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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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Endorphine massage reduces anxiety levels of pregnant women in the third trimester Ashar, Emilda Sapetri; Fatimah, Siti; Eprilia, Eprilia
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 12, No 4 (2024)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2024.12(4).504-515

Abstract

Background: : Anxiety in pregnant women in the third trimester is normal, but can disrupt the health of the mother and baby. Endorphin massage is a non-invasive therapy that can help reduce anxiety.Objectives: This research aims to determine the effect of endorphin massage on the anxiety level of pregnant women in the third trimester at the Independent Midwife Practice Place in the Ujan Mas Community Health Center, Ujan Mas District, Muara Enim Regency in 2024Methods: This research uses a quasi-experimental design with two groups, namely control group and intervention group. Each group consisted of 30 third trimester pregnant women. The intervention group received endorphin massage for 30 minutes 2 times a week for 4 weeks, while the control group received no intervention. Anxiety levels were measured before and after the intervention using the Hamilton Rating Scale for Anxiety (HARS). Statistical tests use the Mann Whitney test for abnormal data and the independent T test for normal data.Results: The results of the study showed that there was no difference in the anxiety scores of pregnant women in the third trimester before the intervention in the control and intervention groups (p = 0.976). However, there was a difference in the anxiety scores of pregnant women in the third trimester after the intervention in the control and intervention groups (p = 0.000). The average decrease in anxiety scores in the control group was less than in the intervention group (p = 0.000).Conclusions: Endorphin massage has been proven to be effective in reducing the anxiety level of pregnant women in the third trimester at the Midwife's Independent Practice. Suggestion: This research can be used as information to increase insights in an effort to reduce the level of anxiety of pregnant women in the third trimester
Factors related to the incident respiratory distress syndrome on neonate at the Harapan and Doa Hospital, Bengkulu City Kusumawardhani, Febry; Nugraheni, Diah Eka; Solihat, Suci; Hartini, Lela; Yuniarti, Yuniarti
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 13, No 1 (2025)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2025.13(1).15-28

Abstract

Background: Apart from increasing morbidity and motility, respiratory problems in newborn babies are a condition that can result in respiratory arrest and even death. Premature birth, intrapartum problems (asphyxia or shortness of breath at birth), infections, and birth defects are the main causes of newborn deaths worldwide. Newborn babies can die from respiratory distress syndrome, and other causes. It is estimated that respiratory distress syndrome or its consequences cause thirty percent of all newborn deaths. Objectives: This study aims to determine the factors associated with the incidence of respiratory distress syndrome in neonates in the perinatology room at Harapan and Doa Regional Hospital in 2024 Methods: This study used a case control design with a retrospective method. The data taken is secondary data AND The sample for this study were all babies who were treated and diagnosed respiratory distress syndrome in the neonatalogy room at RSU Harapan and Doa in 2023, totaling 65 people. The sample collection technique for the control group was taken using a 1:1 ratio  systematic sampling using interval multiples, starting from data number 4 and so on using interval multiples of 4 so that you get the numbering numbers 4, 8, 12, 16 etc. up to the 65th control variable, so that the sample in this study amounted to 130 newborns consisting of 65 case variables and 65 control variables recorded in the register in the perinatalogy room at Harapan and Doa Hospital, Bengkulu City in 2023. Data were analyzed using the Chi-Square test to look for a relationship or correlation between the independent variables (maternal complications, type of delivery, gender, gestational age, birth weight) and the dependent variable respiratory distress syndrome. The level of statistical significance was set at a p value <0.05. Results: The results of this study show that the p-value of maternal complications is p=0.595 (p-value ≥0.05), type of delivery p= 0.074 (p-value ≥0.05), gender p= 0.289 (p-value ≥ 0.05), gestational age p= 0.000 (p-value ≤0.05), birth weight p= 0.000 (p value ≤0.05). Multivariate analysis showed that birth weight was the most dominant factor causing respiratory distress syndrome (OR 5.713; p=0.000).Conclusions: There is a significant relationship between gestational age and birth weight and the incidence of respiratory distress syndrome. However, no significant relationship was found between maternal complications, gender or type of delivery and the incidence of respiratory distress syndrome. 
The relationship between education level, occupation, income and parity with efforts to manage symptoms in menopausal women in Banguntapan Urban Village Yogyakarta Mawardani, Siti; Sariyati, Susiana; Wijayanti, Indah
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 13, No 1 (2025)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2025.13(1).1-14

Abstract

Background: Menopause is the stage when a woman has not experienced menstruation for 12 consecutive months. A woman is considered to reach menopause when the FSH level in the blood exceeds 40 mIU/ml and the estradiol level is below 30 pg/ml. According to WHO, menopause is the permanent cessation of menstrual cycles caused by the loss of ovarian follicle activity and 12 continuous months of amenorrhea. Menopause complaints in women can include hot flashes, insomnia, dizziness, night sweats, constant headaches, joint pain, feelings of pressure for no reason, pain during intercourse, osteoporosis, vaginal dryness, decreased function of the reproductive system, muscle weakness, breasts that are no longer firm, increased risk of heart disease. The changes in psychological disorders are worry, fear, repetitive thinking, excessive vigilance, anxiety and depression. Changes during menopause include changes in the decrease in the hormones estrogen and progesterone from the ovaries. If the symptoms above are not treated, they can disrupt daily life and never make efforts to deal with the complaints experienced.Objective: This study aims to determine the relationship between menopause characteristics and symptom management efforts in menopausal women.Methods: This research was conducted using a quantitative approach with a cross-sectional design, using purposive sampling technique and primary data in Banguntapan Village, data analysis techniques using Chi Square statistical tests.Results: The number of respondents who have high education and low education is balanced, namely 72 respondents (50.0%), more respondents who have more than one child (multigravida), namely 116 (80.6%), the number of respondents who do not work is 78 (54.2%), the majority of lower income, namely 118 respondents (84.7%), more respondents who have good handling efforts, 128 respondents (88.9%).Conclusion: The results of the Chi-square test (x2) indicate a significant relationship between education level and symptom management efforts, as evidenced by a p-value of 0.008, which is less than the significance level of 0.05. On the other hand, no significant relationship was found between parity and symptom management efforts, with a p-value of 0.941, which is greater than 0.05. Similarly, there is no significant relationship between employment status and symptom management efforts, as the p-value was 0.721 (>0.05). Additionally, the study found no significant relationship between socioeconomic status and symptom management efforts, with a p-value of 0.137 (>0.05)
Husband’s involvement in family planning programs: A scoping review Lesdianti, Kiki; Hidayat, Asri
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 13, No 1 (2025)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2025.13(1).29-47

Abstract

Background: The use of family planning or contraception programs is still gender biased in the process of family-based national development. Husbands are often not involved in family planning programs. In fact, the involvement of husbands in the use of contraception greatly influences decision-making and the choice of contraception used. Objectives: The purpose of this study was to identify the involvement of husbands in the use of family planning programs. Methods: This scoping review uses the PRISMA-Scr and Arksey & Malley frameworks with literature searches using the Pubmed, ScienceDirect, Wiley Library, Taylor & Francis, and Sagepub databases, which were then filtered using Mendeley software and critical appraisal using the Joanna Briggs Institute (JBI). Results: The results of the search for 579 articles and selected ten articles that met the inclusion and exclusion criteria. Three main themes were obtained. The first theme was the involvement of husbands in the form of providing support/approval and participating in joint decision-making. Second, factors that influence husband involvement in the form of communication/joint discussion, access to information, sociodemographic factors (education, knowledge, work, place of residence, and number of children), and third are barriers to husband involvement in the form of sociocultural factors (gender norms and roles, religious beliefs, stigma, and side effects). From the articles, it was found that the level of husband involvement in the family planning program was relatively low. So, a strategy is needed to increase the husband's involvement. Conclusions: The available evidence discusses the husband's involvement in the use of family planning programs. Several things that are highlighted are the low level of husband involvement, factors that influence husband involvement, and barriers to the use of contraception. To increase husband involvement in the use of family planning methods with various efforts such as providing access to family planning program services and information related to family planning programs
Engaging patients in stroke rehabilitation unit: an approach in patient centered care Ekawati, Dessy Natalia; Utami, Yulian Wiji; Fevriasanty, Fransiska Imavike
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 13, No 1 (2025)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2025.13(1).96-111

Abstract

Background: Engagement and collaboration between healthcare providers and patients are pivotal in driving patient-centered care, particularly stroke care. A comprehensive and holistic approach to treating stroke patients necessitates the active involvement of caregivers and patients in the decision-making process.Objectives: This study set out to conduct a comprehensive literature review focusing on patient engagement and participatory approaches within the Stroke unitMethods: A scoping review was conducted by compiling scholarly articles from ScienceDirect, PubMed, and ProQuest from 2020 to 2024. Specific keywords, including Patient Engagement, Early Mobilization, and Stroke, were utilized. Adhering to the PRISMA method and pre-established inclusion and exclusion criteria, initially, 540 research articles were retrieved, ultimately undergoing analysis of 15 articlesResults: The findings underscore the importance of holistic and participatory approaches, the engagement of patients and practitioners, the development and integration of therapy and rehabilitation programs, self-management, early mobilization, and efficient communication. Engagement between patients and healthcare professionals is of paramount importance. Practitioners' active participation significantly enhances patient involvement. Trust is particularly crucial for individuals who have experienced a stroke, as it profoundly influences their decision-making processes. Emphasizing health literacy and promoting shared decision-making can improve communication and patient involvement, even when facing time constraints.Conclusions: In conclusion, the active involvement of patients and participative action of practitioners across various facets of therapy and rehabilitation augments program effectiveness and positively influences the quality of life for post-stroke patients. Enhancing stroke survivors' outcomes through self-management and early movement initiatives is particularly beneficial for individuals experiencing communication difficulties. This approach necessitates a coordinated team effort and ongoing support throughout the rehabilitation process.
Effectiveness of dark chocolate in reducing dysmenorrhea pain intensity in adolescent girls: A systematic literature review Firnandani, Sherly; Achyar, Khamidah
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 13, No 1 (2025)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2025.13(1).48-59

Abstract

Background: Dysmenorrhea is pain during menstruation that usually occurs in the lower abdomen, waist, and even back. According to WHO (2022), it increased to 2,398,563 people with the incidence of dysmenorrhea almost 73% of that number. The prevalence of dysmenorrhea in Indonesia is 107,673 people (64.25%), consisting of 59,671 people (54.89%) experiencing primary dysmenorrhea and 9,496 people (9.36%) experiencing secondary dysmenorrhea.Objectives: To further study “The effectiveness of Dark Chocolate on reducing the intensity of dysmenorrhea pain in adolescent girls” which hopes to help reduce the intensity of dysmenorrhea pain by utilizing herbs, one of which is dark chocolate.Methods: This type of research is a Systematic Literature Review by searching for journals using the Scopus, Pubmed, DOAJ, CORE, and Google Schoolar databases from 2019 - 2024 and the literature selection process using the PRISMA diagram with a Quasy Experimental research design. The article selection process uses the Mendeley Application.Results: Four out of 1,115 articles found that there was a decrease in dysmenorrhea pain intensity after being given a dark chocolate intervention 35gr – 95gr when pain or the beginning of menstruation.Conclusions: This Study Conclude that consuming dark chocolate can reduce dysmenorrhea pain intensity in adolescent girls. 
The role of self-efficacy in contraceptive use among early married women in Jember Septya, Lylyan Amalia Mia; Kusumawardani, Devi Arine
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 13, No 1 (2025)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2025.13(1).112-126

Abstract

Background: The Family Planning Program (FP) is an integrated part of the national development program whose achievements are realized through contraception. One district that has not fulfilled those targets is Silo District which has a prevalence of user contraception by 72.88% in 2021, as well as the top three ranks in the prevalence of early marriage in Jember regency for 2020-2022. Contraceptive use behavior, especially among women who marry at an early age, is influenced by self-efficacy. Self-efficacy includes self-abilities and belief in making decisions and dealing with certain tasks. Objectives: This study was to analyze the relationship between self-efficacy with the use of contraception in women who marry at an early age in Silo District, Jember RegencyMethods: Cross-sectional quantitative study conducted in Silo District, Jember Regency. The sample was obtained by 93 using the simple random sampling method. Contingency coefficient test (α<0,05) with the help of SPSS software before being presented in text and tables. The respondents were interviewed using the self-efficacy questionnaire, which was adopted from Bandura’s theory, with 18 questions. The questionnaire was then categorized as high self-efficacy and low self-efficacy. Results: The majority of early married women used contraceptives (92.5%), and most of the women used injection contraception (60.5%). The research found a high relationship between self-efficacy and contraceptive use (p-value=0.000), and the correlation coefficient was 0.707.Conclusions: This study concludes that self-efficacy has a relationship with a marked strong coefficient correlation and direction relationship positively related to contraception among women who married early in Silo District, Jember Regency. Therefore, the health workers in health facilities need to improve the implementation and supervision of prevention of early marriage programs by establishing cooperation with related services such as the Department of Religion to increase socialization about contraceptive use and prevention of unintended pregnancy among early marriage couples. 
Risk factor analysis of baby blues symptomsin postpartum women with a history of complications during childbirth Sormin, Roslin EM; Atok, Yosefa Sarlince; Manek, Brigita Dina; Palalangan, Damita; Babis, Isna Yuswella
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 13, No 1 (2025)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2025.13(1).60-72

Abstract

Background: Postpartum emotional mental disorders, one of which is postpartum blues or known as baby blues. If during pregnancy and child birth the mother experiences complications, this can exacerbate her emotional changes. Objectives: This study aims to analyze the risk factors for the occurrence of baby blues symptoms in postpartum women with a history of complications during childbirth.Methods: This type of research is descriptive analytic, using across sectional approach.  Sampling was carried out by accidental sampling method where the sample and sample size were taken based on the time limit for data collection, namely mothers who visited the postpartum period 1-14 days at SK Lerik Kupang Hospital, NTT in April-June 2023. Dataon patient characteristics were taken using a questionnaire, while measuring the diagnosis ofbaby bluesusing the PASS (Perinatal Anxiety Screening Scale) questionnaire. Results: Data analysis used was univariate analysis with frequency distribution table, bivariate analysis with simplelogistic regression, multivariate analysis with multiple logistic regression. The results of this study indicate that more than half (68%) of postpartum mothers with a history of complications during childbirth (68%) have a high risk of experiencing postpartum blues. Factors that can influence the occurrence ofpostpartum bluesin mothers with a history of complications during child birth are the type of delivery (p=0.001), mother's occupation (p=0.004), family income(p=0.011), husband's support (p = 0.000), and social support (p=0.005).Conclusions: Factors that can increase the risk of baby blues syndrome in mothers with a history of child birth complications are mothers who under go cesarean section, housewives, mothers whose household income is lessthan the Regional Minimum Wage (UMR),and mothers who do not get support fromtheir husbands, and do not receive social support from family, neighbors and friends and the surrounding community. 
Effect of ADEEM methods (Assess, Do Massage Frirage, Exercise ROM, Evaluation, Making Schedule) on increasing muscle strength upper extremity of ischemic stroke patients at RSU GMIM Pancaran Kasih Manado Parapaga, Noviyanti; Mendrofa, Fery; Eka, Julvainda
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 13, No 1 (2025)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2025.13(1).127-138

Abstract

Background : A stroke is when the blood supply to part of the brain stops, causing an inability to carry out central nervous system (CNS) tasks. In stroke patients, 70-80% experience hemiparesis (muscle weakness) as a result of motor neuron disorders. The ADEEM method as a rehabilitation intervention for post-stroke patients aims to increase muscle strength consisting of Asses, Do Massage Frirage, Exercise ROM, Evaluation & Making Schedule. Objectives : This study aims to determine the effect of the ADEEM Method on increasing muscle strength in ischemic stroke patients. Methods : The type of research is quantitative research with a pre-experimental design of one group pre post test. The population of this study was ischemic stroke patients with a stroke duration of > 3 months as many as 37 respondents. Respondents were given the ADEEM Method intervention for 45 minutes with meetings 2-3 times a week for 2 weeks. The instrument used to assess muscle strength is the Manual Muscle Test Observation Sheet. The validity and reliability tests of the instruments obtained reliability coefficient values of α > 0.63 to 0.98 for individual muscle groups, and α > 0.57 to 1.0 for total MMT scores. The validity value of MMT showed r = 0.768 (>0.05).Results : This study was analyzed using univariate analysis (frequency distribution) and bivariate analysis (saphiro wilk normality test and Wilcoxon test) with significance. Wilcoxon test results obtained ρ value <0.05 (0.003), this means that there is an effect of the ADEEM Method on increasing muscle strength in ischemic stroke patients. Conclusions : ADEEM method as one of the practical methods to increase muscle strength for ischemic stroke patients. This method can be done by nurses and family members in caring for ischemic stroke patients.
The effect of exclusive breastfeeding education using audio-visual media and e-booklets on pregnant women’s knowledge and attitude toward providing exclusive breastfeeding Nurfajrillah, Trisna; Nurhayati, Eka; Fatimah, Fatimah
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 13, No 1 (2025)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2025.13(1).73-84

Abstract

Background: According to international child feeding guidelines, the rich nutrient content of breast milk makes it an ideal food for infants and young children. Breastfeeding education in community health centers is only given once during pregnancy in integrated antenatal care. Therefore, additional intervention is needed by mothers to increase their knowledge and attitude about breastfeedingObjectives: This study aims to identify the effect of exclusive breastfeeding education through audio-visual media and booklets on the knowledge and attitudes of pregnant women on their third trimester toward providing exclusive breastfeeding.Methods: This study is a quantitative method with a quasi-experimental a non-equivalent control group design. The study included 60 third-trimester pregnant women for the intervention group and control group, who met the inclusion and exclusion criteria. The intervention involved providing booklets and audio-visual materials to the experimental group, while the control group was only given booklets. Mother's knowledge and attitude was measured using a questionnaire. The data were analyzed using a Paired t-test.Results: This study indicated a significant difference in the knowledge and attitudes of respondents before and after education using audio-visual media and booklets in the control and experimental groups with a p-value 0.000 <0.05.Conclusions: Exclusive breastfeeding education using audio-visual media and booklets had an effect on mothers' knowledge and attitudes towards exclusive breastfeeding. There is standardize education about breastfeeding at least two times in addition to integrated antenatal care visits to increase knowledge and attitude towards breastfeeding.

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