Pediomaternal Nursing Journal

Development of a family empowerment model to enhance the parental monitoring of child development and reduce stunting through filial values

Sri Utami, Rekawati Susilaningrum, Evi Yunita, Nursalam Nursalam — Mon, 15 Sep 2025 00:00:00 +0700

Introduction: The monitoring of child development by parents plays an important role in reducing the incidence of stunting. This research aimed to develop a family empowerment model regarding the ability to monitor child development through the role of filial value.

Methods: The research design used was an explanatory survey method. The study population was all families with children living in the working area of the Health Center in Surabaya. Sampling was carried out using simple random sampling of 275 families from April to September 2024. A questionnaire was used and the secondary data was related to the nutritional status of toddlers. The data analysis involved the use of the smart PLS (Partial Least Squares) statistical test with a significance level of T > 1.96.

Results: Core values have a big impact on the commitment to monitoring toddler development (t = 14.375). Core values cannot directly influence monitoring toddler development (t = .664; P-value= .507) but must go through commitment (t = 2.521; P-value = .012) and empowerment (t = 3.781; P-value= < .001).

Conclusion: The role of filial value through commitment can shape family empowerment regarding the ability to monitor the development of children. These findings can be applied to families with children to accelerate the reduction in stunting rates. Further research is needed regarding the implementation of this model.

Keywords: children; empowerment; family; filial value; monitoring ability; stunting

The impact of the COVID-19 pandemic on the psychological distress of parents and children cancer care: A cross-sectional study

Mon, 15 Sep 2025 00:00:00 +0700

Introduction: The current situation of the COVID-19 pandemic has an impact on stress among parents of children with cancer. This uncertain situation can cause psychological distress experienced by parents and can reduce the level of care for children with cancer, it can reduce the cure rate and increase the morbidity rate of children with cancer. The study aimed to analyses the impact of the COVID-19 pandemic on the psychological distress of parents and the treatment of children with cancer.

Methods: The research design used was descriptive analytics with a cross-sectional approach. The population in this study were parents of children with cancer living in the Surabaya and East Java areas who lived in a halfway house. Respondents were 78 parents of children with cancer. The children were aged between 2 and 15 years. Selected using the convenience sampling technique for three months (June to August 2022). The independent variable in this study was the level of psychological distress, while the dependent variable was the treatment of children with cancer. The data was obtained using the DASS-21 questionnaire and analyzed using the Spearman Rank Correlation test with α = .05.

Results: The results of the study showed that there was an impact of the COVID-19 pandemic on psychological distress [(stress P-value = .002; r = .341); (anxiety P-value = .013; r = .281), and depression P-value = .026; r = .252)] and cancer care for children.

Conclusion: The COVID-19 pandemic has an impact on the psychological distress of parents and the care of children with cancer. The level of stress experienced by parents should be given further treatment immediately.

Keywords: cancer; chronic diseases; COVID-19; pandemic; psychological distress

Associated factors of cervical cancer screening intention among reproductive aged women: A cross-sectional study

Santy Irene Putri, Hilda Mazarina Devi, Ratna Diana Fransiska — Mon, 15 Sep 2025 00:00:00 +0700

Introduction: Cervical cancer screening has consistently proven effective in reducing both the incidence and mortality of cervical cancer. However, in many developing countries, including Indonesia, participation in screening programs remains considerably low. The primary objective of this study was to examine the intention toward cervical cancer screening and the associated factors among reproductive-aged women in Malang city, East Java, Indonesia.

Methods: This study employed an observational analytic approach with a cross-sectional design. Researchers conducted the study with 410 participants selected through a simple random sampling technique in Malang. The study focused on cervical cancer screening intention as the dependent variable, while considering attitude, affordability of health services, and health worker support as independent variables. The data collection instrument utilized was a questionnaire comprising various aspects such as attitude, affordability of healthcare services, and health worker support. The researcher-designed questionnaire was guided by the PRECEDE-PROCEED Model. The data were analyzed through multiple linear regression.

Results: The results revealed that favorable attitudes (B = .08, SE = .04, P-value = .026), affordable healthcare services (B = 1.06, SE = .19, P-value = < .001), and support from healthcare workers (B = .59, SE = .24, P-value = .013) were associated with an increased intention toward undergoing cervical cancer screening.

Conclusion: This study highlights that favorable attitudes, affordable access to healthcare services, and adequate support from health workers are significantly associated with the intention to undergo cervical cancer screening among reproductive-aged women.

Keywords: attitude; cervical cancer screening; health worker support; healthcare services; reproductive-aged women

Translation and validation of the premenstrual change coping inventory in Indonesian version

Henny Dwi Susanti, Rintan Rikawati, Ninik Yunitri, Christina Yeni Kustanti — Mon, 15 Sep 2025 00:00:00 +0700

Introduction: Premenstrual syndrome (PMS) affects millions of women worldwide, characterized by physical and psychological symptoms that occur cyclically before menstruation. In Indonesia, understanding and managing PMS remains challenging due to social stigma and lack of awareness. The Premenstrual Change Coping Inventory (PMS-Cope) is a validated tool designed to measure mental strategies used to adapt to menstrual cycle changes. However, no validated Indonesian version exists, creating a significant gap in research and clinical practice for Indonesian womens. The research evaluated the translation and validation of the premenstrual change coping inventory (PMS-Cope) in Indonesia.

Methods: 321 Indonesian women were included in this study. PMS-Cope used Cronbach's alpha and convenience sampling. Exploratory factor analysis (EFA) was used in this study to determine factor structure and evaluate the structural model fit. Confirmatory factor analysis was also used in this study.

Results: The Cronbach's alpha value for the study was .90 overall. The CFA results for this study showed goodness of fit. The comparative fit index was .91, the related fit index (RFI) was .80, and the normed fit index was .83. The value of the Kaiser–Meier–Olkin test was .873, and Bartlett’s test value of sphericity was statistically significant and indicated adequate EFA.

Conclusion: The result of this study showed that the PMS-Cope has satisfactory reliability and validity for evaluating PMS-cope in Indonesia.

Keywords: premenstrual syndrome; translation; validation; women

The role of religious coping on the psychological distress of women with breast cancer

Mon, 15 Sep 2025 00:00:00 +0700

Introduction: Breast cancer poses a psychological burden on the patient due to the disease itself or the treatment that must be undergone. The existence of religious coping for women with breast cancer will make them continue to think positively about their situation.

Methods: This study used a descriptive research design based on a quantitative approach with the aim of analyzing religious coping on psychological distress in breast cancer patients. A sample of 88 breast cancer patients was carried out by non-probability convenience sampling with. The instrument in this study uses the RICOP Brief, while the psychological distress instrument is the Kessler Psychological Distress Scale (K10) The collected data were analyzed using the Spearman rho analysis test with a confidence interval of 95% with α = .05.

Results: It was obtained that the effect of positive religious coping on psychological distress was P-value = .034 ≤ .05 with r = -.312 for positive religious coping on psychological distress with a P-value = .992 with r = -.001. The higher the use of positive religious coping strategies, the lower the level of psychological distress.

Conclusion: Positive religious coping has a significant effect on psychological distress in women with breast cancer with negative values, where high positive religious coping will reduce the psychological distress that occurs, The use of religious coping has no effect on psychological distress in women with breast cancer.

Keywords: breast cancer; psychological distress; religious coping

The low-birth-weight infants' nutritional status related factors based on maternal characteristics in agricultural areas

Mon, 15 Sep 2025 00:00:00 +0700

Introduction: Low birth weight (LBW) infants are vulnerable to health problems that impact growth and development. However, mothers as primary caregivers may not be able to provide care optimally. Factors associated with maternal characteristics need to be analyzed to determine pediatric nursing interventions to improve LBW infant care. This study aims to analyze factors associated with the nutritional status of Low-Birth-Weight Infants (1-12 months) based on maternal characteristics in agricultural areas of Jember Regency.

Methods: The cross-sectional design study was conducted among infant and mother pairs by measuring nutritional status (Weight-for-Age) and distributing questionnaires on maternal characteristics such as age, education, parity, occupation, and responsive caregiving. Total sampling was collected in one of the agricultural areas of Jember that had a high LBW birthrate, resulting in 89 infant-mother pairs with a history of low-birth-weight births. Data collection on nutritional status and maternal demographics was obtained from the Maternal and Child Health Book, while responsive caregiving data was collected from questionnaires to mothers. The Spearman’s rank test analyzed the relationship between infant nutritional status and maternal characteristics.

Results: The majority of infants had a normal nutritional status (88%). The characteristics of mothers are mostly aged in early adulthood (95.6%), multiparous (62.9%), elementary school educated (37.1%), not working (87.6%), and responsive caregiving as low as almost as high (50.6%; 49.4%). The results of the study showed that mothers' age, education level, and occupation status were not related to LBW infant nutritional status. However, maternal parity and responsive caregiving were related to the nutritional status (P-value = < .001).

Conclusion: The pediatric nurse should play a crucial role as an infant care provider to enhance mothers’ empowerment in caring for LBW infants. The Responsive caregiving practice education could be an alternative pediatric nursing intervention to reduce LBW infant morbidity and mortality.

Keywords: low birth weight; nutritional status; pediatric nursing

Knowledge, attitude, and husband's support as predictors of postpartum visit adherence: A cross-sectional study

Yelly Herien, Muthmainnah, Melsa Hazharia Qhalida — Mon, 15 Sep 2025 00:00:00 +0700

Introduction: Postpartum visits are crucial for postpartum mothers as they play a significant role in ensuring the health and well-being of both the mother and the newborn. Nevertheless, only few postpartum women have attended all of the required postpartum visits. This study aimed to determine the factors associated with postpartum visits in Seberang Padang Village, Padang, Indonesia.

Methods: This study was a descriptive analytical study with a cross-sectional approach. The Total Sampling approach was used to collect data from 43 postpartum women with infants ages 6 to 8 weeks. A questionnaire about respondent characteristics, knowledge, attitude, spouse support, and postpartum visit was utilized to collect data. Chi-square was employed for bivariate analysis, and logistic regression was used for multivariate analysis.

Results: Postpartum visits were associated with knowledge (P-value = .038), attitude (P-value = .001), and husband’s support (P-value = .006), according to bivariate analysis. Multivariate analysis revealed that attitude, with P-value = .021 and Exp (B) = 15.188, was the most significant variable linked to postpartum visits.

Conclusion: To increase postpartum mothers' understanding of how to conduct postpartum visits, health professionals are anticipated to host communication, information, and education events. This practice is intended to enhance postpartum moms' knowledge, attitudes, and desire to have postpartum checkups.

Keywords: attitude; husband’s support; knowledge; pospartum visit

Mapping the conceptual framework of psychological well-being among pregnant adolescents and influential factors: A scoping review

Yanti Puspita Sari, Yeltra Armi, Chung-Ying Lin — Mon, 15 Sep 2025 00:00:00 +0700

Introduction: Pregnancy in adolescents has the potential risk of disrupting psychological well-being. Understanding how psychological well-being is conceptualized and assessed among adolescents, as well as identifying influential factors, is essential for developing appropriate and effective interventions. This review aims to map the conceptual approaches and assessment methods used to evaluate psychological well-being among pregnant adolescents and to identify influential factors associated with psychological well-being during pregnancy.

Methods: The study procedures were carried out using a scoping review that followed the Joanna Briggs Institute approach. Literature searches included terms from Emtree, MeSH, and CINAHL headings across 5 databases, including Embase, Medline (Ovid), CINAHL, Cochrane, and ScienceDirect until April 2024. After the search, a total of 8 studies were included, which met the needed criteria.

Results: This review identified 5 conceptual approaches used to understand and assess psychological well-being in pregnant adolescents, namely (i) self-esteem, (ii) measures on anxiety, depression, emotional bonding, general positive affect, and the absence of psychological distress, (iii) discrimination experiences, self-perceptions, and social barriers experienced, (iv) positive and negative mood concepts, and (v) positive psychological functioning. The results showed that several factors were associated with psychological well-being of pregnant adolescents, including educational level, neighborhood support, financial constraints, rejection from close people, trust, and attachment with caregiver.

Conclusion: This review shows the need for a more comprehensive and multidimensional approach to conceptualizing and assessing psychological well-being in pregnant adolescents. The complexity of this issue demands a thorough and inclusive approach that focuses on individual and social factors.

Keywords: adolescent pregnancy; psychological well-being; adolescent growth and development

Evaluating the autonomy of mother in infant feeding decision: A case study

Hermalinda Herman, Mei-Chih Huang — Mon, 15 Sep 2025 00:00:00 +0700

Introduction: Exclusive breastfeeding is widely recognized as the optimal method to feed infant up to six months of age. However, mothers often encountered social barriers that challenge the ability to provide exclusive breastfeeding. A significant obstacle was the tendency of grandmothers to be decision-makers in infant care, including feeding. Only a few studies explored maternal autonomy in making the decision about feeding infant based on individual cases.

Objective: This case study aimed to describe the ethical dimension in breastfeeding, focusing on maternal autonomy in infant feeding decision and how this was influenced by family and cultural beliefs.

Case: A 22-year-old mother with a four-month-old infant followed her grandmother’s advice to provide homemade porridge mixed with soup stock. The practice was considered safe because it had been passed down through generations. For decisions regarding infant care, the mother consistently relied on her grandmother’s knowledge and experience.

Conclusion: Exclusive breastfeeding was not achieved because the grandmother advised early introduction of complementary feeding, showing that family influence strongly determined feeding practices. Guidance from nurses was essential to counteract misinformation and support informed breastfeeding decisions. Strengthened post-natal counselling, delivery of intensive information through the media, and participation in monthly growth monitoring were strategies that improved infant feeding practices in line with health recommendations.

Keywords: case study; exclusive breastfeeding; decision-making; infant feeding; maternal autonomy

Front Matter

Novalia Puspitasary — Mon, 15 Sep 2025 00:00:00 +0700

Back Matter

Novalia Puspitasary — Mon, 15 Sep 2025 00:00:00 +0700