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Jurnal Cakrawala Keperawatan
Published by STIKES Estu Utomo
ISSN : -     EISSN : 30464536     DOI : https://doi.org/10.35872/jck.v2i02
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health
urnal Cakrawala Keperawatan (JCK) is a nursing journal which publishes scientific works for nurses, academics, and practitioners. JCK welcomes and invites original research articles, reviews (systematic and meta-analysis), and case report particularly in nursing. This journal encompasses original research articles, review articles, and case studies, including: Adult nursing Emergency nursing Gerontological nursing Community nursing Mental health nursing Pediatric nursing Maternity nursing Nursing leadership and management Complementary and Alternative Medicine (CAM) in nursing Education in nursing
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 44 Documents
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PENGARUH KONSELING LAKTASI OLEH BIDAN TERHADAP KECUKUPAN ASI PADA IBU MENYUSUI Binti Lulu Muthoharoh; Noviasari Handayani
Jurnal Cakrawala Keperawatan Jurnal Cakrawala Keperawatan Vol. 01 No. 02 Juli 2024
Publisher : STIKES Estu Utomo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35872/jck.v1i02.1051

Abstract

Background: Breast milk is the optimal source of nutrition for infants because it provides complete nutrients, antibodies, enzymes, hormones, and growth factors essential for healthy growth and development. Despite its well-established benefits, exclusive breastfeeding rates remain below national targets. One of the major barriers to successful breastfeeding is inadequate maternal knowledge and skills regarding breastfeeding techniques and lactation management. Lactation counseling provided by midwives is a health promotion intervention designed to improve maternal knowledge, confidence, and breastfeeding practices, thereby enhancing breast milk adequacy. Objective: To analyze the effect of lactation counseling provided by midwives on breast milk adequacy among breastfeeding mothers. Methods: A quasi-experimental pretest–posttest with control group design was conducted among 60 postpartum mothers, divided into an intervention group (n=30) and a control group (n=30). The intervention group received individualized lactation counseling delivered by trained midwives using educational modules and breastfeeding demonstrations, whereas the control group received routine postpartum education. Breast milk adequacy was assessed using breastfeeding effectiveness indicators, feeding frequency, infant weight gain, infant urination frequency, and LATCH scores. Data were analyzed using the Shapiro–Wilk test, paired t-test, independent t-test, and ANCOVA with a 95% confidence level. Results: The mean breast milk adequacy score in the intervention group increased significantly from 6.18 ± 1.04 to 9.02 ± 0.86 (p<0.001), while the control group showed only a slight, non-significant improvement. The increase in breast milk adequacy scores was significantly greater in the intervention group than in the control group (p<0.001). ANCOVA demonstrated that lactation counseling was the strongest predictor of improved breast milk adequacy after adjustment for maternal age, education, parity, and employment status. Conclusion: Lactation counseling provided by midwives significantly improves breast milk adequacy among breastfeeding mothers. Routine integration of lactation counseling into antenatal, intrapartum, and postpartum care is recommended to support successful exclusive breastfeeding
HUBUNGAN DUKUNGAN KELUARGA DENGAN KEPATUHAN IBU HAMIL DALAM MELAKUKAN PEMERIKSAAN KEHAMILAN Theofani Zahra; Rindang Fitriana Ulfa
Jurnal Cakrawala Keperawatan Jurnal Cakrawala Keperawatan Vol. 02 No. 01 Januari 2025
Publisher : STIKES Estu Utomo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35872/jck.v2i01.1052

Abstract

Background: Antenatal Care (ANC) is an essential strategy to maintain maternal and fetal health and to detect pregnancy complications at an early stage. Adherence to recommended ANC visits remains a challenge in many settings. Family support, including emotional, informational, instrumental, and appraisal support, plays an important role in encouraging pregnant women to attend regular antenatal care. Objective: To analyze the relationship between family support and pregnant women's adherence to antenatal care visits. Methods: An analytical observational study with a cross-sectional design was conducted among 120 pregnant women attending antenatal care at Pematang Panggang III Primary Health Center. Participants were selected using consecutive sampling. Data were collected using a validated family support questionnaire and an antenatal care adherence checklist. Data analysis included descriptive statistics, Chi-square test, and multiple logistic regression with a 95% confidence level. Results: Most respondents reported good family support (70.8%) and high adherence to antenatal care (76.7%). Chi-square analysis revealed a significant association between family support and ANC adherence (p=0.001). Multivariate analysis showed that pregnant women receiving good family support were 4.35 times more likely to adhere to recommended ANC visits than those receiving poor support (AOR=4.35; 95% CI=1.89–9.98). Conclusion: Family support is significantly associated with antenatal care adherence among pregnant women. Strengthening family involvement, particularly husbands' participation, should be incorporated into antenatal care programs to improve maternal health service utilization.
PENGARUH TEKNIK RELAKSASI NAPAS DAN PIJAT ENDORFIN TERHADAP PENURUNAN INTENSITAS NYERI PERSALINAN KALA I FASE AKTIF Noviasari Handayani; Theofani Zahra; Julia Dwi Khasanah
Jurnal Cakrawala Keperawatan Jurnal Cakrawala Keperawatan Vol. 02 No. 01 Januari 2025
Publisher : STIKES Estu Utomo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35872/jck.v2i01.1053

Abstract

Background: Labor pain is a physiological response caused by uterine contractions, cervical dilatation, and fetal descent during childbirth. During the active phase of the first stage of labor, pain intensity increases along with stronger and more frequent uterine contractions. Uncontrolled pain may increase maternal anxiety, stimulate catecholamine release, inhibit effective uterine contractions, prolong labor, and reduce maternal comfort. Non-pharmacological approaches such as breathing relaxation techniques and endorphin massage have been widely used to reduce labor pain. The combination of these interventions is expected to enhance endorphin release, promote muscle relaxation, decrease pain perception, and improve maternal comfort. Objective: To analyze the effect of breathing relaxation techniques and endorphin massage on reducing labor pain intensity during the active phase of the first stage of labor. Methods: A quasi-experimental pretest–posttest with control group design was conducted among 60 women in the active phase of the first stage of labor. Participants were allocated into an intervention group (n=30) and a control group (n=30). The intervention group received breathing relaxation techniques combined with endorphin massage, while the control group received standard maternity care. Pain intensity was assessed using the Numeric Rating Scale (NRS) before and after the intervention. Data were analyzed using the Shapiro–Wilk test, paired t-test, independent t-test, and ANCOVA with a 95% confidence level. Results: The mean pain intensity score in the intervention group significantly decreased from 7.63 ± 0.89 to 4.87 ± 0.93 (p<0.001), whereas no significant reduction was observed in the control group. The decrease in pain intensity was significantly greater in the intervention group than in the control group (p<0.001). ANCOVA demonstrated that the combination of breathing relaxation and endorphin massage significantly influenced pain reduction after adjustment for age, parity, and educational level. Conclusion: Breathing relaxation techniques combined with endorphin massage effectively reduce labor pain intensity during the active phase of the first stage of labor. This intervention can be integrated into comprehensive midwifery care to improve maternal comfort during childbirth.
PENGARUH EDUKASI DENGAN MEDIA VIDEO TERHADAP PENGETAHUAN IBU HAMIL TENTANG ASI EKSKLUSIF Luluk Lusiati Cahyarini; Rina Harwati; Sri Madya Bakti Eka Rini; Ani Hartanti
Jurnal Cakrawala Keperawatan Jurnal Cakrawala Keperawatan Vol.03 No.02 Juli 2026
Publisher : STIKES Estu Utomo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35872/jck.v3i02.1058

Abstract

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