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Jurnal Ners dan Kebidanan Indonesia
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ISSN (Print) 2354-7642 - ISSN (Online) 2503-1856
Published by Alma Ata University Homepage  [2 journals]
  • Phenomenological study: parenting experiences by mothers of domestic
           violence victims

    • Authors: Indah Rizky Valiant, Elsye Maria Rosa
      First page: 102
      Abstract: Background: Domestic violence (DV) is a health problem that often occurs in women in the community. Violence that is often experienced by women is physical violence, psychological violence and sexual violence. Domestic violence has a negative impact on women, namely a decrease in health status and mental disorders. Women who are victims of domestic violence who have mental health problems are at risk of causing child rearing disorders. Objectives: The purpose of this study was to explore the experience of parenting by mothers of domestic violence victims. Methods: This study uses a qualitative method with a phenomenological approach. The data collection process was carried out using a semi-structured interview method. The sampling technique used snowball sampling. The characteristics of the participants in this study were women who were victims of domestic violence who had children who were still married or divorced. The participants in this study were 7 women victims of domestic violence who had children. The data analysis used is thematic analysis using Nvivo 12 software. Results: There are 4 main themes in this study. The themes raised were causes of domestic violence (financial quarrel and cheating husband), the role of parenting by mothers of domestic violence victims, fulfilling the psychological needs of children by mothers of domestic violence victims, and the application of rules and punishments for children by mothers of domestic violence victims. Conclusions: This study concludes that mothers who are victims of domestic violence continue to provide positive parenting for their children by taking care of their children, meeting their needs and guiding their children. Health services need to develop a screening program for victims of domestic violence to detect cases of domestic violence in the community. Programs for developing parenting patterns or good parent-child relationships also need to be carried out, especially for families at risk or experiencing domestic violence so that mothers of domestic violence victims continue to provide positive parenting  for their children.
      PubDate: 2022-08-12
      DOI: 10.21927/jnki.2022.10(2).%p
      Issue No: Vol. 10, No. 2 (2022)
       
  • Video how right breastfeeding through smartphone can affect breasfeeding
           self efficacy on public mothers in the Regency of Banjarnegara

    • Authors: Dian Nirmala Sari, Umi Nur Fajri
      First page: 110
      Abstract: Background: The lower confidence of mothers to breastfeed can have an impact on inadequate breastfeeding and can cause nutritional deficiencies in infants so that babies are vulnerable to disease, especially newborns. With  increasing mother's confidence in breastfeeding, intervention is needed, one of which is through videos on how to breastfeed correctly. The low level of mother's self-efficacy or mother's belief in breastfeeding illustrates that there is still low commitment to breastfeeding, low endurance of mothers in overcoming obstacles that arise during breastfeeding and mother's focus on negative aspects of breastfeeding so that it has an impact on inadequate breastfeeding and can lead to deficiency. nutrition in infants so that infants are susceptible to disease.The magnitude of the influence of mother's belief in breastfeeding requires various interventions to increase this belief so that success in breastfeeding is achieved. One of the interventions given to increase confidence is to provide videos on how to breastfeed correctly.Objectives: The goal is to find out which breastfeeding video media have an effect on breastfeeding self-efficacy. Methods: The research design used was a quasi-experimental design with a pretest post-test control group design. The variables in this study were videos on how to breastfeed correctly, breastfeeding self-efficacy. The number of samples is 30 respondents. The treatment group received the intervention to get video education on correct breastfeeding techniques using an application on a smartphone, while the control group received education from maternal and child health books. Data analysis was univariate, bivariate with paired t and unpaired t. Results: The results of the analysis show that there is an effect of the video on how to properly breastfeed the effect on the breastfeeding self efficacy p value 0.003Conclusions: Giving videos on how to breastfeed correctly can increase the confidence of mothers to breastfeed their babies.
      PubDate: 2022-08-12
      DOI: 10.21927/jnki.2022.10(2).%p
      Issue No: Vol. 10, No. 2 (2022)
       
  • Analysis of socio-demographic factors affecting the management options for
           emesis gravidarum in pregnant women

    • Authors: Uliyatul Laili, Nur Zuwariah
      First page: 116
      Abstract: Background: Management of emesis in pregnancy depends on the severity of the symptoms felt by the pregnant woman. Treatment for emesis gravidarum can be carried out in several ways: pharmacological treatment which is the use of medical drugs, non-pharmacological treatment such as avoiding the consumption of coconut milk or fat-containing food, and frequent eating of small portion of food. In addition, the management of emesis gravidarum can also be done using a complementary treatment with acupressure, aromatherapy, and other methods. Currently, the type of management chosen by most health workers and accepted by pregnant women are pharmacological and non-pharmacological treatments. Recently, health workers have begun to develop and apply the use of complementary therapies in overcoming emesis gravidarum in pregnant women. Objectives: This study aims to analyze the characteristics of pregnant women that influence the choice of emesis gravidarum management.Methods: This was a cross sectional quantitative study. The research was conducted at the Independent Midwife Practice (PBM) Nanik, Sidoarjo. The population in this study were women in the 1st trimester of pregnancy. 43 respondents were taken as sample by using purposive sampling. The independent variables in this study were factors that influence the mother, such as age, occupation, education, parity, and knowledge. Meanwhile, the dependent variable was the emesis gravidarum therapy chosen (pharmacological, non-pharmacological and complementary therapies). The data were collected directly using questionnaires. Results: The results show that most of the respondents (67%) were those aged 21-35 years, 58% was primiparous mothers, 58% had secondary education, 51% was housewives, while 47% had good knowledge level about emesis gravidarum management. The bivariate analysis using chi square showed that education, occupation and knowledge had an effect on the choice of therapy for emesis gravidarum with p value < 0.05. Conclusions: Education, occupation, and knowledge were factors related to the choice of management for nausea and vomiting in pregnant women. Therefore, cooperation and the right decision making were necessary in determining the therapy for emesis gravidarum.
      PubDate: 2022-08-12
      DOI: 10.21927/jnki.2022.10(2).%p
      Issue No: Vol. 10, No. 2 (2022)
       
  • Relationship of comorbid factors diabetes mellitus with oxygen saturation
           (SaO2) among people with Covid-19 in the Quarantine House

    • Authors: M. Hanif Prasetya Adhi, Endiyono Endiyono
      First page: 124
      Abstract: Background: The Covid-19 has infected a hundred people countries, in Indonesia at 8.9%, this figure is the highest in Southeast Asia. The phenomenon, shows that nursing volunteers who work in quarantine place for Covid-19 patients not maintenance to screen of SaO2 value of Covid-19 patients, even though the impact of happy hypoxia on mortality will be high if the oxygen saturation value is below the normal value. Comorbid factors, Diabetes Mellitus can worsen the physical condition and clinical assessment thereby increasing mortality.Objectives: The purpose of research to determine the relationship between age, gender, and comorbid factors with the value of oxygen saturation (SaO2) in Covid-19 patients at the Baturaden Quarantine Place. Methods: This study is a quantitative study using an analytical observational method with a crossectional approach. The sample in this study used random sampling of 93 respondents with the Fisher Exact test.Results: The results of this study, fisher exact test obtained with a p-value = 0.007, there is a relationship between the respondent's comorbidity factor and SaO2 in patients with confirmed COVID-19. Respondents with 95-100% SaO2 who have comorbid factors as many as 20 respondents (21.5%) are fewer than respondents who do not have comorbid factors as many as 29 respondents (30.5%). Blood glucose levels can increase viral replication and suppress the antiviral immune response. This causes DM patients to be more likely to be malnourished and susceptible to cytokine storms that cause a rapid deterioration of clinical conditions compared to non-diabetic patients.Conclusions: The comorbid factors will increase mortality of COVID-19 patients due to risk factors, comorbid of diabetes mellitus factors, with COVID-19 associated with advanced age, obesity, chronic systemic inflammation, increased coagulation, which can significantly increase blood pressure, indirectly lead to more severe complications due to COVID-19.
      PubDate: 2022-08-12
      DOI: 10.21927/jnki.2022.10(2).%p
      Issue No: Vol. 10, No. 2 (2022)
       
  • Analysis of the HBsAg status of toddlers born to HbsAg-reactive mothers at
           the Sikumana Community Health Center, Kupang City, in 2021

    • Authors: Rosina Kardina Kidi Hurek, Theresia Mindarsih, Frida Sisternike Pay
      First page: 132
      Abstract: Background: Hepatitis is an infectious disease which is regarded as a public health problem due to its high prevalence. It is an inflammation of the liver that may develop into fibrosis, cirrhosis or liver cancer. The data obtained from the basic health research in 2017 shows that East Nusa Tenggara has the second highest percentage of HBsAg reactive-amongpregnant women in Indonesia (5.26%). Objectives: This study aims to analyze the HBsAg status of toddlers born from pregnant women with HbsAg-reactive at the Sikumana Health Center, Kupang City, in 2021. Methods: This is an analytical research carried out with a quantitative approach carried out and a cross sectional research design. This research was conducted at the Sikumana Community Health Center in September-October 2021 with a total sample of 53 toddlers born to HBsAg-reactive pregnant women in 2019. The data used were primary data collected using instruments in the form of questionnaires and blood samples taken for the HBsAg examination which was carried out by laboratory workers at the Sikumana Community Health Center. Meanwhile, the data analysis was performed using univariate and bivariate (chi square) method with version 20 of SPSS application.Results: The results show that there were 53 HbsAg-reactive pregnant women at the Sikumana Community Health Center, Kupang City, and most of whom (83.0%) had good knowledge about Hepatitis B. The HBsAg RDT test in infants born to pregnant women with HbsAg-reactive revealed that there were 4 toddlers (7.5%) with HBsAg reactive, indicating that there was still a failure in immunoglobulin (HBIg). Furthermore, the results of the chi square test showed that there was a relationship between mother's knowledge, child's age, and history of HBIG administration with toddler's HBsAg status.Conclusions: Health workers are expected to increase education and socialization about Hepatitis B and the importance of re-examination of infants who have received HBIG immunoprophylaxis. The re-examination is necessary considering that the confirmation examination program for the HBsAg RDT test has not been going well and immunoglobulin (HBIg) failures still occurred even if only in small number. Furthermore, this re-examination plays pivotal role to detect the effectiveness of HBIG so that early treatment can be given if there is a HBIG failure.
      PubDate: 2022-08-12
      DOI: 10.21927/jnki.2022.10(2).%p
      Issue No: Vol. 10, No. 2 (2022)
       
  • Effect of rolling massage and ST-18 acupressure on breast milk production
           and decrease in fundal height

    • Authors: Sri Rahayu, Umaroh Umaroh
      First page: 142
      Abstract: Background: Breast milk production and secretion are affected by the prolactin reflex and let-down reflex. One of the problems to increase breast milk production is by rolling massage and ST-18 acupressure. ST-18 point (Ru Gen) is located lateral to the breast, 4 fingers below the nipple, and can increase blood circulation which can stimulate the alveolus to contract so that breast milk is secreted towards the nipple A previous study stated that postpartum mothers were given puerperal exercise and acupressure on the second, fourth, and seventh days after giving birth both increased milk production, but the acupressure group was higher than the postpartum exercise groupObjectives: The purpose of this study was to determine the effect of rolling massage and ST-18 acupressure on breast milk production and fundal height decrease of postpartum women.Methods: This study was an quasi experimental study. The study design was Randomized Control Group with Pre-Test and Post-Test. The population were all postpartum women in the Community Health Centers in Semarang who were assigned to 16 respondents in the treatment group and 16 respondents in the control group, collected by cluster random sampling. After obtaining consent from the respondents, the researchers began to make the pre-test on the fundal height and breast milk production in the treatment group and the control group, then post-test after 3 days of treatment. Data were analyzed by Independent t test and Mann Whitney test.Results: Characteristics of respondents in both groups showed that most of respondents aged 27.9 years, were primiparous women and had good nutritional status. The mean of increase in breast milk production were assessed from infant weight gain before and after treatment from 3117.8 grams to 3254 grams. There was a difference in breast milk production in the treatment and control group with the p value of 0.0001, and there was no difference in the decrease in fundal height in the two groups (p value=3.91), however the decrease in fundal height in the treatment group was faster than the control group which was 3.91 cm.Conclusions: The need for midwives to provide midwifery care to postpartum women in a holistic and comprehensive manner, for example in the form of rolling massage and acupressure on ST-18 point.
      PubDate: 2022-08-12
      DOI: 10.21927/jnki.2022.10(2).%p
      Issue No: Vol. 10, No. 2 (2022)
       
  • Factors related to childbirth self-efficacy among primigravida in
           Yogyakarta, Indonesia

    • Authors: Muafiqoh Dwiarini
      First page: 151
      Abstract: Background : Childbirth self-efficacy refers to a woman's self-confidence in herability to cope with labor and contributes significantly to her perception of pain during labor. Mothers with low self-efficacy felt nervous, felt they lacked strength, and expressed more fear, so that the labor process did not go smoothly and lasted longer, causing greater pain for both the mother and baby. Pregnant women with high childbirth self-efficacy had higher intention to attempt vaginal birth, while those choosing caesarean had lower self-efficacy beliefs. Objectives : This study was to determine factors related childbirth self-efficacy among primigravida. Methods : This study used analytic observational method with cross sectional design. This research was conducted at Community Health Centers and two maternity clinics in Yogyakarta with 112 sample pregnant woman. They were recruited using a purposive sampling technique based on the criteria. The study used Childbirth Self-Efficacy (CBSEI) scale, the Fear of Childbirth (FOC) scale, and demographic data questionnaires. The independent sample t-test, ANOVA, pearson’s correlation coefficient, to determine the factors related childbirth self-efficacy. Results : The results of this study indicate that the factors associated with childbirth self-efficacy were antenatal class and prenatal yoga with a p value of 0.000 (p <0.05). In addition, there is a significant negative correlation between childbirth self-efficacy and fear of childbirth (r = -.34, p < .01). In other words, pregnant women with higher childbirth self-efficacy meant less fear of childbirth.Conclusions: Factors related childbirth self-efficacy were antenatal class, prenatal yoga, and fear of childbirth. The results of this study provided a better understanding of factors related childbirth self-efficacy. Based on the results, strategies to increase childbirth self-efficacy should focus on decreasing the level of fear of childbirth, which can be done by attending prenatal education and doing prenatal yoga. 
      PubDate: 2022-08-12
      DOI: 10.21927/jnki.2022.10(2).%p
      Issue No: Vol. 10, No. 2 (2022)
       
  • Relationship between emotional regulation and anxiety among nurses during
           the Covid-19 pandemic

    • Authors: Arif Arif Rakhman Rakhman, Anisa Oktiawati, Khodijah Khodijah
      First page: 158
      Abstract: Background: The Coronavirus Disease (COVID-19) outbreak occurred in almost all of countries. This phenomenon causes changes in various aspects of life, such as health, economic, social, psychological, cultural, and more. Psychological responses experienced by health workers are the feelings of anxiety about their health and the spread of the virus to their families. Hence, nurses need to understand the problems that being faced, therefore they have no difficulties in recognizing their emotions. The ability of nurses to regulate their emotions is needed to focus on dealing with a problem.Objectives: This study aims to determine the relationship between emotional regulation and anxiety among nurses during the COVID-19 pandemic. Methods: This is quantitative research with a descriptive correlation design and a cross sectional approach. The sampling technique that used was accidental sampling with a total of 202 respondents, which was carried out during July 2020. Respondents filled out questionnaires that given by the researcher trough online google form. The research instruments used were Emotion Regulation Questionnaire (ERQ) and anxiety questionnaire with Coronavirus Anxiety Scale (CAS)Results: The results of the pearson product moment analysis obtained that p-value is 0.007 < 0.05. It can be concluded that there is a relationship between emotional regulation and anxiety among nurses during the COVID-19 pandemic.Conclusions : Nurses who have good emotional regulation skills will not experience anxiety during the COVID-19 pandemic. Nurses are expected to be able to control their emotions, so they can recognize problems and determine appropriate actions, so that anxiety does not occur.
      PubDate: 2022-08-12
      DOI: 10.21927/jnki.2022.10(2).%p
      Issue No: Vol. 10, No. 2 (2022)
       
  • The effectiveness of acupressure combination neiguan and zuzanli points to
           decrease emesis gravidarum in the first trimester of pregnancy

    • Authors: Siti Cholifah, Yanik Purwanti, Cholifah Cholifah, Dian Aprilia
      First page: 164
      Abstract: Background: Emesis gravidarum is the most common symptoms in pregnancy which about 50-90% causing a decrease in appetite and will affect changes in potassium, calcium and sodium electrolyte balance, thus will impact on changes in body metabolism. As much as 2% of pregnant women experienced excessive nausea and vomiting (hyperemesis gravidarum) which can harm the mother and fetus. The current management of emesis gravidarum still uses pharmacological therapy, but pharmacological methods are more expensive, and more potential to have side effects. Instead of pharmacological methods, non-pharmacological methods are cheap, simple, effective, and have no side effects. One of the non-pharmacological methods to treat nausea and vomiting is acupressure. Objectives: was to determine the effectiveness of the combination Neiguan point (PC6) & Zusanli point (ST 36) to decrease emesis Gravidarum in the first trimester of pregnancy in midwives independent practice Sidoarjo.Methods: This research used quasi-experimental with one group pretest-posttest design. The study population are pregnant women in the first trisemester who experienced emesis gravidarum, who met inclusion criteria and were willing to be studied and had no with consecutive sampling technique from February 2 to March 20, 2022 totaling 40 respondents. Measurement of emesis gravidarum using the Rhodes index instrument. Data analysis using Wilcoxon test with α 0.05.Results: The results showed that the score for emesis gravidarum before acupressure was Mean+SD 22.0+4.01, while the score for emesis gravidarum after acupressure was Mean+SD 13.0+3.14. The results of the Wilcoxon test showed P value = 0.001 < 0.05 so there was a significant difference in the emesis gravidarum score before and after acupressure was given. Conclusions: Acupressure at the Neiguan point (PC6) and Zusanli point (ST 36) is effective in reducing emesis gravidarum in first trimester of pregnant women. Health workers, especially midwives, can apply and teach acupressure to pregnant women to reduce nausea and vomiting complaints.
      PubDate: 2022-08-12
      DOI: 10.21927/jnki.2022.10(2).%p
      Issue No: Vol. 10, No. 2 (2022)
       
  • Psychoeducation in impproving psychological support for caregiver of
           chilhood cancer: literature review

    • Authors: Laila Nidaul Hasanah, Allenidekania Allenidekania
      First page: 170
      Abstract: Background: Cancer is one of the main causes of death in the world, especially in developing countries. Cancer is not only a problem for adults but also a major health problem in children. Cancer in children is a chronic disease and responds to parents/caregivers. Psychological and emotional responses cause psychological problems and stress in parents/caregivers. One of the interventions to reduce psychological problems is psychoeducation. Family psychoeducation is a  modality of therapy with the focus of treatment on the family. Objectives: To know various psycho-educational techniques and their impact on increasing caregiver psychological support Methods: The research method used is a literature review using the Proquest, Pubmed, Google Scholar, and Science Direct databases, with the keywords caregiver or parent or family and pediatric cancer or childhood cancer and psychoeducation or psychosocial and psychological support. Results: This study provides diversity in providing psychoeducation to caregivers with cancer children. Various techniques are used in the form of positive thinking, cognitive therapy, and brief therapy, educational and psychosocial techniques. The various techniques used have a positive impact on reducing anxiety, depression, stress, and trauma, improving coping strategies and quality of life, and increasing family resilience.Conclusions: Psychoeducation is a nursing intervention that can be given to caregivers with childhood cancer. Psychoeducation is given to caregivers to improve the ability to care for patients and increase psychological support.
      PubDate: 2022-08-12
      DOI: 10.21927/jnki.2022.10(2).%p
      Issue No: Vol. 10, No. 2 (2022)
       
 
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