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)
Indonesia The Effect of Pure Honey Administration on Defecation Frequency and Stool Consistency in Children with Diarrhea in RW 05, Srengseng Village, Kembangan Subdistrict, West Jakarta
Objective: Diarrhea is a common health issue in children that may cause dehydration and growth disturbances. This study aimed to determine the effect of pure honey on bowel movement frequency and stool consistency in children with diarrhea. Methods: This quasy experiment study used a one-group pretest-posttest design involving 20 children selected through purposive sampling. Data collection tools included observation sheets and the Bristol Stool Chart. The intervention was conducted over several days following the research protocol.. Results: The average frequency of bowel movements decreased from 5.90 to 2.20 times per day, while stool consistency improved from types 6–7 to types 3–4. Statistical analysis using the Wilcoxon Signed Rank Test showed significant results, with a p-value of 0.000 for both variables. Conclusion: The antibacterial, anti-inflammatory, osmotic, and enzymatic properties of pure honey, such as flavonoids and glucose oxidase, contribute to digestive recovery. Pure honey can be considered an effective non-pharmacological intervention to reduce symptoms of diarrhea in children.
Copyright (c) 2025 TRI BHAKTIAR http://creativecommons.org/licenses/by-sa/4.0
Pengaruh Pemberian Edukasi Kesehatan Menggunakan Booklet Pada Pengetahuan Ibu Hamil Tentang Kegawatdaruratan Janin Dan Ibu Hamil Di Wilayah Kerja Puskesmas Sukaraja Kota Bandar Lampung Tahun 2025
Introduction : The Sukaraja Community Health Center had the most maternal mortality rate, namely 2 cases, and the Segalamider Community Health Center had 2 cases. Apart from that, in 2023 the number of pregnant women in Bandar Lampung City will be 19,729, of which Panjang Health Center is in first place with 1,484 (7.52%), in second place is Sukaraja Health Center 1,128 (5.71%), and in third place is Satellite Health Center with 1,056 (5, 35%) Objective : The effect of providing health education using booklets on the knowledge of pregnant women in handling emergencies for the fetus and pregnant women in the working area of the Sukaraja Health Center in Bandar Lampung City in 2025 is known. Method: Type of quantitative research by design pre-experimental with approach one group pre-test and post-test. The population of this study was 249 respondents and the total sample for this study was 154 respondents from pregnant women in the working area of the Sukaraja Community Health Center, Bandar Lampung City. Results: After the t-dependent test was carried out, a p-value of 0.000 < 0.05 was obtained. There was an increase in knowledge about fetal emergencies and pregnant women at the Sukaraja Health Center increased by around 47%. Conclusion: There is an influence of health education about fetal and pregnant women emergencies at the Sukaraja Health Center, Bandar Lampung City in 2025
Copyright (c) 2025 salsa anastasya http://creativecommons.org/licenses/by-sa/4.0
PENGARUH EDUKASI PERTOLONGAN PERTAMA TEKNIK BALUT BIDAI TERHADAP PENGETAHUAN IBU PKK DI DESA PUTON KECAMATAN DIWEK KABUPATEN JOMBANG
Background: First aid is a crucial initial step to prevent emergency situations from worsening before further medical treatment is provided. Injuries such as broken bones, sprains, open wounds, and strains are quite common in the community, especially at home. Methods: This quantitative study employed a pre-experimental method. The planning used was a one-group pre-test and post-test design with a cross-sectional time approach. The sample consisted of 35 women from the Family Welfare Movement (PKK) in Ngudirejo Village, Diwek District, Jombang Regency, using an incidental sampling technique. Results: The results showed a α of 0.000, which can be interpreted as a 2-tailed sig. <0.05. From these results, it can be concluded that there is an influence of First Aid Education on the Splint Bandage Technique on the knowledge of PKK mothers in Ngudirejo Village, Diwek District, Jombang Regency. Conclusion: There is an influence of First Aid Education on the Splint Bandage Technique on the knowledge of PKK mothers in Ngudirejo Village, Diwek District, Jombang Regency.
Copyright (c) 2025 ahmad Nur Khoiri, Arief Candra Permana, Chanda Paramitha Bherty http://creativecommons.org/licenses/by-sa/4.0
Pengaruh Thought Stopping Therapy Terhadap Tingkat Kecemasan Remaja
Adolescents represent an age group highly susceptible to anxiety due to academic pressures, social dynamics, and complex psychological changes. If left unmanaged, anxiety can negatively impact mental health and academic performance. This study aims to investigate the effect of thought stopping therapy on anxiety levels among adolescents at SMPN 1 Lamongan. A pre-experimental research design was employed using a one-group pre-test and post-test approach. A total of 35 adolescents were selected through purposive sampling based on specific inclusion criteria from a population of 350 students. Data were collected using the Hamilton Anxiety Rating Scale (HARS) questionnaire and analyzed using the Wilcoxon Signed Rank Test.Prior to the intervention, all participants (100.0%) exhibited moderate anxiety levels. Following the therapy, nearly all participants (97.1%) showed no symptoms of anxiety. The Wilcoxon test yielded a Z-score of -5.169 with a significance level of p = 0.001, indicating a statistically significant difference in anxiety levels before and after the intervention. These results demonstrate that thought stopping therapy has a significant effect on reducing anxiety among adolescents. It proves to be an effective method for helping individuals manage anxiety independently.Therefore, thought stopping therapy is recommended as a psychological support strategy within school environments. Adolescents are encouraged to continue practicing this technique independently in their daily lives—especially when confronted with anxiety-triggering situations—so it may become an integral part of their coping mechanisms.
Copyright (c) 2025 siskadwi resanti, moh. saifudin, abdul rokhman http://creativecommons.org/licenses/by-sa/4.0
Relation Between Body Mass Indexs And Menstrual Cycles In Undergradute Nursing Students At The Jombang Regency Government Institute Of Health Sciences
Background: Menstruation is defined as a natural process that occurs within the female reproductive organs.Body mass index (BMI) is one of the factors that can affect the menstrual cycle. Body mass index is used as a measuring tool for monitoring nutritional status. A person is interpreted in three categories, namely thin, normal, and fat. Objective: to identify The results of this study aim to identify the relationship between body mass index and menstrual cycle in undergraduate nursing students at STIKES Pemkab Jombang Methods: This article : The design used in this study was a cross sectional design. The population studied consisted of 212 undergraduate nursing students at levels 1-3 at STIKES Pemkab Jombang. The sample taken amounted to 67 female students with Cluster Random Sampling technique. Data were collected through interviews and checklist filling Results: The results of this study showed that most (59.7%) respondents fell into the normal body mass index category and most (64.2%) respondents experienced a normal menstrual cycle. This study used the Spearman rank correlation test, with a p value = 0.001 < α = 0.05 and r = 0.620, so H0 was rejected. This indicates a positive correlation between body mass index and menstrual cycle in undergraduate nursing students at STIKES Pemkab Jombang Conclusion: Women with a normal body mass index (BMI) tend to have regular menstrual cycles. Conversely, a BMI that is too low or too high can trigger menstrual cycle irregularities. Therefore, maintaining weight and health is important for women
Copyright (c) 2025 Anis Satus Syarifah, Dinar Rizqandany, Mamik Ratnawati, Sestu Retno Dwi Andayani, Rodiyah http://creativecommons.org/licenses/by-sa/4.0
Pengaruh Pemberian Blanket Warmer Terhadap Kejadian Shivering Pasca Operasi Sectio Caesarea Pada Pasien Spinal Anastesi di Recovery Room RSUD dr. Soedomo Trenggalek
Objective: to determine the effect of blanket warmer on the incidence of shivering after sectio caesarea surgery in spinal anesthesia patients in the recovery room. Metods:This research used quasi experimental with Two Group Pretest-Posttest Design. The population in this study were all sectio caesarea patients with spinal anesthesia at RSUD Dr. Soedomo Trenggalek with the incidence of shivering with a total sample of 36 people, using accidental sampling. Results: The study using the Wilcoxon test in the intervention group obtained the results (p = 0.000), meaning that there was an effect of giving blanket warmers on the incidence of shivering after cesarean section surgery with spinal anesthesia. While the results of the Wilcoxon test on the control group obtained the results (p = 0.001), meaning that there is a significant difference between the results of the pre-test and post-test in the control group. Based on the results of the Mann Whitney test, the value (p = 0.000) was obtained, meaning that there was an effect of giving blanket warmers on the incidence of shivering after cesarean section surgery with spinal anesthesia. Conclusion: The provision of blanket warmer was found to have an effect in reducing the degree of shivering.
Copyright (c) 2025 Adelia Lurru Erawanjie, Budiono Budiono, Marsaid, Supono Supono http://creativecommons.org/licenses/by-sa/4.0
Pengalaman Keluarga Dalam Pencegahan Penularan Tuberkulosis Paru Dalam Keluarga
Objective: Tuberculosis is a contagious disease with a high incidence in the community. Tuberculosis can be transmitted through airborne droplets containing tuberculosis bacilli when an infected person coughs, sneezes, or speaks. Tuberculosis transmission can be prevented by involving families in health care. The purpose of this study was to explore families' experiences in preventing the transmission of pulmonary tuberculosis within families at the Kalijudan Community Health Center in Surabaya. Methods: A descriptive phenomenological approach was used to collect. The participants were 10 families with Pulmonary Tuberculosis at the Kalijudan Community Health Center in Surabaya, who were selected by purposive sampling. Data collection was conducted through in-depth interviews based on semi-structured interview guidelines. The data analysis model used was interactive Miles, reduction, data display, analysis, conclusions, and data verification. Result: The research obtained five themes: family knowledge in recognizing family health problems, making treatment decisions, behavior in caring for family members, environmental modification, and utilization of health facilities. Conclusion: The family's ability to carry out health functions is essential in preventing the transmission of pulmonary tuberculosis within the family.
Copyright (c) 2025 Anis Rosyiatul Husna, Atmaja Syams Siraja, Chlara Yunita Prabawati http://creativecommons.org/licenses/by-sa/4.0
Hubungan Hemodialisis Dengan Kualitas Hidup Pasien Gagal Ginjal Kronik di RSUD dr. H Abdul Moeloek Bandar Lampung
Introduction: In Indonesia, projections indicate that the count of individuals suffering from kidney failure is set to rise from 19,612 to 100,000 between 2014 and 2019. The occurrence of those receiving hemodialysis, both seasoned and newcomers, from January to October 2024, reached 255 new patients alongside 352 longstanding patients. However, data concerning the quality of life for chronic kidney failure patients undergoing Hemodialysis therapy is currently nonexistent and has yet to be uncovered. Purpose: It's recognized that a connection exists between hemodialysis (in terms of duration/time, frequency, and length of HD therapy) and the quality of life of patients with chronic kidney failure. Methods: This study employs a quantitative research methodology utilizing an observational design framed within a cross-sectional approach. The population considered for this investigation was gathered from January through October 2024, with a total of 255 patients, out of which the sample comprised 156 newly diagnosed chronic kidney failure patients receiving hemodialysis. The method of sampling applied was accidental sampling. The research instrument utilized is the quality of life assessment (WHOQOL-BREF), which consists of 25 items. The analysis conducted includes both univariate and bivariate analyses, utilizing the Spearman rank test. Results: Findings from the study indicated that the majority of participants underwent hemodialysis for a duration of ≥3 hours per session, totaling 143 respondents (91.7%). The majority received hemodialysis twice a week, comprising 117 respondents (75.0%). Moreover, most of the respondents had been undergoing hemodialysis for a period of 12-24 months, totaling 69 respondents (44.2%), and a significant number reported a favorable quality of life, amounting to 48 respondents (30.8%). Statistical tests utilizing the Spearman rank test for the duration/time of HD in relation to quality of life yielded a p-value of 0.001.
Copyright (c) 2025 salsa amartya http://creativecommons.org/licenses/by-sa/4.0
Pengaruh Relaksasi Otot Progresif Dan Slow Deep Breathing Terhadap Penurunan Tingkat Kecemasan Pasien Pre Operasi Ca Mamae Di RSUD dr.Soenono Provinsi Jawa Timur
Objective:: Preoperative patients experience a lot of anxiety due to various factors that arise. The aim of this study was to determine the effect of progressive muscle relaxation therapy and slow deep breathing on reducing the anxiety level of pre-operative patients at Dr. Soedono Hospital, East Java province. Methods: The research design is Quasi experimental. The total research sample was 30 preoperative CA mammary patients. The interventions provided are Progressive Muscle Relaxation and Slow Deep Breathing. Anxiety levels were measured using a questionnaire. The analysis used is the bivariate Wilcoxon Sign Rank Test. Results:The results of the study showed that the level of anxiety before CA mammary surgery patients were given progressive muscle relaxation was 9(60%) seriously anxious and before the patients were given slow deep breathing 8(53.3%) were seriously anxious. After the intervention, 2 (13.3%) patients had the criteria for Severe Anxiety and in the slow deep breathing relaxation technique group 6 (40%) had the criteria for Severe Anxiety. Conclusion: There was an effect of progressive muscle relaxation therapy on reducing the anxiety level of preoperative CA Mamae patients with a p value. 0.001. After CA Mamae's pre-operative patient at Dr. RSUD. Soedono was given progressive muscle relaxation so his anxiety level was reduced because physical tension was reduced through muscle relaxation and induced a feeling of calm. Based on the research results, progressive muscle relaxation is recommended to reduce anxiety in preoperative CA mammary patients.
Copyright (c) 2025 Laila Putri Zhakia, Tri Cahyo Sepdianto, Supono Supono, Marsaid http://creativecommons.org/licenses/by-sa/4.0
Analysis of Ethical Behavior with Caring in Nurses at Hospitals in Bandung Regency
Objective: The largest healthcare workforce (nurses) has a significant impact on efforts to maintain and improve the quality of healthcare services. Nurses' behavior in providing services impacts healthcare services. Information suggests that there are still complaints about nurses' ethical behavior and caring attitudes toward patients. The purpose of this study was to analyze ethical behavior and caring among nurses in hospitals in Bandung Regency. Method: Quantitative research method, descriptive correlation type, cross-sectional approach. The population was 369 nurses, the sample calculation was determined using the Lameshaw formula of 44 nurses selected by stratified random sampling. Data collection (primary) used the distribution of nurse ethical behavior questionnaires (Cronbach Alpha value 0.996) and nurse caring questionnaires (Cronbach Alpha value 0.981). The research data used univariate analysis (frequency distribution calculation) and bivariate analysis using chi-square. Results: The majority (63.6%) of nurses exhibited poor ethical behavior, while nearly half (34.4%) exhibited moderately good ethical behavior. Most (63.6%) of nurses exhibited moderately good caring behavior, while a small proportion (20.5%) exhibited poor caring behavior. There was a significant relationship (p-value 0.000) between ethical behavior and caring behavior in nurses. The better the ethical behavior of nurses, the better their caring behavior. Conclusion: It is crucial for hospitals and nursing institutions to create a conducive work environment that supports the implementation of ethics, inseparable from caring behavior. Training for nurses is needed to improve understanding of ethical and caring behavior in daily practice, as well as further research to explore effective strategies for enhancing ethical and caring behavior in nurses to improve service quality as a culture of nursing care.
Copyright (c) 2025 Roganda Situmorang, Susan Rifai, Anri, Elisa Situmorang http://creativecommons.org/licenses/by-sa/4.0
The Relationship Between the Use of the Australian Triage Scale and Patient Satisfaction in Emergency Departments
Background Patient satisfaction is one of the important indicators in assessing the quality of hospital services which is influenced by various factors, one of which is the accuracy and speed of service obtained by the Emergency Department (ER). The initial examination determines the type of emergency care used to describe the concept of rapid and focused assessment to ensure the most efficient use of staff, equipment and facilities for people who need care. Triage is an effort to select victims before being handled, based on the level of emergency, One of the methods used is the Australian Triage Scale (ATS). Objective: To determine the relationship between the use of the Australian Triage Scale Triage Method and patient satisfaction in the Emergency Department of Lembang Regional Hospital, West Bandung Regency in 2025. The design method used was descriptive-correlation with a cross-sectional method, with a population of patients visiting the Emergency Room of Lembang Regional Hospital. The sample size was 95 people, and the sampling in this study used accidental sampling in accordance with the inclusion criteria. This data was collected using an instrument consisting of 15 questions to determine the level of patient satisfaction and an observation sheet to determine whether or not triage was used. Results: Bivariate analysis using the Chi-Square test showed a significant relationship between the use of the Australian Triage Scale triage method and patient satisfaction (p-value 0.007). Conclusion: In this study, there is a relationship between the use of the Australian Triage Scale triage method and patient satisfaction in the Emergency Room of Lembang Regional Hospital, West Bandung Regency. Keywords: patient satisfaction, Emergency Room, Triage. References: (6 books, 11 journals)
Copyright (c) 2025 MOKHAMAD HARYANTO http://creativecommons.org/licenses/by-sa/4.0
Hubungan Penerimaan Diri Dengan Tingkat Kecemasan Pada Wanita Menghadapi Masa Menopause Di Pekon Wates Timur
Introduction : Menopause is the permanent cessation of menstruation due to the loss of follicular activity in the ovaries, which causes psychological changes, sleep disturbances, and anxiety. Adjusting to oneself is a form of self-acceptance. 61.1% of women experiencing menopause have poor self-acceptance, while 38.9% have good self-acceptance. One of the levels of anxiety in women facing unprecedented situations is anxiety levels, with the majority experiencing moderate anxiety (78.4%) and mild anxiety (21.6%). This study aims to determine the relationship between self-acceptance and anxiety levels in facing menopause.Objective : The effect of providing health education using booklets on the knowledge of pregnant women in handling emergencies for the fetus and pregnant women in the working area of the Sukaraja Health Center in Bandar Lampung City in 2025 is known. Method: This study employed quantitative research, using an analytical survey design and a cross-sectional approach. The population was 70 women facing menopause aged 45-55, using a total sampling technique. Data were analyzed using the Gamma test. Results: The results of the study showed a significant relationship between self-acceptance and anxiety levels in women facing menopause, with a p-value of <0.002 <0.05. Women entering menopause can experience increased anxiety levels. Conclusion: It is hoped that there will be participation from the community health center in providing education about menopause, so that they can monitor the impact of a lack of self-acceptance.
Copyright (c) 2025 devita agustina http://creativecommons.org/licenses/by-sa/4.0
Hubungan Komunikasi Terapeutik Perawat Dengan Tingkat Kepuasan Pasien Rawat Inap Rumah Sakit Islam Purwokerto
Background: Hospitals are one of the subsystems of healthcare services that provide two main types of public services: healthcare and administrative services. Healthcare services include medical assistance, medical support services, medical rehabilitation, and nursing care. Effective communication techniques are essential in delivering these services, especially by nurses. Communication is the foundation of all human interaction. Objective: This study aims to examine the correlation between nurses' therapeutic communication and the level of satisfaction among inpatients at Rumah Sakit Islam Purwokerto. Methods: This research employed a cross-sectional design. A total of 89 inpatients who met the inclusion criteria were selected using proportional stratified random sampling.Data were collected using a questionnaire. Results: Spearman rank correlation analysis between therapeutic communication and patient satisfaction showed a correlation coefficient (r) of 0.333 with a significance level of p =0.001 (p 0.05). Conclusion: Based on the data analysis, it can be concluded that there is a significant correlation between nurses' therapeutic communication and inpatient satisfaction at Rumah Sakit Islam Purwokerto.
Copyright (c) 2025 etlidawati http://creativecommons.org/licenses/by-sa/4.0
Faktor – Faktor Yang Mempengaruhi Kecemasan Pada Ibu Hamil Resiko Tinggi
Anxiety during pregnancy is a common psychological condition, especially among high-risk pregnant women. Excessive anxiety may negatively impact both maternal and fetal health. This study aimed to examine the relationship between maternal age, parity, and social support with anxiety levels in high-risk pregnant women at RS Arsy Paciran. A correlational analytic study with a cross-sectional approach was conducted on 35 respondents selected using consecutive sampling. Anxiety levels were measured using the DASS-42 questionnaire, and social support was assessed using the Maternity Social Support Scale (MSSS). Data were analyzed using the Spearman Rank correlation test. The results revealed that maternal age (p=0.022), parity (p=0.009), and social support (p=0.001) had significant correlations with anxiety levels. Women who were younger or older than the ideal reproductive age range, had higher parity, or received low levels of social support experienced greater anxiety. Among the three variables, social support showed the strongest negative correlation with anxiety (rs = -0.615). This study concludes that maternal age, parity, and social support are dominant factors influencing anxiety in high-risk pregnancies. Healthcare professionals are encouraged to provide targeted education and consistent support to pregnant women, particularly those identified as high risk, to promote mental well-being during pregnancy.
Copyright (c) 2025 Moch fahrur rozikin, Diah eko Martini, Heny eka wati http://creativecommons.org/licenses/by-sa/4.0
Analisis Faktor Penggunaan Alas Kaki Dan Kadar Glukosa Darah Dengan Risiko Luka Kaki Diabetik Di Puskesmas Telaga Biru Kab.Gorontalo
ABSTRAK SRIWULANDARI MERTOSONO, Analisis Faktor Penggunaan Alas Kaki Dan Kadar Glukosa Darah Dengan Risiko Luka Kaki Diabetik Di Puskesmas Telaga Biru Kab.Gorontalo. Di bimbing oleh ANDI AKIFA SUDIRMAN sebagai ketua dan NURLIA sebagai anggota. Diabetes melitus (DM) adalah penyakit kronik yang ditandai dengan hiperglikemia akibat gangguan sekresi dan fungsi insulin atau keduanya. DM dibagi menjadi beberapa jenis, dengan tipe 2 paling umum, sering disebabkan oleh faktor seperti obesitas, hipertensi, dan gaya hidup. Komplikasi DM dapat mengancam nyawa, seperti penyakit jantung koroner dan gangguan pembuluh darah. DM juga merupakan penyebab utama amputasi ekstremitas bawah akibat ulkus kaki diabetik. Faktor risiko ulkus kaki diabetik mencakup kontrol gula darah yang buruk, lama menderita DM, serta penggunaan alas kaki yang tidak sesuai. Oleh karena itu, pencegahan cedera kaki sangat penting dalam meningkatkan kualitas hidup pasien. Desain penelitian adalah kuantitatif dengan study case control. Populasi DM dipuskesmas telaga biru kab.gorontalo pada januari-april 2024 berjumlah 136 orang. Teknik pengambilan sampling dengan purposive sampling sebanyak 54 orang. Analisis data menggunakan uji chi-square (a= value 0,05). Hasil rata-rata didapatkan nilai p-value=0,00 lebih kecil dari 0,05 (<0,05) sehingga dapat diartikan terdapat pengaruh penggunaan alas kaki dan kadar glukosa darah dengan risiko luka kaki diabetik di Puskesmas Telaga Biru Kab.Gorontalo. Kesimpulan : bahwa penggunaan alas kaki sesuai dan kontrol glukosa darah yang baik dapat mengurangi risiko terjadinya luka kaki diabetik. Kata kunci : Penggunaan Alas Kaki, Kadar Glukosa Darah, Risiko Luka Kaki Diabetik
Copyright (c) 2025 Sriwulandari Mertosono, Andi Akifa Sudirman, Nurliah http://creativecommons.org/licenses/by-sa/4.0
Keanekaragaman Makanan, Kerawanan Pangan Rumah Tangga dan Stunting pada Anak di Kabupaten Bulukumba: Studi Cross-Sectional
Background: Stunting remains a major public health problem in Indonesia, particularly in eastern regions such as Bulukumba District, South Sulawesi. Inadequate dietary diversity, household food insecurity, and suboptimal feeding practices are widely recognized as key contributors to chronic undernutrition among children under five years of age. Purpose: This study aimed to analyze the association between dietary diversity, household food insecurity, feeding practices, and stunting among children aged 0–59 months in Bulukumba District. Methods: A community-based cross-sectional study was conducted with total of 228 mother–child pairs were selected through two-stage cluster sampling. Child anthropometric measurements were collected to determine stunting status based on height-for-age z-scores. Dietary diversity was assessed using the Household Dietary Diversity Score (HDDS), while household food insecurity was measured using the Household Food Insecurity Access Scale (HFIAS). Data were analyzed using descriptive statistics and multivariable logistic regression. Results: The mean dietary diversity score indicated moderate food diversity. Most children had received exclusive breastfeeding and complementary feeding. However, logistic regression analysis showed that child sex, age, exclusive breastfeeding, and complementary feeding practices were not significantly associated with stunting (p > 0.05). Complementary feeding exhibited the highest odds ratio (OR = 2.01) but did not reach statistical significance. The regression model demonstrated good fit, although its explanatory power was low (Nagelkerke R² = 0.023). Conclusion: Stunting in Bulukumba is likely influenced by complex and multifactorial determinants. Strengthening dietary diversity, improving household food security, and promoting optimal feeding practices through integrated nutrition and social protection interventions are essential to reduce stunting prevalence.
Copyright (c) 2025 Nurul Hidayah Bohari, Dewi Dewi, Erniawati Erniawati, Raufina Riandhani Mulyoto, Sumarmi Sumarmi http://creativecommons.org/licenses/by-sa/4.0
The Relationship between Gender, Occupation, and Experience of Undergoing Surgery on Anxiety in Preoperative Lower Extremity Fracture Patients at the Central Surgical Installation of Mardi Waluyo Regional Hospital, Blitar
Objective: The general objective of this study was to determine the factors that influence anxiety in preoperative lower extremity fracture patients at the IBS RSUD Mardi Waluyo Blitar. The specific objectives of this study were 1. to analyze gender factors on anxiety in preoperative lower extremity fracture patients at the IBS RSUD Mardi Waluyo Blitar, 2. to analyze occupational factors on anxiety in preoperative lower extremity fracture patients at the IBS RSUD Mardi Waluyo Blitar, 3. to analyze factors of surgical experience on anxiety in preoperative lower extremity fracture patients at the IBS RSUD Mardi Waluyo Blitar. Methods: : Cross-sectional research design, research population 30 lower extremity fracture patients, independent variables (gender, occupation, experience of undergoing surgery) and dependent variables (anxiety), Observation research instruments and APAIS questionnaires, research location premedication room central surgical installation RSUD Mardi Waluyo Blitar, research time 26 March - 19 April 2025, research data processing editing coding, data entry and cleaning, data analysis statistical test SPSS using chi square test and descriptive analysis. Results: 1. The significance value (Sig. 2-tailed) is 0.003, which is smaller than α = 0.05 (p < 0.05). This shows that there is a significant relationship between variable X (gender factor) and variable Y (anxiety level). 2. The significance value (Sig. 2-tailed) is 0.006 which is smaller than α = 0.05 (p < 0.05). This shows that there is a significant relationship between variable X (job factor) and variable Y (anxiety level). 3. The significance value (Sig. 2-tailed) is 0.008 which is smaller than α = 0.05 (p < 0.05). This shows that there is a significant relationship between variable X (operation experience factor) and variable Y (anxiety level). Conclusion: 1. The gender factor is related to anxiety with a p value of 0.004, < of (p < 0.05). 2. There is a relationship between work factors and anxiety with a p value of 0.006, < of (p < 0.05). 3. The experience of undergoing surgery has a relationship with anxiety with a p value of 0.008, < of (p < 0.05).
Copyright (c) 2025 Okta Adi Saputra, Taufan http://creativecommons.org/licenses/by-sa/4.0
Peningkatan Status Kesehatan Jiwa Keluarga Yang Memiliki Anak Retardasi Mental Melalui Psikoedukasi Keluarga
Objective: This study aims to determine the effect of family psychoeducation on the mental health status of families with children with mental retardation Methods: The study used a pre-experimental design with a one-group pretest–posttest design. The study involved 45 families with children with mental retardation, using a total sampling technique. The independent variable was family psychoeducation, and the dependent variable was family mental health status. The intervention consisted of three sessions of family psychoeducation, each lasting 30–60 minutes. Family mental health status was measured using the Self-Reporting Questionnaire (SRQ-20) before and after the intervention. Data were analyzed using the Wilcoxon Signed Ranks Test. Results: The results showed that before the intervention, the majority of families (62%) were in the mild emotional disturbance category. After psychoeducation, the majority of families (67%) were in the normal category. The statistical analysis showed a p-value of 0.003 <0.005, indicating a significant effect of family psychoeducation on improving family mental health status. Conclusion: This study concluded that family psychoeducation is effective in improving the mental health status of families caring for children with mental retardation. This intervention is recommended for implementation in community psychiatric nursing services to improve family well-being and the quality of care for children with mental retardation.
Copyright (c) 2025 Shanti Rosmaharani, Rodiyah, I'in Noviana http://creativecommons.org/licenses/by-sa/4.0
Hubungan Antara Pola Asuh Orang Tua Dengan Perilaku Seksual Pada Remaja Di Komunitas Rohani Kota Malang
Background: Adolescence is a transitional period from childhood to adulthood, marked by various complex physical and emotional changes, including behaviors such as attraction to the opposite sex, which then triggers sexual urges. Sexual behavior refers to all actions driven by sexual desire towards the opposite sex. Parenting patterns within the family hold a strategic value in shaping a child's personality and play a very important role in adolescent development. Objective: To examine the relationship between parenting patterns and sexual behavior among adolescent congregants in the city of Malang. Methods: This study used an analytic design with a cross-sectional approach. The population in this study consisted of 100 individuals, using total sampling techniques. Data analysis was conducted using univariate and bivariate analysis with the Chi-Square test. Results: Univariate analysis showed that nearly half (49%) of adolescents in one community at a house of worship in the City of Malang had democratic parenting from their parents. Furthermore, more than half (51%) of adolescents in the same community exhibited risky sexual behavior. Bivariate analysis found a significant relationship between parenting patterns and sexual behavior among adolescents, with a p-value = 0.000. Conclusion: Adolescents who receive permissive and authoritarian parenting tend to have riskier sexual behavior compared to those who receive democratic parenting. Parenting patterns are influenced by parental education; the higher the parents' education level, the better the type of parenting provided to their children.
Copyright (c) 2025 ilsa ismail http://creativecommons.org/licenses/by-sa/4.0
Hubungan Kepatuhan Diet Rendah Garam Dengan Tekanan Darah Pada Pasien Hipertensi Di Puskesmas Pasar Ikan Kota Bengkulu
Hypertension is one of the most common chronic diseases in the community and serves as a major risk factor for heart disease and stroke. One effective non-pharmacological approach to controlling blood pressure is the adoption of a low-salt diet. However, patient adherence to dietary recommendations often remains low. This study aimed to examine the relationship between compliance with a low-salt diet and blood pressure among hypertensive patients. A quantitative research design with a cross-sectional approach was employed. The sample consisted of hypertensive patients selected using purposive sampling. Data were collected through the Dietary Approaches to Stop Hypertension (DASH) questionnaire and blood pressure measurements, and analyzed using the Chi-square test. The results showed that the majority (76.8%) of respondents were compliant with a low-salt diet, and most were categorized as having grade 1 hypertension (62.2%). Statistical analysis revealed a significant relationship between compliance with a low-salt diet and blood pressure levels (p < 0.05). In conclusion, higher compliance with a low-salt diet is associated with a greater likelihood of achieving normal or controlled blood pressure. It is recommended that healthcare providers enhance education and monitoring efforts regarding dietary adherence as part of comprehensive hypertension management.
Copyright (c) 2025 Mistati Novitasari http://creativecommons.org/licenses/by-sa/4.0
Hubungan Gula Darah, Asam Urat dan Hemoglobin dengan Tekanan Darah Lansia
Objective: Hypertension is a leading cause of death worldwide, with over one billion people suffering from it. Several factors influence blood pressure, including blood sugar, uric acid, and hemoglobin. This study aimed to analyze the relationship between blood sugar, uric acid, and hemoglobin with blood pressure. Methods: The study design was correlational with a cross-sectional approach. The study population was 46 elderly people in Puton Village, Diwek District, Jombang Regency. Data on uric acid, blood sugar, and hemoglobin levels were collected using a multifunction blood test device through peripheral blood sampling. Blood pressure was measured using a sphygmomanometer according to standard guidelines. Data were analyzed using coding, editing, tabulation, and scoring, and statistical tests were performed using the Spearman Rank test. Results: Most respondents (73.9%) had high blood sugar. Most respondents (71.7%) had high uric acid (33%). Half of respondents (50%) had normal hemoglobin (23%). Nearly half of respondents (34%) had prehypertensive systolic blood pressure and stage 1 hypertension (34.8%) each. Half of the respondents had diastolic blood pressure (50%, 23 people) with grade 1 hypertension. The Spearman rank test for blood sugar and uric acid levels on systolic and diastolic blood pressure using SPSS yielded a p value > 0.05, indicating no correlation. The correlation between hemoglobin and diastolic blood pressure yielded a p value > 0.05, indicating no correlation. The hemoglobin-systolic blood pressure test yielded a p value of 0.017, less than 0.05, with a correlation coefficient of 0.349, indicating a moderate correlation between hemoglobin and systolic blood pressure. Conclusion: Proper control of the intervening variables is essential to ensure a truly homogeneous sample of respondents to achieve optimal results. The number of respondents should be increased.
Copyright (c) 2025 Supriliyah Praningsih, Heni Maryati, Fitri Firranda F, Heni Maryati, Eka Mei Dianita, Pepin Nahariani http://creativecommons.org/licenses/by-sa/4.0
Hubungan Verbal Abuse Orang Tua Dengan Perkembangan Kognitif Anak Usia Prasekolah di TK Muslimat NU 10 Kota Malang
Background: Kekerasan verbal dari orang tua terhadap anak prasekolah merupakan isu serius yang berdampak pada perkembangan kognitif anak. Aspek kognitif, seperti bahasa, memori, dan kemampuan memecahkan masalah, sangat krusial bagi pertumbuhan dan pembelajaran anak di usia dini. Studi menunjukkan bahwa kekerasan verbal dapat menimbulkan gangguan emosional dan hambatan dalam perkembangan kognitif anak. Objective: mengidentifikasi hubungan verbal abuse orang tua dengan perkembangan kognitif anak usia prasekolah di tk muslimat nu 10 kota malang. Methods: Penelitian ini menggunakan pendekatan kuantitatif dengan desain deskriptif korelasional. Sampel sebanyak 70 anak prasekolah dipilih secara purposive sampling. Data mengenai kekerasan verbal dikumpulkan melalui kuesioner kepada orang tua, sedangkan perkembangan kognitif anak diukur menggunakan instrumen observasi standar. Analisis data dilakukan dengan uji korelasi untuk melihat hubungan antara variabel. Results: Sebagian besar anak mengalami kekerasan verbal sering kali (70%) dengan bentuk makian dan cacian sebagai yang paling dominan. Hasil pengukuran perkembangan kognitif menunjukkan bahwa 77% anak mengalami perkembangan kognitif kurang berkembang. Anak perempuan menunjukkan perkembangan kognitif yang lebih baik dibandingkan anak laki-laki, terutama dalam aspek pengucapan kata dan ingatan jangka panjang. Verbal abuse dari orang tua memiliki hubungan negatif yang signifikan dengan perkembangan kognitif anak usia prasekolah. Conclusion: Kekerasan verbal yang dialami anak usia prasekolah berpotensi menghambat perkembangan kognitifnya. Oleh karena itu, perlu edukasi dan peningkatan kesadaran orang tua mengenai pentingnya pengasuhan positif tanpa kekerasan verbal untuk mendukung perkembangan optimal anak.
Copyright (c) 2025 Elsa Sabila, Rahmawati Maulidia, Ratna Wulandari http://creativecommons.org/licenses/by-sa/4.0
Pengaruh Program Pemberdayaan Remaja Cerdas Terhadap Pengetahuan Dan Sikap Seks Pranikah Berisiko
Risky premarital sexual behavior has become a growing concern for both the public and governmental institutions. Such behavior is associated with various negative outcomes, including the transmission of sexually transmitted infections (STIs), teenage pregnancy, and other health-related consequences. This study aims to analyze the effect of Smart Youth Empowerment Program on adolescents’ knowledge and attitudes toward risky premarital sexual behavior at Bojonegoro Regency. A pre-experimental design employing a one-group pre-test and post-test approach was used. The study population comprised 253 students, from which 80 respondents were selected using simple random sampling with an additional 10% adjustment. Data were collected using a questionnaire that assessed participants' knowledge and attitudes toward risky premarital sexual behavior. The data were tabulated and analyzed using the Wilcoxon Signed Rank Test with a significance level of p < 0.05. The findings revealed that prior to the intervention, a majority of students (78.8%) had low levels of knowledge, and nearly two-thirds (67.5%) demonstrated negative attitudes. Post-intervention, 92.5% of students displayed high knowledge levels, and all participants (100.0%) exhibited positive attitudes. The Wilcoxon test showed a significant result (p = 0.000), indicating that the intervention significantly influenced students’ knowledge and attitudes regarding risky premarital sexual behavior. Thus, Smart Youth Empowerment Program serves as a promising strategy for improving adolescent awareness and promoting healthier attitudes in the context of sexual health education.
Copyright (c) 2025 Dewa Galuh Setiawan, Wahyu Retno Gumelar http://creativecommons.org/licenses/by-sa/4.0
Determinants of The Prevention of Mother-to-Child Transmission of HIV/AIDS In Jombang Regency
The prevention of mother-to-child transmission (PMTCT) of HIV remains a major public health challenge in Indonesia, particularly in regions where stigma, limited knowledge, and weak social support hinder optimal program implementation. This study aimed to identify determinants influencing PMTCT efforts among HIV-positive pregnant women in Jombang Regency. An analytical observational design with a cross-sectional approach was employed, involving 30 pregnant women selected through systematic sampling. Data were collected using structured questionnaires and analyzed with univariate and bivariate methods using Spearman-Rho correlation. The results showed that 60% of respondents demonstrated adequate prevention efforts, while 40% were inadequate. Attitude (p = 0.006), parity (p = 0.010), peer support (p = 0.000), husband support (p = 0.010), healthcare worker support (p = 0.010), and accessibility (p = 0.028) were significantly associated with prevention behaviors. Peer support emerged as the strongest determinant, reflecting the importance of social networks and interpersonal influences. The findings indicate that PMTCT success requires more than clinical interventions; it depends on strengthening social support systems, improving counseling quality, and enhancing access to maternal health services. Integrated, community-based strategies are essential for reducing HIV transmission and achieving PMTCT targets.
Copyright (c) 2025 Rodiyah Rodiyah, Sestu Retno Dwi Handayani, Anis Satus Syarifah http://creativecommons.org/licenses/by-sa/4.0
Pengaruh Edukasi Berbasis Youtube Terhadap Pengetahuan Dan Sikap Tentang Cybersex Di SMP Negeri 1 Kedungpring
Objective: Cybersex is a deviant sexual behavior that can threaten adolescent development if not accompanied by appropriate understanding and attitudes. Health education through digital media, such as YouTube, is an effective alternative in the modern era. This study aims to determine the effect of YouTube video-based education on adolescents' knowledge and attitudes about cybersex at SMP Negeri 1 Kedungpring, Lamongan. Methods: The method used was quantitative, with a pre-experimental pretest-posttest design on 283 eighth-grade students using a total sampling method. Data were collected using a closed-ended questionnaire and analyzed using the Wilcoxon test using SPSS. Results: The results showed that before education, 54.8% of students had high knowledge, increasing to 66.4%, and 84.1% had moderate attitudes. After education, the moderate attitude level increased to 90.8%. The results showed a significant difference (p = 0.000 for knowledge and p = 0.000 for attitudes) in both variables, indicating a significant influence between adolescents' knowledge and attitudes before and after YouTube video-based education. Conclusion: It is concluded that YouTube video-based education is an alternative that can improve the knowledge and attitudes of teenagers because audiovisual media such as YouTube videos can present information in a more interesting, clear, and easy-to-understand way.
Copyright (c) 2025 Malika Alya Kasta Kasta, Heny Ekawati, Wahyu Retno Gumelar http://creativecommons.org/licenses/by-sa/4.0
Hubungan Tingkat Self Esteem Dengan Tingkat Kecemasan Pasien Pre Operasi Sectio Caesarea Di RSI Aisyiyah Malang
Objective: To identify levels of self-esteem and anxiety, as well as analyze the relationship between self-esteem and anxiety levels in pre-caesarean section patients at RSI Asyiyah Malang. Methods: This type of research is correlational with a cross-sectional design. The population in this study was preoperative caesarean section patients; the sample size was 44 respondents. The sampling technique used was accidental sampling. Data analysis was carried out using the Spearman Rank correlation test. Results: The results of the analysis showed that the majority of patients had low self-esteem and moderate levels of anxiety. There is a significant relationship with value = 0.000 (0.005) and r = -0.557, which means there is a fairly strong relationship in the negative direction, meaning the higher the level of self-esteem, the lower the patient's anxiety level. Conclusion: Patients with low levels of self-esteem are less able to control their emotions when under pressure and overcome their anxiety. Therefore, it is very important to know the level of self-esteem in patients who experience anxiety to determine more appropriate treatment.
Copyright (c) 2025 Marsaid, Helmalia Intan Azzahra, Arief Bachtiar , Tri Nataliswati http://creativecommons.org/licenses/by-sa/4.0
Factors Related To Treatment Coverage Of Lung Tuberculosis In Timor Island
Background: Treatment coverage (TC) of Tuberculosis (TB) as indicator of Tuberculosis is the main cause of death from infectious agents throughout the world. WHO has set 2030 as the end of TB, but treatment coverage in several countries is still low. Of all provinces in Indonesia, East Nusa Tenggara is the third lowest province with 40.1% coverage. On the Timor mainland, there are 3 districts with treatment coverage achievements below the national indicator (90%), namely South Central Timor District (43%), North Central East District (46%), and Belu District (71%). This condition will have an impact on achieving end TB by 2030. Several factors that may be the cause of the low contribution of treatment coverage include poverty, the ratio of community health centers/auxiliary health centers/pustu to sub-districts/population, motivation of TB program managers, availability of health insurance, cross-sectoral collaboration and TB management at the border. Objective: This research aims to determine the factors that contribute to the low achievement of treatment coverage. Method: the research used was quantitative study with cross sectional design. Result: the average age of respondents was 38,83 years (SD = 5,84), the average length of work of respondents was 10,87 (SD = 7.55). More than half, namely 66,3%, had a Diploma Nursing education. More of the three quarters of respondents, 75,9% were married. Nearly all patients were civil servants/P3K (94%). Most of the TB patients were from poor families (68,7%); all managers did not feel that there was cross-sectoral collaboration (94,0%). Only motivation that had significant relationship with TC.
Copyright (c) 2025 Sakti Oktaria Batubara, Sebastianus Kurniadi Tahu, Erna Febriyanti, Eva Belingon Felipe Dimog http://creativecommons.org/licenses/by-sa/4.0
Pengaruh Terapi Relaksasi Autogenik Berbasis Islami Terhadap Tingkat Kecemasan Pasien CVA
Background :Psychological disorders are common in CVA patients. Anxiety is one of the psychological factors that can worsen the condition of CVA patients. Islamic-based autogenic relaxation therapy is an alternative for reducing anxiety. Objective :This study aims to understand the impact of islam-based autogenic relaxation therapy on anxiety levels in patients with CVA in the Bougenville Ward of Dr. Soegiri Regional Hospital, Lamongan Regency. Methods : This study used a pre-experimental design with a single-group pre-test and post-test approach. Using consecutive sampling, 36 CVA patients were recruited. The study used the HADS-A instrument to measure anxiety levels and the HMS instrument to measure mobility levels. Islamic-based autogenic relaxation therapy was administered for three consecutive days according to standard operating procedures (SOP). The data were analyzed using the Wilcoxon test with a P-value of 0.05. Result : Before the intervention, 80.6% of CVA patients experienced moderate anxiety. After the intervention, 50% of patients experienced mild anxiety. The Wilcoxon test showed a P-value of 0.000, indicating a significant effect of Islamic-based autogenic relaxation intervention on anxiety levels in CVA patients. Conclusion : Islamic-based autogenic relaxation therapy can reduce anxiety by calming the mind, reducing stress, and motivating patients to be more active.
Copyright (c) 2025 Ninik Eva Maulidia, Virgianti Nur Faridah, Trijati Puspita Lestari http://creativecommons.org/licenses/by-sa/4.0
Pengaruh Kombinasi Aromaterapi Peppermint Dan Mobilisasi Dini Pasif Terhadap Nausea Vomitingpost General Anestesi Di RSUD Soedono Madiun Provinsi Jawa Timur
Objective: To determine the effect of a combination of peppermint aromatherapy and early passive mobilization on nausea vomiting post general anesthesia. Methods: The research design was Quasi Experimental pre test and post test control group. The total research sample was 36 respondents. The intervention provided was a combination of peppermint aromatherapy and passive early mobilization. Nausea and vomiting were measured using the RINVR instrument. Analysis used the bivariate paired t test. Results: The results of the study on nausea and vomiting after general anesthesia before the intervention were 13 (72%) respondents experiencing severe nausea and vomiting and after the intervention it decreased to 7 (%) respondents with moderate nausea and vomiting. In this study, a paired t-test was used with a p value of 0.008, which showed a decrease in the level of nausea and vomiting in post general anesthesia patients after being given the intervention. Conclusion: The conclusion is that there is an effect of a combination of peppermint aromatherapy and passive early mobilization on Nausea Vomiting Post General Anesthesia at RSUD dr. Soedono Madiun. It is hoped that health workers will provide interventions using a combination of peppermint aromatherapy and passive early mobilization to reduce nausea and vomiting in post general anesthesia patients.
Copyright (c) 2025 Cindy Tyas Prasdina Wardaningrum, Marsaid, Nurul Hidayah, Supono Supono http://creativecommons.org/licenses/by-sa/4.0
The Determinants Self-Care of Diabetic Foot Ulcer Incidence Diabetes Mellitus Patients
Background: : Diabetic foot ulcers are a chronic complication of Diabetes Mellitus (DM) that often leads to disability and amputation. The incidence of foot ulcers is closely related to patient self-care behavior, including diet, physical activity, medication adherence, blood sugar monitoring, and foot care Objective: The purpose of this study was to determine the determinants of self-care on the incidence of diabetic foot ulcers in Diabetes Mellitus patients. Methods: This article used a cross-sectional design with a population of 91 with a sample of 73 DM patients selected by purposive sampling. The instruments used were the Summary of Diabetes Self-Care Activities (SDSCA) questionnaire to assess self-care and an observation sheet for the incidence of diabetic foot ulcers. Data analysis was performed using the Chi-Square test and logistic regression to determine the determinant factors. Results: The results showed a significant relationship between self-care and the incidence of diabetic foot ulcers (p < 0.05). Foot care was the most dominant factor (OR = 0.0004; CI95%), followed by blood sugar monitoring and medication adherence. Conclusion: Self-care significantly influences the incidence of diabetic foot ulcers, with foot care being the primary determinant. Intensive education regarding self-care, particularly foot care and blood sugar monitoring, is needed to prevent further complications.
Copyright (c) 2025 Nur Hamim http://creativecommons.org/licenses/by-sa/4.0
Analisis Pengetahuan Dengan Penilaian Kesiapan Perawat Pada Situasi Krisis Pasien Anak di IGD RSUD dr. Abdul Moeloek Provinsi Lampung Tahun 2025
Background: To handle the crisis conditions of pediatric patients, knowledge is needed with the assessment of nurse readiness and special skills in the ER, one of which is by understanding preparedness. Based on the recapitulation of the number of visits by pediatric patients in the ER of Dr. H. Abdul Moeloek Hospital, Lampung Province in 2023 was 35,683 and in 2024 was 25,341. The number of deaths in pediatric patients in 2024 was 164. The number of deaths of pediatric patients increases every year, if nurses on duty in the ER handle the crisis situations of pediatric patients properly, the number of deaths can decrease. Objective: To analyze the relationship between knowledge and nurse readiness in crisis situations of pediatric patients in the ER of Dr. H. Abdul Moeloek Hospital, Lampung Province. Method: The type of research used is quantitative descriptive analysis. The population in this study were all nurses who worked in the Emergency Room of Dr. H. Abdul Moeloek Hospital, Lampung Province, starting from January 25 to May 14, 2025, totaling 34 people. The sampling technique used in this study was total sampling. Results: Based on the results of statistical tests, the p-value data was obtained at 0.116 or p-value <0.05, which means that there is no statistically significant relationship between the level of knowledge and attitudes of nurses in dealing with crisis situations of pediatric patients in the Emergency Room of Dr. H. Abdul Moeloek Hospital, Lampung Province in 2025. Conclusion: It is hoped that the results of this study can add references for other students who want to conduct further research on emergency nursing in pediatric patients.
Copyright (c) 2025 ines livia velda http://creativecommons.org/licenses/by-sa/4.0
Pengaruh Posisi Head Up 30o Terhadap Post Operative Nausea and Vomiting Pada Pasien Post Spinal Anestesi di Recovery Room RSUD Mardi Waluyo Blitar
Objective: Postoperative Nausea and Vomiting (PONV) is a common complication in patients undergoing spinal anesthesia. One of the interventions to reduce PONV is the application of a 30° head-up position, while maintaining patients in the supine position after spinal anesthesia may lead to high spinal block. The head-up position utilizes gravity to suppress the gastroesophageal reflex that triggers PONV. This study aims to analyze the effect of a 30° head-up position on the reduction of PONV. Methods: The study employed a quasi-experimental design with a two-group pretest–posttest control group approach. The sample was obtained using a non-probability purposive sampling technique, involving 32 respondents divided into three groups. The inclusion criteria were postoperative spinal anesthesia patients experiencing moderate to severe PONV. The independent variable in this study was the 30° head-up position, while the dependent variable was the level of PONV. Data were collected using the RINVR observation sheet and analyzed with a paired-sample t-test. Ethical approval for this study was obtained from Mardi Waluyo General Hospital, Blitar. Results: The results of the paired t-test showed a decrease in the mean PONV scores between the pretest and posttest in the control group, from 3.55 to 1.88. In the 30° head-up intervention group, the mean PONV scores decreased from 6.13 to 1.25 between the pretest and posttest. Conclusion: The paired t-test analysis revealed that both groups demonstrated a significant difference between pretest and posttest PONV scores. The control group showed a reduction in mean PONV scores from 3.55 to 1.88, while the 30° head-up intervention group demonstrated a greater reduction, from 6.13 to 1.25. Both groups obtained a Sig. (2-tailed) value of 0.000 (p < 0.05), indicating a statistically significant effect of the intervention. Accordingly, the research hypothesis (H1) was accepted.
Copyright (c) 2025 Bahrudin akbar http://creativecommons.org/licenses/by-sa/4.0
Gambaran Kesiapsiagaan Masyarakat Terhadap Penanggulangan Bencana Banjir Di Wilayah Kelurahan Nyunyai Kecamatan Rajabasa Kota Bandar Lampung
Background: According to the Lampung Regional Disaster Management Agency (BPBD), there were 10 recorded flood incidents across Bandar Lampung, South Lampung, Pesawaran, and Tulang Bawang throughout February 2024. Among these events, flooding was the most prevalent, resulting in damage to 235 buildings and financial losses estimated at approximately 155 million rupiah. Objective: This study aims to provide an overview of community preparedness in flood disaster management in the Nyunyai Sub-district, Rajabasa District, Bandar Lampung City. Method: This research employed a descriptive study design using a cross-sectional approach. The study was conducted in Neighbourhood I (LK I) of Nyunyai Sub-district, which includes four neighbourhood units (RT). The total population consisted of 283 households, with a sample of 166 households selected using probability sampling through proportionate stratified random sampling. Data were analysed using univariate analysis. Results The findings show that the vast majority of respondents demonstrated a “prepared” level of flood readiness, with 150 individuals (90.4%) falling into this category, and 6 individuals (3.6%) categorized as “very prepared.” However, 10 individuals (6.0%) were found to be “less prepared.” Conclusion: The study concludes that the majority of respondents in LK I, which includes RT 3, RT 5, RT 6, and RT 8 of Nyunyai Sub-district, are in the “prepared” category (90.4%) in terms of flood disaster preparedness. It is recommended that residents actively participate in disaster preparedness activities such as simulations, training, and public education sessions. In addition, households are encouraged to prepare emergency equipment and develop family evacuation plans in anticipation of future flood events.
Copyright (c) 2025 dyah intan http://creativecommons.org/licenses/by-sa/4.0
Comparative Analysis Of Direct And Gradual Torniquet Deflation On Blood Pressure Changes In Total Knee Arthroplasty Surgery Patients
Background: Arterial tourniquets are used in extremity surgical procedures to create a bloodless surgical field. In Total Knee Arthroplasty (TKA) there is redistribution of intravascular volume to the ischemic lower extremity, bleeding, and vasodilation, thereby potentially reducing arterial blood pressure. Objective: to analyze the differences in blood pressure reduction in TKA patients after direct and gradual tourniquet deflation. Methods: Using the Quasy experiment, the population was TKA surgery patients in the Central Surgery Room at Dr. RSUD. Soedono, East Java Province in January – March 2024. Using Simple Random Sampling techniques, it was found that n=24 respondents were divided into intervention group n=12 and control group n=12. Data analysis used the independent T-test. Results: There was no significant difference in pre-intervention systolic and diastolic blood pressure between the gradual and direct groups (p=0.055, p=0.451), there was no significant difference in post-intervention systolic blood pressure between the gradual and direct groups (p=0.578) and there was a significant difference diastolic blood pressure at post intervention between the gradual and immediate groups (p=0.032). The mean difference between pre and post systolic blood pressure in the gradual deflation group was 4.08 mmHg and Dyastole was 6.17 mmHg. Meanwhile, the difference in the mean value of pre and post Systole blood pressure in the direct deflation group was 19.31 mmHg and Dyastole was 10.55. The decrease in blood pressure in both systole and diastole in the gradual deflation group was smaller than in the immediate deflation group. Conclusion: Gradual tourniquet deflation allows for a smaller risk of lowering blood pressure than directly so it can be considered as an alternative method of tourniquet deflation after TKA surgery
Copyright (c) 2025 Nurul Hidayah, Pepin Nahariani, Anja Hesnia Kholis, Ratna Puji Priyanti, Wahyu Hidayat, Azis Mualim Priyo Utomo http://creativecommons.org/licenses/by-sa/4.0
Analisis Perilaku Remaja Yang Beresiko Mengalami Anemia
Objective: Anaemia is a common health problem in society, especially among adolescents, and is often found in developing countries, including Indonesia. Anaemia in adolescents is caused by lifestyle factors, namely the habit of drinking coffee, sleep patterns, eating habits, and a lack of knowledge regarding the consumption of Iron Folic Acid (IFA) supplements. This study aimed to identify the behaviours of adolescents at risk of experiencing anaemia. Methods: This was qualitative research with a narrative approach. The data collection technique used was in-depth interviews with participant selection through purposive sampling, resulting in 6 participants who met the inclusion criteria. Data validation was conducted using member checking, and the data were analyzed using Burke's pentadic dramatism. Results: The results of the study found that most female adolescents had a lack of knowledge about anaemia. The factors causing anaemia included a lack of understanding of the benefits of consuming iron supplements, poor eating habits, inadequate sleep patterns, and heavy menstruation. The school's support in reducing the risk of anaemia includes the routine distribution of iron supplements every Friday through the active role of the Youth Red Cross (YRC) students. Support from family and peers is a driving factor in reducing the risk of anaemia. Conclusion: Female adolescents can be more diligent in taking iron supplements, checking their health, and adopting a healthier lifestyle to prevent anaemia.
Copyright (c) 2025 Novita Surya Putri, Shilihin http://creativecommons.org/licenses/by-sa/4.0
Analisis Karakteristik Ibu Hamil Dengan Hasil Pemeriksaan HBsAg Di Wilayah Kerja Puskesmas Limboto
ABSTRAK RISKA AKMALIA INA. Analisis karakteristik ibu hamil dengan hasil pemeriksaan HBsAG di wilayah kerja Puskesmas Limboto. Dibimbing oleh HARISMAYANTI sebagai ketua dan ANI RETNI sebagai anggota. Infeksi hepatitis B (HBV) pada ibu hamil telah menjadi perhatian dunia karena penularan yang paling sering terjadi di seluruh dunia, hepatitis B memiliki dampak yang tidak baik pada ibu hamil seperti penularan pada janin dalam kandungan, kelahiran premature, keguguran, infeksi hepatitis B setelah lahir. Seluruh ibu hamil memiliki resiko mengalami hepatitis B karena beberapa faktor seperti usia ibu hamil, paritas, pendidikan dan riwayat imunisasi TT. Penelitian ini bertujuan untuk mengetahui umur, riwayat imunisasi TT, paritas serta pendidikan dengan hasil pemeriksaan HBsAG. Penelitian ini menggunakan metode observasi analitik dengan pendekatan cross sectional, jumlah populasi sebanyak 321 orang dengan jumlah sampel sebanyak 76 orang. Teknik Pengambilan Sampel digunakan teknik purposive sampling, Instrumen penelitian menggunakan Buku KIA dan lembar Demografi. Data dianalisis dengan uji Uji Chi Square dengan kemaknaan α sebesar 5% (p < 0.05). Hasil penelitian menunjukan umur ibu hamil dengan kejadian HBsAg diperoleh nilai Vpalue 0.151, riwayat imunisasi TT dengan kejadian HBsAg diperoleh nilai Vpalue 0.000, paritas dengan kejadian HBsAg diperoleh nilai Vpalue 0.007, pendidikan dengan kejadian HBsAg diperoleh nilai Vpalue0.049. yang berarti terdapat hubungan riwayat imunisasi TT, paritas serta pendidikan dengan hasil pemeriksaan HBsAG sedangkan tidak terdapat hubungan umur dengan hasil pemeriksaan HBsAG. Untuk pihak puskesmas memberikan edukasi pada ibu hamil tentang HBsAG sehingga ibu hamil dapat melakukan pencegahan dengan cara melengkapi status imunisasi TT serta melakukan persalinan difasilitas kesehatan, makanan yang dikomsumsi dimasak sampai matang dan menghindari kontak dengan hewan peliharaan. Untuk ibu hamil melakukan pencegahan dengan cara melakukan semua anjuran dari tenaga kesehatan agar tidak mudah terinfeksi HBsAG+. Kata Kunci: HBsAG, Ibu Hamil, Imunisasi TT, Pendidikan, Paritas, Umur.
Copyright (c) 2025 Riska Amalia Ina, Harismayanti, Ani Retni http://creativecommons.org/licenses/by-sa/4.0
Peran Keluarga Dalam Perawatan Lansia Hipertensi Dengan Tekanan Darah
Objective: Hypertension is a condition of persistently elevated arterial blood pressure and continues to be a major global health problem. The WHO estimates that by 2025, 1.5 billion people will suffer from hypertension, and 10.44 million people are predicted to die from hypertension and its complications each year. The role of the family is crucial in managing hypertension. Families play a crucial role as caregivers in improving the health status of their sick family members, as they play a crucial role in maintaining the health of those with hypertension. This study aimed analyzing the role of family in caring for elderly hypertension on blood pressure Methods: This research is a correlational study with a cross-sectional design using purposive sampling. The subjects were 46 elderly people with hypertension in Puton Village, Diwek District, Jombang Regency, according to the inclusion criteria for the 2025 study. The instruments used were the role of the family in caring for elderly people with hypertension using questionnaires and interviews (food selection, physical activity, stress management, referral to health facilities), and blood pressure measurements. Data were analyzed using coding, editing, tabulation, and scoring, and statistical tests were performed using the Chi Square test. Results: Based on the research results, it was shown that out of 47 respondents, 26 (55.3%) respondents had a not good family role in caring for elderly people with hypertension. Classification of hypertension based on blood pressure values, namely the majority (63.84) in the grade 2 hypertension category. Chi Square test for using SPSS yielded a p value of 0.02 less than 0.05 indicating correlation between the role of family in caring for elderly hypertension on blood pressure Conclusion: The role of the family in motivating the elderly with hypertension through exercise, regulating diet, encouraging them to control their blood pressure and taking medication, and regularly visiting health services can control blood pressure. The greater the role of the family, the better the quality of life of the elderly, which can be seen from the number of elderly whose blood pressure is controlled.
Copyright (c) 2025 Heni Maryati , Supriliyah Praningsih, Fitri Firranda Nurmalisyah, Siswati http://creativecommons.org/licenses/by-sa/4.0
Perbedaan Keterampilan Toilet Training Sebelum Dan Sesudah Dilakukan Story Telling Pada Anak Prasekolah Di Tk Mardi Sunu Malang
Background: Toilet training is an educational process to control urination and defecation correctly and regularly. One solution chosen to address the issue of toilet training skills is by using a storytelling model.Objective: To determine the difference in toilet training skills before and after storytelling is conducted on preschool children at TK Mardi Sunu Malang.Methods: This study used a pre-experimental design with a one-group pre-post test design and a cross-sectional approach. The sample in this study consisted of 36 respondents selected through a sampling technique.Results: The study showed that before storytelling, more than half of the children were in the fairly good category, totaling 31 respondents (86.1%), and after storytelling, there was improvement with the majority being 30 respondents (83.3%). The Wilcoxon test analysis resulted in a p-value of 0.000 (α ≤ 0.05).Conclusion: There is a difference in toilet training skills before and after storytelling among preschool children at TK Mardi Sunu Malang. Children can be taught and guided about toilet training from an early age. Future researchers can contribute by collaborating with health workers in toilet training screening.
Copyright (c) 2025 ineke, Rahmawati Maulidia, Nining Loura Sari http://creativecommons.org/licenses/by-sa/4.0
Hubungan Perilaku Body Shaming Terhadap Kesehatan Mental Remaja di SMAN 1 Limboto
ABSTRAK TARIZA AMALIA GAFAR, Hubungan Perilaku Body Shaming Terhadap Kesehatan Mental Remaja Di SMAN 1 Limboto. Dimbimbing oleh FIRMAWATI dan NUR UYUUN BIAHIMO sebagai Anggota. Body shaming merupakan salah satu bentuk kekerasan verbal yang sering terjadi pada remaja, terutama di lingkungan sekolah. Penelitian ini bertujuan untuk menganalisis hubungan antara perilaku body shaming dengan kesehatan mental remaja di SMAN 1 Limboto. Penelitian ini menggunakan metode kuantitatif dengan pendekatan deskriptif korelasi untuk mengetahui dan menganalisis hubungan antar variabel tersebut. Populasi penelitian ini adalah seluruh siswa SMA Negeri 1 Limboto yang berjumlah 1063 yang terdiri dari kelas 1 sampai dengan 3. Sampel dalam penelitian ini berjumlah 92 siswa yang terdiri dari kelas Satu berjumlah 30 siswa, kelas Dua berjumlah 31 siswa dan kelas Tiga berjumlah 31 siswa. Teknik pengambilan sampel adalah total sampling. Uji statistik yang digunakan adalah uji Normalitas, uji homogenitas dan uji korelasi. Data dalam analisis ini diperoleh dari hasil uji yang akan dilakukan oleh peneliti, kemudian dihitung frekuensi jawaban benar setiap responden. Dasar pengambilan keputusan untuk menerima hipotesis penelitian didasarkan pada taraf signifikansi 95% dan tingkat kesalahan α = 5% atau 0,05. Hasil penelitian menunjukkan bahwa sebagian besar remaja di SMAN 1 Limboto mengalami body shaming dalam berbagai bentuk, baik verbal maupun non-verbal, yang berdampak signifikan terhadap kesehatan mental mereka. Analisis korelasi menunjukkan adanya hubungan yang sangat signifikan antara body shaming dengan kesehatan mental, dengan koefisien korelasi sebesar 0,821, yang menunjukkan bahwa semakin tinggi intensitas body shaming yang dialami maka semakin buruk kondisi kesehatan mental remaja tersebut. terdapat hubungan yang sangat signifikan dan kuat antara keduanya, dengan nilai koefisien korelasi sebesar 0,821 dan nilai signifikansi sebesar 0,000. Kata Kunci: Abuse, Body Shaming, Kesehatan Mental, Remaja, Verbal
Copyright (c) 2025 Tariza Amalia Gafar, Firmawati, Nur Uyuun I. Biahimo http://creativecommons.org/licenses/by-sa/4.0
Basic Life Support Training On Ability And Self- Confidence Student In Handling Cardiac Arrest
Background: Basic life support or BLS is a series of first aid measures in emergency situations to save the life of someone experiencing cardiac arrest or respiratory problems. Objective This research aims to determine the effect of BLS (basic life support) training on students' knowledge and self-confidence in handling cardiac arrest in students Bachelor of Nursing Study Program ITSK RS Dr Soepraoen Malang. Method In this study, a pre-experimental research design was used, namely research in which before the research was carried out, the sample was given first in the form of a pre-test on December 18th 2024 and at the end of the study the sample was given a post-test on December 22 2024. The population in this study were college study in Department of Nursing with 160 students involving 160 students as samples using the Cluster sampling method. The independent variable in this research is Basic Life Support (BLS) training and the dependent is knowledge and self-confidence, the data from the examination results are analyzed using univariate and bivariate analysis. Results The research results showed that students' knowledge in handling cardiac arrest was mostly poor, as many as 128 students (80%). and after students took part in the training, there was an increase in students, namely to 44 people (27.50%) who answered correctly and those who answered with less marks decreased to 66 students (41.25%). Meanwhile, the level of self-confidence of students in handling cardiac arrest was found to be mostly good, 112 people (70%). Students' self-confidence also increased for the better, to 138 people (86.25%) who answered good and the remaining 22 people (13.75%) answered enough. Conclusion There is an influence of basic life support training on students' level of knowledge and self-confidence in handling cardiac arrest. It is hoped that students can apply the knowledge they have gained from BLS training and continue to increase their knowledge and self-confidence to help victims with cardiac arrest.
Copyright (c) 2025 Faisal Ahmad Cahyadi, Apriyani Hastuti, Ns. Indari, M. Kep, Ardhiles Wahyu Kurniawan, Bayu Budi Laksono, Mokhtar Jamil, riki ristanto, Rif'atul Fani, Ratna Roesardhyati, Domingos Soares http://creativecommons.org/licenses/by-sa/4.0
Hubungan Tingkat Pengetahuan Orang Tua Dengan Kepatuhan Minum Obat Anti Tuberkulosis Anak Di RSUD Dr.H. Abdul Moeloek Provinsi Lampung Tahun 2025
Background: Tuberculosis is a chronic disease caused by the bacteria Mycobacterium tuberculosis. This type of bacteria is commonly called acid-fast bacteria (AFB) because it is composed of rods and is acid-fast. Generally speaking, most pathogenic tuberculosis worsens the lung parenchyma and causes parenchymal tuberculosis. However, these bacteria also have the ability to infect other organs of the body (extrapulmonary TB), such as the pleura, glands, bones, and other organs. Objective: To determine the relationship between the level of knowledge and compliance in taking anti-tuberculosis drugs in TB patients at Dr. H. Abdul Moeloek Regional Hospital, Lampung Province. Method: This type of research is a type of quantitative research using the analytical survey method. Analytical survey research is a study that tries to find out why health problems can occur, then analyzes the relationship between risk factors (factors that influence the effect) and effect factors (factors influenced by risk). With correlation analysis to find out how far the risk factor contributes to the effect or an event of a health problem, so that in analytical research a research hypothesis and statistical test are needed. Results: Based on the results of the chi-square test that has been carried out, a p-value of 0.000 < 0.05 was obtained. Conclusion: There is a relationship between the level of parental knowledge and compliance with taking anti-tuberculosis drugs for children at Dr.H.Abdul Moeloek Hospital, Lampung Province in 2025
Copyright (c) 2025 wanda avrilia http://creativecommons.org/licenses/by-sa/4.0
A Common-Sense Model Perspective on Illness Perception, Adherence Behaviors, and Quality of Life in Hemodialysis Patients
Background: Patients with chronic kidney disease undergoing hemodialysis face substantial symptom burdens that may influence adherence behaviors and overall quality of life. The Common-Sense Model (CSM) proposes that illness perception shapes coping responses, including adherence, which subsequently affect health outcomes. However, the relationships among these variables remain inconsistent, particularly in the Indonesian context. Objective to examine the associations among illness perception, adherence behaviors, and quality of life in patients with chronic kidney disease undergoing hemodialysis from a Common-Sense Model perspective. Methods A cross-sectional study was conducted among adult patients with chronic kidney disease undergoing hemodialysis in two dialysis centers. Illness perception was assessed using the Brief Illness Perception Questionnaire; adherence behaviors using the End-Stage Renal Disease Adherence Questionnaire (ESRD-AQ); and quality of life using the KDQOL-SF. Pearson correlation tests were used to analyze associations among variables. Results Illness perception was not significantly associated with adherence behaviors or any quality-of-life domain. In contrast, specific adherence behaviors demonstrated significant relationships with mental health outcomes. Adherence to fluid restrictions was positively associated with the Mental Component Summary (MCS) (r = 0.302, p < 0.01), and dietary adherence also correlated with MCS (r = 0.238, p < 0.05). No adherence variable was associated with the Physical Component Summary (PCS). Interdialytic Weight Gain (IDWG) showed negative correlations with PCS (r = –0.250, p < 0.05) and the burden-of-kidney-disease domain (r = –0.278, p < 0.05), indicating poorer physical well-being with higher fluid accumulation. Conclusion: Within the CSM framework, illness perception did not predict adherence or quality of life. Adherence to dietary restrictions, adherence to fluid restrictions, and effective fluid management emerged as important correlates of both the mental and physical aspects of quality of life. Interventions that strengthen behavioral adherence and promote optimal fluid control may provide greater improvements in patient well-being compared to approaches that focus only on modifying illness perceptions
Copyright (c) 2025 Dhea Natashia, Dian Fitria, Rini Rismawati, Shannastaniar Aisya Adif http://creativecommons.org/licenses/by-sa/4.0
Effects of Yoga on Depression and Anxiety in Patients with Musculoskeletal Disorders: A Systematic Review and Meta-Analysis
Background: Musculoskeletal disorders (MSDs) are a major cause of disability and are often accompanied by depression and anxiety, which may worsen pain and limit rehabilitation outcomes. Yoga, as a mind–body intervention, may provide both physical and psychological benefits; however, evidence regarding its effectiveness in MSD populations remains inconsistent. Methods: This systematic review and meta-analysis followed the PRISMA 2020 guidelines. Randomized controlled trials evaluating the effects of yoga on depression and/or anxiety in adults with musculoskeletal disorders were identified from PubMed/MEDLINE, Scopus, Cochrane Library, and CINAHL (January 2012–December 2025). A random-effects model was applied, and effect sizes were reported as mean differences or standardized mean differences with 95% confidence intervals. Risk of bias was assessed using the Cochrane Risk of Bias Tool. Results: Ten RCTs involving 1.063 participants were included. Yoga significantly improved depressive symptoms compared with control groups (MD = 1.19; 95% CI: 0.26–2.13; p = 0.01; I² = 61%) and significantly reduced anxiety (MD = 4.09; 95% CI: 0.64–7.54; p = 0.02; I² = 96%). Overall study quality ranged from low to moderate, mainly due to limited blinding. Conclusions: Yoga is associated with significant reductions in depression and anxiety among patients with musculoskeletal disorders. Despite substantial heterogeneity, yoga may be considered a complementary intervention within holistic musculoskeletal rehabilitation. Further high-quality trials with standardized protocols are required.
Copyright (c) 2025 http://creativecommons.org/licenses/by-sa/4.0
Penggunaan Terapi Relaksasi Benson Kombinasi Aromaterapi Lavender pada Ibu dengan Nyeri Akut Post Sectio Caesarae di RS. Bhayangkara Bandar Lampung Tahun 2025
Background: The Global Survey on Maternal and Perinatal Health shows that 46.1% of all births are by Caesarean section (CS). The number of deliveries by Caesarean section (CS) in Indonesia is 17.6%. The Lampung Provincial Health Office reported that the 2023 C-section rate was 26.56%. Meanwhile, at Bhayangkara Hospital in 2024, there were 204 mothers. C-section deliveries can cause several complications, including pain in the incision area or tearing of the abdominal wall and uterine tissue. Pain management therapies include Benson relaxation breathing techniques and aromatherapy. Objective: This study provides nursing care for post-C-section mothers using Benson Relaxation Therapy and Lavender Aromatherapy. Method: This final project report used a pure experimental research design with a pretest-posttest control group. The subjects were two women experiencing acute pain. The combination of lavender aromatherapy and Benson relaxation was applied once every two days. Pain levels were measured before and after non-pharmacological therapy was administered. During the study, the researchers used standard operating procedures. Results: The author conducted acute pain management using Benson relaxation therapy and lavender aromatherapy for 3 days on cesarean section (CS) patients. The acute pain in Mrs. S and Mrs. F was significantly reduced compared to Mrs. L and Mrs. A, with Mrs. S receiving a pain scale of 3 and Mrs. F receiving a pain scale of 2, compared to Mrs. L and Mrs. A receiving a pain scale of 4. This demonstrates the effectiveness of Benson relaxation therapy and lavender aromatherapy in reducing pain in cesarean section (CS) patients compared to no Benson relaxation therapy and lavender aromatherapy. Conclusion: The effectiveness of Benson relaxation therapy and lavender aromatherapy in reducing pain in cesarean section (CS) patients was demonstrated.
Copyright (c) 2025 Zulhaida Zulhaida; Riska Wandini, Andoko http://creativecommons.org/licenses/by-sa/4.0
Pemberian Terapi Jus Buah Bit untuk Meningkatkan Kadar Hemoglobin melalui Pendekatan Asuhan Keperawatan Keluarga pada Remaja Putri Penderita Anemia di Kecamatan Kemiling Kota Bandar Lampung
Background: Anemia is defined as a condition in which blood hemoglobin levels fall below normal values. Adolescent girls are more susceptible due to monthly iron loss during menstruation. Beetroot juice has been identified as an effective non-pharmacological intervention, as it contains essential nutrients that support erythropoiesis and are rapidly absorbed by the body. In liquid form, beetroot is absorbed by the digestive system within approximately 20 minutes, compared to around 18 hours for whole fruit. Objective: The effectiveness of beetroot juice in increasing hemoglobin levels among adolescent girls with anemia was demonstrated through a family nursing care approach in Kemiling District, Bandar Lampung City. Method: This study employed a quantitative method with a one-group pre-test and post-test design. The sample consisted of two respondents selected through purposive sampling. The intervention was conducted over a period of seven days involving two subjects, An. H and An. T. Results: The evaluation of the seven-day beetroot juice intervention showed an increase in hemoglobin levels in both subjects. In An. H, hemoglobin increased from 9.5 g/dL to 11.6 g/dL (a rise of 2.1 g/dL), while in An. T, it increased from 9.9 g/dL to 11.8 g/dL (a rise of 1.9 g/dL). Conclusion: Based on the results, it can be concluded that beetroot juice has a positive effect on increasing hemoglobin levels in adolescent girls with anemia. This study is expected to serve as a reference for the use of beetroot juice as an effective non-pharmacological therapy for managing anemia in adolescents.
Copyright (c) 2025 Eka Trismiyana http://creativecommons.org/licenses/by-sa/4.0
Literature Review of The Role of Nurses in Public Health Efforts (PHE) at Primary Health Care
Introduction: : Nurses play an important role in the implementation of public health efforts (PHEs) because they are directly involved in the delivery of health services to the community. However, research in research related to the overall role of nurses in implementing PHEs is still limited and requires further exploration, so a literature review was conducted to look at the overall role of nurses and present existing evidence based and show gaps related to the role of nurses in the implementation of PHEs in Primary health care. Objective: This literature review aims to identify the roles performed by nurses and see the involvement in implementing PHEs comprehensively through the results of research that has been done. Methods: This literature review was carried out with a search strategy stage by applying keywords and screening adjusted to the inclusion and exclusion criteria, then the results of data extraction were presented in the form of a PRISMA scheme. Results: The results of a search of 27 articles showed that nurses have diverse roles in the implementation of PHEs in Primary health care, namely as educators, case finders, care giver, collaborators, coordinators, counselors, and role models. However, the most dominant role implemented is the role as an educator. The results of the article identification also show that nurses contribute more to PHEs, namely health promotion efforts. Conclusion: Nurses are mostly involved and carry out the role of educator but the role of nurses as counselors and role models needs to be studied more deeply. Also, it is necessary to conduct a deeper study related to PHEs such as complementary health efforts which are part of a holistic approach in improving public health status. Keywords: Role of nurses, public health efforts (EPH), Primary Health Care References: 66 (2006-2025)
Copyright (c) 2025 Cindy Karina, Febriana Sabrian, Agrina http://creativecommons.org/licenses/by-sa/4.0
Leadership in Disaster: A Global Challenge For Nurse
Nurse is well known as a leader in compassionate profession that always take part in every crisis and emergency situation. Nurse mostly force to be a leader without formal education as a leader. This paper is to explore the leadership in disaster nursing as a challenge today and in the future. As a leader nurse must have certain knowledge and ability in decision making, communication and collaboration to manage the catastrophe events. Nurse must have certain traits and characteristics to manage the presence and influence as a leader and an ability to understanding the right leadership style that appropriate within the situation in crisis. Connecting the requirement of leadership in disaster nursing with the standardized curricula of leadership in disaster nursing is the future recommendation for nursing scholar.
Copyright (c) 2025 Iswanto, Ratna Puji Priyanti, Asri, Sakti Oktaria Batubara http://creativecommons.org/licenses/by-sa/4.0