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INDONESIA
Nursing Applied Journal
Published by Sekolah Tinggi Ilmu Kesehatan Kesetiakawanan Sosial Indonesia
ISSN : 30265770     EISSN : 30265762     DOI : 10.57213
Core Subject : Health,
Health Professions Nursing Public Health
The field of study in this journal includes the Nursing Applied Journal Research. NAJ : Nursing Applied Journal accepts articles in English and Indonesian
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 135 Documents
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Tingkat Kecemasan Mahasiswa Keperawatan Menjelang Pembelajaran Praktik Klinik Elda Tania; Rimarsya Meyland Putri; Siti Nurazizah; Fitri Nurazizah; Satriya Pranata; Haifa Nahda Rizqi
NAJ Nursing Applied Journal Vol. 3 No. 4 (2025): October : Nursing Applied Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/naj.v3i4.925

Abstract

Clinical practice is a crucial stage in nursing education that requires students to apply theoretical knowledge in real healthcare settings. The transition to a clinical environment often triggers anxiety, as students face competency demands, professional responsibilities, and direct interactions with patients. This study aims to determine the anxiety levels of fifth-semester nursing students prior to clinical practice at Universitas Muhammadiyah Semarang. A descriptive quantitative design was employed with a sample of 35 students selected using a simple random sampling technique. Data were collected using the Hamilton Anxiety Rating Scale (HARS) and analyzed descriptively with Microsoft Excel to obtain frequency and percentage distributions. The results showed that most students experienced severe anxiety (31%), followed by moderate (29%), mild (23%), no anxiety (14%), and panic-level anxiety (3%). These findings indicate that the majority of nursing students experience anxiety before clinical practice, predominantly at severe and moderate levels. Therefore, psychological support and mental preparation programs are essential to help students transition optimally into the clinical environment.
The Relationship Between Stress Levels of Pregnant Women and the Incidence of Premature Birth in the Work Area of ​​Dr. Hi Zainal Umar Sidiki Regional Hospital, North Gorontalo Regency Sriyolanda Giasi; Anik Sri Purwanti
NAJ Nursing Applied Journal Vol. 3 No. 4 (2025): October : Nursing Applied Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/naj.v3i4.1000

Abstract

Premature birth remains a major public health concern due to its strong association with increased neonatal morbidity and mortality. One of the contributing factors identified is maternal stress during pregnancy, which can negatively affect fetal development and potentially trigger early labor. Previous studies have shown that high stress levels in pregnant women may lead to hormonal imbalances, increased uterine activity, and other physiological changes that elevate the risk of preterm birth. Therefore, understanding the relationship between maternal stress and premature birth is essential for developing effective preventive strategies and improving maternal and neonatal outcomes. This study aimed to examine the relationship between stress levels in pregnant women and the incidence of premature birth in the working area of Dr. Hi Zainal Umar Sidiki Regional Hospital, North Gorontalo Regency. The research used an analytical observational design with a cross-sectional approach. A total of 30 pregnant women were selected using purposive sampling techniques. Maternal stress levels were measured using a validated questionnaire, while premature birth incidence was determined based on gestational age at delivery. Data were analyzed using the Wilcoxon signed-rank test with a significance level of p < 0.05. The results showed a significant relationship between maternal stress and premature birth (p = 0.000), indicating that higher stress levels increase the risk of preterm delivery. These findings highlight the importance of stress management, counseling, and comprehensive antenatal care.
The Effect of Intensive Lactation Counseling on Exclusive Breastfeeding (ASI) for Up to 3 Months at the Paguat Community Health Center (UPTD) Sukmawati Sukmawati; Anik Sri Purwanti
NAJ Nursing Applied Journal Vol. 3 No. 3 (2025): July : Nursing Applied Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/naj.v3i3.1001

Abstract

Exclusive breastfeeding during the first six months of life is a key strategy for improving infant health and reducing morbidity and mortality. However, the coverage of exclusive breastfeeding remains suboptimal in many areas, often due to limited maternal knowledge, inadequate support, and insufficient lactation counseling. Intensive lactation counseling is expected to enhance mothers’ understanding, confidence, and commitment to exclusive breastfeeding. This study aimed to analyze the effect of intensive lactation counseling on exclusive breastfeeding practices up to three months postpartum at the Paguat Community Health Center (UPTD). This study employed a pre-experimental design with a one-group pretest–posttest approach. A total of 30 breastfeeding mothers were selected as participants using purposive sampling techniques. Data on exclusive breastfeeding practices were collected before and after the implementation of intensive lactation counseling using structured questionnaires and observation sheets. The counseling intervention was conducted intensively through individualized sessions focusing on breastfeeding techniques, benefits of exclusive breastfeeding, and problem-solving strategies. Data were analyzed using the Wilcoxon signed-rank test with a significance level set at p < 0.05. The results showed a significant effect of intensive lactation counseling on exclusive breastfeeding practices up to three months postpartum. The Wilcoxon signed-rank test yielded a p-value of 0.000, indicating a statistically significant improvement in exclusive breastfeeding behavior after the intervention. In conclusion, intensive lactation counseling has a significant positive effect on exclusive breastfeeding up to three months. Strengthening lactation counseling services at community health centers recommended to improve exclusive breastfeeding coverage and support maternal and infant health outcomes.
The Relationship Between Knowledge of Anemia and Compliance in Taking Iron Supplements in Adolescent Girls at the Bonepantai Community Health Center Meilan Usman; Raden Maria Veronika Widiatrilupi
NAJ Nursing Applied Journal Vol. 3 No. 3 (2025): July : Nursing Applied Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/naj.v3i3.1010

Abstract

Background: Anemia is a public health problem among adolescent girls in Indonesia, with a prevalence reaching 32%. Iron supplementation programs have been implemented, but compliance remains low. Knowledge about anemia is thought to influence adherence to iron supplementation. Objective: To analyze the relationship between knowledge about anemia and compliance in consuming iron tablets in adolescent girls at the Bonepantai Community Health Center. Methods: This quantitative study with a cross-sectional design involved 30 adolescent girls aged 12-19 years selected by purposive sampling. Data were collected using a structured questionnaire covering knowledge about anemia and adherence to iron supplement consumption. Data were analyzed using univariate and bivariate analysis with the Chi-Square test at a significance level of α = 0.05. Results: The majority of respondents were aged 15-17 years (50.0%) and had a high school education (60.0%). The level of knowledge was good at 43.3%, sufficient at 33.3%, and poor at 23.4%. Compliance with iron supplement consumption was 46.7% and non-compliance at 53.3%. The results of the Chi-Square test showed a significant relationship between knowledge about anemia and iron supplement compliance (p=0.013; χ²=8.742). Respondents with good knowledge had higher compliance (76.9%) compared to respondents with poor knowledge (14.3%). Conclusion: There is a significant relationship between knowledge about anemia and adherence to iron supplementation in adolescent girls. Intensifying comprehensive and sustainable health education programs is needed to improve knowledge and adherence to iron supplementation as an effort to prevent anemia.
Effectiveness Of Warm Compress on Dysmenorea in Adolescent Females at State Senior High School 1 Bonepantai Meysil Musa; Raden Maria Veronika Widiatrilupi
NAJ Nursing Applied Journal Vol. 3 No. 1 (2025): January : Nursing Applied Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/naj.v3i1.1011

Abstract

Background: Dysmenorrhea, or menstrual pain, is a common health problem experienced by many adolescent girls worldwide. The prevalence of dysmenorrhea in Indonesia reaches 70%, significantly impacting adolescents' quality of life. This study aimed to explore the effectiveness of warm compresses as a method for managing dysmenorrhea pain among adolescent girls at SMA Negeri 1 Bonepantai. Objective: This study aims to measure the effect of using warm compresses on the level of dysmenorrhea pain in adolescent girls, as well as to provide insight into non-pharmacological methods that can be used as an alternative in dealing with this problem. Methods: This study used a pre-experimental design with one group pre- and post-test. The sample consisted of 35 tenth-grade female adolescents with dysmenorrhea, taken through purposive sampling. Initial data were collected using a visual analog scale (VAS) to measure pain levels before and after the warm compress intervention. Results: The analysis showed a significant decrease in pain levels after the application of warm compresses. The average pain score before the intervention was 7.5, while after the intervention it decreased to 3.2. The Wilcoxon Signed Rank Test showed a p-value of 0.000, indicating a significant difference between the pre-test and post-test scores. Conclusion: Warm compresses were proven effective in reducing dysmenorrhea pain in adolescent girls at SMA Negeri 1 Bonepantai. These findings demonstrate that simple interventions can have a positive impact on adolescent health and support the importance of further research into other methods of menstrual pain management.
Factors Influencing the Interest of Women of Childbearing Age in Undergoing Early Detection of Cervical Cancer in the Working Area of ​​the Ome Tidore Inpatient Health Center UPT Nurdiana Hi. Djalil; Rani Safitri
NAJ Nursing Applied Journal Vol. 3 No. 1 (2025): January : Nursing Applied Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/naj.v3i1.1012

Abstract

Background: Cervical cancer remains a major cause of morbidity and mortality among women, particularly in developing countries. Although early detection methods such as visual inspection with acetic acid (IVA) and Pap smear are effective, participation among women of reproductive age is still low. Identifying factors that influence women’s interest in cervical cancer screening is essential to strengthen prevention programs at the primary healthcare level. Method:  This study used a quantitative analytical observational design with a cross-sectional approach. The research was conducted in the working area of UPT Puskesmas Rawat Inap Ome Tidore. Participants were women of reproductive age (15–49 years) selected through purposive sampling. Data were collected using a structured questionnaire assessing socio-demographic characteristics, knowledge, attitudes, access to health information, family or husband support, and interest in early detection of cervical cancer. Data analysis included univariate and bivariate analysis using Chi-square or Fisher’s exact tests. Results: The results showed that age, education level, knowledge, attitudes, access to health information, and family or husband support were significantly associated with women’s interest in early detection of cervical cancer. Women aged 25–49 years, those with higher education, good knowledge, positive attitudes, adequate access to information, and strong family support demonstrated higher interest in screening. Fear, embarrassment, lack of time, and misconceptions were identified as common barriers. Conclusion: Women’s interest in cervical cancer early detection is influenced by predisposing, enabling, and reinforcing factors. Strengthening health education, improving information access, and involving family support are key to increasing screening participation.
Analysis of Nutritional Intake and Economic Status as Risk Factors for Chronic Energy Deficiency (CED) in Pregnant Women at Patilanggio Community Health Center Silvoni Saleh; Reny Retnaningsih
NAJ Nursing Applied Journal Vol. 3 No. 3 (2025): July : Nursing Applied Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/naj.v3i3.1019

Abstract

Chronic Energy Deficiency (CED) in pregnant women remains a major nutritional problem in Indonesia and contributes to various maternal and neonatal complications. CED reflects a long-term energy and macronutrient deficit, often influenced by inadequate nutritional intake and socioeconomic limitations. This study aims to analyze nutritional intake and economic status as risk factors for Chronic Energy Deficiency (CED) in pregnant women in the Patilanggio Community Health Center (Puskesmas) working area. This study used a quantitative observational design with a cross-sectional approach. The study sample consisted of 30 pregnant women selected using a total sampling technique. Data were collected through interviews using a respondent characteristics questionnaire and food recall to assess energy and protein intake, as well as Mid-Upper Arm Circumference (MUAC) measurements to determine CED status. Data analysis was conducted descriptively and cross-descriptively. The results showed that all respondents had energy and protein intakes below 90% of the Recommended Dietary Allowance (RDA) and all were categorized as CED based on the MUAC measurement. All respondents were also categorized as low economic status, reflecting a homogeneous socioeconomic condition. These findings indicate that CED in pregnant women at the study site is associated with inadequate nutritional intake and limited economic status. In conclusion, CED in pregnant women is a chronic nutritional problem influenced by nutritional and socioeconomic factors, necessitating comprehensive prevention and treatment efforts based on primary health care services.
The Influence of Nutrition Education on the Knowledge and Attitudes of Adolescent Girls about the Importance of Consuming Iron Tablets at the Daruba Community Health Center, Morotai Islands Sindy Umasangadji; Reny Retnaningsih
NAJ Nursing Applied Journal Vol. 3 No. 1 (2025): January : Nursing Applied Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/naj.v3i1.1020

Abstract

Anemia in adolescent girls remains a significant public health problem in Indonesia, particularly in island regions with limited access to health information and services. One of the main factors contributing to the high incidence of anemia is the low level of knowledge and attitudes among adolescent girls regarding the importance of consuming iron (Fe) tablets. Nutrition education is seen as a promotive-preventive strategy that has the potential to improve the determinants of anemia prevention behavior. This study aims to analyze the effect of nutrition education on the knowledge and attitudes of adolescent girls regarding the importance of consuming iron tablets in community health centers in the Morotai Islands. This study used a quasi-experimental design with a one-group pretest-posttest approach. The study sample consisted of 30 adolescent girls selected using a total sampling technique. Data were collected using a structured questionnaire to measure knowledge and attitudes before and after the nutrition education intervention. Data analysis was conducted descriptively and inferentially using paired statistical tests appropriate to the data distribution. The results showed an increase in the level of knowledge and attitudes of adolescent girls towards consuming iron tablets after being provided with nutrition education. Statistical tests showed a statistically significant difference between the conditions before and after the intervention in both knowledge and attitude variables. In conclusion, nutrition education significantly impacts adolescent girls' knowledge and positive attitudes toward iron tablet consumption. Structured and sustainable integration of nutrition education into primary healthcare services, particularly in island regions, is crucial to support anemia prevention efforts from adolescence onward.
The Effect of Early Mobilization on the Uterine Involution Process in Postpartum Mothers at the Gandasuli Community Health Center Sartika Paemboan; Widia Shofa Ilmiah
NAJ Nursing Applied Journal Vol. 3 No. 4 (2025): October : Nursing Applied Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/naj.v3i4.1040

Abstract

Early mobilization is an important component of postpartum care that may influence the speed of uterine involution. Delayed uterine involution can increase the risk of postpartum complications, including hemorrhage and prolonged recovery. This study aimed to analyze the relationship between early mobilization and uterine involution among postpartum mothers at Gandasuli Public Health Center. An analytical observational study with a cross-sectional design was conducted from September to November 2025. The study population consisted of 56 postpartum mothers, selected using a total sampling technique. The independent variable was early mobilization, categorized based on the type of activity performed, while the dependent variable was uterine involution assessed through uterine fundal height reduction. Data were analyzed using descriptive statistics and Kendall’s tau-b correlation test. The results showed that most respondents practiced early mobilization, particularly standing and walking, and the majority experienced rapid uterine involution. Bivariate analysis revealed a statistically significant relationship between early mobilization and uterine involution (τ = -0.321; p = 0.010). In conclusion, early mobilization is significantly associated with faster uterine involution among postpartum mothers. Promoting early mobilization should be emphasized as part of routine postpartum care to support maternal recovery.
The Effect of Oxytocin Massage and Breast Care on Breast Milk Production in Primiparous Breastfeeding Mothers on Days 3-7 at the Sahu Public Health Center, West Halmahera Sunarti Yanto; Widia Shofa Ilmiah
NAJ Nursing Applied Journal Vol. 3 No. 3 (2025): July : Nursing Applied Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/naj.v3i3.1041

Abstract

Breast milk production in the early postpartum period is a crucial factor for successful breastfeeding, particularly among primiparous mothers who often experience lactation difficulties during days 3–7 after childbirth. Non-pharmacological interventions such as oxytocin massage and breast care are considered effective approaches to support milk production by enhancing hormonal release and breast stimulation.This study employed a quantitative quasi-experimental design with a one-group pretest–posttest approach. The study was conducted at the Sahu Public Health Center, West Halmahera, involving 20 primiparous breastfeeding mothers on days 3–7 postpartum selected through purposive sampling. Oxytocin massage and breast care were administered according to standardized procedures. Breast milk production was assessed before and after the intervention using observational indicators of milk flow. Data were analyzed using the Wilcoxon Signed Rank Test. The results showed a significant improvement in breast milk production after the intervention. The mean breast milk production score decreased from 1.95 before the intervention to 1.15 after the intervention, indicating smoother milk flow. Statistical analysis revealed a significant difference in breast milk production before and after oxytocin massage and breast care (Z = −3.358; p = 0.001). Oxytocin massage combined with breast care significantly improves breast milk production among primiparous breastfeeding mothers during days 3–7 postpartum. These non-pharmacological interventions are safe, practical, and effective, and are recommended to be integrated into routine postpartum care to support early lactation success.

Page 13 of 14 | Total Record : 135

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