabupaten Tuban. Penelitian ini menggunakan desain analitik korelasional dengan pendekatan cross-sectional. Populasi terdiri dari seluruh ibu hamil yang tercatat dalam pelayanan kesehatan, dengan sampel ditentukan melalui teknik simple random sampling. Data diperoleh dari rekam medis, yang mencakup variabel status gizi (IMT, KEK, dan anemia), usia reproduktif, riwayat kehamilan, serta kejadian abortus. Analisis statistik menggunakan uji koefisien kontingensi dengan tingkat signifikansi 0,05. Hasil penelitian menunjukkan bahwa malnutrisi memiliki hubungan signifikan dengan kejadian abortus, baik berdasarkan indikator IMT (p = 0,000), status KEK (p = 0,004), maupun anemia (p = 0,000). Selain itu, variabel usia ibu dan riwayat kehamilan juga terbukti berkorelasi secara signifikan dengan abortus. Temuan ini memperkuat bahwa status gizi yang tidak optimal, ditambah faktor risiko kehamilan seperti usia berisiko dan riwayat abortus sebelumnya, meningkatkan probabilitas terjadinya abortus. Penelitian ini menegaskan pentingnya intervensi gizi prakonsepsi, edukasi kesehatan reproduksi, serta pemantauan kehamilan intensif sebagai strategi preventif untuk menurunkan angka kejadian abortus di Kabupaten Tuban.  
Promoting Mental Health among Postpartum Mothers through Mindfulness Practice in Tuban Regency Ilmiatus Qoyimah; Nurus Safaah
Jurnal Ilmiah Pengabdian Masyarakat Bidang Kesehatan (Abdigermas) Vol. 3 No. 3 (2025): Jurnal Ilmiah Pengabdian Kepada Masyarakat Bidang Kesehatan (Abdigermas)
Publisher : CV Media Inti Teknologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58723/abdigermas.v3i3.510

Abstract

Postpartum mothers often experience psychological challenges such as stress, anxiety, and feelings of inadequacy, which may be intensified by the pervasive influence of social media. This community service program aimed to enhance the mental health of postpartum mothers in Tuban Regency through the application of mindfulness practices. The program employed a participatory approach involving posyandu cadres and village midwives, with a purposive sample of 30 postpartum mothers attending four weekly mindfulness sessions. Each session consisted of psychoeducation on mental health, guided mindfulness exercises, and group discussions, supported by daily home practice using audio recordings. Monitoring was conducted via a WhatsApp group, and evaluations were carried out using pre- and post-assessments with the DASS-21 instrument and participant feedback surveys. The results showed notable improvement in mental health outcomes: moderate stress decreased from 40% to 15%, mild anxiety from 30% to 10%, and mild depression from 10% to 3%, while normal conditions increased from 20% to 72%. Participants reported greater calmness, self-awareness, and emotional stability. In conclusion, mindfulness practice was found to be an effective and practical approach to improving the mental health of postpartum mothers, with strong potential for integration into community health services.
Co-Authors Aris Puji Utami Budi Prasetyo Dwi Kurnia PS Dwi Kurnia Purnama Sari Dyah Pitaloka Dyah Pitaloka Erna Eka Wijayanti Ernawati, Rini Esti Yunitasari Eva Silviana Feriani, Pipit Ferry Efendi Ika Desti Srimurayani Ilmiatus Ilmiatus Qoyimah Ilmiatus Qoyimah Ilya Krisnana, Ilya Miftahul Munir, Miftahul Nanik Nuraini NOVIA DWI ASTUTI Nurus Safa&#039;ah Pidiya Ayu Lestari Prasiwi, Nikita Welandha Rahmawati, Eva Silviana Reny Mareta Sari, Reny Mareta Saidah, Faridatus Tianingrum, Niken Agus Tiara Putri Ryandini Triharini, Mira Umu Qonitun Wijayanti, Erna Eka