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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).
Arjuna Subject : -
Articles 449 Documents
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Effect of rolling massage and ST-18 acupressure on breast milk production and decrease in fundal height Sri Rahayu; Umaroh Umaroh
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 10, No 2 (2022)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2022.10(2).142-150

Abstract

Background: Breast milk production and secretion are affected by the prolactin reflex and let-down reflex. One of the problems to increase breast milk production is by rolling massage and ST-18 acupressure. ST-18 point (Ru Gen) is located lateral to the breast, 4 fingers below the nipple, and can increase blood circulation which can stimulate the alveolus to contract so that breast milk is secreted towards the nipple A previous study stated that postpartum mothers were given puerperal exercise and acupressure on the second, fourth, and seventh days after giving birth both increased milk production, but the acupressure group was higher than the postpartum exercise groupObjectives: The purpose of this study was to determine the effect of rolling massage and ST-18 acupressure on breast milk production and fundal height decrease of postpartum women.Methods: This study was an quasi experimental study. The study design was Randomized Control Group with Pre-Test and Post-Test. The population were all postpartum women in the Community Health Centers in Semarang who were assigned to 16 respondents in the treatment group and 16 respondents in the control group, collected by cluster random sampling. After obtaining consent from the respondents, the researchers began to make the pre-test on the fundal height and breast milk production in the treatment group and the control group, then post-test after 3 days of treatment. Data were analyzed by Independent t test and Mann Whitney test.Results: Characteristics of respondents in both groups showed that most of respondents aged 27.9 years, were primiparous women and had good nutritional status. The mean of increase in breast milk production were assessed from infant weight gain before and after treatment from 3117.8 grams to 3254 grams. There was a difference in breast milk production in the treatment and control group with the p value of 0.0001, and there was no difference in the decrease in fundal height in the two groups (p value=3.91), however the decrease in fundal height in the treatment group was faster than the control group which was 3.91 cm.Conclusions: The need for midwives to provide midwifery care to postpartum women in a holistic and comprehensive manner, for example in the form of rolling massage and acupressure on ST-18 point.
Relationship between emotional regulation and anxiety among nurses during the Covid-19 pandemic Arif Rakhman; Anisa Oktiawati; Khodijah Khodijah
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 10, No 2 (2022)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2022.10(2).158-163

Abstract

Background: The Coronavirus Disease (COVID-19) outbreak occurred in almost all of countries. This phenomenon causes changes in various aspects of life, such as health, economic, social, psychological, cultural, and more. Psychological responses experienced by health workers are the feelings of anxiety about their health and the spread of the virus to their families. Hence, nurses need to understand the problems that being faced, therefore they have no difficulties in recognizing their emotions. The ability of nurses to regulate their emotions is needed to focus on dealing with a problem.Objectives: This study aims to determine the relationship between emotional regulation and anxiety among nurses during the COVID-19 pandemic. Methods: This is quantitative research with a descriptive correlation design and a cross sectional approach. The sampling technique that used was accidental sampling with a total of 202 respondents, which was carried out during July 2020. Respondents filled out questionnaires that given by the researcher trough online google form. The research instruments used were Emotion Regulation Questionnaire (ERQ) and anxiety questionnaire with Coronavirus Anxiety Scale (CAS)Results: The results of the pearson product moment analysis obtained that p-value is 0.007 < 0.05. It can be concluded that there is a relationship between emotional regulation and anxiety among nurses during the COVID-19 pandemic.Conclusions : Nurses who have good emotional regulation skills will not experience anxiety during the COVID-19 pandemic. Nurses are expected to be able to control their emotions, so they can recognize problems and determine appropriate actions, so that anxiety does not occur.
Relationship of coping strategies with resilience, self-efficiency, and anxiety in the new normal period of the covid-19 pandemic on Teenagers In Kupang City Antonia Helena Hamu; Sabinus Bunga Ama Kedang; Antonius Rino Vanchapo
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 10, No 3 (2022)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2022.10(3).198-204

Abstract

Background: The COVID-19 pandemic has caused everyone to feel anxious. The government has made several preventive strategies to inhibit the spread of the virus through social distancing, physical distancing, and the stay at home order which lead to the decreasing access to family, friends, and other social support systems and causing loneliness and increasing psychological problems such as anxiety and depression. Thus, everyone, especially teenagers, are expected to be able to adapt to the new habits (the new normal) in carrying out healthy and clean-living behaviour. Those who are prone to COVID-19 gradually develop adaptive and functional skills and competencies, and build a self-identity that can prepare themselves to carry out their roles and respond to societal expectations as they mature, which can also be regarded as a period of storms and stress. Objectives: Is to identify the relationship of coping strategies with resilience and anxiety in the transition to the new normal during the COVID-19 pandemic on teenagers in Kupang City. Methods: The research design used in this study was cross-sectional. The sample in this study was 147 measured using the inclusion and exclusion criteria that had been set. Meanwhile, the inclusion criteria in this study were as follows: domiciled in Kupang City, have stayed in Kupang for more than 3 years, aged over 15-19, and class VII of junior high school. The measuring instrument used in this study is the Ways of Coping questionnaire from Folkman to measure coping strategies, the self-rating anxiety scale (SRAS) questionnaire from Zung to measure anxiety, and the Gartland Questionnaire to measure resilience. The data analysis was conducted by using Chi Square test. Results:The results showed p-value < 0.05 was a relationship of coping strategies with self-efficacy and anxiety on junior high school teenagers in Kupang City. Conclusions: Coping strategies have a very significant relationship with self-efficacy and anxiety in adolescents. Adolescents who have good coping strategies have good self-efficacy during the new normal era. This is also similar to anxiety, adolescents who have good coping strategies have low anxiety.
The effect of transcutaneous electrical nerve stimulation (TENS) on decreasing primary dysmenorrhea pain in adolescents Nur Rahmawati Sholihah; Ratih Kumorojati
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 10, No 3 (2022)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2022.10(3).251-261

Abstract

Background: Dysmenorrhea is medical condition indicated by an increase of the prostaglandin (PG) F2-alpha hormone and cyclooxygenase (COX-2) causing hypertonic as well as vasoconstriction activity to the myometrium. It leads to ischemia and stimulating pain in the uterine organs. The condition influence quality of life and productivity of majority female patients. Dysmenorrhea incidence in Indonesia is reported by 64.25% and a total of 52% of students in Yogyakarta experienced drop activity during menstruation. Objectives: This study aimed to evaluate the effect of TENS in reducing primary dysmenorrhea pain among female adolescents in General Ahmad Yani University YogyakartaMethods: A quasi experiment study with pretest-posttest control group design was conducted. A total of 24 participants for intervention and control group were recruited. In order to recruit study participants, this research implemented a quota sampling approach. Primary dysmenorrhea pain measured using Numerical Rating Scale (NRS) and bivariate analysis between both groups carried out using T-test.Results: A significant difference (p<0.05) reported from both groups before and after the intervention. Prior to the treatment, the average pain score for intervention group was 6 (1.70) and ranging from 4-10. After the treatment being delivered, the intervention group experienced lower pain intensity by average 3.42 (1.6) between 1-6 score range. Control group in this study reported average pain score before the intervention by 4 (1.16) with and ranging from 3-6. The treatment decreased control group participants pain level to average 1.50 (0.52) between the range of 1-2. TENS is effective for severe pain management. Effleurage massage suitable for moderate level pain management. TENS intervention effective to lower pain by 3.50%.Conclusions: TENS and massage intervention potential to decrease pain intensity of primary dysmenorrhea. This study reported lower pain level associated with TENS by 3.50%. TENS had significant effect for reducing dysmenorrhea pain by 3.50%.
Factors related to childbirth self-efficacy among primigravida in Yogyakarta Muafiqoh Dwiarini
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 10, No 2 (2022)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2022.10(2).151-157

Abstract

Background : Childbirth self-efficacy refers to a woman's self-confidence in herability to cope with labor and contributes significantly to her perception of pain during labor. Mothers with low self-efficacy felt nervous, felt they lacked strength, and expressed more fear, so that the labor process did not go smoothly and lasted longer, causing greater pain for both the mother and baby. Pregnant women with high childbirth self-efficacy had higher intention to attempt vaginal birth, while those choosing caesarean had lower self-efficacy beliefs. Objectives : This study was to determine factors related childbirth self-efficacy among primigravida. Methods : This study used analytic observational method with cross sectional design. This research was conducted at Community Health Centers and two maternity clinics in Yogyakarta with 112 sample pregnant woman. They were recruited using a purposive sampling technique based on the criteria. The study used Childbirth Self-Efficacy (CBSEI) scale, the Fear of Childbirth (FOC) scale, and demographic data questionnaires. The independent sample t-test, ANOVA, pearson’s correlation coefficient, to determine the factors related childbirth self-efficacy. Results : The results of this study indicate that the factors associated with childbirth self-efficacy were antenatal class and prenatal yoga with a p value of 0.000 (p <0.05). In addition, there is a significant negative correlation between childbirth self-efficacy and fear of childbirth (r = -.34, p < .01). In other words, pregnant women with higher childbirth self-efficacy meant less fear of childbirth.Conclusions: Factors related childbirth self-efficacy were antenatal class, prenatal yoga, and fear of childbirth. The results of this study provided a better understanding of factors related childbirth self-efficacy. Based on the results, strategies to increase childbirth self-efficacy should focus on decreasing the level of fear of childbirth, which can be done by attending prenatal education and doing prenatal yoga. 
Psychoeducation in impproving psychological support for caregiver of chilhood cancer: literature review Laila Nidaul Hasanah; Allenidekania Allenidekania
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 10, No 2 (2022)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2022.10(2).170-178

Abstract

Background: Cancer is one of the main causes of death in the world, especially in developing countries. Cancer is not only a problem for adults but also a major health problem in children. Cancer in children is a chronic disease and responds to parents/caregivers. Psychological and emotional responses cause psychological problems and stress in parents/caregivers. One of the interventions to reduce psychological problems is psychoeducation. Family psychoeducation is a  modality of therapy with the focus of treatment on the family. Objectives: To know various psycho-educational techniques and their impact on increasing caregiver psychological support Methods: The research method used is a literature review using the Proquest, Pubmed, Google Scholar, and Science Direct databases, with the keywords caregiver or parent or family and pediatric cancer or childhood cancer and psychoeducation or psychosocial and psychological support. Results: This study provides diversity in providing psychoeducation to caregivers with cancer children. Various techniques are used in the form of positive thinking, cognitive therapy, and brief therapy, educational and psychosocial techniques. The various techniques used have a positive impact on reducing anxiety, depression, stress, and trauma, improving coping strategies and quality of life, and increasing family resilience.Conclusions: Psychoeducation is a nursing intervention that can be given to caregivers with childhood cancer. Psychoeducation is given to caregivers to improve the ability to care for patients and increase psychological support.
The inclination of psychological disorder of post sectio caesarean based on characteristic Ni Wayan Dewi Purwanti; Ni Komang Erny Astiti; I G A A Novya Dewi; I Nyoman Hariyasa Sanjaya; I Nyoman Wirata; G. A Eka Utarini
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 10, No 3 (2022)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2022.10(3).205-213

Abstract

Background: Psychological problems in postpartum mothers, both vaginal postpartum and post SC, can have a negative impact on the cognitive development of babies and can reduce maternal and infant bonding. Post SC have a risk of postpartum depression four times greater than mothers with vaginal deliveries. However, previous studies looked at postpartum mothers in general, not specifically in post-SC who had a higher risk. Research related to early detection of the risk of post-SC psychological disorders is quite limited.  The prevalence of mothers with postpartum depression symptoms in Denpasar in 2019 was 25.4%. Early detection can be done using the Edinburgh Postpartum Depression Scale (EPDS).Objectives: The aims of this research to identify the psychology of post SC mothers based on characteristics including age, race/ethnicity, last education, income, pregnancy status, parity, living with a nuclear or large family, lactation problems, and type of SC in the Dr.dr. I Nyoman Hariyasa Sanjaya,SpOG(K)-KFM.MARS 2022.Methods: Descriptive research design with a cross-sectional subject approach model. The sample of this research is 34 samples with the Consecutive Sampling technique. Types of primary data taken by EPDS and characteristic questionnaire. This study uses quantitative descriptive univariate analysis.Results: The prevalence of Post SC which indicates a psychological disorder is 44.12%. Post SC which indicates more psychological disorders are mothers with a productive age range of 20-35 years by 26.47%, Asian race 41.18%, higher education level which is 38.24%, very high revenue 38.24%, desired pregnancies status 35.29%, 29.41% multiparas, 23.53% mothers living with large families, 38.24% experiencing lactation problems, and 26,47% elective SC types.Conclusions: This study found that 44.12% of Post SC indicated experiencing psychological disorders, the majority were Post SC at the age of 20-35 years, Asian race, good education, very high revenue, desired pregnancy status, multipara, mothers living with large families, mothers with lactation problems, and elective cesarean section. The environment and health workers can conduct screening as early as possible so that the impact of this psychological disorder can be prevented.
The Correlation between Pregnant Women with COVID-19 and Mode of Delivery Taufik Rahman; Fatimah Fatimah; Sundari Mulyaningsih; Dyah Pradnya Paramita; Prasetya Lestari; Amanah Rahma Delia
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 10, No 3 (2022)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2022.10(3).262-271

Abstract

Background: COVID-19 is a virus caused by the Severe Acute Respiratory Coronavirus 2 (SARS-CoV-2). Pregnant women with COVID-19 will likely pose a greater risk compared to nonpregnant women. The Indonesian Society of Obstetrics and Gynecology Association (ISOG) stated that 13.7% of pregnant women are more susceptible to COVID-19. In the maternity management of mothers with COVID-19, the management for the mother and her child should be comprehended.Objectives: This research aims to determine the relationship between the characteristics of pregnant women with COVID-19 with the current mode of delivery at Bagas Waras Hospital, Klaten.Methods: This is quantitative analytical research conducted using a retrospective study approach. The population was maternity mothers with COVID-19 at Bagas Waras Hospital. The sampling method used was non-probability with purposive sampling technique. The statistical test was performed using Spearman’s rho.Results: Most respondents (82%) were in healthy reproductive age, 54.6% were housewives, 80% were in A term gestational age, 63.4% had multigravida, 95.1% had no more than 2 children, and 83.1% underwent sectio caesarea. The analysis showed correlation between maternal age and history of pregnancy (adequate p-value; r = 0.323), between pregnancy history and the number of children (r = 0.259), and between the number of children and the age of the mother (r = 353). Meanwhile, there was no relationship between mothers’ characteristics and the mode of delivery.Conclusion: There was significant relationship between the characteristics of pregnant women with COVID-19 and the current mode of delivery at the Bagas Waras Hospital.
Phenomenological study: parenting experiences by mothers of domestic violence victims Indah Rizky Valiant; Elsye Maria Rosa
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 10, No 2 (2022)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2022.10(2).102-109

Abstract

Background: Domestic violence (DV) is a health problem that often occurs in women in the community. Violence that is often experienced by women is physical violence, psychological violence and sexual violence. Domestic violence has a negative impact on women, namely a decrease in health status and mental disorders. Women who are victims of domestic violence who have mental health problems are at risk of causing child rearing disorders. Objectives: The purpose of this study was to explore the experience of parenting by mothers of domestic violence victims. Methods: This study uses a qualitative method with a phenomenological approach. The data collection process was carried out using a semi-structured interview method. The sampling technique used snowball sampling. The characteristics of the participants in this study were women who were victims of domestic violence who had children who were still married or divorced. The participants in this study were 7 women victims of domestic violence who had children. The data analysis used is thematic analysis using Nvivo 12 software. Results: There are 4 main themes in this study. The themes raised were causes of domestic violence (financial quarrel and cheating husband), the role of parenting by mothers of domestic violence victims, fulfilling the psychological needs of children by mothers of domestic violence victims, and the application of rules and punishments for children by mothers of domestic violence victims. Conclusions: This study concludes that mothers who are victims of domestic violence continue to provide positive parenting for their children by taking care of their children, meeting their needs and guiding their children. Health services need to develop a screening program for victims of domestic violence to detect cases of domestic violence in the community. Programs for developing parenting patterns or good parent-child relationships also need to be carried out, especially for families at risk or experiencing domestic violence so that mothers of domestic violence victims continue to provide positive parenting  for their children.
Relationship of comorbid factors diabetes mellitus with oxygen saturation (SaO2) among people with Covid-19 in the Quarantine House M. Hanif Prasetya Adhi; Endiyono Endiyono
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 10, No 2 (2022)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2022.10(2).124-131

Abstract

Background: The Covid-19 has infected a hundred people countries, in Indonesia at 8.9%, this figure is the highest in Southeast Asia. The phenomenon, shows that nursing volunteers who work in quarantine place for Covid-19 patients not maintenance to screen of SaO2 value of Covid-19 patients, even though the impact of happy hypoxia on mortality will be high if the oxygen saturation value is below the normal value. Comorbid factors, Diabetes Mellitus can worsen the physical condition and clinical assessment thereby increasing mortality.Objectives: The purpose of research to determine the relationship between age, gender, and comorbid factors with the value of oxygen saturation (SaO2) in Covid-19 patients at the Baturaden Quarantine Place. Methods: This study is a quantitative study using an analytical observational method with a crossectional approach. The sample in this study used random sampling of 93 respondents with the Fisher Exact test.Results: The results of this study, fisher exact test obtained with a p-value = 0.007, there is a relationship between the respondent's comorbidity factor and SaO2 in patients with confirmed COVID-19. Respondents with 95-100% SaO2 who have comorbid factors as many as 20 respondents (21.5%) are fewer than respondents who do not have comorbid factors as many as 29 respondents (30.5%). Blood glucose levels can increase viral replication and suppress the antiviral immune response. This causes DM patients to be more likely to be malnourished and susceptible to cytokine storms that cause a rapid deterioration of clinical conditions compared to non-diabetic patients.Conclusions: The comorbid factors will increase mortality of COVID-19 patients due to risk factors, comorbid of diabetes mellitus factors, with COVID-19 associated with advanced age, obesity, chronic systemic inflammation, increased coagulation, which can significantly increase blood pressure, indirectly lead to more severe complications due to COVID-19.

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