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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 121 Documents
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Faktor-Faktor yang Mempengaruhi Kejadian Hiperemesis Gravidarum pada Ibu Hamil di Puskesmas Pagar Merbau Kabupaten Deli Serdang Provinsi Sumatera Utara Tahun 2023 Nurasiah Nurasiah; Kamelia Sinaga; Imran Saputra Surbakti; Asnita Sinaga; Agustina Susilawati Tumangger
Nursing Applied Journal Vol. 2 No. 3 (2024): July : Nursing Applied Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/naj.v2i3.585

Abstract

Hyperemesis gravidarum is a condition of excessive nausea and vomiting in pregnant women that is worse than morning sickness, the cause is unknown. Psychological factors can worsen this condition, causing dehydration, weight loss, electrolyte imbalance, and complications such as liver damage and retinal hemorrhage due to increased blood pressure during vomiting. Treatment is done by administering fluids, glucose, electrolytes, and vitamins through an IV. This study aims to analyze the factors that influence the incidence of hyperemesis gravidarum at the Pagar Merbau Health Center, Deli Serdang, in 2023. This study uses a descriptive correlational method with a cross-sectional design to analyze the relationship between independent and dependent variables simultaneously. Data were collected retrospectively from 36 respondents using a purposive sampling technique. The research instruments were questionnaires and observation sheets, while data analysis was carried out using the chi-square statistical test which showed a p value = 0.021. There is a significant relationship between age, knowledge, parity, and multiple pregnancies with the incidence of hyperemesis gravidarum in pregnant women at the Pagar Merbau Health Center, Deli Serdang.
Pengaruh Relaksasi Pernapasan Terhadap Intensitas Nyeri pada Persalinan Kala I di Puskesmas Pagar Merbau Kec. Pagar Merbau Kab. Deli Serdang Tahun 2023 Siti Hapsah; Kamelia Sinaga; Imran Saputra Surbakti; Asnita Sinaga
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.v3i1.598

Abstract

Mothers who have difficulty adapting to labor pain can cause uterine contractions to become uncoordinated, which risks prolonging the first phase of labor and disrupting fetal well-being. This study aims to analyze the effect of breathing relaxation techniques on the intensity of labor pain in the first stage at the Pagar Merbau Health Center, Pagar Merbau District, Deli Serdang Regency in 2023. This study used a quantitative method with a One Group Pre-Test Post-Test design. The study population included all mothers giving birth in the period from April to June 2023, with a sample size of 15 respondents. The results showed that before the intervention, there were 2 respondents (13.3%) who experienced mild pain, 6 respondents (40.0%) with moderate pain, and 7 respondents (46.7%) experienced severe pain. After the intervention, the number of respondents with mild pain increased to 8 people (53.3%), moderate pain decreased to 4 people (26.7%), and severe pain decreased to 3 people (20.0%). The results of this study indicate a significant change in the level of pain in mothers giving birth before and after treatment. Therefore, it is expected that midwives at the Pagar Merbau Health Center can optimize the application of breathing relaxation techniques as a method to reduce labor pain, especially in the first phase of labor.
Hubungan BMI dan Protein Urine terhadap Hipertensi Ibu Hamil Trimester III di Klinik Marlianti Aceh Lia Andriani; Nur Azizah
Nursing Applied Journal Vol. 3 No. 2 (2025): April : Nursing Applied Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/naj.v3i2.600

Abstract

Background: Hypertension in pregnant women in the third trimester is a serious health problem that can have a negative impact on the mother and fetus. The main contributing risk factors are Body Mass Index (BMI) and urine protein levels. This study aims to analyze the relationship between BMI and urine protein to the incidence of hypertension in pregnant women in the third trimester at the Marlianti Clinic, East Aceh.Methods: An analytical observational study with a cross-sectional design. The sample was pregnant women in the third trimester who underwent pregnancy check-ups. Data were collected through BMI measurements and urine protein examinations, then analyzed using bivariate tests.Results: Of the 48 pregnant women with hypertension, 81.3% had a BMI ≥25 compared to 41.7% in the control group. The analysis showed a significant relationship between obesity and hypertension (p < 0.001, OR = 6.0; 95% CI: 2.407-15.291). In addition, 70.8% of mothers with hypertension had positive urine protein compared to 33.3% in the control group (p = 0.001, OR = 4.8; 95% CI: 2.046-11.531).Conclusion: BMI and urine protein levels are significantly associated with hypertension in pregnant women in the third trimester. Monitoring BMI and urine protein is important for the prevention and early treatment of gestational hypertension.
Hubungan Usia Kehamilan dan Paritas dengan Kejadian Infeksi Saluran Kemih Pada Masa Kehamilan di Wilayah Kerja Puskesmas Pante Raya Kecamatan Wih Pesam Kabupaten Bener Meriah Provinsi Aceh Tahun 2023 Evalina Evalina; Siska Suci Triana Ginting; Herly Herly; Junida Laia
Nursing Applied Journal Vol. 2 No. 2 (2024): April : Nursing Applied Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/naj.v2i2.610

Abstract

Background: Maternal health is a measure of the level of social welfare. Maternal death is the death of a woman during pregnancy, childbirth or within 42 days after the end of pregnancy. Perineal rupture is the second most common cause of postpartum bleeding. Tearing may coincide with uterine atony. Based on data from the World Health Organization (WHO), 2.7 million cases of perineal rupture occurred in mothers giving birth. This figure is estimated to reach 6.3 million in 2050. One way to prevent perineal rupture is to maintain the elasticity of the perineum. Increasing the elasticity of the perineum is done by means of pregnancy exercises. The aim of this study was to determine the relationship between pregnancy exercise and perineal rupture in postpartum mothers at Anemia Of Pregnant Women At BPM Helena Astuti Sinaga. The research design is an analytical study with a cross-sectional approach. The population in this study was all mothers giving birth at Anemia Of Pregnant Women At BPM Helena Astuti Sinaga in November-March 2023, namely 764 people with a research sample of 88 people. The sampling technique used random sampling and research analysis used the chi square test. The research results showed that the majority of pregnant women who took part in pregnancy exercise at BPM were 47 (53.4%) and those who did not do pregnancy exercise were 41 (46.6%). Inpartum mothers who experienced perineal rupture were 42 (47.3%) and those who did not experience perineal rupture were 46 (52.3%). Based on the results of statistical tests between pregnancy exercise and perineal rupture, the p value = 0.003 (p < 0.05). The conclusion of this study is that there is a significant relationship between pregnancy exercise and perineal rupture during birth at BPM Helena Astuti Sinaga. So it was suggested to Anemia Of Pregnant Women At BPM Helena Astuti Sinaga to improve services, especially for pregnant women, to do pregnancy exercises.
Hubungan Pengetahuan dan Sikap dengan Kejadian Anemia Ibu Hamil di Wilayah Kerja Pustu Selemak Kabupaten Deli Serdang Tahun 2023 Siti Aisyah; Siska Suci Triana Ginting; Mastari Mastari; Rosdiana Rosdiana
Nursing Applied Journal Vol. 2 No. 2 (2024): April : Nursing Applied Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/naj.v2i2.611

Abstract

Background: Anemia is a condition in which the body has too few red blood cells (erythrocytes) which contain hemoglobin which functions to carry oxygen to all body tissues. Signs and symptoms of anemia include fatigue, weakness, decreased capacity/ability or work productivity. Anemia in pregnancy is a condition in which the mother has Hb levels below 11 gr% in the first and second trimesters or levels <10.5 gr% in the third trimester (Proverawati, 2016). Research design: The type of research used in this study is analytical with a cross-sectional approach. Cross-sectional is a research approach that emphasizes the time of measurement/observation of independent and dependent variable data only once at one time. This study was conducted to determine the relationship between one variable and another. (Notoatmodjo, 2018). Research results: showed that the characteristics of respondents according to age were mostly in the low-risk reproductive age group of 20-35 years as many as 54 people (79.4%), the rest were at-risk reproductive age <20 years>35 years as many as 14 people (20.6%). Respondents had the most formal educational backgrounds, namely Senior High School (SMA) as many as 44 people (64.7%), and at least college graduates as many as 3 people (4.4%), while Junior High School as many as 15 people (22.1%) and Elementary School as many as 6 people (8.8%). Conclusion of the study; Based on the results of the study and discussion, the author concludes: There is a relationship between the knowledge of pregnant women and the incidence of anemia with a p value of 0.015 <0.05. There is a relationship between the attitude of pregnant women and the incidence of anemia with a p value of 0.006 <0.05.
Hubungan ASI Eksklusif dan Makanan Pendamping ASI (MP ASI) dengan Kejadian Stunting pada Baduta di Wilayah Kerja Puskesmas Singandaru Tahun 2024 Dini Rachmaniah; Nabila Agustina
Nursing Applied Journal Vol. 3 No. 2 (2025): April : Nursing Applied Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/naj.v3i2.620

Abstract

Stunting is a condition of chronic malnutrition caused by inadequate nutritional intake over a long period of time due to providing food that is not in accordance with nutritional needs. One of the causes of stunting in toddlers is exclusive breastfeeding which is not given for 6 months because breast milk is really needed during the baby's growth period, and it is not appropriate to give complementary foods after 6 months of age so that their nutritional needs are met. This study aims to determine the relationship between exclusive breastfeeding and complementary foods for breastfeeding (MP-ASI) with the incidence of stunting in toddlers in the Singandaru Community Health Center working area in 2024. The research design is descriptive correlation using the case control method. The measuring tool for this research uses a questionnaire. The research results for the exclusive breastfeeding variable based on the chi square test results obtained a value of p = 0.0001, P velocity < α, so Ho is rejected, meaning there is a relationship between exclusive breastfeeding and the incidence of stunting in toddlers in the working area of ​​the Singandaru Community Health Center in 2024. As for the complementary food variable ASI (MP ASI) with the incidence of stunting obtained a p value = 0.012, P velue < α, then HO is rejected, the conclusion is that there is a relationship between complementary food for breast milk (MP ASI) and the incidence of stunting in toddlers in the working area of ​​the Singandaru Community Health Center in 2024. Based on research results It is hoped that the cadres can provide motivation to every baduta mother to be able to provide exclusive breast milk and provide complementary breast milk according to her age.
Hubungan Berat Badan Lahir dengan Ruptur Perineum Persalinan Normal di Praktek Bidan Mandiri Lusi Marbun Kab. Simalungun Tahun 2022 Debora Debora; Nur Azizah; Rosmani Sinaga; Marlina Simbolon; Junida Laia
Nursing Applied Journal Vol. 3 No. 2 (2025): April : Nursing Applied Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/naj.v3i2.628

Abstract

Rupture of the perineum is one of the common complications in vaginal delivery that can increase the risk of postpartum hemorrhage, infection, and maternal death. One of the factors that contribute to the occurrence of perineal rupture is the baby's birth weight. Babies with a birth weight of ≥4000 grams can cause greater pressure on the mother's birth canal, increasing the likelihood of tearing of perineal tissue. In Indonesia, 75% of mothers who give birth vaginally experience perineal lacerations, and postpartum bleeding is still the leading cause of 40% of maternal deaths. This study aims to determine the relationship between infant birth weight and the incidence of perineal rupture in normal childbirth at the Lusi Marbun Independent Midwife Practice, Simalungun Regency in 2022.This study uses an observational analytical design with a case control approach. A sample of 30 maternity mothers was selected using the total sampling method. The data were analyzed using the Chi-square test to determine the relationship between birth weight and perineal rupture. The results showed that the majority of babies had a birth weight of <4000 grams (63.3%) and the majority of mothers experienced a second degree perineal rupture (70%). The results of bivariate analysis showed that there was a significant relationship between birth weight and the incidence of perineal rupture (p-value = 0.000). There is a significant relationship between birth weight and the incidence of perineal rupture. The greater the baby's weight, the higher the risk of perineal rupture in the mother during childbirth. It is important for health workers to carry out early detection of fetal weight, provide nutrition education during pregnancy, and prepare for the delivery process optimally to minimize the risk of complications.
Hubungan Perilaku Ibu Hamil Terhadap Pemanfaatan Pemeriksaan Triple Eliminasi di Puskesmas Kuala Bangka Kabupaten Labuhan Batu Utara Tahun 2022 Leni Sinaga; Nur Azizah; Lidya Natalia Sinuhaji; Rosmani Sinaga; Deby Chuntya Yun; Marsa Adelia
Nursing Applied Journal Vol. 3 No. 2 (2025): April : Nursing Applied Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/naj.v3i2.629

Abstract

Mother-to-child transmission of HIV, Syphilis, and Hepatitis B remains a public health challenge. Transmission can occur during pregnancy, childbirth, and breastfeeding. To reduce the rate of transmission, the Ministry of Health of the Republic of Indonesia launched the Triple Elimination program through screening pregnant women in integrated antenatal services. However, the use of this examination is influenced by the behavior of pregnant women, including knowledge, attitudes, and actions. To find out the relationship between the knowledge, attitudes, and actions of pregnant women with the use of Triple Elimination examinations at the Kuala Bangka Health Center, North Labuhan Batu Regency in 2022. This study is an analytical observational study with a cross sectional design. The sample consisted of 35 pregnant women who visited the Kuala Bangka Health Center. Data was collected through questionnaires and analyzed using the chi-square test. Most of the respondents had good knowledge (45.7%), positive attitudes (74.3%), and good actions (45.7%). There was a significant relationship between knowledge (p=0.007), attitudes (p=0.003), and actions (p=0.007) with the use of Triple Elimination examinations. Knowledge, attitudes, and actions of pregnant women have a significant relationship with the use of Triple Elimination examinations. Increased education and support in antenatal services is needed to support the success of the mother-to-child elimination program of HIV, Syphilis, and Hepatitis B.
Hubungan Pengetahuan Ibu Hamil Tentang HIV-AIDS dengan Pemanfaatan Pemeriksaan HIV oleh Ibu Hamil di Puskesmas Bintang Kabupaten Aceh Tengah Tahun 2022 Elika Fitri; Nur Azizah; Rosmani Sinaga; Sri Wahyu Nduru; Kamelia Sinaga
Nursing Applied Journal Vol. 3 No. 2 (2025): April : Nursing Applied Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/naj.v3i2.630

Abstract

HIV/AIDS is an infectious disease that has a serious impact on the immune system and is at high risk in pregnant women. Mother-to-baby transmission of HIV can occur during pregnancy, childbirth, and breastfeeding. HIV screening in pregnant women is important for the prevention of vertical transmission. However, the utilization rate of this test is still low, one of which is due to the lack of knowledge of pregnant women about HIV/AIDS. This study aims to determine the relationship between pregnant women's knowledge about HIV and the use of HIV testing at the Bintang Health Center, Central Aceh Regency in 2022. This study uses an analytical observational design with a cross sectional approach. The research sample amounted to 40 pregnant women who were selected by purposive sampling. Data was collected through questionnaires and analyzed using the Chi-Square test. The results showed that the majority of pregnant women had sufficient knowledge about HIV/AIDS (40%) and most did not do HIV screening (55%). There was a significant relationship between pregnant women's knowledge about HIV and the use of HIV screening (p-value = 0.0001). There is a significant relationship between pregnant women's knowledge about HIV-AIDS and the use of HIV screening by pregnant women at the Bintang Health Center, Central Aceh Regency. Intervention efforts in the form of education and counseling are needed to increase the knowledge of pregnant women to encourage routine HIV testing in an effort to prevent HIV transmission from mother to child.
Pengaruh Terapi Akupresure Terhadap Hyperemesis Gravidarum pada Ibu Hamil Trimester I di Puskesmas Kuala Bangka Kab. Labuhan Baru Utara Tahun 2022 Nilan Sari; Nur Azizah; Lidya Natalia Sinuhaji; Rosmani Sinaga; Junida Laia
Nursing Applied Journal Vol. 3 No. 2 (2025): April : Nursing Applied Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/naj.v3i2.631

Abstract

Pregnancy is a physiological process that is accompanied by various changes, including hormonal changes that can cause nausea and vomiting (emesis gravidarum). One of the non-pharmacological interventions that can be used to manage these symptoms is acupressure therapy. This study aims to determine the effect of acupressure therapy on reducing symptoms of hyperemesis gravidarum in pregnant women in the first trimester at the Kuala Bangka Health Center, North Labuhan Batu Regency in 2022. This study uses a pre-experimental design with a pre-post one group design approach. The sample consisted of 20 pregnant women in the first trimester who experienced symptoms of hyperemesis gravidarum. The acupressure intervention was carried out for 3 days at PC6 and ST36 points. Measurements of nausea and vomiting levels were carried out before and after the intervention using a standard measurement scale. The results of the analysis showed that there was a decrease in the average rate of nausea and vomiting by 0.90000 after acupressure therapy was performed. The paired t-test showed a p-value of 0.000 (<0.05) and a calculated t-value of 7.285 > table 1.729, which means that there is a significant effect of acupressure therapy on reducing the symptoms of hyperemesis gravidarum. Acupressure therapy is effective in reducing the rate of nausea and vomiting in pregnant women in the first trimester.

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