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[Positif Correlation of Online Game Addiction and Depression Level of Adolescent ]]>
<![CDATA[Wiwik Widiyawati]]>;
<![CDATA[Helmi Ardiansyah Arby]]>
<![CDATA[ Journal of Ners and Midwifery Vol 9 No 3 (2022) ]]>
Publisher : <![CDATA[STIKes Patria Husada Blitar ]]>
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DOI: 10.26699/jnk.v9i3.ART.p353-359
<![CDATA[Nowadays, online game become a lifestyle toward young generations and tends to become addiction. Addiction to online games has a risk of suffering from Asperg's syndrome, autism, and is prone to various disorders and mental disorders. The purpose of this study was to analyze the correlation of online game addiction and depression levels of adolescents at SMAN 2 Bangkalan. This study used correlation analytic method with cross sectional design. The population was 410 students of class XII from science and social program at Public Senior high School (SMAN) 2 Bangkalan. The sample was 202 respondents taken by random sampling technique. The data collection used questionnaire then analyzed by using the Spearman Rho rank test (p < 0.05). The results showed most of the respondents or 138 students (68.3%) were in the category of moderate addiction, 31 students (15.3%) in the category of mild addiction, a small proportion or 28 students. (13.9%) were in the category ofsevere addiction, and 5 students (2.5%) not addicted to games. It could be seen that the distribution of respondents based on the level of depression showed 157 students (77.7%) had mild depression, 34 adolescents (16.8%) had a moderate depression, 5 students (2.5%) had severe depression, and 6 students (3.0%) had no depression. Based on the results of the analysis using the Spearman rank test, it was found that p value = 0.017 (<0.05), meant that there was a significant correlation between online game addiction and depression levels of adolescents. It is necessary to increase the knowledge of students about addiction and the level of depression due to online games. The society have to teach their children the dangerous side effect of addiction toward online games.]]>
<![CDATA[Determinants Factors of Pre-Eclampsia Incidence ]]>
<![CDATA[Sri Rahayu]]>;
<![CDATA[Endah Kamila Mas'udah]]>;
<![CDATA[Lisa Purbawaning Wulandari]]>
<![CDATA[ Journal of Ners and Midwifery Vol 9 No 3 (2022) ]]>
Publisher : <![CDATA[STIKes Patria Husada Blitar ]]>
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DOI: 10.26699/jnk.v9i3.ART.p379-386
<![CDATA[Maternal Mortality Rate (MMR) is one indicator in describing the welfare of society in a country. MMR in Indonesia in 2020 has increased compared to 2019. In 2019, MMR in East Java Province reached 89.81 per 100,000 live births. This figure will increase in 2020 to 98.39 per 100,000 live births. An important issue in Malang Regency related to maternal and child health is the high MMR. Preeclampsia is the 3rd largest case along with cases of infection and postpartum bleeding. The purpose of this research was to see a description of the determinants associated with the incidence of preeclampsia and to find the most dominant determinants causing preeclampsia in Kanjuruhan Hospital, Malang Regency. The type of the research was descriptive with a documentation study approach from the medical records of RSUD Kanjuruhan Malang. The analysis technique used descriptive analysis. The results of the research showed that the age data of most of the pregnant women were in high risk age (more than 35 years) as many as 28 mothers (56%), the distance between pregnancies in pregnant women with preeclampsia was mostly more than 2 years (64%), the highest parity of women with preeclampsia was multipara (68%), most of the women had never had an abortion (72%) and the gestational age of most women with preeclampsia was term (76%). Factors that determine the incidence of preeclampsia are age, gestation interval, parity and gestational age. Further research is needed to determine other factors that cause preeclampsia.]]>
<![CDATA[Positive correlation of Hypertension and Cognitive Function of Elderly ]]>
<![CDATA[Nanik Dwi Astutik]]>;
<![CDATA[Felisitas A Sri S]]>;
<![CDATA[Ifa Pannya Sakti]]>
<![CDATA[ Journal of Ners and Midwifery Vol 9 No 3 (2022) ]]>
Publisher : <![CDATA[STIKes Patria Husada Blitar ]]>
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DOI: 10.26699/jnk.v9i3.ART.p311-320
<![CDATA[Biological changes in the elderly are one of the triggers for the emergence of hypertension which can cause changes in cognitive function. The purpose was to analyze the correlation between hypertension and cognitive function in the elderly. The design was correlation descriptive research design with the cross-sectional approach. The sampling technique was purposive sampling, the number of samples of respondents was 56 people. The research was conducted at Integrated Healthcare Center Elderly, Malang City. The instrument used to while the cognitive function in the elderly uses the MMSE. Analysis used the Spearman rank test with an alpha value of 0.05 (95% CI). The results showed that there was a significant correlation between hypertension and cognitive function in the elderly (r=0.532 and p=0.000). The direction of the correlation is positive, meaning that the more severe hypertension suffered by the elderly, the more severe they will tend to experience more severe cognitive function impairments. Based on the results of this study, it is recommended for people with hypertension do blood pressure screening and undergo hypertension treatment regularly. This is very important so that prevention and treatment can be carried out earlier to prevent more severe cognitive impairment.]]>
<![CDATA[Legal Protection for Practice Students D3 Medical Record and Health Information UNU NTB in NTB Province Hospital ]]>
<![CDATA[Muhamad Siladani Fatuhu]]>;
<![CDATA[Dwi Andayani]]>
<![CDATA[ Journal of Ners and Midwifery Vol 9 No 3 (2022) ]]>
Publisher : <![CDATA[STIKes Patria Husada Blitar ]]>
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DOI: 10.26699/jnk.v9i3.ART.p407-415
<![CDATA[Hospitals have an obligation to provide safe, quality, anti-discriminatory and effective health services with hospital service standards. Kepmenkes No. 377 of 2007 concerning Professional Standards for Medical Recorders and Health Information. Medical Recorder and Health Information is someone who has passed the formal education of medical records and health information, has full competence, duties, responsibilities, authority and rights to carry out medical recording activities. Sari Ulina's 2008 research on a health worker who published the autopsy results of a murder victim so that he was sued in court. The purpose of this study was to find out the implementing regulations for practical students, to find out the forms of legal protection for practical students, and to find out the efforts of hospital institutions in providing legal protection to D3 RMIK UNU NTB students at the NTB Provincial Hospital. This study uses a sociological juridical approach, descriptive analytic with the types of data in the form of primary and secondary (primary legal materials), while the data collection technique is by means of interviews consisting of 4 sources where the sample selection uses purposive sampling. Based on the research results obtained, the form of regulations for implementing the practice of RMIK D3 students is in the form of SOPs with No. 047/08/15/2018 Dated 29-12-2018 which is a derivative of the director's decree No: 821/444/RSUD Prov. NTB Concerning the Enforcement of Clinical Practice Guidelines for Other Health Workers, while the form of legal protection for students is to carry out SOPs and/or rules that have been imposed by the hospital. Meanwhile, the hospital's efforts to provide legal protection for D3 RMIK UNU NTB students are by providing guidance and obeying the rules imposed by the hospital because students do not yet have the competence in carrying out the practice of medical recorders and health information.]]>
<![CDATA[Hematology Profile of Pregnant Women in Trimester III with Covid-19 ]]>
<![CDATA[Ririn Handayani]]>;
<![CDATA[Ernawati Anggareni]]>;
<![CDATA[Nazmi Kamila]]>
<![CDATA[ Journal of Ners and Midwifery Vol 9 No 3 (2022) ]]>
Publisher : <![CDATA[STIKes Patria Husada Blitar ]]>
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DOI: 10.26699/jnk.v9i3.ART.p321-327
<![CDATA[Women pregnant classified as vulnerable groups because of changes in body physiology and immune response mechanisms in their bodies. SARS-CoV-2 infection in pregnancy stimulates an increase in the expression of proinflammatory cytokines, namely IL-6, IL-12, IL-1β, dan IFNγ which can damage lung organs. The purpose of this study was to look at the hematological profile of pregnant women with COVID-19, especially in the third trimester as an effort to detect the severity of the infection experienced by the mother. This study was a quantitative descriptive study with a retrospective design using secondary data from medical records. This study was carried out at dr. Soebandi Hospital Jember, medical record data were taken from January to December 2021. The subjects of study were pregnant women in the third trimester with COVID-19. The sampling technique   total sampling. Method of analysis in this study used a frequency distribution. Results of the study showed that 100% of pregnant women with COVID-19 had symptoms of cough, runny nose, fever  and shortness of breath. Results of the mother's hematological examination showed an increase in leukocytes (48%) and a decrease in lymphocytes (92%), most of the mothers had anemia (76%), there was a decrease in platelets (8%) and an increase in platelets (20%). In conclusion, they had the same symptoms as patients in general, including cough, runny nose, fever to shortness of breath, an increase in leukocytes and a decrease in lymphocytes, most of the mothers also experience anemia and changes to abnormal maternal platelets occur.]]>
<![CDATA[Range of Motion Spherical Grip Affected the Upper Extremity Muscle Strength in Post Stroke Patients ]]>
<![CDATA[Lutfi Wahyuni]]>;
<![CDATA[Siti Kotijah]]>;
<![CDATA[Catur Prasastia Lukita Dewi]]>
<![CDATA[ Journal of Ners and Midwifery Vol 9 No 3 (2022) ]]>
Publisher : <![CDATA[STIKes Patria Husada Blitar ]]>
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DOI: 10.26699/jnk.v9i3.ART.p328-334
<![CDATA[Stroke is a medical emergency. Post-stroke patients generally experience muscle weakness in the limbs, postural disturbances and muscle atrophy. The purpose of this study was to prove the effect of ROM Spherical Grip exercise on post-stroke patients. The type of the study was pre-experimental with one group pre-test-post-test design. The independent variable was Range Of Motion (ROM) Spherical Grip. The dependent variable was the degree of upper extremity muscle strength in post-stroke infarct patients who had hemiparesi. The sampling technique used a consecutive sampling technique. The sample was 33 respondents. The data were taken by measuring the muscle strength before and after being given the intervention. The instrument used an observation sheet for assessing muscle strength and manual muscle testing (MMT) physical examinations in post-stroke patients. The results of this study showed that most of the muscle strength before giving the Spherical Grip ROM exercise was Poor (there was movement but could not fight gravity) as many as 14 respondents (42.4%). After the intervention of the Spherical Grip ROM exercise, the muscle strength was mostly Fair (can move against gravity) as many as 19 respondents (57.6%). There is an increase in upper extremity muscle strength before and after being given ROM Spherical Grip exercise in post-stroke patients who experience hemiparesis. This showed that the Spherical Grip could improve the tone of those who experience weakness and if done continuously could increase muscle strength in post-stroke patients. It is hoped that with this research Spherical grip exercises can be used as one of the treatments for stroke patients who experience decreased upper extremity muscle strength and collaborate with physiotherapy also assisted by taking drugs according to doctor's advice.]]>
<![CDATA[Reducing Blood Pressure on Elderly with Hypertension with Progressive Muscle Relaxation Therapy ]]>
<![CDATA[Ida Noefitasari]]>;
<![CDATA[Desi Natalia Trijayanti Idris]]>
<![CDATA[ Journal of Ners and Midwifery Vol 9 No 3 (2022) ]]>
Publisher : <![CDATA[STIKes Patria Husada Blitar ]]>
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DOI: 10.26699/jnk.v9i3.ART.p370-378
<![CDATA[Elderly is a process of life's journey of getting old. Physiological changes in the cardiovascular system experienced by the elderly are hypertension which occurs due to decreased elasticity of the arteries in the aging process. The purpose of this research was to analyze the effect of progressive muscle relaxation on reducing blood pressure in hypertensive elderly in Banjarejo Village. Pre-experimental research design with One group Pre-Post Test Design approach. The research sample is 30 elderly hypertension people with Quota Sampling. Research variables are progressive muscle relaxation therapy and blood pressure. Collecting data using observation sheets, using the Wilcoxon statistical test. The results showed that there were changes in blood pressure before and after therapy, namely systolic blood pressure -7.82 mmHg and diastolic blood pressure -5.54 mmHg. Wilcoxon statistical test showed p value = 0.000 which means there is a change in blood pressure in the elderly after doing progressive muscle relaxation therapy. The conclusion of this research shows that progressive muscle relaxation is a therapy that can be used to lower blood pressure in hypertensive patients.]]>
<![CDATA[Self Management of Type 2 Diabetes Mellitus Patients at The Internist Polyclinic of Ngudi Waluyo General Hospital Blitar Distric ]]>
<![CDATA[Ulfa Husnul Fata]]>;
<![CDATA[Ila Ageng Safiani]]>;
<![CDATA[Laily Prima Monica]]>;
<![CDATA[Maria Ulfa]]>;
<![CDATA[Wahyu Wibisono]]>
<![CDATA[ Journal of Ners and Midwifery Vol 9 No 3 (2022) ]]>
Publisher : <![CDATA[STIKes Patria Husada Blitar ]]>
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DOI: 10.26699/jnk.v9i3.ART.p387-392
<![CDATA[Type 2 Diabetes Mellitus is a disease that can cause many complications. Some of the problems that can arise in patients with Type 2 Diabetes Mellitus, one of the causes is low self-management behavior.This study aims to determine self-management in patients with type 2 diabetes mellitus. This research is a descriptive study. The variable in this study was self-management in type 2 diabetes mellitus patients. This research was a descriptive study. The population in this study were all type 2 diabetes mellitus patients who routinely exercised control at the Internal Medicine Polyclinic at Ngudi Waluyo Wlingi Hospital, Blitar Regency in December 2021, namely 156 people. The sample in this study based on the sample size formula was 112 people with a sampling technique, namely purposive sampling with regard to inclusion and exclusion criteria. This research was conducted from January to February 2022 at the Internal Medicine Clinic at Ngudi Waluyo Wlingi Hospital, Blitar Regency. Data collection in this study used general data instruments consisting of age, gender, routine control, level of education, and duration of DM. Specific data questionnaire using the SDMQ Questionnaire (Diabetes Self Management Questionnaire) which consists of 16 questions with several subdomains in it. The results of this study indicated that 69.6% (78 respondents) had good category of self-management and 30.4% (34 respondents) had sufficient category of respondents. It is hoped that the results of this study can be used as a form of input for health workers, especially nurses, in carrying out their roles as educators and counselors to improve self-management in type 2 diabetes mellitus patients to improve quality of life and prevent complications.]]>
<![CDATA[Study of Local Plant as a Functional Food to Increase Breast Milk Supply ]]>
<![CDATA[Rike Puspitasari]]>;
<![CDATA[Rahajeng Siti Nur Rahmawati]]>;
<![CDATA[Arika Indah Setyarini]]>
<![CDATA[ Journal of Ners and Midwifery Vol 9 No 3 (2022) ]]>
Publisher : <![CDATA[STIKes Patria Husada Blitar ]]>
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DOI: 10.26699/jnk.v9i3.ART.p393-400
<![CDATA[Exclusive breastfeeding for 6 months is one of the global strategies to improve infant growth, development, health and survival. One of the efforts that support the success of breastfeeding is by providing additional food in the form of local plants as functional food ingredients to increase breast milk supply and avoid less than optimal milk production. This research was conducted to explain the content of local plants as functional food ingredients that can help increasing breast milk supply. This literature study research used secondary data from the Google Scholar, Pubmed, Science Direct database with the last 5 years published, and then the journals obtained are identified according to the inclusion and exclusion criteria set by the researcher. The results of a review of 12 journals stated that local plants Moringa leaf, katuk leaf, mung beans, and soybeans as functional food ingredients that can increase breast milk supply because the four plants contain laktagogum effects that can stimulate, maintain and increase breast milk. Local plants Moringa leaf, katuk leaf, mung beans and soybeans as functional food ingredients to increase breast milk supply because they have a laktagogum effect which are consumed in varying doses and ways of consumption, but have the same efficacy, namely increasing the rate of secretion and production of breast milk.]]>
<![CDATA[Complementary Therapy of Tui Na Massage Affected the Increase of Children’s Appetite ]]>
<![CDATA[Lida Khalimatus Sadiya]]>;
<![CDATA[Veryudha Eka Prameswari]]>;
<![CDATA[Noer Saudah]]>
<![CDATA[ Journal of Ners and Midwifery Vol 9 No 3 (2022) ]]>
Publisher : <![CDATA[STIKes Patria Husada Blitar ]]>
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DOI: 10.26699/jnk.v9i3.ART.p416-422
<![CDATA[Nutritional status is an indicator in determining a children’s health status. Massage is one of the therapies complementary that many parents choose to avoid malnutrition. Touch therapy (massage) can have positive physical effects, including weight gain. Tui Na massage is a more specific massage technique to overcome feeding difficulties in toddlers by improving blood circulation in the spleen and digestion. The purpose of this study was to measure the extent to which Tui Na massage complementary therapy increased children's appetite. This research used a literature review design. The data used secondary data obtained from the results of research that had been carried out by previous researchers whose research journals had been published which were relevant to the topic, from 2015 to 2021, were accessed in full text by 16 journals according to the formulation of the problem and research objectives, and 6 the journal given the Tui Na massage. The results showed that there was an effect of Tui Na massage on weight gain. Tui Na Massage was effective in increasing a toddler's weight. There was an effect of massage on increasing the appetite of toddlers aged 1 year. Based on the results of the above study, the children’s appetite and weight after being given the Tui Na massage treatment, the average growth rate of weight gain increased and the appetite increased above the average of babies who did not get massage treatment.]]>
