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INDONESIA
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 1,398 Documents
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Self-efficacy and students' readiness for providing nursing care through telenursing Karra, Aulya Kartini Dg; Juwita, Helmi; Qasim, Muhammad; Yusuf, Saldi
Science Midwifery Vol 13 No 4 (2025): 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.v13i4.2074

Abstract

The advancement of technology has transformed the way nursing care is delivered. This study aimed to assess self-efficacy and readiness among nursing students in providing nursing care through telenursing at STIKES Amanah Makassar. Research design was a mixed-methods with a sequential explanatory consisting of two phases. The first phase used a retrospective quantitative approach with a standardized questionnaire. The second phase employed a qualitative approach through in-depth interviews. The results indicated that all students had high self-efficacy (100%), but their readiness to implement telenursing varied, where students’ high readiness (88.2%) and moderate (11.8%). Qualitative analysis revealed that although students were confident in their basic nursing skills, they still faced challenges with the technical aspects and adaptation to telenursing technology. Self-efficacy and readiness played a significant role in students' ability to provide nursing care through telenursing. All students have high self-efficacy were better prepared to face mental and technical challenges, including technology adaptation. While most students showed good readiness, there was still a need for strengthening technical skills and understanding of telenursing. Although each student showed a high level of self-efficacy, there were differences in their preparedness to use telenursing.
Use of molecular imprinted polymer for isolation of secondary metabolites in plants for drug raw material independence Gunawan, Untung; Prasetyanto, Eko Adi; Falena, Pretty; Irlianto, Kellie; Ivansyah, Atthar Luqman
Science Midwifery Vol 13 No 4 (2025): 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.v13i4.2077

Abstract

Indonesia, with its rich biodiversity, has numerous plant species with significant therapeutic potential. Secondary metabolites in plants play a vital role in pharmaceuticals, agriculture, and the food industry. However, traditional methods for isolating these compounds are often non-selective, time-consuming, and environmentally unfriendly. Molecularly Imprinted Polymer (MIP) is an emerging method for isolating secondary metabolites due to its selectivity and efficiency. MIP has been successfully applied in the identification and separation of plant-derived compounds, including secondary metabolites, chemical residues, and pesticides. This study explores the use of MIP for isolating secondary metabolites in plants and aims to contribute to developing strategies for obtaining targeted metabolites. The findings also highlight future research opportunities for MIP in industrial applications to support the independence of medicinal raw materials in Indonesia.
Application of beethoven’s classical music therapy: A case study on patients with auditory hallucinations at RSJD Dr. Arif Zainudin Surakarta Sukotjo, Ivanda Andinar; Oktaviana, Wita; Nugroho, Andi
Science Midwifery Vol 13 No 4 (2025): 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.v13i4.2082

Abstract

Auditory hallucinations are a perceptual disorder in which individuals respond to stimuli that are not present, yet perceived as real. This case study aimed to evaluate the effectiveness of Beethoven classical music therapy in reducing the intensity of auditory hallucinations among patients with schizophrenia at Dr. Arif Zainudin Surakarta Mental Hospital. The therapy was applied as a complementary non-pharmacological intervention to help manage hallucination symptoms. A pre-test and post-test design was used with five patients diagnosed with schizophrenia who experienced auditory hallucinations. Each patient received Beethoven classical music therapy in a series of scheduled sessions. The measurement instrument was the Auditory Hallucination Rating Scale (AHRS). Validity testing was conducted using confirmatory factor analysis (RMSEA = 0.00; CFI = 0.994), while reliability was assessed using Cronbach’s alpha (α = 0.61). The AHRS measures the frequency, duration, conviction, and impact of hallucinations on daily activities. Pre- and post-therapy data were analyzed using the Shapiro Wilk normality test, followed by a paired t-test. Results indicated a significant reduction in AHRS scores (p = 0.000; p < 0.05) across all patients after receiving the therapy, indicating a positive effect in reducing hallucination intensity.
Development of stroke hand gripper innovation as an alternative tool for independent range of motion (ROM) in stroke patients Susanti, Susanti; Gustini, Sri; Husaini, Muhammad; Aiyub, Aiyub
Science Midwifery Vol 13 No 4 (2025): 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.v13i4.2083

Abstract

Background: Stroke or Cerebral Vascular Accident (CVA) is a condition of rapid loss of neurological function due to impaired blood vessel perfusion. Stroke is caused by factors including: cerebral platelets, Hemorrhage, and Embolism. The impact of stroke is the occurrence of hand drop which is characterized by the inability to lift the wrist, move the fingers or experience weakness in the hand area. One of the treatment efforts to minimize the impact of stroke is to do Range of Motion (ROM) Exercises early. The purpose of this study is to develop a ROM aid as an alternative tool for independent ROM (stroke hand gripper) and assess its efficiency on the strength of the muscles of the fingers. Method: This study involved 30 respondents in the working area of ​​the Cot Seumeureung Community Health Center, West Aceh Regency, using purposive sampling. The research design is a Combined method, namely the research and development method or R&D (Research and development) and Pre-Experiment. The results of the study showed that the average value of muscle strength before ROM exercises using ROM aids was 2.00 and the average muscle strength after ROM exercises using ROM aids was 2.35 with a significance value of 0.008 (p <0.05), thus it can be concluded that there is a significant difference in muscle strength before ROM exercises and after ROM exercises using ROM aids.
Socio-cultural analysis and maternal behavior towards the stunting phenomenon in the Samatiga Community Health Center work area Julianti, Rina; Norisa, Nanda; Basri, Fitra Ermila; Asmanidar, Asmanidar
Science Midwifery Vol 13 No 4 (2025): 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.v13i4.2084

Abstract

Stunting is a growth disorder characterized by toddlers that results in delayed growth that is not in accordance with the standards. Data from the Indonesian Nutritional Status Survey (SSGI) of the Ministry of Health shows that out of 34 provinces in Indonesia, Aceh Province ranked 3rd in stunting rates in 2021 and 5th in 2022 at 31.2%. Based on electronic data from the Community-Based Nutrition Reporting and Recording (e-PPGBM) obtained from 2023, West Aceh Regency with a target of 14,848 toddlers with stunting cases amounted to 352 toddlers with stunting, with Samatiga District dominating stunting cases reaching 44 toddlers (31.8%). The purpose of this study was to analyze the socio-cultural and maternal behavior towards stunting in the Samatiga Community Health Center Working Area. The study was conducted from April to July 2025. Descriptive Analysis Research with a sample of 44 toddlers experiencing stunting, data collection was carried out using questionnaires and interviews. Based on the results of socio-cultural research in the good category (pregnancy 63.6% and postpartum 88.7%) and maternal behavior (there is drinking coffee/tea 11.3%; good parenting patterns 68.2%; exclusive breastfeeding 11.3%; appropriate complementary feeding 72.7% and complete immunization 22.7%). The need for awareness of mothers and health workers to provide education on factors that cause stunting in children.
The relationship between stunting and breastfeeding cessation in toddlers Simanjuntak, Agnes Septrya; Pratama, Irza Haicha; Simanullang, Partogi Hasiholan
Science Midwifery Vol 13 No 4 (2025): 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.v13i4.2086

Abstract

This study aimed to analyze the relationship between breastfeeding cessation and the incidence of stunting in toddlers in Medan City. A total of 124 toddlers participated, with 50% experiencing stunting. Descriptive analysis showed that most mothers stopped breastfeeding between 0–6 months (50.81%), while the majority of toddlers (89.52%) consumed formula milk until 54–60 months. The Kolmogorov-Smirnov normality test indicated non-normal data distribution (p = 0.000), leading to the use of Spearman’s rank correlation. Results revealed a significant moderate positive correlation between breastfeeding cessation age and stunting incidence (r = 0.432; p = 0.000), indicating that earlier cessation of breastfeeding increases the risk of stunting. These findings align with previous research emphasizing the critical role of breastfeeding in stunting prevention. Although formula milk consumption was common, it did not significantly influence stunting alone. Therefore, stunting prevention efforts should prioritize exclusive breastfeeding for six months and continued breastfeeding up to two years, alongside improved complementary feeding, environmental sanitation, and maternal nutrition. A multisectoral approach is essential to effectively reduce stunting prevalence and improve toddler health in Medan City.
Clinical features that need to be considered for crouzon syndrome in infancy: A rare case in Indonesia Faustin, Febriana; Alexander, Elhant
Science Midwifery Vol 13 No 4 (2025): 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.v13i4.2090

Abstract

Crouzon syndrome is a rare congenital disorder marked by premature cranial suture closure, leading to craniofacial deformities and potential neurological and respiratory complications. In Indonesia, reports are scarce, particularly in infants, and existing studies are largely limited to descriptive case reports. This study aims to describe the clinical features of Crouzon syndrome in Indonesian infants and examine the potential role of Fibroblast Growth Factor Receptor 2 (FGFR2) mutations in relation to local healthcare conditions. Using a retrospective observational case study design, data were obtained from medical records of infants with respiratory distress and swallowing difficulties since the neonatal period, complemented by radiological findings and clinical management notes. The results revealed characteristic signs such as craniosynostosis, maxillary hypoplasia, exophthalmos, and evidence of FGFR2 involvement in premature cranial bone fusion. In conclusion, early diagnosis and routine prenatal monitoring are essential to prevent severe complications, while this study contributes to the limited national literature and supports the development of more contextually appropriate diagnostic and therapeutic protocols.
Herbs issue with knowledge, attitudes, and behavior Bangunjiwo Cadres in Bantul Indrayanti, Indrayanti; Hidayati, Titiek; Haris, Tauranaswa Farrelabhista Putra; Pradhana, Muhammad Ilham Satya; Amal, Muhammad Ikhlasul
Science Midwifery Vol 13 No 4 (2025): 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.v13i4.2092

Abstract

The use of herbs as part of traditional health efforts is still widely in demand by the community, so the role of health cadres is needed in providing appropriate education. This study aims to analyze the effect of training on the knowledge, attitudes, and behavior of health cadres at Kasihan I Health Center regarding the use of herbs. The research method used was quantitative with a pre-experimental one group pretest-posttest design. The results of the analysis showed that training had a positive effect on increasing knowledge and changing the behavior of cadres in the use and counseling of herbs. Training had a significant effect on the attitudes (p = 0.00) and behavior (p = 0.002) of health cadres about herbs. However, the effect on attitudes was not statistically significant. These findings indicate the importance of strengthening the affective aspect in training programs so that changes in attitudes occur in line with increased knowledge and behavior.
Evaluation of the drug management system at the pharmaceutical supplies installation of the Tegal City Health service in 2019 Wibawa, Anggun Setya; Widodo, Gunawan Pamudji; Iswandi, Iswandi
Science Midwifery Vol 13 No 4 (2025): 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.v13i4.2096

Abstract

Drug management involves a series of interconnected activities, including planning, procurement, receipt, storage, distribution, control, recording, reporting, disposal, monitoring, and evaluation. This study aimed to evaluate the drug management system, identify challenges and solutions, and assess its compliance with the 2010 Ministry of Health standards at the Pharmaceutical Supply Installation of the Tegal City Health Office. A descriptive design was used, with retrospective data collected from 2019 documents. Primary data were obtained through direct observation and in-depth interviews to identify obstacles, while secondary data were sourced from drug management records based on ten indicators and compared with the 2010 standards. The results revealed several discrepancies: in the planning stage, drug conformity with the Fornas Level I reached 92.54% and planning accuracy was 184.22%; in procurement, drug availability was 92.04%, generic drugs 88.97%, and budget allocation 98.14%. Storage met standards, with 0% expired or damaged drugs. In distribution, the proportion of drugs in the safe category was 46.27% and average stock-out duration was 27.40%, while distribution accuracy reached 100%. Key challenges include the presence of non-Fornas drugs, disruptions in the e-logistics reporting system, and procurement delays due to an underdeveloped e-catalogue system. Recommended solutions include regular training for drug management staff, improved coordination with the TPOT team based on clinical and pharmacoeconomic considerations, and the addition of pharmacist personnel.
Uncovering the determinants of low involvement of the elderly in chronic disease management: A qualitative approach at Ratih Clinic, Badung Budiartami , Putu Paramitha; Ani, Luh Seri
Science Midwifery Vol 13 No 4 (2025): 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.v13i4.2101

Abstract

The Chronic Disease Management Program (CDMP) aims to improve the quality of life of the elderly through the control of non-communicable diseases such as hypertension and diabetes. However, the participation of the elderly at the Tabanan Ratih Clinic is still low, hampering the effectiveness of the program. This study aims to identify the factors that play a role in the low involvement of the elderly in CDMP. Qualitative research with a descriptive phenomenological approach was conducted at the Ratih Clinic in Badung in March-June 2024. Data was collected through in-depth interviews with 10 elderly people (aged 60-70 years) who had low participation and 6 health workers. Thematic analysis is used to identify determinants. Four main themes were found, namely (1) accessibility and mobility barriers, (2) lack of knowledge and negative perception of CDMP, (3) lack of family and social support, and (4) economic factors and time priorities. The low participation of the elderly is influenced by interrelated multidimensional factors. Recommendations include the provision of free transportation, local culture-based education, family involvement, and the integration of CDMP with community activities such as the elderly Posyandu. These findings support the development of inclusive strategies to increase the involvement of the elderly in chronic disease management, in line with CDMP' goals.

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