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Science Midwifery
Published by Institute of Computer Science
ISSN : 20867689     EISSN : 27219453     DOI : -
Core Subject : Health,
Dentistry Health Professions Nursing Public Health Veterinary
Jurnal Kebidanan dan ilmu kesehatan ini adalah di terbitkan 2 kali dalam setahun, dalam bidang kebidanan dan perawat.
Arjuna Subject : Keperawatan - Maternity and Midwifery
Articles 1,455 Documents
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The relationship between blood glucose levels and meal frequency in stunted children in Medan City Angwyn, Wilbert; Pratama, Irza Haicha; Fadillah, Qori; Sidabutar, Anjas Domini
Science Midwifery Vol 13 No 3 (2025): August: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i3.2020

Abstract

Stunting remains a major public health concern in Indonesia, affecting millions of children and contributing to long-term growth and metabolic issues. Blood glucose level is the body’s main energy source and is thought to be influenced by meal frequency, particularly in nutritionally vulnerable children. This study aimed to determine whether there is a significant relationship between blood glucose levels and meal frequency in stunted children in Medan City. This research employed an analytical observational design with a cross-sectional approach. A total of 62 stunted children were selected through cluster sampling. Data were collected using glucometer tests for blood glucose and structured questionnaires answered by the parents to assess meal frequency. The Kolmogorov-Smirnov test was applied for normality analysis. The relationship between variables was analyzed using Chi-Square and Mann-Whitney tests. Among the respondents, 56.5% had three meals per day, while 56.5% were found to have hypoglycemia. The Chi-Square test showed a p-value of 0.576 and the Mann-Whitney test yielded a p-value of 0.499. These results indicate no statistically significant relationship between meal frequency and blood glucose levels in stunted children. There is no significant correlation between blood glucose levels and meal frequency among stunted children in Medan City. The variation in blood glucose levels is likely influenced by other factors, such as nutritional status, metabolic adaptation, or environmental conditions. The findings indicate that interventions should emphasize dietary quality over meal frequency, with local health centers like Puskesmas providing personalized nutrition plans and caregiver education to reduce metabolic risks in stunted children.
Determinants of community health center staff performance Usman, Noernahar Septisari; Rosyidah, Rosyidah; Solikhah, Solikhah
Science Midwifery Vol 13 No 3 (2025): August: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i3.2033

Abstract

Employee performance is a key indicator reflecting the quality of services in community health centers. At Marisa Health Center, Pohuwato District, various service-related issues such as delays, unfriendly staff behavior, and late program report submissions indicated suboptimal employee performance. This study aimed to determine factors associated with staff performance at Marisa Health Center. A quantitative cross-sectional design was used, involving 108 staff selected through total sampling. Data were collected using a validated and reliable questionnaire and analyzed through univariate, bivariate (Chi-square test), and multivariate (logistic regression with the Backward Likelihood Ratio method) analyses, with ethical approval number KEPK/UMP/162/IV/2025. The results showed no significant association between performance and education (p = 0.983), work motivation (p = 0.087), or physical work environment (p = 0.432). However, significant associations were found for work discipline (p = 0.015; PR = 1.642), organizational culture (p = 0.036; PR = 1.519), and job satisfaction (p = 0.008; PR = 1.700). Job satisfaction was the dominant factor influencing performance (Exp(B) = 2.818; p = 0.014), suggesting that dissatisfied employees were nearly three times more likely to perform poorly. These findings highlight the importance of improving satisfaction, discipline, and culture to enhance staff performance.
Evaluating the impact of mindfulness-based interventions (MBI) on nurses’ work-related stress levels Yuseran, Yuseran; Nugraha, Ary; Negara, Candra Kusuma
Science Midwifery Vol 13 No 3 (2025): August: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i3.2034

Abstract

Prolonged work stress can disrupt mental health and reduce employee performance, especially nurses who face emotional and physical stress simultaneously. Mindfulness-Based Intervention (MBI) emphasizes full awareness of current experiences as an emotion regulation strategy. This study aims to evaluate the effectiveness of mindfulness-based interventions in reducing work stress levels in nurses. The method of this study was a quasi-experimental study with a one-group pre-post test with 60 nurse respondents selected through purposive sampling. The intervention group was given four weeks of MBI training with mindful breathing, body scan, and self-reflection training sessions, while the control group was not given any intervention. Stress levels were measured using the Perceived Stress Scale (PSS). The Wilcoxon Signed Rank Test and the Mann-Whitney U Test used for analysis. The results showed a significant increase in all aspects of QoL in the intervention group. The average total QoL score increased (p= 0.001) including in satisfaction with therapy (p= 0.001), impact on life (p= 0.002), fear of complications (p= 0.000), and social problems (p= 0.001). No significant changes were found in the control group.
An interventional analysis of the combined effects of five-finger relaxation and aromatherapy on sleep quality among breast cancer patients Heriani, Novia; Mariani, Mariani; Negara, Candra Kusuma
Science Midwifery Vol 13 No 3 (2025): August: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i3.2035

Abstract

Sleep disturbances and anxiety are two common complaints experienced by breast cancer patients undergoing chemotherapy. Non-pharmacological approaches have emerged as important strategies to improve patients’ overall quality of life in a holistic manner. This study aimed to evaluate the effectiveness of combining the five-finger relaxation technique and aromatherapy in improving sleep quality and reducing anxiety levels among breast cancer patients undergoing chemotherapy. A quasi-experimental design with a pretest-posttest control group approach was employed. A total of 30 participants were equally divided into two groups (intervention and control). The intervention was administered over a two-week period and consisted of five-finger relaxation training and the use of lavender essential oil aromatherapy before bedtime. The instruments used were the Pittsburgh Sleep Quality Index (PSQI) and the Hamilton Anxiety Rating Scale (HARS). The analysis revealed a significant decrease in PSQI scores (p = 0.021) and HARS scores (p = 0.037) in the intervention group, whereas no significant changes were observed in the control group. These findings indicate that the combined intervention is effective in improving sleep quality and reducing anxiety. This intervention is recommended as an applicable complementary therapy that can be integrated into nursing practice, particularly in supportive care for cancer patients.
Analysis of factors influencing contact dermatitis complaints among informal batik workers in Klaten Regency Azhar, Eky Fadhildansyah; Setyaningsih, Yuliani; Lestantyo, Daru
Science Midwifery Vol 13 No 3 (2025): August: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i3.2036

Abstract

The batik industry within the informal sector, particularly in Jarum Village, Bayat District, Klaten Regency, presents a high risk of contact dermatitis complaints due to exposure to synthetic chemical dyes used in the coloring process. This study aims to analyze the factors associated with contact dermatitis complaints among informal batik workers, focusing on individual characteristics (age, gender, length of employment, duration of exposure, personal hygiene, and use of Personal Protective Equipment/PPE) and environmental factors (workplace temperature and humidity). A quantitative method with an analytical observational approach and cross-sectional design was employed. A total of 146 respondents were selected through purposive sampling. The results indicate that age, duration of chemical exposure, personal hygiene, and PPE use are significantly associated with contact dermatitis complaints. These findings underscore the importance of preventive interventions through adequate PPE provision, hygiene education, and community-based occupational health monitoring, particularly within the informal batik industry.
An analysis of the performance of the family assitance team (TPK) in reducing stunting Septriliyana, R. Noucie; Astuti, Dwi; Setyanto, Arif Tri; Maydianasari, Lenna
Science Midwifery Vol 13 No 3 (2025): August: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i3.2003

Abstract

This study aims to analyze the performance of the Family Assistance Team (TPK) in efforts to reduce stunting in District B0672 (code). The study was conducted with a parallel convergent mixed methods design, namely the collection of quantitative data through descriptive analysis of secondary data from the Institution of Population Control, Family Planning, Women's Empowerment and Child Protection Service and qualitative data through Focus Group Discussions (FGDs) involving cross-sectors. The results of the study indicate that the performance of the TPK is still not optimal, with significant disparities between assistance targets and between sub-districts. Assistance for pregnant women has good coverage, while assistance for prospective brides is still very low. The main factors affecting the performance of the TPK are limited data validation, inconsistencies in information systems between agencies, and lack of human resource capacity. This study recommends the integration of cross-sector information systems, the preparation of national standard operating procedures, and strengthening the capacity of the TPK through routine training and increased interpersonal communication in order to increase the effectiveness of the stunting reduction acceleration program.
Development of fiber-rich cake based on mocaf and hunkwe flour for hypercholesterolemia prevention Mujayanah, Ani Rosa Putri Ayu; Kurniawati, Fitria
Science Midwifery Vol 13 No 3 (2025): August: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i3.2038

Abstract

Hypercholesterolemia is a metabolic disorder characterized by high blood cholesterol levels and is often associated with low fiber intake. In Indonesia, the prevalence of hypercholesterolemia remains concerning, affecting approximately 30% of the population and increasing with age. One way to prevent this condition is to increase the consumption of high-fiber foods. Sponge cake made from mocaf and hunkwe flour is an alternative in the development of functional food products based on local ingredients. Mocaf and hunkwe flour contain high fiber, especially water-soluble fiber, which can help lower cholesterol levels through the mechanism of binding bile acids, increasing lipid excretion, and inhibiting fat absorption in the intestine. This research was conducted using a randomized block design (RBD) with a single factor and six different treatment combinations of mocaf flour and hunkwe rations (90:10, 80:20, 70:30, 60:40, 50:50, and 40:60), each with four replications. Fiber content was analyzed using an enzymatic-gravimetric method and statistically tested using ANOVA and DMRT. The findings indicated treatments had a significant difference (p < 0.05). The largest amount of fiber content was found in the 40:60 formulation ratio (5.83%), and the smallest was in the 90:10 ratio (4.83%). The results imply that a greater percentage of hunkwe flour increases the fiber content in the final product. This formulation shows potential for development into a functional food that helps prevent hypercholesterolemia.
Analysis of factors causing work accidents among oil palm harvesters at PTPN IV Dolok Ilir Ms, Saidana Wahyudi Putra; Aidha, Zuhrina; Arrazy, Syafran
Science Midwifery Vol 13 No 3 (2025): August: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i3.2043

Abstract

According to the ILO every year more than 250 million people experience accidents at work. Throughout 2023, 224 thousand cases of work accidents occurred in the oil palm plantation sector Based on the Occupational Safety and Health Profile, according to data from BPJS Employment, cases of work accidents in North Sumatra in 2024 reached 9,319 work accidents. Work accidents that often occur at PT Dolok Ilir Palm Oil Plantation are impaled by palm thorns, crushed by palm fronds, cut by machetes, eyes exposed to palm waste, scratched by palm fruit thorns. The purpose of this study was to determine the factors that cause the incidence of work accidents in labor workers. This research method uses quantitative with a cross-sectional approach. Sampling using the sloving formula with cluster random sampling technique. The results of the study showed that there were factors that influenced the incidence of work accidents in oil palm harvesters were age, use of PPE, and attitudes with a Sig value. < 0,05. Attitude is the most dominant factor in the incidence of work accidents with an Exp B value = 3.892, which means that a negative attitude is 3.892 times more risky than a positive attitude. It is expected that workers can increase awareness about the importance of prioritizing safety when working.
Uric acid levels as a predictor of cognitive function in the elderly Yuniati, Nilasari Indah; Zerlinda, Visca; Purwanti, Sugi
Science Midwifery Vol 13 No 3 (2025): August: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i3.2047

Abstract

This study aimed to examine the association between serum uric acid (SUA) levels and cognitive function among elderly individuals. An observational case-control study was conducted involving 37 elderly participants aged 60–75 years from As-Sakinah Elderly Integrated Health Post in Grendeng Sub-District, North Purwokerto, Indonesia. SUA levels were measured using a point-of-care testing (POCT) device, while cognitive function was assessed using the Montreal Cognitive Assessment–Indonesian version (MoCA-Ina). The mean SUA level was 5.52 ± 1.57 mg/dL, and the mean MoCA-Ina score was 19.05 ± 5.07, indicating that most participants demonstrated cognitive impairment. Pearson correlation revealed a non-significant negative association between SUA and cognitive scores (r = –0.225, p = 0.180). However, simple linear regression showed a significant inverse relationship (B = –0.214, p < 0.001), higher SUA levels were associated with lower cognitive performance. These findings suggest that while SUA may contribute to cognitive decline, it is not a standalone biomarker. Further longitudinal studies with larger samples are warranted to clarify its predictive value.
Overview of risk factors for the incidence of diabetes mellitus in grades 2-4 in Tasikmadu 1 State Elementary School, Malang City Masfi`ah, Titin; Astuti, Erlina Suci
Science Midwifery Vol 13 No 3 (2025): August: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i3.2048

Abstract

The increasing prevalence of Diabetes Mellitus (DM) in children is an urgent global health issue, along with changes in the lifestyle of elementary school-age children who tend to be sedentary and have unhealthy diets. This study aims to find out the overview and analyze the risk factors for DM incidence in grades 2–4 at SDN Tasikmadu 1 Malang City. The design of this study is descriptive quantitative with data collection techniques through Food Frequency Questionnaire (FFQ), PAQ-C for physical activity, and FINDRISC scores, as well as BMI measurements in 100 respondents. The results showed that 57% of students were obese, 44% often ate fast food and high in sugar, and 100% had screen time >2 hours per day. The physical activity carried out tends to be irregular and lacks intensity. This study concluded that unhealthy diet, sedentary lifestyle, and over-nutrition status were dominant factors in increasing the risk of type 2 DM in children. These findings emphasize the importance of school-based interventions and parental involvement in creating an environment that supports a child's healthy lifestyle. Furthermore, the results provide an evidence-based foundation for integrating early screening using the FINDRISC tool into school health programs. Such integration, when combined with targeted nutrition and physical activity interventions, has the potential to reduce the long-term incidence of type 2 DM among children, particularly in urban areas such as Malang. Further research is recommended using analytical methods and clinical measurements to strengthen the validity of the results.

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