INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS)
type: channel
description: 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. EISSN: 2686-2123 PISSN: 2686-0538 Language: English Author Fee: Rp 750.000 Publisher: LPPM Universitas Bina Sehat PPNI Mojokerto SINTA 4 / Certificate GARUDA
publisher: Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia
language: en
publication name: INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS)
issn: 2686-0538
copyright: Authors who publish with IJNMS agree to the following terms Authors retain copyright licensed under a Creative Commons Attribution-ShareAlike 4.0 International License that allows others to share the work non-commercially with an acknowledgement of the work's authorship and initial publication in this journal. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access). Authors can archive pre-print and post-print or publisher's version/PDF.
items: THE EFFECT OF TEPID SPONGE THERAPY ON REDUCING JOINT PAININ GOUT ARTHRITIS AT GENERAL CENDEKIA HUSADA CLINIC
items: EFFECTIVENESS OF BOOKLETS AS EDUCATIONAL MEDIA TOINCREASE HYPERTENSION KNOWLEDGE: LITERATURE REVIEW
items: THE EFFECT OF AL-MA’TSURAT MORNING-EVENING RECITATION ON PHYSIOLOGICAL RESPONSE TO ANXIETY LEVEL IN ICU PATIENTS
items: HEALTH CRISIS MANAGEMENT: A STUDY ON THE HANDLING OF SCABIES AS A COMMUNICABLE DISEASE AT AL HUSAIN ISLAMIC BOARDING SCHOOL
items: The Emergency Level Algorithm Uses the National Early Warning System (News) Method for Non-Rebreathing Mask Oxygen Therapy Patients
items: NURSING DIAGNOSIS IN PATIENTS WITH HYPOGLYCEMIA IN THEEMERGENCY DEPARTMENT
items: ANALYSIS OF FACTORS RELATED TO INCREASED URIC ACID LEVELS INPATIENTS AT GENTENG GENERAL HOSPITAL, BANYUWANGI
items: THE INFLUENCE OF DIABETES SELF MANAGEMENT EDUCATION AND SUPPORT FOR SELF EFFICACY AND SELF CARE BEHAVIOUR IN CLIENT WITH TYPE 2 DIABETES MELLITUS
items: COMBINATION OF HIBISCUS SABDARIFFA LINN, FLOWER AND WHITE GINGER TEA ON BLOOD PRESSURE REDUCTION IN THE ELDERLY
items: THE EFFECT OF KNOWLEDGE AND ATTITUDE ON THE PRACTICE OF USING MOBILE JKN APPLICATIONS IN PARTICIPANTS OF BPJS KESEHATAN JEMBER BRANCH OFFICE
items: THE INFLUENCE OF PHYSICAL WORK ENVIRONMENT FACTORS ON THE PERFORMANCE OF EMPLOYEES OF THE MOJOKERTO REGENCY HEALTH OFFICE
items: THE RELATIONSHIP BETWEEN MUROTTAL AL-QUR'AN ANDEFFLEURAGE MASSAGE USING JITU OIL BY BREAST MILK GRANDMOTHERS WITH INDEPENDENCE IN BREASTFEEDINGMOTHERS
items: REPOSITIONING AS AN INTERVENTION FOR STROKE PATIENTS WITH PRESSURE ULCER RISK - A CASE STUDY
items: ACUPRESSURE THERAPY TO DECREASE BLOOD PRESSURE FOR MRS. MT WITH CORONARY ARTERY DISEASE
items: DEEP BREATHING RELAXATION AND SANYINJIAO ACUPRESSURETHERAPY (SP6) AS A PAIN MANAGEMENT FOR PRIMARYDYSMENORRHEA IN ADOLESCENTS
items: GRADE ANKLE BRACHIAL INDEX (ABI) AS A PREDICTOR OF PERIPHERAL ARTERY DISEASE (PAD) IN MELLITUS PATIENTS
items: EFFECTIVENESS OF ERGONOMIC EXERCISE ON BLOOD SUGAR IN DIABETES MELLITUS PATIENTS
items: DIGITAL HEALTH INTERVENTIONS TO IMPROVE GLYCEMIC OUTCOMES IN TYPE 2 DIABETES MELLITUS: A LITERATURE REVIEW
items: SEDENTARY LIFESTYLE AND COMORBIDITIES: OVERVIEW OFUPDATED EVIDENCE OF POTENTIAL HEALTH RISK
items: FAMILY COMMUNICATION PATTERN RELATION WITH DEPRESSIONLEVEL ON ELDERLY IN POSYANDU ELDERLY
items: RELATIONSHIP BETWEEN QUALITY OF WORK LIFE AND NURSE’S PERFORMANCE IN EMERGENCY ROOM RSUD KARSA HUSADA BATU CITY
items: FACTORS ASSOCIATED WITH DEPRESSION AMONG CHRONIC KIDNEY DISEASE PATIENTS RECEIVING HEMODIALYSIS
items: PRODUCT DEVELOPMENT STRATEGY FOR GERIATRIC SERVICES: A CASE STUDY AT A HOSPITAL IN SURABAYA
items: A DESCRIPTIVE STUDY ON TRIGLYCERIDE AND BLOOD GLUCOSE LEVELS IN THE ELDERLY POPULATION
items: IMPROVED SLEEP QUALITY AND DECREASED INSOMNIA RATES AFTER YOGA THERAPY: LITERATURE REVIEW
items: THE EFFECT OF DASH DIET EDUCATION USING THE PEER GROUP METHOD ON THE EATING PATTERNS OF DIABETES MELLITUS PATIENTS IN KALIBUNTU VILLAGE
items: ANALYSIS OF THE INFLUENCE OF OGANIZATIONAL TRUST, WORK ENVIRONMENT, AND SOCIAL CAPITAL ON THE PERFORMANCE OF EXCLUSIVE BREASTFEEDING PROGRAM AT THE SURABAYA CITY HEALTH CENTER
items: RELATIONSHIP BETWEEN STRESS LEVELS AND CHANGES IN RANDOM SUGAR LEVELS IN PATIENTS WITH DIABETES MELLITUS AT MENTIKAN PUBLIC HEALTH CENTER, MOJOKERTO CITY
items: THE RELATIONSHIP OF PREGNANT WOMEN WITH CHRONIC LACK OF ENERGY AND THE INCIDENT OF LOW BIRTH WEIGHT BABIE
items: IMPACT OF EATING PATTERNS ON URIC ACID LEVELS IN THE ELDERLY

THE EFFECT OF TEPID SPONGE THERAPY ON REDUCING JOINT PAININ GOUT ARTHRITIS AT GENERAL CENDEKIA HUSADA CLINIC
type: item
description: Gout arthritis is a form of inflammatory arthritis characterized by acute joint pain, swelling, and redness due to the accumulation of uric acid crystals in the joints. Non-pharmacological pain management, such as tepid sponge therapy (warm compresses), is starting to be considered as a safe and easy alternative. This therapy is thought to increase vasodilation, improve blood circulation, and help reduce pain levels. The aim was to determine the effect of tepid sponge therapy on reducing joint pain levels in gout arthritis patients. The method used was This study used a quantitative design with a pre-experimental one-group pretest-posttest approach. A total of 66 respondents diagnosed with gout arthritis and experiencing mild to moderate joint pain were selected using a purposive sampling technique. Pain levels were measured using a Numerical Rating Scale (NRS) before and after the intervention. Tepid sponge therapy was performed for 15 minutes on the painful joint area, twice a day for 3 consecutive days. Data analysis used a WilcoxonTest. Results: There was a significant reduction in pain levels after tepid sponge therapy. The results of wilcoxon test showed a p-value of 0.000 (p < 0.05), indicating a significant effect of tepid sponge therapy on reducing joint pain in gouty arthritis. The conclusion is that tepid sponge therapy is effective in reducing joint pain in gouty arthritis sufferers. This intervention can be used as a simple and effective non-pharmacological treatment alternative to reduce joint pain.
subject: Articles
  topic: section
subject: Gout Arthritis, Joint Pain,Tepid Sponge
  topic: keywords
creator: Agus Sulistyowati
creator: Risti Puji Listari
rights: Copyright (c) 2025 Agus Sulistyowati, Risti Puji Listari https://creativecommons.org/licenses/by-sa/4.0
date: 2025-09-02
publication date: 2025-09-02
starting page: 224
ending page: 230
doi: 10.29082/IJNMS/2025/Vol9/Iss2/714

EFFECTIVENESS OF BOOKLETS AS EDUCATIONAL MEDIA TOINCREASE HYPERTENSION KNOWLEDGE: LITERATURE REVIEW
type: item
description: Hypertension is one of the chronic diseases with high prevalence that requires continuous educational efforts. Booklets as simple printed media are considered effective in increasing patient knowledge about the prevention and management of hypertension. This study is a literature review study that aims to analyze the effectiveness of using booklets as educational media in increasing knowledge of hypertension. Articles were obtained from the PubMed, Scopus, Web of Science, and Google Scholar databases using the keywords: "Booklet" OR "Educational Booklet" AND "Hypertension" OR "High Blood Pressure" AND "Knowledge" OR "Health Education". A total of 10 articles were selected based on the inclusion criteria and selected using the PRISMA diagram. The results of the review showed that the use of booklets consistently increased the knowledge of hypertension patients, both in adult, elderly, and adolescent groups. Booklets have also been shown to be effective when combined with mentoring from cadres or health workers. These results are in line with the theory of health literacy and educational communication which emphasizes the importance of visual media and readability. In conclusion, booklets are an effective educational media, and can be adapted for various target groups in an effort to increase knowledge about hypertension.
subject: Articles
  topic: section
subject: Booklet, Hypertension, Knowledge, Health Education
  topic: keywords
subject: Booklet, Hypertension, Knowledge, Health Education
  topic: subjects
subject: Health Promotion
  topic: disciplines
creator: Mahardika Primadani
creator: Isne Susanti
creator: Eka Oktavia
rights: Copyright (c) 2025 Mahardika Primadani, Isne Susanti, Eka Oktavia https://creativecommons.org/licenses/by-sa/4.0
date: 2025-08-28
publication date: 2025-08-28
starting page: 128
ending page: 140
doi: 10.29082/IJNMS/2025/Vol9/Iss2/723

THE EFFECT OF AL-MA’TSURAT MORNING-EVENING RECITATION ON PHYSIOLOGICAL RESPONSE TO ANXIETY LEVEL IN ICU PATIENTS
type: item
description: ICU patients often experience anxiety due to critical conditions, unfamiliar environments, and invasive medical procedures. Anxiety can lead to physiological changes such as increased blood pressure, heart rate, and respiratory rate. This study aimed to analyze the effect of the Al-Ma’tsurat morning-evening recitation on the physiological response to anxiety in ICU patients. A pre-experimental design with a pretest-posttest approach without a control group was used. The sample consisted of 42 ICU patients at RSI Sakinah Mojokerto who met the inclusion criteria, selected through purposive sampling. Data were collected by measuring blood pressure, heart rate, and respiratory rate before and after the intervention. Paired t-test and Wilcoxon test results showed no significant difference in systolic and diastolic blood pressure or heart rate (p > 0.05). However, a significant difference was found in respiratory rate (p = 0.015) after listening to the Al-Ma’tsurat recitation. The reduction in respiratory rate indicates a physiological relaxation response due to spiritual intervention. Although most parameters were not statistically significant, dzikir therapy remains potentially effective as a non-pharmacological holistic intervention for ICU patients.
subject: Articles
  topic: section
subject: Al-ma'tsurat
  topic: keywords
subject: ICU
  topic: keywords
subject: anxiety
  topic: keywords
subject: physiological response
  topic: keywords
subject: dzikir
  topic: keywords
creator: Moch. Achwandi
creator: Zulfa Khusniyah
rights: Copyright (c) 2025 Moch. Achwandi, Zulfa Khusniyah https://creativecommons.org/licenses/by-sa/4.0
date: 2025-08-28
publication date: 2025-08-28
starting page: 113
ending page: 116
doi: 10.29082/IJNMS/2025/Vol9/Iss2/730

HEALTH CRISIS MANAGEMENT: A STUDY ON THE HANDLING OF SCABIES AS A COMMUNICABLE DISEASE AT AL HUSAIN ISLAMIC BOARDING SCHOOL
type: item
description: Islamic boarding schools are densely populated, communal environments that are highly susceptible to the spread of communicable diseases such as scabies. This study aims to analyze the effectiveness of health crisis management in addressing scabies outbreaks at Al Husain Islamic Boarding School in Magelang.This research employed a quantitative approach using path analysis based on Structural Equation Modeling (SEM) with SmartPLS 3.0. A total of 220 students were selected as respondents using the Slovin formula. Data were collected through a structured questionnaire.The findings indicate that the variables of policy and protocol had the most significant influence on response speed and the overall effectiveness of crisis management (β = 0.279; p = 0.000). Response speed also served as a key mediating factor, strengthening the relationship between healthcare access and the effectiveness of crisis management (β = 0.145; p = 0.004). Conversely, the variables of health education and housing density did not show a significant impact. The effectiveness of health crisis management in Islamic boarding schools is influenced by a combination of robust policies, rapid response, and adequate healthcare access. Structural interventions and strengthened response systems are essential for the prevention of scabies outbreaks.
subject: Articles
  topic: section
subject: Health Crisis Management
  topic: keywords
subject: Scabies
  topic: keywords
subject: pondok pesantren
  topic: keywords
creator: Aini Hidayati
creator: Nurul Isnaini Febriarini
rights: Copyright (c) 2025 Aini Hidayati, Nurul Isnaini Febriarini https://creativecommons.org/licenses/by-sa/4.0
date: 2025-08-28
publication date: 2025-08-28
starting page: 117
ending page: 127
doi: 10.29082/IJNMS/2025/Vol9/Iss2/724

The Emergency Level Algorithm Uses the National Early Warning System (News) Method for Non-Rebreathing Mask Oxygen Therapy Patients
type: item
description: The mixed gas pressure theory states that if the pressure of one gas in a gas mixture increases, the partial pressure of the other gas will decrease. Increasing the oxygen concentration in the non-rebreathing mask will reduce the partial pressure of CO2, so that it can reduce PaCO2 and maintain a high PaO2. Researchers want to know the level of emergency by looking at the effectiveness of administering O2 on hemodynamic status using the NEWS (National Early Warning System) method, where currently only O2 saturation and arterial blood gas analysis values ​​are often used to evaluate, without any scoring, with an action algorithm according to the emergency level scoring report. This research is a quasi-experimental one-group pre-post-test design with a one-shot pretest and posttest design on all patients who have respiratory complaints with NEWS score values ​​in the moderate and severe categories in the ICU of Dr. Hospital. Slamet Martodirjo Pamekasan. Sampling uses non-probability purposive sampling. Because the population of this study is infinite, the target sample size is 20 respondents. The emergence of patients in the ICU after receiving the second 6-hour phase of O2 NRM therapy intervention was found by most respondents (55%) in the mild category, and only 20% in the severe category. This means that the number of patients in the critical or high category is much less than after the first 2 hours of therapy, namely 65% ​​to 20% and most of them are already in the mild category after the second 6 hours of O2 therapy. This study concludes that O2 NRM therapy has a significant effect on reducing the level of emergency for the first 2 hours and evaluation for the second 6 hours, resulting in a different emergency algorithm (reducing the level of emergency) for the two evaluation phases with different levels of emergency.
subject: Articles
  topic: section
subject: Emergency level algorithm
  topic: keywords
subject: Early warning system (EWS)
  topic: keywords
subject: Non-rebreathing mask oxygen
  topic: keywords
creator: Kuzzairi
creator: Taufiqurrahman
creator: Endang Fauziyah Susilawati
rights: Copyright (c) 2025 Kuzzairi, Taufiqurrahman, Endang Fauziyah Susilawati https://creativecommons.org/licenses/by-sa/4.0
date: 2025-08-28
publication date: 2025-08-28
starting page: 141
ending page: 148
doi: 10.29082/IJNMS/2025/Vol9/Iss2/721

NURSING DIAGNOSIS IN PATIENTS WITH HYPOGLYCEMIA IN THEEMERGENCY DEPARTMENT
type: item
description: Hypoglycemia is a condition involving decreased blood glucose levels. It can cause symptoms affecting multiple systems and have serious consequences if left untreated. Nurses play a crucial role in swiftly and appropriately detecting and treating hypoglycemia in the emergency department. Research on nursing diagnoses was the first step in determining interventions for hypoglycemic patients in the emergency department of the Muhammadiyah Babat General Hospital. The study employed a descriptive retrospective design using secondary data from medical records. The study sample included 73 hypoglycemia patients admitted to the emergency room from January to December 2024, selected using consecutive sampling, and data was collected on May, 2025. The data was analyzed descriptively. The results showed that all patients experienced similar signs and symptoms: low blood glucose levels, drowsiness, decreased appetite, weakness, dizziness, strange behavior, and physical weakness. The nursing diagnosis that emerged for all patients was blood glucose level instability. These findings suggest that hypoglycemia has a consistent clinical impact and requires a structured nursing response. Decreased intracranial adaptive capacity, a diagnosis listed in the nursing pathway that is usually associated with severe hypoglycemia, was not found in this study. This may be due to limitations in neurological assessments and supporting examinations.
subject: Articles
  topic: section
subject: Emergency Department
  topic: keywords
subject: Hypoglycemia
  topic: keywords
subject: Nursing Diagnosis
  topic: keywords
subject: Nursing Diagnosis in Hypoglicemia
  topic: subjects
subject: Emergency Nursing
  topic: disciplines
creator: Nur Hidayati
creator: Melani Adinda Putri Aldia
creator: Lilis Maghfuroh
rights: Copyright (c) 2025 Nur Hidayati, Melani Adinda Putri Aldia, Lilis Maghfuroh https://creativecommons.org/licenses/by-sa/4.0
date: 2025-08-28
publication date: 2025-08-28
starting page: 149
ending page: 156
doi: 10.29082/IJNMS/2025/Vol9/Iss2/717

ANALYSIS OF FACTORS RELATED TO INCREASED URIC ACID LEVELS INPATIENTS AT GENTENG GENERAL HOSPITAL, BANYUWANGI
type: item
description: One of the lifestyle diseases caused is degenerative disease. The incidence of degenerative diseases is often related to age and changes in a person's lifestyle. Age is a factor that is directly related to Body Mass Index (BMI). The aim of this study was to determine the factors associated with increased uric acid levels in inpatients at Genteng Hospital, Banyuwangi Regency. This research used an analytical observational design. The sample in this study were inpatients at Genteng Hospital, Banyuwangi Regency, namely 40 respondents. The sampling technique uses purposive sampling. Tools for the data collection process were questionnaires and observation sheets, then analyzed using the Che Square statistical test with α < 0.05. It is known from the research results that from statistical analysis using the che square test it is known that there is a relationship between the factors age, obesity/BMI and family support with increasing uric acid levels in inpatients at Genteng Hospital, Banyuwangi Regency with p value <0.05. For this reason, it is necessary to maintain your diet, to avoid foods that are fatty and have high purine levels. Supported by regular exercise so that blood circulation becomes smooth, thereby preventing the accumulation of fat and high purines in the blood which cause obesity and gout.
subject: Articles
  topic: section
subject: GOUT, BMI, FAMILY SUPPORT
  topic: keywords
subject: Gout, BMI, Familly Support
  topic: subjects
subject: Medical surgical nursing
  topic: disciplines
creator: Eko Prabowo
creator: Lia Suwardani
rights: Copyright (c) 2025 Eko Prabowo, Lia Suwardani https://creativecommons.org/licenses/by-sa/4.0
date: 2025-08-28
publication date: 2025-08-28
starting page: 157
ending page: 168
doi: 10.29082/IJNMS/2025/Vol9/Iss2/712

THE INFLUENCE OF DIABETES SELF MANAGEMENT EDUCATION AND SUPPORT FOR SELF EFFICACY AND SELF CARE BEHAVIOUR IN CLIENT WITH TYPE 2 DIABETES MELLITUS
type: item
description: Independent diabetes care management is needed for health maintenance. Low self-care is caused by low self-efficacy. The purpose of this study was to analyze the effects of diabetes self-management education and support for self-efficacy and independent behavior in clients with type 2 diabetes mellitus. This observational research used a cross sectional approach. Sample which used clusster sampling method consisted of of 200 people. Independent variable was education and support for independent diabetes management, and dependent variable was self-efficacy and independence. Research analysis techniques used bivariate statistical logistic regression test. The results of Binary Logistic Regression test showed that education and independent management support for diabetes significantly influence self-efficacy with a result of sig 0.001 <α 0.05. Education and support for independent diabetes management significantly influence self-care with sig 0,000 <α 0,05. Self-efficacy affects self-care significantly with sig 0,000 <α 0,05. Self-management education and diabetes support are beneficial for people with type 2 diabetes in increasing self-confidence to control and manage the disease they experience. Keywords: Self-management education, self-efficacy and self-reliance behavior
subject: Articles
  topic: section
subject: Self-management education, self-efficacy and self-reliance behavior
  topic: keywords
subject: Medical Surgical Nursing
  topic: subjects
subject: Nursing
  topic: disciplines
creator: FITRIAH FITRIAH
creator: MUSTOFA HARIS
creator: mufarika mufarika
creator: CICILIA DESY MEGAWATI
creator: SURYANINGSIH SURYANINGSIH
creator: RODIYATUN RODIYATUN
rights: Copyright (c) 2020 INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS)
date: 2020-06-02
publication date: 2020-06-02
starting page: 83
ending page: 93
doi: 10.29082/IJNMS/2020/Vol4/Iss1/247

COMBINATION OF HIBISCUS SABDARIFFA LINN, FLOWER AND WHITE GINGER TEA ON BLOOD PRESSURE REDUCTION IN THE ELDERLY
type: item
description: Hypertension is a common health problem among the elderly. This study aims to determine the effectiveness of Hibiscus sabdariffa Linn. flower and white ginger tea in reducing blood pressure in the elderly. This quasi-experimental study employed a control group design. The study was conducted on 64 elderly and distributed equally to intervention and control group. The intervention group received Hibiscus sabdariffa Linn. flower and white ginger tea, while the control group administered antihypertensive medication. Blood pressure was measured using a digital sphygmomanometer. Data were analyzed using a t-test (α ≤ 0.05). In the intervention group, the mean systolic blood pressure decreased 11.7 and the mean diastolic blood pressure also dropped 7.8. In the control group, the mean systolic blood pressure reduced 12.5; and a decrease in mean diastolic blood pressure of 7.76. A notable change was detected between pre-test and post-test measurements in both the intervention and control groups (p = 0.000; p = 0.000). However, post-test systolic and diastolic blood pressure remained comparable between the two groups, showing no significant difference (p = 0.441; p = 0.856). Hibiscus sabdariffa Linn. flower and white ginger tea have demonstrated efficacy in reducing blood pressure in the elderly, comparable to antihypertensive drugs.
subject: Articles
  topic: section
subject: Elderly
  topic: keywords
subject: Hibiscus Sabdariffa Lin
  topic: keywords
subject: Hypertension
  topic: keywords
subject: White Ginger
  topic: keywords
creator: Farisa Adinda Putri
creator: Nur Hidayati
creator: Lilis Maghfuroh
rights: Copyright (c) 2025 Farisa Adinda Putri, Nur Hidayati, Lilis Maghfuroh https://creativecommons.org/licenses/by-sa/4.0
date: 2025-08-28
publication date: 2025-08-28
starting page: 169
ending page: 178
doi: 10.29082/IJNMS/2025/Vol9/Iss2/708

THE EFFECT OF KNOWLEDGE AND ATTITUDE ON THE PRACTICE OF USING MOBILE JKN APPLICATIONS IN PARTICIPANTS OF BPJS KESEHATAN JEMBER BRANCH OFFICE
type: item
description: The use of JKN mobile applications is increasing along with the development of information technology. This study aims to analyse the effect of participants' knowledge and attitudes on satisfaction in using the JKN mobile application at the Jember Branch Office. This study uses quantitative research methods using analytical observational methods with a cross sectional approach. Probaility Sampling with Simple Random Sampling Technique with a total sample of 134 respondents. Data collection was carried out by filling out questionnaires and interviews made by researchers and filled in by respondents. The collected data were processed using the statistical test ‘Chi-Square’ The results showed that most respondents had good knowledge about the JKN mobile application as many as 89 people (66.4%), most respondents had a negative attitude about the JKN mobile application as many as 82 people (61.2%), most respondents were satisfied in using the JKN mobile application as many as 71 people (53%). The results of the Chi-square analysis test show that the p-value of 0.012 means that there is an influence of knowledge on satisfaction in using the JKN mobile application, the p-value of 0.000 means that there is an influence of attitude on satisfaction in using the JKN mobile application. It is expected that BPJS Kesehatan officers are more continuous about socialising the menu or features on the JKN mobile application directly to BPJS Kesehatan participants, currently patients who come to BPJS Kesehatan health facilities some have not used mobile JKN, so it needs the role of officers in educating patients and families about the features in the JKN mobile application.
subject: Articles
  topic: section
subject: Knowledge, Attitude, Satisfaction, Use of JKN Mobile Application
  topic: keywords
creator: Agung Tri Anjono
creator: Sulis Diana
rights: Copyright (c) 2025 Agung Tri Anjono, Sulis Diana https://creativecommons.org/licenses/by-sa/4.0
date: 2025-08-28
publication date: 2025-08-28
starting page: 179
ending page: 186
doi: 10.29082/IJNMS/2025/Vol9/Iss2/706

THE INFLUENCE OF PHYSICAL WORK ENVIRONMENT FACTORS ON THE PERFORMANCE OF EMPLOYEES OF THE MOJOKERTO REGENCY HEALTH OFFICE
type: item
description: Efforts to create a good and comfortable physical work environment must be made by agencies in order to support the achievement of high performance for employees. The purpose of this study was to analyze the influence of physical environmental factors on the performance of employees of the Mojokerto District Health Office. This study was conducted with a cross sectional approach with a sample of 76 employees selected by simple random sampling technique. data were collected with a room thermometer, sound level meter, luxmeter and comfort measurement questionnaire. The data were then analyzed using logistic regression test. The results showed that almost all of the furniture used by employees to work was comfortable (79.5%), most of the rooms had more than average noise levels (59.1%), all rooms had room temperature (15-30o Celsius) (100%), almost all rooms had inappropriate lighting (88.6%). The results of the logistic regression test explain that the comfort of office furniture has no effect on employee performance (p value = 0.545), the noise level has no effect on employee performance (pvalue = 0.739). employee workplace air temperature has no effect on employee performance (pvalue = 0.087). Workplace lighting levels affect employee performance. (p value = 0.026) Together there is an influence of all physical environmental factors on employee performance and there is no most dominant factor in influencing the performance of employees of the Mojokerto District Health Office (pvalue = 0.000). Sufficient lighting does not interfere with employee concentration so that they can work well and focus and have good performance. Therefore, the Health Office should begin to rehabilitate the facilities owned so as to create a conducive work environment for employees.
subject: Articles
  topic: section
subject: Performance, Physical Environment, Lighting, Noise, Employees
  topic: keywords
creator: Feri Muhammad Abidin
creator: Sulis Diana
creator: Eka Dyah Katiningrum
rights: Copyright (c) 2025 Feri Muhammad Abidin, Sulis Diana, Eka Dyah Katiningrum https://creativecommons.org/licenses/by-sa/4.0
date: 2025-08-28
publication date: 2025-08-28
starting page: 187
ending page: 194
doi: 10.29082/IJNMS/2025/Vol9/Iss2/705

THE RELATIONSHIP BETWEEN MUROTTAL AL-QUR'AN ANDEFFLEURAGE MASSAGE USING JITU OIL BY BREAST MILK GRANDMOTHERS WITH INDEPENDENCE IN BREASTFEEDINGMOTHERS
type: item
description: The negative influence of grandmother's advice about breastfeeding is related to wrong knowledge and not intentional. When they have adequate information, grandmothers' roles in feeding their grandchildren will be vulnerable and changeable, resulting in better feeding patterns. During the postpartum period, grandmothers can also pass on to their children information that is very useful for daughters/daughters-in-law, some of which can also hinder breastfeeding. In this research, we will examine the effect of Al-Qur'an murottal and Effleurage massage using Jitu Oil on breastfeeding independence in mothers assisted by breastfeeding grandmothers. Postpartum mothers who are giving birth for the first time will be confused about what steps need to be taken to meet the baby's nutritional needs, so the role of those closest to them, especially grandmothers, is needed in ensuring this is achieved.This research uses a quasi-experimental design using a one test only design. The working area of ​​the Arjasa Community Health Center, Situbondo Regency, was used as the location for this research. The research was carried out from December 2023 to February 2024. The research population was postpartum mothers in the TPMB working area of ​​the Arjasa Health Center using purposive samplingas many as 41 people. The resultsMothers who breastfeed independently tend to have a chance of having confidence in breastfeeding which is 3.167x higher than mothers who have low breastfeeding independence.
subject: Articles
  topic: section
subject: Murrotal Al-Quran Effleurage Massage Independe nce Breast-feed
  topic: keywords
creator: Dewi Andariya Ningsih
creator: Sri Rahayu
creator: Innama Sakinah
rights: Copyright (c) 2025 Dewi Andariya Ningsih, Sri Rahayu, Innama Sakinah https://creativecommons.org/licenses/by-sa/4.0
date: 2025-06-18
publication date: 2025-06-18
starting page: 87
ending page: 107
doi: 10.29082/IJNMS/2025/Vol9/Iss1/666

REPOSITIONING AS AN INTERVENTION FOR STROKE PATIENTS WITH PRESSURE ULCER RISK - A CASE STUDY
type: item
description: he risk of pressure ulcers are a risk that can occur in patients with stroke. Limited activity and disorders of motor nerves make it difficult for patients to mobilize, resulting in prolonged bed rest. If the risk of pressure sores is left unchecked, a new problem will emerge, namely pressure sores or what is known as pressure ulcers. Repositioning is one solution so that patients can mobilize even in bed. The aim of this research was to conduct a case study analysis of two stroke patients who experienced immobilization and were at risk of pressure ulcers. Using descriptive design with interview techniques, observation, physical examination and documentation. The Braden score instrument is also used as a basis for assessing the risk of decubitus pressure ulcers before and after repositioning. The results of the initial assessment showed that client 1 had a Braden scale score of 10, client 2 had a Braden score of 13 and client 3 had a Braden score of 14, meaning a high risk of pressure sores. Next, repositioning intervention was carried out for 3 days every 2 hours. Other implementations include monitoring weight and changes, using barriers such as lotion or water-absorbing pads at pressure points or bony prominences, patients are also given special mattresses, and administration of corticosteroids is excluded. The results of the 3 day evaluation were that there were no pressure sores found on the client and a reduction in the risk of pressure sores with the achievement of an increase in the Braden score, namely Patient 1 had an increase in the Braden score from a score of 13 (moderate risk of pressure sores) to 15 (mild risk of pressure sores), patient 2 experienced an increase in the Braden score from 13 to 15. Patient 3, a score of 14 to 16 which from a moderate risk to a mild risk of pressure sores. Implementation of intervention delivery repositioning In patients who comply every 2 hours, it is very effective in preventing the occurrence of pressure sores (decub…
subject: Articles
  topic: section
creator: Rizky Meuthia Pratiwi
creator: Umi Endah
rights: Copyright (c) 2025 Rizky Meuthia Pratiwi, Umi Endah https://creativecommons.org/licenses/by-sa/4.0
date: 2025-06-18
publication date: 2025-06-18
starting page: 29
ending page: 37
doi: 10.29082/IJNMS/2025/Vol9/Iss1/701

ACUPRESSURE THERAPY TO DECREASE BLOOD PRESSURE FOR MRS. MT WITH CORONARY ARTERY DISEASE
type: item
description: Background: The increase in cases of Coronary Artery Disease (CAD) is the highest compared to other cardiovascular diseases. Symptoms of CAD cause chest pain, increased heart rate, and increased blood pressure. Pharmacological therapy is sometimes resistant which ultimately fails to decrease blood pressure, thus introducing various non-pharmacological therapies, one of which is acupressure. The purpose of this study was to provide nursing care to CAD patients by applying acupressure to decrease blood pressure. The research method used was a case study on Mrs. MT with a descriptive approach based on caring for CAD patients. The application for acupressure was given on August 1-5 2024. The results showed significant changes in systolic and diastolic values. Acupressure is provided at points PC6, LI4, and LR3 once a day on average decrease systolic values while stabilizing diastolic values. Conclusion: Acupressure affects reducing blood pressure in CAD patients who have undergone Percutaneous Coronary Intervention (PCI).
subject: Articles
  topic: section
subject: Coronary Artery Disease, Acupressur, Blood Pressure
  topic: keywords
creator: Qolbu Ainun Hanifah
creator: Muhamad Nurmansyah
creator: Alfonsius Ade Wirawan
rights: Copyright (c) 2025 Qolbu Ainun Hanifah, Muhamad Nurmansyah, Alfonsius Ade Wirawan https://creativecommons.org/licenses/by-sa/4.0
date: 2025-06-18
publication date: 2025-06-18
starting page: 1
ending page: 5
doi: 10.29082/IJNMS/2025/Vol9/Iss1/657

DEEP BREATHING RELAXATION AND SANYINJIAO ACUPRESSURETHERAPY (SP6) AS A PAIN MANAGEMENT FOR PRIMARYDYSMENORRHEA IN ADOLESCENTS
type: item
description: Dysmenorrhea, or commonly known as menstrual pain, is a sensation of pain or abdominal cramps that occurs before and during the menstrual period. The use of drugs to reduce pain has negative side effects, so holistic care such as deep breathing relaxation techniques and acupressure therapy are one alternative to reduce dysmenorrhea pain. Deep breathing relaxation is a technique that involves slow and deep breathing to help reduce stress and anxiety (Trivia, 2021). While acupressure is a massage technique at certain points, proven to be effective in reducing menstrual pain. This type of research uses a Quasy Experiment design with a one group pretest and posttest design. The population in this study were all 2nd year female students of the Nursing Study Program at the Madura State Polytechnic. This study used purposive sampling, with the inclusion criteria of female adolescents aged 17-20 years, who had taken Holistic Care Medicine courses, experienced primary dysmenorrhea pain and did not use pharmacological therapy such as analgesics during the research data collection process. The exclusion criteria were having certain gynecological diseases or secondary dysmenorrhea and very severe pain levels. The sample in this study was 52 people. Data collection used a Visual Analog Scale measuring instrument with an intensity scale of 0-10 and a checklist of deep breathing relaxation therapy and SP6 acupressure techniques, data were processed computerized using SPSS software version 26. Univariate analysis used frequency distribution and bivariate analysis used the Wilcoxon test with a p-value <0.05. The results of the data distribution test obtained an abnormal data distribution, so it was continuedstatistical test using the Wilcoxon Test obtained a value of 0.000 (<0.05). Thus proving that the combination of deep breathing therapy and acupressure is effective in reducing primary dysmenorrhea pain in adolescents.
subject: Articles
  topic: section
subject: Dysmenorrhea
  topic: keywords
subject: Sanyinjiao
  topic: keywords
subject: Relaxation
  topic: keywords
subject: Acupressure
  topic: keywords
subject: Article Text
  topic: subjects
subject: Nurse
  topic: disciplines
subject: Midwife
  topic: disciplines
subject: Holistic
  topic: disciplines
creator: Cantika Iva Nugrahani
creator: Elisa Christiana
creator: Fitri Hijri Khana
rights: Copyright (c) 2025 Cantika Iva Nugrahani, Elisa Christiana, Fitri Hijri Khana https://creativecommons.org/licenses/by-sa/4.0
date: 2025-06-18
publication date: 2025-06-18
starting page: 6
ending page: 13
doi: 10.29082/IJNMS/2025/Vol9/Iss1/665

GRADE ANKLE BRACHIAL INDEX (ABI) AS A PREDICTOR OF PERIPHERAL ARTERY DISEASE (PAD) IN MELLITUS PATIENTS
type: item
description: Peripheral Artery Disease (PAD) often occurs in diabetes mellitus patients. PAD can be detected early by measuring the Ankle Brachial Index (ABI). ABI measurement should be important for all DM clients and all clients at risk of DM but is often ignored, causing PAD. The purpose of this study was to determine the Ankle Brachial Index (ABI) as a predictor of Peripheral Artery Disease (PAD) in patients with diabetes mellitus. The design of this study was descriptive with an observational study approach. The population in this study were all 113 diabetes mellitus clients in July 2024. The sampling technique used purposive sampling so that 100 people were obtained who met the inclusion and exclusion criteria. The research instrument used a digital tensiometer and observation sheet. Data analysis used frequency distribution. The results showed that the normal ankle brachial index value was 40 people (40%), respondents who experienced moderate PAD were 28 people (28%), mild PAD 16 people (16%), ABI tolerated 15 people (15%), and hardening of the arteries 1 person (1%). Data analysis suggested that almost half of the respondents had ankle brachial index PAD values ​​consisting of moderate PAD and mild PAD. Moderate PAD occurs in obese diabetes mellitus patients and those who have suffered from diabetes mellitus > 5 years, and mild PAD occurs in those who have suffered from diabetes mellitus > 5 years and have a history of hypertension.
subject: Articles
  topic: section
subject: ABI, PAD, Diabetes mellitus
  topic: keywords
creator: Ima Rahmawati
creator: Kend Ramadio Rimba Syah Yogha
rights: Copyright (c) 2025 Ima Rahmawati, Kend Ramadio Rimba Syah Yogha https://creativecommons.org/licenses/by-sa/4.0
date: 2025-06-18
publication date: 2025-06-18
starting page: 14
ending page: 21
doi: 10.29082/IJNMS/2025/Vol9/Iss1/682

EFFECTIVENESS OF ERGONOMIC EXERCISE ON BLOOD SUGAR IN DIABETES MELLITUS PATIENTS
type: item
description: Diabetes is a chronic metabolic disorder characterized by hyperglycemia because the pancreas is unable to produce enough insulin and the body is unable to use insulin effectively. If diabetes mellitus is not treated properly, it will cause acute and chronic complications. Physical activity training is one of the non-pharmacological management of diabetes mellitus. One form of physical activity training is ergonomic gymnastics. This study aims to determine the effect of ergonomic exercises on blood sugar levels in patients with diabetes mellitus in Krembung Public Health Center. This research is a quantitative study using Pre-Experimental Design One Group Pre- Test Post-Test with 36 respondents. This study shows that there is a decrease in the average blood sugar level on the first day of 234 mg/dL to 209.5 mg/dL, on the second day the average blood sugar level from 211.5 mg/dL to 187.7 mg/dL while the average blood sugar level of the third meeting from 175.7 mg/dL to 148.8 mg/dL. Ergonomic gymnastics involves the main muscles that can make insulin receptors increase and more sensitive so as to reduce blood sugar levels. This is evidenced by the results of the analysis using the Paired T-Test test obtained a p-value of 0.000 (<0.05) which shows the effect of ergonomic exercises on blood sugar levels in patients with diabetes mellitus in Krembung Public Health Center. Based on the results of this study, ergonomic exercises are important to be done routinely in patients with diabetes mellitus to reduce blood sugar levels.
subject: Articles
  topic: section
subject: blood sugar levels, diabetes mellitus, ergonomic exercises
  topic: keywords
creator: Lutfi Wahyuni
creator: Umi Azizah Kusumaningrum
rights: Copyright (c) 2025 Lutfi Wahyuni, Umi Azizah Kusumaningrum https://creativecommons.org/licenses/by-sa/4.0
date: 2025-06-18
publication date: 2025-06-18
starting page: 22
ending page: 28
doi: 10.29082/IJNMS/2025/Vol9/Iss1/700

DIGITAL HEALTH INTERVENTIONS TO IMPROVE GLYCEMIC OUTCOMES IN TYPE 2 DIABETES MELLITUS: A LITERATURE REVIEW
type: item
description: Type 2 diabetes mellitus (T2DM) is a growing global health concern marked by persistent hyperglycemia and a high risk of complications. Despite advancements in treatment, many patients fail to achieve optimal glycemic control. Digital health interventions (DHIs) have emerged as promising tools to support self-management and improve outcomes in T2DM care. This literature review aims to evaluate the effectiveness of DHIs in enhancing glycemic control among individuals with T2DM. A literature review was conducted by searching databases such as EBSCOhost, ScienceDirect, ProQuest, and Google Scholar for full-text articles published between 2016 and 2025. Inclusion criteria focused on studies involving adult T2DM populations using mobile apps, telemedicine, or web-based platforms to support glycemic management. A total of 10 studies met the criteria and were analyzed narratively. A total of 10 studies were analyzed in this literature review to evaluate the impact of digital health interventions on glycemic control among T2DM patients. These studies comprised randomized controlled trials, quasi-experimental studies, and cohort studies conducted in various global settings. The findings consistently demonstrated that digital health interventions such as mobile applications, web-based platforms, and telemedicine systems positively affect glycemic control, primarily measured through decreased HbA1c levels. This literature review concludes that DHIs show strong potential in improving glycemic control in T2DM. The effectiveness of these interventions is influenced by user engagement, digital literacy, and integration with healthcare support.
subject: Articles
  topic: section
subject: Digital Health, Glycemic Control, Telemedicine, Type 2 Diabetes Mellitus
  topic: keywords
creator: Waras Budi Utomo
creator: Muzdalipah
creator: Reska Ahmad Muhajir
creator: Yulianur Fawzi
rights: Copyright (c) 2025 Waras Budi Utomo, Muzdalipah, Reska Ahmad Muhajir, Yulianur Fawzi https://creativecommons.org/licenses/by-sa/4.0
date: 2025-06-18
publication date: 2025-06-18
starting page: 38
ending page: 48
doi: 10.29082/IJNMS/2025/Vol9/Iss1/703

SEDENTARY LIFESTYLE AND COMORBIDITIES: OVERVIEW OFUPDATED EVIDENCE OF POTENTIAL HEALTH RISK
type: item
description: Sedentary lifestyle has become a significant public health concern worldwide, contributing significantly to the rising prevalence of non-communicable diseases such as hypertension, type 2 diabetes (T2DM), and obesity. Characterized by prolonged sitting or low-energy activities, it has been associated with physical and psychological health risks. This literature review examines and synthesizes recent evidence on the relationship between sedentary lifestyle and the development of common comorbidities. A literature review design was employed, sourcing relevant full-text articles published between 2018 and 2025 from databases including ScienceDirect, EBSCOhost, ProQuest, and Google Scholar. Inclusion criteria focused on studies that investigated the association between sedentary lifestyle and adult comorbidities, using quantitative, observational, and meta-analytical methods. The results of this study included eight peer-reviewed studies, including observational, cross-sectional analyses, systematic reviews, and randomized clinical trials. The findings showed a significant association between sedentary lifestyles and a variety of comorbidities, including hypertension, T2DM, and obesity. This literature review confirms that a sedentary lifestyle significantly contributes to the risk of hypertension, T2DM, and obesity. As sedentary lifestyles become increasingly common, particularly among the elderly, it is crucial to implement public health initiatives, encourage active living, and develop culturally appropriate interventions to reduce the impact of associated non-communicable diseases.
subject: Articles
  topic: section
subject: Comorbidities , Hyperglycemi a, Hypertension, Obesity, Sedentary Lifestyle
  topic: keywords
creator: Aristanto Prambudi
creator: Ika Ainur Rofi’ah
rights: Copyright (c) 2025 Aristanto Prambudi, Ika Ainur Rofi’ah https://creativecommons.org/licenses/by-sa/4.0
date: 2025-06-18
publication date: 2025-06-18
starting page: 49
ending page: 60
doi: 10.29082/IJNMS/2025/Vol9/Iss1/702

FAMILY COMMUNICATION PATTERN RELATION WITH DEPRESSIONLEVEL ON ELDERLY IN POSYANDU ELDERLY
type: item
description: Elderly age said to be the final stage of development in the life cycle. In this period a person experiencing a physical setback,mental social gradually decreasing ability to adapt to changes and environmental stress often cause psychosocial disorders in elderly. One of which is depression. To cope with depression in the elderly required functional family communication because of the confidence will increase and the motivation to face problems that ocur will increase. Independent variable that is Family Communication Pattern and Dependent Variable is Depression Level. The research design uses analytical design on cross sectional design. Sample amounted to 30 respondents.With Purposive Sampling.The questionnaires used were two kinds of family communication pattern questionnaire and GDS (Geriatric Depression Scale). .The Stabilistic Test used is the Lambda Correlation test. The result of p (0,032) and α (0,05), so that p (0,032) <α (0,05) meaning that H0 is rejected and H1 accepted which means there is relation of family communication pattern with depression level in elderly at posyandu ugly village Jaringansari Hamlet Karangdiyeng Village .Dysfunctional family communication patterns can cause elderly sad, lonely and experiencing a lot of pressure consequently elderly will experience psychosocial problems especially depression. Functional family communication shows the existence of support to the family and increase the motivation to solve the problem, especially depression experienced by the elderly.
subject: Articles
  topic: section
subject: Communication Family, Family, Elderly, Depression
  topic: keywords
subject: FAMILY COMMUNICATION PATTERN RELATION WITH DEPRESSION LEVEL ON ELDERLY IN POSYANDU ELDERLY
  topic: subjects
subject: Community
  topic: disciplines
creator: Heri Triwibowo
rights: Copyright (c) 2025 Heri Triwibowo https://creativecommons.org/licenses/by-sa/4.0
date: 2025-06-18
publication date: 2025-06-18
starting page: 110
ending page: 117
doi: 10.29082/IJNMS/2025/Vol9/Iss1/670

RELATIONSHIP BETWEEN QUALITY OF WORK LIFE AND NURSE’S PERFORMANCE IN EMERGENCY ROOM RSUD KARSA HUSADA BATU CITY
type: item
description: Quality of Work Life (QWL) is an important factor affecting nurse performance, especially in the Emergency Room (ER) with high work pressure. This study aims to analyze the relationship between QWL and the performance of ER nurses at RSUD Karsa Husada, Batu City. The research design used a quantitative method with a cross-sectional study approach. The total sampling used involved 17 ER nurses. QWL measurement was carried out through a structured questionnaire, while nurse performance was measured based on hospital performance evaluation indicators. The statistical test used was chi-square. The results showed a significant relationship between QWL and nurse performance with a p-value <0.005, which was 0.002 (α = 0.05). This indicates that improvements in QWL can contribute positively to improving nurse performance. These findings provide important implications for hospital management to improve the quality of the nurse work environment to achieve better performance in health services.
subject: Articles
  topic: section
subject: Emergency room, nurse performance, QWL
  topic: keywords
creator: Jiwani Alvina Dharma Pratiwi
creator: Elsa Yosinda Widya Kusuma Putri
rights: Copyright (c) 2025 Jiwani Alvina Dharma Pratiwi, Elsa Yosinda Widya Kusuma Putri https://creativecommons.org/licenses/by-sa/4.0
date: 2025-08-28
publication date: 2025-08-28
starting page: 195
ending page: 205
doi: 10.29082/IJNMS/2025/Vol9/Iss2/699

FACTORS ASSOCIATED WITH DEPRESSION AMONG CHRONIC KIDNEY DISEASE PATIENTS RECEIVING HEMODIALYSIS
type: item
description: Chronic kidney disease (CKD) is one of the therapies for CKD is hemodialysis. Hemodialysis can have psychological effects, one of which is depression. The purpose of this study was to identify factors associated with depression in patients with chronic kidney failure undergoing hemodialysis. This is a quantitative study with a descriptive correlational design using a cross-sectional design on 52 samples with purposive sampling. The study was conducted using the Beck Depression Inventory II questionnaire, Fatigue Severity Scale, Pittsburgh Sleep Quality Index, and data were tested using Kendall's Tau b and c tests and Ordinal Logistic Regression. The study found that 46.2% of CKD patients experienced severe depression. Depression was more prevalent among CKD patients aged 41–55 years (40.0%), females (61.5%), married individuals (65.4%), those with a high school education (40.4%), those who had undergone hemodialysis for 13–36 months (44.2%), respondents with poor sleep patterns (55.8%), and those with comorbid conditions (hypertension) (34.6%). The results of Kendall's tau analysis showed that factors associated with depression include age, gender (p=0.001), marital status (p=0.001), duration of hemodialysis (p=0.016), education (p=0.001), sleep patterns (p=0.001), fatigue (p=0.001), and comorbidities (p=0.001), while age did not show a significant association (p=0.057). Among the factors analyzed using the partial test, no single factor was dominant in influencing depression levels in CKD HD patients. The odds ratio for education was the highest, with a value of 603,801.0287. Clinically, the odds ratio results indicate that education is the dominant factor, with a 60-fold influence on depression in CKD HD patients.
subject: Articles
  topic: section
subject: Depression
  topic: keywords
subject: Chronic Kidney Disease
  topic: keywords
subject: Hemodialysis
  topic: keywords
creator: Dini Fitria Isdiana
creator: Mugi Hartoyo
creator: Umi Margi Rahayu
creator: Rodhi Hartono
creator: Budiyati
rights: Copyright (c) 2025 Dini Fitria Isdiana, Mugi Hartoyo, Umi Margi Rahayu, Rodhi Hartono, Budiyati https://creativecommons.org/licenses/by-sa/4.0
date: 2025-08-28
publication date: 2025-08-28
starting page: 212
ending page: 223
doi: 10.29082/IJNMS/2025/Vol9/Iss2/696

PRODUCT DEVELOPMENT STRATEGY FOR GERIATRIC SERVICES: A CASE STUDY AT A HOSPITAL IN SURABAYA
type: item
description: To support customer needs and ensure smooth organizational operations, such as in hospitals, the development of service products is essential. This analysed strategies for service product development and design recommendations to enhance services and improve patient satisfaction. A descriptive observational study with a cross-sectional approach was conducted. The sample recruitment employed purposive sampling, with a total sample size of 210 patients. The independent variables were social, economic, technological, and policy factors, while the dependent variable was the strategy for service product development. The research instrument was a questionnaire designed and tested for validity and reliability by the researchers. Social factors showed that family support was low at 66.2%, knowledge of electronics and internet development was 73.8%, knowledge of geriatric services was 70.5%, physical quality was 72.8%, and hobbies were 85.3%, categorized as high. For economic factors, the recognition of needs was 80.5%, information-seeking was 75.8%, and purchasing decisions were 77.6%, all categorized as high. Several product opportunity gaps were identified from the analysis of social, economic, technological, and policy factors in the development of geriatric services. The development of day-care services and the implementation of Patient Service Representatives & Geriatric Hotline Services are significant recommendations to meet patient service needs.
subject: Articles
  topic: section
subject: Development Strategy
  topic: keywords
subject: Product Opportunity Gap
  topic: keywords
subject: Value Opportunities
  topic: keywords
subject: Service Product Recommendations
  topic: keywords
creator: Narolitha Anggreini
creator: Immanuel Michael Hadinata
creator: Ernawaty Ernawaty
rights: Copyright (c) 2025 Narolitha Anggreini, Immanuel Michael Hadinata, Ernawaty Ernawaty https://creativecommons.org/licenses/by-sa/4.0
date: 2025-09-12
publication date: 2025-09-12
starting page: 231
ending page: 241
doi: 10.29082/IJNMS/2025/Vol9/Iss2/695

A DESCRIPTIVE STUDY ON TRIGLYCERIDE AND BLOOD GLUCOSE LEVELS IN THE ELDERLY POPULATION
type: item
description: Penyakit degeneratif merupakan penyakit yang terjadi karena penurunan fungsi organ tubuh akibat bertambahnya usia serta penyakit tersebut dapat berlangsung lama atau kronis. Penyakit degeneratif menjadi masalah besar di seluruh dunia karena ada kecenderungan peningkatan kelompok usia lanjut (lansia). Prevalensi penyakit degeneratif di Indonesia juga terus meningkat sejalan dengan peningkatan usia harapan hidup. penyakit jantung dan diabetes melitus merupakan penyakit degeneratif yang kejadiannya terus meningkat
subject: Articles
  topic: section
subject: Blood Glucose, Triglyceride, Elderly
  topic: keywords
creator: Ika Ainur Rofiah
creator: Lasiyati Yuswo Yani
rights: Copyright (c) 2025 Ika Ainur Rofiah, Lasiyati Yuswo Yani https://creativecommons.org/licenses/by-sa/4.0
date: 2025-06-19
publication date: 2025-06-19
starting page: 102
ending page: 109
doi: 10.29082/IJNMS/2025/Vol9/Iss1/694

IMPROVED SLEEP QUALITY AND DECREASED INSOMNIA RATES AFTER YOGA THERAPY: LITERATURE REVIEW
type: item
description: Sleep quality is a problem that is often experienced by the elderly. In the elderly phase, humans will experience a decrease in organ function and this has an impact on meeting the needs of rest and sleep. Sleep quality in the elderly has decreased, this can be seen in sleep duration, sleep latency, and subjective aspects such as night sleep and rest. The purpose of this study was to conduct an analysis of Yoga Therapy on Sleep Quality Improvement and Insomnia in the Elderly. The literature study in this article is a literature review. The effect of the effectiveness of Yoga therapy on improving sleep quality and insomnia in the elderly will be reviewed, including how to sample and the variables measured. Database search and article screening are carried out independently by reviewers by following the requirements in meeting inclusion criteria. Based on the results of the Review of 16 research journals, 16 journals have quasy experiment, Pre-experimental studies and randomized control and trial research methods. A total of 16 journals show that Yoga Intervention can improve the quality of sleep in the elderly and help reduce insomnia symptoms in the elderly.
subject: Articles
  topic: section
subject: Yoga Therapy, Sleep Quality, Insomnia, Elderly.
  topic: keywords
subject: Literature Review
  topic: subjects
subject: Nursing
  topic: disciplines
creator: Arum Dwi Ningsih
creator: Rizky Meuthia Pratiwi
rights: Copyright (c) 2024 Arum Dwi Ningsih, Rizky Meuthia Pratiwi
date: 2024-04-29
publication date: 2024-04-29
starting page: 14
ending page: 26
doi: 10.29082/IJNMS/2024/Vol8/Iss1/580

THE EFFECT OF DASH DIET EDUCATION USING THE PEER GROUP METHOD ON THE EATING PATTERNS OF DIABETES MELLITUS PATIENTS IN KALIBUNTU VILLAGE
type: item
description: The management of diabetes mellitus (DM) includes diet management as an important component in maintaining blood sugar stability. The DASH diet helps maintain electrolyte balance and cardiovascular health through calcium, potassium, and magnesium intake. Dietary education using the peer group method is useful for sharing experiences, exchanging information, and providing and receiving emotional support.. This study aimed to determine the effect of DASH diet education using the peer group method on the eating patterns of Diabetes Mellitus (DM) patients. The research design was pre- experimental with a one-group pretest-posttest approach. The study population consisted of 40 respondents, with a total sampling technique, and the data were analyzed using the Wilcoxon Sign Rank Test. After receiving DASH diet education, most patients had good eating patterns. The study results showed that DASH diet education using the peer group method had an effect on the eating patterns of Diabetes Mellitus patients. Based on the study findings, it was expected that community nurses could use DASH diet education interventions to improve blood sugar levels, lipid profiles, and blood pressure in diabetes mellitus patients.
subject: Articles
  topic: section
subject: Diabetes Mellitus
  topic: keywords
subject: Eating Patterns
  topic: keywords
subject: Education
  topic: keywords
subject: DASH Diet
  topic: keywords
creator: Kurniawan Erman Wicaksono
creator: Nafolion Nur Rahmat
creator: Sena Wahyu Purwanza
creator: Ida Nurmawati
creator: Salihati Hanifa
rights: Copyright (c) 2025 Kurniawan Erman Wicaksono, Nafolion Nur Rahmat, Sena Wahyu Purwanza, Ida Nurmawati, Salihati Hanifa https://creativecommons.org/licenses/by-sa/4.0
date: 2025-08-28
publication date: 2025-08-28
starting page: 206
ending page: 211
doi: 10.29082/IJNMS/2025/Vol9/Iss2/692

ANALYSIS OF THE INFLUENCE OF OGANIZATIONAL TRUST, WORK ENVIRONMENT, AND SOCIAL CAPITAL ON THE PERFORMANCE OF EXCLUSIVE BREASTFEEDING PROGRAM AT THE SURABAYA CITY HEALTH CENTER
type: item
description: The Surabaya City Health Center's exclusive breastfeeding program has not met its 72.5% target from 2018-2021. A study analyzing the impact of organizational trust, work environment, and social capital on the program's performance revealed that most factors were unfavorable. The study found that trust, work environment, and social capital significantly impacted the process performance of the breast milk work team. The study concluded that these factors significantly impacted the achievement of the exclusive breastfeeding program. To improve the program's success, the Health Office suggested training breast milk counselors for the team and evaluating the consolidation mechanism. The Community Health Center also distributed tasks evenly, awarded the team, and proposed a budget for funding program activities. The findings highlight the need for improved support for exclusive breastfeeding programs in Surabaya.
subject: Articles
  topic: section
creator: Sugeng Agustyoko
creator: Talia Puspita Adianti
creator: Thinni Nurul Rochmah
rights: Copyright (c) 2024 Sugeng Agustyoko, Thinni Nurul Rochmah
date: 2024-12-31
publication date: 2024-12-31
starting page: 310
ending page: 319
doi: 10.29082/IJNMS/2024/Vol8/Iss3/611

RELATIONSHIP BETWEEN STRESS LEVELS AND CHANGES IN RANDOM SUGAR LEVELS IN PATIENTS WITH DIABETES MELLITUS AT MENTIKAN PUBLIC HEALTH CENTER, MOJOKERTO CITY
type: item
description: Diabetes mellitus is a metabolic disease characterized by randomly high blood sugar levels. Risk factors that can cause diabetes mellitus include stress, genetic factors, age, and a history of consuming alcohol. The simplest effort to control random blood sugar is by implementing stress management. But in reality, there are still many diabetes mellitus sufferers who cannot manage stress, resulting in random increases in blood sugar levels. This study aims to determine the relationship between stress levels and changes in random blood sugar levels in diabetes mellitus sufferers in the Mentikan Community Health Center, Mojokerto City. This research uses a correlation analytical method with a cross-sectional design. The total sample was 67 respondents taken using the purposive sampling technique. The Spearman Rho test results showed a value of 0.001 < α 0.05, so it can be concluded that there is a relationship between stress levels and random changes in blood sugar levels in diabetes mellitus sufferers. Meanwhile, the correlation coefficient figure shows a value of 0.663, which means the relationship between stress levels and random changes in blood sugar levels is strong. Stress can increase random blood glucose levels because stress stimulates the body to release the hormones cortisol and epinephrine. These two hormones have a strong effect in causing the process of gluconeogenesis, so that it will increase random blood glucose levels by large amounts within a few minutes. It is hoped that good stress management can control sufferers' sugar levels so as to create a better quality of life for Diabetes Millitus sufferers.
subject: Articles
  topic: section
creator: Lutfi Wahyuni
creator: Ilya Krisnana
creator: Rizma Dwi Ramadina
rights: Copyright (c) 2025 lutfi wahyuni; Rizma Dwi Ramadina
date: 2025-01-02
publication date: 2025-01-02
starting page: 354
ending page: 362
doi: 10.29082/IJNMS/2024/Vol8/Iss3/625

THE RELATIONSHIP OF PREGNANT WOMEN WITH CHRONIC LACK OF ENERGY AND THE INCIDENT OF LOW BIRTH WEIGHT BABIE
type: item
description: Low Birth Weight is the cause of infant death in East Java. This is influenced by chronic energy deficiency which results in babies being born prematurely. The research aims to determine the relationship between chronic energy deficiency in pregnant women and the incidence of Low Birth Weight. The analytical research design uses a Retrospective Cohort using 53 samples calculated by the Slovin formula and total sampling in the technique. The data analysis used was univariate and bivariate chi-square. Getting results from 16 respondents who experienced BBLR as much as 30.2%, as many as 20 respondents who were pregnant women experienced KEK 37.7%. Based on analysis tests, it was found that half of pregnant women with KEK had a Low Birth Weight of 50.0%. Meanwhile, the results of the bivariate analysis with Chi-square obtained a p-value of 0.014 where p < α 0.05, which states that there is a relationship between KEK pregnant women and the incidence of Low Birth Weight in PMB Cemandi. The OR value is 4.5 which states that pregnant women with CED have a 4.5 times risk of having a Low Birth Weight baby
subject: Articles
  topic: section
subject: Low Birth Weight, Pregnant Women, KEK
  topic: keywords
creator: Veryudha Eka Prameswari
creator: Heni Frilasari
rights: Copyright (c) 2024 Veryudha Eka Prameswari, Heni Frilasari
date: 2024-12-31
publication date: 2024-12-31
starting page: 299
ending page: 303
doi: 10.29082/IJNMS/2024/Vol8/Iss3/596

IMPACT OF EATING PATTERNS ON URIC ACID LEVELS IN THE ELDERLY
type: item
description: The elderly as a population are at risk of having problems with decreasing body physiology, one of which is uric acid metabolism. One of the factors that influence an increase in uric acid levels is poor diet, namely foods with excessive purine content. The aim of this research is to determine the relationship between diet and uric acid levels in the elderly. The research design used is descriptive analytical research using a cross-sectional research approach. The population in this study were elderly posyandu participants in the working area of ​​the Kedundung Community Health Center, Mojokerto City. Sampling used the "accidental sampling" technique. The results of bivariate correlation analysis using the Spearman's rho test showed that the p value = 0.000. This means that there is a relationship between diet and uric acid levels in the elderly. A bad diet that can cause high uric acid levels is food with a high purine content.
subject: Articles
  topic: section
subject: Eating Patterns, Uric Acid, Elderly
  topic: keywords
subject: Medical surgical nursing
  topic: disciplines
creator: Arum Dwi Ningsih
rights: Copyright (c) 2025 Arum Dwi Ningsih https://creativecommons.org/licenses/by-sa/4.0
date: 2025-06-18
publication date: 2025-06-18
starting page: 61
ending page: 65
doi: 10.29082/IJNMS/2025/Vol9/Iss1/690