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JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery)
Published by Universitas Alma Ata Yogyakarta
ISSN : 23547642     EISSN : 25031856     DOI : -
Core Subject : Health, Education,
Health Professions Medicine & Pharmacology Nursing Public Health Other
Jurnal Ners dan Kebidanan Indonesia (Indonesian Journal of Nursing and Midwifery) abbreviated JNKI (p-ISSN 2354-7642 and e-ISSN 2503-1856) is the journal of nursing and midwifery published by Department of Nursing and Department of Midwifery, Faculty of Health Sciences, Alma Ata University in collaboration with AIPNI (Asosiasi Institusi Pendidikan Ners Indonesia), AIPKIND (Asosiasi Institusi Pendidikan Bidan Indonesia), PPNI (Persatuan Perawat Nasional Indonesia), and IBI (Ikatan Bidan Indonesia).
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Articles 9 Documents
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Search results for , issue "Vol 11, No 2 (2023)" : 9 Documents clear
Calcium supplementation on lowering blood pressure in pregnant women with hypertension: A meta-analysis Zakiah Radjulaeni; Suhartono Suhartono; Mardiyono Mardiyono
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 11, No 2 (2023)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2023.11(2).146-156

Abstract

Background: Hypertension in pregnancy causes 10% of pregnancy disorders worldwide which results in maternal morbidity and mortality of 9-26% and the incidence of premature births as much as 15% worldwide. From the results of previous meta-analysis, there is a relationship between calcium intake and the incidence of preeclampsia by consuming 1500-2000mg calcium during pregnancy, it is necessary to add calcium supplements to pregnant women because not all calcium intake in pregnant women from food is sufficient to meet calcium needs. Objectives: Analyzing research studies on the effect of calcium on systolic blood pressure in pregnant women with hypertension in pregnancy, Analyzing research studies on the effect of calcium on diastolic blood pressure in pregnant women with hypertension in pregnancy.Methods: Meta analysis by searching 24 research studies from 5 databases (Pubmed, Science Direct, Google Schoolar, Elsevier, and Proquest) using Randomized Control Trial (RCT), Experimental, and Cohort, published in 2013-2020.Results: the results of the analysis of 5 studies involving 945 selected pregnant women with an average use of moderate doses (500 mg / day during the study) were divided into 2 groups. Providing calcium intervention since 20 weeks of gestation showed that calcium supplementation had a decreasing impact on maternal blood pressure in pregnancy. Analysis showed a difference in blood pressure in mothers with hypertension in pregnancy compared to mothers who did not consume calcium.Conclusions: The use of calcium supplements during pregnancy can reduce blood pressure and prevent preeclampsia. The recommended dose is 500 mg/day from 20 weeks of gestation with mothers at risk of preeclampsia. Health workers need to ensure that pregnant women comply with the calcium consumption rules given so that the management recommendations can be carried out properly
Stunting prevention with determining BMI, UAC, haemoglobin (Hb) levels as early detection in adolescent students Muhammadiyah Senior High School Ponorogo West Java Aida Ratna Wijayanti; Hayun Manudyaning Susilo; Annisa Ridlayanti
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 11, No 2 (2023)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2023.11(2).179-184

Abstract

Background : One of the problems facing adolescent girls (23%) is iron deficiency (iron deficiency anemia) and it is higher than adolescent boys. Anemia in adolescent girls affect physical activity, learning concentration which will affect adolescent girls achievement. Objectives: This study aims to determine Body Mass Image (BMI), Upper Arm Circumference (UAC), and Haemoglobin (Hb) Levels Pre Integration of Fero Sulfate (Fe) Tablets Supplements and to know relationship between BMI and UAC with Hb levels for Stunting prevention in students at Muhammadiyah Ponorogo High School.Methods: The research design carried out was experimental research with an exploratory study approach, pre-experimental study design, the research takes on January to April 2023 in Muhamamdiyah High School Ponorogo. The samples was 54 people. Researchers analyze Hb, BMI, and UAC levels from all study samples and correlate all variables. Results: The results show that BMI 48% (26 people) undernutrition, UAC 65% (35 people) underweight condition and Hb levels showed 87% (47 people) normal. The statistical analysis test shows that p-value test = 0.089 which means that there is no relationship between BMI and Hb levels in adolescent girls. Similarly, Hb levels with UAC show no relationship with p value 0.707.Conclusions: The conclusion of this study, there are still many adolescent girls who experience malnutrition status, although found a few of these samples are anemic. So it is important that future studies on balanced nutritional intake and standardized Fe supplementation for stunting prevention in adolescence are important.
Comparison of booklet educational media effectiveness toward exclusive breastfeeding adherence Nur Rahmawati Sholihah
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 11, No 2 (2023)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2023.11(2).157-166

Abstract

Background: Exclusive breastfeeding provides infants with breast milk and no additional food, water, or other liquids (except medicines and vitamins, if necessary) for the first 6 months of life. Current practice of exclusive breastfeeding in Indonesia among infants aged 4-5 months is 27%, while between age 5-6 months is 3.4%. The main contributing factors of the poor adherence to exclusive breastfeeding is the lack of knowledge, which affects behavior and motivation. Producing inclusive, appropriate, and acceptable media is essential to manage this issue.Objectives: The current study aimed to compare the effectiveness between application and booklet as educational media toward mother's adherence in exclusive breastfeeding.Methods: A quasi experimental study with pre-post test with control group design carried out. The research subjects were mothers with infants aged 4-6 months in the adminstrative area of the Gamping II Public Health Center, Sleman Regency and consist of 3 villages; Banyuraden (8 hamlet), Nogotirto (8 hamlet), Trihanggo (12 hamlet)  Sample determined with purposive sampling, while recruitment performed by simple random sampling. The number of samples in the control and intervention grups were 32 respondents, and total sample is 64. Exclusive breastfeeding adherence was evaluated by knowledge, and attitudes questionnaire, validated with breastfeeding record within 24 hours. Comparative analysis was performed with Mann Whitney and Mc Nemar test.Results: p value yielded from pretest and posttest in the intervention group p=0.109. It was inferred that there was no significant difference of breastfeeding adherence in association with the intervention. The control group p value was p=0.039 indicating significant difference of adherence in breastfeeding practice.Conclusions: Booklet improves adherence to exclusive breastfeeding due to the depth of materials, familiar for the intended audience, practical, easy for content distribution, visually captive, attractive and easy to use. In-app educational media could increase knowledge and attitudes in particular to exclusive breastfeeding
Hypnoprenatal reduces anxiety and stress in high-risk pregnancy in North Tapanuli District Sulastry Pakpahan; Ganda Agustina Hartati Simbolon; Elly Sianturi; Juana Linda Simbolon
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 11, No 2 (2023)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2023.11(2).185-196

Abstract

Background: High-risk pregnancies can cause more complications for the mother and fetus during pregnancy, childbirth, and the puerperium compared to normal pregnancies. High-risk factors during pregnancy can increase worry and stress, which can influence labor and delivery and are risk factors for postpartum depression. During pregnancy, stress can increase the risk of having a premature, low-birth-weight baby. Hypnoprenatal is an effective communication method to incorporate positive suggestions into the subconscious mind of pregnant women to reduce anxiety and stress during pregnancy. Objectives: to determine the effect of hypnoprenatal intervention on anxiety and stress in high-risk pregnant women in the North Tapanuli District. Methods: This research method used a pre-experimental method with a one group pre-test post-test design. Samples were taken by the purposive sampling method, which, based on the inclusion criteria, obtained as many as 36 high-risk pregnant women who experience anxiety and stress. Hypnoprenatal intervention was carried out for 3 days, twice a day, and then observations and interviews were carried out using the DAS 42 questionnaire. Data analysis used a paired t-test. The results showed that the characteristics of the respondents based on the age of the majority were >35 years (44.7%), secondary education (33.3%), farmer's work (52.8%), primigravidas (17%), high-risk pregnancies (72.7%), and low risk (27.8%).Results : The results of the statistical tests showed differences and decreased levels of anxiety and stress in pregnant women at risk before and after the hypnoprenatal intervention, with a p-value of 0.000 (p<0.05). Conclusions: hypnoprenatal has a significant effect on the level of anxiety and stress among pregnant women at risk. It is recommended that pregnant women use hypnoprenatal techniques to help reduce anxiety and stress during pregnancy, which affects the mother's psychological condition.
A Comparative Study: Modisco and Acupressure for Weight Gaining Toddler Hesty Widowati; SMF Hanum; Herista Novia Widanti; Mar`Ati Amalia Rizqiyah
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 11, No 2 (2023)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2023.11(2).127-133

Abstract

Background: Inappropriate practice of feeding and complementary foods is one of the causes of malnutrition in children in Indonesia. Providing additional food such as Modisco (Modified Dietetic Skimmed Milk and Coconut Oil) can be an effort to improve the nutritional status of toddlers, besides acupressure therapy can increase appetite so that it can increase the child's weight.Objective: This study aims to determine the difference in the effectiveness of the combination of Modisco and acupressure with only Modisco on increasing toddler’s  weight.Methods: This study used a Quasy Experiment group design with a Pre and Post Test Control Group Design approach. The inclusion criteria were children aged 1-5 years, included in the thin category and did not have heart, liver, and kidney disease. The sample was selected by purposive sampling as many as 30 toddlers who were divided into 2 groups with the provision that group I amounted to 15 toddlers were given complementary foods made from modisco II for 14 days and acupressure 6 times (2 times a week for 3 weeks), while group II amounted to 15 toddlers are only given complementary foods made from modisco II for 14 days. Statistical test using Paired sample T Test.Results: In group I, there was a difference in the average weight of children under five before and after the intervention with p value = 0.001 (p < 0.005), meaning that the combination of modisco and acupressure can increase body weight in toddlers. In group II, there was a difference in the average weight of children under five before and after the intervention with a p value = 0.003 (p < 0.005), which means that modisco can increase body weight in toddlers.Conclusion: From the results of the difference in the average weight of group I and group II with a value of p = 0.013, it means that there is no significant difference between the groups given the combination of modisco plus acupressure and the modisco group on the weight gain of toddlers.
Risk Factor of hyperemesis gravidarum incidence Widya Nurfadillah; Rafhani Rosyidah; Evi Rinata; Yanik Purwanti
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 11, No 2 (2023)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2023.11(2).116-126

Abstract

Background: Hyperemesis Gravidarum is severe and excessive nausea and vomiting, starting at 4 and 6 weeks of gestation and peaking at 8-12 weeks of pregnancy, and usually subsiding by 20 weeks of gestation. As a result of excessive nausea and vomiting, pregnant women are at risk of dehydration, vitamin and mineral deficiencies, losing 5% of body weight, and can even endanger the fetus's health. Objective: to recognize the risk factors for the incidence of hyperemesis gravidarum to detect early and reduce the consequences of hyperemesis gravidarum. Research Methods: This type of research is an analytical observational study with the research design of the Case Control method with a sample size of 240, and the ratio of cases and controls in the study is 1: 1.Results: The results showed that risk factors have an association with the incidence of hyperemesis gravidarum, namely the age of pregnant women has a value (p = 0.014 <0.05, OR = 0.38, 95% CI: 0.184-0.7998). Parity with a value of (p=0.008, OR=2.14, 95% CI: 1.253-2.656). Gestational age was (p=0.000, OR= 49.63, 95% CI: 18.730-131.51). Education with a value of (p = 0.188, OR = 0.500, 95% CI: 0.204-1.228). Maternal occupation with a value of (p=0.002, OR= 2.34, 95% CI: 1.380-3.999). Maternal pregnancy spacing with value (p=0.004, OR=2.17, 95% CI: 1.298-3.642). Non-anemic pregnant women (p=0.032<0.05, OR= 2.36, 95% CI: 1.128-4.971) and status of pregnant women with value (p=0.004, OR= 2.22, 95% CI: 1.315-3.74).Conclusion: Almost all risk factors studied had a relationship, but only maternal education in this study did not have a relationship. Maternal age, parity, gestational age, maternal employment, pregnancy distance, anemia, and BMI status are risk factors for hyperemesis gravidarum. By knowing these risk factors, it is hoped that health workers can detect early and anticipate to minimize the severity when pregnant women are exposed to HEG. 
Maternal role and psychosocial development of children aged 36-59 months Erni Samutri; Ika Rahmawati; Wahyuningsih Wahyuningsih; Anafrin Yugistyowati; Yhona Paratmanitya
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 11, No 2 (2023)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2023.11(2).167-178

Abstract

Background : Each child will probably achieve each early developmental aspects at different times. The achievement of child development is determined by various inputs, including child input, maternal input, family input, and environmental input. However, failure to fulfill these inputs has an impact on development delay, especially psychosocial development aspect. Parents, especially mothers, have a significant role in providing these inputs Objectives: To identify the relationship between maternal input including sociodemographic characteristics and the maternal role and the psychosocial development of children aged 36-59 months.Methods: This study was a cross-sectional conducted in February 2020 in Puskesmas Sedayu 2, Yogyakarta. The eligible participant was mothers of children aged 36-59 months. The questionnaires included sociodemographic data, parent role questionnaires, and psychosocial development questionnaires. The correlation between variables was analyzed using a Spearman rank test.Results: This study included 89 mothers with children aged 36-59 months. About 91% of children were in normal psychosocial development. Correlation on sociodemographic characteristics showed that the mother's occupation was significantly related to the psychosocial development of children aged 36-59 months (p=0.005). Maternal role also show significant correlation with children psychosocial development (p=0.007). In addition, there were 2 domains of the maternal role that showed significant relationship with child psychosocial development, namely the role as a caregiver (p= 0.002) and counselor (p=0003).Conclusions : The achievement of psychosocial development of children aged 36-59 months is related to the mother's occupation and the mother's role. Fulfilling each dimension of the parent's role will optimize all aspects of child development, including psychosocial aspects in preschool children to become children who have a positive self-concept, be creative, dare to show initiative.
The effect of mindfulness therapy through an android application on nurses' work stress: A literature review Triyanto Triyanto; Ridlwan Kamaluddin
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 11, No 2 (2023)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2023.11(2).106-115

Abstract

Introduction: Several studies have shown that nurses have high levels of work stress. Work stress can be overcome with therapy, especially mindfulness therapy. The purpose of this literature review is to synthesize the literature on mindfulness therapy to reduce work stress for nurses.Objectives : The formulation of the problem in this study is how to influence mindfulness therapy through an android applicationon work stress on work nurses in Emergency Room.Methods: Literature search was carried out using several databases, including PubMed and Scient Direct. The keywords used are different in each database. For Pubmed use "mindfulness" and "online" and "workload" or "work stress" or "occupational stress" and “nurse”, meanwhile for scient direct use "mindfulness" and "online" or "app" and "workload" or "work stress" or "occupational stress" and "RCT". Results: The search results from various literature obtained 360 articles, then through a series of selections, 67 match the criteria. These articles are publications from 2018 – 2023. but only 7 articles that are reviewed and in accordance with the research topic  and 2 articles not available cannot be accessed, 1 article another language. There were 4 selected articles left for review. Conclusions: Nurses work have a high level of stress associated with a large workload. Work stress that is not handled properly can lead to social dysfunction and somatic disorders. Mindfulness-based stress reduction therapy is known effective in reducing the level of nurses anxiety, work fatigue, and work stress. Direct application or online is safe to give, because it does not have significant difference in effectiveness.
Service quality dimensions affect outpatient satisfaction Defri Fitriya Nengsih; Fatma Siti Fatimah; Choirul Anwar; Edi Sampurno Ridwan
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 11, No 2 (2023)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2023.11(2).134-145

Abstract

Background: Monitoring the level of patient satisfaction is the target of health agencies, in this case hospitals, to develop and compete with other hospitals. This measure is to determine the extent to which the dimensions of the quality of health services that have been prepared meet patient expectations. The increasing quality of service in a hospital is expected to be able to meet the expectations of patients so that this results in patient satisfaction. One type of health service that exists in hospitals is outpatient services which are required to provide quality services, by providing services to patients and patient families in accordance with quality standards of meeting patient needs and expectations.Objectives: To determine the influence of service quality dimensions on outpatient patient satisfaction.Methods: This type of research is quantitative with a cross-sectional research design. The population in this study were all outpatients at RSUP Dr. Soeradji Tirtonegoro. The sampling technique used in this study is probability sampling with simple random sampling. The number of samples in this study were 200 respondents. Data analysis in this study used univariate analysis, bivariate analysis with Spearman rank and chi-square statistical tests and multivariate analysis with logistic regression statistical tests.Results: The results showed that there was an influence of responsiveness and empathy dimensions on general outpatient patient satisfaction at hospital of dr. Soeradji Tirtonegoro. It is known that in the multivariate test both dimensions were affected 5 and 27 times respectively in influencing general outpatient patient satisfaction with a p-value of 0.003 and a p-value of 0.005, respectively.Conclusions: There is an influence between the dimensions of quality (Responsiveness and Empathy) on patient satisfaction outpatient at dr. Soeradji Tirtonegoro hospital

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