NERSMID : Jurnal Keperawatan dan Kebidanan

Minimnya Pengetahuan HIV/AIDS Remaja Wilayah Perbatasan: Ancaman Serius Di Era Digital

Rusmiati — 2025-09-25

Adolescents are highly vulnerable to HIV/AIDS due to limited knowledge, widespread misinformation, and the lack of comprehensive sex education in Indonesia. Tarakan City records the highest HIV/AIDS cases in North Kalimantan, with adolescents as a significant contributor. This study aims to analyze adolescents’ knowledge of HIV/AIDS and the multidimensional factors influencing it, including geographical, sociocultural, educational, and psychosocial aspects. This study uses a descriptive-qualitative approach based on literature review and secondary data, analyzed thematically. Results show that low sexual literacy among adolescents is driven by inadequate sex education, social stigma, limited access in remote areas (3T), and digital misinformation. These factors contribute to risky sexual behavior, low HIV testing awareness, and mental health issues. HIV/AIDS prevention among adolescents requires a multisectoral approach, including school- and culture-based sex education, digital literacy improvement, youth-friendly health services, and active adolescent involvement. Cross-sector collaboration is crucial to building an informed, protected, and empowered young generation.

Tinjauan Naratif tentang Hubungan Asupan Kalsium terhadap Hipertensi pada Kehamilan

Rezzita Astiani — 2025-09-25

Hypertension in pregnancy is one of the leading causes of maternal morbidity and mortality worldwide. One potential preventive approach is adequate calcium intake during pregnancy. Objective: To review the relationship between calcium intake and the incidence of hypertension in pregnancy through a recent literature review. Methods: This study is a narrative review of 10 scientific articles published in 2020-2025, with searches through Google Scholar, PubMed, and other databases using the keywords “calcium”, ‘hypertension’, and “pregnancy”. Results: Most articles (9 out of 10) showed a significant association between calcium intake and reduced risk of hypertension in pregnancy. Conclusion: Adequate calcium intake plays an important role in reducing the risk of pregnancy hypertension. Other factors such as maternal age, nutritional status, and sodium intake also need to be considered in prevention efforts.

Gangguan Haid Pada Wanita Dengan Sindrom Ovarium Polikistik (PCOS)

Rusmiati — 2025-09-25

Polycystic Ovary Syndrome (PCOS) is a complex endocrine disorder that often affects women of reproductive age and can cause various types of menstrual disorders, such as polymenorrhea, oligomenorrhea, amenorrhea, menorrhagia, metroragia and hypomenorrhea to irregular cycles. These disorders are generally caused by hormonal imbalances, such as increased androgens, abnormal LH/FSH ratio and insulin resistance. Risk factors that aggravate the condition include obesity, unhealthy lifestyle, stress, insulin resistance and genetic factors. The impact is not only on the reproductive system such as infertility, but also psychological risks and long-term complications such as metabolic syndrome and endometrial cancer. PCOS treatment includes lifestyle changes, hormonal therapy, as well as additional medications such as metformin. An in-depth understanding of the relationship between PCOS and menstrual disorders is important for early intervention to prevent long-term complications and improve the quality of life of women with PCOS.

Ulkus Kaki Diabetik Sebuah Laporan Kasus

Muhammad Syahrir — 2025-09-25

Diabetes mellitus is derived from the Greek word diabetes, meaning to suck through, and the Latin word mellitus, meaning sweet. This case report aims to describe the problems that occurred during the study. The research method used is a descriptive case study report based on medical record data and direct interviews. The results of this case show complications of diabetes mellitus because the patient has a chronic disease course, namely diabetic neuropathy, so the patient is unaware of the wounds on his feet that resulted in diabetic foot ulcers. In this case, the patient's Type 2 DM disease, which he has suffered from for the past 10 years, is not controlled. The patient underwent debridement and routine wound care to prevent further infection, the patient was also given medication according to the results of the patient's supporting examinations. The conclusion is that the most important components in the management of diabetic foot ulcers are metabolic control, vascular control, infection control, pressure control, counseling/education.

Hubungan Usia Paritas Dengan Kejadian Ruptur Perineum Di TPMB Lestari Solihati, S.ST Kabupaten Bogor

Ambariani — 2025-09-25

Postpartum maternal bleeding is caused by perineal rupture and uterine rupture. Perineal rupture (perineal tear) is an injury to the birth canal that occurs during childbirth, either using or without instruments, and is an indirect cause of maternal death worldwide due to postpartum hemorrhage. Objective: To determine the relationship between age, parity and the incidence of perineal rupture. Method: Using a quantitative method with a cross-sectional design. This study was conducted at the Lestari Solihati Independent Midwife Practice (TPMB), Bogor Regency. The data used are secondary data sourced from medical records of deliveries for the period January-December 2024. The sampling technique used in this study was a total sampling of 419 people. Results and Conclusions: shows that there is a significant relationship between age, parity and the incidence of perineal rupture with a p value (0.000).

Hubungan Paritas dan Dukungan Keluarga Terhadap Pemberian Asi Eksklusif Di TPMB Mia Widana

Estu Lovita Pembayun — 2025-09-25

Breast milk (breast milk) according to WHO is defined as the best and highly nutritious natural food or milk for babies because of its many benefits both in terms of maternal and infant. WHO also states that all children in the world have the right to breastfeed, especially in the first 6 months of life. Babies who get breast milk from the first day of birth have a smaller risk of infection, immunity because the baby's body is guaranteed, breastfeeding is proven to prevent stunting and prevent immunity reduction, but there are many obstacles and factors in the field to breastfeeding from the first day of birth such as the mother's experience in the first child, then environmental factors such as husband and family support. The purpose of this study aims to determine the relationship between postpartum maternal parity and family support for exclusive breastfeeding at TPMB Mia Widana. The research method used is quantitative with a descriptive analytical approach and cross-sectional research design. The population was 198 people, the sample used was total sampling and analyzed univariate and bivariate using the Chi square test. The results of the study showed that there was a significant relationship between the parity variable and family support for exclusive breastfeeding at TPMB Mia widana with p values of 0.000 and 0.003

Literatur Review Efektivitas Penggunaan Streptokinase Pada Pasien Infark Miokard Akut

Musdalifa — 2025-09-25

Acute myocardial infarction (AMI) is a leading cause of death from ischemic heart disease, characterized by sudden blockage of the coronary arteries. One of the main therapies to treat this blockage is the administration of streptokinase, a thrombolytic agent that functions to dissolve blood clots. This paper aims to assess the effectiveness of streptokinase use in patients with AMI through a literature review of various international and national clinical studies. The method used is a literature review with descriptive analysis of relevant research results. The study results indicate that early administration of streptokinase can reduce mortality and improve patient prognosis, despite the risk of allergic reactions and lower efficacy compared to newer generation thrombolytics. However, due to its widespread availability and lower cost, streptokinase remains the primary treatment of choice in many developing countries.

Perbandingan Efektivitas Modalitas Radiologi Dalam Deteksi Dini Kanker Payudara

Yudia Nurul Eliza — 2025-09-25

Cancer is one of the leading causes of death worldwide. Breast cancer is one of the more common in women, which appears as a malignant tumor in breast tissue consisting of mammary glands, milk ducts, connective tissue, and adipose. This study aimed to compare the effectiveness of radiologic modalities in the early detection of breast cancer, focusing on grayscale ultrasound, mammography and MRI examinations. The research method included a literature review of previous studies that discussed the comparative effectiveness of radiologic modalities in the early detection of breast cancer. The analysis showed that mammography, ultrasound and MRI are the imaging methods used to detect breast cancer, with each having advantages and disadvantages in terms of sensitivity and specificity. MRI has the highest sensitivity, especially for detecting small tumors and in women with dense breast tissue, but has lower specificity than mammography. Mammography, despite the use of radiation, is effective for early detection, especially in women with high risk factors. Ultrasound is often used as a follow-up examination or to evaluate lumps detected on mammogram.

Hubungan Tingkat Pengetahuan Dengan Kesiapan Menghadapi Menopause Pada Wanita Usia Pre Menopause Di Desa Bengbulang Kecamatan Karangpucung Kabupaten Cilacap

Yulianawati — 2025-09-25

Menopause is a natural biological process experienced by all women, marked by the permanent cessation of menstruation. Women go through several stages, including premenopause, perimenopause, menopause, and postmenopause. Lack of knowledge about menopause can lead to anxiety and stress, particularly in premenopausal women. A preliminary study revealed that most premenopausal women in Bengbulang Village had limited understanding and were unprepared for menopause. Objective, this study aims to examine the correlation between knowledge level and readiness for menopause among premenopausal women in Bengbulang Village, Karangpucung Sub-district, Cilacap Regency.Methods: This quantitative research used a correlational analytic design. The sample consisted of 62 respondents selected through purposive sampling. Data analysis was conducted using the Spearman Rank test. Results, the results showed a significant correlation between knowledge level and readiness for menopause (p = 0.001).Conclusion: There is a statistically significant correlation between knowledge level and readiness to face menopause among premenopausal women.

Faktor Faktor Yang Berhubungan Dengan Minat Penggunaan Iud Pada Ibu Hamil Trimester III Di Poliklinik Rsud Banyumas

Meilyn Amina Faurur — 2025-09-25

Indonesia faces the challenge of rapid population growth. The national family planning program, particularly the use of intrauterine devices (IUDs) as a long-term contraceptive method, is a key strategy to address this issue. However, the uptake of long-term contraceptive methods (Metode Kontrasepsi Jangka Panjang/MKJP) at RSUD (Regional Public Hospital) Banyumas remains low. This study aims to analyze the factors associated with third-trimester pregnant womens interest in using IUDs. This research employed a cross-sectional analytic correlational design involving 93 respondents. Data analysis was conducted using the Spearman Rank correlation test to examine relationships between the dependent variable (interest in using IUDs) and the independent variables: parity, knowledge level, income, husbands support, and education. Results there was no statistically significant association between education level (p = 0.359) or parity (p = 0.487) and interest in IUD use. However, significant associations were found between income (p = 0.044), knowledge (p = 0.031), and husbands support (p = 0.001) and the interest in using IUDs. Conclusion the majority of respondents had a high level of education, income below the regional minimum wage, were multiparous, possessed moderate knowledge, and reported strong support from their husbands. Husbands support was found to have a moderately strong influence on interest in IUD use. It is recommended that health workers enhance educational efforts and actively involve husbands in the counseling process. RSUD Banyumas is also encouraged to develop Information, Education, and Communication (IEC/KIE) programs targeted at couples. Future research should consider exploring other influencing factors such as perceived side effects, cultural and religious beliefs, and counseling history.

Pengaruh Media Digital Audiovisual Terhadap Pencegahan Perilaku Merokok Dan Napza

Zora Ismuna Waddah Waddah — 2025-10-03

Smoking among teenagers has become a very alarming phenomenon, judging from the increasing number of teenagers who smoke. Another negative impact of smoking addiction among teenagers is that it encourages them to try other negative things that give them pleasure, such as drugs (alcohol, narcotics, psychotropic drugs, and other addictive substances). The purpose of this study is to determine the effect of audiovisual digital media on the prevention of smoking and drug abuse. The research design was quasi-experimental with a one-group pretest-posttest design. The population in this study consisted of all 52 seventh and eighth grade students, with total sampling used as the sampling technique. Data collection using questionnaires on smoking and drug abuse prevention. This research was conducted at SMP Negeri 2 Kuta Baro Aceh Besar on June 1-19, 2025. Data analysis was performed using the t-test. The results of the study show that digital audiovisual media has an effect on students' knowledge of smoking and drug abuse prevention (p value = 0.000), the effect of audiovisual digital media on attitudes towards smoking and drug abuse prevention among students (p value = 0.000), and the existence of an effect of audiovisual digital media on smoking and drug abuse prevention among students (p value = 0.000). The conclusion of this study is that digital audiovisual media has an effect on preventing smoking and drug abuse among students at SMP Negeri 2 Kuta Baro Aceh Besar.

Hubungan Pemberian Edukasi Media Leaflet Dengan Mobilisasi Pasien Post Sectio Caesaria

Dwi Hastuti — 2025-10-03

Early mobilization is crucial for post-C-section patients. Failure to mobilize post caesarean section patients can result in delayed wound healing, infection, bleeding, obstructed blood flow, and impaired uterine involution. Therefore, patients need to gain knowledge about post caesarean section mobilization, which can be obtained through education from healthcare professionals. This study aimed to examine the correlation between educational leaflet provision and early mobilization in post-CS patients. The study was conducted in the Postnatal Ward of RSUD (Regional Public Hospital) Prembun from March 4 to May 31, 2025. An analytic correlational design with a cross-sectional approach was employed. Sampling was carried out using purposive sampling. Research instruments included educational leaflets and a mobilization checklist. A total of 86 postpartum women within 0–2 hours post-CS without comorbidities were included, divided into those who received leaflet-based education and those who received verbal information only. Mobilization was evaluated using a checklist 24 hours post-CS. Data were analyzed using univariate and bivariate Spearman rank correlation tests. The majority of respondents were of reproductive age, had completed high school or higher education, and were multiparous. A total of 54 respondents (62.8%) performed early mobilization. Statistical analysis showed a significant correlation between leaflet-based education and early mobilization (p = 0.000, r = 0.446).

A Hubungan Indeks Massa Tubuh Dan Lengkar Lengan Atas Dengan Status Hemoglobin Pada Ibu Hamil Di Puskesmas Abadijaya Kota Depok Tahun 2024

Liana Elfaristo — 2025-10-03

Anemia in pregnancy is commonly caused by malnutrition, leading to a decrease in hemoglobin (Hb) levels. Maternal nutritional status is a key indicator of adequate nutrient intake and plays a crucial role in preventing anemia. Poor nutritional status may impair erythropoiesis or result in dysfunctional red blood cells. Nutritional status in pregnant women can be assessed using Body Mass Index (BMI) and Mid-Upper Arm Circumference (MUAC), along with hemoglobin level measurement. This study aims to analyze the association between BMI and MUAC with hemoglobin (Hb) levels in pregnant women. A quantitative cross-sectional study desain was employed. Secondary data were obtained from hemoglobin examinations conducted in 2024. The study used total sampling technique, including101 pregnant women who underwent Hb Testting. Bivariate analysis was performed to examine the relationship between BMI, MUAC and Hb levels. The results showed no significant association between BMI and Hb levels (p=0.282), while a significant association wa found between MUAC and Hb levels (p=0.027). In conclution, BMI is not associated with Hb levels, whereas MUAC is significantly related to Hb levels in pregnant women.