Focus and Scope Jurnal Keperawatan Muhammadiyah (Muhammadiyah Nursing Journal) is a peer-reviewed scholarly periodical managed by the Nursing Science Program, Faculty of Health Sciences, Muhammadiyah University of Surabaya. As a knowledge dissemination platform, this journal publishes evidence-based original works encompassing contemporary nursing science and healthcare research. Aims: To establish itself as a primary reference for nursing science advancement by publishing methodologically rigorous articles with clinical relevance and theoretical contributions to healthcare. Subject Coverage: The journal features multidisciplinary research focusing on: Emergency and Critical Care Nursing Maternal and Neonatal Nursing Mental Health and Psychiatric Nursing Community and Population Health Nursing Gerontological and Palliative Care Nursing Adult Medical-Surgical Nursing Basic Nursing Theory and Practice Nursing Management and Clinical Leadership Accepted Article Types: Quantitative/Qualitative/Mixed-Methods Research Evidence-Based Clinical Case Studies Systematic Reviews and Meta-Analyses Critical Literature Reviews Conceptual and Theoretical Framework Analyses Health Policy Discourses Publication Frequency: Published quarterly (March, June, September, December) in both online and print formats.
Penulis tetap memegang hak atas karyanya dan memberikan hak publikasi pertama kepada jurnal ini yang secara simultan karya tersebut dilisensikan di bawah: Creative Commons Attribution-ShareAlike 4.0 International (CC BY-SA 4.0)
The Influence of Spiritual Aspects and Family Support on Depression Levels among Adults at the Formoza Public Health Center, Dili, Timor-Leste
Background: Depression is a common mental health disorder that significantly affects the quality of life of adults. Psychosocial factors, including spiritual aspects and family support, play an important role in individual coping mechanisms and psychological adaptation. In Timor-Leste, the prevalence of depression has shown a consistent increase, highlighting the need for holistic and community-based mental health approaches. Objective: This study aimed to examine the influence of spiritual aspects and family support on depression levels among adults at the Formoza Public Health Center, Dili, Timor-Leste. Methods: This study employed a quantitative cross-sectional design. A total of 35 adults diagnosed with depression were recruited using a total sampling technique. Data were collected using the Spiritual Well-Being Scale (SWBS), a family support questionnaire, and the Beck Depression Inventory-II (BDI-II). Data analysis was conducted using univariate analysis and the Chi-square test with a significance level of α = 0.05. Results: The majority of respondents had a moderate level of spirituality (62.9%), sufficient family support (57.1%), and mild depression (54.3%). Statistical analysis showed a significant association between spiritual aspects and depression levels (p = 0.001), as well as between family support and depression levels (p = 0.001). Conclusion: Spiritual aspects and family support have a significant influence on depression levels among adults. Integrating spiritual care and strengthening family involvement are recommended as part of community mental health nursing interventions to reduce depression levels.
Copyright (c) 2026 Hermin Mangande , Budiman Budiman , Khrisna Wisnusakti , Gunawan Irianto , Rahmi Imelisa http://creativecommons.org/licenses/by-sa/4.0
Peran Komunikasi Terapeutik Sebagai Upaya Rehabilitasi Kesehatan Mental Berbasis Komunitas
Background: Mental health remains an important yet often overlooked issue, especially in regions with strong cultural beliefs and stigma such as Sumenep Regency. Many people with mental disorders (ODGJ) have not received proper treatment and are still subjected to physical restraint. To address this issue, the Sumenep Community for People with Mental Disorders (KOPDAS) was established as a community-based initiative that focuses on therapeutic communication and social support in mental health rehabilitation. Objective: This study aims to identify and analyze the application of therapeutic communication in the rehabilitation process for people with mental disorders carried out by KOPDAS in Sumenep Regency. Methods: This qualitative research uses a case study approach to explore how therapeutic communication is implemented within KOPDAS activities. Data were collected through in-depth interviews, field observations, and documentation with purposive sampling selected informants consisting of KOPDAS founders, administrators, and active members. Data were analyzed interactively following Miles and Huberman’s model and validated through source and method triangulation. Results: The findings reveal that KOPDAS applies therapeutic communication through four stages based on Hildegard E. Peplau’s theory: pre-interaction, orientation, working, and termination. Each stage emphasizes empathy, active listening, and building trust between volunteers, patients, and families. This approach has effectively reduced social stigma, encouraged family participation, and accelerated patient recovery. Several patients previously restrained have successfully reintegrated into society and regained their social functions. Conclusion: Therapeutic communication serves as a key element in community-based mental health rehabilitation. By promoting empathy, collaboration, and sustained engagement between KOPDAS, community health centers, and local authorities, this model demonstrates an effective approach for improving mental health care in resource-limited and culturally sensitive settings.
Copyright (c) 2026 Palupi Nutia, Sri Wahyuningsih http://creativecommons.org/licenses/by-sa/4.0
Efforts to Increase Paternal Involvement in Meeting Toddlers’ Nutritional Needs: A Case Study in Community Nursing Care
Latar Belakang: Nutrisi yang cukup pada masa balita sangat penting untuk pertumbuhan dan perkembangan yang optimal. Keterlibatan keluarga, khususnya peran ayah, memainkan peran penting dalam memenuhi kebutuhan nutrisi balita. Keterlibatan ayah yang terbatas dapat menghambat nutrisi keluarga yang optimal. Studi ini bertujuan untuk memberikan perawatan kesehatan komunitas kepada kelompok ayah untuk meningkatkan keterlibatan ayah dalam memenuhi kebutuhan nutrisi balita. Methods: This study employed a case study design using a community nursing care approach guided by the Community as Partner model. The intervention was conducted over three weeks following the nursing process phases, including assessment, diagnosis, planning, implementation, and evaluation. A total of 11 fathers with children aged 0–60 months were recruited through purposive sampling based on predetermined inclusion criteria. Paternal involvement in fulfilling toddlers’ nutritional needs was measured before and after the intervention using a structured questionnaire that had undergone expert content validation. The intervention consisted of health education sessions addressing the role of fathers in toddler nutrition. Data were analyzed using the Wilcoxon signed-rank test with SPSS to determine differences in involvement scores before and after the intervention. Results: The findings demonstrated an improvement in fathers’ involvement in fulfilling toddlers’ nutritional needs following the community nursing intervention. Fathers showed greater engagement in supporting mothers, food provision, and decision-making related to toddler nutrition. Conclusion: Community nursing care targeting fathers significantly improved toddlers’ nutritional outcomes. Strengthening family-based nutrition education with active paternal involvement is recommended to support improved nutritional outcomes among toddlers. Keywords: Community nursing care, Family role, Health education, Paternal involvement, Toddler nutrition.
Copyright (c) 2026 Restu Ayuningtyas, Titih Huriah http://creativecommons.org/licenses/by-sa/4.0
Strategi Komunikasi Satuan Tugas Disabilitas Mental dalam Mengurangi Stigma Terhadap Caregiver ODGJ di Kecamatan Rubaru
Background: Stigma against people with mental disorders often extends to their families or caregivers (courtesy stigma). In Rubaru District, caregivers experience social pressure in the form of exclusion and ridicule, which hinders the patient's recovery process. The Mental Disability Task Force has developed a special communication strategy to address this phenomenon. Objective: to identify and analyze the communication strategies of the Mental Disability Task Force in reducing stigma against caregivers of people with mental disorders in Rubaru District. Methods: This article used a qualitative method with an instrumental case study approach. Data were collected through in-depth interviews, observations, and documentation. Informants were selected using purposive sampling techniques consisting of the Mental Disability Task Force, the Community Health Center Mental Health Officer (PJ Keswa), TKSK, and ODGJ caregivers. Data analysis was conducted using the Creswell model, which consists of six stages: collecting and organizing files for data, reading the entire text and forming initial codes, describing the case and its context, using categorical aggregation to form themes and patterns, interpreting the data, and presenting the data. Results: The Mental Disability Task Force implemented a communication strategy through the innovation of “Gersif Gasawa” (Family Mental Awareness Movement). This strategy includes stages of research, planning, implementation through door-to-door education and audio-visual media (NOBAR), to cross-sector reporting. The persuasive and interpersonal approach has proven effective in changing negative perceptions within the community into more supportive behaviors and acceptance of caregivers. The main obstacles encountered are resistance from some of the patients' families and limited understanding of mental health within the community. Conclusion: Integrated communication strategies based on local wisdom can reduce the level of social stigma against caregivers. Cross-sector collaboration is key to success in creating an inclusive environment for the recovery of people with mental disorders and the welfare of caregivers.
Copyright (c) 2026 ekanurjanahartia ningsih, Sri Wahyuningsih http://creativecommons.org/licenses/by-sa/4.0
Penerapan Intervensi Ortopnea Potision Terhadap Kenaikan Saturasi Oksigen Pada Pasien Penyakit Paru Obstruktif Kronik (PPOK) Di Ruang ICU RSUD Cililin Kabupaten Bandung Barat
Introduction: Penyakit paru obstruktif kronik (PPOK) adalah penyakit paru yang dapat dicegah dan diobati, ditandai dengan adanya gejala pernafasan dan keterbatasan aliran udara yang persisten dan umumnya bersifat progresif, berhubungan dengan respon inflamasi kronik yang berlebihan pada saluran nafas dan parenkim paru akibat gas atau partikel berbahaya. Objective: Penelitian ini bertujuan untuk mendeskripsikan efektivitas ortopnea position terhadap saturasi oksigen pasien PPOK di ICU RSUD Cililin, Kabupaten Bandung Barat. Methods: Desain penelitian yang digunakan Adalah metode desktiptif dengan menggunakan studi kasus. Subjek penelian Adalah pasien PPOK berusia 78 tahun. Results: Hasil penerapan tripod position efektif meningkatkan saturasi oksigen pada pasien PPOK. Conclusion: Tripod position sebagain intervensi non-farmakologis terbukti efektif dalam meningkatkan saturasi oksigen pasien PPOK.
Copyright (c) 2026 Alfina Syamsiah Choir, Budi Rustandi, Lisbet Octavia Manalu, Istianah http://creativecommons.org/licenses/by-sa/4.0
Progresive Muscle Relaxation sebagai Terapi Keperawatan Non-Farmakologis untuk Ketidakstabilan Kadar Glukosa Darah pada Pasien Diabetes Tipe 2: Studi Kasus
Background: Diabetes mellitus (DM) is a metabolic disease characterized by unstable blood glucose. Unstable blood glucose levels are influenced by psychological and physiological stress, which triggers the secretion of stress hormones, thus worsening glycemic control. Non-pharmacological therapy using relaxation techniques is needed to reduce stress, including progressive muscle relaxation. Objective: The aim of this study was to implementing progressive muscle relaxation as a non-pharmacological nursing therapy for blood glucose level instability in type 2 diabetes patients: a case study. Methods: The research method used is a case study; the nursing problem in DM clients is Unstable blood glucose levels. Treatment that can be carried out for DM clients in dealing with nursing problems of unstable blood glucose levels is PMR therapy. The participants selected were two clients with blood glucose levels ≥200 mg/dl (Hyperglycemia). The research used interview techniques, observation, physical examination, documentation studies, and questionnaires. The assessment format used is the Medical Surgical Nursing format. Results: Progressive Muscle Relaxation (PMR) is given once daily for three consecutive days, with the intervention lasting 15–20 minutes. PMR therapy can effectively reduce blood glucose levels within three days. Participants experienced a decrease in blood glucose levels by an average of 1-24 mg/dl. Conclusion: The PMR relaxation technique affects the neuroendocrine system by reducing the response to stres. When the body is in a relaxed state, the dominance of the parasympathetic system increases, which is able to suppress the secretion of stress hormones and increase insulin sensitivity, thus having a positive impact on regulating blood glucose levels.
Copyright (c) 2026 Novita Surya Putri, Andrik Hermanto, Meira Safira Salsabila , Atik Pramesti Wilujeng, Riyan Dwi Prasetyawan, Tria Anisa Firmanti, Sholihin http://creativecommons.org/licenses/by-sa/4.0
Evaluasi Implementasi Metode Asuhan Keperawatan Profesional (MAKP): Scoping Review
Background: The Professional Nursing Care Model (PNCM) is a fundamental framework for organizing nursing delivery systems to enhance hospital operational efficiency and service quality. Despite its broad implementation in Indonesia, a comprehensive mapping of its evaluative outcomes and determining factors remains limited. This scoping review aims to systematically map scientific evidence regarding PNCM implementation, models, and determining factors within the Indonesian healthcare context. Methods: This review followed Arksey and O'Malley’s framework and PRISMA-ScR guidelines. A comprehensive literature search was conducted on PubMed, Scopus, ScienceDirect, and Google Scholar for studies published between 2016 to 2025. Eligibility was determined using the PCC (Population, Concept, Context) framework, focusing on studies evaluating PNCM impact in Indonesia. Results: Ten studies met the inclusion criteria. Findings indicate that PNCM implementation in Indonesia is largely adaptive, dominated by Team and Modified Team-Primary models. Overall implementation quality is categorized as "moderate," characterized by inconsistent execution of core managerial activities, including pre-conferences, post-conferences, and nursing rounds. Implementation success is significantly driven by organizational factors (head nurse leadership and job design) and psychological factors (nurse motivation), whereas individual factors showed no significant influence. Conclusion: PNCM implementation in Indonesian hospitals is adaptive yet partial, hindered by gaps in core managerial components. Achieving optimal implementation requires robust managerial support and enhanced professional motivation. Management interventions should prioritize leadership capacity building and the cultivation of conducive work environments to ensure high-quality nursing care delivery.
Copyright (c) 2026 Lindawati Br Barus, Wida Kuswida Bhakti , Dinarwulan Puspita, Suriadi http://creativecommons.org/licenses/by-sa/4.0
Efektivitas Terapi Rendam Kaki Air Hangat untuk Menurunkan Tekanan Darah pada Penderita Hipertensi
Background: Hypertension has become a serious global health issue, with the number of sufferers increasing from 650 million in 1990 to 1.4 billion in 2024. In Indonesia, the prevalence reached 34.1% in 2018, with a higher proportion among women at 36.85%. While pharmacological treatments are available, they often face constraints regarding costs and side effects. Hydrotherapy, specifically warm water foot soaks, serves as a safe and accessible non-pharmacological alternative to lower blood pressure naturally. Objective: This study aims to evaluate the effectiveness of warm water foot soak therapy in reducing blood pressure among hypertension patients. Methods: This study utilized a literature review design by accessing national and international journal databases, including Garuda, ProQuest, and PubMed. The search strategy employed keywords such as "hydrotherapy," "warm water foot soak," and "hypertension". Following the PRISMA method, 13 articles published between 2021 and 2025 were selected based on specific inclusion and exclusion criteria for further analysis. Results: Analysis of the 13 studies consistently showed that warm water foot soak therapy significantly reduces both systolic and diastolic blood pressure (p < 0.05). Meta-analysis results indicated an average reduction of 6-7 mmHg in systolic pressure and 5-6 mmHg in diastolic pressure. The physiological effect is triggered by peripheral vasodilation due to heat exposure, which reduces systemic vascular resistance. The most effective protocol involves water temperatures of 38-40°C for a duration of 15-20 minutes. Conclusion: Warm water foot soak therapy is an effective, economical, and simple non-pharmacological intervention that can be performed independently at home to help transition patients from hypertensive states toward normal blood pressure levels.
Copyright (c) 2026 Alfath Dzea Haqilana, M. Aqil Argyanto, Satriya Pranata http://creativecommons.org/licenses/by-sa/4.0
Background: Improving the quality of healthcare and patient safety is a top global priority. Clinical Pathways (CP) are implemented as evidence-based management tools to reduce clinical practice variations and enhance efficiency. However, implementation success varies significantly across organizations, necessitating systematic evaluation to identify adherence barriers and the effectiveness of these instruments on hospital quality indicators. Objective: This study aims to map the literature regarding the evaluation of Clinical Pathway implementation in hospitals, including the instruments used and the dimensions focused on during the evaluation process. Methods: This scoping review follows the Arksey and O’Malley framework and JBI guidelines. Literature searches were conducted across PubMed, ScienceDirect, and Scopus databases for articles published between 2021 and 2025. The study selection process utilized the PRISMA-ScR flow diagram. Results: From 465 identified articles, 5 studies were selected for synthesis. The evaluation results demonstrate that CP implementation consistently reduces the risk of complications, such as decreasing C. difficile recurrence rates from 29.2% to 15.1% and reducing the incidence of delirium in elderly hip fracture patients. CPs were also effective in shortening the Length of Stay (LOS) and improving diagnostic accuracy through digital technology integration. The main challenges identified included low adherence (52%) in heterogeneous medical conditions and the perception of increased administrative workload for healthcare professionals. Conclusion: The evaluation of Clinical Pathway implementation proves its significant potential in transforming healthcare services to be safer and more efficient. CP success depends not only on the clinical design of the flow but also on implementation strategies, technological support such as Electronic Health Record (EHR) integration, and the acceptance of frontline healthcare workers.
Copyright (c) 2026 Dwi Natalia Rustanti , Wida Kuswida Bhakti , Suriadi, Ramadhaniati http://creativecommons.org/licenses/by-sa/4.0
Effect of Side-to-Side Turning Exercises on Intestinal Peristalsis in Post-Laparotomy Patients: A Scoping Review
Background: Postoperative paralytic ileus is a common complication after laparotomy surgery that can delay recovery and prolong hospital stays. Side-to-side turning exercises, as part of early mobilization, are frequently applied in nursing practice to stimulate intestinal motility, yet specific evidence mapping regarding this intervention remains limited. Objective: This study aims to map the scientific evidence concerning the effect of side-to-side turning exercises on increasing intestinal peristalsis in post-laparotomy patients. Methods: This scoping review follows the JBI methodological framework and PRISMA-ScR guidelines. A literature search was conducted on PubMed, ScienceDirect, and Google Scholar, with inclusion criteria for primary studies testing lateral positioning interventions in adult laparotomy patients and measuring intestinal peristalsis outcomes. Results: Five selected articles demonstrated that side-to-side turning exercises significantly (p < 0.05) accelerate the recovery of intestinal peristalsis. The most effective initiation of the exercise was found between 6 and 12 hours post-surgery, with an average duration of 30 minutes. While effective as an initial mechanical stimulation, this intervention is often combined with other mobilization activities, making it difficult to isolate its single effect. Conclusion: Side-to-side turning exercises are an effective and safe independent nursing intervention for improving intestinal peristalsis. Standardization of protocols regarding the optimal duration of lateral positioning is needed to strengthen clinical evidence in surgical nursing care.
Copyright (c) 2026 Suriadi Haryanto, Rafita Ofti Sefilena http://creativecommons.org/licenses/by-sa/4.0
School-Based Interventions for The Prevention Of Anemia Among Adolescent Girls: A Literature Review
Background: Anemia is a big health issue among adolescent girls particularly in developing countries, with serious consequences for growth, cognitive function, and overall well-being. Objective: to examine the effectiveness of various intervention for anemia prevention in school setting among adolescent girl Methods: A comprehensive literature search was conducted using Google Scholar, PubMed, EBSCO with relevant keywords in both English and Bahasa Indonesia. The included studies utilize different methodologies, such as quasi-experimental, participatory action research (PAR), and media development using Analysis, Design, Development, Implementation and Evaluation (ADDIE) Results: The findings consistently demonstrate that educational interventions, particularly those utilizing digital and interactive media, effectively enhance knowledge, foster positive attitudes and promote health behaviors Conclusion: To maximize effectiveness, future programs should expand the use of digital platforms. Additionally, integrating culturally relevant and community based educational strategies can further enhance the long-term impact of anemia prevention efforts among adolescent girls
Copyright (c) 2026 Ni Komang Tri Agustini http://creativecommons.org/licenses/by-sa/4.0
Efektivitas Kombinasi Meditasi Dzikir Dan Konsumsi Teh Rosella Dalam Menurunkan Tekanan Darah Pada Pasien Hipertensi
Background: Hypertension remains a significant public health concern and is one of the primary risk factors contributing to cardiovascular morbidity and mortality. Besides pharmacological management, the implementation of non-pharmacological approaches, including relaxation-based techniques and herbal interventions, is important in supporting optimal blood pressure regulation. Dzikir meditation and roselle tea are complementary therapies known for their potential calming and blood pressure lowering properties; however, evidence regarding the effectiveness of their combined application is still limited. Objective: To identify the effectiveness of a combination of dzikir meditation and roselle tea consumption on reducing blood pressure in patients with hypertension in RW 2, Temas Subdistrict, Batu City. Methods: This article was derived from a quasi-experimental study with a pretest–posttest control group design involving 40 hypertensive patients selected by purposive sampling and divided into an intervention group (n = 20) and a control group (n = 20). The intervention group received dzikir meditation and roselle tea, while the control group received standard pharmacological therapy. Blood pressure was measured before and after the intervention and analyzed using the Wilcoxon Signed Rank Test and Mann–Whitney U Test. Results: The results showed a significant reduction in systolic and diastolic blood pressure in the intervention group after the intervention (p < 0.05). In contrast, the control group did not show a significant change in blood pressure (p > 0.05). Furthermore, there was a significant difference in blood pressure reduction between the intervention and control groups for both systolic and diastolic pressure (p < 0.05). Conclusion: The combination of dzikir meditation and roselle tea consumption is effective in reducing blood pressure in patients with hypertension and can be considered as a complementary therapy alongside pharmacological treatment.
Copyright (c) 2026 Putri Arinda Nuraningrum, Marsaid Marsaid, Joko Wiyono, Wiwin Martiningsih http://creativecommons.org/licenses/by-sa/4.0
Pendidikan Kesehatan Digital Melalui E-Komik: Meningkatkan Pengetahuan Remaja tentang Risiko Merokok
Smoking behavior among adolescents remains a serious public health problem, especially among high school students who often do not understand the long-term impacts. Digital learning media offers a new, more engaging and youth-appropriate way to deliver health education. This study aims to assess the effectiveness of an e-comic-based health education intervention in improving the knowledge of eleventh-grade students about the dangers of smoking. The e-comic used has been officially registered with HAKI under number EC002025160224. The study used a quasi-experimental one-group pretest–posttest design with 79 respondents who met the inclusion criteria. The questionnaire instrument was validated and demonstrated high reliability with a Cronbach's alpha value of 0.892. Univariate and bivariate analyses were conducted to assess changes in knowledge. The average pretest score of 10.71 (SD = 2.22) indicated low to moderate initial knowledge, while the posttest score increased to 18.87 (SD = 1.11). The Wilcoxon Signed Rank test showed a significant difference between the two scores (p = 0.001). These results prove that IPR-enabled e-comics are effective in increasing adolescents' knowledge about the dangers of smoking, so that creative digital media can be an important strategy in smoking prevention efforts in schools.
Copyright (c) 2026 Devi Trianingsih, Nirina Arrly Nabila, Gaung Eka Ramadhan, Exsos Grand Dais, Fajriyah Nur Apriyanti http://creativecommons.org/licenses/by-sa/4.0
Psychological Distress, Social Stigma, Depression and Mental Health Crisis Among Nurses in High-Pressure Clinical Settings
Background: Nurses working in high-pressure clinical settings are frequently exposed to heavy workloads, emotional demands, and challenging working environments that may compromise their psychological well-being. Persistent occupational stress, combined with negative societal perceptions and stigma toward healthcare professionals, may contribute to psychological distress, depression, and broader mental health crises among nurses. Understanding the relationship between psychological distress and social stigma is essential to identify factors contributing to mental health problems in nursing professionals. Methods: A cross-sectional study was conducted between June and October 2021 involving 2,156 nurses working in high-pressure clinical units across Indonesia. Data were collected using an online questionnaire consisting of sociodemographic characteristics, measures of psychological distress, and social stigma perceptions, along with a modified Depression, Anxiety, and Stress Scale (DASS-21). A researcher-developed mental health crisis scale was also used to assess severe psychological conditions. Data were analyzed using descriptive statistics, Chi-square tests, and Spearman’s rho correlation with a significance level of p < 0.05. Results: Most participants were aged 20–29 years (44.6%) and female (67.5%). Psychological distress was reported at moderate levels among 78.4% of respondents, while 18.5% experienced perceived social stigma. Severe depression was identified in 64.5% of nurses, and 63.5% reported severe mental health crisis conditions. Psychological distress and perceived social stigma were significantly associated with higher levels of depression and mental health crises among nurses (p < 0.05). Conclusion: Psychological distress and social stigma were significant factors associated with depression and mental health crises among nurses working in high-pressure clinical environments. These findings highlight the importance of implementing institutional mental health support systems, stigma reduction initiatives, and workplace interventions to protect nurses’ psychological well-being.
Copyright (c) 2026 Diah Priyantini, Erfan Rofiqi, Septian Galuh Winata, Chlara Yunita Prabawati, Dzakiyatul Fahmi Mumtaz, Ken Siwi, Annisa Wigati Rozifa, Daviq Ayatulloh, Nursalam Nursalam http://creativecommons.org/licenses/by-sa/4.0
Pengaruh Kompres Dingin Dan Myofacial Release Terhadap Penurunan Nyeri Akibat Cedera Otot Pada Ekstrakurikuler Tapak Suci
Objective: Muscle injuries are among the most common occurrences in the Tapak Suci extracurricular program, whether during training sessions or competitive events. If left untreated, such injuries can disrupt daily activities, necessitating interventions like cold compress therapy and myofascial release to manage pain effectively. This study aims to examine the effect of cold compress therapy and myofascial release on pain reduction in members of the Tapak Suci extracurricular program at Al-Mizan Muhammadiyah Islamic Boarding School, Lamongan. Methods: An analytic correlational study with a cross-sectional approach was employed. The sample consisted of 117 nurses selected through cluster random sampling. Data were collected using questionnaires and analyzed using the Spearman rho test via SPSS software. Results: The results indicate a significant effect of cold compress therapy and myofascial release on pain reduction. demonstrating the effectiveness of these interventions in alleviating muscle pain. Conclusion: Members of the Tapak Suci extracurricular program are encouraged to learn and apply these therapeutic techniques for future injury management. Additionally, further studies should compare different therapeutic interventions across groups to enhance understanding of optimal pain management strategies.
Copyright (c) 2026 Fadhli azmi susilo, Virgianti Nur Faridah, Rizky Asta Pramestirini http://creativecommons.org/licenses/by-sa/4.0
Hubungan Konsumsi Makanan Berlemak Dan Perilaku Merokok Dengan Kejadian Penyakit Jantung Pada Lansia Berdasarkan Data SKI 2023
Latar Belakang : Penyakit jantung merupakan penyebab utama morbiditas dan mortalitas pada lansia di seluruh dunia. Di Indonesia, penyakit ini menjadi salah satu masalah kesehatan masyarakat yang paling dominan, terutama pada kelompok lanjut usia yang mengalami penurunan fungsi fisiologis dan peningkatan faktor risiko. Konsumsi makanan berlemak dan perilaku merokok merupakan dua faktor risiko perilaku yang berperan signifikan terhadap terjadinya penyakit jantung. Namun, bukti berbasis populasi nasional yang mengkaji kedua faktor ini pada lansia masih terbatas. Tujuan : Penelitian ini bertujuan untuk menganalisis hubungan antara konsumsi makanan berlemak dan perilaku merokok dengan kejadian penyakit jantung pada lansia berdasarkan data Survei Kesehatan Indonesia (SKI) 2023. Metode : Penelitian menggunakan desain deskriptif korelasional dengan pendekatan cross sectional. Data sekunder diperoleh dari SKI 2023 dengan populasi seluruh lansia berusia ≥ 60 tahun. Variabel independen meliputi konsumsi makanan berlemak dan perilaku merokok, sedangkan variabel dependen adalah kejadian penyakit jantung. Analisis data dilakukan secara univariat dan bivariat menggunakan uji Chi-Square dengan tingkat signifikansi p < 0,05. Hasil :Sebanyak 97.339 lansia dianalisis dalam penelitian ini. Mayoritas responden melaporkan pernah mengonsumsi makanan berlemak (94,6%) dan sebanyak 28,5% memiliki riwayat merokok. Kejadian penyakit jantung lebih banyak ditemukan pada lansia yang mengonsumsi makanan berlemak (3,2%) dibandingkan dengan yang tidak mengonsumsi (0,3%). Demikian pula, lansia dengan riwayat merokok menunjukkan proporsi penyakit jantung lebih tinggi (0,9%) dibandingkan mereka yang tidak pernah merokok (2,6%). Uji statistik menunjukkan adanya hubungan signifikan antara konsumsi makanan berlemak dan penyakit jantung (p = 0,001), serta antara perilaku merokok dan penyakit jantung (p = 0,001). Kesimpulan : Konsumsi makanan berlemak dan perilaku merokok memiliki hubungan yang signifikan dengan kejadian penyakit jantung pada lansia berdasarkan data SKI 2023. Upaya preventif melalui edukasi gizi, modifikasi pola makan, dan program berhenti merokok sangat diperlukan untuk menurunkan risiko penyakit jantung pada kelompok lansia.
Copyright (c) 2026 Tama Mega Nawangwulan, Rifatul Fani, Yuni Asri, Ratna Roesardhyati http://creativecommons.org/licenses/by-sa/4.0
Efektivitas Program Potasium Terhadap Tekanan Darah Penderita Hipertensi Di Desa Bandung Diwek Jombang
Objective: This study aimed to determine the effectiveness of the POTASIUM (Pos Tensi untuk Umum) program on blood pressure control among patients with hypertension in Bandung Village, Diwek District, Jombang Regency. Methods: This study employed an analytical correlational design with a cross-sectional approach. The sample consisted of 31 health cadres selected using accidental sampling. The independent variable was the POTASIUM program, while the dependent variable was blood pressure in patients with hypertension. Data were collected through observation sheets, pretest–posttest questionnaires, and blood pressure measurements. Data analysis included univariate analysis using frequency distribution and bivariate analysis using the Wilcoxon test due to non-normal data distribution. Results: he results showed a significant improvement in participants’ knowledge after the implementation of the POTASIUM program. The proportion of respondents with good knowledge increased from 61.3% before the intervention to 93.5% after the intervention. Statistical analysis using the Wilcoxon test indicated a significant difference in knowledge scores before and after the intervention (p = 0.000). In addition, 58.1% of health cadres demonstrated good psychomotor skills in implementing the program. The POTASIUM program was effective in supporting blood pressure control among patients with hypertension through regular monitoring, health education, and physical activity.
Copyright (c) 2026 Desy Siswi Anjar Sari, Siswati, Fitri Firranda http://creativecommons.org/licenses/by-sa/4.0
The Effect of Ultrasound Therapy and Stretching on Pain Reduction in Carpal Tunnel Syndrome at Indramayu Regional Hospital
Background: Carpal Tunnel Syndrome (CTS) is a compressive neuropathy caused by median nerve entrapment at the wrist, resulting in pain, numbness, tingling, and decreased hand function. These symptoms can interfere with daily activities and work productivity. Physiotherapy interventions play an important role in managing pain and improving functional outcomes in patients with Carpal Tunnel Syndrome. Ultra Sound Therapy is commonly used to reduce pain and inflammation through deep tissue heating and micro-massage effects, while Stretching Exercises aim to improve flexibility, reduce muscle tension, and decrease pressure within the carpal tunnel. Objective: To determine the effect of Ultra Sound Therapy combined with Stretching Exercises on pain reduction in patients with Carpal Tunnel Syndrome at RSUD Indramayu. Methods: This study used a pre-experimental design with a pretest–posttest one group approach. The subjects were patients diagnosed with Carpal Tunnel Syndrome who met the inclusion criteria. Pain intensity was measured using a standardized pain scale before and after the intervention. The intervention consisted of Ultra Sound Therapy followed by Stretching Exercises administered according to physiotherapy protocols. Data were analyzed using paired statistical tests to assess differences in pain intensity before and after treatment. Results: The results showed a significant reduction in pain intensity after the administration of Ultra Sound Therapy and Stretching Exercises compared to pre-intervention measurements (p < 0.05). Conclusion: The combination of Ultra Sound Therapy and Exercises has a significant effect in reducing pain in patients with Carpal Tunnel Syndrome. This intervention can be recommended as an effective physiotherapy modality for pain management in Carpal Tunnel Syndrome patients at clinical settings
Copyright (c) 2026 Usbatul Umamy, Sartoyo, Anis Ansyori, Nurul Halimah http://creativecommons.org/licenses/by-sa/4.0
Hubungan Nursing Students Engagement Dengan Academic Burnout Pada Mahasiswa Program Studi Keperawatan
Academic burnout is a major problem for students because they have to face various study demands that make them easily feel tired. This feeling of tiredness can be overcome by increasing motivation and involvement in study activities. The purpose of this study was to analyze the relationship between student engagement and academic burnout in nursing study program. The design of this study used analytical correlation with a cross-sectional approach. The sample of this study was 104 students, taken using stratified random sampling technique. The independent variable in this study was nursing students engagement while the dependent variable was academic burnout. Data collection used the SCEQ and SBI questionnaires. Data analysis used the Spearman rho test with SPSS software. The results of this study showed that most of the nursing students engagement of students were in the moderate category as many as 56 (53.8%) and most students had academic burnout in the moderate category, namely 65 (62.5%). Based on the results of the data above, a significance value of p = 0.000 (p <0.05) was obtained with a value (r) = -0.349 which means that there is a negative relationship between nursing students engagement and academic burnout in nursing study program at the University of Muhammadiyah Lamongan. Based on this research, it is expected that nursing students can minimize the occurrence of academic burnout by increasing motivation and can also make lectures interesting by creating a discussion space to discuss material that is not well understood with friends in organizations or small groups of close friends with the aim of increasing student engagement.
Copyright (c) 2026 Yeni Nur Cahyani; Nurul Hikmatul Qowi, Masunatul Ubudiyah http://creativecommons.org/licenses/by-sa/4.0
The Relationship Between Length of Stay (LOS) and Patient Satisfaction Level in the Emergency Department of the GEBE Inpatient Health Center
Background: Length of Stay (LOS) is the amount of time nurses spend attending to patients in the A&E department, starting when the patient arrives and ending when treatment is complete. A long Length of Stay (LOS) in the emergency department is caused by the large number of patients congregating there without being attended to, which makes patients uncomfortable and causes them to spend a long time there, leading to patient dissatisfaction and a poor hospital reputation. Objective: This study aimed to determine the relationship between Length of Stay (LOS) and patient satisfaction levels in the Emergency Department at the Gebe Inpatient Health Centre. Method: The study design employed a descriptive-analytical method using a cross-sectional approach. The sample comprised 78 respondents. Data were collected using a validated questionnaire and analysed using Fisher’s exact test. Results: There is a significant correlation between Length of Stay and patient satisfaction in the Emergency Department at the Gebe Inpatient Health Centre, as determined by Fisher’s exact test, with a p-value of 0.000 < α 0.05. Conclusion: This study concludes that the Length of Stay (LOS) in the Emergency Department of the Gebe Inpatient Health Centre falls into the ‘short’ category and that patients are highly satisfied with the service received
Copyright (c) 2026 dewiyanti, Dina Oktaviana, Alwi, Patmawati, Hamka, Kamriana http://creativecommons.org/licenses/by-sa/4.0
Pengaruh Kombinasi Transcutaneous Electrical Nerve Stimulation (TENS), Quadriceps Setting Exercise, Dan Kinesio Taping Terhadap Aktivitas Fungsional Pada Osteoarthritis Genu Di RS Terpadu Di Bogor
Background: Knee osteoarthritis is a musculoskeletal disorder that commonly occurs in the productive age group and is associated with decreased functional ability and movement function. The combination of transcutaneous nerve stimulation, quadriceps setting exercise, and kinesio taping has been shown to improve functional outcomes. Objective: To determine the effect of a combination of transcutaneous nerve stimulation, quadriceps setting exercise, and kinesio taping on functional activity in patients with knee osteoarthritis at RS Terpadu Bogor. Methods: : This study employed a pre-experimental design with a pre-test and post-test approach. The study was conducted at RS Terpadu Bogor using a purposive sampling technique, with a total of 30 respondents. Functional outcomes were measured using the WOMAC questionnaire. Results: Hypothesis testing using the Wilcoxon test showed a significant result (p = 0.000), indicating that the combination of transcutaneous nerve stimulation, quadriceps setting exercise, and kinesio taping had a significant effect on functional activity in patients with knee osteoarthritis at RS TerpaduBogor. Conclusion: There is a significant effect of the combined intervention of transcutaneous nerve stimulation, quadriceps setting exercise, and kinesio taping on functional activity in patients with knee osteoarthritis at RS Terpadu Bogor.
Copyright (c) 2026 rafly rasyid, Yohanes Deo, Achmad Fariz, Agung Hadi Endaryanto http://creativecommons.org/licenses/by-sa/4.0
The Relationship Between Motivation With Dietary Adherence in Patients With Type 2 Diabetes Mellitus at the Ketapang 1 Sampit Health Center
Dietary adherence is a crucial element in managing Diabetes Mellitus, yet many patients struggle to follow the dietary guidelines prescribed by healthcare providers. Motivation plays a central role in this adherence; patients with high motivation demonstrate stronger commitment and consistency in following the recommended diet, while those with low motivation face a much greater risk of failing to comply. This study aimed to investigate the link betwen motivations and dietary adherence in patients with Type 2 Diabetes Mellitus at Ketapang 1 Sampit Health Center, emphasizing the critical role of motivation in ensuring compliance and effective disease management. This research employed an observational quantitative design with a cross-sectional approach, involving 60 respondents selected through accidental sampling. The study was carried out from September 26 to October 18, 2025. Data were collected using the Treatment Self-Regulation Questionnaire (TSRQ) and a Dietary Adherence questionnaire. The results were analyzed use the Spearman rho statistic test, which produced a p-value of <0.001 (p < 0.005). The findings indicate that most participants demonstrated a high level of motivation, with 46 respondents (76.7%) falling into this category. Among them, 28 respondents (46.7%) showed good adherence to dietary guidelines, while 18 respondents (30.0%) exhibited moderate adherence. Statistical testing produced a p-value of <0.001 (p < 0.005), confirming a significant association between self-motivation and dietary compliance among individuals with Type 2 Diabetes Mellitus at the Ketapang 1 Sampit Health Center. Furthermore, the correlation coefficient (r = 0.791) reflects a strong and positive relationship between motivation and dietary adherence in this patient group. These results highlight the importance of strengthening patient education programs, particularly those aimed at enhancing motivation, so that dietary management can be maintained consistently over time. Keywords : Dietary adherence, motivation, type 2 diabetes mellitus diet management, people with type 2 diabetes mellitus, health behaviors.
Copyright (c) 2026 Mely Maulydia Anggraini, Maulana Arif Murtadho http://creativecommons.org/licenses/by-sa/4.0
Peran Komunikasi Terapeutik Kader Desa Terhadap Peningkatan Kesejahteraan Psikologis Orang Dengan Gangguan Jiwa Di Desa Blumbungan
Background: . The background of the study stems from limited access to mental health services in rural areas and the high stigma against ODGJ. Objective: to explore the role of therapeutic communication by village cadres in improving the psychological well-being of ODGJ in Blumbungan Village, Pamekasan. Methods: The study used a descriptive qualitative approach with in-depth interviews with cadres, ODGJ, families, and community leaders. Results: .The results showed that cadres implemented therapeutic communication through empathy, active listening, emotional validation, and motivation. The therapeutic communication of village cadres, characterized by empathy, trust, honesty, validation, and concern, contributed to improving the psychological well-being of ODGJ. From the perspective of George Herbert Mead's Symbolic Interactionism, this interaction helps shape a more positive self-meaning and increases social acceptance. This strategy increases openness, self-confidence, and self-acceptance of ODGJ and reduces the emotional burden on families. In addition, cadres serve as liaisons with formal health services. However, communication is sometimes accompanied by social control approaches such as intimidation, which is considered relevant in the Madurese cultural context. Conclusion: The study concluded that therapeutic communication by village cadres contributes significantly to psychosocial recovery, while also emphasizing the need for ongoing training and policy support.
Copyright (c) 2026 Ummu Fadila Ulfa, Sri Wahyuningsih, Dessy Trisilowaty, Retno Hendariningrum http://creativecommons.org/licenses/by-sa/4.0
The Relationship Between the Duration of Gadget Use and Social Interaction in Grade X Adolescents at Diponegoro Tumpang Vocational School.
In today's digital era, gadgets have become an integral part of everyday life, especially among teenagers. Excessive use of gadgets can affect adolescents' social interactions, which are an important phase in their psychosocial development. This causes changes in the way teenagers interact. This study aims to analyze the relationship between the duration of gadget use and social interaction in grade X adolescents at SMK Diponegoro Tumpang. The method used is correlational with a quantitative approach using a cross-sectional design. The sample in this study was 58 students with a Purposive Sampling sampling technique. The independent variable in this study is the duration of gadget use and the dependent variable is social interaction which is measured using a questionnaire on the level of gadget use duration and social interaction. The data analysis used is the Spearman Rank Test, the results show a value of p = 0.000 where p (˂0.05) and the correlation coefficient value (r = -0.439) this indicates that there is a relationship between the duration of gadget use and social interaction in adolescents. And there is a moderate negative relationship between the duration of gadget use and social interaction, which means that the longer the duration of gadget use, the lower the social interaction in adolescents. With the increasing use of gadgets among teenagers which often has a negative impact on social interaction relationships, it is hoped that this study can provide useful information for parents, educators, and teenagers themselves to manage gadget use more wisely.
Copyright (c) 2026 Anita Mardiana, Risna Yekti Mumpuni, Kurnia Laksana http://creativecommons.org/licenses/by-sa/4.0
The Relationship Between Bullying Behavior and Mental Health of Grade VII Students at SMPN 3 Limboto Barat, Gorontalo Regency
Objective: to identify the impact caused by bullying is very wide in scope, including depression, anxiety and sleep problems that may carry over into adulthood, physical health complaints, such as headaches, abdominal pain and muscle tension, insecurity when in the school environment and decreased enthusiasm for learning and academic achievement Methods: This article quantitative research design with a descriptive-correlation approach. The object of the study were all grade VII students at SMP Negeri 3 Limboto with totali 57 respondent using a total sampling technique. The research instrument uses Olweus Bully/Victim Questionnaire (OBVQ) and Mental Health Inventory (MHI). The data were analyzed with Chi-square. Results: The results showed that students who experienced high bullying behavior with a high level of malaise were good at 21 people and poor as many as 9 people. Students who experienced bullying behaviors were good at 4 people and not good as many as 4 people. In addition, students who experienced bullying behaviors were good at least 16 people and not good as many as 3 people. Known statistical value or pValuel = 0.003 (<α 0.05). Conclusion: There is a relationship of Bullying Behavior with Student Behavior at SMPN 3 West Limboto.
Copyright (c) 2026 egi tuliabu, Nur Uyuun I Biahimo, Firmawati Firmawati http://creativecommons.org/licenses/by-sa/4.0
The Relationship Between Self-Image and Parenting Style and the Level of Self-Confidence Among Adolescents Aged 17-19
Adolescence is a developmental phase marked by identity exploration and rapid physical and psychological changes. Self-confidenceplays a pivotal role during this period, as it enables adolescents to engage socially, achieve academically, and manage stress effectively. Self-confidence is influenced by both self-image and parenting style. This study aims to examine the relationship between self-image and parenting style with the level of self-confidence among adolescents aged 17- 19 at SMA Negeri 3 Lamongan. A quantitative approach with a cross-sectional design was employed, involving 187 student selected trough simple random sampling. Data were collected using the Coopersmith self-esteem inventory (to assess self-image), a parenting style questionnaire, and a Likert-scale-based instrument on self-confidence devepoment. Data were analyzed using Spearman’s Rank correlation test via SPSS 22. The results showed that the majority of student had a moderate self-image (62.6%) and moderate self-confidence (61.0%), while nearly all (91.4%) perceived their parents’ style as democratic. A significant relationship was found brtween self-image and self-confidence (r = 0.582, p = 0.000), and between parenting style and self-confidence (r = -0.166, p = 0.023). These findings highlight the importance of parenting approaches that support the development of a healthy self-image to foster optimal psychological growth in adolescents.
Copyright (c) 2026 Nur Fatayatus Sholikhah http://creativecommons.org/licenses/by-sa/4.0
The Relationship of Prosocial Behavior with the Victimization of Bullying in Adolescents at Diponegoro Tumpang Junior High School
Bullying is widely considered a serious problem in schools in various countries, including in Indonesia. Factors that influence the emergence of bullying are emotional, referring to typical feelings and thoughts, a biological and psychological state of a series of tendencies to act, this is related to prosocial behavior. The purpose of this research is to connect prosocial behavior with the incidence of bullying victims in adolescents at Diponegoro Tumpang Junior High School. Data were taken using quantitative methods involving 88 respondents selected by proportionate stratified random sampling technique. Data were collected using prosocial behavior questionnaire sheet and bullying victims. Data analysis used the sperman rank correlation test with a value of α = 0.005. With a total of 88 respondents, almost all of them, namely 44 (50%) experienced moderate levels of prosocial behaviour and most of them, namely 42 (48%) respondents experienced moderate levels of bullying victims. The results of statistical tests showed that the value of p = 0.000 or p < 0.005 so that there is a significant relationship between prosocial behaviour and the incidence of victims of bullying in adolescents at SMP Diponegoro Tumpang. The better the prosocial behaviour, the lower the involvement as a victim of bullying. It is recommended for the school to provide deeper knowledge about prosocial behaviour in the school environment and outside of school.
Copyright (c) 2026 Jamilatur Rohmah, Kurnia Laksana, Andi Surya Kurniawan http://creativecommons.org/licenses/by-sa/4.0
The Effect of Positive Affirmation Video on Bullying Behavior among Adolescents in a Junior High School in Cimahi, Indonesia
ABSTRACT Background: Bullying among adolescents remains a significant public health and mental health issue, particularly in school settings. Bullying behavior negatively affects adolescents’ psychological well-being, social functioning, and academic performance. Nurses play an important role in school-based mental health promotion through preventive and promotive interventions. One innovative approach that can be implemented is the use of positive affirmation delivered through audiovisual media. Objective: This study aimed to examine the effect of a positive affirmation video on bullying behavior among adolescents in a junior high school in Cimahi, Indonesia. Methods: This study employed a quantitative quasi-experimental design with a pretest–posttest without control group approach. The sample consisted of 60 junior high school students selected using purposive sampling. Bullying behavior was measured using the Indonesian version of the Illinois Bullying Scale (IBS), which has been tested for validity and reliability. The intervention consisted of a positive affirmation video delivered in three sessions, each lasting 10 minutes, within one week. Data were analyzed using descriptive statistics and the Wilcoxon signed-rank test. Results: The total bullying score before and after the intervention remained the same; however, significant changes were observed across subscales. There was a significant decrease in aggressive behavior and bystander behavior after the intervention (p < 0.001). The bully subscale did not show a statistically significant change (p = 0.193). An increase was observed in the victim subscale (p < 0.001), indicating improved awareness and recognition of bullying experiences among students. Conclusion: Positive affirmation video intervention effectively influenced specific dimensions of bullying behavior, particularly by reducing aggressive actions and passive bystander behavior while increasing students’ awareness of victimization. This intervention can be considered a practical and innovative nursing strategy in school-based mental health promotion to prevent and manage bullying among adolescents.
Copyright (c) 2026 Rahmi Imelisa, Ibrahim Moch Bolla, Khrisna Wisnusakti , Andri Nurmansyah , Fifi Siti Fauziah Yani http://creativecommons.org/licenses/by-sa/4.0
Efektivitas Health Education Berdasarkan Teori Health Promotion Model Dan Strategi Self Monitoring Terhadap Kepatuhan Penatalaksanaan Hipertensi Pada Pasien Hipertensi
Objective: Currently, many hypertension sufferers tend not to comply with their prescribed treatment. Low adherence to hypertension treatment is a significant obstacle in hypertension management. This study aims to analyze the effectiveness of health education and self-monitoring strategies on hypertension management compliance. Methods: The study used a quasi-experimental design with a two-group pre-post test approach, involving 40 respondents who were divided into treatment and control groups through purposive sampling. Health education used booklets and animated videos. The adherence instrument used the MMAS-8, while monitoring of signs, symptoms, and risk factors was recorded using a hypertension control card. Data analysis was performed using the Wilcoxon test and the Mann–Whitney test. Results: The results of the study showed that in the pre-test, the average level of compliance of the treatment group was low (5) and the control group was low (2.52). In the post-test, the average level of compliance of the treatment group increased significantly (7.51) and the control group remained low (1.83). The Wilcoxon test results obtained a p value = 0.00 (<0.05), meaning there was a significant difference in the level of compliance pre and post in the treatment group. Meanwhile, the Mann-Whitney test results obtained a p value = 0.000 < (0.05), meaning there was a significant difference in the level of compliance post between the two groups, so it was concluded that Health education based on the Health Promotion Model and self-monitoring strategies were proven effective in increasing compliance with hypertension management. Conclusion: It is hoped that community health centers and health workers can implement health education using booklets and videos to increase understanding of hypertension management and use the Self-Control Card to monitor signs, symptoms and risk factors in hypertension sufferers.
Copyright (c) 2026 Aprilia, Tri Cahyo Sepdianto, Marsaid Marsaid, Imam Subekti http://creativecommons.org/licenses/by-sa/4.0
Quality of Nursing Work Life and Nurses' Behaviour in Documenting Integrated Patient Progress Notes in Hospital
Background: The quality of nurses' work life pays attention to the fulfillment of nurses' needs which will have an influence on nursing services and organizational productivity. The purpose of the study was to analyze the relationship between quality of nursing work life (QNWL) and nurse behavior in documenting integrated patient progress notes. Methods: This study is quantitative in nature with a cross-sectional approach and took a population of 40 nurses in abimanyu room of jombang hospital. This sampling technique uses total sampling. The independent variable in this study was QNWL, using the QNWL questionnaire instrument, while the dependent variable was nurse behavior in documenting patient development records, using a nurse behavior questionnaire instrument modified by the researcher and declared valid (calculated r = 0.904) and reliable (Cronbach alpha = 0.961) and tested using SPSS version 16.0 with the Spearman's rho statistical test. Results: The best QNWL indicator was Work life-Home life, with 34 respondents (85.0%). Meanwhile, knowledge, which is an indicator of nurses' behavior in CPPT documentation, showed the highest score with 35 respondents (87.5%), thus forming behavior in the positive category. Based on the results of the the Spearman's rho statistical test with the SPSS program, dengan nilai r = 0.476 and with significant value P = 0.002 Conclusions: This study concluded that QNWL among nurses at a hospital in Jombang was almost entirely in the good category, with nurses exhibiting positive behavior in documenting integrated patient progress notes
Copyright (c) 2026 Ade Faiz Ahmadi, Dwi Prasetyaningati, Anita Rahmawati, Daviq Ayatulloh, Diah Priyantini http://creativecommons.org/licenses/by-sa/4.0
The Relationship Between Emotional Intelligence Levels and Nurses' Caring Behavior in Caring for Patients in Hospitals
Background: The quality of nursing care is often associated with low caring behavior of nurses, this can be caused by a lack of empathy, low therapeutic communication, and a lack of emotional presence of nurses in providing care. One factor believed to influence caring behavior is emotional intelligence. Emotional intelligence is believed to play an important role in helping nurses understand, respond, and build interpersonal relationships with patients. This study aims to determine the relationship between the level of emotional intelligence and the caring behavior of nurses in caring for patients at Anugerah Bunda Khatulistiwa Hospital, Pontianak. Methods: This study used a quantitative correlational design with a cross-sectional approach. The study population was all 64 inpatient nurses, and the sampling technique used total sampling. The research instruments consisted of the Schutte Self-Report Emotional Intelligence Test (SREIT) to measure emotional intelligence, and the Caring Behaviors Inventory-24 (CBI-24) to measure nurses' caring behavior. Data analysis was performed using the Spearman's Rank correlation test. Results: The results showed that almost half of respondents with high emotional intelligence had good caring behavior (28.1%), and vice versa. Further analysis showed a significant relationship between emotional intelligence and nurses' caring behavior with a p value of 0.003 (<0.05) and a correlation coefficient of r = 0.367. This value indicates a correlation in the low category with a positive direction, which means that the higher the nurses' emotional intelligence, the better the nurses' caring behavior in caring for patients. Conclusion: This finding emphasizes the importance of developing emotional intelligence as an effort to improve the quality of nursing services.
Copyright (c) 2026 Ira Ocktavia Siagian, Hudiya, herwinda Sinaga http://creativecommons.org/licenses/by-sa/4.0
Pengaruh Pendidikan Kesehatan Dengan Menggunakan Media AudiovisualTerhadap Pengetahuan Remaja DalamMencegah Perilaku Kekerasan Seksual DI SMA N 2 KotaGorontalo
The Effect of Health Education Using Audiovisual Media on Adolescents' Knowledge in Preventing Sexual Violence Behavior in SMA Negeri 2 Gorontalo City. Supervised by Firmawati as the chairperson and Andi Akifa Sudirman as a member. Adolescents are an age group vulnerable to risky behavior, including premarital sexual behavior that is at risk of experiencing sexual violence, this can be handled by providing health education to improve adolescents' knowledge and attitudes regarding sexual violence behavior, one of which is by using audiovisual. The purpose of this study was to determine whether there was an effect of health education using audiovisual media on adolescents' knowledge in preventing sexual violence behavior in SMA Negeri 2 Gorontalo City. The quantitative research design used a quasi-experimental method with a one-group pre-post test approach, the population of all female students of SMA 2 Gorontalo City was 626 people, the number of samples was 17 people using purposive sampling techniques and the data were analyzed using the Wilcoxon statistical test. The results of the study showed that the average score of the level of knowledge before was 5.71 with a standard deviation of 2.024 and the average score of the level of knowledge after was 8.00 with a standard deviation of 1.458. Then, the results of the Wilcoxon analysis obtained a p-value of 0.000 (<α 0.05). It was concluded that there was an influence of health education using audiovisual media on adolescents' knowledge in preventing sexual violence behavior. Therefore, schools can provide health education regarding the prevention of sexual violence in the teaching and learning process because currently there are many cases of sexual violence, especially among adolescents. Keywords: Audiovisual, Sexual Violence Behavior, Adolescents
Copyright (c) 2026 elisa putriluawo, Firmawati http://creativecommons.org/licenses/by-sa/4.0
Description of Patient Knowledge and Compliance, Implementation and Completeness of Discharge Planning Documentation in the Hemodialysis Room of the Hospital
Background: The rate of non-compliance among hemodialysis patients, particularly with regard to fluid intake and dietary restrictions, remains very high, ranging from 30–81.4%. This study aimed to assess patient knowledge and compliance, while also reviewing the implementation and completeness of discharge planning documentation in hospital hemodialysis wards. Methods: This study used a descriptive correlational design with a cross-sectional approach, conducted from July 15–30, 2021, at Haji Hospital Surabaya and Muhammadiyah Hospital Lamongan. The participant criteria were patients with chronic kidney disease undergoing hemodialysis for more than three months, aged 21 years and over, able to read and write, familiar with internet usage, and able to operate Android-based applications. The total sample size was 105 individuals selected using simple random sampling. Patient compliance was evaluated using the End-Stage Renal Disease Adherence Questionnaire (ESRD-AQ), knowledge was assessed using the Kidney Disease Questionnaire, and the completeness of nurses' discharge planning was measured using the IDEAL Discharge Planning Checklist. Data analysis was performed using descriptive statistics using frequency distributions. Results: Respondents were mostly male (49.1%), aged 46–55 years (49.1%), married (87.3%), and still employed (59.9%). Patients' knowledge of fluid restriction was moderate to good, while adherence to fluid restriction was only adequate. The highest level of non-adherence was found in the fluid and diet aspects. The results of the discharge planning assessment showed that implementation and completeness of documentation were still adequate. Conclusion: The level of knowledge and adherence of patients with chronic kidney disease are closely related to the quality of discharge planning implementation carried out by nurses.
Copyright (c) 2025 Diah Priyantini, Daviq Ayatulloh, Nursalam Nursalam http://creativecommons.org/licenses/by-sa/4.0
Hubungan Tingkat Stres Dengan Kualitas Hidup Pasien Gagal Ginjal Kronik Yang Menjalani Terapi Hemodialisis Di Rsud Undata Provinsi Sulawesi Tengah
Background: Chronic kidney failure is a disease that causes a decline in kidney function, making the kidneys unable to filter and remove electrolytes, regulate fluid and chemical balance (such as sodium and potassium in the blood), and produce urine. Patients undergoing hemodialysis experience psychosocial problems such as anxiety about their unpredictable illness, financial and employment issues, impotence, family responsibilities, and even fear of death, as they must undergo lifelong hemodialysis, which greatly affects their quality of life. Objective: The purpose of this study was to determine the relationship between stress levels and the quality of life of chronic kidney failure patients undergoing hemodialysis therapy at Undata Regional General Hospital, Central Sulawesi Province. Methods: This study used a quantitative method with a cross-sectional design. The study population consisted of 173 hemodialysis patients at Undata Regional General Hospital, Central Sulawesi Province. From this number, 57 hemodialysis patients were selected as samples. The sampling technique used was purposive sampling, and the statistical test applied was the gamma test. Results: The univariate analysis of the 57 respondents showed that most experienced moderate stress (42 respondents, 73.7%) and tended to have a low quality of life (41 respondents, 71.9%). The bivariate analysis using the gamma test showed a significant relationship between stress levels and quality of life, with a p-value of 0.024. Conclusion: There is a significant relationship between stress levels and the quality of life of chronic kidney failure patients undergoing hemodialysis therapy.
Copyright (c) 2026 auliyah dif hardi, Siti Yartin, Abdul Rahman http://creativecommons.org/licenses/by-sa/4.0
The Level of Disaster Knowlegde and Disaster Preparedness of Santri of Islamic Boarding Schools
Background: Disasters are life-threatening events, whether caused by natural, non-natural, or human factors. Globally and nationally, the frequency of disasters continues to increase, with floods being the most prevalent type. Children and adolescents (aged 13–18) are a highly vulnerable population due to limited understanding of disaster mitigation. This vulnerability is particularly evident in Islamic boarding schools (pesantren) in Jombang Regency. The location of the Islamic boarding school, flanked by three major rivers (the Gedang, Gude, and Tambak Beras Rivers), places it at high risk of flooding. Furthermore, dense building density, untidy electrical installations, and the use of unsafe electronic devices increase the risk of fire. The lack of mitigation education and adequate infrastructure exacerbates the potential for loss of life in Islamic boarding schools. This study highlights the need to strengthen disaster preparedness for students as an effort to reduce disaster risk in religious-based educational institutions. Objective: This study to identify determine the relationship between the level of disaster knowledge and disaster preparedness among male and female students at Islamic boarding schools. Methods: This article used a quantitative research method with a cross-sectional design. Univariate analysis was used to analyze the data by creating a frequency distribution based on the categories of each variable. Bivariate analysis used the Spearman Rank Test. Results: The results of statistical tests using the Spearman Rank Test obtained a significance value of p = 0.0 (p < 0.05) with a correlation value of r = 0.505. This indicates that there is a fairly strong positive relationship between the level of knowledge and disaster preparedness of male and female students at Islamic Boarding Schools. Conclusion: There is a significant, positive, and fairly strong relationship between disaster knowledge levels and disaster preparedness among Islamic boarding school students.
Copyright (c) 2026 Laura Nurkusuma Rahmawati, Nurul Hidayah http://creativecommons.org/licenses/by-sa/4.0
The Influence of Peer Education on Smoking Behavior in Adolescents at SMP Negeri 1 Wajak
Perilaku merokok pada remaja jika tidak segera dicegah dapat berdampak negatif pada remaja. Salah satu pencegahan untuk mengubah pengetahuan, sikap, dan perilaku merokok adalah dengan menggunakan pendekatan pendidikan sebaya. Tujuan penelitian ini adalah untuk mengetahui apakah ada pengaruh pendidikan sebaya terhadap perilaku merokok pada remaja di SMP Negeri 1 Wajak. Desain penelitian menggunakan pendekatan pra-eksperimental dengan desain pretest-posttest satu kelompok. Sampel terdiri dari 30 remaja yang memiliki kepribadian perokok. Teknik pengambilan sampel menggunakan metode purposive sampling. Instrumen pengukuran menggunakan lembar kuesioner perilaku merokok. Analisis data menggunakan uji Wilcoxon Sign Rank. Hasil penelitian menunjukkan bahwa lebih dari setengah siswa sebelum diberikan pendidikan sebaya terkait perilaku merokok berada pada kategori cukup dengan 20 responden (66,7%). Setelah diberikan pendidikan sebaya terkait perilaku merokok, hampir seluruh siswa menunjukkan hasil pada kategori rendah dengan 26 responden (86,7%). Hasil analisis Uji Wilcoxon menunjukkan nilai p Asymp.sig (2-tailed) = 0,000 (α <0,05), yang berarti terdapat Pengaruh Pendidikan Sebaya terhadap Perilaku Merokok pada Remaja di SMP Negeri 1 Wajak. Pendidikan sebaya memiliki dampak positif terhadap perilaku merokok karena dengan pendidikan sebaya, tidak hanya pengetahuan yang diperoleh, tetapi juga pengalaman pribadi dibagikan dalam proses berhenti merokok. Pendidikan sebaya yang melibatkan teman sebaya seringkali memiliki pengaruh besar terhadap sikap seseorang, terutama remaja karena informasi yang disampaikan oleh teman sebaya seringkali lebih mudah diterima dan dipahami. Teman sebaya dapat meningkatkan pemahaman individu tentang bahaya merokok, termasuk risiko kesehatan jangka panjang seperti kanker, penyakit jantung, dan gangguan pernapasan serta meningkatkan kepercayaan diri dalam menghadapi tekanan.
Copyright (c) 2026 Much. Rizal Arifin, Rahmawati Maulidia, Ridwan Sofian http://creativecommons.org/licenses/by-sa/4.0
Hubungan Dukungan Sosial Dengan Kualitas Hidup Ibu Hamil Berisiko Tinggi
Background: High-risk pregnant women are a vulnerable group at risk of health problems during pregnancy, childbirth, and the postpartum period. Their quality of life is greatly influenced by social support, especially from family. Unfortunately, many high-risk pregnant women do not receive optimal social support, resulting in a low quality of life. Methods: This study used a quantitative approach with 43 respondents selected through consecutive sampling. Data were collected using a social support and quality of life questionnaire, then analyzed using the Spearman Rho test. Results: The results showed a significant relationship between social support and quality of life in high-risk pregnant women, with a significance value of p = 0.035 and a correlation coefficient of r = 0.322. This indicates that the higher the social support received by high-risk pregnant women, the better their perceived quality of life. Conclusion: There is a significant relationship between social support and quality of life. Therefore, the higher the social support received by high-risk pregnant women, the better their quality of life.
Copyright (c) 2026 Muhammad Faruq Faiz Hawari, Diah Eko Martini http://creativecommons.org/licenses/by-sa/4.0
Kesejahteraan Psikologis Sebagai Prediktor Kepatuhan Pengobatan: Studi Pada Penderita Hipertensi Di Puskesmas Medokan Ayu Surabaya
Background: Hypertension is known as silent killer because it often causes no symptoms, it carries the risk of various complications. Hypertension management requires long-term treatment with a high level of adherence. Psychological well-being is a factor influencing medication adherence. Good psychological well-being can improve motivation, emotional regulation, and an individual's ability to consistently adhere to treatment. Objective: to analyze the prediction of psychological well-being and medication adherence in hypertension patients at the Medokan Ayu Community Health Center in Surabaya Methods: This study used correlational analytical design with a descriptive approach.cross sectional. The population in this study was all hypertension sufferers at the Medokan Ayu Community Health Center in Surabaya with a sample size of 133 respondents using random sampling technique. The research instrument was a questionnaire Scales Of Psychological Well-Being(SPWB-18) and Morisky Medication Adherence Scale(MMAS-8). Data analyzed using Spearman Rank test. Results: The results showed that 85% of respondents had high psychological well-being and 72.9% had high medication adherence. The Spearman Rank test showed a p-value of 0.000 (p < 0.05) with a correlation coefficient of r = 0.491, indicating a positive relationship with moderate strength Conclusion: Good psychological well-being allows people with hypertension to be more compliant with their treatment. Support from family and healthcare professionals use a crucial role in improving psychological well-being, ensuring patients feel supported and motivated to maintain optimal medication adherence
Copyright (c) 2026 Nur Muji Astuti, Yenny Setya Wigaty, Lela Nurlela http://creativecommons.org/licenses/by-sa/4.0
Prevalensi Dan Distribusi Tingkat Gejala Depresi Pada Lansia Di Wilayah Komunitas Rw 14 Citeureup
Background: Depression is a common mental health problem among older adults and contributes to decreased quality of life, increased morbidity, and higher health care utilization. In community settings, depressive symptoms are often under-detected due to limited screening and the assumption that psychological changes are a normal part of aging. Objective: This study aimed to describe the prevalence and distribution of depressive symptom levels among older adults living in RW 14 Citeureup community area. Methods: This study employed a descriptive quantitative design with a cross-sectional approach. A total of 44 older adults were recruited using total sampling. Data were collected using the Geriatric Depression Scale (GDS). Univariate analysis was performed to describe respondent characteristics and the distribution of depressive symptom levels. Results: Most respondents were aged 66–84 years (54.5%) and female (56.8%). Based on GDS scores, the majority experienced mild depression (70.5%), followed by moderate depression (25.0%) and severe depression (4.5%). Conclusion: The prevalence of depressive symptoms among older adults in RW 14 Citeureup community area was relatively high, with mild depression as the dominant category. Routine community-based mental health screening is essential for early detection and prevention of depression progression among older adults.
Copyright (c) 2026 Elisa Adelia do Carmo, Judika Rubi Marta Sirait , Rahmi Imelisa , Fifi Siti Fauziah Yani, Khrisna Wisnusakti, Astri Permatasari http://creativecommons.org/licenses/by-sa/4.0
Status Gizi, Stimulasi Dan Perkembangan Motorik Halus: Studi Korelasi Pada Anak Usia Dini
Background: Nutritional condition and parental stimulation play a crucial role in early childhood development. Emerging evidence strengthens the view that inadequate nutrition, compounded by a lack of parental stimulation, is a major barrier to the development of fine motor skills in children. This relationship requires further investigation. Objective: This study aims to determine the relationship between nutritional status and parental stimulation and fine motor development in children aged 4–6 years. Methods: This study used an analytic correlation design with a cross-sectional approach. The sample consisted of 32 children and their parents, selected using a total sampling technique. Data were collected through questionnaires and analyzed using the Spearman Rho test with a significance level of p<0.05. Results: The results showed a significant relationship between nutritional status (p=0.000; rs=0.596) and parental stimulation (p=0.000; rs=0.654) and fine motor development. Conclusion: Adequate nutrition provides the biochemical foundation for the maturation of the neuromotor system, while Parental stimulation, through object manipulation and guided play, generates critical sensorimotor feedback that strengthens the neural circuits responsible, which is the basis of proficient fine motor performance. These results demonstrate the importance of parental attention to ensuring adequate nutrition and providing appropriate stimulation to support optimal child development based on age.
Copyright (c) 2026 Sylvi Harmiardillah, Aisyah Harnina Samantha, Fauziah Amelia Rizky http://creativecommons.org/licenses/by-sa/4.0
Hubungan Faktor Lingkungan Dengan Kejadian Diare Pada Balita Di Wilayah Kerja Puskesmas Langsat Kota Pekanbaru
Latar Belakang: Diare pada balita tetap menjadi masalah kesehatan utama dan berkaitan erat dengan faktor lingkungan. Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan antara kualitas fisik air bersih, kepemilikan toilet sanitasi, pengelolaan sampah, dan sumber air minum dengan kejadian diare pada balita di wilayah kerja Puskesmas Langsat, Kota Pekanbaru. Metode: Penelitian ini menggunakan desain analitik kuantitatif dengan pendekatan cross-sectional. Populasi terdiri dari seluruh ibu dengan bayi berusia 0–59 bulan (77 orang), dengan sampel sebanyak 65 responden yang dipilih menggunakan purposive sampling. Data dikumpulkan menggunakan kuesioner terstruktur berdasarkan indikator dari WHO, UNICEF-JMP, dan Kementerian Kesehatan Indonesia, kemudian dianalisis secara univariat dan bivariat menggunakan uji Chi-square (α=0,05). Hasil: Hasil penelitian menunjukkan bahwa 70,8% balita mengalami diare. Mayoritas responden memiliki air bersih (61,5%), toilet (72,3%), dan pengelolaan sampah (75,4%) yang tidak memenuhi persyaratan, dan 64,6% menggunakan sumber air minum yang tidak layak. Uji bivariat menunjukkan hubungan yang signifikan antara kualitas fisik air bersih (p=0,000), kepemilikan toilet yang sehat (p=0,048), pengelolaan sampah (p=0,009), dan sumber air minum (p=0,001) dengan kejadian diare pada balita. Kesimpulan: Diharapkan Pusat Kesehatan Masyarakat akan meningkatkan upaya promosi dan pencegahan melalui pendidikan Kesehatan dan Keselamatan Kerja (PHBS) serta peningkatan sanitasi lingkungan dan akses air bersih untuk mengurangi kejadian diare pada balita.
Copyright (c) 2026 Purnawita Nazara; Fitra Mayenti, Rifa Yanti, Suci Amin http://creativecommons.org/licenses/by-sa/4.0
Analysis of the Use of Electronic Medical Records at Muhammadiyah Babat General Hospital
Objective: To analyze the level of Electronic Medical Records (EMR) use by nurses at Muhammadiyah Babat General Hospital and evaluate organizational readiness factors that influence its use. Methods: This study used a descriptive design with a cross-sectional approach and was conducted from June to July 2025. A total of 48 nurses were selected using a cluster random sampling technique. Data collection was conducted using a closed-ended questionnaire developed based on four readiness indicators: human resources (HR), organizational culture, leadership governance, and information technology (IT) infrastructure. Data were analyzed univariately to determine the frequency distribution, percentage, and average value of each variable. Data processing was performed using SPSS version 25.0 for Windows. Results: The majority of nurses (59.2%) were in the moderate category of EMR use, 24.5% were in the low category, and only 14.3% were in the high category. Of the four organizational readiness indicators, IT infrastructure had the highest average score (69.6), while organizational work culture had the lowest score (55.8), indicating persistent barriers to the use of digital technology in the work culture aspect. Conclusion: Although the hospital has adequate infrastructure technically, organizational culture and leadership still need improvement. Recommended efforts include ongoing training, strengthening digital leadership, and establishing a work culture that supports technology integration in clinical services.
Copyright (c) 2026 Rizal Rizky Aditya Nugroho, Suratmi, Nurul Hikmatul Qowi http://creativecommons.org/licenses/by-sa/4.0
The Relationship Between Family Support And The Activity Of Elderly Visits To The Elderly Posyandu Gampingan Hamlet, Wonokerto Village Bantur District, Malang regency.
Objective: The epidemiological transition from infectious diseases to non-communicable diseases (NCDs) has increased the risk of elderly individuals experiencing multiple pathological conditions. Family support is one of the important factors that can influence the elderly in carrying out health care and health promotion efforts, one of which is routine attendance at the Elderly Integrated Health Service Post (Posyandu Lansia). This study aimed to determine the relationship between family support and the activeness of elderly visits at the Posyandu Lansia in Gampingan Hamlet, Wonokerto Village, Bantur District, Malang Regency. Methods: This research employed a correlational analytic method with a retrospective approach. The study population consisted of 58 elderly individuals who met the research criteria, with total sampling used as the sampling technique. The research instruments included a questionnaire and a register sheet of elderly visit data for participation in the Posyandu Lansia Results: The results showed that half of the respondents were less active in attending the Posyandu, accounting for 50% (29 individuals). Data analysis using the Spearman Rho test indicated a significant relationship between family support and the activeness of elderly visits to the Posyandu Lansia in Gampingan Hamlet, Wonokerto Village, Bantur District, Malang Regency, with a very strong correlation (p-value = 0.000) and a correlation coefficient (r) of +0.841. The results demonstrated that the p-value (0.000) was less than the significance level (0.05), Conclusion: In conclusion indicating that there is a significant relationship between family support and the activeness of elderly visits to the Posyandu Lansia in Gampingan Hamlet, Wonokerto Village, Bantur District, Malang Regency
Copyright (c) 2026 Anandita Rachma Nur Safitri, Achmad Dafir Firdaus, Ratna Wulandari http://creativecommons.org/licenses/by-sa/4.0
The Relationship Between Family Support and Mental Health of Clients Undergoing Diabetes Mellitus Treatment at Telaga Biru Community Health Center
Objective: to identify people with diabetes mellitus easily experience mental disorders or internalization disorders such as patients feeling sad and unhappy, patients are easily desperate, experiencing feelings of anxiety. Diabetics need support from their families because the family is the closest person who can play an active role in achieving compliance and successful treatment in people with diabetes mellitus Methods: This article with an analytical survey approach and using a cross sectional research design. The object of the study people and 36 people using accidental sampling technique that meet the inclusion and exclusion criteria. The research instrument uses family Support Questionnaire and Mental Health Questionnaire of Clients Undergoing Diabetes Mellitus Treatment). The data were analyzed with Chi-square. Results: The results showed the highest family support is the support of 29 people while the mental health of the patients is healthy as many as 27 people with a value of Vpalue=0.000 (<α 0.05). Conclusion: There is a a relationship of family support with the mental health of clients who are undergoing diabetes mellitus treatment at the Telaga Biru Health Center
Copyright (c) 2026 dea bone, Rona Febriyona, Andi Nuraina Sudirman http://creativecommons.org/licenses/by-sa/4.0
Perbandingan Pengaruh Dosis Kombinasi Ultrasound dan McKenzie terhadap Nyeri, Fleksibilitas, dan Kemampuan Fungsional pada Pasien Nyeri Punggung Bawah
Background: Low back pain (LBP) is a common musculoskeletal disorder associated with reduced lumbar flexibility and functional ability. Ultrasound and McKenzie exercise are commonly combined in physiotherapy; however, the optimal exercise dosage remains unclear. Objective: This study compared the effects of two dosages of combined ultrasound and McKenzie exercise (10 repetitions × 2 sets and 10 repetitions × 3 sets) on pain, flexibility, and functional ability in patients with LBP. Methods: A quasi-experimental pretest-posttest two-group design was conducted involving 40 patients with LBP aged 25–60 years and symptom duration of 4–24 months. Participants were divided into Group A (2 sets; n = 20) and Group B (3 sets; n = 20). Pain was assessed using the Visual Analogue Scale (VAS), lumbar flexibility using the Modified Schober Test (MST), and functional ability using the Oswestry Disability Index (ODI). Data were analysed using paired-samples and independent-samples t-tests at α = 0.05. Results: Both groups demonstrated significant improvements in VAS, MST, and ODI scores (p < 0.001). Group B achieved greater improvements than Group A in delta VAS (3.08 ± 0.44 vs. 2.15 ± 0.40), delta MST (1.41 ± 0.31 vs. 0.86 ± 0.27), and delta ODI (18.20 ± 4.25 vs. 12.40 ± 3.02), with p < 0.001 for all outcomes. Conclusion: Combining ultrasound with McKenzie exercise at 10 repetitions × 3 sets produced greater reductions in pain and greater improvements in lumbar flexibility and functional ability than the 2-set dosage in patients with LBP.
Copyright (c) 2026 http://creativecommons.org/licenses/by-sa/4.0
Hubungan Antara Tingkat Pendidikan dan Status Ekonomi pada Penderita Low Back Pain
Background: Low back pain (LBP) is one of the most common musculoskeletal complaints and is influenced by sociodemographic factors, including education level and economic status. Objective: This study aimed to determine the relationship between education level and economic status among patients with low back pain. Methods: A descriptive-analytic cross-sectional study was conducted among 50 LBP patients at Physiomar Clinic and Rehab.in Clinic, selected through consecutive sampling. Education level and economic status based on monthly household income were collected using a questionnaire. Data were analysed using the Chi-square test, Fisher's exact test, and Spearman's rank correlation. Results: Most respondents had low or secondary education (36.0% each), while 52.0% had a middle economic status. Low education was significantly associated with low economic status (Fisher's exact test, p < 0.001; OR = 108.5; 95% CI: 9.6–475.5). Education level was strongly correlated with monthly income (rho = 0.947; p < 0.001). Education and income were also negatively correlated with NRS pain scores (rho = -0.851 and rho = -0.806, respectively; both p < 0.001). Conclusion: Lower education and economic status were closely interrelated among LBP patients and were associated with greater pain severity. Targeted ergonomic education, health-literacy support, and improved access to physiotherapy are needed for vulnerable groups.