Nasrianti Nasrianti
Universitas Jayapura

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Analisis hubungan komunikasi bidan dengan tingkat kepuasan ibu hamil pada pelayanan antenatal care Hasnia Hasnia; Yustika Rahmawati Pratami; Wiwit Vitania; Nasrianti Nasrianti
Holistik Jurnal Kesehatan Vol. 20 No. 1 (2026): Volume 20 Nomor 1
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i1.2547

Abstract

Background: Antenatal Care (ANC) is an early preventive measure to detect risk factors during pregnancy and childbirth, reduce the maternal mortality rate (MMR), and monitor fetal well-being. One factor that encourages pregnant women to attend regular ANC visits is not only the provision of information about their health condition, but also the midwife's ability to listen to complaints, show empathy, and provide friendly service. Effective communication can create patient satisfaction, which ultimately influences adherence to follow-up visits. Purpose: To determine the relationship between midwife communication and pregnant women's satisfaction with antenatal care services. Method: This quantitative study used an analytical survey design and a cross-sectional approach. The sample consisted of 20 pregnant women selected using a total sampling technique. The study was conducted in July 2025 at the Khomba Waliyauw Community Health Center, Sentani. The research instruments used were a midwife communication questionnaire and a patient satisfaction questionnaire. Data were analyzed using univariate and bivariate chi-square statistical tests. Results: Most midwives had good communication skills, and most pregnant women were satisfied with antenatal care services. The chi-square test yielded a ρ value of 0.000 (<0.05). Conclusion: There is a significant relationship between midwife communication and maternal satisfaction with antenatal care services. Suggestion: Future research should expand the scope of variables, such as facilities and medical personnel competence, to provide more comprehensive results.   Keywords: Antenatal Care Services; Midwife Communication; Satisfaction Level; Pregnant Women.   Pendahuluan: Antenatal Care (ANC) merupakan upaya pencegahan dini untuk mendeteksi faktor risiko selama kehamilan dan persalinan, menurunkan Angka Kematian Ibu (AKI), serta memantau kesejahteraan janin. Salah satu faktor yang mendorong ibu hamil untuk melakukan kunjungan ANC secara rutin bukan hanya pemberian informasi mengenai kondisi kesehatannya, tetapi juga kemampuan bidan dalam mendengarkan keluhan, menunjukkan empati, dan memberikan pelayanan yang ramah. Komunikasi yang efektif dapat menciptakan kepuasan pasien, pada akhirnya memengaruhi kepatuhan terhadap kunjungan ulang. Tujuan: Untuk mengetahui hubungan antara komunikasi bidan dengan tingkat kepuasan ibu hamil terhadap pelayanan antenatal care. Metode: Penelitian kuantitatif dengan desain survei analitik dan pendekatan cross-sectional. Sampel penelitian terdiri atas 20 ibu hamil yang dipilih dengan teknik total sampling. Penelitian ini dilaksanakan pada bulan Juli 2025 di Puskesmas Khomba Waliyauw, Sentani. Instrumen penelitian yang digunakan berupa kuesioner komunikasi bidan dan kuesioner kepuasan pasien. Data dianalisis menggunakan univariat dan bivariat uji statistik Chi-Square. Hasil: Sebagian besar bidan memiliki kemampuan komunikasi yang baik dan sebagian besar ibu hamil merasa puas terhadap pelayanan antenatal care. Uji Chi-Square menghasilkan nilai ρ sebesar 0.000 (<0.05). Simpulan: Terdapat hubungan yang signifikan antara komunikasi bidan dengan tingkat kepuasan ibu hamil terhadap pelayanan antenatal care. Saran: Penelitian selanjutnya diharapkan dapat memperluas cakupan variabel seperti fasilitas dan kompetensi tenaga medis agar hasil penelitian lebih komprehensi   Kata Kunci: Ibu Hamil; Komunikasi Bidan; Kepuasan Ibu Hamil; Pelayanan Antenatal Care.
Midwives' Experiences in Caring for Post-Part Mothers with HIV/AIDS Hasnia Hasnia; Yustika Rahmawati Pratami; Wiwit Vitania; Nasrianti Nasrianti; Fathia Fakhri Inayati Said; Fenska Narly Makualaina
Indonesian Journal of Global Health Research Vol. 8 No. 1 (2026): 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.v8i1.697

Abstract

Pregnancy and the postpartum period are periods with a continuous and ongoing risk of HIV/AIDS infection, which are the targets of mother-to-child HIV prevention. Postpartum mothers with HIV positive require special care from health workers, especially midwives who are not only skilled in the technical aspects of patient care, but more than that must have empathy and be skilled in therapeutic communication. The high risk of HIV/AIDS transmission in midwives causes feelings of anxiety and reluctance to provide care to patients. Many health workers experience stress due to work, feelings of anxiety about contracting the disease, feelings of inability to meet job demands or what is expected from the job, which impacts the mental and physical health of midwives, which ultimately impacts the services provided. Objective: To explore the experiences of midwives in caring for postpartum mothers with HIV/AIDS. This type of research is qualitative with an exploratory phenomenological approach. Participants in this study were two midwives who had provided assistance to postpartum mothers with HIV/AIDS. Data collection techniques were observation, interviews, documentation, and triangulation. Data processing was carried out using the Colaizzi approach. The importance of midwives' experience in caring for postpartum mothers with HIV/AIDS will improve the midwives' ability to provide care to postpartum mothers with HIV. The midwives' ability to care for postpartum mothers with HIV/AIDS is also influenced by the midwives' experience in caring for postpartum mothers with HIV/AIDS. Some of the obstacles encountered by midwives in providing care are feelings of anxiety and shame in postpartum mothers that make sufferers disappear and refuse to undergo ANC examinations and refuse treatment. Midwives' hopes in caring for postpartum mothers with HIV/AIDS, postpartum mothers must remain enthusiastic and continue treatment to prolong life and prevent transmission to children, extra support is needed for the mother's psychology, emotional support from health workers and the patient's family. Motivation and deeper support are needed for postpartum mothers with HIV/AIDS in midwife care so that care can be carried out properly without any obstacles.
The role of Midwives in Managing Pregnant Women’s Anxiety Levels during HIV Testing: A Phenomenological Study Hasnia Hasnia; Yustika Rahmawati Pratami; Wiwit Vitania; Tiyan Febriyani Lestari; Nasrianti Nasrianti; Fenska Narly Makualaina
Indonesian Journal of Global Health Research Vol. 8 No. 1 (2026): 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.v8i1.698

Abstract

Pregnant women can be at risk of contracting HIV/AIDS because based on age range, the highest number of HIV/AIDS cases are at the age of 25-49 years, and if based on employment status, the second highest number is housewives because... they have had sexual intercourse before, so the risk of infection is high. This study aims to to explore in depth the role of midwives in managing the anxiety levels of pregnant women undergoing HIV tests. The method in this study is a qualitative research type with an exploratory phenomenology approach. Participants in this study were midwives who provided HIV examination services to pregnant women as many as 2 people with the Colaizzi approach. The results found that midwives have an important role in providing services to manage the anxiety levels of pregnant women undergoing HIV tests. Public trust tends to be more towards midwives who have worked for a long time, because they assume that midwives who have worked for a long time have experience, but there are still some mothers who refuse and become Inhibitors then the approach to provide psychological support that can reduce anxiety, shame and fear by providing motivation , deeper support especially family such as husband and parents, so that pregnant women are willing to take an HIV test . It is concluded that there is a relationship between family support and behavior in taking an HIV/AIDS test, because in facing health problems, each individual needs family and motivation from within themselves.
The Effect of Education on HIV/AIDS Prevention Housewives' Knowledge Fathia Fakhri Inayati Said; Fenska Narly Makualaina; Nasrianti Nasrianti; Yestin Norita Joni; Hasnia Hasnia
Indonesian Journal of Global Health Research Vol. 8 No. 1 (2026): 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.v8i1.701

Abstract

The number of HIV cases in Indonesia tends to increase Based on data from the Ministry of Health, the number of housewives infected with HIV has reached 35%. This figure is higher than HIV cases in other groups such as husbands of sex workers and MSM (men between sexes Objective to determine the effect of education about HIV/AIDS. HIV/AIDS Prevention on Housewives' Knowledge Method: This research is an experimental study with a one- group pretest-posttest design The population in this study was 55 The sampling technique used is purposive sampling, which involves selecting samples based on the researcher’s considerations that meet certain criteria. Results: There is an influence of providing education on HIV AIDS prevention for housewives in the AREMA Association, Jayapura Regency. The results of the analysis using paired sample t-test, P value of (0.000) < alpha (0.05) or the P value (0.000) is very small when compared to the alpha value (0.05). Conclusion: There is an influence of providing education on HIV AIDS prevention for housewives in the AREMA Association, Jayapura Regency.
The Relationship between Knowledge about HIV/AIDS and Adolescents' Free Sexual Behavior Fathia Fahkri Inayati Said; Fenska Makualaina; Lisma Natalia Br Sembiring; Nasrianti Nasrianti; Yance Ronald Rainuny; Yestiani Norita Joni
Indonesian Journal of Global Health Research Vol. 8 No. 2 (2026): 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.v8i2.1377

Abstract

Adolescence is a transitional period that is vulnerable to risky behavior, including promiscuous sex. Lack of knowledge about HIV/AIDS can increase the risk of unsafe sexual behavior, which can potentially lead to HIV/AIDS transmission in adolescents. This study aims to determine the relationship between knowledge about HIV/AIDS and promiscuous sexual behavior in adolescents. This study used a quantitative design with a cross-sectional approach. The sample consisted of 61 students majoring in Nursing Assistant at SMK YPKP, selected using an accidental sampling technique. The research instruments consisted of an HIV/AIDS knowledge questionnaire and a Guttman scale questionnaire on promiscuity behavior. Data were analyzed univariately and bivariately using the Chi-Square test. The results showed that most respondents had sufficient knowledge about HIV/AIDS (78.7%) and negative promiscuity behavior (54.1%). Statistical tests showed a significant relationship between knowledge about HIV/AIDS and promiscuity behavior in adolescents (p-value = 0.000). All respondents with good knowledge (21.3 %) had positive promiscuity behavior. There is a significant relationship between knowledge about HIV/AIDS and adolescent sexual behavior. Good knowledge plays a crucial role in developing positive and safe sexual behavior.