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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 518 Documents
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THE EFFECT OF MINDFULNESS BASED STRESS REDUCTION (MBSR) ON THE INTENSITY OF DYSMINORE IN ADOLESCENTS AT THE PUNGGING PUBLIC HEALTH CENTER, MOJOKERTO DISTRICT Naning Puji Suryantini
International Journal of Nursing and Midwifery Science (IJNMS) Vol. 10 No. 2 (2026): VOLUME 10 ISSUE 2 AUGUST 2026
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/2026/Vol10/Iss2/833

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 EFFECT OF COUNTERPRESSURE THERAPY AND LAVENDER AROMATHERAPY ON REDUCING PAIN INTENSITY IN THE FIRST STAGE OF LABOR Veryudha Eka Prameswari; Indra Yulianti
International Journal of Nursing and Midwifery Science (IJNMS) Vol. 10 No. 2 (2026): VOLUME 10 ISSUE 2 AUGUST 2026
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/2026/Vol10/Iss2/835

Abstract

First stage labor pain is a physiological process that can cause physical and psychological stress for mothers giving birth, so it requires effective and safe non-pharmacological treatment. Objective: This study aims to determine the effect of a combination of counterpressure therapy and lavender aromatherapy on reducing the intensity of first stage labor pain. Method: This type of study used a quasi-experimental design with a one group pre-test and post-test design approach. Sampling was carried out using an accidental sampling technique with a total of 25 mothers giving birth in the first stage. Measurement of pain intensity used a Visual Analogue Scale (VAS) or Numeric Rating Scale (NRS). Bivariate data analysis used the Wilcoxon Signed Ranks Test. Results: The characteristics of respondents showed that the majority were in a healthy reproductive age of 20–35 years (80%) and were primiparous (60%). Before the intervention, most respondents experienced severe pain (72%) with an average value (mean) of 7.24 ± 1.15. After being given a combination of counterpressure therapy and lavender aromatherapy, pain intensity decreased to moderate pain (52%) and mild pain (44%) with an average value of 4.12 ± 0.98. The results of the Wilcoxon statistical test showed a p-value <0.001 (p <0.05). Conclusion: The combination of counterpressure therapy and lavender aromatherapy had a significant effect on reducing the intensity of pain in the first stage of labor. This combination therapy can be recommended as one of the non-pharmacological independent midwifery care interventions to reduce labor pain.
THE EFFECT OF ERGONOMIC EXERCISE ON URIC ACID LEVELS IN THE ELDERLY IN WUNUT VILLAGE, MOJOANYAR DISTRICT Binarti Dwi Wahyuningsih
International Journal of Nursing and Midwifery Science (IJNMS) Vol. 10 No. 2 (2026): VOLUME 10 ISSUE 2 AUGUST 2026
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/2026/Vol10/Iss2/836

Abstract

THE EFFECT OF ERGONOMIC EXERCISE ON URIC ACID LEVELS IN THE ELDERLY IN WUNUT VILLAGE, MOJOANYAR DISTRICT MOJOKERTO REGENCY Binarti Dwi Wahyuningsih                                                                      UNIVERSITY Bina Sehat PPNI Mojokerto                                                                      binarti.dwiwahyuni@gmail.com   ABSTRACT Gout in the community cannot be ignored and requires numerous efforts, including lifestyle changes, developing education and knowledge about gout, and maximizing various methods to control uric acid levels to prevent complications. One preventative measure that can be taken to minimize the occurrence of hyperuricemia is exercise, such as ergonomic exercise. The purpose of this study was to determine the effect of ergonomic exercise on uric acid levels in residents experiencing elevated uric acid levels in Wunut Village, Mojoanyar District, Mojokerto Regency. The research method used was a single-group pre-test-post-test with the Wilcoxon test. The results of the study, which examined the p-value of uric acid levels in respondents after ergonomic exercises on days 1, 2, and 3, showed a p-value of 0.000 <α of 0.05. Ergonomic exercises can provide a heart massage due to the rise and fall of the diaphragm, opening blockages and improving blood flow to the heart and throughout the body. This facilitates the removal of uric acid residue.   Keywords: Gout, ergonomic exercises  
Foot Self-Care in Type 2 Diabetes Mellitus: Effectiveness on Ankle-Brachial Index and Foot Sensitivity Emyk Windartik; Dini Aprilia Putri; Vina Dwi Agustina
International Journal of Nursing and Midwifery Science (IJNMS) Vol. 10 No. 2 (2026): VOLUME 10 ISSUE 2 AUGUST 2026
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/2026/Vol10/Iss2/837

Abstract

Type 2 Diabetes Mellitus (T2DM) is associated with peripheral vascular disorders and diabetic neuropathy that may increase the risk of diabetic foot complications. Foot Self Care for Life is a comprehensive self-care intervention consisting of foot washing, drying, foot inspection, moisturizer application, nail care, and diabetic foot exercise. These interventions may improve peripheral circulation and sensory function. Determine the effectiveness of Foot Self Care for Life on Ankle Brachial Index (ABI) values and foot sensitivity among patients with Type 2 Diabetes Mellitus. Study employed a pre-experimental design using a one-group pretest-posttest approach. The study was conducted at RSUD Prof. dr. Soekandar from April 27 to May 23, 2026. A total of 40 patients with Type 2 Diabetes Mellitus were selected using accidental sampling. The intervention was administered for four weeks, seven times per week, with a duration of 45 minutes per session. ABI was measured using sphygmomanometer assessment, while foot sensitivity was assessed using a monofilament examination. Data was analyzed using Paired Sample t-Test and Wilcoxon Signed Rank Test. A significant increase in ABI values in the left foot (t=-7.530; p<0.001) and right foot (t=-8.651; p<0.001). Foot sensitivity also improved significantly in the left foot (Z=-5.657; p<0.001) and right foot (Z=-5.382; p<0.001). Foot Self Care for Life effectively improves peripheral circulation and foot sensitivity among patients with Type 2 Diabetes Mellitus. This intervention may be recommended as a non-pharmacological strategy to prevent diabetic foot complications. This study was approved by the Institutional Review Board (IRB) of Bina Sehat PPNI University Ethical Clearance Number: 175/KEP/UBS-PPNI/IV/2026.
ANALYSIS OF ELDERLY SATISFACTION REGARDING ELDERLY POSYANDU SERVICES BASED ON THE FIVE SERVQUAL DIMENSIONS Heri Triwibowo
International Journal of Nursing and Midwifery Science (IJNMS) Vol. 10 No. 2 (2026): VOLUME 10 ISSUE 2 AUGUST 2026
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/2026/Vol10/Iss2/843

Abstract

Elderly satisfaction is one of the important indicators in assessing the quality of health services, including services at elderly posyandu (integrated health post for the elderly). Parasuraman's SERVQUAL theory is used as an approach to measure service quality based on five dimensions: tangibles, reliability, responsiveness, assurance, and empathy. This study aims to analyze the level of satisfaction among elderly patients regarding the services provided at the Elderly Posyandu in Gembongan Hamlet, Jotangan Village, Mojosari, Mojokerto. The research method employed a quantitative descriptive design with a cross-sectional approach. The sample consisted of 60 elderly respondents selected by total sampling. Data collection was conducted using a structured questionnaire based on the SERVQUAL dimensions. Data analysis was presented in the form of frequency distribution and percentages.The results showed that overall, 51 elderly individuals (85%) expressed satisfaction, 7 elderly individuals (11.7%) expressed very high satisfaction, and 2 elderly individuals (3.3%) expressed moderate satisfaction with the Elderly Posyandu services. No respondents reported dissatisfaction or very high dissatisfaction.The conclusion is that the overall level of elderly satisfaction with the Elderly Posyandu services in Gembongan Hamlet falls within the satisfied category. This achievement reflects a strong synergy among community health volunteers (cadres), primary healthcare center (Puskesmas) health workers, and village government support. Continuous improvement in empathic communication skills and cadre competencies is necessary to optimize service quality, particularly in the dimensions of empathy and assurance
THE EFFECT OF INTERACTIVE VISUAL-BASED NUTRITION EDUCATION ON NUTRITION LITERACY AMONG PREGNANT WOMEN Asirotul Marifah
International Journal of Nursing and Midwifery Science (IJNMS) Vol. 10 No. 2 (2026): VOLUME 10 ISSUE 2 AUGUST 2026
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/2026/Vol10/Iss2/844

Abstract

Maternal nutrition literacy plays an important role in determining nutritional behavior during pregnancy. Inadequate nutrition literacy may increase the risk of chronic energy deficiency, anemia, low birth weight, and other adverse pregnancy outcomes. Interactive visual-based nutrition education has been developed as an innovative approach to improve understanding and retention of nutrition-related information among pregnant women. This study aimed to determine the effect of interactive visual-based nutrition education on nutrition literacy among pregnant women at Tambak Agung Auxiliary Health Center, Mojokerto. A quasi-experimental study with a one-group pretest-posttest design was conducted among 33 pregnant women selected through purposive sampling. Data were collected using the Nutrition Literacy Assessment Instrument for Pregnant Women (NLAI-P). The intervention consisted of PowerPoint videos, posters, 3D pop-up flipcharts, and “Isi Piringku” Velcro puzzle activities. Data were analyzed using a Paired Sample t-test with a significance level of 0.05. The results showed that the proportion of respondents with good nutrition literacy increased from 12.1% before the intervention to 72.7% after the intervention. The mean nutrition literacy score increased from 51.21 ± 11.42 to 76.85 ± 8.96. Statistical analysis revealed a significant difference between pretest and posttest scores (p < 0.001). Interactive visual-based nutrition education significantly improved nutrition literacy among pregnant women. This educational model can be considered an effective strategy to strengthen maternal nutrition promotion programs in primary healthcare settings.
EARLY MOBILIZATION AND PAIN MANAGEMENT AS DETERMINANTS OF RECOVERY QUALITY AMONG POSTPARTUM MOTHERS FOLLOWING CESAREAN SECTION AT GATOEL HOSPITAL, MOJOKERTO Catur Prasastia lukita Dewi
International Journal of Nursing and Midwifery Science (IJNMS) Vol. 10 No. 2 (2026): VOLUME 10 ISSUE 2 AUGUST 2026
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/2026/Vol10/Iss2/846

Abstract

The increasing rate of cesarean section deliveries contributes to a higher risk of postoperative pain and delayed mobilization among postpartum mothers, which may negatively affect both physical and psychological recovery. Inadequately managed pain and limitations in early mobilization can prolong the recovery period, increase the risk of complications, and reduce the quality of life of postpartum mothers. This study aimed to analyze the correlation between the implementation of early mobilization and pain management and the quality of recovery among postpartum mothers following cesarean section. This study employed a quantitative approach using an observational analytic design with a cross-sectional method. The study subjects were postpartum mothers following cesarean section who were hospitalized at Gatoel Hospital, Mojokerto. Data were collected using standardized instruments to assess pain intensity (Numeric Rating Scale), implementation of early mobilization, and maternal recovery quality. Data analysis was performed using bivariate analysis (Chi-Square test) and multivariate analysis (Ordinal Logistic Regression) to determine the most dominant relationship between early mobilization, pain management, and recovery quality. The results demonstrated a significant relationship between early mobilization and recovery quality (p = 0.001; p < 0.05). Likewise, a significant relationship was found between pain management and recovery quality (p = 0.003; p < 0.05). Ordinal logistic regression analysis revealed that early mobilization was the most dominant factor influencing the quality of recovery among postpartum mothers following cesarean section, with an odds ratio (OR) of 5.21. These findings indicate that early mobilization directly contributes to the restoration of physiological functions and enhances patient independence during the hospitalization period. Early mobilization and pain management are important factors influencing the quality of recovery among postpartum mothers following cesarean section. Early mobilization was identified as the most dominant determinant and should therefore become a primary focus of evidence-based nursing care at Gatoel Hospital, Mojokerto.
EFFECTIVENESS OF WOOLWICH MASSAGE ON BREAST MILK INTAKE AND INFANT WEIGHT GAIN IN POSTPARTUM MOTHERS Etik Khusniyati
International Journal of Nursing and Midwifery Science (IJNMS) Vol. 10 No. 2 (2026): VOLUME 10 ISSUE 2 AUGUST 2026
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/2026/Vol10/Iss2/847

Abstract

Lactation problems during the early postpartum period, such as delayed onset of lactation and breast engorgement, frequently trigger excessive neonatal weight loss and increase the risk of exclusive breastfeeding failure, which predisposes infants to stunting. This study aimed to analyze the effectiveness of the Woolwich Massage intervention on increasing breast milk intake and infant weight gain among postpartum mothers. Method:This quasi-experimental study using a non-equivalent control group design with pre-test and post-test involved 26 postpartum mothers in the Gebangmalang village and Tambakagung village, selected through purposive sampling (13 in the intervention group and 13 in the control group). Breast milk intake was measured using the test weighing method, and infant weight was recorded before and after a 5-day intervention period. The Wilcoxon Signed Rank Test showed that the intervention group experienced a significant increase in mean breast milk intake by 28.9 ml and a significant mean infant weight gain of 190.8 grams, with respective significance values of p-value = 0.001 (p<0.05). Woolwich Massage effectively stimulates the lactiferous sinuses mechanically and hormonally to trigger prolactin release and optimize breast emptying. This complementary therapy is proven effective in optimizing early neonatal nutritional fulfillment and supporting ideal physical growth.
Sociodemographic Characteristics Of Hypertension Patients As A Basis For Health Promotion Media Planning: A Study At Bambanglipuro Health Center Mahardika Primadani; Meylsa Rima Kamilda; Yanuri Dwi Maharani
International Journal of Nursing and Midwifery Science (IJNMS) Vol. 10 No. 2 (2026): VOLUME 10 ISSUE 2 AUGUST 2026
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/2026/Vol10/Iss2/849

Abstract

Hypertension is a major public health issue requiring continuous control efforts through health promotion at the primary care level. The effectiveness of interventions is heavily influenced by the alignment of communication strategies and media with the target audience's characteristics. This study aimed to analyze the sociodemographic characteristics of hypertension patients as a basis for planning health promotion media at Puskesmas Bambanglipuro. A quantitative descriptive design was used. The sample consisted of 100 hypertension patients registered at Puskesmas Bambanglipuro, selected through purposive sampling. Variables analyzed included gender, age, marital status, education level, occupation, monthly income, family history, comorbidities (diabetes mellitus), and health insurance ownership. Data were analyzed using univariate and descriptive bivariate methods with the Chi-Square test (Continuity Correction) to observe the difference in educational proportions based on age groups.The majority of hypertension patients were female (74.0%) and dominated by the elderly group aged  ≥ 60 years (78.0%). Most respondents had a low level of education (67.0%), earned below the regional minimum wage (91.0%), and worked in the informal sector. The Chi-Square test showed a statistically significant difference in education level proportions between the elderly and adult groups (p-value = 0.029). All respondents (100%) had a family history of hypertension, and the vast majority owned health insurance (94.0%). The characteristics of hypertension patients, dominated by the elderly with low education and literacy levels that are statistically significantly lower, require a specific educational approach. Health promotion media planning at Puskesmas Bambanglipuro should emphasize a simple visual approach, interpersonal communication supported by visual aids, and active family involvement to optimize the utilization of health insurance in hypertension control.
ANALYSIS OF FACTOR ASSOCIATED WITH UTERINE MYOMA INCIDENCE AT BHAYANGKARA HOSPITAL KEDIRI Heni Purwati
International Journal of Nursing and Midwifery Science (IJNMS) Vol. 10 No. 2 (2026): VOLUME 10 ISSUE 2 AUGUST 2026
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/2026/Vol10/Iss2/852

Abstract

Uterine myoma is a common benign tumor of the uterus in women of reproductive age and is frequently diagnosed in advanced stages when the tumor has reached a considerable size. This study aimed to analyze the dominant factor associated with uterine myoma incidence based on age, parity, and occupation among patients at Bhayangkara Hospital Kediri in 2025. This quantitative study used a cross-sectional design involving 92 medical records selected through purposive sampling. Data were analyzed using Chi-Square test and simple logistic regression. The results showed that most respondents were aged >35 years (88%), multiparous (79.3%), and housewives (59.8%). The Chi-Square test indicated a significant relationship between age and uterine myoma incidence (p = 0.000). Logistic regression analysis revealed that age >35 years was the dominant factor influencing uterine myoma incidence with an odds ratio (OR) of 124.5 (p = 0.000), while parity (p = 0.312) and occupation (p = 0.487) were not statistically significant. In conclusion, age is the most dominant factor associated with uterine myoma incidence, while parity and occupation are not significant predictors. Early screening for women aged over 35 years is strongly recommended

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