Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery)
Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) published by STIKes Patria Husada Blitar. Published three times in a year, its in April, August and December. Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) only receive original manuscripts related to science development and have not been published in domestic and foreign journals. The content of the manuscripts can be in the form of research results to support the progress of science, education and nursing practice and professional midwifery.
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Exploring Psychosocial Issues of Breast Cancer: What Coping Mechanisms Have They Used to Manage Their Stressors?
Muhammad Rosyidul Ibad;
Mery Katrina;
Muhammad Ari Arfianto;
Tutu April Ariani
Journal of Ners and Midwifery Vol 12 No 1 (2025)
Publisher : STIKes Patria Husada Blitar
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DOI: 10.26699/jnk.v12i1.ART.p001-013
One of the most common diseases causing death in women is mammary carcinoma which is the third largest cause of death in Indonesia after heart disease and stroke. Chemotherapy and surgery are treatment methods that have been widely used. The body image of patients who have undergone mastectomy will change as they no longer have breasts. The purpose of this study was to determine how coping mechanisms were used in patients suffering from carcinoma mammae post-mastectomy. This study used a qualitative-quantitative research design. The data was obtained through semi-structured interview guides and coping mechanism questionnaires as support. The data validity test method used triangulation of sources and methods. The data analysis in the study used domain analysis. The researcher analyzed the data using domain analysis and found seven main themes emotional distress when first diagnosed with Ca mammae, body image disturbance after mastectomy, breast loss after mastectomy, the use of active coping in seeking recovery, use of healthy lifestyle planning to reduce disease risk, use of religious coping mechanisms for illness perception, use of acceptance coping mechanism in illness. Some psychosocial problems such as mental emotional disorders such as severe stress, fear, and worry about the disease are often felt by patients. However, participants use adaptive coping mechanisms to adapt to psychosocial problems through the use of active coping, religion, planning, and being able to accept deficiencies in their body image.
Predisposition Factors Related to Stunting Preventing Behaviors
Wan Anita;
Rummy Islami Zalni;
Tharra Widadari Aldinda
Journal of Ners and Midwifery Vol 12 No 1 (2025)
Publisher : STIKes Patria Husada Blitar
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DOI: 10.26699/jnk.v12i1.ART.p026-034
Stunting is a child growth disorder characterized by a child's lack of height compared to children his age. Morbidity and mortality rates, decreased growth, learning achievement, increased risk of infectious and non-communicable diseases, and decreased productivity are all effects of stunting. This research aimed to find predisposing factors that contribute to stunting preventing behaviors. This research focused on the working area of Sidomulyo Inpatient Health Center. The research design was cross-sectional, with 95 mother subjects. The measurement used a questionnaire. Research results from bivariate analysis using chi square analysis showed that there was a correlation between age (p-value 0.022), occupation (p-value 0.024), education (p-value 0.000), and knowledge (p-value 0.015) with the level of stunting. It is recommended to the community and families who will have children under five that the mother's age, occupation, education and knowledge influence their behavior in preventing stunting. Health workers can provide counseling or education about predisposing factors related to stunting prevention behavior to their patients.
Educational Demonstration of Eye Exercises Video Based Affected Knowledge, Anxiety, Self-Resilience of Cataract Patients
Lie liana Fuadiati;
Desy Rinawaty;
Nadhifah Rahmawati;
Afiatur Rohimah
Journal of Ners and Midwifery Vol 12 No 1 (2025)
Publisher : STIKes Patria Husada Blitar
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DOI: 10.26699/jnk.v12i1.ART.p035-043
Cataracts are the main cause of blindness throughout the world which can actually be prevented. Lack of knowledge, increased anxiety and lack of self-resilience in cataract patients cause patients to be afraid to seek treatment from health services. The research design used Quasi Experimental Pre-Post Test with One Group Design. The sample in this research was 42 cataract patients. The instrument for this research was the Knowledge, Anxiety and Self-Resilience Questionnaire. Data analysis in this research used the Wilcoxon Test statistical test. The results of the Wilcoxon Test of knowledge in the experimental group showed that Sig. equal to 0.000 or <0.05 (error level), meant that there was a difference in knowledge results before and after treatment. Meanwhile, the results of the Wilcoxon test for anxiety in the experimental group showed that Sig. equal to 0.008 or <0.05 (error level), it could be concluded that there was a difference in anxiety results before and after treatment. And the results of the Wilcoxon Test of self-reliance in the experimental group showed that Sig. equal to 0.000 or <0.05 (error level), meant that there was a difference in the results of self-resilience before and after being given treatment. Video-based Educational Demonstration Of Eye Exercises is effective for increasing knowledge, reducing anxiety and increasing self-resilience in cataract patients. Health workers can increase knowledge about cataracts and non-pharmacological therapy independently to increase personal resilience and reduce anxiety in cataract patients, as an effort to improve optimal health services.
Educational Videos on Local Wisdom “Topeng Dance and Basa Walikan” to Motivate the New Culture Clean and Healthy Living Behavior
Frengki Apryanto;
Rosly Zunaedi;
Rahmaniah Ramadhani
Journal of Ners and Midwifery Vol 12 No 1 (2025)
Publisher : STIKes Patria Husada Blitar
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DOI: 10.26699/jnk.v12i1.ART.p014-025
Environmental and behavioral factors influence health, so community empowerment is very important to achieve a healthy paradigm. The lack of clean and healthy living behavior in minimizing the risk of disease is due to lack of socialization, availability of facilities, and strong local culture. Further efforts are needed to achieve optimal results. The research aimed to determine the effectiveness of educational video local wisdom "Topeng Dance and Basa Walikan" on clean and healthy living behavior cultural motivation in preventing disease at the Mojolangu Malang Community Health Center. This was quantitative research with quasi-experimental design, pre-post test with control group design. Simple random sampling was used as the sampling technique. The population was 150 people who sought outpatient treatment at the Mojolangu Community Health Center. The get sample size software divides the sample into two groups; margin of error 5% for 110 samples. The intervention group was given five educational videos in stages over 15-30 minutes. The control group used the available brochures. The data collection used questionnaires. The data analysis used the Wilcoxon sign rank test and the Mann-Whitney test. The data analysis showed that the intervention affected the perceptions of vulnerability (p-value=0.000), Perception of Severity (p-value=0.000), Perception of Barriers (p-value=0.000), Perception of Benefits (p-value=0.000), cues to action (p-value=0.017), self-efficacy (p-value=0.000), and motivation (p-value=0.000). Meanwhile, in the control group there were no differences in pre-post-test. Health promotion needs to be increased to encourage sustainable healthy living behavior activities so that people can achieve the highest level of health.
Complementary Therapy Training for Teenager in Reducing the Prevalence Rate of Stunting: An Experimental Study
Korompis Martha Debora;
Frederika Nancy Losu;
Sandra Gerce Jelly Tombokan
Journal of Ners and Midwifery Vol 12 No 1 (2025)
Publisher : STIKes Patria Husada Blitar
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DOI: 10.26699/jnk.v12i1.ART.p044-050
It is not yet known precisely which targets and forms of health education can be used in handling stunting both on a national and global scale. This gap requires study to find an effective and efficient solution. This research aimed to examine the target and whether complementary therapy methods, health education, are appropriate in preventing stunting. This research used quantitative methods with an experimental design. Carried out in Gogagoman Village, subdistrict of Kotamubagu Barat of Bolmong Raya, North Sulawesi. The population was 76 teenagers, and the sample was 50. The instrument used a questionnaire distributed online. The inclusion criteria was teenagers who lived in Bolmong Raya. The exclusion criteria was teenagers who lived outside Bolmong Raya. Primary data was from the questionnaires, pre and post-tests. The secondary data came from reputable journals. The training participants were divided into two groups, 25 people in the treatment group and 25 people in the control group. Data analysis used SPPS by conducting a paired t-test. The average knowledge value of 25 respondents in the control group after participating in the training increased by 16%. The treatment group was an increase of 7.3%. This complementary therapy training, play major role in preventing and overcoming stunting with a p-value (0.001 and 0.034) < 0.05, which means there is a significant difference between before and after training. It is recommended that complementary therapy and health education programs targeting teenagers in Bolmong Raya, North Sulawesi, be implemented as an effective strategy for preventing and addressing stunting.
Enhancing Clinical Competence of New Graduate Nurses to Improve The Quality of Patient Care
Kholofelo Lorraine Matlhaba
Journal of Ners and Midwifery Vol 12 No 1 (2025)
Publisher : STIKes Patria Husada Blitar
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DOI: 10.26699/jnk.v12i1.ART.p051-063
Nurses are expected to be competent with the ability to perform independently and deliver safe patient care. This paper aimed to report the measures to enhance the clinical competence of new graduate nurses with the intention of improving quality of patient care in public hospitals. This research was a qualitative design with focus group discussions and individual interviews used to collect data from seven public hospitals in three districts of Northwest Province, South Africa, during the period, of September, and November 2021. Thematic data analysis was employed to analyze the collected data. The result of this research was two themes with eight sub-themes reported as follows: 1) Dealing with theory and education gaps, and 2) Identify and eliminate organizational and institutional barriers. The conclusion was a theory-practice gap can lead to a lack of confidence and incompetence which will in return hinder safe practice and quality performance. On the other hand, organizational and institutional challenges can compromise support for newly graduated nurses during their transition period. Therefore, attending to the measures to enhance new graduate nurses’ clinical competence will benefit the healthcare facilities, as it would have positive effects on patient care. It is therefore suggested that future studies may use different study methods including the different populations such as the new graduate nurses themselves, and operational managers from the other healthcare facilities such as clinics and primary healthcare centers.
Body Image and Social Support as Contributing Factors to the Quality of Life of Breast Cancer Patients
Elliza Puspika Sari;
Yulia Indah Permata Sari;
Yosi Oktarina
Journal of Ners and Midwifery Vol 12 No 1 (2025)
Publisher : STIKes Patria Husada Blitar
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DOI: 10.26699/jnk.v12i1.ART.p064-070
Physical changes due to the disease and treatment of breast cancer affect patients' body image and cause significant emotional impacts. Social support is crucial in helping patients cope with these changes, reducing stress, and improving overall quality of life. The aim of the research was to determine the correlation between body image and quality of life, and to assess the relationship between social support and quality of life of breast cancer patients at the Surgical Polyclinic of Raden Mattaher General Hospital Jambi. The research used a quantitative method with a cross-sectional approach. The sample comprised 61 breast cancer patients, obtained by using the Lemeshow formula and purposive sampling method. The research instruments included the Body Image Scale questionnaire, the modified MOS Social Support questionnaire (MSS), and the EORTC-QLQ-BR23 questionnaire. The univariate results showed that the average quality of life score was 56.70 (moderate category), body image had an average score of 24.18 (moderate category), and social support had an average score of 62.80 (moderate category). The bivariate analysis found a correlation between body image and quality of life with a p-value of 0.000 < 0.05 and r = 0.940 and a correlation between social support and quality of life with a p-value of 0.003 < 0.05 and r = 0.371. Nurses can improve patients' quality of life by providing education about physical changes, offering emotional support, referring patients to support groups, and involving families in the healing process.
Self-Efficacy Correlated with Basic Life Support Skills: Cardiopulmonary Resuscitation of Nursing Student
Rycco Darmareja;
Sani Widianti Kuswara;
Winara Winara
Journal of Ners and Midwifery Vol 12 No 1 (2025)
Publisher : STIKes Patria Husada Blitar
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DOI: 10.26699/jnk.v12i1.ART.p080-089
Success in providing basic life support to cardiac arrest patients is influenced by self-efficacy related to readiness and confidence in giving first aid. Students as prospective health workers are required to be able to provide basic life support in emergencies. Limited training and direct experience in providing basic life support causes students' skills and self-efficacy to be less than optimal. This study aimed to identify the relationship between self-efficacy and the ability of cardiopulmonary resuscitation performed by students. A quantitative cross-sectional study was conducted on 107 diploma III nursing students selected using the proportional stratified random sampling technique. Primary data were collected using the General Self-Efficacy Scale questionnaire and basic cardiopulmonary resuscitation skills observation sheets. Hypothesis testing in the form of Spearman correlation was conducted to identify the general objectives of the study. The results of the study showed a mean value of self-efficacy of 36.06 and a mean value of basic life support skills of 89.00. The results of the Spearman test obtained a p-value of 0.0001 with a relationship strength of 0.813. It is concluded that there is a very strong positive relationship between self-efficacy and basic life support skills, which means that higher self-efficacy in performing cardiopulmonary resuscitation is directly proportional to the higher success of implementing basic life support. Researchers hope that nursing students can improve their self-efficacy related to cardiopulmonary resuscitation through regular knowledge refresher activities and basic life support skills training.
The Duration of Suffering from Diabetes Mellitus did not Correlate with the Occurrence of Cataract
Ulfa Husnul Fata;
Shinta Wulandari;
Anita Rahmawati;
Wahyu Wibisono
Journal of Ners and Midwifery Vol 12 No 1 (2025)
Publisher : STIKes Patria Husada Blitar
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DOI: 10.26699/jnk.v12i1.ART.p090-097
People with diabetes mellitus are five times more likely to develop cataracts. High blood sugar levels over a long period of time can be one of the complications of cataracts. This was a correlational study with the purpose to determine the correlation between the duration of diabetes mellitus and the occurrence of cataracts in patients with diabetes mellitus at the Internal Medicine Polyclinic of Medika Utama Hospital, Blitar. The population in this study was patients with diabetes mellitus who visited the Internal Medicine Polyclinic of Medika Utama Hospital, Blitar. The sample in this study was patients with diabetes mellitus who visited the Internal Medicine Polyclinic of Medika Utama Hospital within a period of 2 weeks, totaling 56 people. The sampling used an accidental sampling technique. The statistical test used was chi-square. The results of this study showed that the p-value was 0.449, which meant that there was no correlation between the duration of diabetes mellitus and the incidence of cataracts. Several actions that can be taken to prevent cataracts are controlling blood glucose levels by obediently taking medication and following a diet. In addition, routine eye checks are useful in preventing cataracts in people with diabetes mellitus.
Nutritional Status Correlated with Frailty Among Elderly
Ucik Yusinta Dewi;
Erma Wahyu Mashfufa;
Nur Aini;
Ollyvia Freeska Dwi Martha;
Tutu April Ariani;
Muhammad Haikal;
Yeni Kartika Sari
Journal of Ners and Midwifery Vol 12 No 1 (2025)
Publisher : STIKes Patria Husada Blitar
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DOI: 10.26699/jnk.v12i1.ART.p071-079
Nutritional status is a critical issue for older adults and is closely linked to various health problems. Insufficient or excessive dietary intake can impair the body’s ability to manage physical disorders and diseases, leading to increased weakness in this population. This research aimed to analyze the correlation between nutritional status and frailty in the elderly. This research utilized a cross-sectional design, employing consecutive sampling to gather data from 65 patients in four nursing homes. Participants were elderly individuals over 45 years old, residing in nursing homes, cooperatives, and willing to participate. Sample size determination was performed using G*power 3.1.9.7 software, with a medium effect size of 0.41, a p-value of 0.05, and a power of 0.90. Non-parametric tests were used for data analysis, employing the MNA-SF and Frailty Index Questionnaire-40 (FI-40) instruments. The average age of participants was 75.92 (+9.45) years, with the majority of the sample being elderly, and women constituted 80% of all participants. There was a significant correlation between nutritional status and frailty (p=0.005 <0.05), with a moderate negative relationship (r=-0.344). This research concluded that the better the nutritional status, the lower the frailty level. This research indicated that better nutritional status was linked to reduced frailty in the elderly, highlighting the need for healthcare teams to implement strategies that enhance patient adherence in managing factors that negatively affect nutrition.