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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 12 Documents
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Search results for , issue "Vol 13, No 3 (2025)" : 12 Documents clear
Risk prediction instrument for premature rupture of membranes based on clinical parameters and obstetric history Rosyidah, Rafhani; Azizah, Nurul; Cholifah, Siti
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 13, No 3 (2025)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2025.13(3).401-414

Abstract

Background: Premature rupture of membranes is one of the most significant obstetric complications, with a direct impact on increasing the risk of infection, preterm labor, and perinatal mortality. In Indonesia, the main challenge in managing premature rupture of membranes is the late identification of at-risk pregnant women due to the unavailability of objective and practical screening instruments.Objective: This study aims to develop and test the validity of a clinical and obstetric history-based early rupture risk prediction instrument that can be widely applied in primary health care.Methods: The research design used a case control approach with a total of 450 respondents, consisting of case and control groups. Data were obtained from medical records and analyzed through chi-square test and logistic regression to identify significant risk factors. A score prediction model was then developed and validated using ROC curve, Youden index, and sensitivity-specificity analysis.Results: Four variables proved significant in the final model: age beyond 20-35 years, at-risk parity (primipara or grandemultipara), anemia, and fetal abnormality. The prediction score constructed based on these four factors had an Area Under the Curve value of 0.887, with a sensitivity of 82.4% and specificity of 84.8% at a cut-off point of >2.50. The overall accuracy of the model reached 0.86, indicating excellent classification performance.Conclusions: This score-based prediction model was shown to be valid and can be used as a practical screening tool to detect early risk of premature rupture of membranes. Its application is expected to strengthen efforts to prevent obstetric complications and improve the quality of maternal care in Indonesia
Foot massage and warm foot soak for lowering blood pressure in pregnant women with hypertension Tompunuh, Magdalena Martha; Yulianingsih, Endah; Porouw, Hasnawatty Surya; Sujawaty, Sri; Wahyudi, Nanda
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 13, No 3 (2025)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2025.13(3).335-348

Abstract

Background: Hypertension during pregnancy remains one of the leading causes of maternal morbidity and mortality worldwide, particularly in low- and middle-income countries. This condition increases the risk of complications such as preeclampsia, preterm birth, and placental abruption. As pharmacological treatments may pose risks to both the mother and fetus, non-pharmacological interventions have gained interest as safer complementary approaches to managing hypertension in pregnancy. Objectives: The purpose of this study was to evaluate and compare the effectiveness of foot massage therapy and warm water foot soaks in reducing blood pressure among pregnant women diagnosed with hypertension.Methods: A quasi-experimental study with a non-equivalent control group design was conducted involving 72 pregnant women with hypertension. Participants were selected through purposive sampling and divided into two groups: one group (n=36) received foot massage therapy, while the other group (n=36) underwent warm water foot soaks. Both interventions were administered over a specific period, and blood pressure was measured before and after each session. The Wilcoxon Signed Ranks test was used to assess within-group changes, while the Mann–Whitney U test evaluated differences between the groups.Results: The results demonstrated a statistically significant reduction in both systolic (p = 0.00) and diastolic (p = 0.02) blood pressure in the foot massage group. Conversely, the warm water foot soak group did not show significant changes in systolic (p = 0.021) or diastolic (p = 0.026) pressure. Comparative analysis revealed that foot massage therapy was significantly more effective than warm water foot soaks in lowering blood pressure.Conclusions: Foot massage therapy is a more effective non-pharmacological intervention than warm water foot soaks for reducing blood pressure in hypertensive pregnant women. It offers a simple, safe, and cost-effective complementary strategy that can be integrated into prenatal care practices to improve maternal health outcomes.
Effects of cord clamping time on hemoglobin levels in neonates Kartini, Farida; Hakimi, Moh.; Guterres, Ana Claudia da Costa
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 13, No 3 (2025)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2025.13(3).415-424

Abstract

Background: Delaying cord clamping can increase the baby’s hemoglobin levels. Most of these studies compared delayed cord clamping with a baby’s hemoglobin levels at a few months of birth and not with hemoglobin levels in newborns. After the baby is born, the baby’s circulatory system is no longer related to the mother’s circulatory system. In the fetus, nutrients are obtained directly from the mother’s blood circulation through diffusion, so all the substances from the diffusion may enter the fetus’s body. Thus, if the baby’s hemoglobin level is not measured immediately after birth, the results will likely differ. This study checked the baby’s hemoglobin levels within 48 hours after birth.Objectives: This study aims to determine the relationship between the timing of cord clamping and newborn hemoglobin levels. Methods: This study is correlational research. The study population consists of medical records of maternity mothers and newborns from the Midwife’s Independent Practice in the Bantul area. There were 118 records total, with 84 meeting the inclusion criteria. Data analysis employs Spearman’s Rank correlation. Results: Of the 84 newborns, one had a hemoglobin level of 12.3 g/dL, indicating anemia. In this baby, cord clamping was performed 11 minutes after birth or after the umbilical cord stopped pulsating. The rest have levels above 20 g/dl, ranging from 20.3 to 25.9 g/dl, which includes 65 babies (77.4%). When referencing normal newborn hemoglobin levels, the largest range appears in the polycythemia category. The Spearman Rank test showed a p-value of 0.271. Conclusions: The timing of cord clamping was unrelated to newborn hemoglobin levels.
The relationship between providing a balanced menu and the incidence of stunting in toddlers in Lembar Selatan village Aryani, Ni Putu; Afrida, Baiq Ricca
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 13, No 3 (2025)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2025.13(3).281-298

Abstract

Background: Stunting is a condition of growth failure in toddlers due to chronic malnutrition, repeated infections, and inadequate stimulation, characterized by a height that is lower than the standard for their age (Z-score <-2 SD).Stunting affects learning achievement, cognitive development, and physical growth. Stunting also increases the risk of non-communicable diseases, including diabetes and heart disease, in adulthood.Objectives: This research aims to determine the relationship between the frequency of stunting in toddlers in South Lembar Village, Lembar District, West Lombok Regency and the availability of balanced nutrition. Stunting is a health issue that may adversely affect physical growth, cognitive development, and future productivity. Factors contributing to stunting include insufficient dietary intake, infections, inadequate sanitation, and socio-economic conditions.Methods: The used research technique is observational analytic using a cross-sectional strategy. The research sample included 213 moms of toddlers. Data were gathered via questionnaires about maternal attributes, feeding practices, and the nutritional health of children.Results: Bivariate analysis using the Chi-Square test revealed a significant association between the provision of a balanced food (p = 0.017), supplementary feeding (p = 0.009), and exclusive nursing (p = 0.000) and the nutritional status of toddlers.Conclusions: The study's findings underscore the significance of adequate nutrition for toddlers in mitigating stunting. Consequently, enhancing parental education on good eating habits and improving availability to nutritious food is essential to mitigate stunting rates in Indonesia.
Differential effects therapy of Javanese-traditional (Karawitan instrumental) music and classical music in the first stage and second stage of childbirth Santi, Mina Yumei; Arum, Dyah Noviawati Setya; Ismiyati, Atik; Siswati, Siswati; Wulansari, Mudayah Devit
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 13, No 3 (2025)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2025.13(3).349-369

Abstract

Background: Labor pain may induce maternal anxiety, interfere with uterine contractions, and prolong the birthing process. Music therapy is a non-pharmacological intervention known to mitigate both labor pain and anxiety. Objective: This study aimed to compare the effects of Javanese-traditional (Karawitan instrumental) and classical music therapies on anxiety, labor pain, and the duration of the first and second stages of labor.Methods: A randomized controlled trial was conducted involving 201 mothers undergoing normal labor at primary healthcare centers. Participants were assigned into three groups: Javanese-traditional music (Karawitan instrumental), classical music, and a control group practicing deep breathing. Interventions lasted 40 minutes. Anxiety was measured using the Spielberger State-Trait Anxiety Inventory, pain intensity with a visual analog scale, and labor duration through partograph analysis. Statistical tests included paired t-test, Wilcoxon signed-rank, Kruskal-Wallis, one-way ANOVA, and Mann-Whitney U testsResults: Both music interventions significantly reduced anxiety and pain within groups (p-value< 0.001). No significant difference in pain reduction was found between the two music groups during the first active phase (p-value= 0.108). Similarly, anxiety scores did not differ significantly between the music groups post-intervention (p-value= 0.956), though classical music showed a slightly greater reduction. Regarding labor duration, Javanese-traditional music was associated with a shorter first stage, while classical music significantly reduced the duration of the second stage (p-value= 0.000 and p-value= 0.035, respectively).Conclusions: Javanese-traditional (Karawitan instrumental) and classical music therapies are both effective in reducing maternal anxiety and labor pain while supporting labor progress. Javanese-traditional (Karawitan instrumental) music demonstrated greater effectiveness during the first stage, whereas classical music offered benefits in anxiety reduction and second-stage labor duration
Contributing factors to effective self-management in type 2 diabetes mellitus Runtukahu, Audy Christian; Lestari Ismail, Dina Dewi Sartika; Yuliantun, Laily
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 13, No 3 (2025)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2025.13(3).425-443

Abstract

Background: Self-management plays a pivotal role in the management of Type 2 Diabetes Mellitus (T2DM). Active patient participation is crucial for achieving optimal glycemic control, preventing complications, and enhancing overall quality of life in the context of long-term, sustainable disease management.Objectives: This study aims to analyze the factors influencing self-management in patients with T2DM, to provide a foundation for developing more effective interventions that support patients in independently managing their condition.Methods: This study employed a literature review method by analyzing articles published within the last five years from the PubMed, ScienceDirect, and ProQuest databases. The search keywords used were “Self-management, Type 2 Diabetes Mellitus, and Factors influencing.” Out of 1,168 identified articles, 22 articles were selected based on relevant inclusion criteria, with a primary focus on self-management and its influencing factors in T2DM patients.Results: Self-management in patients with T2DM is influenced by both internal and external factors as well as individual skills. Key contributing factors include family support, cultural values, self-efficacy, emotional regulation, and time management. These elements interact dynamically, demonstrating that patients’ ability to manage diabetes is not determined by a single factor but rather by an integration of psychological readiness, supportive environments, and contextual influences. The findings highlight the importance of designing interventions that are holistic, culturally sensitive, and adaptable to patients’ daily realities. A holistic intervention approach, grounded in the bio-psycho-social and cultural model, is needed to enhance the effectiveness of self-management.Conclusions: Self-management is a crucial component in the management of T2DM. Ineffective implementation may lead to poor disease control and an increased risk of complications. Therefore, understanding the factors influencing self-management is essential for supporting sustainable and independent diabetes care.
Analysis of caregiver behavior in preventing stunting in children Santi, Eka; Firdausi, Rieh; Azlina, Fitri Ayatul; Hasibuan, Nana Astriana; Handayani, Tina
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 13, No 3 (2025)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2025.13(3).299-309

Abstract

Background: Stunting is one of the chronic malnutrition conditions that is a problem in various countries. The impact of stunting will create a generation with a low quality of life in the future. Stunting prevention is important because it will reduce the effects that will occur in terms of cognitive development, intelligence, and health. Caregivers, especially mothers, have a big role in making efforts to prevent stunting in children. Mothers or caregivers play a role in monitoring children's growth and development. Several related factors include knowledge, family support, attitude, and providing complementary foods to support this effort.  Objectives: The purpose of this study is to analyze the relationship between knowledge, family support, attitudes, and the provision of complementary foods to prevent stunting in children. Methods: A quantitative research method with a cross-sectional design in caregivers with 75 family members under five years old in the work area in Health Center. The samples were selected using the purposive sampling technique. Data was collected by questionnaires of knowledge, family support, attitudes, supplementation and stunting risk prevention. Data analysis uses chi square bivariate with a significance level of p < 0.05. Results: The results showed that there was a relationship between knowledge (p=0.008), family support (p=0.014), attitude (p=0.005), complementary feeding (0.002) and stunting prevention. Conclusions: Stunting prevention behavior is an effort made by parents by considering factors from themselves and others, one of which is family support. Caregivers who understand stunting will show attitudes in fulfilling nutrition and monitoring children's growth and development.
Exploring mothers’anxiety experiences and perceptions in accessing mental health support from pregnancy through the first two years postpartum Idealistiana, Lia; Afrianti, Lisa; Afriansih, Luvvia; Riskana, Nesa Pertama; Nurseha, Saripah; Anggraeni, Eli
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 13, No 3 (2025)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2025.13(3).370-387

Abstract

Background: Changes during pregnancy can cause physical and psychological symptoms, such as anxiety. However, many mothers do not undergo mental health condition detection by healthcare professionals, often due to misconceptions or lack of awareness. Objectives: This study aims to analyze the relationship between mothers’ experiences and perceptions in seeking mental health support during pregnancy and up to two years postpartum.Methods: The design of this study is a retrospective cohort. The sample consisted of 249 respondents. The research was conducted in December 2024 at Karang Kitri Public Health Center, Sriamur Public Health Center, and the practices of midwives Luvvia Afriansid, Anita, Hj. Fitri, and Srimahi Public Health Center. The dependent variable was the experience of mental health problems, particularly anxiety, from pregnancy until two years postpartum. Statistical analysis was performed using multivariate logistic regression. Mothers’ perceptions of mental health detection were measured using the Mental Health Seeking Questionnaire, and anxiety levels were assessed using the Hamilton Anxiety Rating Scale (HAM-A). The relationship between the two variables was analyzed using multivariate logistic regression.Results: The analysis showed that prior experience of mental health problems (particularly anxiety) did not significantly affect mothers’ perceptions of the importance of mental health detection (p = 0.142; p > 0.05). However, education level was significantly related to perception (p = 0.023; OR = 0.09), indicating that lower education levels are associated with lower positive perceptions toward mental health detection. Conclusions: The study revealed no significant relationship between maternal anxiety and perceptions of seeking mental health support, as many mothers experiencing moderate to severe anxiety did not recognize their symptoms as a mental health concern or seek professional help
The effect of education using the emo demo ATIKA (Ati Telur Ikan - Liver Egg Fish) method on knowledge about anemia among pregnant women in Bantul Regency Janah, Anisa Laili; Pratiwi, Arantika Meidya; Fatimatasari, Fatimatasari; Lestari, Prasetya; Rafida, Salsabil Priladiya
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 13, No 3 (2025)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2025.13(3).444-455

Abstract

Background: Anemia in pregnant women has remained a global health challenge, with a prevalence of 27.7% in Indonesia (SKI 2023), and the highest number of cases in Bantul Regency was found at Sewon II Public Health Center. Anemia in pregnant women is generally caused by increased requirements for iron, vitamin B12, and folic acid during pregnancy. This condition occurs because the mother's blood volume increases by about 20–30%, so the body needs more hemoglobin, which is formed from these nutrients. Poor nutritional understanding and low adherence to iron tablet consumption were the main contributing factors, thus requiring innovative educational approaches such as the Emo Demo ATIKA method (Liver, Egg, Fish) to raise nutritional awareness among pregnant women. Objectives: to determine the effect of education using the emo demo atika method on knowledge about anemia in pregnant women in Bantul Regency.Methods: This study employed a quasi-experimental design with a pretest-posttest nonequivalent control group involving 86 pregnant women in their second and third trimesters, divided into an intervention group (Emo Demo ATIKA) and a control group (lecture method). Data were analyzed using the Wilcoxon and Mann-Whitney tests. Results: The results showed a significant increase in knowledge in both groups after the education (p = 0.001), with a higher improvement in the intervention group, and a significant difference between the two groups (p = 0.001). Conclusions: Therefore, the Emo Demo ATIKA method was proven to be more effective than conventional method in increasing pregnant women's knowledge about anemia and is recommended as an innovative educational tool in healthcare facilities.
Factors related to picky eating in toddlers: A scoping review Candrasari, Amilia; Lestari, Retno; Hayati, Yati Sri
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 13, No 3 (2025)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2025.13(3).310-323

Abstract

Background: Eating problems are common among children, with approximately 25%-40% of toddlers being picky eaters. During the toddler developmental stage, children experience significant growth processes, and the role of the mother is crucial in ensuring that children are not exposed to nutritional deficiencies. Children's eating patterns begin to form before the age of 3 Many parents and children find this eating skill difficult. Objectives: This study aims to identify the factors associated with the prevalence of picky eating behaviours in toddlers. Methods: This study employs a systematic review approach, conducting a literature search across three databases: Google Scholar, ProQuest, and PubMed. The selection of articles is guided by the PRISMA Flowchart, followed by critical appraisal utilizing the Joanna Briggs Institute (JBI) instrument. The findings indicate that 15 articles relevant to the literature review were identified based on the established inclusion criteria.Results: Upon analyzing the literature, this study concludes that the factors influencing picky eating behaviours are attributed to external factors, specifically parental behaviours, and internal factors related to the child's behaviour. Picky eating, defined as selective eating behaviour, is a prevalent issue often observed in toddlers. This phenomenon can lead to growth disorders and may adversely impact children's nutritional status and overall health in the long termConclusions: Several factors influence the phenomenon of picky eating in children, the most prevalent being insufficient maternal knowledge and the demands placed on working mothers. This phenomenon can lead to growth disorders and may adversely impact children's nutritional status and overall health in the long term.

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