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All Journal NURSCOPE: Jurnal Penelitian dan Pemikiran Ilmiah Keperawatan Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia Jurnal Keperawatan Anak Jurnal Keperawatan dan Kesehatan Masyarakat CENDEKIA UTAMA Indonesian Journal of Nursing Research (IJNR) Indonesian Journal of Global Health research Jurnal Pengabdian Kesehatan Journal of Holistics and Health Sciences (JHHS) Indonesian Journal of Nursing and Health Sciences (IJNHS) Jurnal Kesehatan Kusuma Husada Jurnal Ilmiah Ners Indonesia Jurnal Keperawatan Indonesian Journal of Midwifery (IJM) Indonesian Journal of Community Empowerment (IJCE) Pro Health Jurnal Ilmiah Kesehatan Komunita: Jurnal Pengabdian dan Pemberdayaan Masyarakat Health & Medical Sciences Indonesian Journal of Global Health Research
Tina Mawardika
Universitas Ngudi Waluyo
Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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Empowering Primiparous Mothers Through Kegel Exercise: A Strategy to Enhance Sexual Self Efficacy During the Post Partum Period Tina Mawardika; Umi Aniroh
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6835

Abstract

The postpartum period is a critical phase marked by significant physical and psychological changes, particularly for primiparous mothers who are experiencing childbirth for the first time. One of the common challenges encountered during this period is a decrease in sexual self-efficacy, defined as the individual's confidence in engaging in a healthy and satisfying sexual life. This study aimed to examine the effect of Kegel exercise education on improving sexual self-efficacy among primiparous women. A quasi-experimental design with a pretest-posttest control group approach was employed. The intervention consisted of structured Kegel education delivered through sequential stages: situational analysis, problem identification, planning, and implementation. The study sample consisted of 34 primiparous mothers from the Lerep Public Health Center working area, divided equally into intervention and control groups using purposive sampling. Respondents in the intervention group were those who received Kegel exercise education, while the control group consisted of those who did not receive any intervention. Univariate analysis was conducted using central tendency, while bivariate analysis was performed using the Man Whitney, which showed a p-value of 0.01 < α (0.05). The results demonstrated a statistically significant improvement in the sexual self-efficacy of the intervention group compared to the control group. It can be concluded that Kegel exercise education is an effective and empowering strategy to support the recovery of sexual function and improve the quality of life in primiparous women during the postpartum period.
Description of Anxiety Levels of Pregnant Women Before Emergency Caesarean Section Naning Tutik Wijaya; Tina Mawardika
Indonesian Journal of Nursing and Health Sciences Vol 6 No 2 (2025): Indonesian Journal of Nursing and Health Sciences: October 2025
Publisher : CV. Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijnhs.v6i2.7199

Abstract

Anxiety before an emergency cesarean section can negatively impact anesthesia, the surgical procedure, and mother infant bonding. The purpose of this study was to describe the anxiety levels of pregnant women before undergoing an emergency cesarean section. A quantitative descriptive analytic design was utilized. The population consisted of 70 pregnant women with gestational age ≥28 weeks scheduled for an emergency cesarean section. A total sampling technique was applied, involving 70 respondents (June-July 2025). The instrument used was the Hamilton Anxiety Rating Scale (HARS) questionnaire. The data analysis was presented in the form of frequency distribution since the data were categorical, describing the levels of anxiety among pregnant women undergoing emergency cesarean section. The results showed that the majority of respondents experienced moderate anxiety levels (62.8%). It can be concluded that pregnant women tend to experience moderate levels of anxiety before undergoing an emergency cesarean section.
Empowering Adolescents to Make Healthy Choices: Effects of the Primero Module on Reproductive Health Literacy Evagus Malinda; Tina Mawardika
Indonesian Journal of Nursing and Health Sciences Vol 7 No 1 (2026): Indonesian Journal of Nursing and Health Sciences: April 2026
Publisher : CV. Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijnhs.v7i1.7516

Abstract

Adolescents are vulnerable to reproductive health problems due to rapid biological, psychological, and social changes, which may be exacerbated by low reproductive health literacy. This study aimed to examine the effect of the PRIMERO (Reproductive Education through Modules for Optimistic Youth Empowerment) module on adolescents’ reproductive health literacy. A quasi-experimental study with a pretest–posttest control group design was conducted among 34 adolescents aged 15 years, who were equally divided into an intervention group (n = 17) and a control group (n = 17). The intervention group received reproductive health education using the PRIMERO module, while the control group received conventional health education. Reproductive health literacy was measured before and after the intervention and analyzed using paired t-tests and independent t-tests. Data were collected using a reproductive health literacy questionnaire administered to adolescents twice, namely before and after the interventionThe results showed that the mean literacy score in the intervention group significantly increased from 194.59 to 215.06 (p = 0.032), whereas the control group showed no significant improvement, with mean scores increasing from 172.88 to 173.76 (p = 0.188). Furthermore, a significant difference in post-intervention literacy scores was found between the intervention and control groups (p = 0.001). These findings indicate that the PRIMERO module is effective in improving adolescents’ reproductive health literacy and can be used as an educational medium to support reproductive health promotion among adolescents.
Students’ Knowledge of Sexually Transmitted Infections (STIs) Cahya Kusuma Dewi; Tina Mawardika
Indonesian Journal of Nursing and Health Sciences Vol 7 No 1 (2026): Indonesian Journal of Nursing and Health Sciences: April 2026
Publisher : CV. Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijnhs.v7i1.7592

Abstract

Sexually Transmitted Infections (STIs) are reproductive health problems that remain a global concern, particularly among young adults, including university students. Lack of knowledge regarding STIs may increase the risk of engaging in risky sexual behaviors, which can have long-term impacts on reproductive health. Students, as individuals in the productive age group, need to have adequate understanding of STIs, including definitions, modes of transmission, symptoms, complications, and prevention as part of promotive and preventive health efforts. This study aimed to describe the level of students’ knowledge regarding the transmission of Sexually Transmitted Infections (STIs). This study used a descriptive analytic design with a cross-sectional approach. The population consisted of all undergraduate nursing students at Ngudi Waluyo University, class of 2025, totaling 493 students. The sample comprised 221 respondents selected using purposive sampling. Data were collected using the Sexually Transmitted Disease Knowledge Questionnaire (STD-KQ), which has been tested for validity and reliability. Data analysis was performed using univariate analysis. The results showed that the majority of respondents had a low level of knowledge regarding STIs, with 104 respondents (47.1%). Most university students have a low level of knowledge regarding sexually transmitted infections.
Maternal-Fetal Attachment (MFA) in the Context of Pregnancy Adaptation: A Literature Review of Internal and External Factors Affecting Mothers Umi Aniroh; Tina Mawardika
Health & Medical Sciences Vol. 3 No. 3 (2026): May
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/phms.v3i3.629

Abstract

This study aims to analyze Maternal Fetal Attachment (MFA) within the context of pregnancy adaptation by examining the influence of internal and external maternal factors through a qualitative descriptive literature approach. The research employs a library study method using secondary data sources, including peer reviewed journal articles and relevant academic documents, collected through systematic literature search and analyzed using thematic analysis, data reduction, categorization, and inductive interpretation. The findings reveal that MFA is a multidimensional construct influenced by internal factors such as maternal mental health, particularly depression and anxiety, as well as positive psychological states, and external factors including social and family support. Pregnancy adaptation emerges as a key mediating process that connects these factors to the quality of maternal fetal bonding. The study also highlights that strong MFA contributes to positive infant developmental outcomes, especially in emotional regulation and adaptive behavior. These findings imply that maternal well being and supportive social environments are essential components in strengthening prenatal attachment. In conclusion, this study contributes to the theoretical understanding of MFA as a biopsychosocial process and provides practical insights for integrating mental health screening and family centered interventions in antenatal care to improve maternal and child health outcomes.
Strenght in Partnership: How Husband’s Support Relate to Maternal Anxiety in Child Care Dyah Titisari; Tina Mawardika
Indonesian Journal of Global Health Research Vol. 7 No. 6 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i6.159

Abstract

Pregnant women are often filled with anxiety, especially those who are pregnant for the first time, especially before labor. Mothers about to give birth experience excessive emotions, leading to high levels of anxiety, a state where they constantly think about potential negative outcomes. The lack of social support can exacerbate the emotional and physical burden on mothers. Many new mothers feel unprepared regarding infant care, breastfeeding, and infant sleep patterns. This study aimed to examine the relationship between husband’s support and maternal anxiety in facing childbirth. This can lead to feelings of insecurity and stress in their new role as mothers. This study used a quantitative cross-sectional design. This study analyzed the relationship between husband's support and anxiety levels. The population of pregnant women in their third trimester in the Bancak Community Health Center (Puskesmas) working area was 75 respondents in the last three months of January 2025. A sample of 63 respondents was obtained. The researcher used a questionnaire as an instrument. This study utilized univariate and bivariate data analysis. The Rank Spearman statistical test yielded a p-value of 0.000 < α (0.05). Therefore, it can be concluded that there is a relationship between husband's support and the level of anxiety facing childbirth in the Bancak Community Health Center area. There is a relationship between husband's support and the level of anxiety facing childbirth.
Revitalisasi self-efficacy Remaja SMA melalui Program PRIMA dalam Pendidikan Kesehatan Reproduksi: Revitalizing Senior High School Students’ Self-Efficacy through the PRIMA Program in Reproductive Health Education Tutik Yuliyati; Tina Mawardika
Indonesian Journal of Midwifery (IJM) Vol. 9 No. 1 (2026): Maret 2026
Publisher : Universitas Ngudi waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35473/ijm.v9i1.4834

Abstract

rapid physical, emotional, and social changes. Limited knowledge about reproductive health often leads to risky behaviors such as premarital sex and unintended pregnancy. This condition is further exacerbated by limited communication between parents and adolescents as well as the lack of comprehensive reproductive health education in schools. Consequently, many adolescents have low self-efficacy in making healthy and responsible decisions for themselves. The PRIMA (Independent and Safe Adolescent Reproductive Education) program was designed to improve adolescents’ knowledge, attitudes, and self-efficacy in maintaining reproductive health independently and responsibly. This study aimed to determine the effect of the PRIMA program on the self-efficacy of senior high school students in maintaining reproductive health. This study employed a quasi-experimental design with a pretest-posttest with control group approach. The research sample consisted of 34 respondents divided into intervention and control groups using a purposive sampling technique. The study was conducted at SMA PGRI 1 Temanggung. The intervention group received the PRIMA education through an 8-minute-21-second animated video. Data were analyzed using paired t-test and independent t-test. The paired t-test showed a significant increase in the mean self-efficacy score in the intervention group (p=0.000 < α=0.05), while no significant difference was found in the control group (p=0.237 > α=0.05). The independent t-test revealed a significant difference between the intervention and control groups after the PRIMA intervention (p=0.00 < α=0.05). The PRIMA program significantly improved adolescents’ self-efficacy in maintaining reproductive health.     Abstrak Masa remaja merupakan masa transisi yang ditandai dengan perubahan fisik, emosional, dan sosial yang cepat. Kurangnya pengetahuan mengenai kesehatan reproduksi sering kali memicu perilaku berisiko seperti seks pranikah, dan kehamilan tidak diinginkan. Kondisi ini semakin diperparah dengan keterbatasan komunikasi antara orang tua dan remaja serta kurangnya pendidikan kesehatan reproduksi yang komprehensif di sekolah. Akibatnya, banyak remaja yang memiliki self-efficacy rendah dalam mengambil keputusan sehat dan bertanggung jawab terhadap dirinya sendiri. Program PRIMA (Pendidikan Reproduksi Remaja Mandiri dan Aman) dirancang untuk meningkatkan pengetahuan, sikap, dan self-efficacy remaja dalam menjaga kesehatan reproduksi secara mandiri dan bertanggung jawab. Tujuan penelitian ini untuk mengetahui pengaruh PRIMA terhadap self-efficacy remaja SMA dalam menjaga kesehatan reproduksi. Penelitian ini menggunakan desain quasi experiment dengan pendekatan pretest-posttest with control group design. Sampel penelitian berjumlah 34 responden yang dibagi menjadi kelompok intervensi dan kontrol dengan teknik pengambilan sampel yang digunakan adalah purposive sampling. Penelitian ini dilaksanakan di SMA PGRI 1 Temanggung. Kelompok intervensi mendapatkan perlakuan berupa pendidikan PRIMA melalui video animasi yang berdurasi 8 menit 21 detik. Analisis data dilakukan menggunakan uji paired t-test dan independent t-test. Hasil uji paired t-test menunjukkan adanya peningkatan signifikan pada nilai rata-rata self-efficacy pada kelompok intervensi setelah diberi perlakuan dengan p-value (0,000) < α (0,05), sedangkan pada kelompok kontrol tidak terdapat perbedaan bermakna dengan p-value (0,237) > α (0,05). Uji independent t-test menunjukkan perbedaan signifikan antara kelompok intervensi dan kontrol setelah diberikan program PRIMA dengan p-value (0,00) < α (0,05). Ada pengaruh PRIMA: Pendidikan Reproduksi Remaja Mandiri dan Aman terhadap self-efficacy pada remaja SMA.
Age Matters: How Maternal Age Relates to Anxiety Levels in Pregnant Women Facing Childbirth Hendri Hendri; Tina Mawardika
Indonesian Journal of Global Health Research Vol. 8 No. 6 (2026): Indonesian Journal of Global Health Research: December 2026
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i6.2664

Abstract

Pregnancy requires continuous psychological adaptation, and maternal age may shape how women perceive reproductive risk and childbirth. This study examined the association between maternal age and anxiety levels among pregnant women facing childbirth in the Membalong Community Health Center working area. An analytic cross-sectional study was conducted in July 2026 using total sampling of 90 pregnant women from all trimesters. Maternal age was categorized as non-risk (20-35 years) and risk age (<20 or >35 years). Anxiety was assessed using the 14-item Hamilton Anxiety Rating Scale (HARS/HAM-A); the Indonesian version has demonstrated construct-validity coefficients of 0.529-0.727 and acceptable internal consistency (Cronbach's alpha = 0.756). Data were summarized descriptively and analyzed with the Fisher-Freeman-Halton exact test. Most respondents were aged 20-35 years (77.8%) and had no anxiety (63.3%). Mild-to-severe anxiety occurred in 65.0% of women in the risk-age group compared with 28.6% in the non-risk group. Maternal age was significantly associated with anxiety level (p = 0.014). Maternal age can support early identification of psychological vulnerability, but anxiety screening should remain available to all pregnant women because symptoms were also present in the non-risk age group.
Sehati Program as an Innovative Intervention to Improve Sexual Communication Self Effecacy among High School Students Tina Mawardika; Umi Aniroh; Puji Purwaningsih
Indonesian Journal of Global Health Research Vol. 8 No. 6 (2026): Indonesian Journal of Global Health Research: December 2026
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i6.2069

Abstract

Adolescents are a vulnerable group facing reproductive health problems due to limited knowledge, inadequate sexual communication skills, and exposure to inappropriate information from their environment and digital media. These conditions may increase the risk of unsafe sexual behavior and negatively affect their health and future. Therefore, innovative interventions are needed to empower adolescents through self-education and sexual communication skills training. This study aimed to analyze the effectiveness of the SEHATI Program (Self Education on Health Reproduction and Adolescent Training Innovation) in improving sexual communication self-efficacy among high school students. A quasi-experimental study with a pretest–posttest control group design was conducted at SMA Negeri 2 Ungaran. The sample consisted of 70 students selected using purposive sampling and divided into intervention and control groups. The intervention group received the SEHATI Program, which included reproductive health education, healthy sexual communication simulations, and the use of innovative digital learning media, while the control group received no intervention. Data were collected using the validated Sexual Communication Self-Efficacy Scale (SCSES). Univariate analysis was performed using measures of central tendency, while bivariate analysis was conducted using the Mann–Whitney test. The statistical analysis showed a significant improvement in sexual communication self-efficacy in the intervention group compared to the control group, with a p-value of 0.01 (p < 0.05). The SEHATI Program is an effective and innovative educational intervention for improving sexual communication self-efficacy among adolescents.
Co-Authors Abdul Wachid abdul wachid, abdul Agung Wibowo Ahmad Ali Rohman Alivia Desi Rahmawati Alvina Rossida Annisa Salsabila Ayuningtia Migunani Apriyatmoko, Raharjo Atsani Qoni&#039; Fitria Cahya Kusuma Dewi Dian Indriani Dian Indriyani Dinda Hapsari Dyah Titisari Eko Mardiyaningsih Evagus Malinda Fiki Wijayanti Fiktina Vifri Ismiriyam Hasya Maylana Putri Hendri Hendri Imami Nur Rahmawati Indri Mulyasari Izza Arifiana, Hidayatunnisa Khilvy Salsabila Az-Zahra Liyanovitasari, Liyanovitasari Luluk Sri Nurhaliza Luqman Syarief Mona Saparwati Muhammad Luthfi Mutohharoh, Wacidatum Mutohharoh, Wacidatum Naning Tutik Wijaya Natalia Devi Oktarina Novelia Rahmaningtyas Puji Afiatna PUJI LESTARI Pujiastuti, Anasthasia Purbowati Putra Aditya Retno Karminingtyas, Sikni Riski Wulan Guritno Siti Haryani Sugeng Maryanto Suwanti Suwanti Tutik Yuliyanti Tutik Yuliyati Ulvi Nabila Azzahra Umi Aniroh, Umi vifta, rissa laila Wahyu Handayani Widayanti, Arief Wiwit Kurniawati Yogy Shofiana, Kharisma Yunita Galih Yudanari