Journal of Advanced Nursing and Health Sciences

NAVIGATING NUTRITION BEHIND BARS: A PHENOMENOLOGICAL STUDY OF PREGNANT INMATES’ PERCEPTIONS

2025-08-22T07:07:04+00:00

Background: Correctional institutions had made efforts to provide supplemental nutrition for pregnant inmates. This study examined how incarcerated pregnant women understand and respond to the nutritional conditions they face, with particular attention to their perceptions, attitudes, and sense of agency in meeting their dietary needs during imprisonment.
Methods: A qualitative phenomenological approach was used. Between January and March 2024, data were collected through in-depth interviews and participant observation with six pregnant inmates in a women’s correctional facility in Indonesia. Thematic analysis was then conducted to identify key patterns and meanings in their experiences.
Results: The analysis identified two main themes: Perceptions and Experiences About Nutrition and Strategies to Meet Nutritional Needs. Participants viewed prison food as inadequate and often inappropriate for pregnancy, with some expressing feelings of being uncared for. Food was also linked to moral and emotional meanings, including shame and judgment. To cope, women adopted informal strategies such as food sharing, small jobs, or saving money. However, limited nutritional knowledge influenced their choices, leading to misconceptions about what foods were healthy or suitable during pregnancy.
Conclusion: These findings suggest that supporting pregnant inmates’ nutritional needs requires more than simply providing food. Emotional, cultural, and social factors should be considered in designing interventions. Collaborative programs, such as group prenatal classes or discussion forums, supported by culturally sensitive educational materials, and policies that support collaboration between prisons, healthcare providers, and community organizations, can help promote healthier behaviors and better support the well-being of pregnant women in custody.

THE RELATIONSHIP BETWEEN ISLAMIC RELIGIOSITY LEVEL AND ADOLESCENT DATING BEHAVIOR

2025-08-22T10:03:09+00:00

Background: Adolescence is a transitional phase from childhood to adulthood. At this stage, various issues emerge, with dating behaviour being one of the prominent concerns. Dating is a form of socialisation that is influenced by Western culture. Dating behaviour that leads to risky sexual behaviour may generate various health problems, such as unwanted pregnancy, abortion, sexually transmitted infections, dropping out of school for pregnant adolescent girls, exchanging parental roles, ostracism from the community, and decreased quality of life. These negative impacts can be minimised by increasing religiosity. Religiosity recreates a function in influencing and regulating one’s behaviour. This study aimed to determine the relationship between Islamic religiosity and adolescent dating behaviour.
Methods: This study employed quantitative methods with a correlational design and a cross-sectional approach. The sample consisted of 40 students using a total sampling technique. Data were collected using a questionnaire validated with an R value greater than 0.355, confirming its validity. Bivariate analysis was performed using the Spearman Rho test.
Results: The results revealed that most respondents were in early adolescence (12-14 years), comprising 33 students (82.5%), with most being male (25 students or 62.5%). A high level of religiosity was observed in 32 students (80%), and non-risky dating behaviour was reported in 32 students (80%). The Spearman Rank test obtained a p-value = 0.000 (p < 0.05).
Conclusions: The study concluded that a significant relationship existed between Islamic religiosity and adolescent dating behaviour at MTs Negeri 1 Sukoharjo.

THE EFFECT OF VIDEO MEDIA PROVIDING INFORMATION ABOUT BLOOD ENHANCER TABLETS ON KNOWLEDGE IN FEMALE ADOLESCENTS

2025-08-22T10:03:45+00:00

Background: Based on the result of basic health research Riskesdas in 2018, as many as 23,7% of women aged 14-25 years nationally suffer from anaemia. About three to four out of ten adolescent girls, or about 32% of adolescent girls have anaemia. This study aims to determine the effect of providing video content about iron tablets on the understanding of adolescent girls at SMP N 1 Sragi.
Methods: This research is quantitative with a quasi-experimental design consisting of two groups, namely experimental and control. The experimental group was given an educational video about blood enhancer tablets, while the control group was given a lecture. The research instrument used a questionnaire. The age of the respondents was 13 to 15 years old. The research sample consisted of 67 students. The T-test is used to test data.
Results: The average score in the experimental group was 8.76, while in the control group it was 6,45. There was an increase of 2.31, with a p-value of <0.005, which means that there is a significant influence on average before and after treatment.
Conclusion: To reduce the prevalence of anaemia, especially in adolescent girls, it is expected that this study will improve the understanding of teenage girls, especially about blood tablets.

THE EFFECT OF PROGRESSIVE MUSCLE RELAXATION ON ANXIETY LEVELS IN 11th GRADE STUDENTS

2025-08-22T10:04:24+00:00

Background: Anxiety is a psychological condition characterized by vague worries, accompanied by feelings of uncertainty, helplessness, isolation, and insecurity. Adolescents are a vulnerable group to anxiety, particularly due to academic pressures such as assignments, exams, and the demands of determining future educational directions. This study aims to determine the effect of progressive muscle relaxation therapy (PMR) on reducing anxiety levels among 11th grade students at State Islamic Senior High School Cimahi.
Methods: The research used a pre-experimental method with a one-group pre-test and post-test design, involving 36 respondents who met the inclusion criteria. The instrument used to measure anxiety levels was the Hamilton Anxiety Rating Scale (HARS) questionnaire, administered before and after the intervention. The intervention consisted of PMR therapy conducted for three consecutive days. Data were analysed using the Shapiro-Wilk test for normality and the paired t-test to determine differences in anxiety scores before and after intervention.
Results: The results showed a significant decrease in anxiety levels after the intervention; the mean score before was 20,81, which decreased to 10,39 after the intervention. The paired t-test yielded a p-value of 0,001 (< α = 0.05), indicating a significant effect of progressive muscle relaxation therapy in reducing anxiety.
Conclusion: Therefore, this therapy can be considered a non-pharmacological alternative intervention to manage anxiety in adolescents.

AN ANALYSIS OF THE ASSOCIATION BETWEEN SOCIODEMOGRAPHIC FACTORS AND ANXIETY LEVELS IN GENERATION Z

2025-08-22T10:05:05+00:00

Background: Generation Z refers to adolescents and young adults born between approximately the mid-1990s and the early 2010s. Adolescents experience various physical, psychological, and social changes that increase their risk of anxiety. Anxiety in adolescents can stem from academic pressure, social relationships, family issues, concerns about the future, and parental expectations. Common symptoms of anxiety experienced by adolescents include heart palpitations, difficulty concentrating, chest pain, nausea, and restlessness. Sociodemographic factors shape each individual’s social environment and potentially affect how they respond to stress. In an educational context, untreated anxiety can impact learning, concentration, academic achievement, and even long-term mental health. This study aimed to identify the correlation between various sociodemographic factors and anxiety in Gen Z.
Methods: This study is an analytical observational quantitative study with a cross-sectional approach. The population consisted of 321 respondents, with a sample size of 76 selected through stratified random sampling using the Slovin formula. The research instrument was the Beck Anxiety Inventory (BAI), which had been previously validated for its reliability. Data analysis in this study used Spearman’s Rho test.
Results: The results of the Spearman’s Rho test for gender with anxiety showed a p value = 0.1 (p < 0.05), economic status with anxiety showed a p value = 0.12 (p < 0.05), and age with anxiety showed a p value = 0.4 (p < 0.05) which means there is a relationship between sociodemographic characteristics and anxiety levels in Gen Z.
Conclusion: Sociodemographic characteristics influence the anxiety levels of Generation Z.

STRATEGIC APPROACHES TO PROMOTING EXCLUSIVE BREASTFEEDING AMONG MOTHERS OF PREMATURE BABIES: A QUALITATIVE STUDY

2025-08-22T10:05:42+00:00

Background: The provision of exclusive breastfeeding for premature infants often faces challenges due to the infant's inability to breastfeed directly from the breast, which hinders the initiation of breastfeeding and the success of exclusive breastfeeding. According to data from the Slawi Public Health Center, the coverage of exclusive breastfeeding for premature infants remains low. This study aims to analyze strategies for implementing exclusive breastfeeding and to identify its supporting and inhibiting factors.
Methods: The research method employed a qualitative approach with accompaniment provided to two mothers with infants aged ≤4 months who were committed to exclusive breastfeeding, along with two triangulation informants. The accompaniment was carried out until the infants reached six months of age through home visits conducted two to three times.
Results: The findings revealed a strong commitment from mothers to maintain exclusive breastfeeding, despite external pressures such as the promotion of formula feeding and early complementary feeding. Intensive mentoring, family support, and health education were identified as the main supporting factors. Meanwhile, the lack of understanding among the surrounding community emerged as a significant barrier, which should be addressed through continuous educational interventions.
Conclusion: In general, exclusive breastfeeding practices for premature infants in the Slawi area are considered satisfactory. It is recommended that the local health center continue providing ongoing support to mothers to maintain exclusive breastfeeding for the first six months and continue breastfeeding up to two years, particularly for mothers of premature infants.