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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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Pain score and quality of post cesarean section recovery with ERACS method Ida Ruspita; Siti Cholifah; Rafhani Rosyidah
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 11, No 1 (2023)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2023.11(1).1-10

Abstract

Background: A cesarean section must be done when regular childbirth is impossible owing to fetal or maternal health issues. One of the complications of cesarean section is pain and quality of recovery. The strategy for managing pain and quality of recovery is using the ERACS method. This method is a new technique in anesthesia with the principles of evidence-based perioperative care, a multidisciplinary approach carried out in a team, carried out on an ongoing basis, and continues to be developed.Objectives: The study aimed to use the ERACS method to calculate the pain score and the quality of recovery following cesarean section.Methods: The study was quasi-experimental with a post-test control group design. Participants in this study were mothers who had a cesarean section. The sample size in this study was 70, namely 35 treatment groups and 35 control groups. The instrument uses VAS (Visual Analog Scale) and obsQor 11Results: Statistical test for pain obtained P value = 0.000 and for quality of recovery obtained P value = 0.000Conclusions: There is a sizable distinction in pain scores carried out by the ERACS and Non ERACS methods, where the pain scores carried out by the ERACS method are lower than the non-ERACS methods, and there are differences in the quality of recovery between the ERACS and Non ERACS methods where the recovery quality scores are given by the method. ERACS is higher than non ERACS method. The ERACS method can be an alternative method to reduce postoperative morbidity. Reduction of complications through reduced use of anesthetic doses. And in the future, the development of surgical techniques has reasonable goals, such as improving public health, increasing patient comfort and peace of mind during surgery, and reducing hospitalization, which indirectly reduces costs
The effect of yoga movements in reducing complaints symphysis pubis dysfunction in pregnancy Ratih Kumorojati; Alfie Ardiana Sari; Ika Fitri Ayuningtyas
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 11, No 1 (2023)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2023.11(1).86-94

Abstract

Background: The incidence of Section Caesarea (SC) based on the results of the 2018, states that the highest prevalence is in the DKI Jakarta area with a percentage reached 31.3% while the Papua region percentage is only 6.7%. It is known  that the causes of birth with CS include, a narrow pelvis, disproportion of the fetal head, malposition of the fetus, and disorders of the descent of the fetal head which often cause complaints of symphysis pubis dysfunction (SPD). Every pregnant woman needs to empower herself to increase her self-confidence in facing the pregnancy process until before delivery. Several studies have stated that practicing yoga during pregnancy can reduce pregnancy complaints. During the Covid-19 pandemic, pregnant women were limited to doing activities outside the home. In this case, independent yoga media is needed that is safe, easy to understand, and as a guide for pregnant women, both in the form of videos, flashcards, spin cards, and picture cards of practical yoga movements.Objectives: To find out the effectiveness of yoga movements in dealing with complaints of symphysis pubis dysfunction in pregnancy.Methods: This research method uses quasi-experimental research with a one-group pre-test design which reveals a causal relationship involving one group of subjects. Respondents consisted of 25 pregnant women entering the third trimester of pregnancy with the inclusion criteria of pregnant women experiencing dysfunction of the symphysis pubis before the intervention. The interventions that will be carried out are measuring pain scales, printing yoga movement cards, teaching, and doing yoga 4 times in 1 month.Results: It is known that the number of respondents who did yoga before the intervention was mostly in the mild pain category (36%) and moderate (28%). After the intervention, the majority of respondents were in the no-pain category (44%). Respondents with severe pain before intervention (16%) decreased to (8%) post-intervention. The results of statistical tests using the Wilcoxon test obtained p = 0.036 where this value is below 0.05, which means that there is an effect of yoga movements in reducing complaints of symphysis pubis dysfunction in pregnancy.Conclusions: From the results of the research that has been done, it can be concluded that there is an influence of yoga movements in reducing complaints of symphysis pubis dysfunction in pregnancy. There were significant changes in pregnant women before and after the intervention. Therefore pregnant women are encouraged to do yoga regularly to reduce complaints of pregnancy discomfort which can interfere with the delivery process.
Risk Factor of hyperemesis gravidarum incidence Widya Nurfadillah; Rafhani Rosyidah; Evi Rinata; Yanik Purwanti
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 11, No 2 (2023)
Publisher : Alma Ata University Press

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

Abstract

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

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

Abstract

Background : Each child will probably achieve each early developmental aspects at different times. The achievement of child development is determined by various inputs, including child input, maternal input, family input, and environmental input. However, failure to fulfill these inputs has an impact on development delay, especially psychosocial development aspect. Parents, especially mothers, have a significant role in providing these inputs Objectives: To identify the relationship between maternal input including sociodemographic characteristics and the maternal role and the psychosocial development of children aged 36-59 months.Methods: This study was a cross-sectional conducted in February 2020 in Puskesmas Sedayu 2, Yogyakarta. The eligible participant was mothers of children aged 36-59 months. The questionnaires included sociodemographic data, parent role questionnaires, and psychosocial development questionnaires. The correlation between variables was analyzed using a Spearman rank test.Results: This study included 89 mothers with children aged 36-59 months. About 91% of children were in normal psychosocial development. Correlation on sociodemographic characteristics showed that the mother's occupation was significantly related to the psychosocial development of children aged 36-59 months (p=0.005). Maternal role also show significant correlation with children psychosocial development (p=0.007). In addition, there were 2 domains of the maternal role that showed significant relationship with child psychosocial development, namely the role as a caregiver (p= 0.002) and counselor (p=0003).Conclusions : The achievement of psychosocial development of children aged 36-59 months is related to the mother's occupation and the mother's role. Fulfilling each dimension of the parent's role will optimize all aspects of child development, including psychosocial aspects in preschool children to become children who have a positive self-concept, be creative, dare to show initiative.
The practice of birth preparedness and complication readiness (BPCR) in Panti District, Jember Regency Devi Arine Kusumawardani; Ni&#039;mal Baroya; Elok Permatasari
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 11, No 3 (2023)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2023.11(3).198-207

Abstract

Background: High maternal mortality rates remain challenging in developing countries such as Indonesia. These maternal deaths are preventable with appropriate management and care. Birth preparedness and complication readiness (BPCR) is a crucial strategy for making prompt decisions to seek care resulting in reduced maternal mortality. Jember regency is one of the districts that rank first until the end of 2021 with the highest death rate in East Java and nationally.  Objectives: This study aims to assess the proportion of BPCR practices and the aspect of BPCR in pregnant women.Methods: This descriptive research was conducted among pregnant women in the working area of Panti Primary Health Service, Jember Regency as Primary Health Services with the highest maternal mortality rate in Jember regency in 2020. This study was conductedfrom August to November 2021. A total of 110 pregnant women were recruited by simple random sampling. The respondents were interviewed using the BPCR index, adapted from the John Hopkins Program for International Education in Gynecology and Obstetrics to identify nine indicators of BPCR.Results: The proportion of good BPCR in pregnant women was 60,00%. The most mentioned aspect of BPCR was planning transportation (89,10%) and planning to give birth with a skilled provider (82,7%). The elements that pregnant women are least prepared for are aware of the danger signs during pregnancy, childbirth, and postpartum.Conclusions: The proportion of good BPCR among pregnant women was moderate. Community-based health education about preparation for birth and awareness of danger signs during pregnancy, labor, and postpartum is crucial to prevent maternal mortality.
Effects of bathing in bed with warm water on vital signs and oxygen saturation in adult patients attached to mechanical ventilators Bayu Firmansyah; Mugi Hartoyo; Supadi Supadi; Budiyati Budiyati
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 11, No 3 (2023)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2023.11(3).271-282

Abstract

Background: Illness and hospitalization generally require modifications in personal hygiene practices. During hospitalization and especially in  the Intensive Care Unit (ICU), patients experience situations involving the need for personal hygiene, procedures performed on them due to limitations arising as a result of the ill condition. Bed bathing is an intervention that must be performed in critical patients with the aim of meeting personal hygiene  needs in critical patients, but it is necessary to carry out close monitoring and control to avoid side effects, such as hemodynamic status instability.  Objectives:: To determine the effect of bathing in bed with warm water on vital signs and oxygen saturation in adult patients attached with mechanical ventilators. Methods:: This study is a quasi-experimental study involving 18  samples determined by total sampling technique  based on inclusion criteria: Patients attached to mechanical ventilators, aged 18 years or older, stable in hemodynamics and exclusion criteria: Attached drugs for the heart, patients with head injuries, receiving drug therapy to lower body temperature.Results: The paired t-test results showed an effect between bathing in bed with warm water on systole blood pressure (p = 0.042; p < 0.005), breathing (p = 0.009), and pulse rate (p = 0.025). There was no effect between bathing in bed with warm water on diastole blood pressure (p = 0.063), body temperature (p = 0.862) and oxygen saturation (p = 0.120).  Conclusions : Bed bathing affects systolic blood pressure, breathing, pulse rate and has no effect on diastolic blood pressure, body temperature, and oxygen saturation. However, during bathing in bed should always pay attention to changes that occur in vital signs and oxygen saturation.
The implementation of health operational cost management in reducing stunting in the Kalisat Community Health Centre, Jember Regency Khikmah, Masilatul; Herawati, Yennike Tri; Baroya, Ni'mal
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 11, No 4 (2023)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2023.11(4).335-348

Abstract

Background : BOK Funds are used to finance ten activities that promote and prevent health, including community health centre management and malnutrition reduction. Other sources of funding for stunting include the State Budget, the Local government budget, village funds, and the BOK. According to the 2018 Jember Regency BOK budget realization report, the average utilization of BOK funds by Jember Regency community health centres was 89.99%. This typical rate of absorption is regarded as satisfactory. This is not consistent with the increase in stunting, particularly at the Kalisat Community Health Centre, which increased by 25.07 % in 2019. Objectives : The objectives of the study were: a) to evaluate the planning; b) to evaluate the mobilization and implementation; and c) to evaluate the supervision, control, and performance evaluation of BOK in reducing stunting. Methods : Therefore, this study employed a qualitative methodology and case study research design. Informants involved in this research were the head of the community health center a person in charge of the BOK, secretary and a member of the BOK management, the head of administration, nutritionist at the community health center, and regional midwife. Completed research conducted in August of 2020. An interview guide, in-depth interviews were utilized to collect data. Results : According to the study's found that the series of management activities were in accordance with the guidelines. Planning is carried out from the bottom up, Mobilization and Implementation are carried out through Lokmin, but Lokmin participants are often absent due to multiple tasks (e.g., there were several activities that did not go according to plan, particularly during the pandemic era, there were double jobs, and workshop participants were frequently late.) BOK is used to finance the operational costs of stunting prevention program activities.Conclusions: Planning, mobilization, implementation and use of BOK funds are in accordance with guidelines and budget allocation. Mini workshops should be held at agreed times and take into account officers who have double jobs
The correlation between provision time of weaning food and history of exclusive breastfeeding with nutritional status in toddlers Mulyaningsih, Sundari; Fatimah, Fatimah; Paramita, Dyah Pradnya; Supiyati, Supiyati; Susilowati, Ika Tri; Mirnasari, Nicwa; Delia, Amanah Rahma
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 11, No 4 (2023)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2023.11(4).405-415

Abstract

Background: The toddler period is a golden age for the formation and development of children starting from the basic sensory abilities, thinking, speaking, and intensive intellectual mental growth and early moral growth. So that the nutritional status of children under five is very, very important to study because it is related to the current increasing stunting status. Cases of stunting under five currently have the highest number when compared to other forms of malnutrition. The prevalence of stunting in DIY in 2018 was 12.37% and this figure fell to 10.69% in 2019 but in 2020 it rose to 11.08%. The highest prevalence of stunting is Gunung Kidul Regency (17.43) and the lowest is Sleman Regency (7.24). From this figure, it can be seen that the prevalence of very short toddlers in DIY is lower when compared to Riskesdas in 2018 (21.4%) (1). Objectives: To determine the relationship between the characteristics (education, occupation) of the mother, provision time of weaning food, exclusive breastfeeding, and the provision of deworming drugs with nutritional status in toddlers aged 6-60 months in 2 areas, namely in the work area of the Pajangan Health Center and the Work Area of the Public Health Center, Sedayu. Methods: Analytic survey with cross-sectional design. Analysis of the data using the chi-square test with a sample of 35 mothers who have children under five. Results: The results showed that there was a correlation between the time of weaning food (p = 0.0001), history of exclusive breastfeeding (p = 0.0001), and the nutritional status of children under five. However, there was no correlation between education (p = 0.657), occupation (p = 0.579), deworming (p = 0.410). Conclusions: There is a correlation between the time of weaning food, history of exclusive breastfeeding nutritional status in toddlers
Effectiveness of digital resuscitation pad technology innovation on the accuracy of cardiac and lung resuscitation compression Endiyono, Endiyono; Adhi, M. Hanif Prasetya; Royan, Royan; Taufiq, Arif Johar
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 12, No 1 (2024)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2024.12(1).11-20

Abstract

Background: Cardiac arrest is a crucial problem because it has a short rescue time and requires optimal assistance competence. The global incidence of cardiac arrest is 50-60 per 100,000 per year, while in Indonesia it is 10,000 per year or 30 incidents every day. This is an important problem that must be addressed immediately, apart from improving skills, by using innovative supporting tools. This tool is still very limited and does not even exist in Indonesia.Objectives: To determine the effectiveness of digital resuscitation pads (petitions) on the accuracy of compression of cardiac and pulmonary resuscitation.Methods: The number of samples in this study was 46 respondents as the case group and as the control group. In the case group, we provided the innovative Digital Resuscitation Pad tool and the rhythm of tapping to perform compressions, while in the control group they were only guided by the rhythm of tapping. The inclusion criteria include respondents who have practiced CPR for lay people appropriately. The instrument uses a questionnaire with a validity test of r table 0.621 and reliability r table 0.539. The analysis uses the Wilcoxon test using total sampling.Results: Based on the researchers' findings in this research, in the control group, 56.52% of respondents performed inappropriate compression, meaning that 26 respondents, more than half of the respondents provided compression that was not of good quality. After being given the Digital Resuscitation Pad, compression quality increased to 86.95% or 29 respondents provided quality compression.Conclusions: There is an influence of the Digital Resuscitation Pad on the accuracy of Cardiac and Pulmonary Resuscitation compressions. Researchers concluded that the Pad Digital Resuscitation device could improve the quality of student compressions over a measurable distance even though BMI indirectly plays an important role in nurses' performance in providing optimal cardiopulmonary resuscitation
Meeting basic physical-biomedical needs of children under 5 years; does the family hope program work? Fauziyah, Fauziyah; Baroya, Ni'mal; Sandra, Christyana
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 12, No 1 (2024)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2024.12(1).70-82

Abstract

Background: fulfillment of the basic physical biomedical needs of children under five affects their growth and development. Most poor families pay little attention to the basic needs of their children due to lack of knowledge and the economy. To overcome this, the Ministry of Social Affairs of the Republic of Indonesia has issued social security to reduce the number of poverty and social welfare cases called the Family Hope Program (PKH). Within the health sector, KPM (Beneficiary Families) are required to ensure the provision of fundamental healthcare services for children under the age of five. These services include monthly regular vaccines, biannual administration of Vitamin A, and monthly monitoring of the children's weight.Objectives: this study aims to analyze the impact of conditional cash transfer programs on the fulfillment of basic physical-biomedical needs. Methods: we conducted a quantitative study using a cross sectional design. Our research sample was 83 of 289 children under five years in Patempuran-Kalisat-Jember taken using simple random sampling technique. Results: the results showed that there were no differences in the completeness of immunization (Sig = 0.501), exclusive breastfeeding (Sig = 0.378), routine weighing (Sig = 0.445) and utilization of health services (Sig = 0.845) between conditional cash transfer program recipients and non recipients. Conclusions: This program is considered effective because the majority of children under five have received complete basic immunization and routinely have their weight weighed at the posyandu, but children under the age of five are not given exclusive breast milk. The social service and primary health care need to increase collaboration to provide education about the importance of exclusive breastfeeding.

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