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Efektivitas Modul Edukasi Self-Management dalam Pengendalian Asma pada Ibu Hamil Kasiati Kasiati; Sri Mugianti; Erlina Suci Astuti; Zuhrian Aisyah; Fatharani Khulun; Jihan Fitriyani
Jurnal Informasi Kesehatan Indonesia (JIKI) Vol. 10 No. 3 (Suplemen) (2024): Jurnal Informasi Kesehatan Indonesia
Publisher : Politeknik Kesehatan Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jiki.v10i3 (Suplemen).6488

Abstract

Uncontrolled antenatal asthma risks triggering severe obstetric complications such as pre-eclampsia and fetal hypoxia, yet patient self-management education remains limited. This study aims to evaluate the effectiveness of a Self-Management-Based Education Module on increasing health literacy, behavioral modification, and clinical asthma outcomes in pregnant women. Subjects and Method: A quasi-experimental pretest-posttest with control group design was conducted at Ardimulyo Health Center, Malang Regency. A sample of 60 pregnant women with asthma was selected via purposive sampling, divided into intervention (n=30) and control (n=30) groups. Instruments included knowledge questionnaires, Medication Adherence Report Scale (MARS), Asthma Control Test (ACT), and Peak Expiratory Flow Rate (PEFR). Data were analyzed using Independent T-Test and Mann-Whitney U. Results: The intervention group showed significant improvements compared to the control group in knowledge scores (Δ +3.70; p < 0.001), MARS adherence behavior (Δ +7.5; p < 0.001), ACT clinical control (Δ +6.0; p < 0.001), and PEFR lung function (Δ +75.3 L/min; p < 0.001). The control group showed no significant clinical changes (p > 0.05). Conclusion: The self-management module intervention effectively improves health literacy and objective clinical asthma control in pregnant women. This module is suitable for integration into the Pregnant Women's Class within integrated Antenatal Care (ANC) services
Perceived Comfort of Post-Caesarean Section Patients Based on Kolcaba’s Comfort Theory Sheika Nuraini Azizah; Wiwin Martiningsih; Sri Mugianti; Suprajitno Suprajitno
Borneo Nursing Journal (BNJ) Vol. 8 No. 2b (2026)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i2b.1676

Abstract

Introduction: Comfort is an important aspect of recovery for post-cesarean section patients, but the experience of comfort is individual and influenced by physical, psychological, sociocultural, and spiritual conditions. Based on Kolcaba’s Comfort Theory, comfort encompasses three contexts: relief, ease, and transcendence. This study aims to explore the comfort experiences of post-cesarean section patients based on these three contexts. Methods: This study used a qualitative descriptive design involving six participants. Data were collected through in-depth interviews and observation, then analyzed qualitatively using Open Code 4.02 software. Result: The results showed that (1) relief was experienced through reduced pain after analgesic administration, gradual mobilization, and support from nurses; (2) ease was experienced after receiving explanations about postoperative condition, family support, and spiritual activities, although anxiety related to the surgical wound or previous surgical experiences was still found; (3) in transcendence, participants demonstrated the ability to adapt through gratitude, self-acceptance, and a focus on the baby’s safety. Discussion: The comfort of relief, ease, and transcendence is influenced by time and individual adaptation experiences; therefore, nursing interventions are tailored based on these three contexts. Conclusion: Patients’ experiences of comfort following a cesarean section exhibited dynamic and contextual patterns, meaning that not all dimensions of comfort were fully experienced. Recommendation: Therefore, nursing interventions are tailored based on these three contexts.