JURNAL VNUS (Vocational Nursing Sciences)

Application of Foot Massage Therapy to Reduce Pain in Post-Caesarean Section Patients

Erna Kasim — 2025-05-21

Caesarean section (C-section) is a surgical procedure involving an incision through the abdominal and uterine walls to deliver the fetus. This procedure disrupts tissues, blood vessels, and nerves, often resulting in postoperative pain. Pain management strategies include both pharmacological and non-pharmacological interventions. Foot massage is one non-pharmacological approach involving skin stimulation techniques. To examine the application of foot massage therapy in reducing pain among post-C-section patients. This research used a descriptive case study design and was conducted at RSUD Labuang Baji Hospital, Makassar, over six days. Two participants who met the inclusion criteria (first-day post-C-section, aged 20–30, moderate pain level) were selected. Exclusion criteria included uncooperative behavior, loss of consciousness, or severe bleeding. Data collection involved interviews, observations, and documentation. Instruments included a standard operating procedure (SOP) for foot massage and the Numeric Rating Scale (NRS) for pain assessment. Results were presented in narrative and tabular formats. Both participants showed a reduction in pain levels after receiving foot massage therapy. Participant N reported pain decreasing from 6 to 2 over three days, while participant S experienced a decrease from 5 to 3. The decrease was more significant in participant N, who received consistent family support and practiced the therapy more regularly. Conclusion: Foot massage therapy may help reduce pain in post-C-section patients. It is recommended as a supportive, non-pharmacological option in postoperative care.

The Impact of Competency on the Performance of Homecare Nurses in Bandung City

Ahmad Jaelani — 2025-05-21

In Indonesia, homecare services have become increasingly popular due to their flexibility and cost-effectiveness, particularly for individuals requiring long-term care, such as patients with degenerative diseases. The quality of homecare services is closely tied to the performance of nurses, who serve as the frontline providers of healthcare in this setting. This study aims to examine the effect of nurses’ competency levels on their performance within homecare service providers in Bandung City. A descriptive explanatory survey design was employed to analyze the relationship between nurse competency and performance. The study population included all 99 nurses working in homecare service providers in Bandung. A non-probability sampling technique was used to include the entire population. Nurses’ performance was evaluated across four key dimensions: quantity of output, quality of output, timeliness, and attendance. The total performance score was 2,475 (61.16%). Among these, the quantity dimension scored the lowest, while quality was the highest. Regression analysis revealed a beta coefficient of -0.021, and the partial test showed a t-value of 2.56, exceeding the critical value of 1.65. Although homecare nurses in Bandung demonstrate high competency, the statistical analysis indicates a significant yet negative correlation between competency and performance. This suggests that decreases in competency are associated with lower performance levels among homecare nurses in Bandung City.

Implementation of Guided Imagery Therapy in Reducing Blood Pressure Among Family Members of Elderly Individuals with Hypertension

Putri Awaliah Ananda — 2025-05-21

Introduction: Hypertension or high blood pressure is an abnormal increase in blood pressure in the arteries that carry blood from the heart and pump it to all tissues and organs of the body continuously for more than a period. Hypertension is blood pressure of more than or equal to 140 mmHg in systole and more or equal to 90 mmHg in diastole. Research objectives: This case study aims to determine the effect of implementing guided imagery therapy in reducing blood pressure in family members of elderly hypertension sufferers. Method: in this study the method used was interviews and observation subjectively and objectively. Results: The results of this case study show that after GUIDED IMAGERY therapy was carried out there was an effect in lowering blood pressure. Conclusion: it can be concluded that in conducting a case study of GUIDED IMAGERY therapy. can reduce blood pressure in hypertensive patients. Suggestion: Recommended for writers, it can be a reference for gaining knowledge and deepening and broadening insight in preparing scientific paper proposals.

Case Study: Nursing Care for a Patient with Coronary Artery Disease (CAD) Using Benson Relaxation Technique to Reduce Pain

Affan Hanafi Wardana — 2025-05-21

Coronary artery disease (CAD) is a condition characterized by the narrowing or blockage of the coronary arteries, which are responsible for supplying oxygen-rich blood to the heart muscle. This condition is primarily caused by the accumulation of atherosclerotic plaque, including cholesterol and other substances, which progressively limits blood flow to the myocardium and may result in chest pain (angina) or even myocardial infarction. The purpose of this study is to explore the application of the Benson relaxation technique as a complementary intervention to reduce pain in patients diagnosed with CAD. This study employs a descriptive case study design, focusing on the nursing care of one patient using the nursing process approach to guide the intervention. The results of the case study indicate that prior to the implementation of Benson relaxation on June 24, 2024, the patient's reported pain level was at a scale of 4. After three consecutive days of applying the Benson relaxation technique, the pain scale decreased to 2. This demonstrates a reduction in perceived pain. However, the findings suggest that while Benson relaxation may contribute to pain reduction, its effectiveness as a standalone intervention is limited. Therefore, it is recommended that Benson relaxation be used as an adjunct to pharmacological therapy in managing pain among CAD patients.

Case Study: Evaluation of Menstrual Cycle Changes and Anxiety in Mothers Who Are Family Planning Acceptors Using Injectable Contraceptives

Elis Roslianti — 2025-05-21

Family planning is a health service that helps individuals and couples control fertility, prevent unplanned pregnancies, and determine the number and spacing of children. According to the World Health Organization (WHO), injectable contraceptives are the most widely used method globally, accounting for 35.3% of contraceptive users. Despite their effectiveness, injectable contraceptives are associated with side effects, including changes in the menstrual cycle, which can lead to anxiety among users. This case study aims to scientifically document nursing care for mothers using injectable contraceptives, focusing on the biological, psychological, social, and spiritual aspects. It emphasizes the importance of comprehensive nursing assessment, diagnosis, planning, intervention, evaluation, and documentation to support maternal and family health. The descriptive case study method was applied to explore changes in the menstrual cycle and anxiety in mothers using injectable contraceptives. Data collection involved interviews, physical examinations, observation, document review, demographic data, and quality of life questionnaires. Data validity was maintained using credibility, transferability, dependability, and confirmability criteria. Ethical considerations included informed consent, anonymity, and confidentiality. Data were analyzed systematically to identify key findings. Findings indicated that menstrual disturbances in mothers were linked to the hormonal effects of injectable contraceptives, specifically the impact of progesterone on the hypothalamic-pituitary axis, leading to suppression of ovulation and alteration of menstrual patterns. Nursing interventions contributed to a reduction in anxiety and improvement in menstrual regulation. Proper nursing care, guided by structured assessment and ongoing evaluation, can address anxiety and menstrual issues related to injectable contraceptive use. Continued documentation is essential for ensuring the effectiveness and continuity of care.

Effect of Kangaroo Mother Care (KMC) and Touching Therapy Techniques on Weight Gain in LBW Infants

Nur Avni Atikah Dewi — 2025-05-21

Low Birth Weight (LBW) infants are at higher risk for developmental delays, stunting, and increased morbidity. Non-pharmacological interventions such as Kangaroo Mother Care (KMC) and Touching Therapy have been shown to improve the physical growth and emotional well-being of LBW infants. This case study aims to evaluate the effect of Kangaroo Mother Care (KMC) combined with Touching Therapy on weight gain in an infant with Very Low Birth Weight (VLBW). A single-case report was conducted on a neonate diagnosed with severe asphyxia and VLBW (birth weight 1130 grams) at RSUD Tidar Magelang. The intervention consisted of KMC and Touching Therapy sessions performed for 2 hours daily over six consecutive days. Body weight was measured before and after each intervention to assess daily changes. The infant's weight increased steadily from 1266 grams on day one to 1397 grams on day six, resulting in a total weight gain of 131 grams. This suggests that the combination of KMC and Touching Therapy may support short-term weight gain in VLBW infants. The findings demonstrate a notable improvement in body weight following six days of combined KMC and Touching Therapy. These interventions may be recommended to parents and caregivers both in clinical and home settings to promote healthy growth in LBW infants.

Breastfeeding Self-Efficacy at 24 Hours Postpartum with Inadequate Milk Production: A Case Report

Mutiara Harul Aini Pamungkas — 2025-05-21

Exclusive breastfeeding during the first six months is critical for neonatal health and development. Despite government initiatives, the exclusive breastfeeding rate in Indonesia remains below the national target of 80% as set by the Ministry of Health. One of the significant psychological determinants of successful breastfeeding is maternal self-efficacy, or the mother’s belief in her ability to breastfeed successfully. This study aimed to explore the breastfeeding self-efficacy of a postpartum mother during the first 24 hours following delivery. This case report employed a descriptive design using a nursing care approach. The Breastfeeding Self-Efficacy Scale–Short Form (BSES-SF), consisting of 14 items rated on a 5-point Likert scale, was used to measure the mother's level of breastfeeding self-efficacy. The assessment was conducted twice: at 2 hours postpartum and again at 24 hours postpartum. The study was carried out in May 2025 at the Bougenville Room of Tidar Hospital, Magelang City. At 2 hours postpartum, the mother demonstrated a high breastfeeding self-efficacy score of 55, indicating strong confidence. However, by 24 hours postpartum, her score had decreased to 49, a moderate level, coinciding with her report of inadequate milk production. This change suggests that early lactation difficulties can negatively influence a mother’s self-confidence in breastfeeding. Inadequate breast milk production during the first 24 hours postpartum can reduce maternal breastfeeding self-efficacy. It is essential for nurses to provide education and emotional support in the early postpartum period to help mothers build confidence and improve breastfeeding outcomes.

Relationship between Education Level, Social Relationships, and Sleep Quality towards the Quality of Life of Pre-Elderly People in Laweyan District

Arum Widya Anantasya — 2025-05-30

Pre-elderly individuals (aged 45-59 years) face risks of functional decline, impacting their quality of life. Factors such as education level, social relationships, and sleep quality are known to influence quality of life in this demographic. An analytical observational study with a cross-sectional design was conducted on 75 respondents selected through purposive sampling. Data were collected using WHOQOL-BREF, Social Provisions Scale, and Pittsburgh Sleep Quality Index questionnaires. Bivariate analysis revealed significant correlations between education level (r=0.386; p=0.001), social relationships (r=0.681; p=0.000), and sleep quality (r=-0.555; p=0.000) with quality of life. Collectively, these factors explained 55.7% of the variation in quality of life (R²=0.557). Education level, social relationships, and sleep quality significantly influence the quality of life of pre-elderly individuals, with sleep quality as the most dominant factor. These findings suggest targeted interventions may improve pre-elderly well-being.