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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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IMPLEMENTATION OF PREGNANT MASSAGE AT THE BL40 (WEIZHONG) ACUPRESSURE POINT TO REDUCE LOWER BACK PAIN IN PREGNANT WOMEN IN THE 2ND AND 3RD TRIMESER Suryantini, Naning Puji
International Journal of Nursing and Midwifery Science (IJNMS) Vol. 9 No. 3 (2025): VOLUME 9 ISSUE 3 DECEMBER 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/Iss3/770

Abstract

Lower back pain is the most common form of discomfort during pregnancy experienced by mothers, especially in the second and third trimesters. Hormonal changes, weight gain, and biomechanical adaptations of the body are the main factors causing this complaint. The impact is not only pain but also disrupts daily activities, sleep quality, and increases stress. Pharmacological management is not always safe, so non-pharmacological interventions are more recommended. One potential method is pregnancy massage with stimulation of the BL40 (Weizhong) acupressure point, which works to relax muscles, improve circulation, and stimulate the release of endorphins. This study used a quasi-experimental design with a pretest–posttest without a control group. The sample consisted of 30 pregnant women in their second and third trimesters who experienced lower back pain and received antenatal care at the Sujiati Nur Elys TPMB, Dlanggu District, Mojokerto Regency. The intervention was given three times a week, with pain measured using the Numeric Rating Scale (NRS). The results showed that before the intervention, the majority of respondents experienced severe pain (53.3%), while after the intervention, none experienced severe pain. A total of 26.7% of respondents had no pain, 53.3% had mild pain, and 20% had moderate pain. The Wilcoxon test showed p = 0.000 (p < 0.05), indicating a significant difference before and after the intervention. Thus, pregnancy massage at the BL40 point has been proven effective in reducing lower back pain in pregnant women.
THE IMPACT OF AUDIO-VISUAL MEDIA-BASED HEALTH EDUCATION USING A FAMILY CENTERED MATERNITY CARE (FCMC) APPROACH TOWARDS MOTIVATION OF WOMEN TO DO VIA TEST (VISUAL INSPECTION WITH ACETIC ACID) AS EARLY DETECTION OF CERVICAL CANCER AINUL HIDAYATI; Laili Fatkuriyah; Umi Sukowati; Ulfia Fitriani Nafista
International Journal of Nursing and Midwifery Science (IJNMS) Vol. 9 No. 3 (2025): VOLUME 9 ISSUE 3 DECEMBER 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/Iss3/771

Abstract

Women of childbearing age are at a higher risk of developing cervical cancer due to their sexual activity. In Indonesia, cervical cancer is the second leading cause of illness and death among women. One way to reduce the mortality rate is through preventive measures, such as early detection using the VIA method. This study aims to evaluate the effectiveness of delivering health education through audiovisual media in enhancing the motivation of women of childbearing age to undergo VIA test. This study employs a quantitative approach with a pre-experimental design, specifically a One Group Pretest-Posttest design. The sample size, determined using the Slovin formula, consisted of 187 respondents selected through probability sampling with a cluster random sampling method. Data analysis was conducted using the Wilcoxon signed rank test. The findings revealed that prior to receiving audiovisual-based health education, only 4.3% of women of childbearing age demonstrated strong motivation to undergo IVA examinations. Following the health education intervention, this percentage increased significantly to 48.1%, indicating a notable improvement in motivation. The statistical test results obtained a p-value of 0.000 (<0.05). In conclusion, audiovisual-based health education using the FCMC (Family Centered Maternity Care) approach is effective in enhancing the motivation of women of childbearing age to undergo VIA test. This study serves as a foundation for strengthening promotive efforts to encourage women to participate in VIA test.
APPLICATION OF JEAN WATSON'S THEORY IN BREATHING EXERCISE INTERVENTION: A LITERATURE REVIEW Metilda; Theophylia Melisa Manumara; Mohamad Aldi; Aulia Ramadhani; Siti Kania Ramadhany; Nisa Aulia Ervani; Siti Asiyah; Tiara Pebriyanti; Faruz Balqis Anasthasya; Rizma Rizkian Azzahra; Tasya nabila sari; Siti Salwa
International Journal of Nursing and Midwifery Science (IJNMS) Vol. 9 No. 3 (2025): VOLUME 9 ISSUE 3 DECEMBER 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/Iss3/772

Abstract

Background: Jean Watson's Caring Theoryemphasizes an empathetic and humanistic relationship between nurses and patients. This literature review aims to examine the application of this theory in breathing exercisesas a holistic approach to improving the physical and psychological conditionof patients. Method: The method used was a database searchon PubMed and Google Scholar with a publication periodrange of 2015-2025. Results: The results show that exercises such as slow deepbreathing, diaphragmatic breathing, progressive muscle relaxation,and finger hold relaxation are effective in reducing blood pressure and anxietyand improving lung function and quality of life. Conclusion: The collaborationbetween Jean Watson's Caring theory and breathing exercises can strengthen the holistic aspectof nursing, create a therapeutic environment, and accelerate the physical and psychological recoveryof patients.
INCREASE PEAK EXPIRATORY FLOW IN COPD PATIENTS THROUGH BALLOON BLOWING EXCERCISE Yuniarti, Enny Virda
International Journal of Nursing and Midwifery Science (IJNMS) Vol. 9 No. 3 (2025): VOLUME 9 ISSUE 3 DECEMBER 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/Iss3/773

Abstract

Chronic obstructive pulmonary disease remains a threat to global communities. COPD negatively affects health due to progressively reversible airflow obstruction. This disease has a prognosis that continues to worsen over time. Mortality in patients hospitalized for exacerbations with hypercapnia and acidosis is estimated at 10%. Mortality is 40% in patients who require mechanical ventilation one year after treatment and 49% mortality overall. The aim of this study is to analyze the effect of Balloon Blowing Exercise on peak expiratory flow in COPD patients. This research is a quantitative study with a pre-experimental design using a one-group pre-post test approach. The sample in this study consisted of COPD patients who met the inclusion criteria, namely not currently experiencing contagious pulmonary infections, totaling 30 respondents. The tools used for data collection are balloons, a peak flow meter to measure peak expiratory flow, and SPOs for the balloon blowing exercise breathing exercises. The research results obtained data showing the average value (Mean) of Peak Expiratory Flow (PEF) before the Balloon Blowing Exercise intervention was 90.83 lpm. With a standard deviation of 23.271, this indicates that the peak expiratory flow data in the pre-test group tends to have variations that are not too far from the average value and are largely clustered around the mean value of 90.83. The peak expiratory flow data of patients after the Balloon Blowing Exercise intervention (post-test) showed an average (Mean) PEF value of 103.53 lpm. With a standard deviation of 28.565, this indicates that the post-test PEF data distribution is not too far from its mean. The Wilcoxon Signed Rank Test results showed a Sig.(2-tailed) value of 0.000 < 0.05, meaning H0 is rejected and Ha is accepted, indicating that there is an effect of the Balloon Blowing Exercise on PEF in patients with COPD (Chronic Obstructive Pulmonary Disease). This exercise involves the use of respiratory muscles, thereby helping to strengthen those muscles and improve breathing efficiency. By improving ventilation, preventing water trapping, and strengthening the respiratory muscles, Balloon Blowing Exercise can reduce the work of breathing, which impacts the improvement of APE scores
PREVALENCE AND IMPACT OF SEXUAL VIOLENCE ON ADOLESCENTS IN MOJOKERTO DISTRICT Saudah, Noer; Lestari, Indah; Abidin, Chasiru Zainal
International Journal of Nursing and Midwifery Science (IJNMS) Vol. 9 No. 3 (2025): VOLUME 9 ISSUE 3 DECEMBER 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/Iss3/774

Abstract

Sexual violence is a serious issue in maternity nursing as it directly impacts reproductive health, including physical trauma, damage to reproductive organs, unwanted pregnancies, and prolonged psychological trauma. This study aimed to measure the prevalence of sexual violence among adolescents in Mojokerto Regency and describe its forms and impacts. The research employed a descriptive design, conducted in Mojokerto Regency from July to September 2025. A total of 220 respondents were selected using accidental sampling. The study variables included the prevalence of sexual violence incidents and their impacts, measured using a questionnaire. Data were analyzed using frequency distribution. The results showed that 118 adolescents (53.7%) had experienced sexual violence. The most common type was verbal harassment (40.7%), followed by a combination of verbal and physical violence (29.6%), physical violence (17%), and chat calling (12.7%). The most significant impact experienced by victims was social (44.8%), followed by combined physical-psychological-social impacts (22.7%), psychological (12.7%), spiritual (8.4%), physical (7.2%), and physical-psychological (4.2%). The dominance of female victims reflects the influence of patriarchal culture and gender inequality. The prevalence of verbal violence indicates low public awareness that certain utterances constitute harassment. Sexual violence often leads to social isolation, necessitating holistic management to enable adolescents to recover in a safe and supportive environment.
THE EFFECT OF RESISTANCE EXERCISE AND WARM WATER SOAKING ON FOOT SENSITIVITY IN PATIENTS WITH DIABETES MELLITUS Ningsih, Arum Dwi
International Journal of Nursing and Midwifery Science (IJNMS) Vol. 9 No. 3 (2025): VOLUME 9 ISSUE 3 DECEMBER 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/Iss3/775

Abstract

Diabetes mellitus (DM) is a chronic metabolic disorder characterized by hyperglycemia. One complication in DM patients is diabetic ulcers that begin with peripheral neuropathy. This peripheral neuropathy causes decreased sensitivity in the feet, so that people with diabetes mellitus often experience loss of sensation in the feet. The purpose of this study was to determine the effect of a combination of resistance exercise and warm water soaks on the sensitivity value of the feet of diabetes mellitus patients. The research method used was quantitative with a Pre-Experimental design, namely One Group Pretest-Posttest design. The population of this study were all type II Diabetes Mellitus patients under the management of the Blooto Health Center Work Area, Mojokerto City. The sampling technique used was purposive sampling with a sample size of 32 respondents. The results of the statistical test with the Wilcoxon Rank Test showed a p value = 0.001 (p <0.05), indicating that there was a significant difference between before and after the intervention. The z value = -5.099 also strengthens the existence of significant changes with the direction of change indicating improvement.
FOOD INTAKE, PHYSICAL ACTIVITY, AND FASTING BLOOD GLUCOSEAMONG TYPE 2 DIABETES MELLITUS PATIENTS: A CROSS-SECTIONALSTUDY Pratiwi, Rizky Meuthia
International Journal of Nursing and Midwifery Science (IJNMS) Vol. 9 No. 3 (2025): VOLUME 9 ISSUE 3 DECEMBER 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/Iss3/778

Abstract

Type 2 Diabetes Mellitus (T2DM) is a metabolic disorder marked by hyperglycemia due to reduced insulin sensitivity and impaired insulin secretion. Poor monitoring of dietary intake and low physical activity often worsen glycemic control. This study aimed to determine the relationship between dietary intake assessed through food recall, physical activity, and fasting blood glucose levels in T2DM patients. This quantitative research employed a descriptive correlational design with a cross-sectional approach and was conducted at Blooto Public Health Center in September 2025. A total of 80 respondents were selected using convenience sampling. Data were collected using a 3-day food recall analyzed with the FatSecret application, the International Physical Activity Questionnaire (IPAQ), and fasting blood glucose measurements using a glucometer. Data analysis included Chi-square tests and Linear Regression. Results showed that 60% of respondents consumed more than 50 grams of sugar per day, 60% had light to moderate physical activity, and 62.5% exhibited elevated fasting blood glucose (>100 mg/dL). Significant relationships were found between food recall and fasting blood glucose (p = 0.000) and between physical activity and fasting blood glucose (p = 0.000). However, the combined effect of dietary intake and physical activity was not significant (p = 0.996). Strengthening dietary education and promoting regular physical activity are essential to improve glycemic control in T2DM patients.
Effectiveness of Nutmeg Seed–Aloe Vera Ointment Compared with Ice Compresses for Bruise Healing: A Quasi-Experimental Study Hidayati, Nur; Firdaus, Ilma Fauziyah; Hanafi, Aprelia Afidatul
International Journal of Nursing and Midwifery Science (IJNMS) Vol. 9 No. 3 (2025): VOLUME 9 ISSUE 3 DECEMBER 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/Iss3/779

Abstract

Bruises are a common problem experienced by Tapak Suci athletes caused by impact or trauma that leads to bleeding under the skin, pain, and swelling. Despite their potential benefits, non-pharmacological therapies have not been widely chosen. This study aims to determine the effectiveness of giving Nutmeg seed and Aloe vera compared to ice compresses for bruises injuries recovery. A quasi-experiment design used on 46 Tapak Suci athletes who divided into two groups, and selected using accidental sampling technique. The intervention group was given Nutmeg seed and Aloe vera ointment for 7 days, and the control group was given ice compresses for 7 days. The instrument used was an observation sheet, and analyzed using Wilcoxon and Mann Whitney tests (α≤0.05). The study showed that 65.2% of respondents experienced fast healing after giving Nutmeg seed and Aloe vera. Both the intervention and control groups showed significant differences between pre-test and post-test results (p=0.001; p=0.000). There was a notable contrast in bruise coloration changes between the two groups during the pre-test and post-test assessments (p=1.000; p=0.001). In conclusion, Nutmeg seed and Aloe vera demonstrated greater efficacy in promoting bruise healing compared to ice compress therapy, accelerating recovery by approximately one day.
MEDICATION ERRORS IN THE PRESCRIBING AND TRANSCRIBING PHASE: CASE STUDY MUHAMMAD ROYANUL FIRDAUS; Lutfi Qamari; Ana Zakiyah
International Journal of Nursing and Midwifery Science (IJNMS) Vol. 9 No. 3 (2025): VOLUME 9 ISSUE 3 DECEMBER 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/Iss3/784

Abstract

Medication errors are a leading cause of patient safety incidents in primary healthcare facilities and often occur during the prescribing and transcribing phases , the initial stages of the medication use process. This case study aims to examine in-depth a medication error incident involving the erroneous prescription of gentamicin skin ointment for an eye complaint in a patient. Data were collected through medical record reviews, documentation audits, incident reports, and in-depth interviews with healthcare workers involved in the prescribing, transcribing, and dispensing processes. The study results revealed several discrepancies in the prescribing phase , including illegible prescriptions, incomplete drug names, omissions of instructions for use, and the omission of important clinical information such as allergy history, prescription date, and patient physiological parameters. In the transcribing phase , errors occurred due to incorrectly transcribing the drug name and instructions for use. Systemic factors contributing to this incident include high workload, limited human resources, and suboptimal implementation of medication safety procedures in accordance with national pharmaceutical service standards. These findings emphasize the importance of improving prescription clarity, strengthening verification mechanisms, and adherence to SOPs in efforts to minimize medication errors and strengthen patient safety.
THE EFFECT OF THE "KELAS IBU HAMIL" APPLICATION ON DELIVERY PREPAREDNESS IN PREGNANT WOMEN Marifah, Asirotul
International Journal of Nursing and Midwifery Science (IJNMS) Vol. 9 No. 3 (2025): VOLUME 9 ISSUE 3 DECEMBER 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/Iss3/786

Abstract

Good delivery preparedness significantly reduces maternal and infant complications. Pregnant mother's classes are crucial for enhancing this readiness, now available in flexible digital formats alongside traditional face-to-face sessions due to technological advancements. However, the systematic effectiveness of these digital classes requires further proof. This study aimed to evaluate the impact of the "Kelas Ibu Hamil" application on delivery preparedness. The research employed a quasi-experimental design with a control group. The study population comprised 40 pregnant women receiving Antenatal Care at Puskesmas Pembantu Tambak Agung, Puri, Mojokerto. Total sampling ensured all eligible women became respondents, with 20 assigned to an intervention group using the "Kelas Ibu Hamil" application and another 20 to a control group receiving routine education. Delivery preparedness was measured using a specific questionnaire. Data analysis utilized the Paired Sample T-Test. Results indicated a significant difference in pre-test and post-test scores across four weeks (p < 0.05). These findings confirm that the application effectively improves delivery preparedness by enabling mothers to learn independently, access materials anytime, and consult healthcare professionals directly.

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