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The Analysis of Factors Related to Anemia Levels in Adolescent Girls Romadhon, Wimar Anugrah; Kartika Sari, Yeni; Putri, Raden Roro Dewi Rahmawaty Aktyani; Dwi Novitasari, Adelia
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.p146-152

The impact on teenagers, if they experience anemia, is that it disrupts their ability to learn, reduces their physical exercise ability and body fitness, reduces individual work capacity, reduces the body's immune function, and reduces the ability to regulate body temperature. This research aimed to analyze factors related to anemia in adolescent girls. The research method used quantitative with a cross-sectional approach. The population in the study were all 50 Adolescents who were checked for Hb in March and had moderate anemia. The sample was 44 respondents taken by purposive sampling technique. The instrument used a questionnaire to determine the length of the menstrual period, nutritional status, knowledge, and iron intake. The research used an ordinal distribution used an ordinal regression test. The research results showed that the variable length of menstruation was 0.879 with p=0.348 (> 0.05), the nutritional status variable was 0.231 with p=0.631 (>0.05), the knowledge level variable was 4.407 with p=0.021 (>0.05) and the nutritional intake variable was 11.575 with p=0.001 (<0.05). This meant that the level of knowledge and nutritional intake was related to the level of anemia. Meanwhile, the length of menstruation and nutritional status were not related to the level of anemia. For future researchers, it is expected to provide interventions related to knowledge including individual or group counseling as well as providing a healthy lunch menu program to increase iron intake in adolescents.

Sunrise Model “Transcultural Nursing Leininger” on Toddler Stunting Incidents Putri, Raden Roro Dewi Rahmawaty Aktyani; Romadhon, Wimar Anugrah
Journal of Ners and Midwifery Vol 11 No 3 (2024)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v11i3.ART.p263-275

Stunting is chronic malnutrition due to prolonged lack of nutrients, short or very short stature based on length/height for age. It is estimated that nearly a quarter of children in Indonesia are stunted. Stunting is an unresolved nutritional problem in Indonesia. The purpose of this study was to analyze the factors of stunting in toddlers based on the Transcultural Nursing theory. The research was conducted in the working area of Puskesmas Panggungrejo, Margomulyo Village. The sampling technique used purposive sampling. The sample size of this study was 154 respondents. The dependent variable of this study is the incidence of stunting. Independent variables consisted of technological factors, religiosity and philosophy, social support, cultural values and lifestyles, politics and legal, economic and educational factors. Data were collected using a questionnaire and analyzed using the Spearman rank statistical test with a significance level of α <0.05. The results of this study indicate that there is a relationship between technological factors p = 0.000, religiosity and philosophy factors p = 0.010, social support factors p = 0.002, cultural values and lifestyle factors p = 0.000, political and legal factors p = 0.000, economic factors p = 0.021 with the incidence of stunting while the education factor p = 0.128 is not associated with the incidence of stunting.

Self-Care Behavior and Associated Factors in the Elderly with Hypertension Putri, Raden Roro Dewi Rahmawaty Aktyani; Romadhon, Wimar Anugrah; Kolopaking, Tri Ratna
Journal of Ners and Midwifery Vol 9 No 2 (2022)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v9i2.ART.p248-254

Hypertension is one of the main risk factors for life-threatening cardiovascular disease and is often called the silent killerÂ The results of basic health research in 2018 suffered from hypertension were the most in the elderly aged 55 to 64 years (55.2%). Hypertension in the elderly is a chronic disease that requires disease care management including regular blood pressure control and self-care behavior programs to prevent further complications. This study aims to determine the factors related to self-care behavior in hypertensive elderly in the Integrated Health Care Center of elderly, Srikandi, Turi Sub District, Community Health Centers of Sukorejo, Sukorejo district, Blitar. The method used in this study was an analytical descriptive study with a cross-sectional approach conducted on 38 hypertensive elderly people. The study was conducted from January to February 2022. Analysis data using multiple linear regression analysis to ascertain the possible factors that influence self-care behavior. Based on this study, the Rank Spearman correlation test results, the factor that correlated with self-care behavior was level of education and time living with diagnosed hypertension with a Sig (2-tailed) value of 0.008; 0,000 with a correlation coefficient is positive, the value of 0.427; 0.605. so that theÂ relationship between the two variables is unidirectional. This study recommends that community nurses must understand the factors that influence self-care behavior in hypertensive clients in the community so that they are able to provide appropriate nursing care.

Increasing Knowledge of Family Empowerment and Welfare Mothers (PKK) about Herbal Medicine Putri, Raden Roro Dewi Rahmawaty Aktyani; Nurmawati, Thatit; Rahmawati, Anita
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.

The Effectiveness of Moxibution on Salivary Cortisol Levels in Primiparous Breastfeeding Mothers: Quasi-Experimental Study Chairunnisa, Miftah; Nurmawati, Thatit; Putri, Raden Roro Dewi Rahmawaty Aktyani
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.

Empowerment of Yasinan Group in the Control of Non-Communicable Diseases Through Nursing Case Based on Complementary Therapy Cahyono, Rozhabbi Dwi; Setiyorini, Erni; Putri, Raden Roro Dewi Rahmawaty Aktyani
Journal of Community Service for Health Vol. 6 No. 2 (2025)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jcsh.v6i2.1236

Non-communicable diseases (NCDs) such as hypertension, diabetes, cholesterol, and uric acid are the leading causes of morbidity and mortality in Indonesia, especially among elderly populations in rural areas. Lack of knowledge, limited access to healthcare services, and poor early detection exacerbate this situation. This community service program aimed to implement the empowerment of the Yasinan Group (Qur’an Recitation Group) in controlling non-communicable diseases through nursing care based on complementary therapy. The program was carried out among a men’s Yasinan group in RT 01 RW 02, Tlogo Village, Kanigoro District, Blitar, involving 35 participants. The method consisted of assessment, diagnosis, intervention, implementation, and evaluation. Interventions included health education, free health check-ups, and acupressure therapy training. The interventions include health education, free health check-ups, and the promotion of acupressure techniques based on the standard operating procedure (SOP) for acupressure. These interventions were delivered over three meetings and involved measuring blood pressure, blood sugar, uric acid, and cholesterol, alongside acupressure therapy. Results showed a reduction in uric acid levels among participants with elevated levels by 1–1.2 mg/dL, The prevalence of hypertension decreased from 17 participants to 10, and blood sugar levels normalized in all participants. There was also an increase in participants’ knowledge and awareness of NCDs. Education-based interventions, routine health checks, and acupressure therapy were effective in reducing NCD risk and promoting healthy living behaviors. This model has potential for wider application as a community empowerment strategy in controlling NCDs.

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

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