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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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Hope and psychological well-being after 5 years become breast cancer survivors: a Qualitative Study Yesiana Dwi Wahyu Werdani; Arief Widya Prasetya
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).179-189

Abstract

 Background: Cancer is perceived as a deadly disease for most people, it will affect the hope and psychological well-being of long-term cancer survivors. Objectives: This study aimed to explore changes in hope and psychological well-being after 5 years become breast cancer survivors. Methods: This was a qualitative study with a phenomenological design. Samples were 23 breast cancer survivors in three health centers in Surabaya Indonesia taken by purposive sampling technique based on inclusion criteria. An in-depth interview was done when collecting the data. The interview was recorded with the permission of the participants. The data were inductively analyzed through conventional content analysis. Results: The participant has an age range of 41 – 70 years old, and most of them are no longer working since being diagnosed with cancer. This study found 4 themes consisting of the first theme was positive hope about cancer with 3 sub-themes: hope to recover, hope no recurrence occurs, and hope to be healthier, the second theme was a good future with 3 sub-themes: long life, back to work, and optimism, the third theme was positive psychological well-being with 3 sub-themes: positive thinking, self-control ability, happy feeling, the last theme was a close relationship with God with 2 sub-themes: grateful and pray, repentance. Conclusions: Breast cancer survivors who have been diagnosed for more than 5 years and have completed cancer therapy had a positive hope to recover, are optimistic about the future and are closer to God, this encourages the achievement of positive psychological well-being.
Unintended pregnancy and antenatal care behavior in Indonesia Lorensia Panselina Widowati; Rita Damayanti
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).214-223

Abstract

Background: One in four mothers experience unwanted pregnancy. It causes great risks for mothers and children, such as malnutrition, neglected, violence and even death. During pregnancy, a woman is expected to take the initiative and change her behavior by taking adequate care. Antenatal care is a part of maternal and child health services that are vital in early detection and monitoring of fetal well-being as an efforts to improve the health of mothers and babies during pregnancy, childbirth and postpartum. The mother's intention towards her pregnancy, whether desired or not, is related to the mother's behavior during pregnancy. Unintended pregnancy can obstruct the achievement of adequate antenatal care..Objectives: This study aims to determine the relationship between unintended pregnancy and antenatal care behaviorMethods: This study used a cross-sectional design with the secondary data from 2017 Indonesian Demographic Health Survey. The dependent variable in this study was antenatal care behavior which is a composite of the first antenatal visit, frequency of antenatal visit and iron consumption. There were 14.223 women of childbearing age 15-49 years which eligible for this study’s criteria. The collected data was analyzed with chi square and logistic regression models of risk factors testResults: Mothers with unintended pregnancies have a bigger opportunity to do unhealthy antenatal care behavior (OR =  2.338: 95% CI 1.707- 3.203) compared to intended pregnancies. The effect of unintended pregnancy on antenatal care behavior varies according to maternal age (OR- 1.267: 95% CI 1.034-1.553), parity (OR= 0.579: 95% CI 0.430-0.780) and residency (OR= 1.490: 95% CI 1.226- 1.811).Conclusions: There is a relationship between unintended pregnancy and antenatal care behavior. Mothers with unintended pregnancies is 2.338 times more likely to have unhealthy antenatal behavior care. We also found that this effect differs according to the maternal age, parity and residency.
Video how right breastfeeding through smartphone can affect breasfeeding self efficacy on public mothers in the Regency of Banjarnegara Dian Nirmala Sari; Umi Nur Fajri
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).110-115

Abstract

Background: The lower confidence of mothers to breastfeed can have an impact on inadequate breastfeeding and can cause nutritional deficiencies in infants so that babies are vulnerable to disease, especially newborns. With  increasing mother's confidence in breastfeeding, intervention is needed, one of which is through videos on how to breastfeed correctly. The low level of mother's self-efficacy or mother's belief in breastfeeding illustrates that there is still low commitment to breastfeeding, low endurance of mothers in overcoming obstacles that arise during breastfeeding and mother's focus on negative aspects of breastfeeding so that it has an impact on inadequate breastfeeding and can lead to deficiency. nutrition in infants so that infants are susceptible to disease.The magnitude of the influence of mother's belief in breastfeeding requires various interventions to increase this belief so that success in breastfeeding is achieved. One of the interventions given to increase confidence is to provide videos on how to breastfeed correctly.Objectives: The goal is to find out which breastfeeding video media have an effect on breastfeeding self-efficacy. Methods: The research design used was a quasi-experimental design with a pretest post-test control group design. The variables in this study were videos on how to breastfeed correctly, breastfeeding self-efficacy. The number of samples is 30 respondents. The treatment group received the intervention to get video education on correct breastfeeding techniques using an application on a smartphone, while the control group received education from maternal and child health books. Data analysis was univariate, bivariate with paired t and unpaired t. Results: The results of the analysis show that there is an effect of the video on how to properly breastfeed the effect on the breastfeeding self efficacy p value 0.003Conclusions: Giving videos on how to breastfeed correctly can increase the confidence of mothers to breastfeed their babies.
The effectiveness of acupressure combination neiguan and zuzanli points to decrease emesis gravidarum in the first trimester of pregnancy Siti Cholifah; Yanik Purwanti; Cholifah Cholifah; Dian Aprilia
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).164-169

Abstract

Background: Emesis gravidarum is the most common symptoms in pregnancy which about 50-90% causing a decrease in appetite and will affect changes in potassium, calcium and sodium electrolyte balance, thus will impact on changes in body metabolism. As much as 2% of pregnant women experienced excessive nausea and vomiting (hyperemesis gravidarum) which can harm the mother and fetus. The current management of emesis gravidarum still uses pharmacological therapy, but pharmacological methods are more expensive, and more potential to have side effects. Instead of pharmacological methods, non-pharmacological methods are cheap, simple, effective, and have no side effects. One of the non-pharmacological methods to treat nausea and vomiting is acupressure. Objectives: was to determine the effectiveness of the combination Neiguan point (PC6) & Zusanli point (ST 36) to decrease emesis Gravidarum in the first trimester of pregnancy in midwives independent practice Sidoarjo.Methods: This research used quasi-experimental with one group pretest-posttest design. The study population are pregnant women in the first trisemester who experienced emesis gravidarum, who met inclusion criteria and were willing to be studied and had no with consecutive sampling technique from February 2 to March 20, 2022 totaling 40 respondents. Measurement of emesis gravidarum using the Rhodes index instrument. Data analysis using Wilcoxon test with α 0.05.Results: The results showed that the score for emesis gravidarum before acupressure was Mean+SD 22.0+4.01, while the score for emesis gravidarum after acupressure was Mean+SD 13.0+3.14. The results of the Wilcoxon test showed P value = 0.001 < 0.05 so there was a significant difference in the emesis gravidarum score before and after acupressure was given. Conclusions: Acupressure at the Neiguan point (PC6) and Zusanli point (ST 36) is effective in reducing emesis gravidarum in first trimester of pregnant women. Health workers, especially midwives, can apply and teach acupressure to pregnant women to reduce nausea and vomiting complaints.
Utilization of complementary therapy in midwife services in the City of Surabaya Nova Elok Mardliyana; Irma Maya Puspita; Annisa’ Wigati Wigati Rozifa
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).190-197

Abstract

Background : Midwifery services are provided by midwives with conditions and licenses by applicable regulations and laws to practice midwifery. Midwife can combine conventional and complementary therapies in providing health services.Objectives: Complementary therapy in midwifery services is a choice for pregnant women, maternity, postpartum, infants, and toddlers to improve health status with promotive, preventive, curative, rehabilitative efforts with high quality, safety, and effectiveness. In addition, complementary therapies can reduce medical intervention.Methods: The research method used is a mixture of quantitative and qualitative methods. Data collection was carried out by survey without intervention on research subjects. The survey was carried out in two stages, first by distributing questionnaires to collect quantitative data, then continued with the second stage, namely in-depth interviews with subjects who met the criteria from quantitative data obtained by the researcher.Results: This study shows that the independent practice of midwives in Surabaya is as much as 54% (44 people) have applied. In comparison, 46% (37 people) have not implemented complementary therapies in their midwifery services. Types of complementary therapies applied were baby massage and SPA 30% (23 people), oxytocin massage 19% (15 people), hypnotherapy (hypnobirthing) 14% (11 people), yoga (prenatal and postnatal) 12% (9 people), massage for pregnant women 10% (7 people), Acupressure 5% (4 people), Aromatherapy 5% (4 people), Herbal Medicines or Traditional Herbs 5% (4 people).Conclusions: Complementary midwifery services are an option to reduce medical interventions during pregnancy, childbirth, the puerperium, infants, and toddlers.
Giving green grass jelly for mda (malondialdehyde) level in pregnant women with hypertension Meika Jaya Rochkmana; Ari Suwondo; Sulistyani Sulistyani
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).234-239

Abstract

 Background: Hypertension is a disease that often occurs during pregnancy. Many factors influence the occurrence of hypertension, one of which is oxidative stress. Oxidative stress has an important role in the pathogenesis of hypertension in pregnancy and may be a pathway that can lead to tissue damage. Oxidative stress can stimulate the release of cytokines, antiangiogenic, microparticles and other important molecules in hypertension. Oxidative stress is caused by an imbalance of prooxidants and antioxidants. So we need antioxidants that can suppress oxidative stress in pregnant women with hypertension. Green grass jelly contains alkaloids and flavonoids. Where flavonoids can act as antioxidants and anti-inflammatory. Flavonoids can reduce arterial stiffness making Reactive Oxygen Species (ROS) decrease so that fat peroxide decreases and is followed by decreased oxidative stress, then endothelial function will increase and vasodilation occurs. Malondialdehyde (MDA) is an aldehyde marker compound that is important to see lipid peroxidation and oxidative damage caused by Reactive Oxygen Species (ROS).Objectives: To prove that giving green grass jelly has an effect on reducing oxidative stress in pregnant women.Methods: This study used a quasy experiment with a pretest and posttest control design. A sample of 30 was divided into 2 groups. The group with green grass jelly intervention was 15 people who were given green grass jelly as much as 150 grams per day for 14 days. The second group as many as 15 people as the control group.Results: The green grass jelly intervention group had a significant difference with p-value <0.05. For malondialdehyde results in the control group there was no change in p-value > 0.05. The mean decrease in malondialdehyde levels in the control group was 0.0560 nmol/ml while the average decrease in malondialdehyde in the intervention group was 1.3133 nmol/ml.Conclusions: Green grass jelly is effective and significant for reducing malondialdehyde levels in pregnant women with mild hypertension.
Analysis of socio-demographic factors affecting the management options for emesis gravidarum in pregnant women Uliyatul Laili; Nur Zuwariah
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).116-123

Abstract

Background: Management of emesis in pregnancy depends on the severity of the symptoms felt by the pregnant woman. Treatment for emesis gravidarum can be carried out in several ways: pharmacological treatment which is the use of medical drugs, non-pharmacological treatment such as avoiding the consumption of coconut milk or fat-containing food, and frequent eating of small portion of food. In addition, the management of emesis gravidarum can also be done using a complementary treatment with acupressure, aromatherapy, and other methods. Currently, the type of management chosen by most health workers and accepted by pregnant women are pharmacological and non-pharmacological treatments. Recently, health workers have begun to develop and apply the use of complementary therapies in overcoming emesis gravidarum in pregnant women. Objectives: This study aims to analyze the characteristics of pregnant women that influence the choice of emesis gravidarum management.Methods: This was a cross sectional quantitative study. The research was conducted at the Independent Midwife Practice (PBM) Nanik, Sidoarjo. The population in this study were women in the 1st trimester of pregnancy. 43 respondents were taken as sample by using purposive sampling. The independent variables in this study were factors that influence the mother, such as age, occupation, education, parity, and knowledge. Meanwhile, the dependent variable was the emesis gravidarum therapy chosen (pharmacological, non-pharmacological and complementary therapies). The data were collected directly using questionnaires. Results: The results show that most of the respondents (67%) were those aged 21-35 years, 58% was primiparous mothers, 58% had secondary education, 51% was housewives, while 47% had good knowledge level about emesis gravidarum management. The bivariate analysis using chi square showed that education, occupation and knowledge had an effect on the choice of therapy for emesis gravidarum with p value < 0.05. Conclusions: Education, occupation, and knowledge were factors related to the choice of management for nausea and vomiting in pregnant women. Therefore, cooperation and the right decision making were necessary in determining the therapy for emesis gravidarum.
Analysis of the HBsAg status of toddlers born to HbsAg-reactive mothers at the Sikumana Community Health Center, Kupang City, in 2021 Rosina Kardina Kidi Hurek; Theresia Mindarsih; Frida Sisternike Pay
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).132-141

Abstract

Background: Hepatitis is an infectious disease which is regarded as a public health problem due to its high prevalence. It is an inflammation of the liver that may develop into fibrosis, cirrhosis or liver cancer. The data obtained from the basic health research in 2017 shows that East Nusa Tenggara has the second highest percentage of HBsAg reactive-amongpregnant women in Indonesia (5.26%). Objectives: This study aims to analyze the HBsAg status of toddlers born from pregnant women with HbsAg-reactive at the Sikumana Health Center, Kupang City, in 2021. Methods: This is an analytical research carried out with a quantitative approach carried out and a cross sectional research design. This research was conducted at the Sikumana Community Health Center in September-October 2021 with a total sample of 53 toddlers born to HBsAg-reactive pregnant women in 2019. The data used were primary data collected using instruments in the form of questionnaires and blood samples taken for the HBsAg examination which was carried out by laboratory workers at the Sikumana Community Health Center. Meanwhile, the data analysis was performed using univariate and bivariate (chi square) method with version 20 of SPSS application.Results: The results show that there were 53 HbsAg-reactive pregnant women at the Sikumana Community Health Center, Kupang City, and most of whom (83.0%) had good knowledge about Hepatitis B. The HBsAg RDT test in infants born to pregnant women with HbsAg-reactive revealed that there were 4 toddlers (7.5%) with HBsAg reactive, indicating that there was still a failure in immunoglobulin (HBIg). Furthermore, the results of the chi square test showed that there was a relationship between mother's knowledge, child's age, and history of HBIG administration with toddler's HBsAg status.Conclusions: Health workers are expected to increase education and socialization about Hepatitis B and the importance of re-examination of infants who have received HBIG immunoprophylaxis. The re-examination is necessary considering that the confirmation examination program for the HBsAg RDT test has not been going well and immunoglobulin (HBIg) failures still occurred even if only in small number. Furthermore, this re-examination plays pivotal role to detect the effectiveness of HBIG so that early treatment can be given if there is a HBIG failure.
The relationship of health knowledge, attitude and implementation of health protocol with incidence of suspected COVID-19 on pregnant mothers at Lendah II Public Health Center Ria Indriastuti; Heru Subaris Kasjono; Dwiana Estiwidani
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).224-233

Abstract

Background: A individual who matches one of the clinical criteria for acute fever and cough is suspected of having COVID-19. Fever, cough, weakness, headache, muscle aches, sore throat, runny nose/stuffed nose, shortness of breath, anorexia, nausea, diarrhea, or loss of consciousness are all possible symptoms or patients with severe ARI (Acute Respiratory Infection) who have had a fever (> 38°C) and cough in the last 10 days, or who have had acute anosmia, or who have had acute ageusia without other causes that have gone away.Objectives: The goal of this study was to see if there was a link between the amount of knowledge, attitudes, and application of health protocols in pregnant women at the Lendah II Health Center and the incidence of suspected covid-19. Methods: This cross-sectional survey took place from November 12, 2021, to January 31, 2022. The number of respondents in this study was 80, and the samples were gathered using a purposive sampling technique. The data collection tool employs a questionnaire sheet and the Ag-RDT screening method to examine covid-19 suspected. Univariate data analysis with frequency distribution, bivariate data analysis with chi square test, and multivariate data analysis with logistic regression were employed in this studyResults: According to the bivariate analysis, there was a 0.000 p value relationship between mothers and the results of the covid-19 screening, a 0.031 p value relationship between the mother's attitude and the results of the incidence of suspected covid-19 and a 0.005 p value relationship between the implementation of the health protocol and the results of the incidence of suspected covid-19. With a significance value of 0.000, the results of the multivariate analysis of the independent variables have a joint effect on the assessment of thi incidence of suspected covid-19. Knowledge has a OR value of 0.006, attitude is 0.196, and health-care implementation has a OR value of 0.079.Conclusions: There were correlation between of the incidence of suspected covid-19 in pregnant women at the Lendah II Health Center are linked to knowledge, attitude, and application of health protocols
The effectiveness of lavender and jasmine aroma therapy towards pain levels Indah Wijayanti; Sri Handayani; Menik Sri Daryanti; Claudia Banowati Subarto; Farida Aryani
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).240-250

Abstract

Background: The maternal mortality rate in Southeast Asian countries is Indonesia 190 per 100,000 live births, Vietnam 49 per 100,000 live births, Thailand26 per 100,000 live births, Brunei 27 per 100,000 live births, and Malaysia 29 per 100,000 live births (WHO, 2015). Data on maternal mortality in the Special Region of Yogyakarta in 2020 found 40 cases, an increase from the previous year, which was 36 cases. In the Bantul district there are 20 cases of maternal mortality(DIY Health Office, 2020). Labor pain relief methods are divided into non-pharmacological (psychoprophylactic, hypnosis, acupuncture, touch healing therapy, relaxation exercises, massage therapy, music therapy) and pharmacological (systemic drugs, inhalation anesthetics, general anesthesia, regional anesthesia) (Tanvisut et al., 2018).Objectives:This study aims to determine the effect of lavender and jasmine aromatherapy on pain levels in the first stage of labor at the Bina Sehat Clinic.Methods: Quasi experimentwith pretest and posttest group design. a sample of 38 respondents using the formula (Lemeshow et al., 1997) in Sastroasmoro and Ismail (2011). Sampling technique with simple random samplingResults:Shows that jasmine aromatherapy is more effective in reducing pain levels in first-stage mothers than lavender aromatherapy at the Bina Sehat Clinic. There is a significant effect of the level of labor pain in the first stage before and after the lavender and jasmine aromatherapy intervention period.Conclusions:Jasmine aromatherapy was more effective in reducing pain levels in first-stage labor than lavender aromatherapy at the Bina Sehat Clinic with a Z_Wilcoxon value obtained at -4.001 and a significant value of 0.000 (p<0.000). There was a significant effect on the results of the first stage of labor pain before and after the lavender and jasmine aromatherapy intervention period, which was -4.143 and a significant value of 0.000 (p<0.000).

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