International Journal of Nursing and Midwifery Science (IJNMS)
International Journal of Nursing and Midwifery Science (IJNMS) is peer reviewed journal that publish article nursing, midwifery and health science, provides a forum for articles on all aspects of higher degree nursing and midwifery education, research, and management and health service. This peer-reviewed international Journal is concerned with the whole spectrum of skills, knowledge and attitudes utilised by practitioners in any setting where adults or children, and their families are experiencing critical illness. Further, it also supports to the research methods relevant to nursing, midwifery and other health related professions. EDITION: APRIL, AUGUST, DECEMBER EISSN: 2686-2123 PISSN: 2686-0538 Language: English Author Fee: Rp 750.000 Publisher: LPPM Universitas Bina Sehat PPNI Mojokerto TEMPLATE DOWNLOAD SINTA 4 / Certificate GARUDA
Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia
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THE ANALYSIS OF DIASTASIS RECTI INCIDENCE IN POSTPARTUM WOMEN IN MOJOKERTO CITY
Diastasis recti abdominis is a condition in which the rectus abdominis muscles separate in the midline at the linea alba. It is currently unknown whether this is a true separation or tissue relaxation. The purpose of this study was to analyze the incidence of distasis recti in postpartum mothers and assessing the severity of distasis recti experienced by the mother. Method research in study This is descriptive quantitative with use cross-sectional approach. Subject study determined by purposive sampling, namely integrated health post at the Community Health Center (UPT) Minister and UPT Puskesmas Kranggan. Election location This done with consideration postpartum mothers data cutoff until with June 2025 two community health center have coverage most postpartum mothers first and second in Mojokerto City. Data collection was carried out with observation inspection physical. Sample study This only conducted at 6 integrated health posts with amount sample amounting to 64 people. The data was analyzed in a way univariate. Research results Research results show that 56% of mothers postpartum experienced abdominal diastasis recti and 26% of them had moderate diastasis recti. The symptoms experienced by 67% of respondents were pain.
Copyright (c) 2026 Lasiyati Yuswo Yani https://creativecommons.org/licenses/by-sa/4.0
Representative of Self Care Management of DMT2 Sufferers in the Working Area of Primary Health Facilities in Mojokerto City
Type 2 Diabetes Mellitus (DMT2) requires effective self-care management to prevent complications. The health center in Mojokerto City plays a crucial role as the front line in education and support for DMT2 sufferers. This study aims to identify the level of self-care management in DMT2 patients in the work area of the First Level Health Facility (FKTP) of Mojokerto City. This descriptive study involved 372 respondents selected using the Slovin formula (5% error tolerance) from a population of 5,328 DMT2 sufferers. The instrument used is the Diabetes Self-Management Questionnaire (DSMQ). The distribution of the level of self-care management shows an almost even distribution: the Low category is 33.87% (126 people), the High category is 33.33% (124 people), and the Medium category is 32.80% (122 people). The high proportion of the low category (33.87%) indicates that good access to information has not been fully able to improve patient compliance and independent practices. This shows that there are practical obstacles or motivations in the application of medical information. Self-efficacy is a key factor; the higher the patient's self-confidence, the better the self-care management practices are performed. A more applicable educational strategy and strengthening psychological support are needed to increase the independence of DMT2 sufferers in Mojokerto City.
Copyright (c) 2026 eka nur soemah, Della Puspita Anggraini, Agus Haryanto https://creativecommons.org/licenses/by-sa/4.0
DIFFERENCES IN WALKING BALANCE ACROSS BODY MASS INDEX ANDFALL RISK CATEGORIES AMONG OLDER ADULTS
This study aimed to examine differences in walking balance across body mass index (BMI) categories and fall risk categories among community-dwelling older adults. Methods: A cross-sectional study was conducted involving 55 older adults aged 50–90 years in a community setting in Central Java, Indonesia. Body mass index was classified using Asia–Pacific criteria. Fall risk was assessed using the Morse Fall Scale, and walking balance was evaluated using the 8-Foot Up and Go test, categorized as balanced or impaired. Data were analyzed using descriptive statistics and Pearson’s chi-square test. Results: The mean age of participants was 63.16 ± 8.60 years, and the mean BMI was 22.02 ± 3.86 kg/m². Overall, 69.1% of participants exhibited impaired walking balance. No significant association was found between BMI category and walking balance status (χ² = 4.78, p = 0.188). In contrast, fall risk category showed a significant association with walking balance status (χ² = 11.61, p = 0.003), with higher fall risk corresponding to greater balance impairment. Conclusion: Walking balance impairment among older adults was significantly associated with fall risk category but not with BMI classification. These findings indicate that fall risk assessment provides greater clinical relevance for identifying balance impairment than anthropometric measures alone.
Copyright (c) 2026 Nur Rachmat, M Syafii, Anissa Eka Septiani, Tarezza Dewi Sekar Mayang, Indra Yulianti https://creativecommons.org/licenses/by-sa/4.0
THE RELATIONSHIP BETWEEN MATERNAL HEIGHT DURINGPREGNANCY AND THE INCIDENCE OF STUNTING IN TODDLERS AT THERONGKOP COMMUNITY HEALTH CENTER, GUNUNG KIDUL IN 2025
Stunting is a global nutrition problem. World Health Organization Data shows that as many as 22% of toddlers experience stunting, which can affect children's cognitive development in the future. The incidence of stunting in Indonesia remains high in 2024 according to the SSGI (Indonesian Nutritional Status Survey). The national stunting prevalence is 19.8%. While the target for 2025 is 18.8%, the Indonesian government must continue to strive to reduce stunting cases to reach the target of 18.8%. The government program to provide free nutritious food for pregnant and breastfeeding mothers and children aged 2-5 years has been implemented as an effort to reduce stunting cases, but the issue of maternal height also affects the incidence of stunting. Women of childbearing age who are under 150 cm tall are at high risk of giving birth to stunted babies. Yogyakarta is one of the developed cities in Indonesia known as a city of education, but still has quite high cases of stunting in toddlers in one of the districts in Gunung Kidul. Although maternal height has been identified as a risk factor for stunting, local evidence shows that areas with a higher burden of stunting incidence, such as in the Rongkop Community Health Center working area, have stunting incidences of 60 respondents out of a total of 148 toddlers in 2025. The purpose of this study was to determine the relationship between maternal height and the incidence of stunting in toddlers at the Rongkop Community Health Center, Gunung Kidul in 2025. This study used a quantitative method with a cross-sectional study design, with a total sampling of 148 respondents. Data were analyzed using the chi-square test. The results of the study is that there are 148 respondents who are pregnant with reproductive age characteristics of 20-35 years 85,1%, with employment as a housewife 62,2% and the highest level of education is senior high school 45,9%. Mother's height data short <150 cm is 14,2% and all of them gave birth to incidence of stunting toddlers. The results of the Chi-Square analysis showed a significant relationship (0.001 <0.05). Conclusion There is a relationship between maternal height and the incidence of stunting in toddlers at Rongkop Community Health Center, Gunung Kidul Regency in 2025.
Copyright (c) 2026 Eka Oktavia, Lara Audi Setyawati https://creativecommons.org/licenses/by-sa/4.0
THE EFFECT OF AUTOGENIC RELAXATION TECHNIQUE ON REDUCINGANXIETY LEVELS IN THIRD-TRIMESTER PREGNANT WOMEN AT TPMBIKE SRI MEI WULAN, BULULAWANG, MALANG REGENCY
Primigravida women those experiencing pregnancy for the first time and lacking prior knowledge of physical changes and the childbirth process tend to experience higher levels of anxiety compared to multigravida women. Therefore, non-pharmacological interventions are needed to help facilitate the labor process, one of which is the use of autogenic relaxation techniques to reduce anxiety in third-trimester pregnant women. This study aimed to determine the effect of autogenic relaxation techniques on the anxiety levels of third-trimester pregnant women at TPMB Ike Sri Mei Wulan, Bululawang District, Malang Regency. The research employed a quantitative method with a pre-experimental design using a one-group pretest–posttest approach. The sample consisted of 27 third-trimester pregnant women selected through purposive sampling from a population of 40 individuals. The instrument used was the PRAQ-R2 questionnaire to measure anxiety levels before and after the intervention. Data analysis was conducted using univariate and bivariate methods, with the Wilcoxon Signed Rank Test applied for statistical analysis. The results showed that before the intervention, most respondents experienced moderate anxiety, while after the intervention, the majority experienced mild anxiety. The Wilcoxon test result indicated a p-value of 0.001 (p < 0.05), demonstrating a significant effect of autogenic relaxation techniques in reducing anxiety levels among third-trimester pregnant women. This therapy can be implemented as a non-pharmacological approach to help reduce anxiety in pregnant women during the third trimester.
Copyright (c) 2026 Amaliyyah Jazilla, Tut Rayani Aksohini Wijayanti, Anik Purwati https://creativecommons.org/licenses/by-sa/4.0
EFFECTIVENESS OF COMBINED RESISTANCE EXERCISE AND WARMWATER IMMERSION ON FOOT SENSITIVITY IN TYPE 2 DIABETESMELLITUS: A PRE-EXPERIMENTAL STUDY
Diabetes mellitus (DM) is a chronic metabolic disorder characterized by hyperglycemia. One complication in DM patients is diabetic ulcers that begin with peripheral neuropathy. This peripheral neuropathy causes decreased sensitivity in the feet, so that people with diabetes mellitus often experience loss of sensation in the feet. The purpose of this study was to determine the effect of a combination of resistance exercise and warm water soaks on the sensitivity value of the feet of diabetes mellitus patients. The research method used was quantitative with a Pre-Experimental design, namely One Group Pretest-Posttest design. The population of this study were all type II Diabetes Mellitus patients under the management of the Blooto Health Center Work Area, Mojokerto City. The sampling technique used was purposive sampling with a sample size of 32 respondents. The results of the statistical test with the Wilcoxon Rank Test showed a p value = 0.001 (p <0.05), indicating that there was a significant difference between before and after the intervention. The z value = -5.099 also strengthens the existence of significant changes with the direction of change indicating improvement.
Combination of Resistance Exercise and Warm Water Soak
Copyright (c) 2025 Arum Dwi Ningsih https://creativecommons.org/licenses/by-sa/4.0
PROVIDING LANDSLIDE DISASTER MITIGATION EDUCATION TOWARDSIMPROVING KNOWLEDGE AND ATTITUDES OF CITIZENS IN DISASTERRESPONSE SITUATIONS
Landslides are the movement of soil or rock masses from slopes, generally triggered by heavy rain, earthquakes, or human activity. This condition indicates the importance of serious attention to disaster risk reduction efforts to minimize impacts and increase community resilience. Lack of information from residents regarding disaster mitigation and disaster response attitudes that have not been fostered. Providing education to improve residents' knowledge and disaster response attitudes. This study aims to analyze the effect of Landslide Disaster Mitigation Education on the Level of Knowledge and Attitudes of Residents in Disaster Response Situations. The method used is quantitative with a quasi-experimental design. Using total sampling, with a population of Jenawi villagers with a sample of 55 respondents. Data analysis used the Wilcoxon Test. The results of the Wilcoxon Test showed a p-value of 0.001 or a p-value of ˂ 0.05. This indicates that there is an effect of Landslide Disaster Mitigation Education on the Level of Knowledge and Attitudes of Residents in Disaster Response Situations. It can be concluded that providing education through the lecture method can increase knowledge about disaster mitigation and disaster response attitudes.
Copyright (c) 2026 Yeni Nur Rahmayanti, Eka Novitayanti, Fadma Aji P, Christiana Ari P, Pipi Anonyma https://creativecommons.org/licenses/by-sa/4.0
THE EFFECT OF LAVENDER AROMATHERAPY ON SLEEP QUALITY AMONG ADOLESCENTS WITH SLEEP DISTURBANCES AT SMK MUHAMMADIYAH 07 GONDANGLEGI MALANG
Sleep disorders in adolescents are common health problems that can affect physical health, emotional well-being, and learning ability. One non-pharmacological therapy that can be used to help improve sleep quality is lavender aromatherapy, which has a relaxing effect on the nervous system. This study aimed to determine the effect of lavender aromatherapy on sleep quality among adolescents at SMK Muhammadiyah 7 Gondanglegi. This study used a pre-experimental design with a one group pretest - posttest approach. The population in this study consisted of 60 twelfth-grade nursing students at SMK Muhammadiyah 7 Gondanglegi, while the sample included 43 respondents selected using purposive sampling technique. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI) questionnaire before and after the intervention of lavender aromatherapy for seven days. Data were analyzed using the paired sample t-test with a significance level of α = 0.05. The results showed that the mean PSQI score before the intervention was 12.35, while after the intervention it decreased to 5.23, indicating an average reduction of 7.12 points. The statistical test showed a p-value = 0.000 (p < 0.05), which means that there was a significant effect of lavender aromatherapy on improving adolescents' sleep quality. Based on these results, it can be concluded that lavender aromatherapy has an effect on improving sleep quality in adolescents and can be used as a non-pharmacological alternative therapy to help overcome sleep disorders.
Copyright (c) 2026 Ayunda Aprilia, Nila Widya Keswara , Rifzul Maulina https://creativecommons.org/licenses/by-sa/4.0
THE EFFECT OF PROFESSIONAL THEMATIC PLAY ON CHILDREN'S SOCIAL AND EMOTIONAL DEVELOPMENT IN TK AT-TAUBAH JOMBANG
During the preschool age, playing becomes a primary activity that is inseparable from children's lives. A relevant game to stimulate children's social and emotional development is professional thematic play. The purpose of this research was to examine the influence of professional thematic play on children's social and emotional development at AT-Taubah Kindergarten, Jombang. The design of this research used a one-group pre-post test. The population in this research was all mothers and children at AT-Taubah Kindergarten, Jombang, totaling 84 children. The sampling technique used was purposive sampling. The samples in this research were some mothers and children at AT-Taubah Kindergarten, Jombang, totaling 46 children. The measuring instrument used was a questionnaire with test results of 100% validity and reliability, with ρ= 0.738. Data processing, starting from editing, coding, scoring, and data analysis, was carried out using the Wilcoxon signed-rank test. The research results showed that children with good social-emotional development experienced an increase after engaging in professional-themed play, from 22 respondents (48%) to 41 respondents (89%). The Wilcoxon signed-rank test showed a ρ=0.000. Professional themed play provides children with the opportunity to explore their emotions, enabling them to better understand and manage their emotions.
Professional thematic play, children's social and emotional development
Copyright (c) 2026 siti indatul laili https://creativecommons.org/licenses/by-sa/4.0
Trends in Cardiovascular Disease Risk and Outcomes Among Asian Communities Post-COVID-19 Pandemic: A Systematic Review and Meta-Analysis
Abstract Background: The COVID-19 pandemic has significantly impacted cardiovascular health, particularly in Asian populations. These communities already experience high rates of cardiovascular diseases (CVD), exacerbated by various socio-economic, lifestyle, and genetic factors. This systematic review and meta-analysis aimed to evaluate the impact of the COVID-19 pandemic on cardiovascular disease risks and outcomes in Asian populations. Methods: Studies published between 2020 and 2025 were included, focusing on adults (≥18 years) from Asian countries. A random-effects model was employed to pool effect sizes, and heterogeneity was assessed using the I² statistic. Risk of bias was evaluated using the Newcastle-Ottawa Scale. Subgroup analyses were conducted based on geographic region, pre-existing comorbidities, and study design. Results: The pooled odds ratio (OR) for increased cardiovascular risk post-COVID-19 was 3.59 (95% CI: 3.58–3.61), indicating a significant rise in risk. Individuals with pre-existing comorbidities, especially DM and HTN, faced a higher risk of severe outcomes. DM alone increased mortality risk by 69%, and when combined with cardiovascular disease, the risk was even higher (OR = 6.98).
Copyright (c) 2026 Lisy Augustin https://creativecommons.org/licenses/by-sa/4.0
MEDICATION ERRORS IN THE PRESCRIBING AND TRANSCRIBING PHASE: CASE STUDY
Medication errors are a leading cause of patient safety incidents in primary healthcare facilities and often occur during the prescribing and transcribing phases , the initial stages of the medication use process. This case study aims to examine in-depth a medication error incident involving the erroneous prescription of gentamicin skin ointment for an eye complaint in a patient. Data were collected through medical record reviews, documentation audits, incident reports, and in-depth interviews with healthcare workers involved in the prescribing, transcribing, and dispensing processes. The study results revealed several discrepancies in the prescribing phase , including illegible prescriptions, incomplete drug names, omissions of instructions for use, and the omission of important clinical information such as allergy history, prescription date, and patient physiological parameters. In the transcribing phase , errors occurred due to incorrectly transcribing the drug name and instructions for use. Systemic factors contributing to this incident include high workload, limited human resources, and suboptimal implementation of medication safety procedures in accordance with national pharmaceutical service standards. These findings emphasize the importance of improving prescription clarity, strengthening verification mechanisms, and adherence to SOPs in efforts to minimize medication errors and strengthen patient safety.
Copyright (c) 2025 MUHAMMAD ROYANUL FIRDAUS, Lutfi Qamari, Ana Zakiyah https://creativecommons.org/licenses/by-sa/4.0
EXPERIENCES OF PEOPLE LIVING WITH HIV IN OBTAINING HEALTH INFORMATION : A PHENOMENOLOGICAL STUDY
People living with HIV (PLHIV) face a complex adaptation process after receiving an HIV diagnosis, particularly in understanding the disease and initiating antiretroviral therapy (ART). Health information plays a critical role in shaping self-acceptance, decision-making, and treatment adherence. This study aimed to explore the experiences of PLHIV in obtaining and interpreting health information. This study employed a descriptive qualitative design with a phenomenological approach. Twelve participants were purposively selected and were active members of a peer support group at Yayasan Pontianak Plus. Data were collected through semi-structured in-depth interviews and observations. Data analysis was conducted using the Colaizzi method. The findings revealed that PLHIV obtain health information from various sources, including non-governmental organizations, peer communities, religious communities, books, social media, and healthcare professionals. Non-governmental organizations and peer communities emerged as the most dominant and meaningful sources because they provide both health education and emotional support. Healthcare professionals were also considered trusted sources of information, particularly regarding antiretroviral therapy. However, differences in participants’ experiences with the initial side effects of ART influenced how they interpreted the information they received. In conclusion, the experience of obtaining health information among PLHIV is multidimensional and shaped by interactions with multiple information sources. Collaborative and patient-centered educational approaches are needed to support treatment adherence and improve the quality of life of PLHIV.
Copyright (c) 2026 Nadia Rahmawati, Ikbal Fradianto; R.A. Gabby Novikadarti Rahmah - https://creativecommons.org/licenses/by-sa/4.0
COMPARISON OF PHYSIOLOGICAL RESPONSES BETWEEN CONSCIOUS AND UNCONSCIOUS ICU PATIENTS AFTER RECEIVING AL-MA’TSURAT DHIKR THERAPY
ICU patients are vulnerable to physiological response alterations due to stress, anxiety, and disturbances in homeostasis. Spiritual-based non-pharmacological approaches, such as Al-Ma’tsurat dhikr therapy, have the potential to provide calming effects through auditory stimulation and modulation of the autonomic nervous system. This study aimed to analyze the physiological responses of conscious and unconscious ICU patients before and after the administration of Al-Ma’tsurat dhikr therapy and to compare the physiological responses between the two groups. This study employed a quasi-experimental design with a pretest–posttest approach. The study population consisted of all ICU patients treated during the study period, with a total sample of 60 respondents, comprising 30 conscious patients and 30 unconscious patients, selected based on predetermined inclusion and exclusion criteria. The intervention involved playing Al-Ma’tsurat dhikr recitations in the morning and afternoon. Physiological parameters measured included systolic and diastolic blood pressure, heart rate, and respiratory rate. Data analysis was conducted using the Wilcoxon Signed Rank Test and the Mann–Whitney test. The results showed that in conscious ICU patients, Al-Ma’tsurat dhikr therapy had a significant effect on reducing respiratory rate (p < 0.05). In unconscious ICU patients, the therapy significantly reduced systolic blood pressure, diastolic blood pressure, and respiratory rate, particularly during morning measurements (p < 0.05). Comparison between the two groups indicated that respiratory rate was the most consistently and significantly affected parameter. In conclusion, Al-Ma’tsurat dhikr therapy influences the physiological responses of both conscious and unconscious ICU patients, with the most consistent effect observed in the regulation of the respiratory system.
Al-Ma’tsurat Dhikr Therapy; ICU Patients; Physiological Responses
Copyright (c) 2026 Moch. Achwandi Achwandi, Zulfa Khusniyah https://creativecommons.org/licenses/by-sa/4.0
FOOD INTAKE, PHYSICAL ACTIVITY, AND FASTING BLOOD GLUCOSEAMONG TYPE 2 DIABETES MELLITUS PATIENTS: A CROSS-SECTIONALSTUDY
Type 2 Diabetes Mellitus (T2DM) is a metabolic disorder marked by hyperglycemia due to reduced insulin sensitivity and impaired insulin secretion. Poor monitoring of dietary intake and low physical activity often worsen glycemic control. This study aimed to determine the relationship between dietary intake assessed through food recall, physical activity, and fasting blood glucose levels in T2DM patients. This quantitative research employed a descriptive correlational design with a cross-sectional approach and was conducted at Blooto Public Health Center in September 2025. A total of 80 respondents were selected using convenience sampling. Data were collected using a 3-day food recall analyzed with the FatSecret application, the International Physical Activity Questionnaire (IPAQ), and fasting blood glucose measurements using a glucometer. Data analysis included Chi-square tests and Linear Regression. Results showed that 60% of respondents consumed more than 50 grams of sugar per day, 60% had light to moderate physical activity, and 62.5% exhibited elevated fasting blood glucose (>100 mg/dL). Significant relationships were found between food recall and fasting blood glucose (p = 0.000) and between physical activity and fasting blood glucose (p = 0.000). However, the combined effect of dietary intake and physical activity was not significant (p = 0.996). Strengthening dietary education and promoting regular physical activity are essential to improve glycemic control in T2DM patients.
Copyright (c) 2025 Rizky Meuthia Pratiwi https://creativecommons.org/licenses/by-sa/4.0
EPIDEMIOLOGY AND CLINICAL CHARACTERISTICS OF MUMPS AMONG CHILDREN AND ADOLESCENTS: A CROSS-SECTIONAL STUDY IN CISOKA PUSKESMAS, INDONESIA
Background: Mumps remains a vaccine-preventable illness with periodic outbreaks in areas with low immunization coverage. Rural settings often show higher susceptibility due to limited healthcare access. Aims: To determine the prevalence and clinical characteristics of mumps among children and adolescents at Cisoka Puskesmas, Indonesia. Methods: A cross-sectional study was conducted on all pediatric patients clinically diagnosed with mumps from January to March 2025 based on WHO criteria. Demographic data, MR vaccination status, clinical features, and household exposures were obtained through interviews and clinical evaluation. Descriptive analysis was performed using SPSS 26.0. Result: Seventy-six mumps cases were identified, yielding a prevalence of 4.38%. The highest age-specific prevalence occurred in children aged 6–11 years (6.45%). Unilateral parotitis accounted for 71.1% of cases. Common symptoms included fever (96.1%), chewing pain (61.8%), and painful swallowing (51.3%). Only 59.2% had received MR vaccination, and 65.8% lived in close contact with at least one active smoker. Conclusion: Mumps continues to circulate among the pediatric population in rural Tangerang, driven by inadequate MR vaccination coverage and modifiable household-level exposures such as close contact with smokers. Strengthening immunization uptake and reducing preventable exposures are critical to mitigate future outbreaks.
Copyright (c) 2025 Muhammad Ikmal Syafi'i, David Christian, Indri, Trisna Amerdista https://creativecommons.org/licenses/by-sa/4.0
TOO YOUNG TO CARRY: UNDERSTANDING THE DOUBLE BURDEN OF ANEMIA AND EARLY PREGNANCY AMONG ADOLESCENTS IN RURAL TANGERANG
Background: Anemia during pregnancy continues to be a significant public health concern, especially among adolescents in low-resource settings. This study examines the prevalence of anemia among pregnant adolescents (<20 years) in Cisoka Puskesmas, Indonesia. Methods: Employing a cross-sectional design with total sampling, we examined medical records from January to December 2024. Hemoglobin levels were measured using Onemed HbCheck Hemoglobin Test Meter, with anemia defined as Hb <11.0 g/dL. Descriptive statistics were analyzed using SPSS 26. Results: Among 76 participants, the prevalence of anemia was 46.1%, peaking in the third trimester (54.3%). Mean hemoglobin levels showed a notable decline across trimesters (11.48 g/dL in the first trimester to 10.43 g/dL in the third trimester). Most participants (67.1%) had inadequate antenatal care (<4 visits). Moderate anemia predominated (51.4%), particularly in the second trimester (62.5%). Conclusion: This study reveals high anemia prevalence among pregnant adolescents in rural Tangerang, closely linked to advanced gestation and inadequate antenatal care. These results highlight the necessity for adolescent-specific iron supplementation and enhanced antenatal services for this vulnerable population.
Copyright (c) 2025 Trisna Amerdista, David Christian, Indri, Muhammad Ikmal Syafii https://creativecommons.org/licenses/by-sa/4.0
EFFECT OF SIMULATION-BASED SPLINTING TRAINING ONKNOWLEDGE AND SKILLS OF DESTANA VOLUNTEERS: A PRE–POSTEXPERIMENTAL STUDY
A disaster is an event or series of events that threaten and harm people's lives, caused by natural factors, non-natural factors, or human activity, resulting in material losses, loss of life, environmental damage, and psychological impacts. Matesih District has many steep slopes and experiences heavy rainfall. This situation resulted in extensive erosion, soil weathering, and landslides. One of the disasters that once struck Matesih was a landslide that resulted in several people suffering minor injuries. Injuries experienced by residents are usually related to the musculoskeletal system. This study aims to evaluate the impact of splinting training using simulation methods on the understanding and splinting skills of Destana volunteers in dealing with disasters. The methodology used in this study is a quantitative research type with a quasi-experimental design. There were 27 respondents who became the sample of this study, obtained through the Total Sampling Technique. Data were analyzed using the Wilcoxon Test. The results of the Wilcoxon Test showed a p-value of 0.000. This indicates the effect of splinting training using simulation methods on the understanding and splinting skills of Destana volunteers in dealing with disasters in Girilayu Village, Karanganyar. From these results, it can be concluded that splinting training using simulation methods can improve the understanding and skills of splinting, so that respondents are more active in participating in the training and can disseminate the splinting skills they have learned.
Copyright (c) 2025 Yeni Nur Rahmayanti rahmayanti, Fadma Aji Pramudita, Christiana Arin Proborini, Pipi Anonyma https://creativecommons.org/licenses/by-sa/4.0
BEHAVIOR DETERMINANTS OF STUNTING PREVENTION INADOLESCENT GIRLS IN THE TIDORE ISLANDS
Stunting is a chronic nutritional problem that remains a national concern because it impacts the quality of human resources in the future. Adolescent girls play a crucial role in stunting prevention efforts, as they are potential mothers who play a role in creating a healthy generation. This study aims to analyze factors related to stunting prevention behavior in adolescent girls at State Senior High School 5 Tidore Islands. This study was quantitative with a cross-sectional design. The study population included all 274 female students at State Senior High School 5 Tidore Islands, with a sample of 73 students taken using a simple random sampling technique. Data were collected using a questionnaire that had been tested for validity and reliability. The results showed a significant relationship between knowledge (p = 0.000), attitude (p = 0.000), and social environment (p = 0.000) with stunting prevention behavior. The Odds Ratio (OR) value for knowledge was 17.409; attitude 31.963; and social environment 19.419. The conclusion of this study is that the better the knowledge, attitudes, and social environment of adolescent girls, the better their behavior in preventing stunting.
Stunting, Adolescent Girls, Knowledge, Attitude, Social Environment
Copyright (c) 2025 Osnawati Marsaoly; Arif Mustofa; Sulastri Marapil https://creativecommons.org/licenses/by-sa/4.0
THE EFFECT OF HEALTH EDUCATION WITH AUDIOVISUAL METHODS ON KNOWLEDGE FIRST AID FOR BURN ON HOUSEWIVESIN GENERAL POLY ROOM PKM PURI MOJOKERTO REGENCY
ABTRACT Burns are a form of trauma that occurs as a result of human activities in the household, industry, or natural disasters. Lack of knowledge makes many people still believe that using toothpaste, ice, raw egg white, soy sauce can heal burns, after doing research on kitchen ingredients it will worsen burns because they will expand and not stop the spread of burns. The purpose of this study was to determine the effect of health education with audiovisual methods on knowledge of burn wound first aid among housewives in General Poly Room PKM Puri Mojokerto Regency. The population in this study were housewives in General Poly Room PKM Puri Mojokerto Regency. as many as 60 people. Sampling in this study using purposive sampling. The sample in this study were all housewives as many as 50 people. Before being given health education on first aid burns, the level of knowledge was less than 28 people (56%). After being given health education about first aid for burns using the audiovisual method, some of the respondents had good posttest scores with a total of 33 respondents (66%). Atatistic test using the Wilcoxon signed ranks test with the help of SPSS obtained a significance level of a = 0.05 and the results were p = 0.000 which means p <0.05, namely H0 is rejected and H1 is accepted, which means that there is an effect of health education with audiovisual methods on aid knowledge. The first is burns to housewives in General Poly Room PKM Puri Mojokerto Regency. Keywords: Health Education, Audiovisual, Burns, Knowledge Level
Health Education, Audiovisual, Burns, Knowledge Level
Copyright (c) 2025 Binarti Dwi Wahyuningsih https://creativecommons.org/licenses/by-sa/4.0
EFFECTIVENESS OF SUPERVISION WITH COMPLIANCE WITH NURSING ROUND DOCUMENTATION IN THE CHILD CARE ROOM
Nursing rounding is conducted every two hours, which includes monitoring patient complaints, monitoring IV line complaints, positioning the patient comfortably, meeting personal needs, meeting elimination needs, and maintaining privacy. In-service conditions, nurses' compliance with nursing rounding documentation remains low. Compliance with nursing rounding documentation can be improved through nurse supervision. This study aims to analyze the relationship between supervision and compliance with nursing rounding documentation. This study used a correlational analytical approach with a cross-sectional method. A sample of 84 nurses was selected using purposive sampling from a population of 90 nurses. The instruments used included a nursing rounding documentation observation questionnaire, GROW-ME coaching, and a compliance observation sheet. Data analysis was performed using the Spearman Rho correlation test. Most nurses received good supervision (89%). Eighty percent of nurses demonstrated compliance with nursing rounding documentation. There was a significant relationship between supervision and nursing rounding documentation (p=0.000). Nurse supervision significantly increased compliance with nursing rounding documentation. It is recommended that institutions strengthen coaching, training, and motivation programs to improve the quality of documentation and overall nursing care.
Copyright (c) 2025 Tri Ratna Ningsih; Ita bagus argentina , Aris suprianto https://creativecommons.org/licenses/by-sa/4.0
IMPLEMENTATION OF THE NURSING THEORIES “NEED FOR HELP WIEDENBACH” AND “CONSERVATION LEVINE” IN NURSING CARE FOR PREGNANT WOMEN WITH PREECLAMPSIA
Preeclampsia is a leading cause of maternal death during pregnancy, childbirth, and postpartum. The consequences of preeclampsia include HELLP syndrome, cardiovascular disorders, lung, kidney, and liver failure, coagulopathy, placental abruption, and cerebral hemorrhage. The consequences for the fetus include Intra-Uterine Growth Retardation (IUGR) and Intra-Uterine Fetal Death (IUFD). A comprehensive approach is needed in providing nursing care to mothers with preeclampsia. The aim of this study was to apply Wiedenbach's "Need for Help" and Levine's "Conservation" theories to the practice of nursing care for pregnant women with preeclampsia. The research method used was a case study with a focus on the application of Wiedenbach's "Need for Help" and Levine's "Conservation" theories to the practice of nursing care for pregnant women with preeclampsia. This theory was applied to two patients. Wiedenbach's theory emphasizes the importance of nurses' sensitivity in recognizing the comprehensive needs of pregnant women, including physical, psychological, and educational. Levine's theory reinforces this intervention with the principle of preserving patient integrity, which includes energy, structural, personal, and social aspects. The integration of these two theories strengthens the role of nurses as therapeutic agents who are able to manage risks, educate, and empower patients, especially pregnant women with preeclampsia.
Pre eclampsia; Need For Help Wiedenbach; Conservation Levine
Copyright (c) 2025 Indah Lestari, Noer Saudah https://creativecommons.org/licenses/by-sa/4.0
THE EFFECT OF THE "KELAS IBU HAMIL" APPLICATION ON DELIVERY PREPAREDNESS IN PREGNANT WOMEN
Good delivery preparedness significantly reduces maternal and infant complications. Pregnant mother's classes are crucial for enhancing this readiness, now available in flexible digital formats alongside traditional face-to-face sessions due to technological advancements. However, the systematic effectiveness of these digital classes requires further proof. This study aimed to evaluate the impact of the "Kelas Ibu Hamil" application on delivery preparedness. The research employed a quasi-experimental design with a control group. The study population comprised 40 pregnant women receiving Antenatal Care at Puskesmas Pembantu Tambak Agung, Puri, Mojokerto. Total sampling ensured all eligible women became respondents, with 20 assigned to an intervention group using the "Kelas Ibu Hamil" application and another 20 to a control group receiving routine education. Delivery preparedness was measured using a specific questionnaire. Data analysis utilized the Paired Sample T-Test. Results indicated a significant difference in pre-test and post-test scores across four weeks (p < 0.05). These findings confirm that the application effectively improves delivery preparedness by enabling mothers to learn independently, access materials anytime, and consult healthcare professionals directly.
Delivery preparedness, Pregnant women, Kelas Ibu Hamil, Mobile health application.
Copyright (c) 2025 Asirotul Marifah https://creativecommons.org/licenses/by-sa/4.0
OVERVIEW OF BLOOD PRESSURE AND BLOOD SUGAR LEVELS INELDERLY PEOPLE AT THE SINDUADI VILLAGE
This study aims to describe the status of blood pressure and blood sugar levels among elderly people at the Sinduadi Health Center. A descriptive quantitative method with a cross-sectional design was used, involving 97 elderly respondents selected through total sampling. Data collection included direct measurement of systolic and diastolic blood pressure as well as random blood glucose levels. The results showed that the average age of respondents was 67.36 ± 6.55 years, with an average systolic blood pressure of 133.63 ± 16.66 mmHg and diastolic blood pressure of 75.12 ± 11.50 mmHg. The mean blood glucose level was 140.03 ± 70.83 mg/dL. Most respondents were classified as pre-hypertensive (49.5%), followed by hypertensive (30.9%) and normal (19.6%), while for blood glucose, 62.9% were normal, 22.7% pre-diabetic, and 14.4% diabetic. The findings indicate that elderly people at the Sinduadi Health Center tend to experience increased blood pressure and blood glucose levels with age. This pattern emphasizes the importance of routine monitoring of blood pressure and blood sugar levels and the implementation of health education programs for lifestyle modification to prevent the progression of non-communicable diseases such as hypertension and diabetes mellitus among the elderly population.
elderly; blood pressure; blood glucose; prehypertension; prediabetes
Disiplin: Kesehatan Masyarakat; Keperawatan; Kesehatan Lansia
Copyright (c) 2025 Dr.Utami,S.Kep.,Ns.,M.Kes, dede efendy https://creativecommons.org/licenses/by-sa/4.0
THE CORRELATION BETWEEN DEPRESSION LEVEL AND INDEPENDENT LEVEL IN ACTIVITY OF DAILY LIVING (ADL) IN THE ELDERLY WITH AGE 60 YEARS AND OLDER
Depression is a feeling of sadness and pessimism associated with an affliction. It can be an attack is shown on self or a deep feeling of anger that can affect the activity of daily living in the elderly. The purpose of this research was to determine the Relationship between Depression Level and Independent Level in Activity of Daily Living (ADL) in The Elderly with Age 60 Years and Older in Hamlet Candisari Village Awang Awang District Mojosari-Mojokerto. This research used analytic correlation survey method with cross sectional approach. The population in this research were all elderly with age 60 years and older in Hamlet Candisari Village Awang Awang District Mojosari-Mojokerto as many as 89 elderly that were taken by total sampling method. In this research, the data collection methods used a depression questionnaire and standard self-sufficiency measure in ADL. The result of the research were more than half of respondents had mild depression as many as 65 respondents (73.0%) with medium dependency as many as 34 respondents (38.2%), then the respondents of moderate to severe depression as many as 18 respondents (20.3%) respondents with moderate dependence as many as 11 respondents (12.4%), and the respondents who are not depressed as many as 6 respondents (6.7%) can still be independent as many as 3 respondents (3.4%). The analysis used cross tabulation showed the relationship between depression level and independent level in activity of daily living (ADL) the wigher level of depression in elderly, then the lower the level of independence.Elderly should be able to Activity of Daily Living (ADL) and regularly attend the elderly health post (Posyandu) and interact socially with the surrounding community.
Depression Level, Activity of Daily living (ADL)
Copyright (c) 2025 HERI TRIWIBOWO https://creativecommons.org/licenses/by-sa/4.0
DETERMINANT FACTORS OF MILLENNIAL PARENTS IN SUPPORTING EARLY CHILDHOOD DEVELOPMENT
Early childhood development encompasses aspects of physical, cognitive, social-emotional, social context, moral, language, self-identity, and gender development. The age range of 0–6 years is a crucial period in shaping a child's future character, including attitudes, behavior, and personality. The preschool age (under five) is also considered a golden period for parents to optimally develop their child's potential (Andayani, 2021). This study aimed to analyze the parental determinants, including the educational level, employment status, and economic status of Millennial parents, on early childhood development. A quantitative cross-sectional approach was used, involving 177 children aged 42–72 months and their parents at PAUD Al Izzah Puri Mojokerto. Child development was measured using the Pre-Screening Development Questionnaire (KPSP) and analyzed using the Chi-Square test with a significance level of 0.05. The results showed no significant relationship between educational level (p=0.534) and economic status (p=0.641) and child development. However, a significant relationship was found between maternal employment status and child development (p=0.037). These findings emphasize that parenting factors and the quality of interaction are more determinative of child development than certain demographic characteristics.
Copyright (c) 2026 Tria Wahyuningrum https://creativecommons.org/licenses/by-sa/4.0
IMPLEMENTATION OF PREGNANT MASSAGE AT THE BL40 (WEIZHONG) ACUPRESSURE POINT TO REDUCE LOWER BACK PAIN IN PREGNANT WOMEN IN THE 2ND AND 3RD TRIMESER
Lower back pain is the most common form of discomfort during pregnancy experienced by mothers, especially in the second and third trimesters. Hormonal changes, weight gain, and biomechanical adaptations of the body are the main factors causing this complaint. The impact is not only pain but also disrupts daily activities, sleep quality, and increases stress. Pharmacological management is not always safe, so non-pharmacological interventions are more recommended. One potential method is pregnancy massage with stimulation of the BL40 (Weizhong) acupressure point, which works to relax muscles, improve circulation, and stimulate the release of endorphins. This study used a quasi-experimental design with a pretest–posttest without a control group. The sample consisted of 30 pregnant women in their second and third trimesters who experienced lower back pain and received antenatal care at the Sujiati Nur Elys TPMB, Dlanggu District, Mojokerto Regency. The intervention was given three times a week, with pain measured using the Numeric Rating Scale (NRS). The results showed that before the intervention, the majority of respondents experienced severe pain (53.3%), while after the intervention, none experienced severe pain. A total of 26.7% of respondents had no pain, 53.3% had mild pain, and 20% had moderate pain. The Wilcoxon test showed p = 0.000 (p < 0.05), indicating a significant difference before and after the intervention. Thus, pregnancy massage at the BL40 point has been proven effective in reducing lower back pain in pregnant women.
Copyright (c) 2025 Naning Puji Suryantini https://creativecommons.org/licenses/by-sa/4.0
THE EFFECT OF PEPPERMINT AROMATHERAPY ON THE INTENSITY OF NAUSEA AND VOMITING IN PREGNANT WOMEN IN THE FIRST TRIMESTER I
A woman experiences pregnancy, which lasts from conception (fertilization) until the baby is born. Excessive nausea and vomiting, or hyperemesis gravidarum, can also negatively impact the developing fetus, including abortion, low birth weight, premature delivery, and birth defects. This study aims to determine the effect of peppermint aromatherapy on the intensity of nausea and vomiting in patients with hyperemesis gravidarum. The research design used in this study is Pre Experimental Designs. The population in this study were all Hyperemesis Gravidarum Patients at TPM Ny. Fifin Nur Indah for 1 month totaling 25 while the sample in this study was Hyperemesis Gravidarum Patients totaling 25 using Non-probability Sampling with Total sampling method. The measuring tool or instrument in this study was The Rhodes Index Nausea Vomiting and Retching (INVR). This analysis was to find the relationship between the independent variable and the dependent variable using cross tabulating and the Wilcoxon statistical test with a significance level of 0,05. Before the intervention, most of the respondents experienced hyperemesis gravidarum with nausea and vomiting in the moderate category, as many as 22 respondents (88%). After the intervention, most of the respondents experienced hyperemesis gravidarum with nausea and vomiting in the mild category, as many as 20 respondents (80%). There was a decrease in nausea and vomiting in 80% of respondents. Based on the results of the Wilcoxon test, the probability value Asym.sig 2 P-Value 0.000 failed <0.05, so H1 is accepted, meaning there is an effect of Peppermint Aromatherapy on the intensity of nausea and vomiting in Hyperemesis Gravidarum patients. With complementary therapy, Peppermint Aromatherapy provides good benefits for pregnant women with nausea and vomiting and is certainly safe for pregnant women because it uses herbs.
Peppermint Aromatherapy, Nausea and Vomiting, Women Pregnancy
Copyright (c) 2025 Heni Frilasari https://creativecommons.org/licenses/by-sa/4.0
People living with HIV (PLHIV) are at higher risk of developing various types of cancer and viral infections compared to the general population. Cancers after diagnosis HIV (AIDS-defining cancers) include Kaposi's sarcoma, cervical cancer, and lymphoma. However, cancer can be various types of cancer, it's called non-AIDS defining cancers (NADC). The aim of this study was to identify the relatedness between cancer and HIV and estimate the timeframe for the onset of cancer symptoms after HIV infection. The descriptive analysis method involved 23 respondents with HIV and cancer. The study results showed NADC: breast cancer, liver cancer, leukemia, brain cancer, nasopharyngeal cancer, colon cancer, and rectal cancer. Whereas, HIV-related cancers included cervical cancer and lymphoma. The average time to cancer diagnosis after HIV was 2.73 years, with a standard deviation of 3.06 years, indicating large range of variation in each respondent. The confidence interval of 1.41-4.06 years means a high time difference between respondents. The earliest time to cancer symptoms in HIV was 0.6 years, and the longest time was 14.6 years. Timeframe for cancer to appear after HIV diagnosis is influenced by severe immunodeficiency, as indicated by decreased CD4 counts, age, opportunistic infections, genetic history of cancer, and cancer type. It is important to have self-awareness about early cervical cancer screening for HIV-positive women and regulations that integrate cancer screening services into HIV service units.
Copyright (c) 2025 Chaterina Janes Pratiwi https://creativecommons.org/licenses/by-sa/4.0
ASSOCIATION OF AGE AND FOUR SCORE WITH ICU LENGTH OF STAY IN POST-CRANIOTOMY PATIENTS AT SAKINAH HOSPITAL MOJOKERTO
This study aimed to analyze the association factors between age, FOUR Score, and ICU length of stay among post-craniotomy patients treated at Sakinah Hospital. A cross-sectional study was conducted from 01 October to 12 December 2025 involving adult post-craniotomy patients admitted consecutively to the ICU. Eligible participants were ≥18 years old, intubated postoperatively, and had a completed FOUR Score assessment. Fisher’s Exact Test and relative risk (RR) with 95% confidence intervals (CI) were applied to examine associations between age, FOUR Score, and ICU LOS. A significance level of p < 0.05 was used. 29 patients, 58.6% were aged ≥53 years and 62.1% experienced prolonged ICU stay. A FOUR Score ≤10 was observed in 58.6% of the cohort. Lower FOUR Scores were strongly associated with prolonged ICU stay (p < 0.000; RR = 9.7; 95% CI: 1.4–63.8). Older age also demonstrated a significant association with extended LOS (p = 0.018; RR = 2.47; 95% CI: 1–7.7). Both advanced age and lower FOUR Scores were significant associated with prolonged ICU stay among post-craniotomy patients. These findings underscore the utility of integrating neurological scoring with demographic risk profiling to support early prognostication and guide resource allocation in neurosurgical critical care.
Copyright (c) 2025 Rudi Hariyono, Ika Ainur Rofi’ah https://creativecommons.org/licenses/by-sa/4.0
ANALYSIS OF THE CAUSES OF HYPERTENSION IN PREGNANCY
The maternal mortality rate (MMR) in Indonesia is still relatively high, reaching 183 per 100,000 live births based on the national target of the 2024 National Medium-Term Development Plan (RPJMN). With 4,150 cases, this figure shows a significant gap from the target set in the 2024 RPJMN. The three main causes of maternal death in Indonesia are gestational hypertension (GHD), hemorrhage, and infection. These three causes are largely preventable with appropriate and prompt medical intervention. Despite improvements in the quality of prenatal care, the incidence of gestational hypertension continues to rise. The exact cause of gestational hypertension remains unknown, and the disease is thought to be multifactorial. Currently, there is no definitive way to prevent gestational hypertension . Research Objective: This study was conducted to evaluate the factors causing hypertension in pregnancy and to provide appropriate preventive solutions. The research method used was descriptive research with an observational approach to examine the characteristics of patients with hypertension in pregnancy at Dr. Wahidin Sudiro Husodo Regional General Hospital, Mojokerto City, in 2024-2025. Based on the results of the research that has been carried out, the analysis results obtained by the Maternal Age variable have a p-value of 0.877 (> 0.05), so it can be concluded that there is no relationship between Maternal Age and the occurrence of Hypertension in Pregnancy, the Parity variable has a p-value of 0.995 (> 0.05), so it can be concluded that there is no relationship between Parity and the occurrence of Hypertension in Pregnancy, the Gestational Age variable has a p-value of 0.998 (> 0.05), so it can be concluded that there is no relationship between Gestational Age and the occurrence of Hypertension in Pregnancy, the Obesity variable has a p-value of 0.998 (> 0.05), so it can be concluded that there is no relationship between Obesity and the occurrence of Hypertension in Pregnancy, the Gestational DM variable has a p-value of 0.988 (> 0.05), so it can be concluded that there is no relationship between Gestational DM and the occurrence of Hypertension in Pregnancy.
Copyright (c) 2025 Indah Kusmindarti, Nila Triayuningsasi https://creativecommons.org/licenses/by-sa/4.0