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Improving self-care behavior knowledge in hypertensive patients through jigsaw learning and educational booklets: A quasi-experimental study Muhammad Anwar Haﬁd; Al-Fisyah, Dina
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol. 14 No. 1 (2026)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2026.14(1).147-162

Background: Hypertension remains a major global health problem with a high prevalence rate, necessitating effective educational strategies to improve patient self-care behaviors to prevent cardiovascular complications and premature death. Objectives: This study aims to analyze the effect of healthy lifestyle education using the Jigsaw method through a booklet medium on improving self-care behavior knowledge in hypertensive patients. Methods: A quasi-experimental design with a pretest-posttest control group approach was used, involving 58 hypertensive patients in the Benteng Community Health Center working area who were randomly allocated into the intervention and control groups. Data were collected using a hypertension self-care knowledge questionnaire consisting of 24 questions covering six important aspects and analyzed using the Cochran test to evaluate the effect of the intervention. Results: The results showed a significant difference between the intervention and control groups with a p-value of 0.000 (p < 0.05), indicating that the intervention group experienced a greater increase in self-care behavior knowledge. The intervention group showed a significantly higher increase in mean knowledge scores across all self-care domains compared to the control group, underscoring the superior effectiveness of the collaborative Jigsaw strategy in enhancing deeper understanding and knowledge retention. Conclusions: These findings indicate that the Jigsaw method is effective in improving patient understanding and empowerment in hypertension management. This study advocates the integration of a patient-centered peer-teaching approach into routine primary healthcare to optimize self-management and clinical outcomes in chronic disease care

Positive effect of chewing gum on the recovery of intestinal peristalsis in post-laparotomy patients : pre-experimental study Widiyono; Ranti Ningsih Sumarni; Anik Suwarni; Sulomo
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol. 14 No. 1 (2026)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2026.14(1).177-188

Background: Laparotomy is an invasive treatment that involves surgery on the lining of the abdominal wall. The effect of laparotomy using general anesthesia is gastrointestinal motility and vomiting, and if it lasts more than 24 hours, and causes postoperative ileus (IPO). Chewing gum is a form of artificial feeding to stimulate the intestinal recovery process after surgery. A preliminary study at Waras Wiris Regional Hospital in Boyolali revealed that there were cases of post-appendectomy patients who experienced decreased or no increase in intestinal peristalsis.Various efforts are needed to accelerate the return of intestinal peristalsis in post laparotomy patients to accelerate flatus time, including developing independent nursing interventions for chewing gum. Objectives: This research examined how chewing gum affected intestinal peristalsis in Waras Wiris Hospital post-laparotomy patients. Methods: This quantitative pre-experimental research used a one-group pre- and post-test design. This research sampled 90 postoperative laparotomy patients using purposive sampling. Instruments included a stethoscope, Xylitol gum and observation sheets. All respondents were monitored regularly until they were discharged from the hospital, and the time until the first bowel sound was heard normal bowel sounds, the time until the first gas was passed, the time until the first feeling of hunger, and the time until the first defecation were documented. Surgical data, tolerance of chewing gum after surgery, and postoperative complications was recorded. Data analysis has used the paired t-test. Results: The average value (mean) of digestive peristalsis increased from 0.001 to 16.27 following the intervention. Chewing gum affects intestinal peristalsis in post-laparotomy patients, according to the paired t-test, which had p value of 0.001. Meaning there is an effect of chewing gum on restoration of intestinal peristalsis. Conclusions: Chewing gum may boost intestinal peristalsis after laparotomy

The correlation between career ladder implementation and nurse job satisfaction in Y Hospital, Kuningan: A cross-sectional study Rusmianingsih, Nining; Noviani, Rinda Virgin
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol. 14 No. 1 (2026)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2026.14(1).163-176

Background: In healthcare systems worldwide, the implementation of structured career advancement mechanisms such as career ladders has been increasingly recognized as essential to ensuring workforce motivation, retention, and quality of care. However, empirical evidence on how these systems are perceived and their impact on nurses’ job satisfaction particularly in decentralized or resource-constrained hospital settings remains limited. Objectives: This study aimed to examine the correlation between nurses’ perceptions of career ladder implementation and their reported levels of job satisfaction. It specifically tested the hypothesis that a positive perception of the career ladder system is significantly associated with higher job satisfaction among nurses. Methods: Using a quantitative correlational cross-sectional design, the study surveyed 100 registered nurses selected via total sampling. Validated questionnaires were employed to measure two key constructs: perceived implementation of the career ladder system and levels of job satisfaction. Data were analyzed using descriptive statistics, cross-tabulation, and chi-square testing to determine the strength and direction of associations between variables. Results: Results indicate that most nurses were positioned at Career Level III (49%). While 54% perceived the career ladder implementation as effective, 46% did not. Job satisfaction was reported by 65% of participants. Notably, there was a statistically significant correlation (p = 0.000) between positive perceptions of career ladder implementation and job satisfaction: 81.5% of nurses with positive perceptions reported satisfaction, compared to only 45.7% among those with negative views. These findings affirm international research highlighting that clear, well-communicated, and equitable career structures foster motivation, retention, and satisfaction among healthcare staff. Conclusions: The findings suggest that the presence of a career ladder system alone is insufficient. Effective implementation supported by institutional leadership, transparent communication, and staff engagement is critical to realizing its benefits.

Risk factors of neonatal mortality in Jember Regency, Indonesia: A case-control study Alvianto, Muhammad Azirul Afif; Kusumawardani, Devi Arine; Baroya, Ni'mal
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol. 14 No. 1 (2026)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2026.14(1).126-146

Background: Neonatal mortality constitutes most infant deaths in Indonesia, influenced by maternal and infant factors, smoking exposure levels during pregnancy, and the seeking of health services. Objectives: The study aimed to determine risk factors associated with neonatal mortality in Jember Regency. Methods: This observational analytical study employed a case-control design, with 42 cases and 42 controls selected by simple random sampling. Data collection used a documentation study to obtain maternal and infant characteristics, and maternal cigarette smoke exposure level was assessed using a direct interview SHSES questionnaire. Results: Mostly the age of mothers from case and control 20-35 years, gestational age 37-42 weeks, upper arm circumference ≥23.5 cm, not anemic, parity 2-4, experiencing complications, heavy exposure to cigarette smoke, birth spacing 24-60 months, birth weight <2500 & >4000 grams, inappropriate ANC, delivery assisted by health workers in health care facilities, and using the abdominal delivery method. Preterm and postterm delivery increased neonatal death risk 3.5 times (OR =3.511; 95% CI = 1.316-9.364), maternal or infant complications increased risk 4.2 times (OR = 4.200; 95% CI = 2.445-7.214), extreme birth weight increased risk 4.4 times (OR = 4.462; 95% CI = 1.785-11.154), and the vaginal delivery method is 0.194 times (OR = 0.194; 95% CI = 0.073-0.518) more protective than the abdominal delivery method. Conclusions: Preterm and post-term birth, maternal and neonatal complications, extreme birth weight, and abdominal delivery were associated with neonatal mortality. Strengthening early risk detection and antenatal care quality to prevent complications, optimize birth outcomes, and improve referral coordination to support targeted neonatal mortality reduction strategies.

Which one is more effective? Abdominal stretching exercise or knee to chest exercise reduce dysmenorrhea in adolescent girls Asmawati; Elly, Nur; Gunanto, Anisa Khamillah
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol. 14 No. 1 (2026)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2026.14(1).111-125

Background: Stunting continues to pose a significant public health challenge in Indonesia, particularly in regions such as Pajangan, Bantul Regency. The condition stems not only from poverty but also from inadequate dietary practices and a lack of nutritional awareness. The Modified Diet Skim Milk Sugar Cotton Seed (Modisco) formula presents a viable alternative for stunted toddlers. Objectives: This study aimed to assess the impact of Modisco, a high-calorie oral supplement, on improving the weight and height of stunted toddlers. Methods: A quasi-experimental study with a pretest-posttest control group design was conducted involving 20 stunted children aged 2 to 5 years, selected using purposive sampling. Participants were evenly divided into two groups an intervention group that received daily Modisco supplementation for 14 days, and a control group that did not receive any treatment. Results: The Modisco intervention produced significant improvements in both weight and height among stunted toddlers. The intervention group gained an average of 0.48 kg, while the control group showed no meaningful increase (p=0.004). Height improved by 1.84 cm in the intervention group, whereas the control group experienced a slight decline of 0.30 cm (p=0.001). Analyses within and between groups confirmed consistent, statistically significant changes following the 14-day supplementation. These findings indicate that Modisco effectively supports short-term nutritional recovery and promotes linear growth. Overall, the intervention demonstrated clear benefits in enhancing growth outcomes compared with the control group. Conclusions: These findings suggest that Modisco supplementation can effectively promote physical growth in stunted toddlers within a short timeframe. As such, it holds potential as a cost-effective and practical approach for stunting intervention programs at the community level.

Effectiveness of modisco supplementation in improving weight and height of stunted children: A quasi-experimental Maryati, Siti; Budi Punjastuti; Laily Mualifah
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol. 14 No. 1 (2026)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2026.14(1).101-110

Background: Stunting continues to pose a significant public health challenge in Indonesia, particularly in regions such as Pajangan, Bantul Regency. The condition stems not only from poverty but also from inadequate dietary practices and a lack of nutritional awareness. The Modified Diet Skim Milk Sugar Cotton Seed (Modisco) formula presents a viable alternative for stunted toddlers. Objectives: This study aimed to assess the impact of Modisco, a high-calorie oral supplement, on improving the weight and height of stunted toddlers. Methods: A quasi-experimental study with a pretest-posttest control group design was conducted involving 20 stunted children aged 2 to 5 years, selected using purposive sampling. Participants were evenly divided into two groups an intervention group that received daily Modisco supplementation for 14 days, and a control group that did not receive any treatment. Results: The Modisco intervention produced significant improvements in both weight and height among stunted toddlers. The intervention group gained an average of 0.48 kg, while the control group showed no meaningful increase (p=0.004). Height improved by 1.84 cm in the intervention group, whereas the control group experienced a slight decline of 0.30 cm (p=0.001). Analyses within and between groups confirmed consistent, statistically significant changes following the 14-day supplementation. These findings indicate that Modisco effectively supports short-term nutritional recovery and promotes linear growth. Overall, the intervention demonstrated clear benefits in enhancing growth outcomes compared with the control group. Conclusions: These findings suggest that Modisco supplementation can effectively promote physical growth in stunted toddlers within a short timeframe. As such, it holds potential as a cost-effective and practical approach for stunting intervention programs at the community level.

Information exposure, anemia perceptions, and parental roles in iron consumption compliance among adolescent girls Setyorini, Retno Heru; Susanto, Agus; Revika, Era
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol. 14 No. 1 (2026)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2026.14(1).1-16

Background: Iron deficiency anemia remains a common public health problem among adolescent girls, negatively impacting physical development, cognitive performance, and productivity. Although iron supplementation programs have been widely implemented, compliance with iron tablet consumption is still suboptimal. Objective: This study aims to identify factors associated with compliance with iron consumption among adolescent girls, including knowledge of anemia symptoms, exposure to information about anemia, exposure to information about iron tablets, adolescent girls' perceptions of the impact of anemia on pregnancy and childbirth, acceptance of iron tablets, and parental awareness of the iron tablet program, and parental support for adolescent girls. Methods: This study is a cross-sectional survey study conducted from June to August 2024 in Bantul Regency, Special Region of Yogyakarta, involving 384 adolescent girls selected using stratified random sampling. Data were collected through a structured questionnaire and analyzed using the chi-square test and logistic regression. Results: Bivariate analysis showed a significant association between adherence and acceptance of iron consumption (p = 0.000), parental awareness (p = 0.020), perception of the impact of anemia (p = 0.014), exposure to information about anemia (p = 0.040), and iron tablets (p = 0.029). Logistic regression revealed that the main predictors of adherence included acceptance of iron supplements (OR = 3.911; 95% CI: 1.938–8.218), parental awareness (OR = 1.925; 95% CI: 1.068–3.471), perception of the impact of anemia (OR = 1.742; 95% CI: 1.138–2.669), and exposure to information about iron tablets (OR = 1.633; 95% CI: 1.062-2.510). Conclusion: Although exposure to information was not statistically significant in multivariate analysis, it showed a positive trend. These findings highlight the importance of increasing adolescent acceptance, improving perception of the consequences of anemia, and increasing parental involvement to support iron supplementation adherence.

Influence of dietary patterns and stress on gastritis among adolescents in Sukabumi Yulianti, Yeni; Tresnawan, Teten; R. Bayu Kusumah
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol. 14 No. 1 (2026)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2026.14(1).29-43

Background: : Gastritis, characterized by inflammation of the stomach lining, poses a significant health challenge among adolescents, often exacerbated by modifiable risk factors including unhealthy dietary patterns, chronic stress, limited health literacy, and insufficient family support. In urban settings like Sukabumi City, Indonesia, adolescents face heightened vulnerability due to lifestyle shifts, academic pressures, and irregular eating habits, leading to prevalent symptoms such as epigastric pain, nausea, and dyspepsia. Despite its commonality, few studies have systematically analyzed the interplay of these factors in this demographic, underscoring the need for targeted correlational research to inform preventive strategies in nursing education and public health. Objectives: This study aimed to analyze the factors influencing gastritis incidence among adolescents in Sukabumi City, with a focus on diet, stress, health knowledge, and family support. Methods: Employing a correlational design with a cross-sectional approach, the research involved 105 adolescents aged 12-18 years, selected via proportionate random sampling from local schools. Data were gathered using a validated questionnaire assessing dietary habits (e.g., meal frequency and food choices), stress levels (via perceived stress scales), knowledge of gastritis prevention, and family support metrics. Statistical analysis included chi-square tests and logistic regression to determine associations (p<0.05 significance). Results: Approximately 65% of respondents exhibited gastritis symptoms, with psychosocial factors—particularly high stress (OR=2.8, p=0.002) and irregular eating (OR=3.1, p<0.001)—emerging as significant predictors. Family support and health knowledge showed no statistically significant impact (p>0.05). Conclusions: Stress and poor dietary habits are primary drivers of gastritis in adolescents. Nursing-led interventions, including school-based education on stress management and nutrition, are crucial for mitigation

Maternal BMI and pregnancy outcomes: An analytical basis for health promotion strategies Mindarsih, Eko; Dewi Setyaningsih; Heny Noor Wijayanti; Suwarsi; Santi Susanti
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol. 14 No. 1 (2026)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2026.14(1).17-28

Background: The nutritional status of pregnant women, as assessed by Body Mass Index (BMI), plays a crucial role in influencing the process and outcomes of childbirth. BMI is used as an indicator of maternal nutritional status, categorized as underweight (<18.5), normal (18.5–24.9), and overweight (≥25). BMI has been shown to be associated with various maternal complications. Although BMI demonstrates a significant impact on maternal outcomes, further research is needed to serve as a basis for health promotion strategies in antenatal care services. Objective: This study aims to analyze the relationship between maternal BMI and pregnancy outcomes, and to establish an analytical basis for health promotion strategies. Methods: This study used an observational analytical design with a cross-sectional approach and was conducted in the working area of Ngemplak I Health Center, Sleman, Special Region of Yogyakarta. The research sample was 98 pregnant women who met the inclusion criteria, selected using a purposive sampling technique. Data were collected through questionnaires sourced from the KIA book, then analyzed using the Chi-Square test with a significance level of p <0.05. Results: The study showed a significant relationship between maternal BMI and type of delivery (p = 0.037), while no significant associations were found with hemorrhage (p = 0.620), premature labor (p = 0.820), and prolonged labor (p = 0.825). Conclusion: There is a significant relationship between maternal nutritional status based on BMI and the type of delivery. However, no significant relationship was observed with hemorrhage, premature labor, or prolonged labor. These findings can serve as a basis for health promotion strategies, particularly in nutritional education during pregnancy to prevent delivery complications

Respiratory muscle stretching exercises improve oxygen saturation in post-extubation patients Putra, Putu Wira Kusuma; Ni Putu Eka Yuliati; I Putu Santika
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol. 14 No. 1 (2026)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2026.14(1).73-87

Background: Post-extubation patients frequently experience compromised respiratory function due to ventilator-induced diaphragmatic dysfunction (VIDD) and respiratory muscle fatigue resulting from prolonged mechanical ventilation and sedation effects. This condition manifests as decreased vital lung capacity and reduced oxygen saturation, significantly increasing the risk of extubation failure. The global extubation failure rate ranges from 10-20% in adult ICU populations, with reintubation carrying substantially higher mortality risk. Objective: To determine the effect of respiratory muscle stretching exercises on oxygen saturation in post-extubation patients in the Intensive Care Unit of Bali Mandara General Hospital. Methods: A quasi-experimental study with non-equivalent control group design was conducted from January to May 2025. The sample consisted of 38 post-extubation patients divided into treatment group (n=19) and control group (n=19) through purposive sampling technique. The treatment group received respiratory muscle stretching exercises targeting diaphragm, intercostal, and accessory respiratory muscles for 2 consecutive days with a frequency of 2 times daily (15-20 minutes per session), while the control group received standard care. Results: The treatment group demonstrated significant improvement in oxygen saturation from baseline 92.11±1.853% to post-intervention 96.84±1.119% (mean change 4.73±1.593%, 95% CI: 3.96-5.50, p<0.001). In contrast, the control group showed only minimal non-significant change from 92.42±1.465% to 92.79±1.357% (mean change 0.37±1.342%, 95% CI: -0.29-1.03, p=0.175). The between-group difference in oxygen saturation improvement was statistically significant (4.36%, 95% CI: 3.378-5.342, p<0.001) with large effect size (Cohen’s d=2.18). All participants tolerated the intervention well with no adverse events reported, and subgroup analysis revealed greater benefit in patients with longer mechanical ventilation duration (>5 days). Conclusions: Respiratory muscle stretching exercises are highly effective in improving oxygen saturation in post-extubation patients and can be implemented as a safe, cost-effective nursing protocol to prevent post-extubation complications and reduce extubation failure rates in ICU settings..

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Location Kab. bantul, Daerah istimewa yogyakarta INDONESIA

Abstract

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Contact Name
-

Contact Email
-

Phone
-

Journal Mail Official
-

Editorial Address
-

Location
Kab. bantul,

Daerah istimewa yogyakarta

INDONESIA