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 6 Issue 1 (2024), the journal will implement the following changes: 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 : Stikes Banyuwangi
Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi
The Experience Of A Mother Whose Toddler Had Stunted Growth But Has Successfully Recovered : A Phenomenology Study
Stunting is a failure to growth and development in children due to chronic malnutrition. Stunting toddlers cannot escape the supervision of parents, especially mothers who are experienced in caring for stunted toddlers. This Study aimed to exploring the experience of stunted toddler mothers who recovered from stunting. This research used phenomenological qualitative research. Data collection was done by in-depth interview. The participants were 6 mothers who had a stunted toddlers who has Successfully Recovered From Stunting in the working area of the Gitik health center, Banyuwangi. Purposive sampling method was used to select participants according to the inclusion criteria. The study were analyzed using the Colaizzi approach. The study result revealed 5 themes ; grieving, information, personal motivation, social motivation and behavioral skills. The experience of mothers who have stunted toddlers in caring for their children often shows feelings of grief by going through several stages, in order to recover from stunting, the mother's ability to care for her child is also needed, including loving patterns, sharpening patterns, and parenting patterns that children has successfully recovered from stunting Introduction: Mothers who have stunted children will feel ashamed and inferior because they feel they have failed to care for their children. Mothers also feel worried about the future and development of their children These various responses will be a mental burden for mothers (Tresna Darmawan Putri et al., 2024). Based on data on stunted toddlers in Banyuwangi Regency, there has been a decrease in stunting cases, especially in the Gitik Health Center (Dinas Kesehatan Kabupaten Banyuwangi, 2020) Objectives: The Exploration Of Experience Of A Mother Whose Toddler Had Stunted Growth But Has Successfully Recovered Methods: This study uses a qualitative design with a phenomenological approach. Results: The study result revealed 5 themes ; grieving, information, personal motivation, social motivation and behavioral skills. Conclusions: The experience of stunted toddler mothers who recovered from stunting is a sense of grief consisting of stages of grief and the impact of grief. The experience of stunted toddler mothers who recovered from stunting is information consisting of health education. The experience of stunted toddler mothers who recovered from stunting is personal motivation consisting of enthusiasm and obstacles felt. The experience of stunted toddler mothers who recovered from stunting is social motivation consisting of home visits from cadres, integrated health posts, integrated health post parks, riding odong-odong, assistance with nutritional intake and vitamins. The experience of stunted toddler mothers who recovered from stunting is behavioral skills consisting of fulfilling nutrition, providing multivitamins and routine child growth and development checks Keywords must contain at least three to five keywords representing the main content of the article
Copyright (c) 2025 Atik Pramesti Wilujeng, Novita Surya Putri, Dinda Ayu Permata Hati
The Relationship Between Salted Fish Consumption Habits and the Incidence of Hypertension During Pregnancy in the Coastal Areas of Tuban Regency
Hypertension during pregnancy is a significant health issue and one of the leading causes of morbidity and mortality among pregnant women worldwide, with higher prevalence in regions of high sodium intake. In Indonesia, hypertension during pregnancy poses serious challenges, especially in coastal areas where salted fish is a common dietary staple. Salted fish, preserved through processes that increase sodium levels, can raise blood pressure when consumed excessively, elevating the risk of hypertension in pregnant women. This study examines the relationship between salted fish consumption habits and the incidence of hypertension during pregnancy in coastal regions of Tuban. The research employed an observational analytic method with a cross-sectional design. Data were collected from 99 pregnant women attending antenatal care (ANC) visits at several coastal community health centers, using consecutive sampling conducted from July 29 to August 16, 2024. Information was gathered through questionnaires and medical records. The independent variable in this study was the habit of consuming salted fish, while the dependent variable was the incidence of hypertension during pregnancy. Data were analyzed using Fisher's Exact test with a significance level of α=0.05. The results showed a p-value of 0.000, indicating a statistically significant relationship between salted fish consumption and hypertension in pregnancy. The findings demonstrate that more frequent consumption of salted fish correlates with a higher risk of developing hypertension during pregnancy. These results highlight the need for dietary management, particularly in coastal communities, to reduce sodium intake and lower the risk of hypertension, ultimately improving maternal health outcomes.
The Relationship Between the Use Of Social Media Tiktok and Adolescent Sexual Behavior At SMAN 1 Gondang Tulungagung
Introduction: Adolescence is the most memorable period, because at this time, teenagers are prone to heartbreak, inner conflict, and misunderstanding. Dating is a common behavior among by teenagers, which may lead sexual risk behavior. Sexual behavior is related to adolescent knowledge that comes from social media that contains pornographic content that can be accessed, one of which is on Tiktok. Objectives: to determine the relationship between the use of Tiktok and adolescent sexual behavior at SMAN 1 Gondang Tulungagung Methods: Analytical observasional using cross-sectional approach to 100 teenagers as a sample in class using consecutive sampling techniques. The research time was in July - August 2024 and data collection was carried out on August 5, 2024. The independent variable in this study was the use of Tiktok social media, while the dependent variable was adolescent sexual behavior consisting of attitudes and practices. Data analysis was performed using chi-square test. Results: There were no relationship between the use of Tiktok and adolescent sexual behavior (attitude, X2 = 515, df = 2, p = 0.773); (practice, X2 = 382, df = 2, p = 0.826). There were no relationship between the use of Tiktok and adolescent sexual behavior. Conclusions: : Most of the respondents' levels of Tiktok usage were high, most of the respondents' levels of sexual behavior based on attitudes and practices were low risk, so in this study there was no significant relationship between the use of Tiktok and adolescent sexual behavior.
Differences in the Incidence of Anemia in Acceptors of 1-Month Injection and 3-Month Injection Contraceptives
Background : Anemia is a condition in which there is a reduced number of red blood cells or a lower concentration of hemoglobin within them. Injectable contraception is the most widely utilized hormonal option. Research clearly indicates that heavy or prolonged menstruation serves as a major trigger for iron deficiency anemia in women of childbearing age. The 1-month and 3-month injectable contraceptives contain hormones that notably affect menstrual patterns. This study aims to analyze the differences in the incidence of anemia between users of the 1-month and 3-month injectable contraceptives. Method : This research method is observational analytic design with a comparative approach. The number of sample is 62 injectable contraceptive users, selected through consecutive sampling techniques. Hemoglobin levels were carefully examined as the measurement instrument. Data analysis was conducted using the Independent sample t-test and Chi-Square. Results : The results clearly demonstrate that among users of the 1-month injectable contraceptive, the majority exhibited regular menstrual patterns (40.3%). In contrast, most users of the 3-month injectable method experienced secondary amenorrhea (43.5%). Additionally, a significant proportion of respondents were found to be non-anemic (64.5%). The Independent sample t-test revealed a p-value of 0.025 (p < 0.05). The chi-square test presented a p-value of 0.598 (>0.05). Conclusion : There is a difference in hemoglobin levels in acceptors of 1-month and 3-month injectable contraceptives. There is no difference in the incidence of anemia in acceptors of 1-month and 3-month injectable contraceptives.
THE EFFECT OF PRENATAL YOGA ON LENGTH OF LABOR IN THE ACTIVE PHASE OF PRIMIGRAVIDA
Introduction: Labor begins with the process of opening and effacement of the cervix. Opening and thinning depends on the contraction that occurs. More frequent contractions will speed up labor. If the contractions slow down, the length of labor will be slower. One effort to improve contractions is by doing body movements or light exercise through prenatal yoga. Prenatal yoga is an exercise program for healthy pregnant women to prepare the mother's physical condition by maintaining the condition of the muscles and joints that play a role in the birthing process. Objectives: the type of research carried out is quantitative research, with an experimental research design. The research design is in the form of a two group pre test and post test design. The population consisted of 50 primigravida pregnant women. The research sample was 40 respondents. With a sampling technique in the form of purposive sampling. The 40 respondents were divided into two groups, namely the RND control group and the Prenatal Yoga experimental group. Methods: Data analysis using univariate techniques in the form of frequency distribution and bivariate using the Shapiro Wilk test and independent T test Results: Data analysis using frequency distribution showed that the age of the research subjects ranged from 18-30 years, where the average age of the Prenatal Yoga group was slightly older than the RND group. Bivariate data analysis shows that the Independent Sample Test Results are ρ=2.11. Conclusions: There is a significant difference in the length of the first stage of labor in the active phase in primigravida between Prenatal Yoga and RND. So the use of prenatal yoga needs to be developed and given to mothers who are about to give birth.
Cold Compresses As An Intervention To Reduce Post Tonsillectomy Pain Intensity
Introduction:Tonsillectomy is the most common procedure performed to treat tonsillitis. One of the clinical manifestations of this procedure is pain which occurs mediator released during surgery stimulates pain nerve endings, so pain management is necessary. Objectives: The aims of this study to analyzed cold compresses to reduce pain intensity in post-tonsillectomy patients Methods: This research design was used a pre experiment with a one group pre test post test design approach, that conducted for months. July -August 2024, involving 17 post-operative patients in Room H2 RSPAL dr. Ramelan Surabaya, using purposive sampling. Data were analyzed using Friedman Test. Results: The results showed that in the first 3 hours after tonsillectomy, the intensity of pain which was in range of 5-7 (median 6) decreased to 3-5 (median 3) after being given cold compress therapy for 10-15 minutes, with a p-value of 0.001 which indicated that this decrease is statistically significant. 3 hours after first intervention, pain intensity decreased again to 1-4 (median 3) after being given cold compress therapy, with a p-value (0.001). Conclusions: This indicates that cold compresses are effective in reducing pain consistently at different times after surgery. The use of cold compresses as a non-pharmacological pain management method may be considered as part of the post-operative care protocol
The Relationship between Sexual Function and Quality of Life in Cervical Cancer Patients
Introduction: Patients with cervical cancer have various physical complaints that can be felt directly, one of which is impaired sexual function, hormonal changes that occur due to the course of cervical cancer can cause decreased sexual desire, decreased lubrication and dyspareunia. Sexual function can result in decreased quality of life for women as an important role in sexuality. Many studies focus on the quality of life, but have not revealed sexual function. Objectives: The purpose of this study was to analyze the relationship between sexual function and quality of life for cervical cancer patients. Methods: Quantitative research design using cross-sectional method. Sample selection using quota sampling technique with 60 respondents. The instruments in this study were FSFI and WHOQoL. Data processing and analysis using the SPSS program with Spearman-rank test. Results: The majority of respondents were adults (81.7%) and underwent multitherapy (73.3%). A total of 53 respondents experienced sexual dysfunction and 55 respondents had a good quality of life. The results of the Spearman rank statistical test showed that the p-value was 0.030 (<0.05). It can be concluded that there is a relationship between sexual function and quality of life and has a weak relationship strength. Conclusions: Sexual function is a factor related to the quality of life of cervical cancer patients. Therefore, nurses must be able to reveal the sexual function experienced by patients in providing more comprehensive nursing care so that they can improve their quality of life.
Differences in Contraceptive Use Before and During the COVID-19 Pandemic at One of Community Health Center in Surabaya
Introduction: The COVID-19 pandemic has caused limitations, one of which is contraceptive services. The impact of this pandemic is different in each region. In Indonesia, there was a decrease in family planning acceptors at the beginning of the pandemic and it is feared that there will be a baby boom after the pandemic. During the pandemic, Surabaya was one of the areas with high COVID-19 cases. However, contrary to existing concerns, the number of pregnancies in Surabaya has actually decreased during 2020 (during the pandemic). One of the contraceptive health services in this area is at Jagir Community Health Center. Objectives: This study aims to determine the differences in contraceptive use before and during the COVID-19 pandemic at Jagir Community Health Center. Methods: This research method is quantitative through an observational analytic design.The sample size was 269 acceptors with a sampling technique using total sample method from family planning acceptors at the Jagir Health Center for the period March 2019 - February 2021 which included inclusion criteria. Data collection using medical records. Results: The results showed that the majority of acceptors before and during the pandemic were 20-35 years old with parity ≤ 2. Based on the chi-square test, the difference in contraceptive use before and during the COVID-19 pandemic (p-value <0.05), where during the pandemic there was a decrease in non-MKJP acceptors and an increase in MKJP acceptors. Conclusions: There is a significant difference in contraceptive use before and during the COVID-19 pandemic at Jagir Community Health Center.
Effect of Lavender Aromatherapy Combination with Respiratory Relaxation on Postpartum Maternal Anxiety in Infant Care
Introduction: Postpartum mothers often experience physical and psychological problems. The new role as a mother is a trigger for anxiety. Anxiety that is not resolved immediately will trigger other problems such as stress and depression, so efforts are needed to make the maternal mood better through the use of lavender aromatherapy and respiratory relaxation techniques. Objectives: This research aims to analyze the effect of the combination of levender aromatherapy with respiratory relaxation on postpartum maternal anxiety in infant care. Methods: This research is quantitative. The design of the quasy research was experimental with pre and post test without control group. The research was carried out on December 5 – 19, 2024. The research sample was primipara postpartum maternal at PMB L Sragen with 32 respondents. The sampling technique used nonprobability sampling with purposive sampling. The instrument used observation sheets, lavender aromatherapy, SOPs, and HARS questionnaires. Data analyzed using the Wilcoxon Test. Results: Respondents anxiety before and after used the lavender aromatherapy combination with respiratory relaxation had a median of 22 in the pre-test and 13.5 in the post-test. The result of the Wilcoxon Test gotten a p-value of 0.000 (<0.05), then H0 was rejected and Ha was accepted. Conclusions: The combination of lavender aromatherapy with respiratory relaxation has an effect on reducing postpartum maternal anxiety in infant care.
The Relationship Between Physical Activity Levels, Nutritional Status, and Preschool Child Development
Introduction:The preschool a long time are a basic stage in a child's advancement. Agreeing to the World Wellbeing Organization (WHO, 2021), the predominance of formative clutters is higher in moo- and middle-income nations. In Indonesia, the child improvement list stands at 88.3%, which is lower than Thailand (93%) and Laos (89%) . Furthermore, around 6.5 million out of 22 million children under five are not monitored for growth and development. Both growth and development are closely interrelated, with factors like physical activity and nutritional status playing key roles in ensuring optimal development. Objective: This consider points to analyze the relationship between physical movement levels, wholesome status, and child improvement in preschool-aged children . Methods: An observational, cross-sectional study was conducted at a Posyandu (community health center) with 82 children who met the inclusion criteria. Purposive sampling was used. Data were collected through a 24-hour physical activity recall, anthropometric measurements (weight and height) to assess nutritional status, and the Pre-Screening Developmental Questionnaire (KPSP) to evaluate child development. Results: Spearman's test uncovered a noteworthy relationship between physical movement and child improvement (P = 0.001, r = 0.380), as well as a more grounded relationship between wholesome status and child improvement (P = 0.001, r = 0.610). Conclusion: Higher levels of physical action and way better dietary status are emphatically related with age-appropriate child improvement. These discoveries highlight the significance of advancing physical action and appropriate sustenance for supporting ideal improvement in preschool-aged children.
Diagnosis And Management Of Pulmonary Tuberculosis In Hiv With Severe Immunodeficiency
The total number of TB cases in Indonesia is 969,000. This figure represents a 17% increase compared to 2020. SITB 2022 data shows there are 15,375 cases of co-infection of pulmonary TB with HIV. The treatment success rate for pulmonary TB co-infection with HIV in Indonesia in 2022 is 71%. This is still far from the national target of 90%. This case report discusses a 33-year-old man with pulmonary TB and TB lymphadenitis with HIV at clinical stage 4. The CD4 count was 10 cells/mm3. The degree of immunodeficiency suffered by this patient is severe immunodeficiency. The management was to administer OAT first, followed by ART within 2 weeks after OAT was administered and well tolerated. OAT was administered for 9 months due to the presence of TB lymphadenitis. Treatment evaluation showed clinical improvement and the patient did not develop IRIS. The incidence of IRIS in patients with TB is 8%-43%. Factors influencing the occurrence of IRIS include the CD4 count at the start of ART.
Copyright (c) 2025 Fitri Amelia Rizki, Irvan Medison, Fenty Anggrainy
The Influence of Knowledge Level and Family Support on Medication Adherence in Tuberculosis Patients
Introduction; Tuberculosis (TB) remains a significant public health issue both in Indonesia and globally, caused by the bacteria Mycobacterium tuberculosis. Knowledge and the role of the family are crucial factors influencing an individual's adherence to medication. Understanding these factors is essential for designing effective interventions to improve treatment compliance among TB patients. Objectives; The objective of this study is to determine the relationship between the level of knowledge and the role of the family with medication adherence in TB patients within the working area of the Ciruas Health Center, Serang Regency, in 2024. Methods; This study employed a quantitative correlational design using a cross-sectional approach. The population consisted of 210 TB patients undergoing treatment at the Ciruas Community Health Center in 2023. Purposive sampling was used to select participants. Data collection utilized validated questionnaires on knowledge, family roles, and medication adherence. Statistical analysis was performed using the Chi-Square test with a significance level of <0.05. Results; The Chi-Square test revealed a significant relationship between the level of knowledge and medication adherence among TB patients (p=0.000). Additionally, a significant relationship was found between the role of the family and medication adherence (p=0.000). The analysis categorized the patients' level of knowledge as moderate, family roles as poor, and medication adherence as moderate. Conclusions; The study highlights that both knowledge and family support play a vital role in influencing medication adherence among TB patients. These findings emphasize the need for educational interventions and family-centered strategies to enhance compliance with TB treatment regimens. Implementing these measures could contribute to better treatment outcomes and a reduction in TB incidence
The Predictive Model for Recurrent Diarrhea in Children Aged 12-59 Months at Tanah Kali Kedinding Public Health Center, Surabaya
Introduction: Recurrent diarrhea occurs repeatedly within a short period, between one and three months or more than once per year. Diarrhea is a leading cause of toddler deaths globally, including in Indonesia with 100,000 deaths annually. Identifying factors predicting recurrent diarrhea significantly impacts prevention efforts. Objectives: This research aims to create a prediction model for the incidence of recurrent diarrhea in toddlers at the Tanah Kali Kedinding Community Health Center, Surabaya. Methods: This research method was a retrospective observational analytical study with a case-control design, involving 80 toddlers (40 case samples and 40 control samples) selected through purposive sampling. The independent variable was recurrent diarrhea in toddlers. The dependent variables were birth weight, nutritional status, measles immunization status, vitamin A suplementation, breastfeeding patterns, and mother's hand washing habits. The instrument used was a questionnaire. Data analysis used simple and multiple logistic regression. Results: The research showed that the incidence of recurrent diarrhea was related to malnutrition status (p = 0.008, OR = 20.184), measles immunization status (p = 0.029, OR = 9.599), breastfeeding pattern (p = 0.002, OR = 15.270), and maternal hand washing habits (p = 0.001, OR = 15.917). Meanwhile, factors that were not significantly related included birth weight (p = 0.397) and vitamin A suplementation (p = 0.456) Conclusions: Factors that influenced the formation of a prediction model for the incidence of recurrent diarrhea in toddlers were malnutrition status, measles immunization status, breastfeeding patterns, and mother's hand washing habits.
Relationship Between MCH Handbook Utilization and Pregnant Women's Knowledge of Daily Care at Tanah Kalikedinding Health Center
Introduction: Indonesia is one of the countries with the highest maternal mortality rates (MMR) in Southeast Asia with a rate of 189 per 100,000 live births based on the 2020 Long-Form Population Census. This figure needs to be significantly reduced to achieve the 2030 Sustainable Development Goals (SDGs) target of fewer than 70 deaths per 100,000 live births. Proper antenatal care, including the use of the Maternal and Child Health (MCH) Handbook, plays a crucial role in reducing maternal mortality. Pregnancy care is vital to ensure fetal development, prevent pregnancy complications, and lower the risk of infant mortality during childbirth. Objectives: This study aims to conduct a scientific investigation to examine the relationship in the utilization of the MCH handbook with the level of maternal knowledge among pregnant women at the Tanah Kalikedinding Health Center. Methods: This observational analytic study used a cross-sectional design. The selection of 106 participants was carried out using purposive sampling. Data were analyzed using the Spearman rho statistical test. Results: Among the respondents, 51 (48.11%) demonstrated adequate utilization of the MCH Handbook and 89 (83.96%) exhibited a high level of knowledge regarding daily care for pregnant women. The Spearman rho test revealed a significant relationship between MCH Handbook utilization and knowledge of daily care (p = 0.042). Conclusion: There is a significant relationship between the use of the MCH Handbook and pregnant women’s knowledge of daily care at Tanah Kalikedinding Health Center.
Copyright (c) 2025 Gading Indah pravitasari, Ratna Dwi Jayanti, Budi Utomo
The Relationship Between Diet and Physical Activity Patterns and the Incidence of Overweight in Adolescents at SMK Minhajut Thulab Al Amin
Introduction: Excessive body weight can cause digestive disorders, fatigue, limited mobility, psychological distress, joint pain or inflammation especially in the knees . In addition, being overweight can also increase the risk of degenerative diseases, which can reduce productivity, endanger the economy, and increase pain levels. Objective : to identify dietary patterns and low physical activity, which contribute to the incidence of overweight in adolescents at SMK Minhajut Thulab Al Amin in Mesuji Regency. Method: Quantitative research with a cross-sectional approach . The study sample was 127 students with a random sampling technique . Data analysis used univariate and bivariate with the chi-square test. Results : That dietary patterns and physical activity independently and synergistically increase the risk of overweight . The combination of the two provides a stronger effect than each factor separately. Conclusion: There is a relationship between diet ( p-value 0.01) and physical activity ( p-value 0.001) with the incidence of overweight in adolescents in SMK Minhajut Thulab Al Amin. It is expected that adolescents will do physical activities more routinely and the importance of integrated interventions to overcome the problem of overweight, namely by improving diet and increasing physical activity simultaneously
Copyright (c) 2025 Selvi Yana, Princess Rahmah Alamsyah, Abdullah, Lara Ayu Lestari
The Relationship of Exposure to Plastic Food and Beverage Packaging on The Severity Stadium of Endometriosis at Dr. Soetomo General Hospital Surabaya
Introduction: Endometriosis is a gynecological problem which is one of the main causes of secondary dysmenorrhea with pathological conditions. Endometriosis is defined as a disorder characterized by the presence of tissue similar to the endometrial layer growing outside the uterus which occurs in women of reproductive age. Bisphenol A (BPA) and phthalates are two substances found in food and beverage plastics that may be endocrine disrupting chemicals (EDC). Hormonal system abnormalities are intimately linked to endometriosis. Objectives: This study aims to prove the relationship between exposure to food and drink plastic and the stage of endometriosis. Methods: The design of this research is observational analytics with a retrospective approach. The sampling technique used non-probability sampling with a consecutive sampling approach of 96 respondents. Data analysis used the chi square test. Results: The research results showed that 65.63% (63) of respondents experienced moderate levels of exposure to plastic food and drinks. As many as 34.38% (33) of respondents experienced stage IV (severe) endometriosis. The results of the correlation between exposure to plastic food and drinks and the stage of endometriosis showed p value = 0.042. Conclusions: There is a significant relationship between exposure to food and drink plastic and the stage of endometriosis at Dr. Soetomo General Hospital Surabaya
Copyright (c) 2025 zafirah delia, Sri Ratna Dwiningsih, Pudji Lestari
The Relationship of History of Syphilis Disease in Pregnant Women with the Incidence of Low Birth Weight at RSUD Dr. Soetomo Surabaya
Pendahuluan : Organisasi Kesehatan Dunia menjelaskan bahwa Berat Badan Lahir Rendah (LBW) adalah suatu kondisi di mana bayi lahir dengan berat <2500 gram. Dua faktor penyebab LBW, yaitu faktor internal dan eksternal. Berdasarkan faktor internal ibu, penyakit menular yang dapat menyebabkan LBW dan menjadi fokus pemerintah saat ini adalah Sifilis. Penyakit ini dapat diderita oleh ibu hamil dan berisiko ditularkan ke bayinya selama kehamilan dan saat persalinan. Tujuan: Tujuan penelitian ini adalah untuk menganalisis riwayat penyakit Sifilis pada ibu hamil dengan kejadian LBW pada RSUD. Dr. Soetomo Surabaya. Metode : Penelitian ini merupakan studi kuantitatif dengan analisis observasional menggunakan desain cross-sectional. Jumlah sampel sebanyak 8 responden pada ibu hamil dengan riwayat penyakit Sifilis yang dilakukan dengan teknik purposive sampling di RSUD. Dr. Soetomo Surabaya. Data yang dikumpulkan diuji dengan uji statistik chi-square. Hasil: Hasil responden dengan infeksi sifilis positif, sebanyak 3 orang (18,75%) memberikan bayi LBW sedangkan 5 orang (31,23%) melahirkan bayi dengan berat badan normal. Sebanyak 2 pasien (12,5%) dengan sifilis negatif juga melahirkan bayi LBW, sedangkan 6 orang (37,5) ibu persalinan dengan sifilis negatif melahirkan bayi dengan berat badan normal. Data sifilis yang terkumpul diuji dengan uji statistik chi-square diperoleh p-value = 0,590 (p>0,05) Kesimpulan: Ini adalah riwayat Sifilis tidak mempengaruhi kejadian LBW
RELATIONSHIP BETWEEN PERFORMANCE AND JOB SATISFACTION OF NURSES IN THE CENTRAL SURGICAL INSTALLATION OF DR. SAIFUL ANWAR HOSPITAL, EAST JAVA PROVINCE
Introduction: The quality of service in hospitals is related to the quality of health workers' performance. Several factors related to the implementation of the duties and responsibilities of nurses are greatly influenced by the ability of nurses to carry out their duties. The purpose of this study was to determine the relationship between performance and nurse job satisfaction.. Methods: The design of this study was observational analytic with a cross-sectional approach, using a total sampling technique with a sample of 50 respondents. The research instrument used a questionnaire sheet to measure performance and job satisfaction. Data analysis with the Somers'd correlation test with SPSS IBM Version 23 Results: The results of the Somers'd statistical test obtained a p value = 0.001, which can be concluded that there is a significant relationship between performance and nurse job satisfaction in the Central Surgical Installation of Dr. Saiful Anwar Hospital, East Java Province. Conclusions: Job satisfaction is a fairly interesting and important problem, because it is of great benefit to the interests of individuals, hospitals and society. For hospitals, research on job satisfaction is carried out in order to improve the quality of nursing care.
Copyright (c) 2025 Veny Ari Ristanti, Achmad Dafir Firdaus, Sismala Harningtyas
The Effect of Cold Compresses on Pain in Patients with Lower Leg Varicose Veins (VVTB) Post Evovenous Laser Ablation (EVLA) in the IPJVT Cathlab Action Room, Dr. Saiful Anwar Hospital, East Java Province
Introduction: Varicose veins are a manifestation of venous insufficiency syndrome where in this syndrome the blood flow in the veins experiences a retrograde flow direction or backflow towards the legs which then experiences congestion. Minimally invasive surgical therapy such as Endovenous Laser Ablation (EVLA) causes pain, so therapy is needed to reduce pain, one of which is with cold compresses Objectives: The purpose of this study was to identify the effect of cold compresses on pain Methods: The design of this study was observational analytic with a cross-sectional approach, using total sampling technique with a sample of 36 respondents. This research instrument used an observation sheet with a Numeric Rating Scale (NRS). Data analysis with the Wilcoxon test with SPSS IBM Version 23 Results:The results showed that most respondents (pre-test) were 23 (63.9%), while most (post-test) experienced mild pain 32 respondents (88.9%). The results of the Wilcoxon statistical test obtained a p value = 0.000, which can be concluded that there is an average difference between pre-test and post-test pain Conclusions: The application of cold compresses can help post-operative patients to reduce the intensity of pain, by giving cold compresses, patients who experience pain feel a cold sensation given using a cold pack on the area of the former operation or around the area of the former operation can smooth blood circulation, reduce post-operative edema that has been performed so that patients feel reduced pain after being given the cold compress
Copyright (c) 2025 Zaerina Efrida, Reny Tri Febriani, Sismala Harningtyas
Phenomenological Study of Parents' Role in Caring for Children's Dental and Oral Health at Jelegong Elementary School
Dental and oral health is very influential for children's lives in schoolage children, it is a very serious thing to think about because several dental health problems in children are still a problem around the world. Poor dental care can cause problems with teeth and mouth such as canker sores, bad breath, gingivitis and tooth caries. Parents have a major role in educating, guiding, and caring because parents are closest to their children as an important factor in preventing tooth and mouth decay. Riskesdes 2018 reported the prevalence of health disorders of damaged teeth/caries/dirty teeth in children 80-90%, children aged 3-4 years as much as 81.1%, ages 5-9 years as much as 92.6% and ages 10-14 as much as 73.4%. This study aims to describe the understanding of the role of parents about children's dental and oral health at SDN Jelegong. The research method uses a phenomenological qualitative research design with 6 participants selected purposively. Data collection was carried out in November to December 2024 through indepth interviews, observations, and documentation. Documentation using an Iphone 7+ camera and a Redmi 12 android voice recorder. The results of the research were obtained in 3 themes including: 1) Teaching children's dental and oral care, 2) Children's dental and oral health knowledge, 3) Obstacles in caring for children's dental and oral health. It is hoped that parents should be able to improve their role well in maintaining dental and oral health in schoolage children because at that age children need the role of parents so that they do not experience problems with teeth, one of which is dental caries.
Copyright (c) 2025 Resa Safa Azzahra, Ria Andriani, Eva Martini
Factor Analysis of Women's Empowerment in Tantri Class Participation for High Risk Pregnant Women
Classes for pregnant women are an effort to detect high-risk pregnantwomen that began to be socialized since 2010 in Indonesia, Puskesmas Ciruas has a class for high-risk pregnant women called Tantri (Temukan Analisa Tatalaksana Ibu Hamil dan Nifas Resiko tinggi). This study aims to determine the factors of women's empowerment in the participation of Tantri classes for high-risk pregnant women in the Ciruas Health Center Working Area in 2024. The method used in this research is Mixed Methods. The number of samples in this study were 79 respondents using total sampling. Data analysis using Chi Square test and concurrent triangulation. The results showed 43 respondents (54.4%) had poor participation in Tantri class, there was a relationship between knowledge (Pv=0.013; OR 7.4), occupation (Pv=0.000; OR 11.4), and social support (Pv=0.002; OR 5.8), with Tantri class participation. The data was supported by qualitative research through in-depth interviews with 5 informants. There is no relationship between well-being of pregnant women with Tantri class participation (α> 0.05) the results of the interview revealed that well-being makes it easier for pregnant women to understand reality by emphasizing self-confidence so that mothers always participate in Tantri class. It is recommended for the practice site to make a policy for high-risk pregnant women so that husbands participate in Tantri class at least once during the Tantri class and create an online forum for high-risk pregnant women who work.
Copyright (c) 2025 Rina Kartikasari, Putry Hilda Tariany, Susi Irianti, Ayu Kurnia Anggraeni
Nutrition Appropriate Generation Great: Education Stunting prevention for Family in Village Cape Oyster Speed North Moramo
Introduction: Proper nutrition is a key factor in the formation of a healthy and intelligent generation. However, today there are still many children who are malnourished, causing stunting or growth failure in children. Various efforts have been made by the government and various organizations to address this issue, but the prevalence of stunting remains high. Therefore, it is important to develop and implement effective educational programs to increase family awareness and understanding of the importance of proper nutrition to prevent stunting. Objectives: Activity This aim For develop And evaluate focused educational programs on preventing stunting through enhancement understanding family in the village Cape Oyster about importance proper nutrition. Methods: This research was conducted through counseling to the community with leaflet and powerpoint media. The method used was a cross sectional method, with a one group pre test-post test design approach. The sampling technique is purposive consecutive sampling. Data analysis using univariate analysis using the chi square test. Results: Based of results of the activity, it is known that during the pretest of 15 respondents, 14 respondents (93.3%) had insufficient knowledge, 1 respondent (6.7%) had sufficient knowledge and 0 respondents (0.0%) had good knowledge. While during the posttest, the results showed that respondents with insufficient knowledge were 2 respondents (13.3%), those with sufficient knowledge were 7 respondents (46.7%) and those with good knowledge were 6 respondents (40.0%). Conclusions: The conclusion is that this counseling activity can provide a significant increase in the level of community knowledge related to stunting prevention.
Copyright (c) 2025 Sartini Risky, Mimi Yati, Nikeherpianti Lolok, Eka Dharma Putra, Hellty, Risky Juliansyah, Sri Rahayu, Ardi Naufal Fauzan, Laxmi Adriatik, Putri Mega Wijayanti
Differences in Physical Activity Density Between Pregnant Women with Gestational Diabetes Mellitus (GDM) and Normal (Non-GDM) Pregnant Women: A Comparative Study
Background: Gestational diabetes mellitus (GDM) is a condition of impaired glucose tolerance that leads to high blood sugar levels and is diagnosed for the first time during pregnancy, with varying degrees of severity. Insufficient physical activity is one of the top global risk factors for premature death. During pregnancy, a lack of physical activity and excessive weight gain are independent risk factors for maternal obesity and related complications, including gestational diabetes mellitus (GDM). Objectives: The aim of this study was to compare the physical activity density between pregnant women diagnosed with gestational diabetes mellitus (GDM) and those with normal pregnancies. Methods: This study utilized an observational analytical approach with a comparative design. A purposive sampling technique was employed, with 32 participants in the case group and 32 in the control group. The research was conducted between August and October 2024 at the Obstetrics and Gynecology clinic of Airlangga University Hospital. Data were analyzed using the non-parametric Mann-Whitney Test. Results: The analysis using the Mann-Whitney Test showed a significant p-value of 0.002, indicating a difference in the physical activity density between pregnant women with gestational diabetes mellitus (GDM) and those with normal pregnancies. Conclusion: Pregnant women without gestational diabetes mellitus (GDM) have higher physical activity density compared to those with gestational diabetes mellitus (GDM). It is suggested that future research adopt an experimental approach, especially focusing on interventions to promote physical activity during pregnancy.
The Connection between Low Birth Weight and Knowledge Level Regarding the Incidence of Stunted in Kedunglumpang Vilangge and Dukuh Mojo Village
Stunted It refers to a situation where a child's height or body length is below -2 standard deviations (SD) referencing the WHO growth and development standards, which arises from lack of inadequate nutritional intake. The main focus of this investigation is to investigate the research investigates the association between knowledge and prevelance rates of stunted in Kedunglumpang Village and Dukuh Mojo Village. This research employs a quantitative approach using an employing a case-control methodology. The study subject consists of children aged 2 – 5 years who lived in Kedunglumpang Village and Dukuh Mojo Village. This study involved 100 samples with 53 case samples and 47 control samples obtained using consecutive sampling the method employed utilized a questionnaire as the primary instrument from previous research. The methodological analysis method the statistical significance was assessed using chi-square. The findings indicate the statistical test yielded a p-value of 0.028, which less than α (0.05), indicating a statistically significant result, indicating a significant association between low birth weight and the risk of stunted. Similarly, the results of the quantitative analysis test for the level of knowledge showed a p-value of 0.009, meaning also below the threshold of α (0.05), indicating a significant correlational analysis knowledge level and the incidence of stunted. The odds ratio (OR) for the level of knowledge, Results indicate statistical significance at the 95% confidence level, is 4.141. This suggests that the case the group is 4.141 results suggest an increased risk stunted relative to the control group
Copyright (c) 2025 Fadayeen Khoirun Nisa'
Relationship between the Leadership Style of the Head of the Health Center and Employee Involvement in Decision Making at the Selajambe Health Center
Leadership is an important element and determines the smooth running of health services because leadership is the core of organizational management. Research using correlational analytics using a cross sectional approach emphasizes the time of measurement or observation of data on independent variables and dependent variables only once, at one time. The population in this study were 48 employees of the Selajambe Health Center. The sample used for research amounted to 43 people. The sampling technique used in this study was non-probability sampling. The data collection technique in this study was through interviews with the distribution of research instruments through questionnaires. The data analysis technique used is univariate analysis and bivariate analysis. The P Value obtained from the 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 H0 is rejected. So it can be concluded that there is a significant relationship between leadership style and employee involvement in making decisions at the Selajambe Health Center.
Copyright (c) 2025 Fiki Sumanda, Lutiyah, Hendri Hadiyanto
Determinants of Severe Preeclampsia in Mothers Giving Birth at dr. Dradjat Prawiranegara Hospital in Serang Regency Indonesia
Preeclampsia is a condition where a pregnant woman's blood pressure increases accompanied by the presence of protein in the urine. Conditions like this are triggered by the fetus' placenta not functioning or developing properly. Preeclampsia/eclampsia is the second cause after bleeding as a direct cause of maternal death. The aim of the research was to analyze the determinants of the incidence of severe preeclampsia in mothers giving birth at RSUD dr. Dradjat Prawiranegara Serang 2023. This research is an analytical correlative research with a retrospective design. The samples taken used purposive sampling technique, namely 69 mothers who experienced preeclampsia. The results of this study showed that there were mothers giving birth with an incidence of PEB of 69%, there was a relationship between BMI and PEB (p-value 0.000 and OR 5.060 ), there is a relationship between a history of preeclampsia and PEB (p-value 0.000 and OR 9.608), there is a relationship between weight gain during pregnancy and PEB (p-value 0.036 and OR 4,083), there is a relationship between a history of DM and PEB (p-value 0.033 and OR 2,797), and there is a relationship between a history of consuming high doses of calcium and PEB (p-value 0.000 and OR 6.632). The most influential determinant of the incidence of PEB is a history of preeclampsia (p-value 0.005 and OR 7.351).The conclusion of this study is that there is a relationship between BMI, history of preeclampsia, body weight during pregnancy, history of DM and history of consuming high doses of calcium with the incidence of severe preeclampsia, It is hoped that Dr. Drajat Prawiranegara to be able to maintain service quality, especially in providing comprehensive midwifery care.
Copyright (c) 2025 Rina Kartikasari, Weni Marlina, Feling Polwandari, Ayu Kurnia Anggraeni
Effectiveness of Transformational Leadership Education on the Knowledge Level and Work Motivation of Posyandu Cadres in Assisting Health Services in the Puskesmas Working Area
The work motivation of cadres, the role, the attitude of transformational leadership of cadres is needed in encouraging and inviting the community will affect productive age community visits, but the lack of knowledge about leadership and cadre work motivation causes community enthusiasm in Posyandu activities to decrease. The purpose of this study was to determine the level of knowledge of transformational leadership of Posyandu cadres in the Sagaranten Puskesmas work area, to determine the work motivation of Posyandu cadres in the Sagaranten Puskesmas work area, and to analyze the effectiveness before and after transformational leadership education on the level of knowledge and work motivation of Posyandu cadres in assisting health services in the Sagaranten Puskesmas work area. The population in this study were Posyandu cadres with a total of 35 cadres. The sampling technique used was total sampling. In this study the sample was the entire cadre of Posyandu Hegaramanah Village. The research was conducted in Hegarmanah Village, Sagaranten Health Center working area. The research instrument used to collect data is a questionnaire. The results showed that based on the results of statistical tests with the Paired Samples Test, the resulting P value was 0.000 <0.05, where it can be concluded that H0¹ is rejected and Ha¹ is accepted that there is an effectiveness of transformational leadership education on the level of knowledge and motivation level of Posyandu cadres. Based on the results of statistical tests with the Paired Samples Test, the resulting P value was 0.000 <0.05, where it can be concluded that H0² rejected dan Ha² is accepted that there is an effectiveness of transformational leadership education on the level of motivation level of Posyandu cadres.
Copyright (c) 2025 Yulianti Rahayu, Burhanuddin Basri, Hadi Abdillah, Ernawati Hamidah
The Relationship between Mental Health and Obedience to Worship in Adolescent Boys
Obedience in worship is considered as one of the factors that can affect mental health. This study aims to determine the relationship between mental health and obedience to worship in adolescent boys. The population in this study were 104 adolescent boys from the Faculty of Health, University of Muhammadiyah Sukabumi. The sample in this study was 50 male adolescents aged 12-21 years at the Faculty of Health. The research was conducted at the Faculty of Health, Universitas Muhammadiyah Sukabumi. Data collection techniques in this study using questionnaire research instruments. Data analysis techniques used were univariate analysis and bivariate analysis. The results of the P value obtained from the Chi Square test for asymp sig. (2-sided) is 0.000. This value shows the result of p <0.05. So it can be concluded that there is a significant relationship between mental health and obedience to worship in adolescent boys.
Copyright (c) 2025 Irda Eviriani, Lutiyah, Hadi Abdillah, Ernawati Hamidah
The Relationship Between Age and Level of Knowledge About Menstruation and Readiness for Menarche in Grade IV - VI Female Students at Kertajaya Elementary School
Introduction: Menarche, the first menstruation, often elicits mixed reactions. Its occurrence is influenced by age and knowledge. Age shapes cognitive development and thinking patterns, while knowledge about menstruation affects perception. Limited knowledge and a decreasing age of menarche can hinder readiness for this milestone. Objectives: The purpose of this study is to determine the relationship between age and the level of knowledge about menstruation with readiness for menarche among fourth to sixth-grade students at SDN Kertajaya, Surabaya. Methods: This observational analytic study uses a cross-sectional design with 63 fourth to sixth-grade pre-menarche students from SDN Kertajaya, Surabaya, selected via total sampling. Data were analyzed using Spearman's rho. Results: The study revealed a significant relationship between age and readiness for menarche (p = 0.003). The proportion of girls ready for menarche increased with age: 62.5% (9–<10 years), 73.1% (10–<11 years), and 100% (11–<12 years). The negative correlation (r = -0.364) indicated that readiness for menarche improved with increasing age. Knowledge level also significantly influenced readiness for menarche (p < 0.01). Most girls with good knowledge were ready (94.3%), while no readiness was observed among those with fair or poor knowledge. The strong positive correlation (r = 0.850) showed that better knowledge was associated with higher readiness for menarche. Conclusions: There is a relationship between age and readiness for menarche, and between the level of knowledge about menstruation and readiness for menarche among fourth to sixth-grade students at SDN Kertajaya.
Copyright (c) 2025 Amelia Afiliany, Ahmad Suryawan, Rize Budi Amalia
THE RELATIONSHIP THE RELATIONSHIP BETWEEN THE INTENSITY OF GADGET USE WITH SOCIAL INTERACTION AND EMOTIONAL DEVELOPMENT OF PRESCHOOL CHILDREN (4-6 YEARS)
The use of electronic devices among children is increasing. Gadgets are considered safe and easy to supervise by many parents. They often do not consider the negative effects on the development of children's social and emotional interactions. The purpose of this study was to determine the relationship between social interaction and emotional development with the amount of gadget use in preschool children (aged 4-6 years). This type of research is quantitative correlation with a cross-sectional approach. The number of respondents was 68 people with a proportional stratified random sampling method. The research instruments included the SDQ questionnaire, the gadget use intensity questionnaire, and the social interaction questionnaire. The results of this study showed that 43 children (63.2%) used electronic devices in the high category. Hypothesis testing using Spearman Rank produced a p value of 0.000 (less than 0.05) which indicated a relationship between gadget use in preschool children with social emotional development with a correlation between gadget use and social contact of 0.639, emotional development with difficulty of 0.455, and emotional development with strength of 0.418. The conclusion is that there is a relationship between the use of gadgets in preschool children and social emotional development and parents need to be more selective in choosing the toys given to children and monitor and limit the provision of excessive toys.
Copyright (c) 2025 Tri Anggun Anggraeni Setyo Widarto
The Relationship Between Pregnant Women's Understanding Of Covid-19 Prevention Efforts And Anxiety Levels During The Pandemic At Paron Public Health Center, Ngawi Regency
The Covid-19 pandemic, which began in early 2020, has spread globally, and adherence to health protocols is considered a crucial step in reducing virus transmission and associated anxiety. This study aims to analyze the relationship between pregnant women's understanding of Covid-19 preventive measures and their anxiety levels during the pandemic at Paron Health Center, Ngawi Regency. This research employed a correlational design with a cross-sectional approach. The study population consisted of 94 pregnant women at Paron Health Center, with a sample of 76 respondents selected through Simple Random Sampling. Data were collected using a questionnaire, and statistical analysis was performed using Somer's D test (? = 0.05). The results indicate that the majority of pregnant women have a good understanding of Covid-19 preventive measures (90.8%), and most experience mild anxiety (52.6%). Statistical analysis revealed a ?-value of 0.560, which is greater than ? = 0.05, indicating no significant relationship between the understanding of preventive measures and anxiety levels among pregnant women during the pandemic. In conclusion, while the understanding of Covid-19 prevention is good, pregnant women's anxiety is more influenced by concerns related to pregnancy, such as fetal health and pregnancy complications, rather than by knowledge of Covid-19 health protocols.
Copyright (c) 2025 Berliana Crishmawati, Andy Surya
Prevalence of Asthma in Pregnant Women at Rumah Sakit Universitas Airlangga in 2022–2023
Introduction: Asthma is a heterogeneous disease, typically characterized by chronic airway inflammation. The condition is defined by a history of respiratory symptoms, including wheezing, shortness of breath, chest tightness, and coughing, which vary over time and intensity, in addition to variable expiratory airflow limitation. As the prevalence of asthma in the community continues to increase, cases of asthma in pregnancy are also becoming more common. This study aims to determine the prevalence of asthma among pregnant women at Rumah Sakit Universitas Airlangga during 2022-2023. Objectives: The objective of this study is to determine the prevalence of asthma among pregnant women at Rumah Sakit Universitas Airlangga during the period of 2022-2023. Methods: This study employed a descriptive quantitative method with a cross-sectional research design. Data measurement and observation were conducted at a single time point using secondary data from January 2022 to December 2023 in a retrospective manner. Results: Among 8.170 pregnant women at Rumah Sakit Universitas Airlangga, 25 were diagnosed with asthma, resulting in a prevalence of 0,31%. Conclusions: The data indicates that the prevalence of pregnant women with asthma diagnoses at Rumah Sakit Universitas Airlangga was lower than the 0.31% reported in previous literature.
Relationship between Knowledge about Hypertension and Adherence to Taking Medication in the Elderly at the Nanggeleng Health Center, City
This study aimed to analyze the relationship between knowledge about hypertension and adherence to taking medication in the elderly at Puskesmas Nanggeleng, Sukabumi City. This analytic observational study with a cross-sectional design involved 74 elderly people diagnosed with hypertension. Data were collected using a questionnaire that included demographic information, knowledge about hypertension, and medication adherence based on MMAS-8. Analysis was conducted using chi-square test with significant results (p-value 0.002 <0.05), indicating a positive relationship between hypertension knowledge and medication adherence. The majority of respondents (93.2%) had a good level of knowledge, while 86.5% showed high compliance in taking medication. Educational factors, especially the high school level of the majority of respondents (40.5%), play a significant role in improving knowledge and compliance. Family support is also an important factor in ensuring medication adherence. The results of this study emphasize the importance of health education to increase elderly knowledge about hypertension, so as to encourage adherence to treatment. The role of nurses as health educators is crucial in this process. This study makes an important contribution in identifying factors that influence the successful management of hypertension in the elderly, and suggests improving educational programs that involve families to encourage treatment adherence.
Copyright (c) 2025 Rini Amelia, Hendri Hadiyanto, Tri Utami
the Relationship between Nursing Service Quality and Patient Satisfaction at Mulyorejo Community Health Center, Malang City, Indonesia
The quality of nursing services is crucial for a positive image of health service institutions. Patient satisfaction is a key indicator of the quality of nursing services. This study aims to analyze the relationship between nursing services and patient satisfaction at the Mulyorejo Community Health Center, Malang City. To analyze the relationship between nursing servic The quality of nursing services is crucial for a positive image of health service institutions. Patient satisfaction is a key indicator of the quality of nursing services. This study aims to analyze the relationship between nursing services and patient satisfaction at the Mulyorejo Community Health Center, Malang City.es and patient satisfaction at the Mulyorejo Community Health Center, Malang City. A correlational research design with a quantitative approach and a cross-sectional approach was used. Accidental sampling was employed to select a sample of 183 respondents from a population of 1,017 outpatients at the Mulyorejo Community Health Center between February and April 2023. Data were analyzed using the Spearman rank correlation test. The study found a strong positive correlation between nursing service quality and patient satisfaction. The quality of nursing services was rated as "good" by 168 respondents (92.34%), and patient satisfaction was rated as "satisfied" by 168 respondents (91.25%). A strong relationship exists between the quality of nursing services and patient satisfaction at the Mulyorejo Community Health Center. To enhance patient satisfaction, consistent service improvements are necessary, particularly focusing on adhering to established nursing service standards.The quality of nursing services is crucial for a positive image of health service institutions. Patient satisfaction is a key indicator of the quality of nursing services. This study aims to analyze the relationship between nursing services and patient satisfaction at the Mulyorejo Community Health Center, Malang City.
Copyright (c) 2025 deva natarumanda, Lilla Maria, Regista Trigandara
Schizophrenia is a mental disorder characterized by distortion of reality, disorganization, and psychomotor poverty. Schizophrenia is characterized by positive symptoms such as hallucinations, delusions, bizarre behavior and thought disorders and negative symptoms such as flat or blunted affect, alogia, anhedonia and deficits in social interaction. Schizophrenia disorders persist for at least six months and there must be at least one month of symptoms. Schizophrenia affects approximately 1% of the world's population. Although schizophrenia treatment can improve symptoms, it cannot restore normal function in most patients. Treatments that can be given to schizophrenia sufferers such as oral antipsychotics, especially second-generation such as risperidone, olanzapine, aripiprazole are recommended for initial treatment of acute psychosis. Case illustration is a 27-year-old male patient with complaints of hearing voices that cannot be heard by others and making it difficult for the patient to sleep. Management of this patient was given quetiapine 2x400 mg and lorazepam 1x1 mg. The result of this patient's management is an improvement in clinical symptoms. The conclusion of this case report is that paranoid schizophrenia is a case that is easy to relapse and can even become chronic, so it is necessary to do the importance of medication compliance, appropriate social support in order to improve social function in patients.
Copyright (c) 2025 Siti Elita Syabaniyah, Ryan Aditya
The Role of Parents in the Incidence of Unintended Pregnancy in Adolescent Girls
Unintended pregnancy (UP) among adolescents is a public health issue that affects physical, psychological, and social aspects. This study aims to explore the role of parents in the incidence of UP among adolescent girls in the working area of Puskesmas Sokaraja II, Banyumas Regency. The study employed a qualitative approach with a holistic case study design. The primary informants consisted of six adolescent girls who experienced UP, while the triangulation informants were healthcare professionals handling UP cases at Puskesmas Sokaraja II. Informants were selected using purposive sampling and snowball sampling, including adolescents who experienced UP and relevant healthcare professionals. Data were collected through in-depth interviews and analyzed using thematic analysis. The findings revealed four main themes: Permissive parenting contributes to risky behaviors due to a lack of parental supervision, limited reproductive health and sexuality education results in adolescents’ poor understanding of UP risks, low economic status restricts adolescents’ access to reproductive health services, and low self-confidence and susceptibility to environmental influences increase the risk of UP among adolescents.
Copyright (c) 2025 Chintya Rahmawati, Ema Wahyu Ningrum, Ikit Netra Wirakhmi
ODS Pseudophakia + Posterior Capsular Opacification (PCO): Case Report
Posterior capsular opacity (PCO), also known as after cataract, is a complication of cataract surgery that manifests as an opacity that persists or develops after extracapsular lens extraction. 1 The incidence of PCO varies widely in the literature, influenced by the type of intraocular lens (IOL) and patient risk factors. The standard treatment for PCO-related visual impairment is posterior capsulotomy using a neodymium-doped yttrium-aluminum-garnet (Nd: YAG) laser. Although PCO recurrence after initial treatment with YAG capsulotomy is more common in children, it is rare in adults. The underlying pathophysiologic mechanism is analogous to primary PCO, involving proliferation, migration, and/or clustering of lens epithelial cells (LECs), resulting in posterior aperture re-closure. A comprehensive review of recent literature has identified several potential risk factors for PCO recurrence, including younger age, female gender, high myopia, diabetes, vitrectomy status, uveitis, low diopter IOLs, and certain types of IOLs with higher water content.2A 69-year A 69-year-old male with a history of cataract surgery four years ago, a physical examination showing results within normal limits, and an ophthalmologic physical examination showing ODS virus 0.2, PH - NC, arcus senilis +/+, fibrosis type posterior lens opacity +/+, and IOL +/+ was identified. Funduscopic examination revealed a fundus reflex (+/+), diminished due to posterior lens opacities, with a macular reflex that was difficult to assess (+/+) and retinal degeneration (+/+). The diagnosis of ODS pseudophakia + PCO was established based on the patient's history, physical examination results, and supporting examinations of the mother and baby that had been carried out. According to the diagnosis, the patient was administered the primary pharmacological therapy of P Pred ED 6x1 drops in both eyes and the non-pharmacological therapy of Nd: YAG laser treatment in both eyes.
Copyright (c) 2025 Khilda Safinatin Najiyah, Faozan
THE RELATIONSHIP OF WORK STRESS TO THE PERFORMANCE OF EMPLOYEES OF THE REGIONAL INSPECTORATE OF SIKKA DISTRICT
Performance is a measure of individual or group success in carrying out tasks and responsibilities, as well as the ability to achieve predetermined goals and standards. Of all the regions in NTT province, Kupang City took the top spot with the highest percentage of reporting, at 95.27%. Southwest Sumba Regency ranked second with a reporting achievement of 69.83%, and followed by the NTT Provincial government which ranked third with a reporting percentage of 66.38%. This study aims to determine the relationship of job stress to employee performance at the Regional Inspectorate of Sikka Regency. The type of research used is analytic observational using Cross Sectional design. The sample in this study were 31 respondents. Samples in this study were taken with simple random sampling technique. The data analysis used was univariate analysis and bivariate analysis, using the Chi-square statistical test. The results of this study indicate that the variables associated with employee performance are workload (p = 0.047), working hours (p = 0.017), work pressure (p = 0.042) and work motivation (p = 0.020). This study highlights the importance of effective human resource management in improving the performance of an agency or organization.
Factors Related To Heat Strain In Tough-Making Industry Workers In Kotabumi Selatan District, North Lampung District
Tofu industry workers are a group vulnerable to heat strain due to high heat exposure during work. Heat strains can cause serious health problems such as heat stroke, heat exhaustion, and heat cramps. Purpose This study aims to analyze the factors associated with heat strain in tofu industry workers in South Kotabumi District, North Lampung Regency in 2024. This study used a cross-sectional design. The population was all tofu industry workers in South Kotabumi District, North Lampung Regency. Samples were taken using total sampling technique, namely 30 workers. Data were collected through interviews, measurements, and observations. Data analysis was performed using univariate, bivariate using the Chi-square test, and multivariate using logistic regression test. showed that the factors associated with heat strain in tofu industry workers were heat stress (p=0.001), age ( P =0.003), gender ( P =0.007), and obesity ( P =0.012). Environmental heat stress, age, gender, and obesity are factors associated with heat strain in tofu industry workers. Heat strain control efforts need to be carried out, especially through improving the work climate and weight loss programs for obese workers.
Copyright (c) 2024 Dony Mahendra, Nurul Aziza, Nana Novariana
The Relationship Between Knowledge of Clean and Healthy Living Behavior (CHLB) and Healthy Living Behavior Among Elementary School Students at Public Elementary School 5 Katerban, Baron District
Introduction: Clean and Healthy Living Behavior (CHLB) is an effort to prevent diseases by implementing healthy habits from an early age. Elementary school children are a vulnerable group to health problems, thus requiring the inculcation of knowledge and behavior related to CHLB. Objectives: This study aims to determine the relationship between knowledge of CHLB and healthy living behavior among elementary school students at Public Elementary School 5 Katerban, Baron District. Methods: This study employed a correlational analytic design with a cross-sectional approach. The population consisted of all students in grades I–VI (62 students) with a total sampling technique. Instruments included a CHLB knowledge questionnaire and a healthy behavior observation sheet. Data were analyzed using the Chi-Square test. Results: The results showed that most students had good knowledge (61.3%), while healthy living behavior in the good category was 58.1%. The Chi-Square test yielded p = 0.021 (<0.05), indicating a significant relationship between CHLB knowledge and healthy living behavior. Conclusions: Knowledge of CHLB is associated with healthy living behavior among elementary school students. The role of teachers, parents, and health workers is needed to enhance CHLB education through creative and continuous methods.
Copyright (c) 2025 Leili Setiawan Rosyid Leili, Fitra Handika Hutama
Iron Content Value in Potato Peel Extract
Introduction: Potato peel is a food ingredient that is cheap and easy to obtain. This ingredient can help people fulfill their iron needs so that the production of hemoglobin levels in the blood is not lacking. Potato peel can also be considered as a remedy to prevent and overcome cases of anemia, especially in adolescent girls and pregnant women, who are considered vulnerable groups. Objective: The purpose of this study is to determine the iron content value in potato peel extract. Methods: The research method used a laboratory approach, tested through qualitative and quantitative analysis. The place and time of the research were the Undergraduate Pharmacy Laboratory, Faculty of Health Sciences, Ibrahimy University, from March to July 2024, using a UV-Vis spectrophotometer and potato peel extract samples. Result: The results obtained showed the presence of iron in the research sample, with an iron content value of 11.526 mg in 100 grams. Conclusions: The conclusion of this study is that potato peel extract can be used by processing it into food products that can be consumed daily as needed, in order to avoid anemia.
Industrial Workers’s Regarding Compliance with the Use of Personal Protective Equipment: A Cross-Sectional Study
Introduction: Workplace safety remains a critical issue, and using Personal Protective Equipment (PPE) is essential to reducing occupational hazards. Employee attitudes are important in shaping safety behaviors and compliance with protective measures. Objectives: This study examined the relationship between employee attitudes and compliance with PPE use among workers in a manufacturing company. Methods: A cross-sectional observational study was conducted with 35 employees selected through purposive sampling. Data were collected using two validated questionnaires: one assessing employee attitudes toward PPE use (10 items, Likert scale) and another evaluating PPE compliance (8 items, 0–3 scale). Based on median values, scores were categorized as positive or negative attitudes and compliant or non-compliant behavior. Data were analyzed using frequency distributions and the Chi-Square test. Results: Most participants were male (71.4%) and aged 30–39 (42.8%). 57.1% of respondents reported positive attitudes toward PPE use, while 51.4% demonstrated compliance. Bivariate analysis showed a significant association between employee attitudes and PPE compliance (p = 0.002), with 75% of workers with positive attitudes adhering to PPE protocols compared to 20% with negative attitudes. Conclusions: Positive safety attitudes were strongly linked to higher PPE compliance, emphasizing the need to integrate behavioral and organizational interventions alongside technical measures to promote workplace safety. Although the study provides valuable insights, its cross-sectional design and small sample size limit generalizability. Future studies should adopt longitudinal approaches and include diverse populations to guide targeted safety strategies.
Copyright (c) 2025 nofilia sacharum, Khusnul Khotimah
Effectiveness of Nutritional Counseling on Improving Dietary Compliance Among Pregnant Women
Introduction: Maternal nutrition during pregnancy is critical in supporting maternal health and fetal development. However, many pregnant women do not adhere to recommended dietary practices, which may increase the risk of complications. Nutrition counseling has been proposed to improve compliance with healthy dietary behaviors. Objectives: This study aimed to evaluate the effectiveness of nutrition counseling on improving dietary compliance among pregnant women. Methods: A quasi-experimental design with a non-equivalent pretest–posttest control group was employed. Forty pregnant women in their second and third trimesters were recruited and assigned to two groups: an intervention group receiving structured nutrition counseling and a control group receiving routine antenatal care. Dietary compliance was assessed using a validated questionnaire before and after a four-week intervention. Data were analyzed using paired t-tests for within-group comparisons and independent t-tests for between-group differences. Results: The intervention group showed a significant improvement in dietary compliance scores after counseling (mean increase 0.85, p < 0.005), whereas the control group demonstrated no significant change (mean increase 0.15, p = 0.120). Post-intervention comparisons indicated a significantly higher compliance score in the intervention group compared to the control group (p < 0.001; α<0.05). Conclusions: Nutrition counseling was effective in enhancing dietary compliance among pregnant women. Integrating structured counseling into antenatal care has the potential to foster healthier eating behaviors, reduce pregnancy-related complications, and improve maternal and fetal outcomes. Further research is needed to examine long-term effects and its scalability in different healthcare settings.
Copyright (c) 2025 khusnul khotimah, Nofilia Sacharum
Comparison of Warm Compress and Lavender Aromatherapy on Dysmenorrhea in Female Adolescents
Introduction: Dysmenorrhea is a common gynecological problem among female adolescents that affects academic performance, daily activities, and quality of life. Non-pharmacological interventions such as warm compresses and lavender aromatherapy are considered safe and practical alternatives for pain relief. Objectives: This study aimed to compare the effectiveness of warm compresses and lavender aromatherapy in reducing menstrual pain among female adolescents. Methods: A quasi-experimental study with a non-equivalent pretest–posttest control group design was conducted from January to March 2025 at SMK Puspa Bangsa, Banyuwangi. A total of 40 students with a history of dysmenorrhea were selected using proportionate stratified random sampling and divided into two groups: warm compress (n = 20) and lavender aromatherapy (n = 20). Pain intensity was measured before and after the interventions using a validated Numeric Rating Scale. Data were analyzed using paired t-tests for within-group differences and independent t-tests for between-group comparisons. Results: The warm compress group showed a significant reduction in menstrual pain with a greater mean difference than the lavender aromatherapy group. While both interventions were effective, the warm compress group experienced a more pronounced decrease in pain intensity. Independent t-test results confirmed a significant difference in mean pain reduction between the two groups (p-value = 0.000; α<0.05). Conclusions: Warm compresses were more effective than lavender aromatherapy in reducing dysmenorrhea among female adolescents. Warm compresses can be recommended as a simple, safe, and cost-effective non-pharmacological strategy, while lavender aromatherapy may serve as a supportive approach providing relaxation and psychological comfort.
Copyright (c) 2025 Ayuk Naimah, Lailaturohmah
The Effect of Papaya Juice Consumption on Hemoglobin Levels of Pregnant Women at Depok Jaya Public Health Center
Introduction: Anemia during pregnancy remains a significant public health concern, particularly in low-resource settings where nutritional deficiencies are common. Iron supplementation is a standard intervention; however, its effectiveness may be enhanced by nutrient-rich foods that improve iron absorption. Papaya is a local fruit high in vitamin C and folate, essential for hemoglobin synthesis. Objectives: This study aimed to determine the effect of papaya juice supplementation alongside iron tablets on the hemoglobin levels of pregnant women. Methods: A quasi-experimental study with a pre-test and post-test control group design was conducted among pregnant women in the Depok Jaya Health Center area. Thirty-six participants were selected using purposive sampling and divided equally into control and intervention groups. The control group received only iron tablets, while the intervention group consumed papaya juice daily in addition to iron tablets for 14 days. Hemoglobin levels were measured before and after the intervention, and data were analyzed using paired and independent sample t-tests. Results: The mean hemoglobin level in the intervention group increased substantially after 14 days, while the control group showed a more minor increase. Statistical analysis indicated significant improvements within both groups and a significant difference between the intervention and control groups (p-value <0.05; α<0.05). Conclusions: Papaya juice supplementation enhanced the effectiveness of iron tablets in improving hemoglobin levels among pregnant women. As an affordable and locally available food, papaya has the potential to be integrated into maternal nutrition programs to reduce anemia in pregnancy. Further research is recommended to confirm long-term benefits.
Copyright (c) 2025 alfiah rahmawati, Dian Reflisiani
The Effectiveness of Betel Leaf (Piper betle) Decoction in the Management of Pruritus among Elderly Residents of a Social Welfare Institution in Banyuwangi, 2025
Introduction: Itching in the elderly is a common complaint in skin diseases and is usually chronic, meaning that this condition lasts for a long time. Betel leaf decoction is useful for relieving pruritus (itchy skin) because it contains active compounds such as eugenol, tannins, and flavonoids which are anti-inflammatory, antimicrobial, and antiseptic. This study aims to determine the effect of giving betel leaf decoction on the sensation of itching in the elderly with pruritus at the UPT Panti Sosial Tresna Werdha Banyuwangi in 2025 Methods: This study used a pre-experimental pre-test post-test without control research design with purposive sampling technique. The total sample was 19 respondents who met the inclusion criteria. Data were obtained from the PSS questionnaire. Data analysis techniques after data normality testing were carried out using the Wilcoxon test Results: Based on the results of the research that has been done, the results of the Data Analysis test with the Wilcoxon match pairs test using SPSS 16 for windows obtained the results of Asymp Sig. (2-tailed) p value = 0.001 <0.05 which means H0 is rejected Ha is accepted which means there is a significant effect between the provision of warm compresses of boiled betel leaves on the sensation of itching in the elderly with pruritus at the UPT Panti Sosial Tresna Werdha Banyuwangi in 2025 Conclusions: Warm compress therapy with boiled betel leaves can reduce the sensation of itching in the elderly. This method is very effective to be applied as a preventive measure in an effort to reduce itching in the elderly.
Copyright (c) 2025 Akhmad Yanuar Fahmi Pamungkas
The Effect of E-leaflet Education on Red Onion Administration to Improve Mothers' Knowledge About Reducing Fever After DPT Immunization
Introduction: Fever is a normal response of the body to infection or a form of resistance in the body in adjusting antibodies due to immunization. Fever can be a sign of the onset of infection, but fever can also be caused by metabolic disorders and other causes. Red onion (Allium cepa varietas ascalonicum) can be used as a fever reducer for infants and toddlers with fever. The content of organic sulfur compounds, or Allylcysteine Sulfoxide (Alliin). Many parents are still unaware of the benefits of red onions for reducing fever in children. Therefore, the researchers aimed to determine the effect of providing e-leaflet education on the administration of red onions on increasing mothers' knowledge about reducing fever after DPT immunization. Methods: The method used was a pre-experiment, one group pre-test post-test. The sample size was 30 respondents. The results of the study showed that the respondents' knowledge before receiving education through the e-leaflet on the use of shallots was still lacking at 63.4%. Results: Respondents' knowledge after receiving e-leaflet education on the use of shallots was 90%. There was an effect of e-leaflet education on the use of shallots on increasing mothers' knowledge about reducing fever after DPT immunization, with a Sig value of 0.000.) Conclusions: There is an effect of e-leaflet education on giving red onions to increase mothers' knowledge about reducing fever after DPT immunization.