Jurnal Ilmiah STIKES Yarsi Mataram

Cinenurducation in Improving Communication Skills among Nursing Students

2026-01-01T12:31:23+00:00

Introduction: Innovative and fun learning strategies can support the success of nursing education. Cinenurducation is one of the learning methods using interesting films and is expected to help students understand and improve communication skills. Aim: to find out the effectiveness of the application of cinenurducation on the communication skills of nursing students. Method: The research design was quasi-experimental with a one-group pretest-posttest with 30 respondents. The 4-week intervention included a review of the topic on nursing communication, watching 2 films once a week, accompanied by active discussion about the film related to communication skills. Communication Skills In Healthcare Professionals questionnaire to test communication skills before and after intervention. Data analysis was carried out using a dependent t-test. Results: The average age of the respondents was 20 years, GPA > was 3.5, 96.7% respondents were female, 26.7% were 5th semester students, and 70% had 0-3 months of practice experience, while the remaining had no clinical practice experience. The average difference before and after cinenurducation was 0.52 (SD=0.34). For each aspect of communication skills, the aspect with the highest average both before and after the application of cinenurducation was the attitude of mutual respect and respect which was 5 (SD=0.56) and 5.7 (SD=0.38), respectively. In addition, there was a significant difference before and after the intervention (p-value<0.05) for the total communication ability score. Conclusions: Cinenurducation effectively improves the communication skills of nursing students. For this reason, cinenurducation can be used as one of the teaching strategies in nursing.

The Effectiveness of Posyandu Cadre Empowerment on Improving Knowledge, Attitudes, and Compliance of Mothers of Under-Five Children in Routine Growth Monitoring

2026-07-17T03:54:38+00:00

Routine child weighing at Posyandu is essential for monitoring growth and early detection of nutritional problems; however, maternal participation remains suboptimal due to inadequate knowledge, negative attitudes, and poor compliance. Although Posyandu cadres play a central role in community-based child health services, evidence regarding the effectiveness of cadre empowerment in improving maternal compliance remains limited. This study aimed to analyze the effectiveness of Posyandu cadre empowerment in improving mothers' knowledge, attitudes, and compliance with routine child weighing in the Pringsewu Community Health Center working area, Indonesia, in 2026. A quasi-experimental pretest–posttest control group design was conducted among 82 mothers of children under five selected using proportional stratified random sampling. Data were collected using a validated and reliable questionnaire and analyzed using paired t-tests and the McNemar test. The intervention significantly increased knowledge (mean difference = 5.67; 95% CI: 5.14–6.21; Cohen's d = 2.33; p < 0.001), attitudes (mean difference = 11.33; 95% CI: 10.93–11.73; Cohen's d = 6.16; p < 0.001), and compliance (p < 0.001; matched OR = 34.00; 95% CI: 4.65–248.38), whereas no significant changes were observed in the control group. These findings indicate that Posyandu cadre empowerment is an effective promotive and preventive strategy for strengthening maternal participation in routine child health monitoring

The Association of Medication Adherence and Dietary Adherence with Quality of Life among Patients with Hypertension: A Cross-Sectional Study

2026-06-23T11:30:25+00:00

Hypertension is a prevalent chronic disease globally and has a substantial impact on patients’ quality of life. Both medication and dietary adherence are critical for effective hypertension management; however, the extent of their respective contributions to quality of life is not well established, especially in community-based settings in Indonesia. This study investigated the associations between medication adherence, dietary adherence, and quality of life among individuals with hypertension. An analytical cross-sectional study was conducted with 172 patients registered at Ngasem Primary Health Center in Kediri, Indonesia. Participants were selected using simple random sampling. Medication adherence was measured with the eight-item Morisky Medication Adherence Scale, dietary adherence with a DASH-based questionnaire, and quality of life with the WHOQOL-BREF. Descriptive statistics summarized participant characteristics. Associations between categorical variables were analyzed using the chi-square test, and ordinal logistic regression was performed to identify the strongest predictor of quality of life. Medication and dietary adherence were both significantly associated with quality of life (p < 0.001). After adjustment for medication adherence, dietary adherence remained the strongest predictor. Participants with low dietary adherence were substantially less likely to report a higher quality of life than those with high adherence (OR = 0.005; 95% CI: 0.002–0.014). These findings highlight the importance of integrating dietary interventions with pharmacological treatment to improve the well-being of patients with hypertension

Effect of Telenursing-Based Health Education on Quality of Life among Patients with Pulmonary Tuberculosis: A Quasi-Experimental Study

2026-06-23T13:15:04+00:00

The long duration of pulmonary tuberculosis treatment and the need to take medication regularly can cause treatment fatigue and emotional distress. Limited access to information and emotional support may further affect patients’ quality of life. This study examined whether telenursing-based health education could improve the quality of life of patients with tuberculosis at Jemursari Islamic Hospital, Surabaya. A quasi-experimental pretest–posttest study with a control group was conducted among 38 patients with pulmonary tuberculosis. Participants were randomly divided into an intervention group and a control group. The intervention group received health education through telenursing for four weeks, while the control group received routine care according to hospital standards. Quality of life was measured using a questionnaire. The data were analyzed using paired and independent t-tests, with a significance level of 0.05. Quality of life improved significantly in the intervention group after four weeks of telenursing-based health education (p < 0.001). No significant improvement was observed in the control group. A significant difference was also found between the intervention and control groups after the intervention (p < 0.001). These findings suggest that telenursing-based health education can improve the quality of life of patients with pulmonary tuberculosis. Telenursing may therefore be a useful approach for providing continuous education and support to patients undergoing long-term treatment.

This study used a quasi-experimental pre-post-test control group design. The population consisted of 38 tuberculosis patients at Jemursari Islamic Hospital, Surabaya. A sample size of 38 patients, divided into two groups, was selected using random sampling. Data were collected using a questionnaire. Data were analyzed using a t-test with α = 0.05.

The paired t-test results showed a P-value of 0.000, indicating a difference in quality of life before and after the telenursing-based health education intervention. In the control group, there was no difference in quality of life before and after the intervention, according to hospital standards. The results of the independent t-test for the intervention and control groups showed a P=0.000, indicating that telenursing-based health education significantly improved quality of life.

Telenursing-based health education can improve quality of life. Hospitals and nurses can utilize telenursing to provide health education to patients with chronic diseases.

The Effect of Growth Monitoring and Promotion (GMP) Program Counseling on Mothers’ Behavior in Monitoring the Growth of Malnourished Children Under Two Years Old

2026-07-18T05:39:23+00:00

Malnutrition in children under two years of age remains a public health problem that affects child growth and development. One of the interventions implemented to address this issue is the Growth Monitoring and Promotion (GMP) program accompanied by nutrition counseling for mothers. This study aimed to analyze the effect of GMP program counseling on maternal behavior in monitoring the growth of malnourished under-two children in the working area of the Margototo Public Health Center, East Lampung Regency. This study used a quantitative approach with a one-group pretest-posttest design. The sample consisted of 30 mothers who had malnourished under-two children, selected using a total sampling technique. Quantitative data were analyzed using the paired t-test. The results showed a significant improvement in mothers’ knowledge, attitudes, practices, and behaviors after GMP counseling (p < 0.001). In addition, there was an increase in children’s body weight after the intervention. In conclusion, GMP counseling was effective in improving maternal behavior in monitoring the growth of malnourished under-two children and supporting weight gain in children.

Implementation of Spiritual Mindfulness to Improve Respiratory Status and Reduce Anxiety in Pneumonia Patients

2026-07-16T03:19:19+00:00

Pneumonia is a lower respiratory tract infection that can cause shortness of breath and impact the patient's psychological condition, including anxiety. Unmanaged anxiety can worsen respiratory status and increase the risk of complications. One independent nursing intervention that can be provided to reduce anxiety is mindfulness spiritual therapy. This study aims to apply mindfulness spiritual therapy to pneumonia patients experiencing anxiety and evaluate changes in anxiety levels and respiratory status. This study employed a descriptive case study approach. The sampling technique used was purposive sampling with two respondents who met the inclusion and exclusion criteria. Inclusion criteria included adult patients with a medical diagnosis of pneumonia who were undergoing outpatient care and had a moderate level of anxiety. In contrast, exclusion criteria included patients with severe, uncontrolled anxiety and impaired concentration. The research process covered all stages of nursing care, namely, data collection through interviews, observations, and physical examinations. The instruments used were the nursing care assessment format and the Standard Operating Procedures for mindfulness spiritual therapy. Data were analyzed descriptively and presented narratively. The results of the case study showed that respondents A and B complained of anxiety about their health conditions and felt tired quickly and short of breath, especially when doing activities such as walking and talking too much. Both respondents had anxiety nursing problems, but patient B also experienced ineffective health care nursing problems. Nursing interventions carried out to address anxiety by applying spiritual mindfulness combined with anxiety reduction were carried out in 3 main sessions. Both respondents showed improvements in anxiety levels, followed by improvements in respiratory status. However, more optimal changes were found in respondent A due to more consistent therapy implementation than in respondent B. Spiritual mindfulness therapy has the potential to help reduce anxiety levels and improve respiratory status in pneumonia patients, especially if patients are willing to consistently implement this therapy due to a strong desire to improve their nursing problems.

The Effect of Health Education on Complementary Feeding Practices in Children Aged 6–12 Months

2026-06-09T07:51:45+00:00

Appropriate complementary feeding (MP-ASI) is an important factor in supporting the growth and development of children aged 6–12 months. This study aimed to analyze the effect of health education on complementary feeding practices among mothers with children aged 6–12 months in the working area of UPT Puskesmas Kampung Sawah. A quasi-experimental pre-test and post-test control group design was employed involving 76 mothers, who were assigned to either an intervention group or a control group. The intervention consisted of health education delivered through lectures, group discussions, question-and-answer sessions, and educational materials on appropriate complementary feeding practices, conducted in two 60-minute sessions. Data were collected using a structured questionnaire and analyzed using the McNemar test and Mantel–Haenszel test. The results showed that health education significantly improved complementary feeding practices in the intervention group. Health education also increased the likelihood of improvement in complementary feeding behavior, with Odds Ratios ranging from 6.00 to 7.00, and these changes were not influenced by maternal education, age, or occupation. The study concluded that health education is an effective health promotion strategy for improving complementary feeding practices among mothers of children aged 6–12 months in primary healthcare settings.

The Correlation Between Social Support and Adolescent Mental Health Among High School Students in Surabaya

2026-06-09T06:28:39+00:00

Adolescent mental health is an important issue that is often overlooked, especially amidst academic and social pressures. Social support from family, friends, and the environment is believed to help adolescents face these challenges. This study aims to analyse the relationship between social support and mental health in students of Senior High School X Surabaya. The research design used was analytical with a Cross-Sectional approach. The study population comprised all 254 students in grades X and XI, and a sample of 155 students was selected using the Proportionate Stratified Random Sampling technique. The instruments used were the Multidimensional Scale of Perceived Social Support (MPSS) and the Strengths and Difficulties Questionnaire (SDQ). Data analysis was performed using the Spearman Rank test. The results showed that 54.9% of respondents had moderate levels of social support, and 78.7% had mental health in the normal range. Statistical tests showed a significant relationship between social support and mental health (p = 0.047; r = 0.160). It can be concluded that the greater the social support received, the better adolescents' mental health This study recommends strengthening social support through collaboration between families, schools, and health workers as part of promotive and preventive efforts to improve adolescent mental health. This study recomend strengthening social support through collaboration between families, schools, and health workers as part of promotive and preventive efforts to improve adolescent mental health.

The Effect of Health Belief Model-based Health Education on Self-Management Behavior in Preventing Stroke Among Hypertension Patients

2026-06-09T06:05:40+00:00

This study examined the effect of Health Belief Model (HBM)–based health education delivered through an e-booklet on self-management behavior among patients with hypertension. A quasi-experimental, non-randomized control-group pretest–posttest study was conducted at a primary healthcare center in Surabaya, Indonesia. Forty patients with grade II hypertension were recruited through purposive sampling and allocated to intervention (n = 20) and control (n = 20) groups. The intervention group received six online educational sessions over three weeks, while the control group received routine leaflet-based education. Self-management was measured using the 40-item Hypertension Self-Management Behaviour Questionnaire. Data were analyzed using Wilcoxon signed-rank and Mann–Whitney U tests. The intervention group demonstrated significant improvements in self-integration, self-regulation, interaction with health workers, self-monitoring, and medication adherence (all p = 0.001), whereas the control group showed no significant changes. Post-intervention scores differed significantly between groups across all domains (p = 0.002, 0.025, 0.019, 0.004, and 0.022, respectively). HBM-based education through an e-booklet was associated with improved hypertension self-management and may complement routine education in primary healthcare.

Comparative Analysis of Perceived Service Quality among Prolanis Participants in Urban and Rural Primary Health Centers in the Malang Region

2026-07-18T07:01:02+00:00

Non-communicable diseases (NCDs), particularly hypertension and diabetes mellitus, remain a significant public health problem in Indonesia. The Chronic Disease Management Program (Prolanis) was developed to improve participants’ health status through continuous care at Primary Health Care (PHC). The quality of care is one of the factors influencing participants’ perceptions of Prolanis services. However, differences in regional characteristics, social conditions, and resource availability between urban and rural community health centers (Puskesmas) have the potential to influence participants’ perceptions of service quality. Therefore, this study aims to analyze differences in Prolanis participants’ perceptions of service quality between urban and rural Puskesmas in the Malang region. This study employed a comparative design with a cross-sectional approach, conducted at one urban community health center and one rural community health center. The study sample consisted of 145 Prolanis participants (73 from the urban community health center and 72 from the rural community health center), selected using consecutive sampling (adjust to the correct method if consecutive sampling was not used). The research instrument used the SERVQUAL questionnaire, which covers five dimensions: tangibles, reliability, responsiveness, assurance, and empathy. Data were analyzed using the Mann–Whitney test because the data distribution was not normal. The results of the study indicate that there is a difference in perceptions of service quality between Prolanis participants at urban and rural community health centers (p<0.001; effect size (r)=0.58). Participants at rural community health centers had a higher perception of service quality compared to participants in urban areas. Significant differences were found in the dimensions of tangibles, responsiveness, assurance, and empathy, while the reliability dimension did not show any significant differences.

Case Report on Circulatory Care for a Postpartum Woman with Nursing Issues Related to Ineffective Peripheral Perfusion

2026-06-09T04:16:01+00:00

Anemia often occurs in postpartum woman due to the delivery process associated with bleeding, both vaginal and abdominal. This results in ineffective peripheral perfusion nursing problems. Therefore, nurses play an important role in providing nursing care to postpartum woman with ineffective peripheral perfusion nursing problems. The purpose of this case study is to apply nursing care to postpartum mothers with ineffective peripheral perfusion nursing problems in the Mawar Merah room at Bangil Regional General Hospital. The research design used was a case report with three respondents, namely mothers in their first to third days of spontaneous postpartum who experienced ineffective peripheral perfusion problems, as indicated by hemoglobin levels <7 g/dl. The nursing interventions provided included peripheral circulation examination, identification of risk factors for circulation disorders, dietary recommendations, and transfusion therapy according to medical indications. After three days of circulatory treatment, all participants showed improvement in the form of increased peripheral perfusion, as indicated by normal skin color and extremity temperature, hemoglobin levels rising to 10–12 g/dL, a capillary refill time (CRT) of less than 2 seconds, and the absence of signs of cyanosis. This nursing care was effective in overcoming ineffective peripheral perfusion in postpartum woman. The findings of this case report are expected to serve as a basis for nurses to implement preventive measures, including early detection and appropriate interventions, to prevent further complications resulting from peripheral perfusion disorders in postpartum women.