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Increasing Knowledge of Family Empowerment and Welfare Mothers (PKK) about Herbal Medicine Raden Roro Dewi Rahmawaty Aktyani Putri; Thatit Nurmawati; Anita Rahmawati
Journal of Ners and Midwifery Vol 10 No 3 (2023)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v10i3.ART.p345-351

The trend towards a more natural lifestyle encourages people to choose herbal medicines cause not to significant side effects and usually have more affordable prices through utilize traditional ingredients to maintain health. However, many housewives in rural areas do not understand that herbal plants are not only very useful for seasoning dishes, but these plants are also widely needed to cure various diseases. This study aimed to reveal the effect of health education about the use of herbal plants as family medicine on increasing the knowledge of Family Empowerment and Welfare Mothers (PKK) Mojorejo Village, Wates District, Blitar Regency. The research design used quasy-experimental with a one-group pre-test post-test design without control group. The population and sample in this study were mothers of Family Empowerment and Welfare (PKK) Mojorejo Village, Wates District, Blitar Regency totaling 28 respondent taken by total sampling. The data were analyzed by the Wilcoxon Signed Rank Test. The results showed that there was a difference in the average score of knowledge before and after being given health education, namely 20.21 and 28.14. There was a significant influence the provision of education on the knowledge and skills about the use of herbal plants as family medicine of Family Empowerment and Welfare Mothers (PKK) Mojorejo Village, Wates District, Blitar Regency.

Preventing Non-Communicable Diseases by Implementing the Free Health Screening Program Wimar Anugrah Romadhon; Erni Setiyorini; Ning Arti Wulandari; Yeni Kartika Sari; Anita Rahmawati; Ulfa Husnul Fata; Raden Roro Dewi Rahmawaty Aktyani Putri; Thatit Nurmawati; Sandi Alfa Wiga Arsa; Sabrina Rahmatillah Azhar
Journal of Community Service for Health Vol. 7 No. 1 (2026)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jcsh.v7i1.1301

Degenerative diseases are still a national problem and need special attention because if not handled properly, they will cause disability and even death. STIKes Patria Husada Blitar in collaboration with Visayas State University Philippines also succeeded in the government program, namely the Free Health Check (CKG). Together with the local health center, STIKes Patria Husada Blitar participated in health checks for the community including PTM screening, measuring body mass index, measuring blood pressure, checking blood sugar, cholesterol and uric acid levels, and other examinations. Participants in the Free Health Check were the community in the working area of the Sananwetan Health Center as many as 57 participants. CKG activities were weighing, checking blood pressure, blood sugar levels, blood cholesterol levels, blood uric acid levels, eye screening, ear screening, dental screening, SADANIS examination and EKG examination. The CKG activity was held on Thursday, October 30, 2025 at the Residents' AssociationHall of Sananwetan Village. The examination results obtained that only 3.5% of the participants had a history of DM and 24.6% had a history of hypertension, as much as 42.1%; the majority of participants' blood pressure was pre-hypertension, namely 29.8%; the participants' blood sugar levels were mostly normal (<200 mg/dl), namely 59.6%; the participants' cholesterol levels were mostly normal (<200 mg/dl), namely 64.9%; and the participants' uric acid levels were mostly normal, namely 86%. The results of doctor consultations were only 24.6% who were advised to be referred to the Community Health Center or Health Facility. While the rest were advised to maintain their diet/regularly take medication. Universities can develop strategies for future community service activities by prioritizing promotive and preventive activities without neglecting curative and rehabilitative ones.

Early Warning Scores as a Predictor of Mortality in Non Comorbid COVID-19 Patient Anita Rahmawati; Thatit Nurmawati; Sandi Alfa Wiga Arsa; Ulfa Husnul Fata; Rahma Murti
Journal of Ners and Midwifery Vol 11 No 2 (2024)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v11i2.ART.p153-159

There are several non-comorbid COVID-19 patients lead to mortality, but the risk factors that affect it have not been widely discussed in research. Treatment of COVID-19 patients focuses more on patients with comorbidities. This study aimed to check the effectiveness of Early Warning Scores (EWS) assessment to predict the mortality of non-comorbid COVID-19 patients. The method of the study was a case study research with a retrospective approach using secondary data, namely the patient's medical record status. This study took medical record data from 262 patients confirmed positive for non-comorbid COVID-19 who were hospitalized at Ngudi Waluyo Wlingi Hospital from July to September 2021. The multivariate data analysis used multiple linear regression tests to simultaneously test the relationship of the independent variables (age, gender, and Early warning score) to the dependent variable (mortality). The statistical analysis result showed the correlation between gender, age, and assessment with mortality, each of which has a p-value of 0.000, meaning that each of these variables has a relationship with mortality. If a simultaneous test (F test) is carried out, the p-value is 0.000, meaning that gender, age, and EWS simultaneously affect mortality. The coefficient of determination or R square of 0.773 means that gender, age, and EWS simultaneously influence mortality by 77.3%. Early Warning Scores (EWS) assessment influenced the mortality of non-comorbid COVID-19 patients. The highest contribution affecting mortality was the EWS assessment. The contribution of influence on sex and age is relatively the same.

The Effectiveness of Moxibution on Salivary Cortisol Levels in Primiparous Breastfeeding Mothers: Quasi-Experimental Study Miftah Chairunnisa; Thatit Nurmawati; Raden Roro Dewi Rahmawaty Aktyani Putri
Journal of Ners and Midwifery Vol 12 No 2 (2025)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v12i2.ART.p177-185

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.

Cadres’ Knowledge of Integrated Primary Health Services (Posyandu ILP) and Their Skill in Implementing the Five-Table System Raden Roro Dewi Rahmawaty Aktyani Putri; Thatit Nurmawati; Amelia Diah Agustin; Miftah Chairunnisa
Journal of Ners and Midwifery Vol 12 No 3 (2025)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v12i3.ART.p270-278

The importance of cadre roles is a key determinant in ensuring the smooth implementation of the Integrated Primary Service (ILP) Posyandu program. Cadres play essential roles and functions in Posyandu activities, one of which is carrying out the five-table system. However, in practice, the five-table system has not yet been implemented optimally. This condition may be influenced by several factors, including knowledge. The purpose of this study was to examine the relationship among cadres’ knowledge of integrated primary health services (Posyandu ILP) with their skill in implementing the five-table system. A cross-sectional study was the method applied. 55 cadres made up the study population, and a total sampling strategy was used to include all of them in the sample. Questionnaires were used as tools for testing knowledge and skill. The Spearman Rank statistical test produced a positive correlation value of 0.704 and a p-value of 0.000 (α < 0.05). This indicates a significant relationship between knowledge about ILP Posyandu and cadre skills in carrying out the five-table system. The correlation coefficient reflects a strong positive correlation, meaning that as the level of knowledge increases, the skill level also tends to improve. These findings suggest that regular and comprehensive training sessions should be provided to enhance cadres’ knowledge of ILP and their ability to perform the five Posyandu tables effectively.

Preventing Non-Communicable Diseases by Implementing the Free Health Screening Program Wimar Anugrah Romadhon; Erni Setiyorini; Ning Arti Wulandari; Yeni Kartika Sari; Anita Rahmawati; Ulfa Husnul Fata; Raden Roro Dewi Rahmawaty Aktyani Putri; Thatit Nurmawati; Sandi Alfa Wiga Arsa; Sabrina Rahmatillah Azhar
Journal of Community Service for Health Vol. 7 No. 1 (2026)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jcsh.v7i1.1301

Degenerative diseases are still a national problem and need special attention because if not handled properly, they will cause disability and even death. STIKes Patria Husada Blitar in collaboration with Visayas State University Philippines also succeeded in the government program, namely the Free Health Check (CKG). Together with the local health center, STIKes Patria Husada Blitar participated in health checks for the community including PTM screening, measuring body mass index, measuring blood pressure, checking blood sugar, cholesterol and uric acid levels, and other examinations. Participants in the Free Health Check were the community in the working area of the Sananwetan Health Center as many as 57 participants. CKG activities were weighing, checking blood pressure, blood sugar levels, blood cholesterol levels, blood uric acid levels, eye screening, ear screening, dental screening, SADANIS examination and EKG examination. The CKG activity was held on Thursday, October 30, 2025 at the Residents' AssociationHall of Sananwetan Village. The examination results obtained that only 3.5% of the participants had a history of DM and 24.6% had a history of hypertension, as much as 42.1%; the majority of participants' blood pressure was pre-hypertension, namely 29.8%; the participants' blood sugar levels were mostly normal (<200 mg/dl), namely 59.6%; the participants' cholesterol levels were mostly normal (<200 mg/dl), namely 64.9%; and the participants' uric acid levels were mostly normal, namely 86%. The results of doctor consultations were only 24.6% who were advised to be referred to the Community Health Center or Health Facility. While the rest were advised to maintain their diet/regularly take medication. Universities can develop strategies for future community service activities by prioritizing promotive and preventive activities without neglecting curative and rehabilitative ones.

Maternal age and parity associated with postpartum care visit compliance Miftah Chairunnisa; Septina Boru Saragih; Thatit Nurmawati; Rizki Amartani; Ummy Khairussyifa; Silvia Finida Hannisa
THE JOURNAL OF Mother and Child Health Concerns Vol. 5 No. 5 (2026): August 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v5i5.4183

Background: The postpartum period is a critical phase requiring continuous maternal healthcare to facilitate the early detection and management of postpartum complications. In Sintang Regency, the coverage of complete postpartum care visits decreased from 80.4% in 2023 to 78.9% in 2025. The implementation of Integrated Primary Health Care (PHC) is expected to strengthen continuity of maternal healthcare through integrated and community-based services. However, individual maternal characteristics may influence compliance with recommended postpartum care visits. Purpose: To analyze the association between maternal age and parity and compliance with postpartum care visits during the implementation of Integrated Primary Health Care (PHC). Method: This study employed a quantitative analytic design with a cross-sectional approach. The study population consisted of 206 postpartum mothers who received postpartum care services in the working area of Sungai Durian Community Health Center from January to December 2025. Total sampling was used, and data collection was conducted from May to June 2026. The data were analyzed using bivariate analysis with a significance level of 0.05. Results: Of the 206 respondents, 80 (38.8%) were classified as compliant and 126 (61.2%) as non-compliant with postpartum care visits. The mean maternal age was 30.1 ± 8.7 years, with a range of 19–36 years. Respondents aged <20 years, 20–35 years, and >35 years accounted for 22.8%, 27.7%, and 49.5%, respectively. The respondents consisted of 37.9% primiparous, 36.4% multiparous, and 25.7% grand multiparous mothers. Maternal age was significantly associated with compliance with postpartum care visits (p < 0.001). Parity was also significantly associated with compliance with postpartum care visits (p = 0.009). Conclusion: Maternal age and parity were significantly associated with compliance with postpartum care visits during the implementation of Integrated Primary Health Care. Strengthening community-based monitoring and providing age- and parity-sensitive education may support improved continuity of postpartum care. Suggestion: Sungai Durian Community Health Center should strengthen coordination within Cluster 2 (Maternal and Child Health) and optimize community-based territorial monitoring to facilitate timely scheduling, reminders, and follow-up of postpartum care visits

Smoking History as The Main Factors of Chronic Kidney Disease in Hemodialytic Patients Trisnawati, Aprilia; Sari, Yeni Kartika; Nurmawati, Thatit; Ta'adi, Ta'adi
IJNP (Indonesian Journal of Nursing Practices) Vol. 8 No. 1 (2024): June
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.v8i1.20198

Background: The high risk of death and treatment costs for chronic kidney disease make a global problem. History of hypertension, diabetes mellitus, smoking, and energy supplement drinks are factors that cause chronic kidney disease that can be controlled. Consequently, it is important to identify factors associated with poor outcomes among hemodialytic patients.Objective: This study aims to determine the main factors associated with chronic kidney disease in a private hospital in Blitar.Methods: The study was a cross-sectional study. 132 patients were purposively selected in the study. Data was analyzed using logistic regression.Results: The multivariate analysis showed that a smoking history accompanied by another factor increases the risk of Chronic Kidney Disease. Diabetes Mellitus history (OR: 3.04), Hypertension history (OR: 1,4), Smoking History (OR:0,3), Drinking energy supplement history (OR:0.3) were significant variables on patients undergoing maintenance hemodialyis.Conclusions: The foremost common cause of patients undergoing maintenance hemodialysis is smoking history. More education is needed for society to avoid chronic kidney disease by exercising health control regularly, stopping smoking, and having a healthy lifestyle.

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