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 SINTA 4 / Certificate GARUDA
Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia
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.
INCREASE PEAK EXPIRATORY FLOW IN COPD PATIENTS THROUGH BALLOON BLOWING EXCERCISE
Chronic obstructive pulmonary disease remains a threat to global communities. COPD negatively affects health due to progressively reversible airflow obstruction. This disease has a prognosis that continues to worsen over time. Mortality in patients hospitalized for exacerbations with hypercapnia and acidosis is estimated at 10%. Mortality is 40% in patients who require mechanical ventilation one year after treatment and 49% mortality overall. The aim of this study is to analyze the effect of Balloon Blowing Exercise on peak expiratory flow in COPD patients. This research is a quantitative study with a pre-experimental design using a one-group pre-post test approach. The sample in this study consisted of COPD patients who met the inclusion criteria, namely not currently experiencing contagious pulmonary infections, totaling 30 respondents. The tools used for data collection are balloons, a peak flow meter to measure peak expiratory flow, and SPOs for the balloon blowing exercise breathing exercises. The research results obtained data showing the average value (Mean) of Peak Expiratory Flow (PEF) before the Balloon Blowing Exercise intervention was 90.83 lpm. With a standard deviation of 23.271, this indicates that the peak expiratory flow data in the pre-test group tends to have variations that are not too far from the average value and are largely clustered around the mean value of 90.83. The peak expiratory flow data of patients after the Balloon Blowing Exercise intervention (post-test) showed an average (Mean) PEF value of 103.53 lpm. With a standard deviation of 28.565, this indicates that the post-test PEF data distribution is not too far from its mean. The Wilcoxon Signed Rank Test results showed a Sig.(2-tailed) value of 0.000 < 0.05, meaning H0 is rejected and Ha is accepted, indicating that there is an effect of the Balloon Blowing Exercise on PEF in patients with COPD (Chronic Obstructive Pulmonary Disease). This exercise involves the use of respiratory muscles, thereby helping to strengthen those muscles and improve breathing efficiency. By improving ventilation, preventing water trapping, and strengthening the respiratory muscles, Balloon Blowing Exercise can reduce the work of breathing, which impacts the improvement of APE scores
Balloon Blowing Excercise, COPD, Peak Expiratory Flow
Copyright (c) 2025 Enny Virda Yuniarti https://creativecommons.org/licenses/by-sa/4.0
IMPROVEMENT OF BREASTFEEDING SELF-EFFICACY (BSE) AND BREAST MILK PRODUCTION IN BREASTFEEDING MOTHERS THROUGH HYPNOPRESSURE
Breastfeeding Self-Efficacy (BSE) and milk production are two important components that directly influence breastfeeding success. Hypnopressure, a combination of hypnosis and acupressure, is considered capable of improving the psychological condition of mothers and stimulating the physiological mechanisms involved in the lactation process. This study aims to analyze the effect of hypnopressure on BSE and milk production in breastfeeding mothers. The study used a pre-experimental design with a one-group pretest–posttest approach. The sample consisted of 17 normal postpartum mothers selected through purposive sampling. BSE was measured using the Breastfeeding Self-Efficacy Scale–Short Form (BSES-SF), while milk production was measured using an electric pump. The hypnopressure intervention was given for seven days with a duration of 40 minutes per session. The data were analyzed using the Wilcoxon test. The results showed a significant increase in milk production, with the average volume increasing from 10.29 ml before the intervention to 58.18 ml after the intervention (p = 0.000). Similarly, the BSE score increased significantly from an average of 49.82 to 56.53 (p = 0.000). These findings indicate that hypnopressure plays a role in increasing relaxation, reducing anxiety, and strengthening hormonal responses through increased secretion of oxytocin and prolactin. This study concludes that hypnopressure is effective in increasing BSE and milk production in breastfeeding mothers. This intervention is recommended as a non-pharmacological strategy that can be integrated into midwifery services to support breastfeeding success, especially for mothers with high stress levels or low milk production.
Hypnopressure; Breastfeeding Self-Efficacy (BSE); Breast Milk Production; Lactation
Copyright (c) 2025 Etik Khusniyati https://creativecommons.org/licenses/by-sa/4.0
THE EFFECT OF BIBLIOTHERAPY WITH PICTURE STORYBOOKS ON REDUCING CHILDREN'S ANXIETY LEVELS IN THE LILY ROOM OF ANWAR MEDIKA HOSPITAL, SIDOARJO
Hospitalization is a process that requires a person to be hospitalized for treatment, until they are allowed to go home. This process often causes stress and anxiety, especially for children, because they have to adapt to a foreign environment, be separated from their families, and undergo medical treatment. The purpose of this study was to determine the effect of bibliotherapy with picture story books on reducing children's anxiety levels in the Lily Room of Anwar Medika Hospital, Sidoarjo. The research design used a Quasi-experiment with a one-group pre-test–post-test design. The population in this study were all children treated in the Lily Room of Anwar Medika Hospital. The sample was taken using an accidental sampling technique, obtaining 37 respondents. The research instrument used a questionnaire. Data were analyzed using the Wilcoxon Signed Rank Test. The results of the Wilcoxon test obtained a p-value of 0.000 <0.05, which means there is an effect of bibliotherapy with picture story books on reducing the level of hospitalization anxiety in children in the Lily Room of Anwar Medika Hospital, Sidoarjo. Bibliotherapy with picture books is highly effective in reducing anxiety in children because the text and illustrations in books are engaging and provide a distraction that can reduce anxiety.
Child, Bibliotherapy, Anxiety, Hospitalization
Copyright (c) 2025 Tri Peni, Tri Ratnaningsih, Siti Indatul Laili 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
THE IMPACT OF AUDIO-VISUAL MEDIA-BASED HEALTH EDUCATION USING A FAMILY CENTERED MATERNITY CARE (FCMC) APPROACH TOWARDS MOTIVATION OF WOMEN TO DO VIA TEST (VISUAL INSPECTION WITH ACETIC ACID) AS EARLY DETECTION OF CERVICAL CANCER
Women of childbearing age are at a higher risk of developing cervical cancer due to their sexual activity. In Indonesia, cervical cancer is the second leading cause of illness and death among women. One way to reduce the mortality rate is through preventive measures, such as early detection using the VIA method. This study aims to evaluate the effectiveness of delivering health education through audiovisual media in enhancing the motivation of women of childbearing age to undergo VIA test. This study employs a quantitative approach with a pre-experimental design, specifically a One Group Pretest-Posttest design. The sample size, determined using the Slovin formula, consisted of 187 respondents selected through probability sampling with a cluster random sampling method. Data analysis was conducted using the Wilcoxon signed rank test. The findings revealed that prior to receiving audiovisual-based health education, only 4.3% of women of childbearing age demonstrated strong motivation to undergo IVA examinations. Following the health education intervention, this percentage increased significantly to 48.1%, indicating a notable improvement in motivation. The statistical test results obtained a p-value of 0.000 (<0.05). In conclusion, audiovisual-based health education using the FCMC (Family Centered Maternity Care) approach is effective in enhancing the motivation of women of childbearing age to undergo VIA test. This study serves as a foundation for strengthening promotive efforts to encourage women to participate in VIA test.
Health education, Cervical Cancer, Motivation, VIA, Women of childbearing age
Copyright (c) 2025 AINUL HIDAYATI, Laili Fatkuriyah, Umi Sukowati, Ulfia Fitriani Nafista 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 acupressure therapy on the ciliary point (BL32) and lavender aromatherapy on reducing the intensity of labor pain
Childbirth is a joyous experience, but that joy can turn into anxiety and pain when contractions become more intense. Mothers about to give birth experience pain and discomfort due to uterine contractions that initiate the labor process. Efforts to reduce the intensity of pain in mothers giving birth can be done by using acupressure therapy at the BL 32 point and lavender aromatherapy. The purpose of this study was to examine the effect of acupressure therapy at the ciliao point (BL32) and lavender aromatherapy on reducing the intensity of labor pain. The study was conducted on August 27 - October 7, 2025. This study used a pre-experimental method with a pre-test and post-test. The study population was mothers giving birth in the active phase of the first stage. The sampling technique used was accidental sampling with 16 respondents. The results of the study were that almost all pain scales before being given a massage of the BL 32 point and lavender aroma therapy were 9.06 with a standard deviation of 0.772, and after being given a massage of the BL 32 point and lavender aroma therapy were 7.56 with a standard deviation of 0.814. The Wilcoxon Signed Ranks test results ρ = 0.00, so the conclusion is that there is an effect of giving BL 32-point therapy and lavender aroma therapy on reducing the intensity of labor pain.
BL 32 Point, Lavender Aromatherapy, Labor Pain
Copyright (c) 2025 Veryudha Eka Prameswari, Indra Yulianti https://creativecommons.org/licenses/by-sa/4.0
QUALITY OF LIFE OF THE ELDERLY IN DISASTER-PRONE AREAS
Background: Elderly individuals are inherently vulnerable, facing a decline in physical and cognitive functions that significantly impacts their quality of life (QoL). QoL is a vital, multidimensional concept influenced by physical health, psychological state, independence, social relationships, personal beliefs, and environment. A good QoL enables the elderly to enjoy life, maintain independence, and feel respected. However, disaster conditions, such as floods, are high-risk, unexpected events that drastically affect QoL by causing loss, physical injury, and psychological trauma. Songgorunggi Village, Sukoharjo, Central Java, is a known flood-prone area that suffered significant impact in 2024. Despite this, some elderly residents have demonstrated adaptive and resilient coping mechanisms. The purpose of this study was to describe the quality of life of the elderly in this disaster-prone region. The method employed a descriptive analytical research design utilizing the established WHOQOL quality of life questionnaire. The results indicated that the majority of the elderly participants in the Songgorunggi area were female, and a significant percentage—65.5%—reported a poor quality of life. In conclusion, the QoL of the elderly residing in the disaster-prone area of Songgorunggi village was categorized across both the good and poor spectrums, with a substantial majority falling into the poor category following the disaster
Elderly, quality of life, disaster-prone area
Copyright (c) 2025 Norman Wijaya Gati, Dita Mirawati, Rita Tri Subekti https://creativecommons.org/licenses/by-sa/4.0
The Relationship Between Diabetes Distress and Self-Care in Patients with Diabetes Mellitus
One of the diseases that often occurs among the public is diabetes mellitus, a chronic condition that can cause worsening problems throughout the patient's life due to metabolic disorders that occur in the pancreas. Diabetes sufferers often experience stress, anger, despair, frustration, and emotional disturbances called diabetes distress. This study aims to determine the relationship between diabetes distress and self-care in diabetes sufferers. This type of research uses a quantitative method, with a retrospective approach. The instrument used in this study was a questionnaire that had been tested for validity in previous studies. Respondents were 66 diabetes sufferers at the Bangsal Community Health Center (UPT Bangsal), selected using a total sampling technique. The results of the analysis using the Spearman rho correlation test obtained a p-value of 0.000, indicating a relationship between diabetes distress and self-care in diabetes sufferers at the Bangsal Community Health Center (UPT Bangsal). The correlation coefficient value of -0.644 indicates a strong closeness with a negative direction, meaning that the milder the diabetes distress, the better the self-care behavior.
Diabetes Distress, Self Care, Diabetes Mellitus
Copyright (c) 2025 Lutfi Wahyuni; Umi Azizah Kusumaningrum https://creativecommons.org/licenses/by-sa/4.0
THE EFFECT OF TEPID SPONGE THERAPY ON REDUCING JOINT PAININ GOUT ARTHRITIS AT GENERAL CENDEKIA HUSADA CLINIC
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.
Copyright (c) 2025 Agus Sulistyowati, Risti Puji Listari https://creativecommons.org/licenses/by-sa/4.0
EFFECTIVENESS OF BOOKLETS AS EDUCATIONAL MEDIA TOINCREASE HYPERTENSION KNOWLEDGE: LITERATURE REVIEW
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.
Booklet, Hypertension, Knowledge, Health Education
Copyright (c) 2025 Mahardika Primadani, Isne Susanti, Eka Oktavia https://creativecommons.org/licenses/by-sa/4.0
THE EFFECT OF AL-MA’TSURAT MORNING-EVENING RECITATION ON PHYSIOLOGICAL RESPONSE TO ANXIETY LEVEL IN ICU PATIENTS
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.
Copyright (c) 2025 Moch. Achwandi, Zulfa Khusniyah https://creativecommons.org/licenses/by-sa/4.0
HEALTH CRISIS MANAGEMENT: A STUDY ON THE HANDLING OF SCABIES AS A COMMUNICABLE DISEASE AT AL HUSAIN ISLAMIC BOARDING SCHOOL
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.
Copyright (c) 2025 Aini Hidayati, Nurul Isnaini Febriarini https://creativecommons.org/licenses/by-sa/4.0
The Emergency Level Algorithm Uses the National Early Warning System (News) Method for Non-Rebreathing Mask Oxygen Therapy Patients
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.
Copyright (c) 2025 Kuzzairi, Taufiqurrahman, Endang Fauziyah Susilawati https://creativecommons.org/licenses/by-sa/4.0
NURSING DIAGNOSIS IN PATIENTS WITH HYPOGLYCEMIA IN THEEMERGENCY DEPARTMENT
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.
Copyright (c) 2025 Nur Hidayati, Melani Adinda Putri Aldia, Lilis Maghfuroh https://creativecommons.org/licenses/by-sa/4.0
ANALYSIS OF FACTORS RELATED TO INCREASED URIC ACID LEVELS INPATIENTS AT GENTENG GENERAL HOSPITAL, BANYUWANGI
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.
Copyright (c) 2025 Eko Prabowo, Lia Suwardani https://creativecommons.org/licenses/by-sa/4.0
THE INFLUENCE OF DIABETES SELF MANAGEMENT EDUCATION AND SUPPORT FOR SELF EFFICACY AND SELF CARE BEHAVIOUR IN CLIENT WITH TYPE 2 DIABETES MELLITUS
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
Self-management education, self-efficacy and self-reliance behavior
Copyright (c) 2020 INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS)
COMBINATION OF HIBISCUS SABDARIFFA LINN, FLOWER AND WHITE GINGER TEA ON BLOOD PRESSURE REDUCTION IN THE ELDERLY
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.
Copyright (c) 2025 Farisa Adinda Putri, Nur Hidayati, Lilis Maghfuroh https://creativecommons.org/licenses/by-sa/4.0
THE EFFECT OF KNOWLEDGE AND ATTITUDE ON THE PRACTICE OF USING MOBILE JKN APPLICATIONS IN PARTICIPANTS OF BPJS KESEHATAN JEMBER BRANCH OFFICE
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.
Knowledge, Attitude, Satisfaction, Use of JKN Mobile Application
Copyright (c) 2025 Agung Tri Anjono, Sulis Diana https://creativecommons.org/licenses/by-sa/4.0
THE INFLUENCE OF PHYSICAL WORK ENVIRONMENT FACTORS ON THE PERFORMANCE OF EMPLOYEES OF THE MOJOKERTO REGENCY HEALTH OFFICE
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.
Performance, Physical Environment, Lighting, Noise, Employees
Copyright (c) 2025 Feri Muhammad Abidin, Sulis Diana, Eka Dyah Katiningrum https://creativecommons.org/licenses/by-sa/4.0
THE RELATIONSHIP BETWEEN MUROTTAL AL-QUR'AN ANDEFFLEURAGE MASSAGE USING JITU OIL BY BREAST MILK GRANDMOTHERS WITH INDEPENDENCE IN BREASTFEEDINGMOTHERS
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.
Murrotal Al-Quran Effleurage Massage Independe nce Breast-feed
Copyright (c) 2025 Dewi Andariya Ningsih, Sri Rahayu, Innama Sakinah https://creativecommons.org/licenses/by-sa/4.0
REPOSITIONING AS AN INTERVENTION FOR STROKE PATIENTS WITH PRESSURE ULCER RISK - A CASE STUDY
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 (decubitus) compared to not providing intervention repositioning. So this intervention can be recommended
Copyright (c) 2025 Rizky Meuthia Pratiwi, Umi Endah https://creativecommons.org/licenses/by-sa/4.0
ACUPRESSURE THERAPY TO DECREASE BLOOD PRESSURE FOR MRS. MT WITH CORONARY ARTERY DISEASE
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).
Coronary Artery Disease, Acupressur, Blood Pressure
Copyright (c) 2025 Qolbu Ainun Hanifah, Muhamad Nurmansyah, Alfonsius Ade Wirawan https://creativecommons.org/licenses/by-sa/4.0
DEEP BREATHING RELAXATION AND SANYINJIAO ACUPRESSURETHERAPY (SP6) AS A PAIN MANAGEMENT FOR PRIMARYDYSMENORRHEA IN ADOLESCENTS
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.
Copyright (c) 2025 Cantika Iva Nugrahani, Elisa Christiana, Fitri Hijri Khana https://creativecommons.org/licenses/by-sa/4.0
GRADE ANKLE BRACHIAL INDEX (ABI) AS A PREDICTOR OF PERIPHERAL ARTERY DISEASE (PAD) IN MELLITUS PATIENTS
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.
Copyright (c) 2025 Ima Rahmawati, Kend Ramadio Rimba Syah Yogha https://creativecommons.org/licenses/by-sa/4.0
EFFECTIVENESS OF ERGONOMIC EXERCISE ON BLOOD SUGAR IN DIABETES MELLITUS PATIENTS
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.
blood sugar levels, diabetes mellitus, ergonomic exercises
Copyright (c) 2025 Lutfi Wahyuni, Umi Azizah Kusumaningrum https://creativecommons.org/licenses/by-sa/4.0
DIGITAL HEALTH INTERVENTIONS TO IMPROVE GLYCEMIC OUTCOMES IN TYPE 2 DIABETES MELLITUS: A LITERATURE REVIEW
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.
Digital Health, Glycemic Control, Telemedicine, Type 2 Diabetes Mellitus
Copyright (c) 2025 Waras Budi Utomo, Muzdalipah, Reska Ahmad Muhajir, Yulianur Fawzi https://creativecommons.org/licenses/by-sa/4.0
SEDENTARY LIFESTYLE AND COMORBIDITIES: OVERVIEW OFUPDATED EVIDENCE OF POTENTIAL HEALTH RISK
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.
Comorbidities , Hyperglycemi a, Hypertension, Obesity, Sedentary Lifestyle
Copyright (c) 2025 Aristanto Prambudi, Ika Ainur Rofi’ah https://creativecommons.org/licenses/by-sa/4.0
FAMILY COMMUNICATION PATTERN RELATION WITH DEPRESSIONLEVEL ON ELDERLY IN POSYANDU ELDERLY
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.
Communication Family, Family, Elderly, Depression
FAMILY COMMUNICATION PATTERN RELATION WITH DEPRESSION LEVEL ON ELDERLY IN POSYANDU ELDERLY
Copyright (c) 2025 Heri Triwibowo https://creativecommons.org/licenses/by-sa/4.0
RELATIONSHIP BETWEEN QUALITY OF WORK LIFE AND NURSE’S PERFORMANCE IN EMERGENCY ROOM RSUD KARSA HUSADA BATU CITY
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.
Copyright (c) 2025 Jiwani Alvina Dharma Pratiwi, Elsa Yosinda Widya Kusuma Putri https://creativecommons.org/licenses/by-sa/4.0