Professional Health Journal (PHJ) is an open access journal with fourth Grade (Sinta 4). Reaccreditation fourth Grade (Sinta 4) from Volume 6 Number 1 Year 2024 to Volume 10 Number 2 Year 2028 wide range (Scope) of fields of nursing including basic research in nursing, management nursing, emergencies, and critical nursing, medical-surgical nursing, mental health nursing, maternity nursing, maternity nursing, child nursing, nursing care , community nursing, family nursing education nursing, complementary, alternative medicine (CAM) in nursing, midwifery, medicine, and pharmacist.. This journal provides a forum for original research and scholarships relevant to nursing and other health-related professions. Professional Health Journal (PHJ) is published 2 (two) times a year, namely in December and June by STIKES Banyuwangi. Articles are published collectively according to the publishing schedule. e-ISSN. 2715-6249 Starting from Volume 8 Issue 2 (2027), the journal will implement the following changes: Use Title page and cover letter template: Download Template Template Update: Download Template Language Transition all submissions to PHJ must now be written in English. Journal Description Journal title : Professional Health Journal Initials : PHJ Frequency : 2 issues per year (June and December) Prefiks DOI : 10.54832 Online ISSN : 2715-6249 Editor In Chief : Akhmad Yanuar Fahmi Pamungkas M.Kep Publisher : UNIDSOE Banyuwangi
Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi
Reframing Cerebral Malaria Therapy through Blood-Brain Barrier Repair and Neuroprotection: A Systematic Review of Adjunctive Strategies
Introduction: Cerebral malaria is a severe complication of Plasmodium falciparum infection that can cause coma, death, and persistent neurological impairment despite effective antimalarial treatment. Blood–brain barrier disruption, endothelial dysfunction, inflammation, hypoxia, oxidative stress, and neurovascular injury are central to its pathogenesis. This review evaluated current evidence on adjunctive strategies targeting blood–brain barrier repair and neuroprotection in cerebral malaria. Methods: This systematic review followed PRISMA 2020 guidelines. PubMed and Scopus were searched for studies published between January 1, 2015 and April 30, 2026. Eligible studies included human, animal, and experimental investigations of cerebral malaria reporting adjunctive therapy outcomes related to blood–brain barrier integrity, endothelial activation, neurovascular injury, neurological outcomes, or survival. Data were extracted using a standardized approach and synthesized narratively because of substantial heterogeneity; meta-analysis was not performed. Results: Twenty-two studies met the inclusion criteria. Blood–brain barrier disruption was linked to interacting mechanisms involving parasite sequestration, cytoadherence, endothelial activation, inflammation, hypoxia, oxidative stress, nitric oxide dysregulation, metabolic disturbance, and impaired cerebral microcirculation. Several adjunctive interventions improved blood–brain barrier integrity, reduced vascular leakage, attenuated neuroinflammation, or limited neurovascular injury in experimental models. However, most evidence remained preclinical, and standardized neurovascular endpoints, biomarker-guided stratification, and long-term neurological assessments were rarely used. Conclusions: Blood–brain barrier repair and neuroprotection are important targets for adjunctive therapy in cerebral malaria. Future studies should validate these strategies in clinically relevant models and human trials using standardized endpoints, biomarkers, and long-term neurological outcome measures.
Leadership & Future Hospital Governance A Comprehensive Literature Review on the Impact of Organizational Culture on Employee Performance in Healthcare Institutions
Introduction: There is no secret that the way a hospital operates day to day has a lot to do with its internal culture. Clinicians, nurses, and administrative staff do not work willingness to collaborate, and even their approach to patient safety are all tied to the norms and expectations embedded in the institution around them. But despite a growing body of research on this topic, the evidence base remains uneven. Method: Most studies originate from North American or European contexts, leaving open the question of whether their conclusions hold up in settings with very different social and institutional fabrics. Indonesian hospitals, for instance, operate within a landscape shaped by communal decision-making, religious values, and resource constraints that rarely feature in mainstream organizational behavior research. This gap is worth closing, because hospital leaders everywhere need practical, context-sensitive guidance on how to build cultures that actually improve how people work. Results: To explore this issue, the authors reviewed fifteen peer-reviewed empirical studies published from 2016 through 2025, sourced from Scopus, PubMed, Google Scholar, and Indonesia's SINTA portal. The search followed a systematic protocol with defined criteria for what to include and what to leave out, focusing specifically on studies linking organizational culture to employee performance in hospital settings. The picture that comes into view is fairly consistent. When hospitals actively encourage experimentation and learning on the job, and when leadership gives people enough breathing room to take initiative, employees tend to respond with stronger creative output and a deeper sense of loyalty to the institution (Mutonyi et al., 2022; Acosta-Prado et al., 2020). A culture oriented around achievement and personal growth seems to help employees feel that their values align with those of the hospital, which in turn feeds into greater job satisfaction (Xiong et al., 2022). Open lines of communication and a genuine team spirit have also been shown to ease the strain of organizational transitions, keeping burnout in check when things get turbulent (Ellis et al., 2023). What the Indonesian literature brings to the table is a reminder that local context is not a footnote it is central. Spiritual values woven into hospital culture were linked to noticeable gains in staff performance (Kusnanda & Kusumapradja, 2020), and the overall cultural environment shaped how well mid-level managers handled their supervisory responsibilities (Askardin et al., 2025). Discussion: Patient safety culture, meanwhile, kept surfacing as the thread tying organizational mindset to what happens at the bedside. The bottom line is straightforward. Hospital culture is not a nice-to-have it is a lever that directly affects whether staff perform well and whether patients receive reliable care. Administrators who treat culture as something worth investing in, rather than something that simply exists in the background, are likely to see real returns in both workforce engagement and clinical quality.
Copyright (c) 2026 Adhi Candra Qomaruzzaman, Qurratul Aini
Parents' Experiences of Caring for Children with Cancer in the Early Diagnosis Phase: A Qualitative Study
Background: Childhood cancer is a traumatic experience that significantly affects parents' lives, particularly during the early diagnosis phase, when parents must adapt to complex medical information, invasive procedures, and profound uncertainty within a short period of time. Studies exploring parents' experiences during this critical phase, particularly within the cultural context of North Sulawesi, remain very limited. Objective: This study aimed to explore parents' experiences in caring for children with cancer during the early diagnosis phase in North Sulawesi. Methods: This study used a qualitative descriptive design. Twelve mothers of children diagnosed with cancer were recruited through purposive sampling. Data were collected through in-depth interviews and analyzed using content analysis. Results: Three main themes emerged from the data: (1) Health Service Navigation, describing mothers' health-seeking behaviors, including the use of alternative therapies, utilization of health services, and circular treatment-seeking patterns; (2) Dynamics of Psychological Response, encompassing feelings of helplessness, negative emotions, self-blame, and anticipation of the possible diagnosis; and (3) Challenges, including difficulty understanding medical information, caregiving burden, and social stigma. Conclusion: The early diagnosis phase represents a psychologically demanding period for mothers of children with cancer, marked by uncertainty, emotional distress, and multidimensional caregiving burdens. These findings highlight the urgent need for early psychosocial support, health education, and culturally sensitive interventions from healthcare professionals to assist parents from the point of diagnosis onward, particularly in the North Sulawesi context.
Copyright (c) 2026 Susi Roida Simanjuntak, Maria Lupita Nena Meo, Christha Zenithy Tamburian
Improving Compliance with the Use of Ankle Foot Orthosis in Children with Cerebral Palsy through a Family-Based Health Promotion Model: Systematic Literature Review
This study aims to systematically synthesize the characteristics, components, theoretical framework, determinants, barriers, effectiveness, and research gaps related to family-based health promotion models in improving compliance with the use of ankle foot orthosis (AFO) in children with cerebral palsy (CP). The method used is Systematic Literature Review (SLR) with the PRISMA 2020 approach through a search of the Scopus database using keywords related to Family Health Promotion, Orthosis Use Adherence, and Pediatric Cerebral Palsy. Of the 659 initial articles, 71 main studies and 2 additional sources met the inclusion criteria to be analyzed through thematic synthesis and narrative integrative review. The results show that there is no single model that specifically integrates family-based health promotion to improve adherence to the use of AFO in CP children, but the literature provides a strong foundation through Family Systems Theory, Pender's Health Promotion Model, WHO Adherence Model, caregiver empowerment, personalized orthotic care, and digital health support. Key factors influencing compliance include family support, caregiver burden, self-efficacy, device comfort, health system, and social environment. In conclusion, improving compliance with the use of AFO requires an integrative approach that places the family at the center of health promotion, as well as opening up opportunities for the development of new conceptual models that are more comprehensive, personalized, and sustainable.
Copyright (c) 2026 M Syafii, Suryo Ediyono
The Effect of a Duckbill Plant (Kalanchoe pinnata) Compress on Reducing Post-Vaccination Fever in Children Under 2 Years of Age
Introduction : Immunization is a vital public health program aimed at providing immunity against dangerous infectious diseases in children. A common side effect of immunization is fever. Fever management is divided into two categories: non-pharmacological therapy (without medication) and pharmacological therapy (with medication). Cocor bebek (Kalanchoe pinnata (Lam.) Pers) is a traditional plant that can be used as medicine. Objectives : Involved 18 toddlers in the Kapongan Community Health Center (Puskesmas) service area in Situbondo Regency. Method: This quasi-experimental study, using a one-group pretest-posttest design, Data were analyzed using SPSS with the Wilcoxon test. Results: A comparison of body temperature in the participants before and after the duckbill plant compress, using the Wilcoxon test, yielded a p-value of 0.016 (<0.05). Conclusion: There is an effect of the Kalanchoe pinnata compress on reducing post-immunization fever in infants under 2 years of age (baduta) in the service area of the Kapongan Community Health Center (UPT Puskesmas).
Copyright (c) 2026 Lea Ingne, ⁠Lia Fitria, Tri Wahyuningtyas, Rohemah
The Relationship Between Maternal Anxiety In Pregnant Women And Fetal Growth Disorders At Manggar Baru Public Health Center
Introduction: Based on data from the Manggar Baru Community Health Center, the prevalence of preterm births during the last three years was 15.15% from January to December 2022. 8.82% from January to December 2023. 8.47% from January to December 2024. This study aims to determine the psychological changes in pregnant women, to identify fetal growth disorders, and to analyze the relationship between psychological changes in pregnant women and fetal growth disorders in the Manggar Baru Community Health Center work area in 2025. Methods: The methodology used in this study is correlation analytical research with a cross-sectional approach, data collection techniques using accidental sampling. Results: a statistically significant relationship between psychological changes in pregnant women and fetal growth disorders. Conclusions: There is a relationship between psychological changes in pregnant women and fetal growth disorders in the work area of ​​the Manggar Baru Balikpapan Health Center in 2025. The factors that influence anxiety include gestational age, education, occupation and income.
Copyright (c) 2026 Mardiah Mardiah, Ni Nyoman Widya Pradani, Nabilah Dhea Andini
The Relationship Between Occupational Health and Safety Knowledge and Workplace Accidents
Introduction: Work-related accidents and illnesses result in approximately 2.78 million deaths annually, accompanied by around 374 million non-fatal incidents that lead to prolonged absences, permanent disabilities, and significant economic losses. These figures reflect the immense global health burden borne by the labor sector, while underscoring the urgency of implementing comprehensive OHS systems across various industrial sectors. According to Heinrich’s theory, One of the dominant factors contributing to workplace accidents is workers’ knowledge regarding occupational health and safety. This indicates that workers who have a good understanding of occupational health and safety tend to exhibit safer work action and are better able to prevent workplace accidents. This study aims to analyze the association between occupational health and safety knowledge and workplace accident among workers at CV. X Banyuwangi. Method: This research used an Cross-sectional analytical study. 75 workers selected from 300 using simple random sampling, questionare-based data collection, and Chi-square analysis. The study findings revealed that the majority of respondents – 47 people (62,7%) from 75 selected workers had insufficient knowledge. And 39 people (52%) reported having experienced a workplace accident within the past year. Result: of the Chi-square test showed a significant association between the level of occupational health and safety knowledge and workplace accidents (p <0.001), with a strong effect size (Cramer’s V = 0.80). Conclusion: Occupational health and safety knowledge was significantly associated with workplace accident history, but causal inference cannot be made due to the cross-sectional design
Copyright (c) 2026 Tirta Amerta Isworo, Lujeng Galih Pradana, Muliadi, Hesti Jatmikowati, Lailatul Rahmawati, Tri Suryo Wibowo
LUCEMUS: An Innovative Educational Ludo Game for Enhancing Self-Efficacy in Musculoskeletal Injury First Aid among Rural School-Settings
Introduction:Musculoskeletal injuries are among the most common injuries experienced by school-age children, particularly in rural areas where environmental risks are higher and access to healthcare services and health education is limited. Low self-efficacy in providing first aid may hinder appropriate initial injury management, highlighting the need for innovative educational approaches to improve students’ confidence and preparedness Objectives: This study focused on evaluate effect of LUCEMUS, an educational Ludo-based board game incorporating musculoskeletal injury scenarios and first aid management using the Rest, Ice, Compression, and Elevation method, on students’ self-efficacy in providing first aid in rural school-settings Methods: A one-group pretest-posttest framewoek was employed within a quasi-experimental research design involving 32 students from a rural area. Partisipants’ self-efficacy was evaluated using General Self-Efficacy Scale used Likert scale. Participants completed a pretest, engaged in the LUCEMUS game in small groups under facilitator guidance, and completed a posttest. A paired-sample t-test was employed to analyse data. Results: The mean self-efficacy score increased from 28.24 before the intervention to 33.07 after the intervention. The Statistical analysis demonstrated significant improvement between pretest and posttest (p < 0.000), indicating that the LUCEMUS game demonstrated significant effect students’ self-efficacy in providing first aid for musculoskeletal injuries. Conclusions: LUCEMUS, an educational board game integrating Ludo with musculoskeletal injury first aid scenarios, effectively enhanced students’ self-efficacy in rural settings. This game-based learning approach has the potential to serve as an engaging and innovative health education strategy to strengthen adolescents’ confidence and preparedness in managing musculoskeletal injuries.
Copyright (c) 2026 Eky Madyaning Nastiti, Tasya Dwi Aulia Putri, Rida Darotin, Feri Ekaprasetia
The Relationship Between Self-Esteem and Body Image in Chronic Kidney Failure Patients Undergoing Hemodialysis
Introduction: Patients undergoing hemodialysis often experience physical changes. These changes can affect their perception of their body image. Self-esteem is believed to be a key determinant of body image. Methods: This was a quantitative study with a cross-sectional design. Measurements were made using the Rosenberg Self-Esteem Scale (RSE) and the Body Image Scale (BIS). The sample size was 78 patients with chronic kidney disease undergoing hemodialysis. Results: The Spearman rank test between self-esteem and body image in patients undergoing hemodialysis showed a p-value of 0.000 (p < 0.05) and an r-value of 0.404, indicating a statistically significant positive correlation between the two variables. Conclusion: There is a significant correlation between self-esteem and body image in patients undergoing hemodialysis
Copyright (c) 2026 Alfonsius Ade Wirawan, Gratsia Victoria Fernandez, Stefan Andrew Glorious Kambey
The Relationship Between The Length of Time Undergoing Hemodialysis and The Fulfillment of Sexual Needs in Male Patients with Chronic Kidney Failure in The Malahayati Hemodialysis Room of dr. Saiful Anwar Hospital, Malang
Male patients undergoing prolonged hemodialysis can experience a decrease in reproductive system function, leading to sexual dysfunction. The aim of the research was to determine the relationship between the length of time undergoing hemodialysis and the fulfillment of sexual needs in chronic kidney failure patients in the Malahayati Room of dr. Saiful Anwar Hospital, Malang. The research design uses non-experimental correlational research with a cross-sectional approach. The population of this study were all male chronic kidney failure sufferers who underwent hemodialysis in the Malahayati Hemodialysis Room of dr. Saiful Anwar Hospital, Malang. As of June 2023, there were 71 people. The samples in this study were all male CKD patients of productive age (15–64) taken using the purposeful sampling method. Data collection uses a questionnaire. The results of the study showed that almost half of the respondents with CKD underwent hemodialysis in the Malahayati Room of dr. Saiful Anwar Hospital, Malang for > 24 months, namely 41.80%, and as many as 50.90% of respondents who underwent hemodialysis had their sexual needs still fulfilled. The results of Chi Square test showed there was a relationship between the length of time undergoing hemodialysis and the fulfillment of sexual needs in male CKD patients in the Malahayati Room of dr. Saiful Anwar Hospital, Malang (p value 0,00). It is hoped that hospitals can provide services that support the understanding of CKD sufferers, such as providing appropriate health education to patients so that they understand the changes that will occur in their health.
Copyright (c) 2025 Sri Masriah, Achmad Dafir Firdaus, Andi Surya Kurniawan
CASE REPORT: LOW BACK PAIN EC HERNIA NUCLEUS PULPOSUS IN A 44-YEAR-OLD MALE PATIENT
This study describes a case of Ischialgia caused by hernia nucleus pulposus (HNP) in a 44-year-old male patient. The patient presented with complaints of pain in the buttocks radiating to the right leg, accompanied by tingling and numbness, particularly after heavy physical activity. The diagnosis was established through anamnesis, physical examinations such as the Lasegue, Bragard and Socard tests, and MRI imaging, which revealed bulging discs at L1-2, L2-3, L3-4, L4-5, and L5-S1. Management was conducted using a holistic approach, including pharmacological therapy (NSAIDs, muscle relaxants, and vitamin B12), physiotherapy, and a lumbar corset to support spinal stability. After four days of treatment, the patient showed significant improvement, with the Visual Analog Scale (VAS) pain score decreasing from 8 to 3, normal motor strength recovery, and improved walking ability. Lifestyle modification education was provided to prevent recurrence, such as reducing heavy physical activities and engaging in controlled physical exercises. These results emphasize the importance of early diagnosis and multidisciplinary therapy in managing HNP cases to enhance the patient’s quality of life. This case contributes significantly to clinical practice by demonstrating the effectiveness of an integrated approach in optimally managing HNP.
Copyright (c) 2025 Radhiyya Tsabitah Drajat, Dyah Nuraini Widhiana
The Effectiveness Of FLACC Pain Scale Assessment Education Through Zoom Media On The Assessment Skills Of ICU Nurses
Pain assessment is a critical aspect of delivering quality care, particularly in intensive care units (ICU). Undetected and poorly managed pain can negatively impact patient recovery. One of the commonly used pain assessment methods for non-verbal patients is the FLACC scale (Face, Legs, Activity, Cry, Consolability). This study aims to evaluate the effectiveness of FLACC pain assessment education through Zoom media on the assessment skills of ICU nurses at Kapuas B RSUD Dr. Saiful Anwar, East Java Province. The research employs a quantitative approach with a pre-experimental design using the one-group pretest-posttest design. The sample consists of 27 ICU nurses selected through total sampling. The results showed that before the education intervention, most nurses (74.1%) were deemed incompetent in pain assessment skills. After the intervention, the majority of nurses (85.2%) were assessed as competent. Statistical analysis using the Wilcoxon test indicated a significant difference in assessment skills before and after the education intervention (Z = -4.000; Asymp. Sig. = 0.000). These findings demonstrate that providing education through Zoom is effective in improving the assessment skills of nurses in using the FLACC scale to evaluate patient pain in the ICU. Continuous education for healthcare professionals, particularly ICU nurses, is crucial to enhance pain assessment skills and support optimal patient care. Online education methods, such as via Zoom, prove to be an efficient alternative in certain circumstances.
Copyright (c) 2025 TEGUH WICAKSONO, PUGUH RAHARJO, RENY TRI FEBRIANI
The Effectiveness of Video and Leaflet Media on Mothers' Knowledge, Attitudes, And Behavior in Stunting Prevention Efforts at Puskesmas Karangmojo II
Introduction: Stunting is a global challenges and issues faced by societies around the world. The prevalence of stunting in the world is 148.1 million or 22.3%. The highest incidence of stunting is in Asian countries (52%) and African countries (43%). Stunting causes morbidity and mortality. Objective: to analyze the effectiveness of video and Leaflet media on mothers' knowledge, attitudes, and behavior to prevent stunting. Method: This quasi-experiment study used a non-equivalent control group design. It involved 32 mothers who have low birth weight babies (LBW) selected using purposive sampling techniques. Prior to its use, the questionnaire was subjected to tests of validity and reliability. The collected data were subsequently analyzed using statistical techniques, specifically paired t-tests and independent samples t-tests. Results: video and leaflet media effectively increased mothers' knowledge, attitudes, and behavior with a sig value of p = 0.000. The intervention group got the highest score with an average value of 15.62, 12.00, and 13.44 for knowledge, attitude, and behavior respectively. There was no significant difference in mothers’ knowledge (0.522), attitude (0.052), and behavior (0.476). Multiple Regression Analysis with a dummy on age, education and occupation did not influence mothers’ knowledge, attitude, and behavior to prevent stunting. Conclusions: Videos and leaflets effectively improve mothers' knowledge, attitudes, and behaviors towards stunting prevention efforts at Puskesmas Karangmojo II. however, no significant difference was found between the two grous. Keywords: Knowledge; Attitudes; Behaviors; Mothers; Stunting; Prevention
Copyright (c) 2025 Silviatul Amalia, Ismarwati, Dewi Rokhanawati
CASE REPORT: MANAGEMENT OF ISCHEMIC STROKE USING THE CODE STROKE PROTOCOL IN A 60-YEAR-OLD FEMALE
A stroke is defined as a neurological deficit attributed to an acute focal injury of the CNS (i.e., brain, retina, or spinal cord) by a vascular cause. Ischemic stroke is caused by disrupted cerebral blood flow due to thrombotic or embolic events. Stroke risk factors are classified into modifiable factors, such as hypertension, diabetes mellitus, hyperlipidemia, and smoking habits, and non-modifiable factors, such as age, gender, race/ethnicity, and genetic predisposition. This case report discusses a 60-year-old female patient presenting to the emergency department with right-sided body weakness, difficulty swallowing, slurred speech, and a history of uncontrolled hypertension. Physical examination revealed severe hypertension (216/106 mmHg), underweight nutritional status (BMI 17.24 kg/m²), motor weakness, and a positive Babinski reflex. A head CT scan showed infarction in the pons and left external capsule, consistent with a diagnosis of ischemic stroke due to small vessel occlusion. The patient was managed using the Code Stroke protocol, which included fluid administration, antihypertensives, neuroprotectors, and thrombolytic rTPA. Following therapy, clinical symptoms improved, with a reduction in the NIHSS score from 8 to 5, indicating a positive response. Patient education emphasized the importance of controlling risk factors such as hypertension and hypercholesterolemia and adherence to pharmacological treatments and lifestyle modifications. In conclusion, early diagnosis and the appropriate application of the Code Stroke protocol can enhance clinical outcomes, reduce morbidity and mortality, and prevent long-term complications in ischemic stroke patients. Ischemic stroke highlights the significance of an integrated multidisciplinary approach in stroke management.
Copyright (c) 2025 Kevin Pratama Diliano Siswoto, Dyah Nuraini Widhiana
RELATIONSHIP BETWEEN WORK MOTIVATION AND WORK SATISFACTION OF NURSES IN THE CENTRAL SURGERY INSTALLATION OF DR SAIFUL ANWAR HOSPITAL, MALANG
The evaluation of the performance of nurses in hospitals should take into account the crucial factor of job satisfaction. Motivation has the potential to influence job satisfaction. The objective of this study was to ascertain the relationship between work motivation and job satisfaction among nurses at the Central Surgical Installation of Dr. Saiful Anwar Hospital in Malang. The research design employed was that of a correlational study, examining the relationship between variables. The cross-sectional approach was utilised. The study population comprised all nurses employed at the Central Surgical Installation Room (IBS) of Dr. Saiful Anwar Hospital in Malang, amounting to a total of 72 nurses. The sample size was determined using the Slovin formula and consisted of 42 nurses. The sampling technique employed was quota sampling. The data were collected via a questionnaire. The results demonstrated that the Somers' D correlation coefficient was 0.222, thereby accepting H1 (p-value <0.05). The Somers correlation coefficient is positive, indicating that as motivation increases, job satisfaction among nurses in the Central Surgical Installation of Dr. Saiful Anwar Hospital in Malang also rises. In light of the findings, it is recommended that the hospital implement strategies to enhance the motivation of nurses. One potential approach is the introduction of work motivation improvement programmes, such as refresher courses, to facilitate mutual understanding between superiors, subordinates, and colleagues. This could potentially lead to an improved work environment, greater job satisfaction, and enhanced job performance.
Copyright (c) 2025 Bagus Widya, Achmad Dafir Firdaus, Kurnia Laksana
THE RELATIONSHIP OF WORK DURATION TO MENSTRUAL DISORDERS
Introduction: The group of hand-rolled cigarette factory workers is a work group that is at risk of experiencing menstrual disorders. Excessive working time can cause employees to feel tired. Irregular menstrual cycles are a hormonal imbalance in the reproductive system between the hormones estrogen and progesterone. Objectives: The aim of this research is to investigate the connection between working duration and the menstrual cycle Methods: This study was based on a quantitative approach and used a cross-sectional design. Data were gathered through questionnaires from two groups: one group consisting of 37 cigarette factory workers and another group of 38 non-cigarette factory workers. The data were collected using a purposive sampling technique. In this study, work duration was the independent variable, and menstrual disorders were the dependent variable. A Chi-Square statistical test was performed to examine the relationship between these variables, with a significance level of <ɑ 0.05. Results: The outcomes of the statistical analysis indicated that in the factory worker group, the p-value was 0.000 < ɑ (0.05). The majority of respondents who did not experience menstrual disorders had a long duration of work, with a proportion of 96%, which was higher than those with a medium duration of work. Meanwhile, in the non-factory worker group, the p-value was 0.718 > ɑ (0.05). Most respondents who did not experience menstrual disorders had a light work duration, with a proportion of 86%, which was higher than those who experienced menstrual disorders due to moderate work duration. Conclusions: A significant association exists between work duration and menstrual disorders.
Copyright (c) 2025 Nabila Virgin Pramesti Pramesti, Budi Prasetyo, Endyka Erye Frety
Infants with HIV-AIDS Mothers (BIHA): A Case Report
HIV (Human Immunodeficiency Virus) is an RNA class retrovirus that specifically attacks the human immune system. A decrease in the immune system in HIV-infected people facilitates various infections, which can lead to the onset of AIDS. AIDS (Acquired Immunodeficiency Syndrome) is a set of clinical symptoms and signs in people with HIV due to opportunistic infections due to a decrease in the immune system. Opportunistic infections can be caused by various viruses, fungi, bacteria, and parasites, and can attack various organs, including the skin, gastrointestinal tract / intestines, lungs, and brain. Infection of infants or children by HIV (Human Immunodeficiency Virus) is mostly transmitted vertically from mother to baby during pregnancy, childbirth, and through breast milk. Horizontal transmission through transfusion of blood products or other transmission such as child sexual abuse occurs less frequently than vertical transmission. A newborn baby from a mother with HIV-AIDS, accompanied by signs of infection in the baby, the patient's mother was found to be reactive on the HIV test and a decrease in CD4. Physical examination results on system examination were good. The results of laboratory support examinations obtained an increase in CRP and hypoglycemia. The diagnosis of infant with mother HIV-AIDS (BIHA) and neonatal infection was established based on the history, physical examination results and supporting examinations of the mother and baby that had been carried out. The patient received main therapy by giving antiretroviral prophylaxis in the form of zidovudine 4mg/kg/time, 2 times a day until the baby is 6 weeks old and antibiotics according to the diagnosis.
Copyright (c) 2025 Bunga Sherley Aprilia, Ity Sulawati
The Relationship between Community Trust and Traditional Medicine in the Karang Tengah Health Center Working Area
This study aimed to analyze the relationship between community beliefs and the use of traditional medicine in the working area of Karang Tengah Health Center, Sukabumi. This study used a quantitative research design with correlational analytic method and cross-sectional approach. A total of 99 respondents were selected using accidental sampling technique from a population of 20,790. Primary data were collected through a questionnaire that evaluated the community's belief in traditional medicine as well as the frequency of its use, while secondary data were obtained from the annual report of the puskesmas and official sources of the Ministry of Health. Data were analyzed using the Chi-Square test to measure the relationship between variables. The results showed that the majority of respondents had a high level of trust in traditional medicine (43.4%) and most used traditional medicine at a moderate level (44.4%). Bivariate analysis revealed a significant association between the level of trust and the use of traditional medicine with a p value of <0.05. Factors such as bad experiences with modern medicine, socio-cultural influences, and more affordable costs encourage people to choose traditional medicine. This study concludes that people's trust significantly influences their decision to use traditional medicine. These results are expected to contribute to the development of more inclusive health policies by effectively integrating traditional and modern medicine
Copyright (c) 2025 Muhammad Irsal Fatahillah, Hendri Hadiyanto, Hadi Abdillah
The Effect of Slow Stroke Back Massage on Headache Intensity in Hypertensive Older Adults
Introduction: A Headache is a common complaint among individuals with hypertension and is often associated with elevated blood pressure. One form of complementary therapy that can be applied to alleviate this symptom is Slow Stroke Back Massage (SSBM). Objectives: This study aimed to examine the effect of Slow Stroke Back Massage on headache intensity in older adults with hypertension. Methods: This quantitative research employed a quasi-experimental design with a non-equivalent control group pretest-posttest approach. Thirty-four hypertensive older adults participated in the study and were selected through purposive sampling. The intervention group received SSBM therapy three times per week for 10 minutes over four weeks, while the control group received only standard antihypertensive medication. Headache intensity was measured using the Numeric Rating Scale (NRS). Results: The mean pre-test headache intensity score was 6.12 ± 1.62 in the intervention group and 5.82 ± 1.55 in the control group. After the intervention, the mean scores decreased to 2.71 ± 1.53 and 3.82 ± 1.55, respectively. The reduction in headache intensity was 3.41 points in the intervention group and 2.00 points in the control group. The Wilcoxon test showed a significant difference in the intervention group (p = 0.000), while the paired sample t-test confirmed significance in the control group (p = 0.000). The pre-test comparison between groups using the independent t-test indicated no significant difference (p = 0.592), whereas the post-test comparison using the Mann-Whitney U test showed a significant difference (p = 0.041). These findings suggest that SSBM significantly reduces headache intensity among hypertensive older adults. Conclusions: Slow Stroke Back Massage is an effective, safe, and non-pharmacological intervention for reducing headache intensity in hypertensive patients. Its application is recommended as a complementary therapy in elderly care.
Copyright (c) 2025 Sang Ayu Ketut Candrawati, Ni Komang Sukra Andini, Desak Made Ari Dwijayanti
The Relationship Between Knowledge Level and Premarital Sexual Behavior Among Students of SMA PGRI 10 Glenmore
Introduction : Adolescence is a phase where individuals experience emotional, psychosocial development and move towards a certain maturity. According to Media Sains Indonesia (2022), the consequences of premarital sexual relations, such as pregnancy at a young age, can bring physical, psychological and social risks for teenagers, including the possibility of abortion. Objectives: Research shows that 86% of students have held hands and hugged their partners, with 20% of these activities done voluntarily, and 34% engaging in sexual activities every time they meet. As many as 42% of respondents revealed that the most common places to engage in sexual activities are in boarding houses or hotels. Methods : Research design is a framework that provides clear guidance and direction for researchers during the conduct of research. The aim is to provide detailed instructions so that researchers can follow the research stages correctly. This research uses a descriptive quantitative approach with a design that includes observational analysis and applies a cross sectional approach. Results : The research results show that there is no relationship between the level of knowledge regarding premarital sexual behavior among students and female students at SMA PGRI 10 Glenmore. This result can be seen from the p value of 0.848, so (H0) in this study is accepted. Thus it can be concluded that the level of knowledge has no relationship with premarital sexual behavior. Conclusions : Analysis shows that out of 60 respondents with good knowledge, 5 respondents (8.2%) have a positive risk towards premarital sexual behavior, while 34 respondents (55.7%) have a negative risk. On the other hand, out of 10 respondents (16.4%) with less knowledge, 9 respondents (14.8%) showed a negative risk and 1 respondent (1.6%) showed a positive risk towards premarital sexual behavior. The statistical test using chi-square yielded a significant value of ρ = 0.848. Because the ρ-value is greater than 0.05, it can be concluded that there is no relationship between the level of knowledge and premarital sexual behavior.
Copyright (c) 2025 Maya Lutfiana Ningrum, Tria eni, Septi Kurniawati
The Relationship Between Santri's Knowledge About Scabies And Personal Hygiene With The Incidence Of Scabies In Pesantren Azzainiyyah Sukabumi
Scabies is a contagious skin disease caused by Sarcoptes scabiei mites that infest a person. The disease often occurs in places with high density and poor sanitation, such as in boarding schools. Poor knowledge about hygiene, poor hygiene care, and unfavorable environmental conditions, such as lack of access to sanitation, are the main risk factors for scabies. The purpose of this study was to see how santri's knowledge of scabies, personal hygiene care, and scabies cases in Pesantren Azzainiyyah Sukabumi correlate with each other. This study utilized a descriptive correlative design and cross-sectional technique. The systematic method of random sampling consisted of 62 students. Data were collected through questionnaires containing variables of knowledge about scabies, personal sanitation, and scabies cases. Chi-Square test was used to analyze univariate and bivariate data. The result of P value obtained from chi Square test for asymp sig. (2-sided) is 0.000. This value shows the result of p,0.05 and means that Ha is accepted and Ho is rejected. So it can be concluded that there is a significant relationship between the relationship between santri knowledge about scabies and personal hygiene with the incidence of scabies. It can be concluded that there is a significant correlation between the level of knowledge of students about scabies and personal hygiene habits with the number of scabies cases that occur in Pesantren Azzainiyyah Sukabumi. Lack of knowledge and poor personal hygiene habits increase the likelihood of getting scabies. It is recommended for pesantren managers to provide regular health education on the importance of personal hygiene and scabies prevention.
Copyright (c) 2025 Jesica Restu Mawarni, Hendri Hadiyanto , Lutiyah
THE EFFECT OF GIVING MILK CHOCOLATE AND PUMPKIN (CURCUBITA MOSCHATA DUCH) ON REDUCING PRIMARY MENSTRUAL PAIN (DYSMENORRHEA) IN X-XI GRADES ADOLESCENT GIRLS AT SMA IBRAHIMY 2 OF SALAFIYAH SYAFI'IYAH SUKOREJO SITUBONDO ISLAMIC BOARDING SCHOOL
Background: Dysmenorrhea is a condition where pain and cramps are felt in the lower abdomen, followed by signs of headache, nausea, diarrhoea, and sweating occurring 24 hours before menstruation and lasting 1-2 days during menstruation. Objective: This study is to determine the effect of milk chocolate and pumpkin (Curcubita Moschata Duch) on reducing primary menstrual pain (dysmenorrhea) in female adolescents in X-XI grades at SMA Ibrahimy 2 of Salafiyah Syaf'iyah Sukorejo Situbondo Islamic Boarding School. Method: The study was conducted at SMA Ibrahimy 2 on students in X-XI grades. This study is a quasi-experimental study with a two-group pre-test and post-test design. The sample of this study was 60 (30 intervention groups, control groups), and the study population was 1042 female students. Measurement of pain intensity using the Numeric Rating Scale (NRS), which was conducted before and after the intervention, was given, with administration 2x/day for 3 days. Data analysis using Mant Withnay to see the effect of giving milk chocolate and pumpkin (curcubita moschata duch) on reducing the intensity of menstrual pain scale (dysmenorrhea) in adolescent girls at the Salafiyah Syafi'iyah Sukorejo Situbondo Islamic Boarding School and the Wilcoxon test to see the comparison of the intensity of the pain scale of the intervention group and the control group. Results: The results showed that there was an effect of giving Milk Chocolate and pumpkin (curcubita moschata duch) on reducing primary menstrual pain (dysmenorrhea) in adolescent girls in X-XI grades at SMA Ibrahimy 2 with a value (p <0.005) and a comparison of the intensity of the pain scale in the intervention group p-value = 0.000 (<0.05). In contrast, in the control group, p-value = 1.000 (>0.05). There is a difference between the intensity of the pain scale in the intervention and control groups.
Copyright (c) 2025 Neny Yuli Susanti; Jasmiati Jasmiati; Nur Dina Camelia
Relationship Between Short Birth Length And Stunting Incidence In Toddlers
Introduction: The length of a baby's birth can describe linear growth during pregnancy. If a baby is born with a short body length, it indicates a disorder during pregnancy which usually indicates a state of malnutrition suffered by the mother. Short birth length is a risk factor for stunting Objectives: The purpose of this study was to determine the relationship between short birth length and the incidence of stunting Methods: The type of research used was correlation analytic with a cross-sectional design. The research location was at the Bengkuring Health Center, Samarinda City, East Kalimantan Province. The number of samples was 30 people with inclusion criteria, toddlers aged 2-5 years who experienced stunting with a history of mothers giving birth at term. The sampling technique used was Purposive Sampling. Data collection used KIA books, Microtoise to measure toddler height, scales to measure toddler weight, KMS sheets to see the baby's birth length, and nutritional reports at the Health Center. Data analysis techniques used univariate and bivariate analysis using the chi-square test Results: Most of the children's birth weight is normal (2500-4000 gr) totaling 23 people (76.7%), then the birth length of the children is mostly short (<48 cm) totaling 20 people (66.7%). All toddlers in this study were classified as stunted, namely 30 people (100%). Bivariate analysis using the chi-square test with a ρ-value = 0.000 Conclusions: There is a relationship between short birth length and the incidence of stunting
Copyright (c) 2025 Elisa Goretti Sinaga, Ega Ersya Urnia, Diah Ulfa Hidayati, Lidia Lushinta, Harmi Ulbandriyah
THE RELATIONSHIP BETWEEN BLOOD SUGAR LEVELS AND BLOOD PRESSURE IN PATIENTS WITH TYPE II DIABETES MELLITUS IN THE WORKING AREA OF THE HEALTH CENTER
Diabetes mellitus is a chronic disease that requires prolonged treatment therapy to reduce the incidence of complications. The purpose of this study is to determine the data that can increase a person's risk of developing diabetes mellitus, such as age, weight, family history, lifestyle, and diet and to determine whether high blood sugar levels contribute to an increased risk of blood pressure in type II diabetes mellitus patients. The method used is correlation with a cross sectional approach emphasizing the time of measurement or observation of data on the independent variable and the dependent variable only once, at a time. The population in this study is the number of patients who have a history of type 2 diabetes mellitus in the Ciracap Health Center working area of 94 people. This study will use 55 respondents, using the slovin formula. The sampling technique used in this study was non-probability sampling with a purposive sampling approach. The results showed that the P Value obtained from the Chi Square test for asymp sig. (2-sided) is 0.002. This value shows the result of p <0.05 and means that Ha is accepted and H0 is rejected. So it can be concluded that there is a significant relationship between blood sugar levels and blood pressure in patients with diabetes mellitus II in the Ciracap working area.
Copyright (c) 2025 Muhammad Rafka Hagi Suarna, Egi Mulyadi, Amir Hamzah
The Relationship between Inclusive Leadership of the Head of the Room and Job Satisfaction of Nurses in the Inpatient Room of RSI Assyifa Sukabumi
Introduction: Inclusive leadership emphasizes openness, respect, and appreciation of diversity in the workplace. In healthcare settings, particularly in nursing, leadership style significantly influences job satisfaction and quality of service. However, variations in leadership practices may impact the work environment and staff performance differently. Objectives: This study aimed to analyze the relationship between the inclusive leadership of ward heads and the job satisfaction of nurses in the inpatient rooms of RSI Assyifa Sukabumi. Methods: A quantitative, correlational analytic design with a descriptive approach was used. The study involved 73 nurses selected through stratified random sampling from a total population of 90 nurses. Data were collected using a validated and reliable questionnaire. Univariate analysis was used to describe respondent characteristics, while bivariate analysis using the Chi-Square and Fisher’s Exact Test was conducted to examine the relationship between inclusive leadership and job satisfaction. The study was carried out between November and December 2024. Results: Most nurses rated inclusive leadership as good (54.8%) or very good (43.8%), and job satisfaction as good (61.6%) or very good (34.2%). Bivariate analysis showed a statistically significant relationship between inclusive leadership and nurses’ job satisfaction (p = 0.041), as determined by Fisher’s Exact Test. Conclusions: The findings indicate that inclusive leadership by ward heads is positively associated with nurse job satisfaction. Strengthening inclusive leadership practices can contribute to a more supportive work environment, improved motivation, and better nursing performance, ultimately enhancing patient care quality.
Copyright (c) 2025 Selpi Windiastia, Arfatul Makiyah , Hendri Hadiyanto
EFFECTIVENESS OF DIABETES MELLITUS COUNSELING IN IMPROVING DIETARY COMPLIANCE IN PATIENTS WITH TYPE 2 DIABETES MELLITUS
Type II diabetes mellitus is a chronic disease in which the pancreas does not produce enough insulin resulting in an increase in blood glucose levels above normal. The population in this study were 94 people with type II diabetes meatus. The sample needed is 40 patients. Data collection in this study was through distributing questionnaires and counseling. The data analysis used is descriptive statistical analysis and analysis using the t test. The results of data collection will go through several stages including validity test, reliability test, normality test, and homogeneity test. Based on the analysis of the t-test sample test, the results of statistical tests with the paired samples test showed a P-value value of 0.027 <0.05, which can be concluded that there is an effectiveness of diabetes mellitus counseling in improving diet compliance with type II diabetes mellitus
Copyright (c) 2025 Ikhlasul Mumin, Egi Mulyadi, Mustopa Saepul Alamsyah
Relationship between Knowledge and Readiness to Face Menopause in Perimenopausal Women in Sumberrejo Village
Introduction: Menopause is a phase in which women experience the cessation of menstrual cycles during the climacteric period. At around 45 years of age, there is a decrease in ovarian function which causes the production of the hormone estrogen to decrease. According to (WHO) for 2025, the number of women experiencing menopause in the Asian region is expected to increase significantly, from 107 million to 373 million. Meanwhile, (Ministry of Health of the Republic of Indonesia) estimates that in 2020, the population of Indonesia will reach around 262.6 million, with around 30.3 million women in the menopause phase. Their average age when experiencing menopause is 49 years. Objectives: To determine the relationship between knowledge and readiness to face menopause in perimenopausal women in Sumberrejo Village, Banyuputih District. Methods: This study is a quantitative analytical study with a cross-sectional research design. The population of the study was all perimenopausal women in Sumberrejo Village, Banyuputih District, totaling 641 people. The sampling technique was Purposive Sampling with a sample size of 89 people. Results: Based on the results of the knowledge analysis, 33 respondents (37.1%) had good knowledge, 41 respondents (46.1%) had sufficient knowledge and 15 respondents (16.9%) had insufficient knowledge. The results of the analysis of respondent readiness were in the category of being ready to face menopause with 76 respondents (85.4%) and 13 respondents (14.6%) were not ready to face menopause. The Kolmogorov Smirnov non-parametric analysis test showed that the significance value obtained was 0.000, the significance value was <0.05 (p <0.05). Conclusions: it can be concluded that there is a relationship between knowledge and readiness to face menopause in perimenopausal women in Sumberrejo Village, Banyuputih District
Copyright (c) 2025 Raudatul Hikmah, Dwi Margareta Andini , Dewi Andariya Ningsih
Efficacy of Brisk Walking Exercise and Asma'ul Husna Meditation on Hypertension in Women of Fertile Age
Background: Hypertension is still one of the major health problems in Indonesia, especially in women of childbearing age (WUS). Management of hypertension through non-pharmacological methods such as exercise and spiritual approaches has proven to be effective and efficient. Brisk Walking Exercise (BWE) and Dzikir Asma'ul Husna (DAH) Meditation are promising interventions in holistic blood pressure control. Objective: To determine the efficacy of the combination of Brisk Walking Exercise and Dzikir Asma'ul Husna Meditation (BWE-DAH) on systolic and diastolic blood pressure in women of childbearing age with hypertension. Methods: The research design is quasi-experimental with pre-post test control group design. The sample amounted to 34 women of childbearing age who were divided into two groups, namely the intervention group (BWE-DAH) and the control group (BWE alone). The intervention was conducted for 2 weeks. Data were analyzed using Wilcoxon and Mann-Whitney tests. Results: The intervention group showed a significant reduction in systolic (mean reduction 17.4 mmHg) and diastolic (mean reduction 7.7 mmHg) blood pressure (p<0.05). The control group only showed a significant reduction in diastolic pressure (mean 3.4 mmHg). Comparison between groups showed significant differences in systolic blood pressure, but not in diastolic blood pressure. Conclusion: The combination of Brisk Walking Exercise and Dzikir Asma'ul Husna Meditation is more effective in reducing systolic blood pressure than Brisk Walking Exercise alone. These results suggest that a spiritual approach can strengthen the effectiveness of physical interventions in the management of hypertension.
Copyright (c) 2025 Khoirunnisak, Azizatul Hamidiyah, Lea Ingne Reffita
THE EFFECT OF NON-NUTRITIVE SUCKING (PACIFIER) ON THE BABY'S PAIN RESPONSE WHEN VENOUS BLOOD COLLECTION IS CARRIED OUT IN THE NEONATOLOGY ROOM OF LAVALETTE HOSPITAL
Pacifiers are a safe and effective method that can provide comfort to newborns, especially when feeling sick. Neonatal babies born in the first 28 days often experience pain when undergoing treatment and treatment procedures, one of which is blood sampling. The use of non-nutritive sucking is very effective in reducing neonatal pain during invasive procedures or heel piercing. The research design used is quasi-experimental design. The sample consisted of 2 groups, namely the control group without intervention totaling 30 infants and the NNS intervention group totaling 30 infants. Data analysis technique using Independent sample t test. The results showed that the value of equal variances assumed is known as the sig value. (2-tailed) of 0.000 < 0.05. It can be concluded that there is an influence of the baby's NIPS scale by giving pacifier intervention to the baby during venous blood collection at the hospital. Lavalette.
Copyright (c) 2025 frety rahmasari, Director Trigantara, Nining Loura Sari
The Effect of Finger Grasp Relaxation on Reducing Pain Intensity in Patients
This study aims to evaluate the effect of finger grasping relaxation technique on reducing pain intensity in postoperative patients in Arafat Room III RSI Assyifa Sukabumi City. Using a pre-experimental research design with a one-group pretest-posttest approach, this study involved 18 respondents selected through inclusion and exclusion criteria. Finger grasping relaxation technique, a simple non-pharmacological method, was performed to reduce pain by grasping fingers alternately for 3-5 minutes. The results of the analysis showed that the pain level of patients before the intervention was dominated by the moderate pain category (72.2%), while after the intervention the majority of patients experienced mild pain (66.7%). Statistically, there was a significant decrease in patients' pain levels, with a p value <0.05 based on the paired sample t-test. The mean pain level before the intervention was 4.16, decreasing to 3.00 after the intervention, showing a mean difference of 1.16. This study supports the effectiveness of the finger grasp relaxation technique as a supportive therapy to reduce postoperative pain. This technique stimulates the release of endorphins that inhibit pain signals, promote relaxation, and reduce physical and emotional stress. These results are consistent with previous studies showing significant benefits of this technique in reducing pain intensity. In conclusion, finger grasp relaxation is an effective, safe, and easy-to-implement method as a non-pharmacological therapy to help with postoperative pain management, and can be used as an alternative or companion to pharmacological therapy. This study makes a significant contribution to nursing practice, particularly in pain management.
Copyright (c) 2025 Asni Tri Sutiani, Mustopa Saepul Alamsyah , Egi Mulyadi
Implementation of Health Belief Model on Knowledge of Hypertension Prevention among At-Risk Adolescents in Bojongsawah Village, Kebon Pedes Subdistrict, District
Hypertension is one of the global health problems whose prevalence continues to increase, including in adolescents. Lack of knowledge about the risk factors, prevention, and impact of hypertension can exacerbate long-term health risks. This study aims to analyze the effect of Health Belief Model (HBM) implementation on increasing the knowledge of at-risk adolescents about hypertension prevention. This study used a quasi-experimental design with a One Group Pre-Test and Post-Test approach. The research sample was 40 at-risk adolescents in Bojong Sawah Village, who were selected using convenience sampling technique. Data were collected through a questionnaire that had been tested for validity and reliability. Data were analyzed univariately and bivariately using the Paired Sample T-Test test. The results showed that there was a significant increase in the level of knowledge of adolescents after the implementation of HBM (mean pre-test: 17.00; post-test: 24.00). The statistical test showed a p value = 0.000 (<0.05), which indicated that the implementation of HBM had a significant effect on increasing respondents' knowledge. In conclusion, the implementation of HBM is effective in increasing adolescents' knowledge about hypertension prevention. This study recommends the application of HBM in health education programs to address hypertension, especially in the adolescent age group.
Copyright (c) 2025 Rita Siti Hawa, Irawan Danismaya, Amir Hamzah
THE EFFECT OF BITTER MELON JUICE ON BLOOD PRESSURE IN HYPERTENSIVE PATIENTS IN JAGAMUKTI VILLAGE, SURADE HEALTH CENTER WORKING AREA
This study aims to analyze the effect of consuming bitter melon juice on blood pressure in hypertensive patients in Jagamukti Village, Surade Health Center's working area. Hypertension is a non-communicable disease with a high prevalence that requires serious attention. This study used a quasi-experimental design with a one-group pretest-posttest design, involving 15 respondents selected using cluster sampling. Data were analyzed using parametric statistical tests with a T-test. The results showed that the average systolic blood pressure before the intervention was 151 mmHg, while after the intervention, it decreased to 145 mmHg. Statistically, there was a significant difference with a p-value of 0.000 (<0.05), indicating that bitter melon juice is effective in lowering blood pressure in hypertensive patients. Most respondents were female (60%) aged 46–55 years (66.7%), and the majority worked as housewives (60%). Bitter melon, rich in potassium and possessing diuretic effects, effectively lowers sodium levels in the blood, helping to reduce blood pressure. This study reinforces the potential of bitter melon as a safe and natural non-pharmacological intervention for hypertension. These findings are expected to encourage the use of herbal plants in the management of hypertension.
Copyright (c) 2025 Anniswah Utami, Azhar Zulkarnain Alamsyah , Egi Mulyadi
The Relationship Between Family Support and Self-Care Management in Chronic Kidney Disease Patients Undergoing Hemodialysis at Sekarwangi Regional Public Hospital
This study aims to examine the relationship between family support and self-care management in Chronic Kidney Disease (CKD) patients undergoing hemodialysis at Sekarwangi Regional Public Hospital. A correlational research design with a cross-sectional approach was employed, involving 109 respondents. Data on family support were collected using the Perceived Social Support-Family (PSS-Fa) questionnaire, while self-care management was assessed using a self-care management scale. Descriptive and bivariate analyses were performed to analyze the data. The results indicated that 78.9% of respondents received good family support, and 91.7% demonstrated good self-care management. Statistical analysis using Fisher’s Exact Test showed a significant relationship between family support and self-care management (p = 0.019). Patients with good family support were more likely to have better self-care management (95.3%) compared to those with insufficient family support (21.7%). This study highlights the critical role of family support in enhancing patient confidence and adherence to self-care practices, which contributes to better management of CKD and improved quality of life. The findings suggest that strengthening family involvement in care could significantly improve the self-care management of CKD patients undergoing hemodialysis. Further interventions to enhance patient education and family support are recommended to optimize health outcomes for CKD patients.
Copyright (c) 2025 Permatasari, Erna Safariyah , Amir Hamzah
The Effect of Islamic Spiritual-Based Education on Mothers' Attitudes About Overcoming Stunting in Gegerbitung Village, Sukabumi Regency
Stunting is a chronic nutritional problem that remains a significant challenge in Indonesia, including in Gegerbitung Village, Sukabumi Regency. This study aims to assess the impact of Islamic spiritual-based education on mothers' attitudes toward addressing stunting. The research design employed is a quasi-experimental approach using a one-group pretest-posttest design. The sample consisted of 25 mothers from Gegerbitung Village, selected purposively. Data were collected using a questionnaire that measured mothers' attitudes before and after receiving Islamic spiritual-based education. Data analysis was conducted using paired t-test statistical analysis to assess attitude changes before and after the intervention. The results showed that the average attitude score of mothers toward stunting prevention before the education was 32.32 with a standard deviation of 2.65707, while after the education, it increased to 45.60 with a standard deviation of 1.97906. The paired t-test results showed a p-value of 0.000, which is less than 0.05, indicating a significant effect of the Islamic spiritual-based education on mothers' attitudes toward stunting prevention. This study concludes that Islamic spiritual-based education can improve mothers' attitudes toward addressing stunting, making it an effective strategy in reducing stunting rates in the village.
Copyright (c) 2025 Maria Magdalena Sridanti Martiana, Irawan Danismaya , ArfatulMakiyah
Guided Imagery Relaxation Effectively Lowers Blood Pressure in Hypertension Patients
Introduction: Hypertension is a leading risk factor for cardiovascular diseases and is prevalent in various age groups. Effective interventions are needed to manage hypertension, particularly in primary healthcare settings. This study explores the effect of guided imagery relaxation on reducing blood pressure in hypertensive patients at Puskesmas Babadan, Indramayu. Objectives: This study aimed to determine the effectiveness of guided imagery relaxation in lowering systolic and diastolic blood pressure in hypertensive patients. Methods: A pre-experimental design was used involving 30 hypertensive patients from Puskesmas Babadan. Participants underwent a guided imagery relaxation intervention for 15 minutes daily over one week. Blood pressure was measured before and after the intervention. Data were analyzed using paired t-tests to assess changes in blood pressure. Results: The results showed a significant reduction in both systolic and diastolic blood pressure after the intervention. The mean systolic blood pressure decreased from 152.3 mmHg to 140.5 mmHg (p = 0.000), while diastolic blood pressure decreased from 94.6 mmHg to 88.1 mmHg (p = 0.001). Conclusions: Guided imagery relaxation was effective in lowering blood pressure in hypertensive patients. This non-pharmacological approach may be a valuable complementary therapy in managing hypertension in primary healthcare settings. Further research is recommended to explore the long-term effects and the integration of this technique into routine healthcare practices.
Copyright (c) 2025 Indra Aliando, Kayubi, Hasim Asyari
Application of the Five-Finger Hypnosis Relaxation Technique in Nursing Care for Hypertensive Patients
Hypertension is often referred to as the "silent killer" because it frequently shows no symptoms. In Indonesia, hypertension continues to rise year after year, with the incidence in 2018 reaching 658,201 cases (34.11%). The causes of hypertension are closely related to age and gender factors. Therefore, non-pharmacological nursing interventions are needed to address this, such as the five-finger hypnosis technique. Five-finger hypnosis involves focusing the mind on images or memories created while touching each of the five fingers in sequence, all in a relaxed state. This study aims to analyze the application of five-finger hypnosis in nursing care for hypertensive patients. The research method used is a case study with the implementation of the five-finger hypnosis nursing intervention. The respondents in this study consisted of five participants diagnosed with hypertension. The patients were taught the five-finger hypnosis technique for approximately 15 minutes. The results showed a decrease in blood pressure after the five-finger hypnosis therapy, with the five respondents (100%) showing an average systolic blood pressure of 146 mmHg, diastolic blood pressure of 91.6 mmHg, and mean arterial pressure (MAP) of 109.74 mmHg. It can be concluded that the five-finger hypnosis therapy is effective in reducing the blood pressure of hypertensive patients. Future researchers are encouraged to extend the duration of five-finger hypnosis therapy for hypertensive patients to achieve a more significant reduction in blood pressure.
Copyright (c) 2025 Arlies Zenitha Victoria, Davina Rahma Dania Putri Rosiany, Dela Ayu Kurniawati, Desika Indrawati, Desita Triana Adila, May Wulansari
Literature Review: The Effect of Zeaxanthin Carotenoid Supplementation on the Prevention of Age-Related Macular Degeneration (AMD)
Introduction: Age-Related Macular Degeneration (AMD) is a condition that harms the retina and primarily affects those who are 60 years old or older, leading to significant vision loss. In the United States, the count of individuals affected is projected to rise from 9.1 million in 2010 to approximately 17.8 million by the year 2050. The progression of AMD can be prevented by consuming sources of antioxidants which have been proven to inhibit the development of this disease. One type of antioxidant that is easy to find and abundant in nature is the carotenoid zeaxanthin. Objectives: This study aimed explore the connection between the administration of carotenoid zeaxanthin and the prevention of Age-Related Macular Degeneration (AMD). Methods: This research used a literature review method on research articles that have been conducted previously. Search for articles using the online databases PubMed and Sciencedirect. journal inclusion criteria for the last 5 years. A total of 5 articles were used in this study. Results: The use of the carotenoid zeaxanthin showed a positive effect on preventing the development of Age-Related Macular Degeneration (AMD), yielding significant outcomes (p<0.05). Conclusions: Administration of zeaxanthin supplementation has an effect on inhibiting the occurrence of Age-Related Macular Degeneration (AMD)
Copyright (c) 2025 Indah Dwi Utami, T Mahmudiono
Relationship between Social Media Access and Adolescent Reproductive Health Behavior in SMK Banyumas Regency
Adolescents face poor reproductive health behavior due to low literacy and access to relevant health information even though social media has the potential as a source of information. The study aims to analyze the relationship between social media access and adolescent reproductive health behavior. This research method is quantitative with a cross-sectional approach. Sampling technique with proportionate random sampling as many as 290 students of SMK Tujuh Lima 1 Purwokerto and SMK Ma'arif NU 2 Ajibarang class X and XI. The research instrument is online through google form. The social media access questionnaire has been tested for validity and reliability with a Pearson value of 0.334 and Cronbach alpha of 0.750. The results of this study showed that the majority of respondents in SMK Kabupaten Banyumas were 16 years old (49%), female (60%), and other sources for accessing reproductive health information used electronic media (22%). Most had less social media access (54%) but good reproductive health behavior (91%). There was a weak relationship between social media access and reproductive health behavior (p-value 0.001, r = 0.188). These findings suggest to further strengthen reproductive health education through social media that is interesting and relevant to adolescents
Copyright (c) 2025 Devi Intan Lestari, Ema Wahyu Ningrum , Maya Safitri
Analysis Of The Impact Of The Semi-Fowler Position On Oxygen Levels And Breathing Frequency In CKD Patients within The Emergency Departement Of Rs Sint Carolus Jakarta
Introduction: Chronic kidney disease, which involves lasting impairment of kidney function, can cause respiratory issues among various other systemic complications. Breathlessness is a common symptom that patients face, and if it goes unaddressed, it can worsen their overall health condition.. Objectives: The aim of this study is to assess the effectiveness of the semi-Fowler position in boosting oxygen saturation and decreasing the respiratory rate in chronic kidney disease patients receiving treatment in the Emergency Department. Methods: This investigation adopted a descriptive case study method focusing on two individuals who experienced breathing difficulties due to chronic kidney disease. Interventions included the provision of oxygen and repositioning the patients into the semi-Fowler position for four hours of monitoring. The gathered data included oxygen saturation levels and respiratory rates measured before and after the intervention. Results: After being positioned in the semi-Fowler setup, both patients exhibited notable improvements in oxygen saturation and reductions in respiratory rates. Oxygen saturation levels rose from 83–94% to 99–100%, while the respiratory rate declined from 30–32 breaths per minute to 26–28 breaths per minute. Conclusions: Positioning patients in the semi-Fowler posture has been shown to effectively enhance respiratory function in individuals with chronic kidney disease within the emergency setting. This method can serve as a first-line non-invasive nursing intervention to promote patient comfort and help maintain the stability of their condition.
Copyright (c) 2025 Elfrida Jennifer Crystella, Maria Astrid
The Factors Affecting of Bed Occupancy Rate (BOR) in Hospital
Background : Bed Occupancy Rate (BOR) is a number that shows the percentage of used shows the percentage of used bed room at certain times in the inpatient unit. This Bed Occupancy Rate (BOR) data can be used to determine the level of utilization of service facilities, find out the quality of hospital services, and find out the level of efficiency of hospital services. Purpose : to find out the factors affecting of Bed Occupancy Rate (BOR) in hospitals. Method : The methods used from literature sources such as Google scholar, pubmed, and research gate. The way to locate literature in a number of key words is, Bed Occupancy Rate (BOR), factors of Bed Occupancy Rate (BOR). Inklational criteria: articles that have titles and content that are relevant to the goal, in Indonesian, English and arabian fulltext, research articles published in 2016-2020. Results : Based on the review of the articles, it is known that factors affecting of Bed Occupancy Rate(BOR) are internal factors such as communication services, the attitude of doctors and nurses, medical assistance, a facility for medical support , human resources and machines and other external factors such as the environment. Conclusion : Of the many factors that affect Bed Occupancy Rate (BOR) in hospitals, the most influential internal factors such as health care procedures and medical support infrastructure are among the most affected Bed Occupancy Rate (BOR) in hospitals.
Copyright (c) 2025 Erlangga Mandala Sakti Mandala
Prolanis Exercise to Reduce Blood Sugar and High Blood Pressure in the Elderly at the Gunungpati Community Health Center
Diabetes mellitus and hypertension are chronic diseases that often cause serious complications such as stroke, so they require proper treatment. The Chronic Disease Management Program (Prolanis) aims to improve the quality of life of sufferers through a proactive approach, including providing exercise for prolanis participants. This study aims to analyze the application of prolanis exercise on reducing blood sugar and blood pressure in the elderly at the Gunungpati Health Center in Semarang. The study used a quasi-experimental method with a one-group pre-post-test design. A sample of 60 elderly people participated in prolanis activities, 30 elderly people with diabetes mellitus and 30 elderly people with hypertension. The activity was carried out by measuring blood sugar and blood pressure (pre-test), then given prolanis exercise intervention for 10 minutes, after the intervention the participants' blood sugar and blood pressure were measured (post-test). Data analysis for diabetes mellitus used a dependent t-test and hypertension used a Wilcoxon test. The results of the Dependent t-test showed the effect of prolanis exercise on lowering blood sugar with a p value = 0.024. The results of the Wilcoxon test showed the effect of Prolanis gymnastics on lowering blood pressure with a p value = 0.000. This activity shows that Prolanis gymnastics is effective in managing hypertension and diabetes mellitus in the elderly.
Copyright (c) 2025 Ratnasari Ratnasari, Dhimas Eka Prayoga , Elva Dwi Yuliyani , Ersa Novita Andriyani
Factors Affecting the Completeness of Basic Vaccination for Toddlers
Vaccination is an effective way to reduce infant mortality. It can also prevent some infectious diseases and reduce disability rates in infants. Although vaccination has been proven to be a vital public health effort, its coverage has not yet reached the predetermined target of the Ministry of Health's Strategic Plan. Factors influencing mothers’ intention to get their babies vaccinated are education, knowledge, age, support, attitude, and distance. This research aims to analyze factors affecting the completeness of basic vaccination for toddlers. This analytical study used a survey method with a retrospective approach. Data were collected by distributing questionnaires. Data analysis covered univariate and bivariate analyses using the Chi-square. The population in this study was mothers with toddlers aged 12-24 months. The total sampling size was 165 mothers. The results showed that around 160 (97%) mothers completed their toddlers’ basic vaccination, while the other 5 mothers (3%) did not complete their toddlers’ vaccination. Education (p=9.992), occupation (p=9.746), knowledge (p=0.890), support (p=0.764), attitude (p=0.095), and distance (p=2.354) did not influence the completeness of vaccination. However, age (p=0.004) influenced the completeness of basic vaccination for toddlers. It can be concluded that age influences the completeness of basic vaccination for toddlers with a value of (p=0.004).
Copyright (c) 2025 Juni Sofiana; Hastin Ika Indriyastuti, Wulan Rahmadhani, Eni Indrayani
The Analysis of Patient Satisfaction with Services at Genteng Regional Public Hospital
Introduction: Getting complete health services is a privilege that patients must obtain. Patient satisfaction is a key element that can influence the patient's desire to reuse health services. Therefore, Genteng Regional Public Hospital needs to conduct periodic satisfaction surveys to maintain patient satisfaction periodically. Objectives: This study aims to determine patient satisfaction with services at Genteng Regional Hospital. This study was conducted in September-November 2024. Methods: This research design uses quantitative descriptive. The population in this study was 256 people, with a sample size of 150 people, who were obtained using the Krecjie Morgan table, were selected using a simple random sampling technique, and spread across 43 rooms, polyclinics, and units at the RSUD Genteng Banyuwangi. The variables used are patient satisfaction and service. The questionnaire contains 12 elements: service requirements, service procedures, service time, service schedule, service costs, service type products, indications of negligence, communication competence, service expertise, implementer behavior, handling of complaints, suggestions and input, facilities, and infrastructure with 58 statements. Results: This research consists of 12 elements and each shows the following results: (1)elements of service requirements with a value of 98.375 (Quality Value A); (2) elements of service procedures with a value of 97.611 (Quality Value A); (3) elements of service time with a value of 95.917% (Quality Value A); (4) elements of service schedule suitability with a value of 96.917% (Quality Value A); (5) elements of service costs of 96.861% (Quality Value A); (6) elements of service products of 97.250% (Quality Value A); (7) elements of indications of negligence with a value of 96.833% (Quality Value A); (8) elements of communication competence with a value of 97% (Quality Value A); (9) elements of service expertise with a value of 97% (Quality Value A); (10) elements of implementer behavior with a value of 96.867% (Quality Value A); (11) Complaints, suggestions and input elements with a value of 97.250% (Quality Value A); (12) elements.Conclusions: Based on the research results, the patient satisfaction value for services at Genteng Regional Hospital, Banyuwangi Regency, was 96.911%, which means that patients feel very satisfied and the quality of service is A.
Copyright (c) 2025 Dian Roshanti, Betty Erda Yoelianita, Wahyu Adri Wirawati
EFFECTS OF SANYINJIAO ACUPRESSURE AND CINNAMON DECOCTION DYSMENORRHEA ADOLESCENTS’ MEAN PLATELET VOLUME
Introduction: Dysmenorrhea is a common menstrual pain complaint among adolescent girls affecting physical, psychological, and social activities. According to the World Health Organization (WHO) in 2021, 90% of women worldwide experience dysmenorrhea, and approximately 10–15% suffer from severe cases. One of the biological indicators related to menstrual pain is Mean Platelet Volume (MPV), the average size of platelets in the blood and reflects platelet activity and inflammation. The normal range of MPV is 150.000–400.000 µL, and elevated values may indicate an inflammatory process or acute pain, such as in dysmenorrhea. Objective: To determine the effect of the combination of Sanyinjiao (SP6) acupressure and cinnamon decoction on Mean Platelet Volume (MPV) levels before and after treatment in adolescent girls with dysmenorrhea. Methods: This study used a Pre-Experimental design with a One Group Pre-test and Post-test approach. The sample consisted of 32 adolescent girls with dysmenorrhea, selected using total sampling. The intervention of Sanyinjiao (SP6) acupressure and cinnamon decoction was administered twice daily for five days during menstruation. Results: The mean value of MPV showed a decrease after the intervention, with a p-value of 0.000 (<0.05), indicating a significant effect of the combination of Sanyinjiao (SP6) acupressure and cinnamon decoction on reducing MPV levels in adolescents with dysmenorrhea. Conclusions: The combination of SP6 acupressure and cinnamon decoction was proven to be effective in significantly reducing MPV levels in adolescent girls with dysmenorrhea. This therapy may serve as a practical and safe non-pharmacological alternative to alleviate menstrual pain associated with inflammation.
Copyright (c) 2025 INDAH SARI, Nyna Puspita Ningrum, Nina Hidayatunnikmah
The Effect of SP6 Acupressure and Cinnamon Decoction Combination on Hemoglobin in Dysmenorrhea Adolescents
Introduction: Dysmenorrhea is a common menstrual pain complaint experienced by adolescent girls. In East Java Province in 2021, around 4,653 adolescents experienced dysmenorrhea, the incidence of primary dysmenorrhea was 4,297 (90.25%). While in Bangkalan around 66.7% experienced dysmenorrhea. Dysmenorrhea can reduce hemoglobin levels due to excessive uterine contractions triggered by prostaglandins. Non-pharmacological therapies such as Sanyinjiao point acupressure (SP6) can stimulate the nervous system and reduce uterine muscle contractions, while cinnamon contains active compounds that are analgesic and anti-inflammatory. Purpose of this study was to determine the effect of the combination of SP6 acupressure and cinnamon decoction on hemoglobin levels in adolescents with dysmenorrhea. Method: uses a one group pretest-posttest design. The study was conducted at the adolescent health post in Karang Asem Village with 32 respondents. The intervention was given twice a day for 5 days of menstruation. Results: showed an increase in hemoglobin levels from an average of 12.20 ± 0.48 gr/dL to 13.75 ± 0.66 gr/dL. The Shapiro-Wilk test showed that the data were normally distributed. The paired t-test produced a p-value of 0.000 (p < 0.05), indicating a significant difference in hemoglobin levels before and after the intervention. Conclusion: is that the combination of SP6 acupressure therapy and cinnamon decoction is effective in increasing hemoglobin levels in adolescents with dysmenorrhea, and can be a practical and safe alternative non-pharmacological treatment.
Copyright (c) 2025 abidatul kamilia, Nina Hidayatunnikmah, Nyna PuspitaNingrum
The Impact of Workload During the Productive Age on Hypertension in Elderly Patients at Lisna YPK PLN Clinic Lampung
Introduction : Hypertension is often compared to a silent ticking clock in the body, striking unexpectedly with cardiovascular disease. Among its many triggers, occupational workload during productive years is often overlooked, though it may leave scars that surface as hypertension in later life. Objectives : This study assessed the association between past workload and hypertension among elderly patients at Klinik Lisna YPK PLN Lampung. Methods : A cross-sectional quantitative study was carried out in June 2025. From 215 elderly patients, 140 were purposively selected. Workload history was measured using the NASA-TLX questionnaire, while hypertension status was obtained from medical records and blood pressure checks. The dataset was examined through Mann–Whitney U testing and logistic regression, adopting a significance level of 0.05. Results : Most respondents reported high workload (62.86%), followed by very high (24.29%) and moderately high (12.86%). Hypertension was found in 50% of participants. A significant association was observed (p = 0.000274). Logistic regression showed that high workload increased hypertension risk 4.128 times (p = 0.020), and very high workload 4.118 times (p = 0.031), compared to moderate workload. Conclusion : Workload in productive years is like a shadow that follows into old age, shaping the risk of hypertension. Incorporating occupational history into screening may open the door to earlier detection and better prevention for the elderly.
Copyright (c) 2025 Ajirnii Qalibun, Nurul Aziza, Nur Sefa Arief Hermawan
THE CORRELATION BETWEEN BULLYING BEHAVIOR AND THE RISK OF POST-TRAUMATIC STRESS DISORDER AMONG ADOLESCENTS AT MTS AHMAD YANI JABUNG
Introduction: Bullying is a traumatic experience that can result in various developmental problems in adolescents, particularly those related to mental health. Some individuals may develop post-traumatic stress disorder (PTSD) as a result of experiencing traumatic life events. Objectives: This study aims to investigate the impact of bullying on PTSD among adolescents at MTs Ahmad Yani Jabung Methods: This study used a quantitative, cross-sectional, correlational research design. A proportional stratified random sampling technique was used, involving 97 students as participants. The bullying behavior, as the independent variable, was measured using a Likert-scale questionnaire developed by Chrysanthou and Chrysolavantis (2018). The dependent variable, risk of PTSD, was assessed using the PTSD Reaction Index questionnaire. The Spearman rank correlation test was used for data analysis. Results: The correlation coefficient value (r = 0.309) and the p-value (p = 0.002, where p < 0.05) indicated a significant correlation between bullying behavior and the likelihood of PTSD among adolescents at MTs Ahmad Yani Jabung. Furthermore, bullying behavior was found to be positively and significantly correlated with the risk of PTSD in adolescents. Conclusions: Since the majority of respondents were at risk of developing PTSD and nearly half of all respondents had experienced moderate levels of bullying, it can be concluded that bullying behavior is associated with the risk of PTSD among adolescents at MTs Ahmad Yani Jabung.
Copyright (c) 2025 Fadhilla Putri Hardiyanto, Risna Yekti Mumpuni, Kurnia Laksana
Body Composition and Its Impact on Physical Fitness, and Cardiovascular Risk: A Literature Review
Introduction: Body composition, including fat and lean mass, is recognized as a critical factor influencing physical fitness and cardiovascular health. Traditional measures such as body mass index do not distinguish fat from muscle and may misrepresent cardiometabolic risk. Objectives: This review analyzed recent evidence on the relationship between body composition, physical fitness, and cardiovascular risk to inform more accurate approaches to screening and prevention. Methods: A literature search was conducted in PubMed, Scopus, and Google Scholar for studies published between January 2020 and December 2025. Eligible studies included original articles, systematic reviews, or meta-analyses on adults. Titles, abstracts, and full texts were screened with inclusion and exclusion criteria. Data were extracted on study design, population, body composition methods, outcomes, and key findings. Narrative synthesis was performed. Results: Eight studies were included. Large cross-sectional analyses showed strong associations between body composition indicators, visceral fat, fat percentage, and lean mass, with blood pressure, lipid profile, and glucose regulation. Southeast Asian studies highlighted links between higher body fat, reduced physical activity, and increased cardiometabolic risk. Research in Brazil and the United States indicated that inflammatory markers and diet modified the relationship between adiposity and cardiovascular risk. Smaller studies emphasized the protective role of lean mass and physical activity, including technology-based exercise, on fitness and body composition outcomes. Conclusions: Body composition is a more accurate determinant of physical fitness and cardiovascular risk than body mass index. Integrating body composition analysis into clinical and public health practice could improve risk stratification and guide personalized preventive strategies.
Copyright (c) 2025 samuel martins, Siti Rahayu Nadhiroh, Pedro Amaral, Duarte Maubuti, Yopi Yeremia Alexander, Paradita Viola Ristianita, Asyifa Salsabilah Rahmi
Enhancing Nursing Students’ Knowledge in Emergency Stroke Care through Video-Based Learning
Introduction: Stroke is an emergency condition that requires rapid and appropriate management. Nursing students’ understanding of stroke emergency care is essential to support clinical competence. However, evaluation results indicate that students’ comprehension is still limited. Video-based learning media is one of the innovations to improve learning effectiveness. The purpose this research was to examine the effect of video-based learning on improving students’ understanding of emergency nursing care in stroke. Methods: This study employed a pre-experimental one group pretest-posttest design. A total of 39 nursing students were recruited using total sampling. The instrument was a knowledge test, and data were analyzed using the Paired T test Signed Rank Test Results: The results this research showed that the mean pretest score was 82.72, which increased to 92.03 in the posttest. The Paired T test test showed a significant difference between pretest and posttest scores with p value = 0.000 (< 0.05). Conclusions: Video-based learning is effective in enhancing students’ understanding of stroke emergency nursing care. Video can be recommended as an innovative medium in nursing education to improve students’ learning outcomes
The Effect of Warm Breast Compresses on Breast Milk Flow in Postpartum Mothers at Lala Medicare Clinic
Introduction: Breast milk is the optimal source of nutrition for infants; however, many postpartum mothers experience inadequate breast milk flow during the early postpartum period. One non-pharmacological intervention that may support lactation is the application of warm breast compresses, which can stimulate milk ejection and improve blood circulation. This study aimed to examine the effect of warm breast compresses on breast milk flow in postpartum mothers at Lala Medicare Clinic. Methods: This quantitative study employed a quasi-experimental one-group pretest–posttest design. A total of 30 postpartum mothers were selected using total sampling. Breast milk flow was assessed before and after the intervention. Warm breast compresses were applied at a temperature of 40–45°C for 15–20 minutes according to standard procedures. Data were analyzed using the Wilcoxon Signed Rank Test. Results: The proportion of mothers with adequate breast milk flow increased from 26.7% before the intervention to 66.7% after the intervention, while those with inadequate flow decreased from 33.3% to 6.6%. Statistical analysis showed a significant difference in breast milk flow before and after the intervention (p = 0.001). Conclusions: There is an effect of warm compress application on breast milk flow in postpartum mothers.
Copyright (c) 2026 Ayu Kurnia Anggraeni, Antika Maulida Rahayu
Level of Gadget Addiction in Children and Quality of Sleep
Introduction: Sleep pattern disturbances are conditions in which individuals experience changes in the quantity and quality of sleep that result in discomfort. One of the factors influencing children’s sleep patterns is habitual behaviour, particularly lifestyles characterized by excessive dependence on technology. This study aimed to analyse the relationship between the level of gadget addiction and sleep patterns among fourth- to sixth-grade elementary school students at SDN X, Madiun Regency. Methods: This study employed a cross-sectional design with a simple random sampling technique. A total of 38 students from grades 4 to 6 participated in the study. Data were analysed using the Spearman Rank correlation test to determine the association between gadget addiction levels and sleep patterns. Results: The results showed that most respondents (76.3%) had a moderate level of gadget addiction, while 15.8% had a low level of gadget use. In terms of sleep patterns, 81.6% of the students experienced sleep disturbances, whereas 18.4% did not. Bivariate analysis revealed a significant relationship between gadget addiction levels and sleep patterns (p-value = 0.002; α = 0.05). Conclusions: In conclusion, there is a significant association between gadget addiction and sleep disturbances among elementary school students. It is recommended that students regulate gadget use to improve sleep quality, and that teachers provide regular education regarding responsible gadget use to support healthy sleep patterns.
Copyright (c) 2026 Riska Ratnawati, Yeni Utami
The Effectiveness of Leaflet Media Intervention on Improving Knowledge, Attitudes, Practices, and Compliance with Personal Protective Equipment Use Among Clinical Dental Students at a Dental Hospital
Background: Clinical clerkship (co-ass) students in dental hospitals are at high risk of occupational exposure to infectious diseases, yet compliance with personal protective equipment (PPE) remains low. This study aimed to evaluate the effect of a leaflet-based educational intervention on knowledge, attitudes, practices, and compliance regarding PPE use among clinical dental students. Methods: A quasi-experimental study with a one-group pre-test and post-test design was conducted at the Dental and Oral Hospital, Universitas Sumatera Utara, involving 150 clinical clerkship students selected through simple random sampling. A validated questionnaire was used to measure knowledge, attitudes, practices, and compliance before and after the leaflet intervention. Data were analyzed using the Wilcoxon signed-rank test (α = 0.05). Results: After the intervention, the proportion of respondents with good knowledge increased from 20.0% to 83.3%, good attitudes from 14.7% to 64.7%, good practices from 23.3% to 75.3%, and good compliance from 23.3% to 80.0%. Mean scores increased significantly for all variables: knowledge (2.42±1.23 to 6.33±2.36), attitudes (14.07±2.33 to 20.51±2.45), practices (11.27±1.84 to 17.11±1.77), and compliance (23.13±2.61 to 33.64±2.75). The Wilcoxon test yielded p = 0.000 (p < 0.05) for all variables, indicating significant differences before and after intervention. Conclusion: Leaflet-based education effectively improves knowledge, attitudes, practices, and PPE compliance among clinical dental students. This simple, reusable, and low-cost educational medium can be integrated into clinical orientation programs to strengthen infection prevention behaviors.
Copyright (c) 2026 Natasya Indah S. Manalu, Chrismis Novalinda Ginting, Sri Wahyuni Nasution
The Effect of Expressive Writing Therapy on Fear Scores in Hospitalized Children Aged 10-12 Years
Introduction: Fear is one of the impacts of hospitalization commonly experienced by children. The fear experienced by children during hospitalization can contribute to the development of other psychological problems, therefore, nurses are expected to implement interventions to address children’s fear during hospitalization. This study aimed to analyze the effect of expressive writing on the level of fear among school-aged children undergoing hospitalization. Methods: The research design used in this study was a pre-experimental one-group pretest–posttest design involving 25 hospitalized children aged 10–12 years. The sampling technique used was purposive sampling. The instrument employed to measure children’s fear levels was the Children’s Fear Measurement Scale (CFS). The intervention implemented in this study was expressive writing administered over three days. Fear scores were measured on the first day prior to the intervention and re-measured on the third day after the intervention was completed. Data were analyzed using the Wilcoxon test. Results: The results showed that expressive writing therapy was significantly associated with fear scores (p < 0.05). This indicates that expressive writing therapy can help reduce fear scores in children after a three-day intervention. Conclusions: Based on these findings, expressive writing therapy can be considered as one of the nursing interventions to address fear in children during hospitalization. Nurses are expected to facilitate hospitalized children in engaging in expressive writing therapy.
Copyright (c) 2026 Susi Roida Simanjuntak, Selvin Tody, Milkha Pangalila, Khairun Nisa