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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<![CDATA[Health Education Affected the Anxiety Levels of Pregnant Women In Facing Childbirth ]]>
<![CDATA[Evita Widyawati]]>;
<![CDATA[Friska Oktaviana]]>;
<![CDATA[Sundari]]>
<![CDATA[ Journal of Ners and Midwifery Vol 12 No 3 (2025) ]]>
Publisher : <![CDATA[STIKes Patria Husada Blitar ]]>
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DOI: 10.26699/jnk.v12i3.ART.p242-248
<![CDATA[Indonesian women within the 20-to-44-year age bracket are particularly vulnerable to experiencing depression or anxiety in the context of vaginal childbirth, with a reported risk of 10% to 25%. Of this cohort, a notable proportion, specifically 10% to 15%, may experience these psychological difficulties as complications during the delivery process, and the risk of anxiety in caesarean section patients is 15-25%. This was pre-experimental research with a One-Group Pretest and Posttest design. The sample was 40 respondents taken by a Non-Random Sampling technique; Accidental Sampling. This research was conducted October 15 - November 10 2023. The instrument used a questionnaire sheet. A Wilcoxon test was employed for data analysis, demonstrating a significant decrease in anxiety levels after an educational intervention. The mean anxiety score decreased from 2.74 before education to 1.83 afterward, yielding a p-value of 0.001 (which is less than the significance level of 0.05). These results underscore the importance of healthcare providers delivering more comprehensive education on anxiety management to pregnant women facing childbirth, with the aim of alleviating pre-delivery fear and apprehension.]]>
<![CDATA[Hemoglobin (Hb) Values Correlated with Fatigue in Patients Undergoing Hemodialysis ]]>
<![CDATA[Ima Rahmawati]]>;
<![CDATA[Emyk Windartik]]>
<![CDATA[ Journal of Ners and Midwifery Vol 12 No 3 (2025) ]]>
Publisher : <![CDATA[STIKes Patria Husada Blitar ]]>
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DOI: 10.26699/jnk.v12i3.ART.p203-212
<![CDATA[Kidney damage can reduce the production of erythropoietin, a hormone that stimulates the formation of red blood cells in the bone marrow. This leads to anemia due to a lack of red blood cells. One of the signs of anemia symptoms in chronic kidney disease that has undergone hemodialysis is fatigue. The type of the study was correlation analytic which aimed to analyze the correlation of hemoglobin values with fatigue in patients undergoing hemodialysis with a cross-sectional approach. The population in this study was all patients undergoing hemodialysis in the HD room of RSI Siti Hajar as many as 108 patients. A sample of 40 respondents was taken using a consecutive sampling technique for 4 days. The research instrument used the FAS (Fatigue Assessment Scale) questionnaire and laboratory examination results—data analysis using the Spearman rho correlation test. The results showed that p values of 0.031 < α 0.05 proved a correlation between hemoglobin values and fatigue levels in hemodialysis patients in the HD room of RSI Siti Hajar Sidoarjo. The correlation coefficient (r) of 0.341 indicated a positive correlation with a fairly strong and unidirectional level of correlation strength. The lower the hemoglobin level, the more fatigue patients tend to experience. Therefore it is very important to maintain Hb levels to prevent further decline and reduce fatigue as a result.]]>
<![CDATA[Medication and Lifestyle Modification Adherence to Blood Pressure Control Among Hypertensive Patients: A Cross-Sectional Study ]]>
<![CDATA[Abdul Qodir]]>;
<![CDATA[Dwi Soelistyoningsih]]>;
<![CDATA[Wira Daramatasia]]>
<![CDATA[ Journal of Ners and Midwifery Vol 12 No 3 (2025) ]]>
Publisher : <![CDATA[STIKes Patria Husada Blitar ]]>
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DOI: 10.26699/jnk.v12i3.ART.p221-229
<![CDATA[Adherence to medication is a crucial aspect in blood pressure control, which in turn leads to a reduction in the incidence of cardiovascular disease and medical costs. The aim of the study was to determine medication and lifestyle modifications adherence to blood pressure control among hypertensive patients in a public health center. The method of the study used a cross-sectional involving participants with primary hypertension at the Community Health Centre. One hundred respondents were recruited through consecutive sampling methods. Hypertensive patients aged 40 to 74 years who has been taking antihypertensive drugs for at least two months were approved, while hypertensive patients with cormobid and patients with communicative or behavioral impairments were excluded. The instruments used was the TAQPH, which consists of six factors: medication, diet, stimulus, weight control, physical exercise, and stress management. Blood pressure measurements were conducted using a mercury sphygmomanometer. The data was examined with the chi-squared statistical test. Twenty-five (75%) of the patients who demonstrated high levels of adherence had controlled blood pressure. In contrast, 24 (75.0%) patients with medium adherence and 29 (82.9%) patients with low adherence demonstrated uncontrolled blood pressure. A significant correlation was observed between the level of therapy adherence and blood pressure in hypertensive patients (p = 0.001). Patients with low to moderate levels of adherence have uncontrolled blood pressure, whereas those with high levels of adherence have controlled blood pressure.]]>
<![CDATA[Gadget Use Correlated with Emotional Development in Preschool Children ]]>
<![CDATA[Annif Munjidah]]>;
<![CDATA[Siti Noer Diana]]>;
<![CDATA[Yasi Anggasari]]>;
<![CDATA[Elly Dwi Masita]]>
<![CDATA[ Journal of Ners and Midwifery Vol 12 No 3 (2025) ]]>
Publisher : <![CDATA[STIKes Patria Husada Blitar ]]>
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DOI: 10.26699/jnk.v12i3.ART.p213-220
<![CDATA[Children who often use gadgets at home have a bad impact, children become unwilling to play outside the house and interact with others to behave aggressively. Nowadays, children's emotional development is a problem that is often conveyed by parents to teachers at school. This study aimed to examine the correlation between gadget use and the emotional development of preschool children at Tunas Jaya Kindergarten, Surabaya. This study used an observational analytic design with a cross-sectional approach. From the population of 59, 53 respondents were selected as the sample through a simple random sampling technique. The variables being studied were gadget use and emotional development in which data were collected using a gadget use questionnaire and ASQ: SE-2 questionnaire. Data processing was conducted by editing, scoring, coding, tabulating, processing, and cleaning. Moreover, the data were analyzed using the Spearman Rho Correlation Test in SPSS with a significance level of α = 0.05. The results revealed the high use of gadgets by the majority of the preschool children (96%), while 45.3% experienced emotional development categorized as "refer." The p-value = 0.000 indicated that there was a correlation between gadget use and emotional development in preschool children. This study concluded that there is a relationship between gadget use and the emotional development of preschool children. It is recommended that preschool children should not use gadgets more than 3 times a day and avoid using them daily. so as not to bring negative impacts on them.]]>
<![CDATA[Food Massage as an Alternative to Improve Sleep Quality of Elderly Patients ]]>
<![CDATA[Yeni Kartika Sari]]>;
<![CDATA[Wimar Anugrah Romadhon]]>;
<![CDATA[Tri Wahyuni]]>;
<![CDATA[Meli Diana]]>
<![CDATA[ Journal of Ners and Midwifery Vol 12 No 3 (2025) ]]>
Publisher : <![CDATA[STIKes Patria Husada Blitar ]]>
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DOI: 10.26699/jnk.v12i3.ART.p186-193
<![CDATA[A high proportion of elderly in Indonesia experienced poor sleep quality. The psychological impact of poor sleep quality is decreased cognitive function, decreased immunological function, and negative and more emotional changes in thoughts. Foot massage can induce deep relaxation, alleviate anxiety and pain, and enhance sleep quality. This research aimed to determine the impact of foot massage on the sleep quality of elderly patients. This was quantitative research, a type of pre-experimental research. The design used a group pre-test and post-test design. The number of respondents was 20 elderly patients with a composmentis who were treated in the inpatient ward of the Budi Rahayu Catholic Hospital and were taken using purposive sampling—data collection using PSQI questionnaires before and after foot massage. The research indicated that the average sleep quality score was 8.4 before the foot massage, and decreased to 4.85 after the massage. The Wilcoxon signed ranked massage test results obtained a p-value of 0.000. It can be concluded that there is a notable difference in sleep quality score before and after foot massage in elderly patients. Nurses are encourage to utilize foot massage as an independent intervention to enhance the sleep quality of elderly patients. Nurses can educate the patient’s family on foot massage techniques to enhance the quality of the patient’s sleep and help speed up the healing process.]]>
<![CDATA[Sexual Education Improves Students’ Knowledge About Early Marriage Risks ]]>
<![CDATA[Laily Prima Monica]]>;
<![CDATA[Maria Ulfa]]>;
<![CDATA[Ika Agustina]]>;
<![CDATA[Wahyu Wibisono]]>
<![CDATA[ Journal of Ners and Midwifery Vol 12 No 3 (2025) ]]>
Publisher : <![CDATA[STIKes Patria Husada Blitar ]]>
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DOI: 10.26699/jnk.v12i3.ART.p194-202
<![CDATA[Early marriage is not an easy thing, especially if it is done at the wrong age. According to the Central Statistics Agency (BPS), in 2020 the prevalence of early marriage aged 15 - 17 years was 15.40 percent in Blitar Regency, while in Blitar City it was 8.00 percent. Providing sexual education is one way to prevent early marriage. The aim of this research was to determine the effect of sexual education on students' knowledge regarding the impact of early marriage at Public Vocational High School 1 of Kademangan. The design of this research was pre-experiment with One Group Pretest-Post-test approach. The samples in this research was 48 respondents taken by total sampling technique. The research instrument used a pretest-Post-test questionnaire. The method of delivering sexual education was by lecturing session with power points. The data analysis used the Wilcoxon Test. The statistical test results showed that the p-value was 0.000 or <0.05, meant there was an effect of sexual education on students' knowledge regarding the impact of early marriage at Public Vocational High School 1 of Kademangan. It is hoped that the results of this research can be used as evaluation material and information to support increased knowledge of the impact of early marriage on teenagers which can be conveyed by institutions.]]>
<![CDATA[Surya Namaskar Yoga and Chamomile Essential Oil Aromatherapy on Hot Flashes and Insomnia in Perimenopausal Women ]]>
<![CDATA[Handayani]]>;
<![CDATA[Levi Tina Sari]]>;
<![CDATA[Ita Noviasari]]>
<![CDATA[ Journal of Ners and Midwifery Vol 12 No 3 (2025) ]]>
Publisher : <![CDATA[STIKes Patria Husada Blitar ]]>
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DOI: 10.26699/jnk.v12i3.ART.p249-258
<![CDATA[As women approach perimenopause, aging of the ovaries causes a decrease in estrogen production. The inability to maintain adequate estrogen levels, whether due to low production or other factors, can cause a variety of physical and psychological changes, including irregular periods, hot flashes, and insomnia. The purpose of this study was to find the effectiveness of Surya Namaskar Yoga and Chamomile Essential Oil Aromatherapy on Hot Flashes and Insomnia in Perimenopausal Women. This was a quasi-experimental study with a control group design. The sample size of this study used the Slovin formula to obtain 80 respondents. Bivariate data using the Kolmogorov Smirnov test, if the data is normally distributed then using the paired sample t-test, and to compare between the control group and the treatment group using the ANOVA test. The results for comparing the control and treatment groups obtained p = 0.031, which means that there was a significant difference in the post-test value of insomnia complaints between the control and treatment groups, and p 0.041 < α 0.05. P 0.007 < α 0.005, meaning there was a significant difference in the post-hot Flashes complaint value between the control and treatment groups. The combination of Suryanamaskar yoga and chamomile aromatherapy provides a synergistic effect in improving insomnia and hot Flashes. It is expected that yoga and chamomile aroma therapy can be used to perimenopausal women so that they can prevent the uncontrollable perimenopause syndrome. ]]>
<![CDATA[The Love My Breast Android Application as Educational and Early Detection of Cancer ]]>
<![CDATA[Maratus Sholichah Fitriah Hajar Kusnianto]]>;
<![CDATA[Wimar Anugrah Romadhon]]>;
<![CDATA[Handayani]]>
<![CDATA[ Journal of Ners and Midwifery Vol 12 No 3 (2025) ]]>
Publisher : <![CDATA[STIKes Patria Husada Blitar ]]>
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DOI: 10.26699/jnk.v12i3.ART.p230-141
<![CDATA[Breast cancer is one of the leading causes of death in women worldwide. Lack of information and awareness about women's health problems results in delays in early detection, diagnosis, and treatment, and worsens the prognosis. In this digital era, practical and flexible educational media are needed as an effort to increase public knowledge. This study aimed to analyze the effectiveness of educational media and early detection of breast cancer through the use of the Love My Breast Android application in women of childbearing age. The method was Research and Development (RnD). The population was women of childbearing age (20-49 years). The sampling technique used purposive sampling. In this study, there were two test groups: a limited trial group of 10 respondents and 30 respondents in the broad trial group with Wilcoxon Signed Rank test Analysis. The instruments used the Love My Breast Android application as an educational medium and a questionnaire to measure respondents' attitudes, knowledge, and behavior. The results of this study obtained the application is suitable for use as an educational medium and early detection of Breast Self-Examination. Based on the data, the Love My Breast Android application educational media is effective in increasing respondents' knowledge, attitudes, and behavior. Early detection is an effort to identify abnormalities or diseases that are not yet clinically apparent. The development of easy, practical, and flexible application media is necessary in this digital era to support proactive and preventative efforts in health issues, particularly breast cancer.]]>
<![CDATA[The Moderating Role of Drinking Water Habit on the Effect of High- Purine Dietary Intake on Uric Acid Levels in Adults and the Elderly ]]>
<![CDATA[Anita Rahmawati]]>;
<![CDATA[Amelia Anggi Dwi Lestari]]>;
<![CDATA[Ulfa Husnul Fata]]>
<![CDATA[ Journal of Ners and Midwifery Vol 12 No 3 (2025) ]]>
Publisher : <![CDATA[STIKes Patria Husada Blitar ]]>
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DOI: 10.26699/jnk.v12i3.ART.p259-269
<![CDATA[Serum uric acid levels are affected by dietary patterns and lifestyle factors. High-purine food consumption is a primary contributor to hyperuricemia, while hydration status may moderate this effect. This study aimed to examine the moderating role of drinking water habits on the relationship between high-purine dietary intake and serum uric acid levels among adults and the elderly. A cross-sectional design with purposive sampling was conducted, involving 87 respondents from Elderly Integrated Health Post (Posyandu Lansia). Data on purine-rich food intake and water-drinking habits were collected via structured questionnaires, and serum uric acid levels were measured using a point-of-care testing (POCT) device (Easy Touch GCU 3-in-1) with compatible test strips. Multiple logistic regression analysis assessed the interaction between purine intake and drinking water habits. Results revealed a significant association between high-purine dietary intake and elevated serum uric acid levels (p = 0.022). Participants who reported high-purine dietary habits along with insufficient water consumption demonstrated the highest prevalence of hyperuricemia (71.4%), whereas those with similar dietary patterns but adequate hydration showed a substantially lower prevalence (20.0%). A significant interaction effect (p = 0.040) indicated that sufficient water intake moderated the impact of a high-purine diet on uric acid levels. Adequate hydration thus plays a critical moderating role in reducing the adverse effects of a high-purine diet. Promoting sufficient water intake may serve as a simple and effective behavioral strategy to prevent hyperuricemia, particularly among individuals with high purine consumption.]]>
<![CDATA[Cadres’ Knowledge of Integrated Primary Health Services (Posyandu ILP) and Their Skill in Implementing the Five-Table System ]]>
<![CDATA[Raden Roro Dewi Rahmawaty Aktyani Putri]]>;
<![CDATA[Thatit Nurmawati]]>;
<![CDATA[Amelia Diah Agustin]]>;
<![CDATA[Miftah Chairunnisa]]>
<![CDATA[ Journal of Ners and Midwifery Vol 12 No 3 (2025) ]]>
Publisher : <![CDATA[STIKes Patria Husada Blitar ]]>
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DOI: 10.26699/jnk.v12i3.ART.p270-278
<![CDATA[The importance of cadre roles is a key determinant in ensuring the smooth implementation of the Integrated Primary Service (ILP) Posyandu program. Cadres play essential roles and functions in Posyandu activities, one of which is carrying out the five-table system. However, in practice, the five-table system has not yet been implemented optimally. This condition may be influenced by several factors, including knowledge. The purpose of this study was to examine the relationship among cadres’ knowledge of integrated primary health services (Posyandu ILP) with their skill in implementing the five-table system. A cross-sectional study was the method applied. 55 cadres made up the study population, and a total sampling strategy was used to include all of them in the sample. Questionnaires were used as tools for testing knowledge and skill. The Spearman Rank statistical test produced a positive correlation value of 0.704 and a p-value of 0.000 (α < 0.05). This indicates a significant relationship between knowledge about ILP Posyandu and cadre skills in carrying out the five-table system. The correlation coefficient reflects a strong positive correlation, meaning that as the level of knowledge increases, the skill level also tends to improve. These findings suggest that regular and comprehensive training sessions should be provided to enhance cadres’ knowledge of ILP and their ability to perform the five Posyandu tables effectively.]]>
