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

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

Abstract

Background: The nutritional status of pregnant women, as assessed by Body Mass Index (BMI), plays a crucial role in influencing the process and outcomes of childbirth. BMI is used as an indicator of maternal nutritional status, categorized as underweight (<18.5), normal (18.5–24.9), and overweight (≥25). BMI has been shown to be associated with various maternal complications. Although BMI demonstrates a significant impact on maternal outcomes, further research is needed to serve as a basis for health promotion strategies in antenatal care services. Objective: This study aims to analyze the relationship between maternal BMI and pregnancy outcomes, and to establish an analytical basis for health promotion strategies. Methods: This study used an observational analytical design with a cross-sectional approach and was conducted in the working area of Ngemplak I Health Center, Sleman, Special Region of Yogyakarta. The research sample was 98 pregnant women who met the inclusion criteria, selected using a purposive sampling technique. Data were collected through questionnaires sourced from the KIA book, then analyzed using the Chi-Square test with a significance level of p <0.05. Results: The study showed a significant relationship between maternal BMI and type of delivery (p = 0.037), while no significant associations were found with hemorrhage (p = 0.620), premature labor (p = 0.820), and prolonged labor (p = 0.825). Conclusion: There is a significant relationship between maternal nutritional status based on BMI and the type of delivery. However, no significant relationship was observed with hemorrhage, premature labor, or prolonged labor. These findings can serve as a basis for health promotion strategies, particularly in nutritional education during pregnancy to prevent delivery complications
Respiratory muscle stretching exercises improve oxygen saturation in post-extubation patients Putu Wira Kusuma Putra; Ni Putu Eka Yuliati; I Putu Santika
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol. 14 No. 1 (2026)
Publisher : Alma Ata University Press

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

Abstract

Background: Post-extubation patients frequently experience compromised respiratory function due to ventilator-induced diaphragmatic dysfunction (VIDD) and respiratory muscle fatigue resulting from prolonged mechanical ventilation and sedation effects. This condition manifests as decreased vital lung capacity and reduced oxygen saturation, significantly increasing the risk of extubation failure. The global extubation failure rate ranges from 10-20% in adult ICU populations, with reintubation carrying substantially higher mortality risk. Objective: To determine the effect of respiratory muscle stretching exercises on oxygen saturation in post-extubation patients in the Intensive Care Unit of Bali Mandara General Hospital. Methods: A quasi-experimental study with non-equivalent control group design was conducted from January to May 2025. The sample consisted of 38 post-extubation patients divided into treatment group (n=19) and control group (n=19) through purposive sampling technique. The treatment group received respiratory muscle stretching exercises targeting diaphragm, intercostal, and accessory respiratory muscles for 2 consecutive days with a frequency of 2 times daily (15-20 minutes per session), while the control group received standard care. Results: The treatment group demonstrated significant improvement in oxygen saturation from baseline 92.11±1.853% to post-intervention 96.84±1.119% (mean change 4.73±1.593%, 95% CI: 3.96-5.50, p<0.001). In contrast, the control group showed only minimal non-significant change from 92.42±1.465% to 92.79±1.357% (mean change 0.37±1.342%, 95% CI: -0.29-1.03, p=0.175). The between-group difference in oxygen saturation improvement was statistically significant (4.36%, 95% CI: 3.378-5.342, p<0.001) with large effect size (Cohen’s d=2.18). All participants tolerated the intervention well with no adverse events reported, and subgroup analysis revealed greater benefit in patients with longer mechanical ventilation duration (>5 days). Conclusions: Respiratory muscle stretching exercises are highly effective in improving oxygen saturation in post-extubation patients and can be implemented as a safe, cost-effective nursing protocol to prevent post-extubation complications and reduce extubation failure rates in ICU settings..
Innovation of the EDDIS-balita mobile application: An educational and early detection solution for stunting in toddlers to enhance early prevention Sri Mulyanti; Heri Maulana; Nina Pamela Sari; Asep Setiawan
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol. 14 No. 1 (2026)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2026.14(1).44-56

Abstract

Background: Stunting is a chronic nutritional problem caused by inadequate nutrient intake and recurrent infections, particularly during the First 1,000 Days of Life (HPK). Low parental knowledge regarding balanced nutrition, sanitation, and child growth monitoring contributes to the high incidence of stunting. The use of technology, especially Android-based mobile applications widely utilized by the Indonesian population, offers a significant opportunity as an effective medium for education and early detection of stunting. Objective: To design an Android application, “EDDIS-Balita” (Early Detection and Education of Stunting in Toddlers), capable of providing accurate, practical, and easily accessible education and early detection of stunting for the wider community. Methods: This study employed the Research and Development (R&D) method with a qualitative approach. System development was conducted using the FAST (Framework for Application of Systems Technology) method, including problem identification, needs analysis, system design, and application construction using MIT App Inventor. The application features include stunting educational materials, stunting screening, stunting status calculation, and a hotline menu. Application testing was carried out using black box testing to assess the accuracy of input and output results. Results: The EDDIS-Balita application was proven to function optimally, with a 100% success rate in all tested features. All educational, screening, and calculation menus operated smoothly and were easy to use by mothers of toddlers, posyandu cadres, and healthcare workers as learning media and early detection tools. Conclusion: EDDIS-Balita is an effective innovation for enhancing community understanding of stunting prevention while facilitating independent and rapid early detection. This application has strong potential to support accelerated stunting reduction through more timely education and intervention. The study recommends further training and socialization for cadres, healthcare workers, and the community to ensure optimal utilization of the application.
Effectiveness of the combination of ginger-lemongrass beverage and the mother baby-care method on the increase of CD4/CD8 ratio and mental health status in postpartum mother Diah Widyatun; Mariza Mustika Dewi; Pingkan Amelia Najla
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol. 14 No. 1 (2026)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2026.14(1).88-100

Abstract

Background: The postpartum period requires comprehensive and integrated attention to maternal wellbeing, encompassing both physiological and psychological dimensions. During this critical phase, modulation of the immune system plays an essential role in maintaining the balance of CD4/CD8 ratio, which reflects immune competence, while the prevelance of postpartum mental health problems has been reported to reach up to thirty percent. Natural functional beverages, such as ginger-lemongrass formulations containing  whilst postpartum mental health problem prevalence reaches thirty percent. Ginger-lemongrass beverage containing phenolic compounds at a concentration of 267,37 mgGAE/100g and antioxidant activity with an IC50 value of 20ppm, demonstrates promising immunomodulatory and protective potential. Objectives: The objective of this study was to analyze the effectiveness of a combined intervention consisting standardized ginger-lemongrass beverage and the MotherBaby-Care method in increasing CD4/CD8 ratio and improving the mental health status of postpartum Mothers. Methods: This research employed a true experimental design with pretest-posttest control group approach involving forty postpartum mothers who were randomly assigned into four groups : control, ginger-lemongrass beverage only, Motherbaby-Care only and a combination of both interventions. The interventions were administered over a fourteen-day period. Immune status was assessed by measuring the CD4/CD8 ratio using flowcytometry, while mental health status was evaluated using the Self Reporting Questionnaire-20 (SRQ-20). Results: The result showed that the combination group demonstrated the highest increase in CD4/CD8 ratio (1.748), compared to the MotherBaby-Care (1.328), the ginger-lemongrass (1.206) and control (1.006). Furthermore, the Proportion of mothers without mental health problems increased from seventy percent to ninety percent (p=0.031). Conclusions:The conclusion of this study is the combination of standardized ginger-lemongrass beverage and the MotherBaby-Care method effectively enhanced immune balance and improved mental health status among postpartum mothers, indocating a superior synergistic effect compared to single interventions.  
Effectiveness of lavender and lemon aromatherapy on postpartum perineal wound pain Cahaya Indah Lestari; Mufdlillah
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol. 14 No. 1 (2026)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2026.14(1).57-72

Abstract

Background: The maternal mortality rate in Indonesia remains above the World Bank’s estimated average. Various studies have been conducted to reduce this figure. One such study involves providing aromatherapy to postpartum mothers. Perineal pain is a frequently reported concern after childbirth, which can interfere with a mother’s recovery. The use of lavender and lemon aromatherapy offers a non-pharmacological therapeutic alternative for managing this discomfort. Objectives: This study aims to evaluate the effectiveness of lavender and lemon aromatherapy on postpartum perineal wound pain. Methods: The research design used was a pre-experimental study involving two experimental groups. The population in this study consisted of 40 postpartum mothers. Using a purposive sampling technique, 30 women were selected as the research sample. The instrument used was a VAS questionnaire with 4 response scales. Data were analyzed using a paired t-test and Cohen’s d. Results: The results revealed that lavender aromatherapy was effective in reducing postpartum perineal wound pain with moderate (2 hours) and severe (4 hours) criteria. This finding was attributed to lavender aromatherapy’s neuromodulatory effect, which impacted the psyche and caused mild anti-inflammatory effects on the wound. In fact, lemon aromatherapy proved effective with very severe criteria, both for the first 2 hours and the following 24 hours. These results were due to the combination of limbic neurotransmitters with peripheral anti-inflammatory effects, which helped mothers manage stress and other psychological factors during labor. Conclusions: The study concluded that lemon aromatherapy was more effective than lavender because it was richer in citric acid and limonene. The study recommended that future research use a larger sample size and include several covariates to ensure broad generalizability of the findings.
The association of age, gender, and duration of gadget use with adolescent mental health Lia Dian Ayuningrum; Erna Yovi Kurniawati; Adenia Dwi Ristanti; Siti Roshaidai Mohd Arifin; Dewi Humairo Nailatul Izzah; Anafrin Yugistyowati
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol. 14 No. 1 (2026)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2026.14(1).189-205

Abstract

Background: Adolescence is a developmental period characterized by heightened emotional and behavioral vulnerability, which may be influenced by increasing exposure to digital devices. Objectives: This study aimed to examine the association between age, gender, and duration of gadget use and mental health among adolescents. Methods: A school-based cross-sectional study was conducted among 69 twelfth-grade students aged 15–18 years at a vocational high school in Central Java, Indonesia, selected through accidental sampling. Mental health status was assessed using the Strengths and Difficulties Questionnaire (SDQ-18), while duration of gadget use was measured using a structured self-report questionnaire. Descriptive statistics were used to summarize participant characteristics. Associations were analyzed using Chi-square tests and multiple linear regression to identify independent predictors of emotional strength and behavioral difficulties. Results: High gadget use was significantly associated with abnormal emotional difficulties (93.8%) and lower emotional strength (87.5%). Bivariate analysis demonstrated significant associations between gadget use and mental health outcomes (p < 0.001) and between age and mental health (p = 0.027), whereas gender was not significantly associated (p = 0.117). In multivariate models, gadget use and emotional difficulties remained significant predictors (p < 0.05), explaining 81.2% of the variance in emotional strength (R² = 0.812) and 76.5% of the variance in behavioral difficulties (R² = 0.765). Conclusions: These findings indicate that greater duration of gadget use is associated with poorer mental health indicators among adolescents. Given the cross-sectional design, causal inferences cannot be established. Strategies promoting balanced digital use and school-based mental health support may help mitigate potential adverse outcomes.
Effect of hand massage on anxiety levels before contraceptive device installation in prospective IUD and implant users Masruroh Masruroh; Istri Yuliani; Eko Mindarsih; B Verawati
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol. 14 No. 2 (2026)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2026.14(2).302-313

Abstract

Background: Anxiety prior to contraceptive insertion is commonly experienced by prospective family planning acceptors. Psychological discomfort during the procedure may reduce client comfort, influence decision-making, and potentially affect the continuity and effectiveness of contraceptive use. In many clinical settings, anxiety management is often limited to verbal reassurance, while simple non-pharmacological approaches are rarely implemented. One technique that has received increasing attention is hand massage, which may promote relaxation through stimulation of peripheral nerves and improved blood circulation. This intervention is simple, inexpensive, and easy to apply in routine healthcare services. Objectives: This study aimed to examine the effect of hand massage on reducing anxiety levels among prospective intrauterine device (IUD) and implant acceptors at the Independent Midwife Practice of Istri Yuliani, Sleman. Methods: This research employed a quasi-experimental design with a one-group pre-test and post-test approach to examine changes before and after the intervention. This research employed a quasi-experimental design with a one-group pre-test and post-test approach to examine changes before and after the intervention A total of 56 prospective contraceptive acceptors participated in the study. Anxiety levels were measured using the Hamilton Rating Scale for Anxiety (HRS-A) before and after the hand massage intervention. The massage was administered prior to contraceptive insertion as a relaxation technique. Data analysis was performed using descriptive statistics to describe the distribution of anxiety levels and paired t-test to examine the significance of anxiety reduction following the intervention. Results: Before the intervention, 75% of respondents experienced mild anxiety, while only 3.6% reported no anxiety symptoms. After receiving hand massage, the proportion of respondents without anxiety symptoms increased substantially to 80.4%, whereas mild anxiety decreased to 19.6%. The paired t-test indicated a statistically significant reduction in anxiety scores (p = 0.001). Conclusions: Hand massage is associated with a reduction in anxiety prior to contraceptive insertion. This technique may serve as a supportive non-pharmacological intervention to enhance client comfort and improve the overall experience of family planning services.
Physical activity and exercise during pregnancy in relation to gestational weight gain: A systematic review with synthesis without meta-analysis Chori Elsera; Anafrin Yugistyowati; Umi Faridah; Devi Permata Sari; Marwanti
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol. 14 No. 2 (2026)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2026.14(2).314-330

Abstract

Background: Excessive gestational weight gain (GWG) is associated with adverse maternal and neonatal outcomes, including gestational diabetes mellitus, hypertensive disorders, increased birth weight, and postpartum weight retention. Physical activity and structured exercise are modifiable lifestyle factors that may help prevent excessive GWG, yet evidence varies by intervention type, intensity, duration, and adherence. Objectives: This systematic review aimed to synthesize evidence from randomized controlled trials on the effects of physical activity and exercise interventions during pregnancy on gestational weight gain. Methods: This systematic review followed PRISMA 2020 guidelines and used a Synthesis Without Meta-analysis approach. Searches were conducted in PubMed, ScienceDirect, Scopus, and Emerald for studies published between 2013 and 2023. Eligible studies were randomized controlled trials involving pregnant women receiving physical activity or exercise interventions. GWG was the primary outcome, while gestational diabetes mellitus, hypertensive disorders, neonatal outcomes, and adherence were secondary outcomes. Screening was conducted using Rayyan, and study quality was assessed using the CASP checklist. Results: A total of 2,052 records were identified. After duplicate removal and eligibility screening, 27 full-text articles were assessed, and 4 randomized controlled trials were included. The included studies generally suggest that structured exercise during pregnancy may help reduce excessive GWG, although findings varied across populations and intervention characteristics. Conclusions: Physical activity and structured exercise during pregnancy may help prevent excessive gestational weight gain, although their effectiveness depends on adherence, baseline BMI, and intervention characteristics. Integrating exercise counseling into antenatal care may support appropriate gestational weight gain
Optimizing breastfeeding succes post-cesarean: A quasi-experimental study on biological nurturing baby-led feeding video intervention Rialike Burhan; Desi Widiyanti; Elly Wahyuni; Novia Nuraini; Lia Artika Sari
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol. 14 No. 2 (2026)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2026.14(2).206-221

Abstract

Background: The coverage of exclusive breastfeeding in Bengkulu Province remains low, reaching 67.08% and even declining to 52.9% in 2022, which is below the national average of 71.58%. Mothers who undergo cesarean section (CS) deliveries are more likely to experience early breastfeeding failure. Approximately 68% of post-CS mothers face difficulties in caring for their newborns and moving in and out of bed due to post-surgical pain. Objectives: This study aims to evaluate the effect of an educational video on Biologic Nurturing Baby-Led Feeding on the knowledge, attitudes, and breastfeeding success of post-cesarean section mothers in Bengkulu City. Methods: This study employed a quasi-experimental design using a pre-post test group approach. The research was conducted in several three.Type C hospitals in Bengkulu City from January to November 2024. A total of 60 participants were divided into two groups: the intervention group, which received education through video media, and the control group, which used a pocket book as the educational tool. The data analysis included univariate analysis, bivariate analysis using the Independent Sample T-Test, and multivariate analysis using MANCOVA. Results: Statistical analysis revealed that the use of Biologic Nurturing Baby-Led Feeding educational video had a significant impact on mothers’ knowledge, attitudes, and breastfeeding success (p-value = 0.05).  Effect Size : knowledge : 0.555, attitudes: 0,662 and breastfeeding success : 0.735 Conclusions: Health education can improve mothers' knowledge, attitudes, and breastfeeding success. However, the use of the Biologic Nurturing Baby-Led Feeding educational video proved to be more effective and was preferred by the respondents.
Social support and uncertainty in illness on anxiety in Acute Coronary Syndrome (ACS) patients Liza Mareta; Indra Gilang Pamungkas; Mochamad Robby Fajar Cahya; Aliana Dewi
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol. 14 No. 2 (2026)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2026.14(2).267-275

Abstract

Background: Acute Coronary Syndrome (ACS) remains a leading cause of morbidity and mortality, with many patients experiencing high levels of anxiety during recovery. This anxiety is often exacerbated by uncertainty in illness (one of aspects that play a key role in shaping anxiety responses among patients, particularly in life-threatening conditions such as ACS) and lifestyle changes, while limited social support further hinders optimal rehabilitation. Despite its clinical importance, research exploring the combined effects of social support and uncertainty in illness on anxiety in ACS patients is still scarce, highlighting the need for this study. Objectives: This research aimed to analyse the correlation between social support and uncertainty in ilness with anxiety in ACS patient. Methods: This study used a cross-sectional design on 73 respondents at National Heart Center Harapan Kita in May - July 2025. The study was conducted using four instruments consisting of characteristics, MSPSS, SF-MUIS, and HADS. The collected data were analyzed using the Pearson test because the data were normally distributed after the Kolmogorov-Smirnov (KS) test with the results 0.723 for social support, 0.788 for uncertainty in illness, and 0.737 for anxiety (p-value > 0.05). Results: The results of the study showed a significant relationship between social support and anxiety in ACS patients (p-value: 0.012, rpearson: -0.291). Other results showed no promising relationship between uncertainty in illness and anxiety in ACS patients (p-value: 0.481, rpearson: 0.084). Conclusions: The study found that social support significantly correlated with anxiety in ACS patients while uncertainty in illness showed no significant correlation. This research is highlighting the need for further research with larger patients, integration of Mishel's Uncertainty Theory in education, and the application of Family-Centered Care in Clinical Practice

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