Journal of Advanced Nursing and Health Sciences
Journal of Advanced Nursing and Health Sciences (e-ISSN: 2774-5821) is a journal published by Program Studi Sarjana & D3 Keperawatan Universitas Kusuma Husada Surakarta since 2020, and published regularly in February and August every year. Journal of Advanced Nursing and Health Sciences is a peer-reviewed scientific journal, it welcomes any papers of research about nursing and other health-related professions written in English and Bahasa Indonesia.
The copyright of the published articles belongs to Journal of Advanced Nursing and Health. This work is licensed under a Creative Commons Attribution 4.0 International License.
RELATIONSHIP BETWEEN THE LEVEL OF KNOWLEDGE AND ATTITUDE OF PREGNANT WOMEN AND THEIR COMPLIANCE WITH ANTENATAL CARE
Background: The high maternal mortality rate (MMR) is primarily caused by preventable obstetric complications through routine prenatal care (ANC). The compliance rate among pregnant women in the Manyaran Community Health Center (Puskesmas) working area in 2024 was only 82.31%, indicating that some pregnant women remain unaware of the importance of ANC. This study aims to determine the relationship between pregnant women’s knowledge and attitudes and their compliance with Antenatal Care at the Manyaran Community Health Center. Methods: This study is a quantitative analytical design using a cross-sectional approach. The research sample consisted of pregnant women in their third trimester in the Manyaran Community Health Center working area from June to August 2025. Data collection techniques used questionnaires and maternal and child health records. Results: The Chi-Square test showed a p-value of 0.000 (<0.05), indicating a significant relationship between knowledge and ANC compliance, and a p-value of 0.004 (<0.05), indicating a significant relationship between attitude and compliance with ANC visits. Conclusion: This study found that a high level of knowledge and a positive attitude significantly increase pregnant women’s compliance with ANC services. Therefore, health workers are expected to continue to improve their educational efforts to strengthen mothers’ understanding of the importance of regular pregnancy checkups.
attitude, antenatal care, compliance, knowledge, pregnant women
Copyright (c) 2026 Journal of Advanced Nursing and Health Sciences http://creativecommons.org/licenses/by/4.0
THE RELATIONSHIP BETWEEN KNOWLEDGE AND BREAST SELF-EXAMINATION BEHAVIOR (BSE) IN ADOLESCENT FEMALES
Background: The incidence of cancer continues to increase, and at this time, breast cancer is in first place in terms of the number of cancers in Indonesia and is one of the contributors to cancer deaths. Breast self-examination (BSE) is one way to detect breast cancer early. This study aims to determine the relationship between knowledge and breast self-examination behavior in adolescent females at SMK Kesehatan Amanah Husada Yogyakarta. Methods: This study used a quantitative, correlational, cross-sectional design. The population of all female students in grades X, XI, and XII of SMK Kesehatan Amanah Husada Yogyakarta for the 2024/2025 school year is 115, and 54 are sampled. Determine the sample for each class using proportionate stratified random sampling and simple random sampling. Data collection was conducted using a questionnaire on breast self-examination knowledge and behavior, which was then analyzed using the chi-square test. Results: Respondents with good knowledge of breast self-examination were 32 (59.3%), enough knowledge as much as 10 (18.5%), and less knowledge as much as 12 (22.2%). In addition, respondents who did not perform breast self-examination behavior were 35 (64.8%), and those who performed were 19 (35.2%). The results of the chi-square test showed a significance value of p < 0.001 instead of p = 0.000. Conclusion: There is a relationship between knowledge and breast self-examination behavior in adolescent females at SMK Kesehatan Amanah Husada Yogyakarta.
behavior, breast self-examination, knowledge
THE EFFECT OF FIVE-FINGER HYPNOTHERAPY ON REDUCING ANXIETY LEVELS DURING DAILY EXAMINATIONS IN ADOLESCENTS
Background: Adolescence is a transitional period from childhood to adulthood characterized by comprehensive changes. During this stage of development, adolescents face many challenges, including the emergence of feelings of anxiety. The daily examination process creates a mental burden for students. This condition becomes a major source of academic pressure and triggers academic anxiety. One non-pharmacological therapy that can reduce anxiety is the Five-Finger Hypnotherapy technique. The objective of this study is to determine the effect of the Five-Finger Hypnotherapy therapy on reducing anxiety levels in adolescents when facing daily examinations. Methods: This study used a quasi-experimental design with a pre-test and post-test approach. The research was conducted at SMA N 2 Boyolali in April 2025, involving 74 students as respondents. The sampling technique used was purposive sampling. The research instrument was a questionnaire. Data analysis was performed using the Wilcoxon test. Results: The results showed that before the Five-Finger Hypnotherapy therapy was administered, 35 respondents (47.3%) experienced moderate anxiety, and 35 respondents (47.3%) experienced severe anxiety. After the therapy was given, 52 respondents (70.3%) were categorized as having no anxiety. The analysis results indicated a significant difference in anxiety levels before and after the Five-Finger Hypnotherapy therapy, with a p-value < 0.001. Conclusion: The Five-Finger Hypnotherapy therapy was proven to have a significant effect in reducing anxiety levels among adolescents facing daily examinations.
adolescents, five-finger hypnotherapy, self-anxiety level
MATERNAL KNOWLEDGE OF COMPLEMENTARY FEEDING AND ITS RELATIONSHIP WITH INFANT NUTRITIONAL STATUS IN A STUNTING LOCUS VILLAGE
Background: Nutritional problems in infants can negatively affect growth and development, including the risk of stunting. Maternal knowledge plays an important role in shaping feeding practices, yet many mothers still lack an adequate understanding of proper complementary feeding. This study aimed to examine the relationship between maternal knowledge of complementary feeding and infant nutritional status in a village with the highest stunting prevalence in Pamekasan Regency. Methods: A correlational analytic study design was employed, involving 54 mothers with infants aged 6–23 months selected through total sampling. Maternal knowledge was assessed using a closed-ended multiple-choice questionnaire, while infant nutritional status was evaluated using weight-for-age (WFA) Z-scores calculated with WHO Anthro version 3.2.2. Data were analyzed using the Spearman rank correlation test. Results: The results showed a weak, non-significant negative correlation (r = −0.212; ρ = 0.124). Conclusion: Although no significant association was found, maternal education on complementary feeding should be strengthened. Nutrition programs should also address broader determinants, such as food access, caregiving practices, and health service utilization, to improve infant nutritional outcomes in stunting areas.
complementary feeding, infant nutritional status, maternal knowledge, stunting
STRATEGIC APPROACHES TO PROMOTING EXCLUSIVE BREASTFEEDING AMONG MOTHERS OF PREMATURE BABIES: A QUALITATIVE STUDY
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.
exclusive breastfeeding, maternal mentoring, premature infants
Copyright (c) 2025 Journal of Advanced Nursing and Health Sciences
AN ANALYSIS OF THE ASSOCIATION BETWEEN SOCIODEMOGRAPHIC FACTORS AND ANXIETY LEVELS IN GENERATION Z
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.
anxiety, generation z, sociodemographic characteristics
THE EFFECT OF PROGRESSIVE MUSCLE RELAXATION ON ANXIETY LEVELS IN 11th GRADE STUDENTS
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.
anxiety, adolescents, HARS questionnaire, progressive muscle relaxation
THE EFFECT OF VIDEO MEDIA PROVIDING INFORMATION ABOUT BLOOD ENHANCER TABLETS ON KNOWLEDGE IN FEMALE ADOLESCENTS
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.
blood supplement tablet, knowledge, video media
THE RELATIONSHIP BETWEEN ISLAMIC RELIGIOSITY LEVEL AND ADOLESCENT DATING BEHAVIOR
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.
adolescents, dating behaviour, religiosity
NAVIGATING NUTRITION BEHIND BARS: A PHENOMENOLOGICAL STUDY OF PREGNANT INMATES' PERCEPTIONS
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.
correctional facility, nutrition, pregnancy
APPLICATION OF VIRTUAL REALITY (VR) ON PAIN SCALE IN POST-OPERATIVE FRACTURE PATIENTS: A CASE STUDY
Background: A fracture is a bone break that is usually caused by trauma or physical force. The force of impact, the condition of the bone, and the soft tissues around it will determine the severity of the fracture. The problem in fracture patients usually arises in postoperative patients, which is pain. The objective of this case study is to understand the nursing care provided to post-operative fracture patients experiencing acute pain through a virtual reality (VR) intervention. Methods: This research is descriptive, using a case study approach of a single patient post-fracture surgery in the Sakura room at Dr. Soeratno Gemolong Regional General Hospital. Case data collection was conducted for 3 consecutive days, from February 12th to 14th, 2025, with a single 15-minute virtual reality (VR) session featuring a video of natural scenery. Results: The study shows that virtual reality (VR) reduces pain scores in post-fracture patients, from 6 (moderate pain) to 3 (mild pain). Conclusion: This virtual reality (VR) intervention is effective in reducing pain levels in post-operative patients.
fracture, pain, post-operative, virtual reality
THE APPLICATION OF RESPIRATORY MUSCLE STRETCHING TECHNIQUES IN ASTHMA PATIENTS WITH INEFFECTIVE BREATHING PATTERNS: A CASE STUDY
Background: Asthma is a chronic inflammatory airway disease that causes the airway to narrow. Asthma patients experience ineffective breathing patterns. To overcome ineffective breathing patterns, the respiratory muscle-stretching technique can be used. The purpose of this study was to determine the increase in oxygen saturation and decrease in respiratory rate after administering the Respiratory Muscle Stretching technique. Methods: The study used a descriptive, case study design. It involved one asthma patient who experienced ineffective breathing patterns. Results: The case study shows that applying a respiratory muscle-stretching intervention for 1x6 hours, with a training duration of 15 minutes, increased oxygen saturation from 93% to 96% and decreased breathing frequency from 28 times/minute to 24 times/minute. Conclusion: Based on the case study results, respiratory muscle stretching techniques are effective in reducing breathing frequency and increasing oxygen saturation in asthma patients with ineffective breathing patterns.
asthma, breath frequency, ineffective breathing, oxygen saturation, respiratory muscle stretching
THE RELATIONSHIP OF SIBLING RIVALRY EVENTS WITH COPING MECHANISMS OF SCHOOL AGE CHILDREN AT MI AL HUDA KARANGPANDAN
Sibling rivalry is a common phenomenon in families that often occurs. Sibling rivalry is competition or rivalry, jealousy and anger between siblings. Sibling rivalry can affect school age children's coping mechanisms. Coping mechanisms are ways that children use to deal with stress and conflict in certain situations. Factors that influence sibling rivalry include parental attitudes, positional factors, gender and age differences. Coping mechanisms are important to support the adaptation process. Children who are able to adapt well will support an adaptive coping process. This study aims to determine the relationship between the occurrence of sibling rivalry and coping mechanisms of school-age children at MI Al Huda Karangpandan This quantitative study used a descriptive correlational approach with a cross-sectional design. This study involved 59 school-age students who were selected using cluster random sampling technique. The results showed that the majority of respondents, 42.4%, had high sibling rivalry and 74.6% had maladaptive coping mechanisms. The results of the study using the Eta correlation test obtained a p-value of 0.027 (p < 0.05), so this means that Ho is rejected and Ha is accepted, which means that there is a relationship between sibling rivalry and coping mechanisms of school-age children at MI Al Huda Karangpandan. While the strength of the relationship between the 2 variables is shown in the Eta value, which is 0.746 or has a strong relationship strength. Based on this research, parents and schools can pay more attention to approaches in helping children to reduce and overcome sibling rivalry.
THE INFLUENCE OF EDUCATION THROUGH BOOKLET MEDIA ON KNOWLEDGE ABOUT LONG TERM CONTRACEPTION METHODS IN WOMEN
The long -term contraceptive method is the most effective contraceptive method for reducing birth rates but its users are only 20.3%. The National Family Planning Program prioritizes the use of Long -Term Contraception Methods, but the scope of long-term contraception is still low. This study aims to analyze the effect of education through media booklets on knowledge of long -term contraceptive methods in women of childbearing age in the village of Kajoran Klaten Selatan. The type of research is a quantitative research, with the Without Control Design pretest-post approach with the research sample is a woman of fertile age in Kajoran Village, amounting to 52 women of childbearing age. The study was conducted in May 2024. Statistic test using descriptive statistics and Wilcoxon test. The results showed that there was there an increase in the average knowledge value of respondents before and after being given education through booklets. From 73.8 to 84.3 with an increase in score of 10,5. the effect of providing education through booklets on the knowledge of women of childbearing age about the long -term contraceptive method with p value 0,000 (<0.05).
Relationship Between Community Knowledge and Flood Preparedness in Environment V, Dwikora Village
Floods have an impact on the community, so that it is important for them to have knowledge in dealing with floods in order to reduce the risk and be responsive to flood conditions that will occur. The purpose of this study was to identify the Relationship between Knowledge and Flood Preparedness in Environment V, Dwikora Village. This research method is descriptive correlation with an approach using a Cross Sectional design. The population is the community of Environment V Dwikora Village with a sample size of 229 respondents using Purposive sampling techniques. The research instrument used a questionnaire and used the chi-square test. The results of the study showed that the knowledge of the community in Environment V, Dwikora Village, was mostly knowledgeable, as many as 95 people (41.5%) and had flood preparedness in the category of not prepared as many as 116 people (50.7%). Statistical tests showed that there was a relationship between community knowledge and flood preparedness with a p value = 0.000 (<0.05). It is recommended that efforts be made to increase community knowledge about flood preparedness through education and training programs, as well as providing accurate information about flood preparedness.
THE RELATIONSHIP BETWEEN NURSE CARING AND PATIENT FAMILY SATISFACTION IN THE IGD ROOM RSJD DR ARIF ZAINUDIN SURAKARTA
Caring is central to nursing practice because caring is a dynamic approach, where nurses work to further improve their care for patients. Patient satisfaction is an evaluation or assessment after using a service, that the chosen service at least meets or exceeds expectations. If the patient's family asks about the patient's illness then the nurse does not give an answer in accordance with the intention of the patient's family, it will cause anxiety and fear of the action procedures given to the patient. The purpose of this study is to determine whether there is a relationship between nurse caring and patient family satisfaction in the emergency room of Surakarta Mental Hospital. The criteria for respondents are the families of patients with patients who will be hospitalized at Dr. Arif Zainuddin Surakarta Hospital with a sample of 15 people. How to collect data is by giving a caring questionnaire and satisfaction questionnaire to the patient's family. The results obtained from the analysis with the Chi Square statistical test explained the results of asym sig. 0.001 (<0.05) and it can be concluded that there is a relationship between caring nurses and patient family satisfaction in the emergency room of Dr. Arif Zainudin Surakarta Hospital.
THE CORRELATION OF KNOWLEDGE AND THE ANEMIA INCIDENT OF PREGNANT WOMEN IN THE GROGOL HEALTH CENTER, SUKOHARJO REGENCY
The occurrence of anemia in pregnancy causes premature birth, miscarriage, growth and development disorders, and is prone to illness. Anemia in pregnancy is determined by the knowledge factor of pregnant women about anemia. The study objective was determined the correlation of knowledge with the occurrence of anemia in pregnant women at the Grogol Health Center. The study applied observational research through a cross-sectional design. The study sample included 52 pregnant women at the Grogol Health Center. The study used primary and secondary data. The research tool used a questionnaire. Data were analyzed univariately and bivariately. Bivariate analysis applied the Spearman rank. Data analysis showed 1) The characteristics of respondents were high school (65.4%), housewives (51.9%), pregnant in the second trimester (44.2%), and multiparous (51.9%). 2) The level of knowledge of respondents was included in the good category. 3) The majority of pregnant women at the Grogol Health Center did not experience anemia. 4) There was a relationship between the knowledge level and anemia (sig. value 0.014 ≤ 0.05). The conclusion that there is a relationship between the knowledge level and anemia at the Grogol Health Center.
THE INFLUENCE OF HEALTH EDUCATION WITH FLIP SHEETS MEDIA ABOUT FE TABLETS ON THE LEVEL OF KNOWLEDGE OF PREGNANT WOMEN AT THE SUNGAI RAYA PUBLIC HEALTH CENTER IN KUBU RAYA
Background : Anemia in pregnant women is a condition in which the mother has an Hb level of less than 11 gr% as a result of the inability of the red blood cell-forming tissue (erythropoietic) in its production to maintain Hb concentration at normal levels (Ariani et al., n.d., 2022 in Rohani et al., 2023). One important effort in preventing and overcoming anemia is the provision of Fe tablets. Non-compliance of pregnant women in consuming iron tablets can have a greater chance of developing anemia (Astriana, 2017 in Rumiati, 2023). To increase knowledge and compliance in consuming Fe tablets, namely by providing health education or education (Widya, 2021 in Rumiati, 2023). Objective : This study aims to analyze the effect of health education using flipchart media about Fe tablets on the level of knowledge of pregnant women at the Sungai Raya Dalam Kubu Raya Health Center. Method : This study is a Pre-Experimental design study with a one group pretest-posttest method. The population of this study was all pregnant women who underwent pregnancy check-ups at the Sungai Raya Dalam Health Center from July to September 2023, totaling 535 people, while the sample obtained from the calculation results was 53 pregnant women. The sampling technique used was purposive sampling. The data analysis used was the Wilcoxon test. Results : The results of this study indicate that there is an effect of health education with flipchart media about Fe tablets on the level of knowledge in pregnant women with a p-value of 0.000 (p < 0.05). The knowledge of pregnant women before being given health education with flipchart media was sufficient, then after being given health education with flipchart media it was good.
Analysis Determinants of Unwanted Pregnancy in Adolescents : Literature Review
Background: Pregnancy in teenagers beginning from pregnancy no desired, is one phenomenon recent social. This the more increase occurs in the environment public give rise to its height possible abortion triggering an increase in the MMR Evidence search strategy: this research is a literature review research using the ScienceDirect, PUBMED, BMC, and Google Scholar databases with keywords _ "unwanted pregnancy", "unintended pregnancies in teenagers", and "analysis of unwanted pregnancy". Discussion : Total articles obtained of 20,437 articles, 13 articles were found that met the requirements criteria inclusion with year publications 2020 to 2023, in the form of original articles, articles available in full text form and free access. Causative factor happen non pregnancy desired by teenagers that is exists internal factors and factors external. Impact non pregnancy desired by teenagers that is impact physical, impact economics, and impact environment. Prevention non pregnancy desired by teenagers that is empowerment teenager women, repair gender inequality, respect right basic humans, and reduce poverty. Conclusion: Unwanted pregnancy has a higher risk of occurring in adolescents with the determinants of the role of parents, the role of friends, level of religiosity, access to pornographic media, knowledge, attitudes and sexual behavior.
Copyright (c) 2024 Journal of Advanced Nursing and Health Sciences
THE EFFECT OF DRAGON FRUIT ON INCREASING HEMOGLOBIN LEVELS IN ADOLESCENT WOMEN: LITERATURE REVIEW
Background : Adolescent girls have a high risk of experiencing anemia, this is caused by loss of iron during menstruation. Adolescent girls have a higher risk of developing anemia than adolescent boys because adolescent girls experience menstruation every month and there is a desire to eat less so that the body lacks important nutrients such as iron. Pharmacological therapy for anemia by administering Fe supplements. However, administering drugs and supplements causes side effects so that people look for alternative treatments other than pharmacological therapy. One alternative to overcome anemia is by consuming dragon fruit. Objective : To analyze in a literature review the effect of dragon fruit on increasing hemoglobin levels in adolescent girls. Method : This research uses a systematic literature review method. Journal search via PUBMED, Google Scholar, Semantic Scholar and Science Direct databases. The journal used was 10 articles. Results : Based on a review of 10 articles, it can be concluded that dragon fruit has been proven to have an effect on increasing hemoglobin levels in young women.
The Effect of Progestin Injection Contraception on Changes in Amount of Fat and Muscle in Female Patients at Slamet Riyadi Hospital, Surakarta
This study aims to determine the effect of Progestin Injection Contraception on changes in the amount of fat and muscle in female patients at Slamet Riyadi Hospital, Surakarta. The research method used a quantitative research design with a Quasi-Experimental approach and a one-group pretest-posttest design. The population in this study was women who used progestin injection contraception as a method of contraception in the last three months, totaling 20 acceptors. Meanwhile, the sample of this study was 14 people. This research was conducted at Slamet Riyadi Hospital, Surakarta, over three months. Data analysis consisted of two stages: univariate analysis and bivariate analysis. The results showed that there was an effect of Progestin Injection Contraception administration on changes in fat and muscle levels before and after, with P values of 0.006 and 0.027, respectively. Therefore, these findings underscore the importance of monitoring body composition for Progestin Injection Contraception users and the need for further studies to understand the long-term impact of this type of contraception. muscle
Giving a Herbal Drink “Hot Gingerâ€ to Relieve Menstrual Pain to Students at the Islamic Boarding School Kediri
Menstruation is a natural physiological change that occurs in every woman and is influenced by reproductive hormones, FSH (estrogen) or LH (progesterone). When you are menstruating, usually women will experience pain or cramps in the lower abdomen; this is called dysmenorrhea. One of the treatments for menstrual pain is traditional medicine using ginger ale. To analyze the effectiveness of giving ginger wedang to reduce the intensity of dysmenorrhea pain in female students in islamic boarding schools. This study uses a type of research. quasi-experimental, that is, with a one-group pretest-posttest design. With a population of students at the Islamic boarding school kediri as many as 86 students. The sampling was carried out by purposive sampling, so a sample of 31 respondents was obtained. Meanwhile, data analysis uses the Wilcoxon Signed Rank Test formula. The results showed that the intensity of dysmenorrhea on day 1 before being given ginger tea had most of the respondents on a pain scale of 7-9 with an average pain scale of 6.9, and after being given ginger tea on day 2, the pain intensity scale of most respondents decreased between 1- 3 with an average of 1.9. The results of the Wilcoxon Signed Rank Test obtained a significance value of 0.003. Giving wedang jahe during menstrual pain is believed to reduce the intensity of dysmenorrhea pain
Influence Individual Nutrition Counseling with Booklet Media on Hb Levels of Pregnant Women in the Wedi Regency Health Center Area Klaten
Background Incident maternal anemia in Indonesia is a consequence deficiency iron Still figure 48.9% (Riskesdas, 2018). Anemia is circumstances No sufficient erythrocytes For deliver need oxygen marked network with low Hb concentration <11gr/dl (Wibowo et al., 2021). Causative factor incident that's one of them is pattern consumption food Mother pregnant who is not various. Subjects and methods : Type of research used is quasi experiment with design Pre-post Control Design and data is collected with use questionnaire with amount sample as many as 60 mothers pregnant . Taking sample in study This will use purposive sampling. Data analysis used the Paired T- Test for paired and Unpaired T-Test for those who don't pair. Results : There is influence significant in a way statistics counseling nutrition individual with booklet media enhancement Hb levels of pregnant women with p value < 0.05 (0.000), in group intervention, the average increase in Hb was more than 0.50 gr/dl big from group control 0.20 gr/dl.
FAMILY NURSING CARE AT THE STAGE OF DEVELOPMENT OF SCHOOL-AGE CHILDREN: WITH COUNSELING INTERVENTION ON HAND WASHING
Families with school-age children are a stage of family development starting from the first child being 6 years old and ending at the age of 12 years. At this stage, the family reaches its maximum number of members. School-aged children often do not pay attention to hand washing habits, especially in the school environment, so diseases such as diarrhea can spread. School-aged children need to be given knowledge about clean and healthy living behavior, one of which is by providing hand washing education. This case study aimed to determine the description of family nursing care at the developmental stage of school-aged children in the Gondangrejo Community Health Center area. This type of research is descriptive using a case study approach method. Data collection was carried out through interviews, observation, and documentation studies. The counseling uses the lecture method and poster media which contains about hand washing and the 6 steps for good and correct hand washing, accompanied by practicing how to wash hands well and correctly directly. The results of the activities showed that after the counseling was held, the level of knowledge and level of behavior increased, and children were able to understand the importance of washing their hands and implementing clean and healthy living behavior of washing their hands properly and correctly. Recommendation: Handwashing outreach intervention is important to increase knowledge and behavior of clean and healthy living in school-aged children.
THE EFFECT OF RED GUAVA JUICE ON HEMOGLOBIN LEVELS IN PREGNANT WOMEN DURING THE SECOND TRIMESTER AT PANCASILA PRIMARY CLINIC ,BATURETNO WONOGIRI
Background : The prevalance of anemia in Indonesia reaches 48.9%, attributed to various factors such as iron malabssorption. Therefore, additional vitamin C is required to improve the absorption of FE tablet consumption.Research Objective: The study aimed to examine the effect of red guava juice on improving hemoglobin levels during the second trimester of pregnant women at Pancasila Primary Clinic Wonogiri. Research Method : The research employed an experimental method with a pretest-posttest design with the control group. The sampling technique used total sampling involving 44 responden, divided into experimental groups (22 respondents) and control group (22 respondents).Research Results: The sstatistical analysis using the paired sample t -test revealed a Pvalue of 0,004 < 0.005 in the control group and 0.000 < 0.005 in the experimental group. In addition , the independepnt t-test demonstrated a P value of 0.002 < 0.005, indicatinga significant effect of red guava juice on improving hemoglobin levels. Conclusion: Based on the study development, red guava juice evoled as valuable therapeutic option for increasing hemoglobin levels during pregnancy, wether used independenly or in combination with iron ( FE ) tablets.
INFLUENCE OF HEALTH EDUCATION THROUGH BOOKLET MEDIA ON PUBTER WOMAN KNOWLEDGE ABOUT EXCLUSIVE BREASTFEEDING AT PMB MURNIYATI
As reported by the World Health Organization (WHO), less than half of infants under the age of six months worldwide are exclusively breastfed. In Indonesia, the proportion of infants who are exclusively breastfed has remained unchanged over the past two years. The Indonesian Nutrition Status Survey (SSGI) indicates that the prevalence of early breastfeeding initiation was 47.4 percent in 2021 and 58.1 percent in 2022. Additionally, the data for exclusive breastfeeding among infants aged 0-5 months was 52.1 percent in 2021 and 52.2 percent in 2022 (Saragih and Istianah, 2022). The objective of this study is to ascertain the impact of health education on postpartum mothers' knowledge regarding exclusive breastfeeding at PMB Murniyati. This study utilizes a quantitative research design with a quasi-experimental approach and a one-group pretest-posttest model. The sampling technique employed was total sampling, with a sample size of 30 individuals. The instrument utilized was a questionnaire designed to assess knowledge about exclusive breastfeeding. The data were analyzed using the Wilcoxon signed-rank test. The results of the study demonstrated that health education had a significant impact on postpartum mothers' knowledge and skills regarding the correct breastfeeding technique at PMB Murniyati. This was evidenced by a statistically significant difference in the pretest and posttest p-value (p < 0.05). The findings of this study indicate that health education has a significant impact on postpartum mothers' knowledge about exclusive breastfeeding at PMB Murniyati.
Health Education, Exclusive Breastfeeding, Postpartum Mothers
Relationship between Mother's Knowledge and Status of Advanced Immunization Completeness in Children Under 2 Years in Karangpandan Community Health Center Working Area
Mother's knowledge about immunization influences the provision of immunization to babies. If the mother's knowledge about immunization is lacking and the mother feels that she does not need immunization, this will affect the schedule, administration and completeness of immunizations for babies, which will have an impact on the emergence of disease in babies. This research uses quantitative methods with a retrospective approach. The population of this research is all female orphans who are in the Karangpandan Health Center Working Area for the period March 2024, namely 44 toddler’s mom with the sampling technique used Total Sampling. The instruments used were a maternal knowledge questionnaire about advanced immunizations and a KIA book to see the completeness of immunization status. The statical test using Chi Square test results show the Asymp value. Sig. (2-sided) 0.001 < 0.05, meaning that Ha is accepted and Ho is rejected, so there is a relationship between the mother's level of knowledge about Advanced Immunization and the Completeness Status of Advanced Immunization for Children Under 2 Years in Karangpandan Community Health Center Working Area.
THE INFLUENCE OF HEALTH EDUCATION USING VIDEO MEDIA ON THE KNOWLEDGE AND SKILLS OF PUBLIC WOMEN REGARDING CORRECT BREASTFEEDING TECHNIQUES AT PMB MURNIYATI
There are many cases where mothers cannot breastfeed well and need help to make the breastfeeding process successful. Fundamental data from health research (RISKESDAS 2021), there are 52.5% or only half of the 2.3 milion infants under the age og six months are reportedly exclusively breastfed in Indonesia, this means a decrease of around 12% from 2019. Providing health education regarding techniques Proper breastfeeding is expected to increase breast milk coverage rates in Indonesia. The goal of this study was to ascertain how health education affected pospartum moms’ knowledge and proficiency with proper breasfeeding procedures at PMB Murniyati. This particular type of research uses preexperimental method with a one group pretest-posttest design model. Gathering of data technique used total sampling, the sample was 30 people. The instruments used were a knowledge questionnaire sheet and a breastfeeding technique skills observation sheet. Data analysis used the Wilcoxon Signed Ranks Test. The outcomes of this research are the impact of health education on understanding and skills of postpartum mothers regarding correct breastfeeding techniques at PMB Murniyati with a difference in pretest and posttest p-values of 0.000 <0.05. The finding that health education has an impact on the abilities and understanding of postpartum mothers regarding correct breastfeeding techniques at PMB Murniyati.
The Effect of Giving Warm Compresses on the Level of Menstrual Pain in Adolescent Girls at the Hidayatus Sholikin Islamic Boarding School in Pembuang Hulu, Central Kalimantan
Dysmenorrhea is an individual response to a disruptive state of the endocrine system that can cause pain during menstruation. The cause of the pain is the imbalance of progesterone hormones in the blood. The more severe the pain can disrupt the psychological condition of the individual, where pain stimulates the brain, leading to changes in life, social relationships, feelings of anger, fear, and depression. This study aims to determine the effect of giving warm compresses on the level of menstrual pain in adolescent girls. The research is a Pre-Experimental Design conducted from August 2023 to March 2024. The research population is 222 teenage girls from Islamic Boarding School Hidayatus Sholikin Pembuang Hulu Central Kalimantan, and the sample obtained from a calculation of 68 teenage girls. The sampling technique used is simple random sampling, with the Standard Operating Procedure for the independent variable on the application of warm compresses and the dependent variable with the observation of menstrual pain in teenage girls. Data is analyzed using the Wilcoxon Rank Test on SPSS. The results of the research show that the characteristics of the respondents, with the majority of 43 respondents (63.3%) being 12 years old, 44 respondents (64.7%) having regular menstrual cycles, 31 respondents (45.6%) having a menstrual cycle of 28 days, 36 respondents (52.9%) experiencing menstrual pain (Dysmenorrhea) on the first day, 38 respondents (55.9%) having a high level of menstrual pain in teenage girls before being given warm compresses, and most of 35 respondents (51.5%) having a low level of menstrual pain in teenage girls after being given warm compresses. There is an impact of applying warm compresses on the level of menstrual pain in teenage girls (p value=0.000). The conclusion of this research is that there is an impact of applying warm compresses on the level of menstrual pain in teenage girls.
Relationship between the duration of injectable contraceptive Depo Medroxy Progesterone Acetat (DMPA) With the Occurrence of Amenorrhea in Family Planning Acceptors at the Pratama Delima Rahayu Clinic, Sragen
Amenorrhea is a condition where a person does not experience menstruation for 3 to 6 months in a row. This research aims to analyze the relationship between length of use of injectable contraceptives Depo Medroxy Progesterone Acetat (DMPA) with the occurrence of amenorrhea in family planning acceptors at the Pratama Delima Rahayu Clinic, Sragen Indonesia. This type of analytical survey research uses a cross sectional approach. The sampling technique for this research is to use a total sampling technique, namely the entire population. The results of the research show that the length of use of the Depo Medroxy Progesterone Acetate (DMPA) contraceptive injection has a significant relationship with the occurrence of amenorrhea in contraceptive acceptors at the Pratama Delima Rahayu Sragen Clinic with a probability value of 0.001 < 0.05. The conclusion from this research is that the longer you use DMPA injection contraceptives, the longer you will experience menstrual disorders, one of which is amenorrhea.