Jurnal Abdi Kesehatan dan Kedokteran

Korelasi Religiusitas dengan Psychological Well-Being pada Lansia

Nurul Laili — 2026-01-18

The aging process brings physical and psychological changes that can impact on the mental health of the elderly. Anxiety is often triggered by the death of a loved one, which can lead to feelings of loneliness. Elderly individuals with high levels of religiosity exhibit better attitudes, are satisfied with their lives, and experience less loneliness. The purpose of this study was to determine the relationship between religiosity and psychological well-being among elderly individuals at the Tanjung Elderly Community Health Post (Posyandu Lansia) in Bendo Village.

The study design employed a correlational cross-sectional approach. The sampling technique used purposive sampling, selecting 60 respondents from a population of 75. The research instruments used a religiosity questionnaire and the Ryff's Psychological Well-Being Scale. Statistical tests used Spearman's rho with a significance level of 0.05.

The results showed that the majority (76.7%) of respondents had high levels of religiosity and the majority (65%) had high levels of psychological well-being. The analysis yielded a p-value of 0.000 ≤ 0.05 and a coefficient between variables of 0.669, indicating a high correlation between religiosity and psychological well-being in the elderly at the Tanjung Elderly Posyandu in Bendo Village. The higher the elderly's religiosity, the higher their psychological well-being.

The concept of surrender and emotional and psychological calm that results from a positive interaction with God impacts both physical and mental health. A well-conditioned environment with spiritual activities can support seniors in living well.

Efektivitas Pelatihan Pemasangan Mitella sebagai Intervensi Pertolongan Pertama pada Siswa Sekolah Menengah Atas

Anugrah Desi Sari Honggu — 2026-01-18

Upper limb injuries, particularly involving the arm and shoulder, are common among adolescents in high school settings. Proper first aid management, including the use of a sling (Mitella), is essential to prevent further damage, reduce pain, and support recovery.

This study employed a pre–post-test design to evaluate the effectiveness of Mitella placement training among students at SMA 3 Kota Kediri. A total of 32 Grade 1 students were selected using purposive sampling. The training followed a structured Standard Operating Procedure, including theoretical explanation, demonstration, and supervised hands-on practice. Participants’ knowledge was assessed using a 7-item validated questionnaire. Data were analyzed using descriptive statistics and the Wilcoxon Signed Ranks Test.

Mitella placement training significantly improved participants’ knowledge(p = 0.008). Most students demonstrated enhanced understanding after the training, indicating that the combination of theory, demonstration, and hands-on practice effectively strengthened their competence.

Mitella placement training effectively enhances high school students’ knowledge. These findings support the implementation of practical first aid training programs in schools to improve adolescents’ preparedness and competence in managing upper limb injuries.

Penerapan Program Home Care Melalui Senam Lansia Untuk Mengurangi Nyeri Sendi Dan Meningkatkan Fungsi Gerak

Nilawati Nilawati — 2026-01-18

Aging is a natural biological process that leads to a decline in physiological functions, particularly in the musculoskeletal system, making older adults more susceptible to joint pain and limitations in functional mobility. A home care approach through non-pharmacological interventions such as elderly exercise is needed as a promotive and preventive effort to maintain independence and quality of life among older adults. This study aimed to implement a home care program through education and practice of elderly exercise to reduce joint pain and improve functional mobility in older adults.

The method used was a pre-experimental design with a one-group pretest–posttest approach, conducted through educational, participatory, and applicative strategies that included the stages of preparation, implementation, and evaluation.

The participants consisted of 35 older adults aged 60–75 years in Hamlet I, Tanjung Anom Village, Deli Serdang Regency. The intervention involved health education and elderly exercise practice for 15–20 minutes, consisting of warm-up, core movements, and cool-down sessions. Evaluation was carried out by measuring joint pain levels using the Numeric Rating Scale (NRS) and functional mobility using activities of daily living (ADL/IADL) assessments.

The results showed a reduction in joint pain levels from moderate to mild and an improvement in functional mobility, as indicated by increased independence of older adults in performing daily activities. It was concluded that the implementation of a home care program through elderly exercise was effective in reducing joint pain and improving functional mobility, and it is recommended to be applied sustainably at the community level with the support of families and health cadres.

Terapi Bermain Peran Dengan Media Animal Action Figure Meningkatkan Kemampuan Komunikasi Verbal Pada Anak Usia 3-4 Tahun

Andika Siswoaribowo — 2026-01-18

In the development of children’s communication, language plays a crucial role; however, some children experience difficulties in verbal communication. One approach to improving children’s verbal communication skills is through stimulation activities, such as role-playing therapy using animal action figure media. This study aimed to determine the effect of role-playing therapy with animal action figure media on the verbal communication abilities of children aged 3–4 years at PAUD Strawberry Pare.

This study employed a quasi-experimental design with a pretest–posttest control group approach. From a population of 45 children, 22 samples were selected using purposive sampling and divided into two groups: 11 children in the intervention group and 11 children in the control group. The research instrument was an observation sheet measuring verbal communication ability. Data were analyzed using the Wilcoxon test and the Mann–Whitney test.

The results showed that before the intervention, the majority of children in the intervention group (54.5%) were categorized as having poor verbal communication skills, while after the intervention, all children (100%) were categorized as having good verbal communication skills. In the control group, the pretest results indicated that most children (54.5%) were in the poor category, and the posttest results showed that the majority (63.6%) remained in the poor category. The Mann–Whitney test revealed a p-value of 0.000 (α ≤ 0.05), indicating a significant effect of role-playing therapy using animal action figure media on children’s verbal communication abilities.

Animal action figure media were effective in attracting children’s attention and increasing their focus, thereby supporting the improvement of basic vocabulary and articulation skills. Therefore, it is recommended that teachers and parents apply role-playing therapy using animal action figure media regularly, at least once a week, both at school and at home.

Hubungan Pengetahuan Triage Perawat dengan Lama Bekerja di Puskesmas: A Cross-Sectional Study

Heru Suwardianto — 2026-01-18

Emergency and disaster situations demand rapid, accurate, and well-coordinated responses from healthcare professionals. Triage is a critical process for prioritizing patients based on severity, ensuring optimal use of limited medical resources. Nurses are often the first responders responsible for triage implementation, especially in community health centers (Puskesmas) in Indonesia. Knowledge of triage systems, particularly the Simple Triage and Rapid Treatment (START) method, is essential for achieving optimal patient outcomes. This study aimed to examine the relationship between nurses’ triage knowledge and length of service in community health centers, providing insights for targeted training and emergency preparedness strategies.

A cross-sectional correlational study was conducted with 32 nurses from 19 community health centers in Cirebon, Indonesia, selected through purposive sampling. Triage knowledge was assessed using a validated 16-item questionnaire, with scores categorized into low, moderate, and high. Length of service was measured in years. Data were collected via an online session and analyzed using descriptive statistics and Pearson correlation analysis with a significance level of p < 0.05.

Most nurses demonstrated high triage knowledge (75%) with a mean score of 13.0 ± 2.74. Knowledge was highest in disaster definitions (93.8%) and START triage concepts (93.8%), while the most errors occurred in identifying green-labeled (68.8% incorrect) and white-labeled patients (59.4% incorrect). Pearson correlation showed a weak, non-significant positive relationship between length of service and triage knowledge (r = 0.083; p = 0.650).

The findings indicate that length of service alone does not ensure higher triage knowledge, especially in community health centers with limited exposure to emergencies. Continuous professional development, scenario-based simulations, and structured training are essential to maintain and enhance nurses’ triage competence. These results can inform the development of targeted educational programs and policies to strengthen emergency preparedness in primary healthcare settings.

Pengaruh Edukasi Pencegahan Stroke terhadap Pengetahuan pada Lansia di Gereja Isa Al-Masih Kota Kediri

Claudy Maharani H — 2026-01-18

Stroke is one of the leading causes of disability and mortality among the elderly. Preventive efforts focusing on increasing knowledge and awareness are essential to reduce stroke risk and improve quality of life.

This study used a pre–post-test design with 62 elderly participants who regularly attended the Church Isa Al-Masih in Kediri City. The intervention consisted of stroke prevention education delivered through a standardized procedure (SOP) using leaflets and flipbooks. Knowledge was assessed with a 6-item questionnaire covering hypertension, causes of high blood pressure, normal blood pressure ranges, medication adherence, diet, and breathing relaxation techniques. Data were collected before and after the education and analyzed using descriptive statistics and the Wilcoxon Signed-Rank Test.

The Wilcoxon test indicated a significant increase in participants’ knowledge following the stroke prevention education (p < 0.05). Structured, interactive, and community-based education enhanced understanding of stroke risk factors, blood pressure management, medication adherence, diet, and relaxation techniques.

Stroke prevention education is effective in enhancing knowledge among elderly individuals and may encourage preventive health behaviors. Community-based approaches can serve as a model for similar health promotion programs targeting older adults.

Hubungan Antara Lama Bekerja dan Aspek Afektif Triage START pada Perawat Puskesmas

Heru Suwardianto — 2026-01-18

Emergency situations and mass casualty incidents require nurses to make rapid, accurate, and evidence-based decisions, particularly in triage using the Simple Triage and Rapid Treatment (START) system. Nurses’ affective competence, including confidence, motivation, and emotional readiness, is crucial for effective triage. However, the relationship between length of service and affective competence remains underexplored in Indonesian community health centers.

This cross-sectional study involved 27 nurses from 18 community health centers in Banten Province, Indonesia. A 15-item 4-point Likert questionnaire assessed affective competence in START triage, categorized into low, moderate, and high levels. Descriptive statistics and Pearson correlation analyzed the relationship between length of service and affective competence, with significance set at p < 0.05.

Respondents were nearly evenly distributed by gender (48.1% male, 51.9% female) with a mean age of 37.07 ± 7.01 years and mean work experience of 14.81 ± 7.40 years. Most nurses (70.8%) demonstrated high affective competence, 29.2% moderate, and none low. Participants reported high confidence in understanding, explaining, and applying START, although some experienced difficulty in real-life scenarios. Correlation analysis indicated no significant relationship between length of service and affective competence (r = -0.053, p = 0.793).

Nurses’ affective competence appears more influenced by training and practical experience than years of service. Structured training programs are essential to enhance affective competence in START triage, regardless of professional tenure.

Hubungan Pengetahuan Konsumsi Makanan Tinggi Kalsium dengan Pengetahuan Pencegahan Kejadian Osteoporosis pada Masyarakat

Salsabila Nursyifa — 2026-01-18

In osteoporosis, the microarchitecture of bone tissue deteriorates, leading to a decrease in bone mass. Predisposing risk factors for osteoporosis include inadequate understanding of the need of consuming rich calcium foods and a lack of public awareness on osteoporosis and its early prevention. The purpose of this research is to find out how well people in Rusunawa Harapan Jaya, Pontianak, know how to avoid getting osteoporosis and how much calcium they should be eating.

Researchers in this study used a quantitative correlational analytic technique with a cross-sectional design. A total of 157 people from the community were chosen at random to take part in the research. We used a survey and the bivariate analysis of Spearman's rho to quantify the components.

The results showed that the residents of Rusunawa Harapan Jaya, Pontianak, possess good knowledge regarding high calcium food consumption and the prevention of osteoporosis. The Spearman's rho correlation test indicated a statistically significant value of 0.001 (sig<0.05; r= 0.267), signifying a positive correlation between knowledge of high calcium food consumption and knowledge of preventing osteoporosis.

Among the inhabitants of Rusunawa Harapan Jaya, Pontianak, there is a statistically significant correlation between the awareness of avoiding osteoporosis and the use of foods rich in calcium.

Hubungan antara Resiliensi dan Kelelahan pada Pasien Kanker yang Menjalani Kemoterapi

Maylafasya rismawanti — 2026-01-18

Cancer is a non-communicable disease that is the leading cause of death in the world, including Indonesia. One of the main treatments for cancer is chemotherapy, which although effective, often causes severe side effects, one of which is fatigue. Fatigue in cancer patients not only affects the physical, but also emotional and mental. In dealing with this condition, resilience plays an important role. Resilience can help patients survive, adapt, and stay enthusiastic about undergoing treatment.

This study is a quantitative study with a cross-sectional approach, using The Connor-Davidson Resilience Scale (CD-RISC) questionnaire on the resilience variable and the Fatigue Assessment Scale (FAS) questionnaire on the Fatigue variable. The sampling technique is non-probability sampling by consecutive sampling. The number of samples is 132 respondents in cancer patients undergoing chemotherapy at Baladhika Husada Hospital, Jember. Data analysis uses univariate analysis with the Spearman rank.

The results of the study showed that respondents who had poor resilience and severe fatigue were 15 (11.4%), moderate resilience and moderate fatigue were 41 (31.1%), and good resilience and mild fatigue were 33 (25%). The results of the Spearman rank test analysis obtained a p value of 0.000 <α (0.05) and the contingency value was equal to -0.465, meaning a moderate relationship with a negative correlation direction.

There is a significant relationship between resilience and fatigue in cancer patients undergoing chemotherapy at Baladhika Husada Hospital, Jember.

Pengaruh Edukasi Kesehatan Terhadap Kesiapsiagaan Masyarakat Dalam Pertolongan Pertama Hipoglikemia

Sri Purwanti Ariani — 2026-01-18

Hypoglycemia is an emergency condition in individuals with diabetes mellitus that can lead to decreased consciousness and even death if not managed promptly and appropriately. A low level of community knowledge and preparedness in recognizing the signs and symptoms and in providing first aid for hypoglycemia constitutes a major risk factor for the development of complications. This activity aimed to improve the preparedness of the Basirih Village community in providing first aid for hypoglycemic events through health education.

This activity employed a pre-experimental design with a one-group pretest–posttest approach involving an intervention group and a control group. The sample consisted of residents of Basirih Village selected using purposive sampling. The measured variable was community preparedness in hypoglycemia first aid, encompassing knowledge, attitudes, and skills. The research instruments included standardized questionnaires and skill observation checklists. Data analysis was conducted by comparing pretest and posttest scores in both groups.

The results demonstrated a significant increase in knowledge, attitudes, skills, and overall preparedness scores in the intervention group after the provision of health education (p < 0.001). In contrast, no significant differences were observed between pretest and posttest scores in the control group (p > 0.05). These findings indicate that health education has a significant effect on improving community preparedness in providing first aid for hypoglycemia.

It can be concluded that health education is effective in enhancing the preparedness of the Basirih Village community toward hypoglycemic events. This activity is recommended to be implemented continuously as a promotive and preventive effort to reduce hypoglycemia-related complications at the community level.

Pengaruh Pendidikan Kesehatan Terhadap Kesiapan Masyarakat Dalam Tindakan Awal Stroke Akut

Ernawati Ernawati — 2026-01-18

Acute stroke is a neurological emergency that requires prompt management, as delays can result in permanent brain damage and even death. In Kelayan Subdistrict, community knowledge regarding the signs, symptoms, and initial actions for acute stroke remains low, which increases the risk of delayed treatment. Therefore, health education is necessary to enhance community preparedness in recognizing and responding to stroke appropriately. This study aimed to analyze the effect of health education on community preparedness in providing initial actions for acute stroke in Kelayan Subdistrict.

The study employed a pre-experimental one group pretest–posttest design involving intervention and control groups, with interventions including counseling, leaflets and posters, and demonstrations of the FAST method. Community preparedness was measured before and after the intervention using questionnaires on knowledge, attitudes, and skills.

The results showed a significant increase in knowledge, attitudes, skills, and overall preparedness scores in the intervention group following the health education program (p < 0.001), whereas the control group showed no significant changes (p > 0.05). These findings indicate that health education effectively enhances the community’s ability to recognize stroke signs and symptoms and take timely and appropriate initial actions.

In conclusion, health education effectively improves the preparedness of the Kelayan Subdistrict community in responding to acute stroke and is recommended to be implemented routinely as a promotive and preventive measure to support early detection and timely response to stroke at the community level.

Efektivitas Pelatihan Bekam Sunnah terhadap Tingkat Pengetahuan Mahasiswa Keperawatan di Thailand

Sri Mumpuni Yuniarsih — 2026-01-18

This international community service programme introduced Sunnah cupping therapy (Hijama) to nursing students at Boromarajonani College of Nursing, Nopparat Vajira, Thailand. The programme aimed to enhance participants’ understanding of traditional Islamic medicine and to foster cultural competence within nursing education.

This community service programme used a pre-experimental design to evaluate participants’ knowledge of Sunnah cupping therapy. A total of 54 participants, including 46 nursing students and eight faculty members, took part in the study. The variable measured was knowledge about Sunnah cupping, assessed using a pre- and post-test questionnaire designed to measure changes in participants’ understanding.

The pre- and post-test scores showed a significant increase from 56.7 to 82.5 (p < 0.001), indicating the effectiveness of the educational intervention. Participants reported greater appreciation of the holistic and spiritual dimensions of Sunnah cupping and its relevance to patient-centred care. Despite limitations such as the short duration and differing traditional medicine regulations between Indonesia and Thailand, the programme successfully met its objectives.

This initiative highlights the importance of integrating cultural and traditional health perspectives into nursing curricula to promote culturally responsive care and strengthen international academic collaboration.

Pendidikan Remaja Sadar Test Anti Napza (PRESTASI): Edukasi dan Pendampingan

Diah Prihatiningsih — 2026-01-18

Drug and addictive substance abuse (NAPZA) among adolescents continues to rise and brings serious consequences—ranging from physical and mental health problems to impaired social relationships and academic performance. In response to this issue, the community service program Pendidikan Remaja Sadar Tes Anti NAPZA (PRESTASI) was implemented at SMA PGRI 4 Denpasar to strengthen students’ knowledge, attitudes, and awareness regarding the dangers of NAPZA and the importance of early detection.

This program employed a one-group pre-test–post-test design. A total of 30 students participated, with 10 students selected as peer educators. The activities included interactive lectures, group discussions, peer educator role-play simulations, and demonstrations on the use of rapid urine test kits. Changes in knowledge were measured using a 10-item multiple-choice questionnaire administered before and after the program.

The results showed a clear improvement in knowledge: in the post-test, all participants (100%) achieved a “good” knowledge category, up from 26.67% in the pre-test. In addition, students demonstrated high enthusiasm during the rapid urine test demonstration session and expressed readiness to actively serve as peer educators in school-based prevention efforts.

Overall, the PRESTASI program proved effective in improving students’ knowledge while strengthening the role of peer educators as health promotion agents within the school environment. Going forward, the program is recommended to be integrated into School Health Unit (UKS) activities and reinforced through collaboration with the National Narcotics Board (BNN) and other relevant stakeholders to ensure sustainable education and early detection initiatives.

Analisis Ketepatan Kodefikasi Penyakit Berdasarkan Pengetahuan Petugas Kesehatan

Soraya Soraya — 2026-01-18

Accurate disease coding is a crucial component of health information systems, as it plays an essential role in morbidity data compilation, healthcare service reporting, insurance claim processes, and decision-making in healthcare facilities. With the increasing demand for accurate health data, proper disease coding has become increasingly important, including at the Brimob Clinic of the South Kalimantan Regional Police, which provides healthcare services for police personnel and their families. Inaccurate diagnostic coding may lead to errors in case documentation, administrative delays, and potentially compromise the quality of health program planning and evaluation. Therefore, this study aimed to analyze the accuracy of disease coding and examine the role of healthcare workers’ knowledge as a determining factor.

This study employed a quantitative approach with a cross-sectional design. The respondents were healthcare workers directly involved in diagnostic documentation and disease coding at the Brimob Clinic of the South Kalimantan Regional Police. The independent variable was healthcare workers’ knowledge of disease coding based on ICD-9 and ICD-10, while the dependent variable was the accuracy of disease coding. Data were collected using a standardized knowledge questionnaire and medical record document audits to assess the consistency between medical diagnoses and the assigned disease codes.

The results showed that healthcare workers’ knowledge levels varied, and discrepancies between medical diagnoses and recorded disease codes were still identified. Statistical analysis using the Spearman rho test revealed a significant association between healthcare workers’ knowledge and the accuracy of disease coding, indicating that higher knowledge levels were associated with more accurate diagnostic coding.

This study concludes that healthcare workers’ knowledge plays a vital role in ensuring accurate disease coding. These findings imply the need for continuous coding training and the development and implementation of clear standard operating procedures (SOPs) to improve coding accuracy. Enhancing disease coding quality is expected to support accurate medical record documentation and strengthen health program management at the Brimob Clinic of the South Kalimantan Regional Police.

Edukasi Kesehatan Mental Remaja Pada Siswa Sekolah Menengah Atas Islam Terpadu

Nuridah Nuridah — 2026-01-18

Adolescent mental health is a critical issue that directly impacts emotional development, behavior, and academic achievement. High school adolescents are in a transitional phase that is vulnerable to psychosocial stress, anxiety, depression, and trauma, particularly due to academic pressures, social relationships, and developmental changes. Lack of knowledge and awareness about mental health leads to delays in recognizing symptoms and seeking help. This community service activity aims to increase adolescents' knowledge and understanding of mental health concepts, the types, signs, and symptoms of anxiety, depression, and trauma, and to equip students with simple coping strategies for dealing with psychological problems.

This activity uses a health education design with a pre-survey baseline approach and counseling intervention. The target group is 18 students at an integrated Islamic high school, with characteristics of adolescent age. The variables measured include levels of anxiety, depression, and psychological trauma. The instruments used in the initial screening were the Generalized Anxiety Disorder-7 (GAD-7) for anxiety, the Patient Health Questionnaire-9 (PHQ-9) for depression, and the PC-PTSD-5/TESI to identify trauma risk. The intervention was carried out through mental health education and the practice of simple coping strategies, such as deep breathing techniques and stress management.

Pre-survey results indicated that the majority of students experienced moderate to severe mental health problems. Anxiety levels were predominantly in the moderate (55.6%) and severe (38.9%) categories, while depression was in the moderate (50%) and severe (50%) categories. The risk of psychological trauma was predominantly in the moderate (72.2%) category, followed by severe trauma (22.2%). These findings indicate high mental health vulnerability among high school adolescents and the need for systematic promotive and preventive interventions.

This community service activity concluded that mental health education, accompanied by initial screening and training in simple coping strategies, is a relevant and necessary effort to increase adolescents' awareness and ability to manage mental health issues. This program is expected to become a model for sustainable promotive-preventive interventions in school settings to optimally support adolescent mental health.

Efektivitas Terapi Kombinasi Metformin dengan Habbatussauda (nigella sativa) dalam Penurunan Kadar Glukosa Darah pada pasien Diabetes Mellitus

Santi Widiasari — 2026-01-27

The prevalence of diabetes mellitus is estimated to increase to 111.2 million people aged 65-79 years. This figure will further increase to 578 million in 2030 and 700 million in 2045. Based on region, Southeast Asia is ranked 3rd with a prevalence of diabetes mellitus of 11.3%. Metformin is indicated for treatment in patients with increased blood glucose, but has side effects in the form of lactic acidosis in patients with hypoxemia, alcoholism, cirrhosis, sepsis, shock, and contrast exposure as well as gastrointestinal side effects.

The aim to analyze the effect of using combination therapy of metformin with black seed (Nigella sativa) in reducing blood glucose levels in diabetes mellitus patients.

Method: This research uses analytical observational research with a cross sectional method. The sampling technique was purposive sampling in diabetes mellitus patients who were using metformin therapy at SIAK Regional Hospital with a sample of 7 patients who were using metformin and 7 patients who were using combination thrapy of metformin with Black Seed. The data will be analyzed using the Independent T test because it meets the parametric requirements with a p-value > 0.05.

In this study it was found that the difference in the decrease in blood glucose levels during the metformin therapy group was greater than in the combination therapy group with the normality test results showing a p-value >0.05 which means the data is normally distributed. In the results of the independent t-test, the p value was obtained (0.332), which means there was no effect on reducing blood glucose levels in the metformin therapy group with black seed.

Based on the presentation of the research results, it can be concluded that the combination therapy of black seed and metformin does not significantly reduce blood glucose levels in diabetes mellitus patients with a p value >0.332, meaning that there is no significant effect on the use of the combination therapy of black seed and metformin.

Korelasi Perilaku Konsumsi Sugar Sweetened Beverage dengan Kejadian Overweight pada Remaja

Dina Zakiyyatul Fuadah — 2026-01-27

The modern world faces a double burden of malnutrition, where a country experiences two nutritional problems, namely undernutrition and overnutrition. One of the common nutritional problems among adolescents is obesity. Obesity is thought to be caused by the habit of consuming sugary drinks. This study aims to identify the relationship between the habit of consuming sugary drinks and the incidence of obesity in adolescents.

This research approach uses correlation analysis with a cross-sectional method. The sampling technique used total sampling, with a sample size of 94 junior high school students. The research variables were consumption of sugar-sweetened beverages (SSBs) and the incidence of overweight. Data analysis was performed using Spearman's nonparametric statistical test.

The results showed that most respondents (73.4%) were in the high consumption category. Based on the nutritional status of the respondents, only a few (22.3%) were obese. The correlation between sweetened beverage consumption and obesity had a p-value of 0.796 > 0.05, indicating no relationship between the two variables.

The absence of a positive correlation between sweetened beverage consumption and obesity is likely due to various factors that influence Body Mass Index, glucostatic theory, and individual energy compensation mechanisms.

Penyuluhan Pendidikan Seks Usia Muda untuk Meningkatkan Pengetahuan dan Sikap Positif Siswa

Marta Imelda Br Sianturi — 2026-01-27

Young age sex education is often considered a taboo topic in Indonesian society, leading to a lack of understanding among adolescents. This can result in negative behaviors and risks such as sexual violence and unplanned pregnancy. This community service activity (PKM) aimed to provide accurate information and shape positive attitudes towards reproductive health among junior high school students.

This service employed an educational, participatory, and applicative approach, consisting of three stages: preparation, implementation, and evaluation. The target participants were 30 students of class IX-6 at SMP Negeri 16 Medan, selected through purposive sampling. The intervention was conducted in two structured sessions using PowerPoint presentations, leaflets, and audiovisual media, covering the importance of sex education, reproductive organ function, ethics, norms, and how to avoid sexual deviations and violence. Evaluation was carried out using a pre-test and post-test knowledge questionnaire (10 items, KR-20=0.85) and observation. Data were analyzed using descriptive statistics and a Paired Sample T-Test.

The activity successfully achieved its participant target. The results showed a significant increase in knowledge, with the average pre-test score of 5.2 (Sufficient category) rising to 8.1 (Good category) in the post-test (p-value=0.001). Observation also indicated a positive shift in participants' attitudes and understanding, as they were able to explain the importance of sex education and ways to avoid sexual violence.

Counseling on sex education for young adolescents is effective in increasing knowledge and shaping positive attitudes towards reproductive health. Sustainable, school-based educational interventions are recommended as a routine part of adolescent health promotion programs.

Hubungan Stres Akademik dengan Kesehatan Mental Remaja

Edi Santoso — 2026-01-27

Academic Stress often appears in adolescents, many factors affect including high academic demands. This academic Stress, if not immediately intervened, can have a negative impact on health, especially mental health.

The purpose of this study is to find out whether there relationship between academic Stress and adolescent mental health of grade XI students of SMAN 1 Pule, Trenggalek Regency. This research is a correlationa lresearch with an approach cross- sectional. The population is XI students of SMAN 1 Pule, the sample is 119 determined by the cluster random sampling.

The instrument used is in the form of a questionnaire to measure the level of academic Stres and mental health of students. Analysis using tests chi-square. The results showed that 65% of respondents experienced moderate academic Stress, and 95.8% also showed signs of poor mental health.

Analysis chi-square It produces a P value < 0.05, which means that there is a relationship between academic Stress and adolescent mental health.The conclusion of this study is that there is a relationship between academic Stress and adolescent mental health at SMAN 1 Pule Trenggalek Regency.

It is recommended for schools to develop psychological support programs for students, as well as conduct socialization about academic Stress management to improve students' mental health.

Pengaruh Susu Kedelai Edamame dan Pijat Oksitosin terhadap Peningkatan Produksi ASI

Trisna Pangestuning Tyas — 2026-01-27

Exclusive breastfeeding is the optimal source of nutrition for infants, providing balanced nutrients essential for growth and development. However, exclusive breastfeeding coverage in several regions remains below national targets. In Patrang District, Jember Regency, only 45.60% of infants aged 0–6 months received exclusive breastfeeding in 2021, far below the 80% target set for 2022. One contributing factor is the limited knowledge of postpartum mothers regarding breast care, which affects milk expression and production. This study aimed to determine the effectiveness of galactagogue intervention in the form of edamame soy milk and oxytocin massage in increasing breast milk production among postpartum mothers. This study employed an experimental research design with a two-group pretest–posttest approach.

The respondents were postpartum mothers who met the inclusion criteria and were divided into two intervention groups: the oxytocin massage group and the edamame soy milk group. The independent variables were oxytocin massage and edamame soy milk consumption, while the dependent variable was breast milk production. Breast milk production was measured indirectly through changes in infant body weight before and after the interventions. Data were analyzed using the dependent t-test.

The results showed a significant increase in breast milk production in both intervention groups. In the oxytocin massage group, there was a statistically significant difference between pretest and posttest measurements. Similarly, the edamame soy milk group demonstrated a significant increase in infant weight after the intervention, with a p-value of 0.000 (p < 0.05), indicating a significant effect on breast milk production.

In conclusion, both oxytocin massage and edamame soy milk were effective in increasing breast milk production among postpartum mothers. These findings suggest that non-pharmacological interventions can be applied as supportive strategies to improve exclusive breastfeeding outcomes. Health workers are encouraged to incorporate breast care education and nutritional interventions into postpartum care to help increase exclusive breastfeeding rates.

Hubungan Tingkat Pengetahuan dengan Perilaku Hidup Bersih dan Sehat pada Siswa Sekolah Dasar

Mega Revangga Putra — 2026-01-27

Clean and Healthy Living Behavior (PHBS) is an essential component in maintaining and improving health status, particularly among elementary school students. The implementation of PHBS from an early age in the school environment is expected to foster sustainable healthy lifestyle habits. One of the factors presumed to influence the practice of PHBS is the level of students’ knowledge. This study aimed to determine the relationship between the level of knowledge of clean and healthy living behavior and clean and healthy living behavior among sixth-grade students of SDN 8 Ngronggo, Kediri City.

This study employed a quantitative research design using an analytical survey method. The instruments used consisted of an eight-item PHBS knowledge test and an eight-item clean and healthy living behavior questionnaire, with data analysis conducted using the Product Moment correlation test.

The research subjects totaled 71 students. The results showed that 99.3% of students had a high level of PHBS knowledge, and 94.6% of students had implemented clean and healthy living behavior. The correlation analysis produced a coefficient value of 0.245, indicating that the relationship between PHBS knowledge and clean and healthy living behavior was categorized as weak.

There is a weak relationship between the level of knowledge of clean and healthy living behavior and the implementation of such behavior among students.

Pemanfaatan Aplikasi Mobile Keluarga Berencana untuk Meningkatkan Kepatuhan Akseptor: Scoping Review

Emiliana Emiliana — 2026-01-27

Compliance of family planning (FP) acceptors in the use of contraceptive methods and accuracy of follow-up visits remain challenges in reproductive health services. Low compliance can reduce the effectiveness of FP programs and increase the risk of unplanned pregnancies. The use of digital technology, particularly mobile applications (mobile health/mHealth), has the potential to be an innovative solution to improve acceptor compliance through education and service reminders. This scoping review aims to evaluate the use of family planning mobile applications in improving acceptor compliance with contraceptive method use.

This study used a scoping review design with the PRISMA-ScR framework. Data sources were original research articles obtained from the PubMed, ScienceDirect, Wiley, Research Rabbit, and Google Scholar databases published between 2020 and 2025. The study sample consisted of six articles that met the inclusion criteria after a selection process from 1,130 identified articles. Data collection was conducted using a data extraction sheet, while article quality assessment used the Joanna Briggs Institute (JBI) instrument

The scoping review showed that family planning mobile applications increased acceptor compliance, particularly in terms of follow-up visit accuracy and continued contraceptive use.

Family planning mobile applications effectively improve contraceptive acceptor compliance, particularly in terms of follow-up visit accuracy and continued contraceptive use.

Formulasi dan Evaluasi Sediaan Balsam Dari Kombinasi Minyak Atsiri Alpina Galanga dan Ekstrak Kaemferia Galanga

Assolychathu Jaroh — 2026-01-27

The utilization of natural products as alternative therapeutic agents has received growing attention, particularly in the development of topical balm formulations for muscle pain relief. Galangal (Alpinia galanga) and kencur (Kaempferia galanga) are medicinal plants rich in bioactive compounds that may exert therapeutic effects while providing characteristic aromas that enhance user acceptability. This study aimed to formulate a topical balm containing a combination of galangal essential oil and kencur extract and to evaluate the physical quality of the resulting formulations.

An experimental laboratory study was conducted by preparing three balm formulations with varying concentrations of galangal essential oil, while the concentration of kencur extract was maintained constant. No human subjects were involved. The evaluated parameters included organoleptic characteristics (color, consistency, and odor), homogeneity, viscosity, spreadability, adhesiveness, and pH. All physical evaluations were performed using standardized laboratory procedures and instruments, including a viscometer, pH meter, and glass plates.

The results demonstrated that all formulations produced semi-solid balms with a brownish-white appearance and showed good homogeneity without any phase separation. Significant differences were observed among the formulations in viscosity, spreadability, and adhesiveness. Formulation 3 exhibited the most favorable physical properties, with a viscosity of 26,933 ± 153, spreadability of 5.7 ± 0.10, and adhesiveness of 7.3 ± 0.10. Furthermore, all formulations displayed pH values within the physiological range of human skin, with Formulation 3 showing a pH of 5.9 ± 0.10, which was closest to normal skin conditions.

In conclusion, the combination of Alpinia galanga essential oil and Kaempferia galanga extract can be successfully formulated into a stable topical balm that meets essential physical quality requirements. Formulation 3 was identified as the most suitable formulation and demonstrates strong potential for further development as a safe and effective herbal topical product.

Penguatan Tata Kelola Administrasi Rumah Sakit Melalui Inovasi Manajemen Dan Kepemimpinan Berorientasi Pasien

Aulia Dini Ayuningtias — 2026-01-27

Hospital administrative governance plays a crucial role in determining service quality and patient experience. However, in practice, hospitals frequently encounter challenges such as inefficient service workflows, prolonged waiting times, and weak coordination among administrative units. These issues negatively affect patient satisfaction and overall hospital performance. Therefore, this Community Service activity aimed to strengthen hospital administrative governance through management innovation and the application of patient-oriented leadership principles.

This activity employed a descriptive qualitative approach using educational sessions, training, and Focus Group Discussions (FGD). The target population consisted of administrative staff and heads of administrative units at Mitra Sejati General Hospital, Medan, North Sumatra, with a total sampling of 20–30 participants. The variables assessed included knowledge of hospital administrative governance, efficiency of administrative service workflows, and patient-centered leadership orientation. Data were collected using pre-test and post-test questionnaires, observation checklists, and structured discussion guides, and were analyzed descriptively using frequency distributions, percentages, and narrative analysis.

The results demonstrated an improvement in participants’ knowledge and understanding of patient-oriented hospital administrative governance. Post-test scores increased compared to pre-test scores across all assessed aspects, particularly in administrative workflow efficiency and leadership roles in supporting patient-centered services. Qualitative findings indicated that participants were able to identify administrative problems within their respective units and formulate recommendations for improving service workflows and developing simplified standard operating procedures.

Based on these findings, this Community Service activity was effective in enhancing the capacity of hospital administrative personnel to implement efficient and patient-centered administrative governance. It is recommended that the outcomes of this activity be integrated into internal hospital policies and standard operating procedures, supported by continuous mentoring to ensure sustainable improvements in service quality and patient satisfaction.

Faktor-Faktor yang Mempengaruhi Pelaksanaan Imunisasi Dasar Lengkap pada Bayi

Yolanda Syahdia — 2026-01-27

Background: Complete basic immunization is a key public health strategy to prevent infectious diseases in infants, yet immunization coverage remains below national targets in several regions. Various maternal, familial, and service-related factors are believed to influence the implementation of complete basic immunization.

This study aimed to analyze factors associated with the implementation of complete basic immunization among infants at the Cempaka 2 Integrated Health Post, Andalas Village.

A quantitative cross-sectional study was conducted involving mothers with infants aged 0–11 months. All eligible participants were included using a total sampling technique. Data were collected using structured questionnaires assessing maternal characteristics, attitudes, family support, and health service factors. Statistical analysis was performed using bivariate analysis followed by multivariate logistic regression to identify dominant influencing factors.

Results: The findings indicated that several maternal and social factors were associated with the implementation of complete basic immunization. Maternal age, education level, attitude toward immunization, and family support showed significant associations with immunization completeness, while maternal occupation, knowledge level, and perceived quality of health services were not significantly associated. Multivariate analysis identified maternal age as the most dominant factor influencing the implementation of complete basic immunization.

The implementation of complete basic immunization is influenced by a combination of maternal and family-related factors. Strengthening health education, fostering positive maternal attitudes, and enhancing family support are essential strategies to improve immunization coverage among infants.

Analisa Kandungan Antioksidan Polifenol Pada Buah Tin (Ficus Carica) Dan Buah Anggur Merah (Vitis Vinifera) Dengan Metode 2,2-Diphenyl-1- Picrylhydrazyl (DPPH)

Rachmat Faisal Syamsu — 2026-01-27

Antioxidants play an important role in counteracting free radicals that can damage body cells. Indonesia has a wide variety of natural antioxidant sources, including fig fruit (Ficus carica) and red grapes (Vitis vinifera), which are rich in polyphenol and flavonoid compounds. To determine the antioxidant activity of these fruits, the DPPH method is used because it is simple, rapid, and accurate in measuring the ability of compounds to scavenge free radicals. This study aimed to determine the extraction method for fig fruit (Ficus carica) and red grapes (Vitis vinifera), as well as to analyze the polyphenol antioxidant content of both fruits using the DPPH method.

This research was an experimental laboratory study. The results showed that the extraction of fig fruit (Ficus carica) and red grapes (Vitis vinifera) was carried out using the maceration method. This method was chosen because it is simple, easy to perform, requires readily available equipment, and is effective in maintaining the stability of heat-sensitive active compounds, making it suitable for extracting polyphenol compounds.

Based on the results of the antioxidant activity test using the DPPH method, the fig fruit extract of the Iraqi variety showed an IC₅₀ value classified as very strong antioxidant activity, while the red grape extract of the Red Globe variety showed an IC₅₀ value classified as strong according to the Blois classification. These results indicate that both fruits contain polyphenol compounds with antioxidant potential, with higher antioxidant activity observed in fig fruit compared to red grapes.

Pengaruh Teknik Distraksi Menonton Kartun Animasi Terhadap Skala Nyeri Pada Anak Usia Pre School Saat Pemasangan Infus Di Rumah Sakit

Tuti Asrianti Utami — 2026-01-30

Children of all ages can experience illness. One of the many invasive procedures that hospitalized children will undergo is IV insertion. IV insertion is painful because it can cause pain, so management is needed to minimize pain. One of the non-pharmacological pain management is to use distraction techniques that can reduce the pain scale during infusion.

This study aims to analyze the effect of distraction techniques watching animated cartoons on the pain scale during infusion of children pre school at X Jakarta Hospital. The research design used was Quasi Experiment Non Equivalent Control Group Design involving 70 respondents who were divided into an intervention group of 35 respondents and a control group of 35 respondents. The research instrument used a pain measurement sheet wong baker faces scale.

The results of the Man Whitney test analysis showed that there was an effect of distraction techniques watching animated cartoons on the pain scale in children pre school during infusion at X Jakarta Hospital (p value = 0.000 <0.05).

It is expected that nurses can start applying infusion installation with distraction techniques, especially audiovisual distraction techniques to minimize pain in pediatric patients.

Efektivitas Teknik Relaksasi Benson terhadap Penurunan Nyeri Akut pada Pasien Pasca Appendiktomi: Studi Kasus

Riris Yuniwati Sihombing — 2026-01-30

Acute pain is a common issue in post-appendectomy patients, potentially delaying recovery, increasing anxiety, and hindering early mobilization. Benson relaxation technique, as a non-pharmacological intervention, is believed to reduce pain, but its effectiveness in appendectomy patients requires further empirical evidence. This study aims to analyze the effectiveness of the Benson relaxation technique in reducing acute pain intensity in post-appendectomy patients.

The research design used is a case study with a complete nursing care approach (assessment, diagnosis, intervention, implementation, evaluation). One post-appendectomy patient in Ward 10 of Mandaya Royal Puri Hospital received the Benson relaxation technique intervention for three consecutive days, in addition to standard pharmacological therapy. Pain intensity was measured using the Numeric Rating Scale (NRS) before and after the intervention.

Results showed a reduction in pain scale from 7 (severe) on the first day to 5 (moderate) on the second day, and finally to 0 (no pain) on the third day. The Benson relaxation technique proved effective as a supportive intervention in reducing acute pain, improving comfort, and reducing anxiety and mobility limitations in post-appendectomy patients.

This intervention is recommended for routine implementation in post-abdominal surgery nursing care.

Analisis Determinan Kegagalan Imunisasi Dasar Lengkap dan Zero Dose serta Efektivitas Strategi Imunisasi Kejar dalam Mitigasi Kejadian Luar Biasa Penyakit yang Dapat Dicegah Dengan Imunisasi

Lisus Setyowati — 2026-01-30

Complete Basic Immunization (CBI) coverage refers to the percentage of children who have received all scheduled basic immunizations according to the national program, usually before 12 months of age. Cumulative CBI coverage in Jember Regency as of July 2025 remains low, reaching only 39.76% of the target. This study aimed to analyze the low CBI coverage and the high proportion of Zero Dose (ZD) children as key determinants of Extraordinary Events (Outbreaks) of Vaccine-Preventable Diseases (VPDs) in Jember Regency, and to evaluate the effectiveness of catch-up immunization interventions.

A descriptive-analytical approach was employed using secondary immunization program data from Jember Regency between January 2024 and July/August 2025, obtained from the local Health Office.

Epidemiological analysis revealed suspected and confirmed cases of diphtheria and measles-rubella (MR), including the declaration of a measles outbreak in seven community health centers (Puskesmas) in 2025. Low coverage was influenced by a complex set of risk factors, including vaccine hesitancy among families and structural challenges. Catch-up immunization was a critical strategy to close immunity gaps, with 1,129 children immunized with DPT-HB Hib as of August 2024, from a target population of 3,464.

These findings highlight the need for integrated interventions targeting the root causes of vaccine hesitancy, improving tracking of migrant children, and optimizing cross-sectoral collaboration to achieve herd immunity and the elimination of VPDs.

Hubungan Antara Durasi Penggunaan Gadget Pada Anak Dengan Sosial Emosional Anak Usia Dini (4-5 Tahun)

Rizki Bahtiyar Ardyansah — 2026-01-30

Background Over time, one thing that is inevitable is the rapid advancement of science and technology, making it accessible to people of all ages around the world. Besides the impact of technological advancements on its users, the use of technology has provided significant benefits to various age groups, especially adults, and even children. This technology includes computers, mobile phones, laptops, and many other types of devices. Gadgets are the most well-known technology among the general public; a gadget is a set of electronic devices used for communication, documentation, social networking, and entertainment. Based on the issues above, the question posed in this study is, "Is there a relationship between gadget use in children and the social-emotional development of early childhood (ages 3-5)?"

This study uses a quantitative research method with a Probability Sampling technique. The population in this study consists of children aged 4-5 years at TK Dharma Wanita 1, TK Dharma Wanita 2, and TK Dharma Wanita 3, totaling 127 children.

The research results obtained a significance value of p = 0.000 < 0.05. Therefore, this indicates that there is an effect of the duration of gadget use on the social-emotional development of early childhood children. The r value = -0.663 indicates that the two variables have a strong negative relationship between the duration of gadget use and the social-emotional development of early childhood children, where long gadget use leads to low social-emotional development in young children.

Based on the research results, the relationship between the duration of gadget use and the social-emotional development of early childhood children can be concluded as follows: The research results show that most respondents use gadgets for more than 1 hour a day. The research results also show that most respondents have low social-emotional development.

Pelatihan Pembuatan Biskuit Booster Asi Dan Perawatan Payudara Untuk Meningkatkan Volume Asi Ibu Menyusui

Kurnia Dewiani — 2026-01-30

The low coverage of exclusive breastfeeding in Mojo Rejo Village, Rejang Lebong Regency, is influenced by multiple factors, including limited maternal knowledge of lactation management, inadequate breast care techniques, and suboptimal nutritional intake during breastfeeding. This community service program aimed to implement research findings through an integrated training approach to increase breast milk volume and improve the success of exclusive breastfeeding.

The program was conducted in the form of training sessions for breastfeeding mothers. The population included all breastfeeding mothers in Mojo Rejo Village, with a sample of 30 participants who attended and actively took part in the activities. The main variables addressed were knowledge of exclusive breastfeeding, skills in preparing breast milk booster biscuits, and skills in performing breast care. The instruments used consisted of educational materials, live demonstrations, and supporting teaching aids. The biscuit-making training utilized locally available ingredients, namely moringa leaf flour (Moringa oleifera) and tuna fish oil (Thunnus sp). The effectiveness of the program was assessed through participatory observation and skill evaluation. Data were analyzed descriptively to measure improvements in participants’ knowledge and practical skills.

The evaluation results showed a 90% increase in participants’ knowledge regarding exclusive breastfeeding. In addition, there was a 70% improvement in participants’ skills in producing breast milk booster biscuits as an alternative supplementary food, and a 100% improvement in their ability to independently perform breast care practices. These findings indicate that the training successfully enhanced mothers’ capacity to optimize breast milk production.

In conclusion, the integrated training program combining lactation education, breast care practice, and the preparation of locally sourced nutritional supplements was effective in improving breastfeeding mothers’ knowledge and skills. As a recommendation, similar mentoring and training models may be adopted by health workers and communities in other areas to address low breast milk production and exclusive breastfeeding coverage, while also empowering local communities through the utilization of local resources.

Kualitas Hidup Pada Pasien Diabetes Melitus Dengan Gangren Setelah Dilakukan Perawatan Luka Modern

Wahyu Tanoto — 2026-01-30

The quality of life will be compromised for individuals afflicted with gangrene. Gangrene is the tissue necrosis resulting from vascular obstruction or ischemia. Gangrene is treated with wound care, which consists of cleaning, treating, and sealing diabetic wounds using sterile procedures. The employed wound care technique is contemporary dressing, which utilizes the wet principle to expedite the healing process. Wound care must be conducted consistently. This study aimed to investigate the quality of life of diabetes mellitus patients with gangrene who received contemporary wound care at the Niscare Trenggalek Clinic.

This study employed a quantitative descriptive methodology with a complete sampling strategy with 15 respondents. The whole sampling strategy employed solely the quality of life variable. A questionnaire served as the research instrument, and percentages were employed to analyze the findings.

The study's results indicated that nearly half of the participants, namely 4 respondents (27%), experienced a middling quality of life, whilst the majority, including 11 respondents (73%), reported an excellent quality of life. The quality of life of patients with diabetic wounds (gangrene) can be influenced by a number of factors, including age, gender, education, occupation, income, marital status, length of suffering, number of wound treatments, and help during wound therapy.

It is intended that patients with diabetes mellitus and diabetic wounds (gangrene) will recognize the benefits of modern wound care and will practice wound care on a regular basis to guarantee that the wound healing process proceeds smoothly and enhances their quality of life.

Peran Edukator Perawat Dalam Meningkatkan Kepatuhan Pengobatan pada Lansia dengan Diabetes Melitus

Narmawan Narmawan — 2026-01-30

Nurses as educators play a crucial role in educating patients about the importance of adherence in maintaining their health and improving their condition through care knowledge. The purpose of this study was to examine the relationship between the role of nurse educators and medication adherence in elderly people with diabetes mellitus.

This study used a quantitative method with a cross-sectional correlational study design. The sample consisted of 59 elderly people with diabetes mellitus selected through purposive sampling. Data were collected using a questionnaire and analyzed using the Spearman correlation test.

The results showed that the median score for the nurse educator role was 105, with a minimum score of 84 and a maximum of 107. Meanwhile, the median score for diabetes medication adherence was 5, with a score ranging from 2 to 6. The Spearman correlation test yielded a p-value of 0.001 and a correlation coefficient of 0.783.

There is a significant positive relationship between the role of nurse educators and adherence to diabetes mellitus medication in elderly people. It is recommended that elderly people regularly follow their blood sugar check schedule, consult regularly, and involve family members in the treatment process to improve adherence.

Optimalisasi Peran Perawat sebagai Upaya Meningkatkan Kualitas Pelayanan Keperawatan di Ruang Penyakit Dalam Rumah Sakit Regional Eduardo Ximenes (HoREX) Baucau, Timor-Leste

Saturnina Fernandes Belo — 2026-01-30

Nursing services are an integral part of healthcare delivery and play a critical role in improving hospital service quality. Nurses, as the healthcare professionals who interact most frequently with patients, have a strategic role in determining the quality of nursing services, particularly in internal medicine inpatient wards. This study aimed to analyze the relationship between the role of nurses and the quality of nursing services in the Internal Medicine Ward of Eduardo Ximenes Regional Hospital (HoREX) Baucau, Timor-Leste.

This study employed a quantitative correlational design with a cross-sectional approach. The sample consisted of nurses working in the Internal Medicine Ward of HoREX Baucau, selected using a total sampling technique. Data were collected using a questionnaire assessing nurses’ roles in nursing services and analyzed using statistical tests with SPSS software.

The findings showed that the role of nurses in nursing services was categorized as good. Statistical analysis indicated a significant relationship between nurses’ roles and the quality of nursing services, as evidenced by statistically significant test results.

Nurses’ roles have a significant contribution to improving the quality of nursing services. Strengthening and optimizing nurses’ roles through managerial support and continuous evaluation are essential to achieve high-quality nursing services and improved patient satisfaction.

Penerapan Evidence-Based Nursing Practice dengan Constraint-Induced Movement Therapy pada Pasien Stroke Iskemik: Studi Kasus

Tomi Suranta — 2026-01-31

Stroke is one of the leading causes of disability and mortality worldwide, resulting in a significant decline in patients’ quality of life. In ischemic stroke, impairment of upper extremity motor function and limitations in activities of daily living (ADL) are common and require comprehensive, evidence-based nursing care. This study aimed to describe the implementation of nursing care for patients with ischemic stroke through the application of Evidence-Based Nursing Practice (EBNP) using the Constraint-Induced Movement Therapy (CIMT) intervention.

This study employed a descriptive case study design involving one patient with subacute ischemic stroke who was hospitalized in an inpatient care unit. The observed variables included upper extremity motor function of the paretic side and the level of independence in activities of daily living. The CIMT intervention was administered in a structured manner for 30–60 minutes per session, 1–2 times per day for five consecutive days. Muscle strength was assessed using Manual Muscle Testing (MMT), while independence in activities of daily living was measured using the Barthel Index before and after the intervention.

The results demonstrated an improvement in upper extremity motor function of the paretic limb, as indicated by increased muscle strength and enhanced functional movement ability. In addition, an increase in the Barthel Index score reflected an improvement in the patient’s level of independence in performing activities of daily living. The application of EBNP through CIMT was proven to be effective in improving motor function and independence among patients with ischemic stroke.

This intervention can be recommended as part of rehabilitative nursing care in the subacute phase of ischemic stroke to support functional recovery and enhance patients’ quality of life.

Fibroblas Terkait Kanker dan Dampaknya terhadap Kelangsungan Hidup Keseluruhan pada Karsinoma Urotelial Kandung Kemih: Suatu Tinjauan Sistematis

Jodii Arlan Kurnia — 2026-01-31

Background: Bladder urothelial carcinoma (BUC) remains a common urologic malignancy with substantial mortality. The tumor microenvironment (TME), particularly cancer-associated fibroblasts (CAFs), promotes extracellular matrix remodeling, angiogenesis, immune evasion, and treatment resistance, suggesting CAFs may serve as prognostic and predictive biomarkers. Objective: To evaluate the association between CAFs and overall survival (OS) in BUC and identify clinically relevant CAF-related markers.

Methods: A PRISMA-guided systematic review was performed using PubMed, Cochrane Library, Taylor & Francis, ProQuest, Scopus, and EMBASE (2015–2025). Eligible human studies assessing CAFs/CAF-signatures in BUC were included. Risk of bias was assessed using ROBINS-I.

Results: Nine studies were included. Across cohorts, elevated CAF abundance or CAF-related markers consistently correlated with poorer outcomes. High CAF infiltration in TCGA-BLCA was associated with reduced OS (p=0.003) and advanced stage (p<0.001). Stromal markers such as FAP (HR=2.06) and PDGFRβ (HR=1.75) predicted worse OS, with FAP-dominant phenotypes showing the lowest survival. myCAF- and iCAF-high subtypes were linked to shorter OS (e.g., iCAF cluster p=0.024). Multiple CAF-based gene signatures (e.g., 7-gene models) stratified mortality risk (multivariate HR up to 3.51; AUC 0.88). COL10A1 overexpression also predicted inferior OS. A fibroblast-related gene index (FRGI) showed strong performance in ICI-treated patients (1-year OS AUC=0.95) and was enriched in non-responders.

Conclusion: CAF abundance and subtype composition are robust adverse prognostic indicators in BUC and show promise for risk stratification and treatment decision support, particularly for immunotherapy responsiveness.

Hubungan Pola Tidur dengan Risiko Diabetes Tipe 2 pada Dewasa Muda

Evy Nurachma — 2026-01-31

The increasing prevalence of Type 2 Diabetes Mellitus (T2DM) among young adults is closely associated with lifestyle changes and sleep disturbances. Poor sleep patterns contribute to impaired glucose regulation and an elevated risk of diabetes. This study aimed to examine the effectiveness of sleep hygiene management interventions in reducing the risk of T2DM among young adults.

A quasi-experimental study employing a nonequivalent control group design was conducted involving 60 participants, divided into an experimental group (n = 30) and a control group (n = 30). The experimental group received an eight-week sleep hygiene intervention, while the control group maintained their usual routines. The variables measured included fasting blood glucose levels and sleep quality assessed using the Pittsburgh Sleep Quality Index (PSQI). Data were analyzed using the independent samples t-test.

The results demonstrated that the experimental group experienced a significant reduction in fasting blood glucose levels by 15.42 mg/dL and an improvement in sleep quality by 6.28 points, with statistical significance at p < 0.001. In contrast, the control group showed no significant changes.

In conclusion, sleep hygiene management interventions are effective non-pharmacological strategies for reducing the risk of Type 2 Diabetes Mellitus among young adults.

Penguatan Kader Kesehatan Masyarakat untuk Meningkatkan Pemanfaatan Antenatal Care pada Ibu Hamil: Studi Kuasi-Eksperimen

Diana Putri — 2026-01-31

delayed detection of pregnancy-related risks. Community health cadres play a strategic role in promoting maternal health; however, their capacity to encourage regular ANC visits is often limited due to inadequate knowledge and skills. Strengthening the role of health cadres is therefore essential to improve maternal health service utilization.

This study employed a quasi-experimental design with a pretest–posttest approach without a control group. The participants were 25 active community health cadres in the working area of Mandiangin Public Health Center, Bukittinggi City. The intervention consisted of structured health education and mentoring sessions focusing on ANC standards, danger signs during pregnancy, and cadres' roles in motivating pregnant women to attend ANC visits. Data on cadres' knowledge and roles were collected using structured questionnaires before and after the intervention. Data analysis was conducted using descriptive statistics and the Wilcoxon signed-rank test.

The results demonstrated a significant improvement in cadres' knowledge regarding ANC, with mean scores increasing from 60.4 ± 12.3 (pretest) to 82.6 ± 8.7 (posttest) (p < 0.001). The proportion of cadres with good knowledge category increased from 32% to 88% after the intervention. Similarly, cadres' role performance showed significant improvement, with median scores rising from 28.0 (IQR: 24.0–31.0) to 36.0 (IQR: 34.0–38.0) (p < 0.001). The proportion of cadres demonstrating good role performance increased from 48% to 84%. The findings indicate that educational and mentoring-based interventions are effective in enhancing cadres' capacity to support maternal health programs at the community level.

Strengthening the role of community health cadres through continuous education and mentoring can serve as an effective strategy to improve ANC utilization. Integrating cadre empowerment programs into routine public health center activities is recommended to support sustainable improvements in maternal and child health services.

Edukasi Kesehatan tentang Pemanfaatan Daun Durian Secara Tradisional untuk Mengatasi Nyeri Sendi, Peradangan Ringan, dan Pembengkakan pada Lansia

Yurizka Putri — 2026-01-31

Joint pain, mild inflammation, and swelling are common health complaints among older adults and often interfere with daily activities and quality of life. In rural communities, older adults frequently rely on medical drugs without adequate knowledge of complementary traditional therapies. Durian (Durio zibethinus) leaves are locally available and traditionally believed to have anti-inflammatory properties; however, limited knowledge regarding their benefits, preparation, and safe use restricts their optimal utilization among older adults.

This community service program employed a pre–post test design with a one-group approach. The participants consisted of 10 older adults aged 60 years and above living in Rambah Tengah Utara Village. The intervention was a health education session focusing on the benefits, preparation methods, and safe traditional use of durian leaves to manage mild inflammation and joint pain. Educational methods included lectures, discussions, and the use of leaflets and posters. Data on participants' knowledge were collected before and after the intervention using a structured questionnaire. Data analysis was conducted descriptively and supported by statistical comparison of pre- and post-intervention scores using Wilcoxon signed-rank test.

The results showed a significant improvement in participants' knowledge after the health education intervention. The mean pre-test score was 4.8 ± 1.3, which increased to 8.7 ± 0.9 in the post-test (p < 0.001). All participants (100%) demonstrated increased understanding of the benefits of durian leaves, appropriate preparation techniques, and limitations of their use as complementary therapy for joint pain and mild inflammation.

Health education on the traditional use of durian leaves effectively improves older adults' knowledge regarding complementary management of joint pain and mild inflammation. Community-based educational interventions utilizing local resources are recommended to support health promotion and improve the quality of life of older adults.

Edukasi Bantuan Hidup Dasar pada Keluarga Pasien Post-Percutaneous Coronary Intervention dengan Diagnosis STEMI Anterior: Studi Kasus

Sutini Sutini — 2026-01-31

Death on Arrival (DOA) is a critical issue in emergency care, reflecting delays in early response, limited access to health services, and inadequate emergency preparedness at the community level. Patients who have undergone percutaneous coronary intervention (PCI), particularly those with a history of ST-elevation myocardial infarction (STEMI), remain at high risk for recurrent cardiac events, including sudden cardiac arrest. Limited family knowledge regarding basic life support (BLS) may contribute to delayed first aid and increased mortality. Therefore, this study aimed to improve BLS knowledge among families of post-PCI patients diagnosed with Anterior STEMI.

This study employed a descriptive case study design conducted in the Merak Ward of Dr. M. Salamun Air Force Hospital from December 6 to December 8, 2025. The participant was the family of a post-PCI patient with a medical diagnosis of Anterior STEMI. Data were collected using basic life support standard operating procedures and structured observation sheets.

The results indicated an improvement in the family’s knowledge of basic life support following the educational intervention. The family demonstrated better understanding and ability to recognize and respond to emergency situations related to cardiac and respiratory arrest.

In conclusion, basic life support education effectively enhances the knowledge and preparedness of families of post-PCI patients. Improved family readiness may play a crucial role in early emergency response and potentially reduce the risk of Death on Arrival in patients with high-risk cardiac conditions.

Kombinasi Teknik Relaksasi Benson dan Aromaterapi Lavender dalam Menurunkan Nyeri dan Ansietas pada Pasien Lansia dengan Closed Fracture of Neck Femur Dextra: Sebuah Studi Kasus

Wulan Agusni — 2026-01-31

Background and Objectives: Elderly patients with hip fractures often experience severe pain and anxiety, which can impede recovery. Non-pharmacological interventions such as Benson's relaxation and lavender aromatherapy have shown potential in managing these symptoms, but evidence of their effectiveness in geriatric orthopedic settings remains limited. This case study aimed to evaluate the effects of a combination of both therapies on pain, anxiety, mobility, and vital signs in a geriatric patient following hip fracture surgery.

Methods: This study used a single-subject case study design. The sample was a 72-year-old female diagnosed with a closed fracture of the right femoral neck post-hip replacement surgery. The combined intervention of Benson's relaxation (twice daily, 15 minutes) and lavender aromatherapy inhalation (twice daily, 30 minutes) was administered for four days alongside standard care. Measured variables included pain intensity (numerical rating scale 0-10), anxiety level (Hamilton Anxiety Rating Scale / HARS), lower extremity joint range of motion (ROM scale 0-5), and vital signs (blood pressure, pulse, respiration). Data collection instruments comprised observation sheets, the HARS questionnaire, and a numerical pain scale.

Main Results: After four days of intervention, significant reductions were observed in pain intensity (from 5/10 to 2/10) and HARS anxiety scores (from 30 [severe] to 9 [mild]). Patient mobility improved, as indicated by an increase in lower extremity ROM from 3/5 to 4/5. Vital signs (blood pressure, pulse, respiration) showed a stabilizing trend within the normal range. No adverse effects or undesirable events were reported during the intervention period.

Conclusion: Based on the findings, the combination of Benson's relaxation and lavender aromatherapy was effective in reducing pain and anxiety, improving mobility, and stabilizing vital signs in a geriatric patient post-hip fracture surgery. This combined therapy is safe and has the potential to be integrated as a complementary, evidence-based perioperative management strategy for the geriatric population in orthopedics. Further studies with more robust designs and larger samples are needed to generalize these findings.

Pengaruh Terapi Okupasi Berkebun terhadap Penurunan Depresi Lansia: Studi Quasi Eksperimen

Titik Juwariah — 2026-01-31

Indonesia is currently entering a phase of population aging, with an increasing proportion of elderly people. Elderly individuals are more susceptible to psychosocial issues such as stress, loneliness, low self-esteem, and anxiety. This condition is exacerbated by a lack of physical activity, making them susceptible to health problems such as joint pain, degenerative diseases, and cognitive decline. These various issues increase the risk of depression in the elderly. Gardening occupational therapy is a non-pharmacological therapy that can be applied to elderly people with depression. The purpose of this study was to determine the effect of gardening occupational therapy on reducing depression in the elderly.

The study design was a quasi-experimental study with a pre-posttest without a control group. A sample of 20 elderly individuals was selected using a purposive sampling technique. The inclusion criteria were: no cognitive impairment, able to understand simple instructions, depression, no serious illness, and no severe physical mobility impairment. The study was conducted over a one-month period in Singonegaran Village, Kediri. The research instrument used was the Geriatric Depression Scale-15 (GDS-15).

The results showed that gardening occupational therapy significantly reduced depression in the elderly, as indicated by a change in scores from an average of 9 to 4.3, with a p-value of 0.003.

Gardening therapy, as an occupational intervention, provides simultaneous physical, social, and cognitive stimulation that plays a role in reducing depressive symptoms by increasing daily activity, social interaction, and a sense of personal accomplishment as participants engage in caring for and witnessing plant growth.

Efektivitas Posteromedial Release yang Dikombinasikan dengan Subtalar Release pada Congenital Talipes Equinovarus: Suatu Tinjauan Sistematis

I Putu Lari Sandy — 2026-01-31

Clubfoot, or congenital talipes equinovarus (CTEV), strikes about 1–2 in 1,000 newborns, featuring forefoot adduction, hindfoot varus, equinus, and cavus deformities that, if untreated, cause lasting disability. While the Ponseti method remains the gold standard, tough resistant cases call for surgery like posteromedial release (PMR) or complete subtalar release (CSTR) yet no clear winner emerges for long-term results or recurrence rates. This study compares their outcomes using recent evidence.

This PRISMA-guided systematic review compared PMR and CSTR for CTEV treatment, analyzing peer-reviewed clinical studies from 2005–2025 on recurrence, complications, functional outcomes, and operative parameters; four studies met inclusion criteria. The search across PubMed, Google Scholar, and ScienceDirect used Boolean operators—(“CTEV” OR “Congenital talipes equinus varus”) AND (“Posteromedial release” OR “modified posteromedial release”) AND (“Complete subtalar release” OR “modified complete subtalar release”) including full-text English clinical reports/series on resistant clubfoot while excluding reviews, abstracts, non-English/out-of-timeframe works, duplicates, animal studies, and similar materials. PROSPERO (Registration ID: CRD420251159365).

The four studies (short- and long-term follow-up) showed both PMR and CSTR effectively correct CTEV, with no significant differences in clinical outcomes, recurrence rates, radiological improvements, or functional results. Patient age, postoperative care, and rehabilitation influenced long-term outcomes. Complications included CSTR overcorrection and PMR scar issues, emphasizing careful surgical planning.

This review suggests that both PMR and CSTR are effective treatments for resistant clubfoot, with no clear advantage of one over the other. Future studies should focus on larger sample sizes, standardized outcome measures, and longer follow-up to determine the most effective surgical approach for CTEV.

Potensi Sel Punca dalam Regenerasi Tulang: Perspektif Anatomi Mikroskopis

Dian Rudy Yana — 2026-01-31

Bone is a dynamic tissue that undergoes constant remodeling to maintain structural strength, mineral homeostasis, and hematopoietic function. Disorders like complex fractures, osteoporosis, and bone defects resulting from trauma or surgery pose significant clinical challenges. Traditional treatments such as autografts, allografts, and synthetic biomaterials have limitations in terms of availability, efficacy, and potential complications.

This article aims to provide a comprehensive overview of the intricate relationship between bone microscopic anatomy, stem cell biology, and biomedical engineering technologies, while also outlining future opportunities and challenges in developing more effective, safe, and sustainable bone regenerative therapies.

This article was prepared through an integrative literature review of scientific publications from the 2020–2025 period to analyze the interactions between the bone microenvironment, stem cell differentiation mechanisms, and the development of biomaterial and bioprinting technologies in the context of bone regeneration.

Recent advancements in cell biology and our understanding of microscopic anatomy have paved the way for stem cell-based regenerative therapies. Mesenchymal stem cells (MSCs) exhibit robust osteogenic capabilities through molecular regulation involving factors like Runx2, Osterix, BMP, and Wnt/β-catenin. Induced pluripotent stem cells (iPSCs) hold promise for personalized therapy, although safety concerns remain. The success of bone regeneration is heavily influenced by the bone microenvironment, including the vascular niche, extracellular matrix, and growth factors such as BMP-2, VEGF, PDGF, and TGF-β.

Supporting technologies like biomaterial scaffolds, growth factor delivery systems, exosomes, and 3D bioprinting further enhance the potential for translating these therapies into clinical applications.

Pentatalaksanaan Bedah Myxofibrosarcoma Punggung Kronis: Sebuah Laporan Kasus

Eko Gunawan Sukowati — 2026-01-31

Soft tissue sarcoma is a rare malignant tumor that can arise in various parts of the body, including the back. One of its subtypes, myxofibrosarcoma, is known for its relatively slow growth but high risk of local recurrence, making early diagnosis and appropriate management crucial. This case report aims to describe the diagnostic process, surgical management, and functional as well as aesthetic outcomes in a patient with back myxofibrosarcoma.

This study used a descriptive case report design involving a 63-year-old male patient who presented with a back mass that had been developing for approximately 20 years. The observed variables included the clinical characteristics of the mass, anatomical pathology findings, type of surgical intervention, and postoperative condition. The assessment tools consisted of clinical physical examination, histopathological evaluation of tumor tissue, and observation of functional outcomes and the patient’s ability to perform daily activities after surgery.

The examination results revealed a large soft tissue mass with dilated blood vessels on the back. Anatomical pathology confirmed a malignant mesenchymal tumor suggestive of myxofibrosarcoma. The patient underwent wide excision followed by flap reconstruction. Postoperatively, the patient’s general condition was stable without significant complications, the surgical wound improved, and the patient was able to return to normal activities as a construction worker after routine follow-up and care.

This case demonstrates that soft tissue sarcoma of the back, although progressive in appearance and often concerning, can yield good clinical outcomes when managed with adequate surgical intervention according to indications. Patient education regarding the potential success of therapy plays an important role in improving treatment adherence, trust in medical procedures, and optimization of postoperative functional and aesthetic results.

Hubungan Antara Ketajaman Visual dan Prestasi Belajar

Joko Satrio — 2026-01-31

Good vision is essential for students to be able to perform academically and achieve their educational goals. This paper is focused on how visual clarity affects learning improvement among ninth-grade students (14-16 years old) at an Islamic boarding school.

The research focused on a quasi-experimental methodology involving a single group with a pre-test and post-test paradigm. Measuring learning achievement involves assessing standard academic test score differences pre-and post-intervention. These differences were then categorized into distinct ordinal classifications. Participants’ vision acuity was assessed using a Snellen chart and categorized into three different levels: good, moderate, and poor. Descriptive statistics were employed to analyze the data.

From the study, it was concluded that visual acuity and learning achievement were unrelated (χ² = 6.34; df = 4; p = 0.1751). Descriptively, students with good visual acuity actually showed higher learning improvement compared to students with poor vision.

Although the result is not statistically significant, the result shows that good vision should be in students for them to perform academically. For students to perform academically, it means supporting students with available resources. Affordable resources include routine vision test evaluation and the provision of glasses if needed.

Evidence-Based Nursing Practice dengan Mobilisasi Dini Berdasarkan Teori Defisit Perawatan Diri Orem pada Pasien Stroke Iskemik: Studi Kasus

Gian M Kurnia — 2026-01-31

Ischemic’ stroke is a leading cause of disability and mortality worldwide, particularly among older adults, and requires comprehensive, evidence-based management. Nursing care plays a crucial role in optimizing cerebral perfusion, preventing complications, and promoting functional recovery. This case study aims to describe the implementation of comprehensive nursing care using an Evidence-Based Nursing (EBN) approach integrated with Dorothea Orem’s Self-Care Deficit Nursing Theory in a patient with ischemic stroke.Smoking among adolescents remains a major public health concern in Indonesia. One preventive strategy is to enhance students’ self-efficacy to resist peer pressure to smoke. Health education is believed to improve self-efficacy, yet its effectiveness requires further empirical validation.

A'descriptive case study was conducted on a 67-year-old female patient diagnosed with ischemic stroke and admitted to an inpatient ward. Comprehensive nursing assessment included neurological, hemodynamic, respiratory, nutritional, mobility, and self-care status. Assessment instruments used were the Glasgow Coma Scale (GCS), National Institutes of Health Stroke Scale (NIHSS), and Barthel Index. Nursing diagnoses were established based on the Indonesian Nursing Diagnosis Standards (SDKI), while interventions and outcomes were planned using the Indonesian Nursing Intervention Standards (SIKI) and Indonesian Nursing Outcome Standards (SLKI).

The'main nursing diagnoses identified were decreased intracranial adaptive capacity, impaired gas exchange, decreased cardiac output, impaired physical mobility, and nonadherence to the therapeutic regimen. Evidence-based nursing interventions included intracranial pressure management, oxygen therapy, early post-stroke mobilization, self-care support, medication adherence education, and family involvement. Evaluation showed improvement in the patient’s level of consciousness, stabilization of vital signs, reduced headache intensity, increased muscle strength, and enhanced functional independence. NIHSS scores improved from moderate to mild neurological deficit, and the Barthel Index increased from severe to moderate dependency.