Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery)
Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) published by STIKes Patria Husada Blitar. Published three times in a year, its in April, August and December. Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) only receive original manuscripts related to science development and have not been published in domestic and foreign journals. The content of the manuscripts can be in the form of research results to support the progress of science, education and nursing practice and professional midwifery.
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<![CDATA[The Improvement of Reproductive Health Knowledge (Vaginal Discharge and Menstrual Pain) of Women ]]>
<![CDATA[Nonik Ayu Wantini]]>;
<![CDATA[Zahrah Zakiya]]>;
<![CDATA[Silvia Dewi Styaningrum]]>
<![CDATA[ Journal of Ners and Midwifery Vol 8 No 1 (2021) ]]>
Publisher : <![CDATA[STIKes Patria Husada Blitar ]]>
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DOI: 10.26699/jnk.v8i1.ART.p055-063
<![CDATA[Vaginal discharge and menstrual pain are problems that are often faced by women. Women should be able to distinguish between physiological and pathological vaginal discharge, physiological and pathological menstrual pain. Based on the results of previous studies, most women have insufficient knowledge about vaginal discharge and menstrual pain. Health education is an effort to overcome these problems. The purpose of this study was to determine reproductive health care habits, history of menstrual pain and vaginal discharge, differences in knowledge about reproductive health, especially vaginal discharge and menstrual pain before and after health education was given. This study was a quasi-experimental design with one group pre test-post test. The sample was 27 women in Setan Hamlet, Maguwoharjo, Depok, Sleman who were selected by purposive sampling. The instrument used a questionnaire. The data analysis used paired sample t-test. The results showed that 66.7% had carried out routine genetalia care, 29.6% routinely used feminine cleansing soap, 25.9% experienced menstrual pain, vaginal discharge as much as 37%. The mean knowledge before health education was 48.70 (SD 23.59), while the mean knowledge after health education was 87.59 (SD 6.84). There is a difference between knowledge about reproductive health before and after health education is given (p-value = 0.000). The conclusion is that health education increases knowledge about reproductive health.]]>
<![CDATA[The Correlation of Family Support and Dietary Compliance of The Eldery With Hypertension at Sub-District Health Center Klurahan, Ngronggot District Nganjuk Regency ]]>
<![CDATA[Henny Purwandari]]>;
<![CDATA[Erni Tri Indarti]]>;
<![CDATA[Dimas Kurniansyah]]>
<![CDATA[ Journal of Ners and Midwifery Vol 8 No 1 (2021) ]]>
Publisher : <![CDATA[STIKes Patria Husada Blitar ]]>
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DOI: 10.26699/jnk.v8i1.ART.p101-106
<![CDATA[Introduction: Current lifestyle triggers an increase in the incidence of hypertension, especially diet. Hypertension sufferers are expexcted to obey the predetermined diet. Family support should be a reinforcing factor that can influence the patient decision to adopt a hypertension diet. The purpose of this study was to determine the correlation of Behavior of Family Support with Dietary Compliance of The Elderly With Hypertension at Sub-District Health Center Klurahan, Ngronggot District, Nganjuk Regency. Methods: Design of the study was a correlation with a cross sectional approach. This study was conducted on February 23-24 July 2020. The population of this study was all elderly patient with hypertension at Sub-District Health Center Klurahan as many as 38 patients. The sample was 32 respondents taken by purposive sampling technique. The independent variables was The Family Support. The dependent variables was dietary compliance of The Elderly With Hypertension. The Data Collecction used a questionnaire. The data analysis used the Spearman Rank with α = (0,05). Results: The results of the study showed almost half of them were 15 respondents (46, 2%) had good family support. Dietary compliance of the elderly most of the were respondents (51, 3%) Compliance to the hypertension diet. The test results obtained p-value = 0,000 ≤ α = (0,05) so Ha was accepted with r value was 0, 851 which meant had a very strong level of correlation. Conclusions: Family support is one of the important roles that can help improve care for people with hypertension, support make sufferers more motivated to a compliance hypertension diet.]]>
<![CDATA[E-Book as Educational Media ‘Aku dan Kehamilan Sehat-Ku’ : Narrative Review ]]>
<![CDATA[Fatiah Handayani]]>;
<![CDATA[Anggie Yuliyati]]>;
<![CDATA[Cindi Zaenudin]]>;
<![CDATA[Syifa Azzahra]]>
<![CDATA[ Journal of Ners and Midwifery Vol 8 No 1 (2021) ]]>
Publisher : <![CDATA[STIKes Patria Husada Blitar ]]>
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DOI: 10.26699/jnk.v8i1.ART.p121-129
<![CDATA[Technological developments have affected the method of providing education in every field. The development of health education media is very helpful in increasing understanding of healthy living, as the process of pregnancy is a natural process. Hormonal changes that cause various kinds of complaints or discomfort will affect the baby if it is not addressed properly. The purpose of this research was to examine the results of research on the use of digital books or electronic books (e-books) in providing information about discomfort in pregnancy.This research used Narrative Review method, namely examining research articles. The research articles were obtained using the e-book, pregnancy, discomfort keywords in pregnancy from the Google Scholar, PubMed, Scopus and Wos databases. There were 30 articles obtained  with 19 articles that were in accordance with the research objectives. It can be concluded that that there is a potential to develop e-book media that is modified with multimedia to be used as a media for health education about pregnancy and its discomfort.]]>
<![CDATA[Effect of Self Management Education on Knowledge and Self Efficacy of pulmonary TB Clients in Timor Tribal Community ]]>
<![CDATA[Muhammad Saleh Nuwa]]>;
<![CDATA[Stefanus Mendes Kiik]]>
<![CDATA[ Journal of Ners and Midwifery Vol 8 No 1 (2021) ]]>
Publisher : <![CDATA[STIKes Patria Husada Blitar ]]>
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DOI: 10.26699/jnk.v8i1.ART.p085-093
<![CDATA[Background: Pulmonary Tuberculosis (TB) disease is still the main cause of death among the poor with low knowledge. Knowledge and self efficacy are the keys to the successful management of pulmonary TB. Objective: The purpose of this study was to investigate the effect of self management education (SME) by emphasizing the five pillars of TB management on knowledge and self efficacy of pulmonary TB clients in the Timor tribal community in Kupang, Indonesia. Methods: This quasi experimental study was conducted on 30 primary pulmonary tuberculosis patients who undergoing treatment for 6 months. The research was conducted from January to October 2020 in the working area of the Naibonat Community Health Center, Kupang Regency. Data were collected using a questionnaire on demographic data, knowledge and self efficacy which had been tested for validity and reliability.. Data were analyzed by the Paired T-test with SPSS 21.  Results: The mean score of pre test knowledge and self efficacy of clients with pulmonary TB, respectively, 5.23 ± 1.04 and 4.77 ± 1.07 increased significantly to 6, 33 ± 1.18, and 7.13 ± 0.94 on the post test (P <0.001). Conclusion and recommendation: giving SME by emphasizing the five pillars of pulmonary TB management increases the knowledge and self-efficacy of pulmonary TB clients in the Timor tribal community. The recommendation of this study is that SME interventions can be used as one of the nursing interventions in the public health center in community empowerment based pulmonary TB management]]>
<![CDATA[Causing Factors of Degenerative Disease towards Elderly Women ]]>
<![CDATA[Irwanti Gustina]]>;
<![CDATA[Putri Sarah Dita]]>
<![CDATA[ Journal of Ners and Midwifery Vol 8 No 1 (2021) ]]>
Publisher : <![CDATA[STIKes Patria Husada Blitar ]]>
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DOI: 10.26699/jnk.v8i1.ART.p064-070
<![CDATA[The proportion of the elderly population in Indonesia has a positive or negative impact, it is said to be positive if the elderly population is in a healthy, active and productive condition. The elderly become a burden if they have health problems such as degenerative diseases. In this study, the authors looked for the Causes of Degenerative Disease in Elderly Women. This study used 50 elderly women for sample. This research design used cross sectional, data collection techniques through questionnaires. The results showed that there was a significant correlation between degenerative diseases in the elderly with diet, physical activity, rest patterns, and health care support for the elderly. Meanwhile, smoking habit with p-value = 0.283 meant that statistically there was no correlation between smoking habits and degenerative diseases, this was because the proportion of elderly women who smoke and had degenerative diseases was less. The conclusion of the research was the productivity of women in youth and lifestyle had an effect on women's health in old age.]]>
<![CDATA[Development Analysis of Post Graduate School Program of Occupational Health Nursing (OHN), Workforce and The Challenges in Poltekkes Kemenkes Jayapura (a Case Study) ]]>
<![CDATA[Isak Jurun Hans Tukayo]]>;
<![CDATA[Syaifoel Hardy]]>;
<![CDATA[Moh. Saljan]]>;
<![CDATA[I Ketut Swastika]]>
<![CDATA[ Journal of Ners and Midwifery Vol 8 No 1 (2021) ]]>
Publisher : <![CDATA[STIKes Patria Husada Blitar ]]>
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DOI: 10.26699/jnk.v8i1.ART.p071-077
<![CDATA[Background: According to the Central Statistics Agency (BPS, 2020), Papua is one of the poorest provinces in Indonesia with a poverty rate of 26.8%. This condition is exacerbated by the lack of educational facilities including occupational health nursing (OHN) at the postgraduate level. Even though there are several large industries in Papua that are engaged in oil exploration to wood processing. As a result, there is an imbalance between the need for OHN nursing experts and the production of nurses due to the absence of OHN postgraduate educational facilities in Papua.Destination: This article is a case study which aims to analyze the development of OHN postgraduate education programs, human resources and challenges from an Occupational Safety and Health (OHS) perspective.Method: The study used is in the form of a literature review using SWOT Analysis which emphasizes on policy issues on nursing education and its specialties, especially OHN. Data is collected from various sources, including the Ministry of Health, the Ministry of Manpower, BPPSDM, PPNI, journals from within and outside the country. Document review was conducted from January 2016 to December 2020.Result: From the results of the SWOT analysis, the research shows that the Poltekkes of the Ministry of Health of Jayapura has a very supportive potential to develop postgraduate nursing education programs in the OHN department. In addition to adequate human resources, sufficient land for practice and the availability of industrial jobs for graduates.]]>
<![CDATA[Associated Factors with Hypnobirthing Implementation in Trimester III Pregnant Women at Diana Panitra Clinic Medan in 2020 ]]>
<![CDATA[Endryani Syafitri]]>;
<![CDATA[Muthia Sari Mardha]]>
<![CDATA[ Journal of Ners and Midwifery Vol 8 No 1 (2021) ]]>
Publisher : <![CDATA[STIKes Patria Husada Blitar ]]>
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DOI: 10.26699/jnk.v8i1.ART.p107-112
<![CDATA[Almost all maternal experienced anxiety and fear during pregnancy, labor, and after childbirth. One of the methods is used to reduce childbirth anxiety namely hypnobirthing. The purpose of this study was to determine the factors associated with the implementation of hypnobirthing in third trimester pregnant women at the Diana Panitra Clinic Medan in 2020. The design of this study used an analytic survey with a cross-sectional approach. The population of the study were all 30 third trimester pregnant women, and sample using accidental sampling techniques. The independent variables in this study are knowledge, husband's support, distance from facilities, and mother's interest. The instrument used a questionnaire. The data analysis technique used univariate and bivariate analyses. The results showed that there is a relationship implementation of hypnobirthing between knowledge with p-value (sig) = 0.044, husband's support with p-value (sig) = 0.004, facility distance and p-value (sig) = 0.019, and maternal interest with p-value (sig) = 0.015. The conclusion of this study is that there is a relationship between knowledge, husband's support, the distance of facilities, and mother's interest with the implementation of hypnobirthing in trimester III pregnant women at the Diana Panitra Clinic Medan in 2020. And it is hoped that health workers will participate in providing information about the benefits of hypnobirthing during pregnancy.]]>
<![CDATA[The Role of Health Workers in Realizing Community Independence to Prevent Non-Communicable Diseases in Campurejo Community Health Center, Kediri City ]]>
<![CDATA[Is Fadhillah]]>;
<![CDATA[Evita Widyawati]]>;
<![CDATA[Nurita Nilasari]]>
<![CDATA[ Journal of Ners and Midwifery Vol 8 No 1 (2021) ]]>
Publisher : <![CDATA[STIKes Patria Husada Blitar ]]>
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DOI: 10.26699/jnk.v8i1.ART.p113-120
<![CDATA[This study aimed to determine the understanding of health care towards social phenomena related to the dominance of non-communicable diseases which were increased in the community and to identify what efforts were made by health workers in preventing non-communicable diseases. The long-term goal of this study was to control the risk factors for PTM in Indonesia, especially in Campurejo Health Center, Mojoroto District, Kediri City. This study used a qualitative method with 72 populations and 10 samples. The data was collected through purposive sampling and in-depth interviews. The study informants were health workers from Kediri city health office, health workers at the Campurejo Health Center, community leaders and health cadres. The data analysis used interactive qualitative methods (Milles and Hebberman) and the instrument was recorder. The results of the study showed the concept of objectivation in opposing the flow of public understanding of PTM could be seen from the results of the socialization conducted by health workers. This new fact could be seen from one of the efforts of health workers in disseminating PTM in society. Other forms of socialization that were still general in nature could be seen in a variety of activity formats, for example: early detection, health promotion, counseling, mobile Posbindu, and door to door systems. The five micro activities were derived from the grand design of socialization in the perspective of social construction theory as a form of externalization by health workers.]]>
<![CDATA[The Effect of Sambiloto Extract on the Expression of β Estrogen Receptors in Ovaries and Lust Cycle in Mice Model PCOS - Insulin Resistance ]]>
<![CDATA[Hanis Kusumawati Rahayu]]>
<![CDATA[ Journal of Ners and Midwifery Vol 8 No 1 (2021) ]]>
Publisher : <![CDATA[STIKes Patria Husada Blitar ]]>
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DOI: 10.26699/jnk.v8i1.ART.p078-084
<![CDATA[Infertility was a serious problem in the reproductive period, one of the caused of infertility were common in women of childbearing age group is Polycystic Ovary Syndrome (PCOS).Sambiloto (Andrographis paniculata Nees), had been already known contain flavonoid and lactones. The purpose of this research had to determine the effect of various doses of sambiloto extract with the expression of β estrogen receptor and estrus cycle in the mice model of PCOS - insulin resistance. This research was an animal model experimental laboratory research with a completely randomized design (CRD).The results showed that sambiloto extract therapy in treatment group had an improvement estrus cycle compared with control group. Positive control group, almost 90% had persistent anestrus condition. In treatment group 1 and 2 in the last vagina smear obtained anestrus condition as much as 60% in diestrus and medestrus phase. Whereas treatment groups 3 all experimental animals in a estrus state by proestrus and estrus phase. β Estrogen receptor expression had tested by Kruskal Wallis test for overall treatment, obtained significantly different results (p ≤ 0.002) followed by Mann - Whitney, showed that immunoreactive cells score from highest to lowest occurred in each group Negative control (KN), P3, P2, P1 and Positive Control (KP).It could be concluded that sambiloto extract at dose 18mg/kgbb, 36mg/kgbb, and 72mg/kgbb had been given an overview of the differences expression of β estrogen receptor, could change the estrus cycle of female mice models of insulin resistance PCOS.]]>
<![CDATA[Difference in SWOT Analysis Factors : A Systematic Review ]]>
<![CDATA[Suprajitno Suprajitno]]>;
<![CDATA[Imam Zaenuri]]>;
<![CDATA[Muliyadi Muliyadi]]>
<![CDATA[ Journal of Ners and Midwifery Vol 8 No 1 (2021) ]]>
Publisher : <![CDATA[STIKes Patria Husada Blitar ]]>
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DOI: 10.26699/jnk.v8i1.ART.p130-137
<![CDATA[Introduction: SWOT analysis can be used to assess the position of an organization that has considered internal and external conditions. The objective of this systematic review is to find out the differences in SWOT analysis carried out by health service facilities outside Indonesia and the other country. Method: A systematic review used the PRISMA method. The search keywords used were strategic management, hospitals, health facilities, health services, and SWOT analysis obtained from Google Scholar, Science Direct, ProQuest, and PubMed. The articles analyzed were fully accessible and published in 2010-2020. Result: The main difference of analysis was that in Indonesia illustrates that the SWOT analysis was aimed at hospital organizations and few were oriented towards special services which has similar indicators on internal and external factors. Meanwhile, outside Indonesia, SWOT analysis was directed at specific health services so that it has different internal and external factors of indicator. Discussion: The difference analysis illustrates that the needs of an organization are different in strategic management development.]]>
