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INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS)
Published by STIKES PPNI Bina Sehat Mojokerto
ISSN : 26860538     EISSN : 26862123     DOI : doi.org/10.29082
Core Subject : Health, Education,
Health Professions Nursing Public Health Other
Arjuna Subject : -
Articles 472 Documents
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DIGITAL HEALTH INTERVENTIONS TO IMPROVE GLYCEMIC OUTCOMES IN TYPE 2 DIABETES MELLITUS: A LITERATURE REVIEW Utomo, Waras Budi; Muzdalipah; Muhajir, Reska Ahmad; Fawzi, Yulianur
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol. 9 No. 1 (2025): VOLUME 9 ISSUE 1 APRIL 2025
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2025/Vol9/Iss1/703

Abstract

Type 2 diabetes mellitus (T2DM) is a growing global health concern marked by persistent hyperglycemia and a high risk of complications. Despite advancements in treatment, many patients fail to achieve optimal glycemic control. Digital health interventions (DHIs) have emerged as promising tools to support self-management and improve outcomes in T2DM care. This literature review aims to evaluate the effectiveness of DHIs in enhancing glycemic control among individuals with T2DM. A literature review was conducted by searching databases such as EBSCOhost, ScienceDirect, ProQuest, and Google Scholar for full-text articles published between 2016 and 2025. Inclusion criteria focused on studies involving adult T2DM populations using mobile apps, telemedicine, or web-based platforms to support glycemic management. A total of 10 studies met the criteria and were analyzed narratively. A total of 10 studies were analyzed in this literature review to evaluate the impact of digital health interventions on glycemic control among T2DM patients. These studies comprised randomized controlled trials, quasi-experimental studies, and cohort studies conducted in various global settings. The findings consistently demonstrated that digital health interventions such as mobile applications, web-based platforms, and telemedicine systems positively affect glycemic control, primarily measured through decreased HbA1c levels. This literature review concludes that DHIs show strong potential in improving glycemic control in T2DM. The effectiveness of these interventions is influenced by user engagement, digital literacy, and integration with healthcare support.
THE EFFECT OF DASH DIET EDUCATION USING THE PEER GROUP METHOD ON THE EATING PATTERNS OF DIABETES MELLITUS PATIENTS IN KALIBUNTU VILLAGE Wicaksono, Kurniawan Erman; Rahmat, Nafolion Nur; Purwanza, Sena Wahyu; Nurmawati, Ida; Hanifa, Salihati
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol. 9 No. 2 (2025): VOLUME 9 ISSUE 2 AUGUST 2025
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2025/Vol9/Iss2/692

Abstract

The management of diabetes mellitus (DM) includes diet management as an important  component  in  maintaining  blood  sugar  stability.  The  DASH  diet helps maintain electrolyte balance and cardiovascular health through calcium, potassium,  and  magnesium  intake.  Dietary  education  using  the  peer  group method  is  useful  for  sharing  experiences,  exchanging  information,  and providing and receiving emotional support.. This study aimed to determine the effect  of  DASH  diet  education  using  the  peer  group  method  on  the  eating patterns  of  Diabetes  Mellitus  (DM)  patients.  The  research  design  was  pre- experimental  with  a  one-group  pretest-posttest  approach.  The  study population consisted of 40 respondents, with a total sampling technique, and the data were analyzed using the Wilcoxon Sign Rank Test. After receiving DASH  diet  education,  most  patients  had  good  eating  patterns.  The  study results showed that DASH diet education using the peer group method had an effect on the eating patterns of Diabetes Mellitus patients. Based on the study findings,  it  was  expected  that  community  nurses  could  use  DASH  diet education interventions to improve blood sugar levels, lipid profiles, and blood pressure in diabetes mellitus patients.
FACTORS ASSOCIATED WITH DEPRESSION AMONG CHRONIC KIDNEY DISEASE PATIENTS RECEIVING HEMODIALYSIS Isdiana, Dini Fitria; Mugi Hartoyo; Umi Margi Rahayu; Rodhi Hartono; Budiyati
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol. 9 No. 2 (2025): VOLUME 9 ISSUE 2 AUGUST 2025
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2025/Vol9/Iss2/696

Abstract

Chronic  kidney  disease  (CKD)  is  one  of  the  therapies  for  CKD  is hemodialysis. Hemodialysis can have psychological effects, one of which is depression. The purpose of this study was to identify factors associated with depression in patients with chronic kidney failure undergoing hemodialysis. This  is  a  quantitative  study  with  a  descriptive  correlational  design  using  a cross-sectional design on 52 samples with purposive sampling. The study was conducted  using  the  Beck  Depression  Inventory  II  questionnaire,  Fatigue Severity  Scale,  Pittsburgh  Sleep  Quality  Index,  and  data  were  tested  using Kendall's Tau b and c tests and Ordinal Logistic Regression. The study found that 46.2% of CKD patients experienced severe depression. Depression was more  prevalent  among  CKD  patients  aged  41–55  years  (40.0%),  females (61.5%),  married  individuals  (65.4%),  those  with  a  high  school  education (40.4%), those who had undergone hemodialysis for 13–36 months (44.2%), respondents  with  poor  sleep  patterns  (55.8%),  and  those  with  comorbid conditions  (hypertension)  (34.6%).  The  results  of  Kendall's  tau  analysis showed that factors associated with depression include age, gender (p=0.001), marital  status  (p=0.001),  duration  of  hemodialysis  (p=0.016),  education (p=0.001),  sleep  patterns  (p=0.001),  fatigue  (p=0.001),  and  comorbidities (p=0.001), while age did not show a significant association (p=0.057). Among the  factors  analyzed  using  the  partial  test,  no  single  factor  was  dominant  in influencing  depression  levels  in  CKD  HD  patients.  The  odds  ratio  for education was the highest, with a value of 603,801.0287. Clinically, the odds ratio  results  indicate  that  education  is  the  dominant  factor,  with  a  60-fold influence on depression in CKD HD patients. 
RELATIONSHIP BETWEEN QUALITY OF WORK LIFE AND NURSE’S PERFORMANCE IN EMERGENCY ROOM RSUD KARSA HUSADA BATU CITY Dharma Pratiwi, Jiwani Alvina; Putri, Elsa Yosinda Widya Kusuma
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol. 9 No. 2 (2025): VOLUME 9 ISSUE 2 AUGUST 2025
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2025/Vol9/Iss2/699

Abstract

Quality of Work Life (QWL) is an important factor affecting nurse performance, especially in the Emergency Room (ER) with high work pressure. This study aims to analyze the relationship between QWL and the performance of ER nurses at RSUD Karsa Husada, Batu City. The research design used a quantitative method with a cross-sectional study approach. The total sampling used involved 17 ER nurses. QWL measurement was carried out through a structured questionnaire, while nurse performance was measured based on hospital performance evaluation indicators. The statistical test used was chi-square. The results showed a significant relationship between QWL and nurse performance with a p-value <0.005, which was 0.002 (α = 0.05). This indicates that improvements in QWL can contribute positively to improving nurse performance. These findings provide important implications for hospital management to improve the quality of the nurse work environment to achieve better performance in health services.
THE INFLUENCE OF PHYSICAL WORK ENVIRONMENT FACTORS ON THE PERFORMANCE OF EMPLOYEES OF THE MOJOKERTO REGENCY HEALTH OFFICE Abidin, Feri Muhammad; Diana, Sulis; Eka Dyah Katiningrum
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol. 9 No. 2 (2025): VOLUME 9 ISSUE 2 AUGUST 2025
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2025/Vol9/Iss2/705

Abstract

Efforts to create a good and comfortable physical work environment must be made by agencies in order to support the achievement of high performance for employees. The purpose of this study was to analyze the influence of physical environmental factors on the performance of employees of the Mojokerto District Health Office. This study was conducted with a cross sectional approach with a sample of 76 employees selected by simple random sampling technique. data were collected with a room thermometer, sound level meter, luxmeter and comfort measurement questionnaire. The data were then analyzed using logistic regression test. The results showed that almost all of the furniture used by employees to work was comfortable (79.5%), most of the rooms had more than average noise levels (59.1%), all rooms had room temperature (15-30o Celsius) (100%), almost all rooms had inappropriate lighting (88.6%). The results of the logistic regression test explain that the comfort of office furniture has no effect on employee performance (p value = 0.545), the noise level has no effect on employee performance (pvalue = 0.739). employee workplace air temperature has no effect on employee performance (pvalue = 0.087). Workplace lighting levels affect employee performance. (p value = 0.026) Together there is an influence of all physical environmental factors on employee performance and there is no most dominant factor in influencing the performance of employees of the Mojokerto District Health Office (pvalue = 0.000). Sufficient lighting does not interfere with employee concentration so that they can work well and focus and have good performance. Therefore, the Health Office should begin to rehabilitate the facilities owned so as to create a conducive work environment for employees.
THE EFFECT OF KNOWLEDGE AND ATTITUDE ON THE PRACTICE OF USING MOBILE JKN APPLICATIONS IN PARTICIPANTS OF BPJS KESEHATAN JEMBER BRANCH OFFICE Agung Tri Anjono; Diana, Sulis
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol. 9 No. 2 (2025): VOLUME 9 ISSUE 2 AUGUST 2025
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2025/Vol9/Iss2/706

Abstract

The use of JKN mobile applications is increasing along with the development of information technology. This study aims to analyse the effect of participants' knowledge and attitudes on satisfaction in using the JKN mobile application at the Jember Branch Office. This study uses quantitative research methods using analytical observational methods with a cross sectional approach. Probaility Sampling with Simple Random Sampling Technique with a total sample of 134 respondents. Data collection was carried out by filling out questionnaires and interviews made by researchers and filled in by respondents. The collected data were processed using the statistical test ‘Chi-Square’ The results showed that most respondents had good knowledge about the JKN mobile application as many as 89 people (66.4%), most respondents had a negative attitude about the JKN mobile application as many as 82 people (61.2%), most respondents were satisfied in using the JKN mobile application as many as 71 people (53%). The results of the Chi-square analysis test show that the p-value of 0.012 means that there is an influence of knowledge on satisfaction in using the JKN mobile application, the p-value of 0.000 means that there is an influence of attitude on satisfaction in using the JKN mobile application. It is expected that BPJS Kesehatan officers are more continuous about socialising the menu or features on the JKN mobile application directly to BPJS Kesehatan participants, currently patients who come to BPJS Kesehatan health facilities some have not used mobile JKN, so it needs the role of officers in educating patients and families about the features in the JKN mobile application.
COMBINATION OF HIBISCUS SABDARIFFA LINN, FLOWER AND WHITE GINGER TEA ON BLOOD PRESSURE REDUCTION IN THE ELDERLY Putri, Farisa Adinda; Hidayati, Nur; Maghfuroh, Lilis
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol. 9 No. 2 (2025): VOLUME 9 ISSUE 2 AUGUST 2025
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2025/Vol9/Iss2/708

Abstract

Hypertension is a common health problem among the elderly. This study aims to determine the effectiveness of Hibiscus sabdariffa Linn. flower and white ginger tea in reducing blood pressure in the elderly. This quasi-experimental study employed a control group design. The study was conducted on 64 elderly and distributed equally to intervention and control group. The intervention group received Hibiscus sabdariffa Linn. flower and white ginger tea, while the control group administered antihypertensive medication. Blood pressure was measured using a digital sphygmomanometer. Data were analyzed using a t-test (α ≤ 0.05). In the intervention group, the mean systolic blood pressure decreased 11.7 and the mean diastolic blood pressure also dropped 7.8. In the control group, the mean systolic blood pressure reduced 12.5; and a decrease in mean diastolic blood pressure of 7.76. A notable change was detected between pre-test and post-test measurements in both the intervention and control groups (p = 0.000; p = 0.000). However, post-test systolic and diastolic blood pressure remained comparable between the two groups, showing no significant difference (p = 0.441; p = 0.856). Hibiscus sabdariffa Linn. flower and white ginger tea have demonstrated efficacy in reducing blood pressure in the elderly, comparable to antihypertensive drugs.
ANALYSIS OF FACTORS RELATED TO INCREASED URIC ACID LEVELS INPATIENTS AT GENTENG GENERAL HOSPITAL, BANYUWANGI Prabowo, Eko; Lia Suwardani
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol. 9 No. 2 (2025): VOLUME 9 ISSUE 2 AUGUST 2025
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2025/Vol9/Iss2/712

Abstract

One of the lifestyle diseases caused is degenerative disease. The incidence of degenerative diseases is often related to age and changes in a person's lifestyle. Age is a factor that is directly related to Body Mass Index (BMI). The aim of this study was to determine the factors associated with increased uric acid levels in inpatients at Genteng Hospital, Banyuwangi Regency. This research used an analytical observational design. The sample in this study were inpatients at Genteng Hospital, Banyuwangi Regency, namely 40 respondents. The sampling technique uses purposive sampling. Tools for the data collection process were questionnaires and observation sheets, then analyzed using the Che Square statistical test with α < 0.05. It is known from the research results that from statistical analysis using the che square test it is known that there is a relationship between the factors age, obesity/BMI and family support with increasing uric acid levels in inpatients at Genteng Hospital, Banyuwangi Regency with p value <0.05. For this reason, it is necessary to maintain your diet, to avoid foods that are fatty and have high purine levels. Supported by regular exercise so that blood circulation becomes smooth, thereby preventing the accumulation of fat and high purines in the blood which cause obesity and gout.
NURSING DIAGNOSIS IN PATIENTS WITH HYPOGLYCEMIA IN THEEMERGENCY DEPARTMENT Hidayati, Nur; Aldia, Melani Adinda Putri; Maghfuroh, Lilis
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol. 9 No. 2 (2025): VOLUME 9 ISSUE 2 AUGUST 2025
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2025/Vol9/Iss2/717

Abstract

Hypoglycemia is a condition involving decreased blood glucose levels. It can cause symptoms affecting multiple systems and have serious consequences if left untreated. Nurses play a crucial role in swiftly and appropriately detecting and treating hypoglycemia in the emergency department. Research on nursing diagnoses was the first step in determining interventions for hypoglycemic patients in the emergency department of the Muhammadiyah Babat General Hospital. The study employed a descriptive retrospective design using secondary data from medical records. The study sample included 73 hypoglycemia patients admitted to the emergency room from January to December 2024, selected using consecutive sampling, and data was collected on May, 2025. The data was analyzed descriptively. The results showed that all patients experienced similar signs and symptoms: low blood glucose levels, drowsiness, decreased appetite, weakness, dizziness, strange behavior, and physical weakness. The nursing diagnosis that emerged for all patients was blood glucose level instability. These findings suggest that hypoglycemia has a consistent clinical impact and requires a structured nursing response. Decreased intracranial adaptive capacity, a diagnosis listed in the nursing pathway that is usually associated with severe hypoglycemia, was not found in this study. This may be due to limitations in neurological assessments and supporting examinations.
The Emergency Level Algorithm Uses the National Early Warning System (News) Method for Non-Rebreathing Mask Oxygen Therapy Patients Kuzzairi; Taufiqurrahman; Endang Fauziyah Susilawati
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol. 9 No. 2 (2025): VOLUME 9 ISSUE 2 AUGUST 2025
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2025/Vol9/Iss2/721

Abstract

The mixed gas pressure theory states that if the pressure of one gas in a gas mixture increases, the partial pressure of the other gas will decrease. Increasing the oxygen concentration in the non-rebreathing mask will reduce the partial pressure of CO2, so that it can reduce PaCO2 and maintain a high PaO2. Researchers want to know the level of emergency by looking at the effectiveness of administering O2 on hemodynamic status using the NEWS (National Early Warning System) method, where currently only O2 saturation and arterial blood gas analysis values ​​are often used to evaluate, without any scoring, with an action algorithm according to the emergency level scoring report. This research is a quasi-experimental one-group pre-post-test design with a one-shot pretest and posttest design on all patients who have respiratory complaints with NEWS score values ​​in the moderate and severe categories in the ICU of Dr. Hospital. Slamet Martodirjo Pamekasan. Sampling uses non-probability purposive sampling. Because the population of this study is infinite, the target sample size is 20 respondents. The emergence of patients in the ICU after receiving the second 6-hour phase of O2 NRM therapy intervention was found by most respondents (55%) in the mild category, and only 20% in the severe category. This means that the number of patients in the critical or high category is much less than after the first 2 hours of therapy, namely 65% ​​to 20% and most of them are already in the mild category after the second 6 hours of O2 therapy. This study concludes that O2 NRM therapy has a significant effect on reducing the level of emergency for the first 2 hours and evaluation for the second 6 hours, resulting in a different emergency algorithm (reducing the level of emergency) for the two evaluation phases with different levels of emergency.

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