Jurnal Keperawatan dan Kesehatan

DETERMINAN PERKEMBANGAN ANAK PRASEKOLAH

2026-05-05T10:27:05+07:00

Background: Preschool children are a period where children really need attention in their developmental stages. Data from the Amuntai Selatan Health Center shows that preschool children who experience developmental disorders in 2024 are 0.71%. Several factors that affect child growth and development are knowledge factors, parenting patterns, and nutritional status. Objective: To find out the factors related to the growth and development of preschool children in the Amuntai Selatan Health Center work area in 2025. Method: This study was an observational analytical study with a cross-sectional approach. The sample used was purposive sampling with 91 preschool children. Data were analyzed using the Chi-Square test. Result: Six (6.6%) preschool children had questionable development. Fifteen (16.5%) mothers had insufficient knowledge. Twenty-six (28.6%) parents had an authoritarian parenting style. Twenty-eight (30.8%) children had poor nutritional status. Conclusion: There was a correlation between knowledge (P=0.035), parenting style (P=0.011), and nutritional status (P=0.015) and the development of preschool children at the Amuntai Selatan Community Health Center. Parents are encouraged to continue improving their knowledge of child growth and development by regularly taking their children to the Integrated Health Post.

MEDIA VIDEO ANIMASI SEBAGAI EDUKASI UNTUK MENINGKATKAN PENGETAHUAN IBU HAMIL TENTANG KEKURANGAN ENERGI KRONIK

2026-05-05T10:27:05+07:00

Background: High maternal mortality rates can occur due to complications during pregnancy and childbirth, one of which is Chronic Energy Deficiency (CED). Babirik Community Health Center targets 25% coverage of pregnant women with CED by 2024. Objective: One effort to improve the nutritional status of pregnant women is by increasing knowledge of mothers and families through animated videos. To find out the effect of animated videos on increasing the knowledge of pregnant women about CED at Babirik Health Center in 2025. Method: This study was a quasi-experimental study with a single-group pretest-posttest design. The study population consisted of 79 pregnant women, and a sample of 30 respondents was drawn using a purposive sampling technique. Data collection used a questionnaire. Data analysis used the Chi Square test. Result: Most pregnant women had insufficient knowledge before being given animated video media (12 mothers (40,0%), and after being given animated video media almost all of them had good knowledge (24 mothers (80,0%). There was an effect of providing animated videos on increasing pregnant women's knowledge about CED with a ρ value (0.038 < 0.05). Conclusion: Pregnant women are expected to be more active in seeking information about their health, both through electronic and other media.

KEKURANGAN ENERGI KRONIS DAN ANEMIA SEBAGAI FAKTOR RISIKO BAYI BERAT LAHIR RENDAH

2026-05-05T10:27:05+07:00

Background: Low Birth Weight (LBW) is a public health problem, both short-term and long-term, and remains a leading cause of perinatal morbidity and mortality. The incidence of LBW at the Amuntai Selatan Community Health Center in 2024 was 9.52%. Factors directly influencing the incidence of LBW are poor nutritional status during pregnancy, or Chronic Energy Deficiency (CED), and anemia during pregnancy. Objective: To find out the correlations between CED and anemia with the incidence of LBW at the South Amuntai Health Center. Method: This study used an observational analytical design with a case-control approach. The sampling technique used simple random sampling with a ratio of 40 cases:80 controls. The independent variable was the incidence of low birth weight (LBW), and the dependent variables were CED and anemia. Data collection used secondary data. Data analysis used the Chi-Square test. Result: A total of 40 mothers (33.3%) gave birth and experienced low birth weight (LBW). A total of 25 mothers (20.8%) experienced chronic energy deficiency (CED). A total of 13 mothers (10.8%) experienced anemia. There was a correlation between CED (P-value 0.026, OR 2,728) and anemia (P-value 0.022, OR 3,750) with the incidence of LBW at the Amuntai Selatan Community Health Center. Conclusion: It is important for mothers to undergo regular checkups during pregnancy and maintain their nutritional status by consuming a varied diet and regularly taking iron supplements.

DUKUNGAN KELUARGA SEBAGAI DETERMINAN KUNJUNGAN ANTENATAL CARE (ANC)

2026-05-05T10:27:05+07:00

Background: The government has developed strategies and policies in the form of health improvement programs to reduce the Maternal Mortality Rate, including improving Antenatal Care. The family has a significant role in determining the health status of the mother. The support provided by the family creates a sense of peace and happiness within, so that pregnant women ultimately find it easier to adjust to their pregnancy. Objective: To find out the correlations between family support and ANC visits in the working area of Sungai Turak Health Center, Hulu Sungai Utara Regency. Methode: This type of research with correlational study design with cross sectional approach. Population of 80 pregnant women and sample of 45 respondents at Sungai Turak Health Center in April 2025, taken by purposive sampling technique. Data collection using questionnaires. Data were analyzed using Chi-Square test. Result: Family support is mostly supportive, namely 34 people (75,6%). ANC check-up visits are mostly complete, namely 40 people (88.9%). Conclusion: There was a correlations between family support and ANC visits in the working area of Sungai Turak Health Center, Hulu Sungai Utara Regency with a p value (0.010<0.05). Midwives are advised to motivate pregnant women to have regular ANC check-ups, blood pressure checks, improve the quality of ANC health services, and intensify counseling and information and education counseling for high-risk pregnancies.

FISIOTERAPI PADA BRONKIOLITIS: NEBULIZER, INFRARED, POSTURAL DRAINAGE, DAN TAPPOTEMENT

2026-05-05T10:27:06+07:00

Background: Bronchiolitis is a lower respiratory tract infection commonly found in infants and young children. Objective: This study aimed to evaluate the effectiveness of physiotherapy management in a bronchiolitis case using nebulizer, infrared therapy, postural drainage, and tapotement modalities. Method: The method used is a case study involving a patient (An. A) at Balkesmas Semarang presenting with shortness of breath, coughing, and excessive sputum production. Result: After five physiotherapy sessions, there was a noticeable decrease in cough intensity, sputum production, and respiratory rate. Conclusion: These findings suggest that the combination of physiotherapy modalities is effective in improving the clinical condition of bronchiolitis patients.

FISIOTERAPI PASCA REKONSTRUKSI ANTERIOR CRUCIATE LIGAMENT DENGAN CONTINUOUS PASSIVE MOTION DAN TERAPI LATIHAN

2026-05-05T10:27:06+07:00

Background: Anterior Cruciate Ligament (ACL) reconstruction is a surgical procedure performed to replace a ruptured Ligament in the knee. Objective: aiming to restore joint stability and functional capacity following trauma such as sudden stops, twists, or jumps. This injury is commonly found in sports activities like football, basketball, and volleyball. Post-operative problems frequently encountered include pain, edema, limited range of motion, decreased muscle strength, and impaired functional activities such as transitioning from standing to squatting, squatting to standing, walking, and jumping. Physiotherapy plays a vital role in the rehabilitation process by reducing pain, improving muscle strength, restoring joint mobility, and enhancing functional performance. The physiotherapy modalities applied in this case include Continuous Passive Motion (CPM) to maintain passive joint movement, and Exercise Therapy, which is structured to accelerate recovery of muscle strength and postural control. Methode: This scientific paper is a case study, presenting a patient case and collecting data through the physiotherapy process. The modalities applied are Continuous Passive Motion and Exercise Therapy. Result: After four sessions of physiotherapy, the results showed an improvement in joint range of motion and muscle strength, a reduction in pain and edema, as well as an increase in the patient's functional ability. Conclusion: Continuous Passive Motion and Exercise Therapy given to the patient can help increase joint range of motion, muscle strength, and functional ability, as well as reduce pain and edema.

FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN ABORTUS

2026-05-05T10:27:06+07:00

Background: Abortion is a health problem that impacts maternal morbidity and mortality worldwide. Abortion can cause complications that lead to maternal and infant death. The incidence of abortion at Pambalah Batung Regional Hospital in 2024 reached 5.73%. Several factors associated with abortion include maternal age, parity, and history of abortion. Objective: To find out the factors related to abortion incidents at Pambalah Batung Regional Hospital in 2024 Methods: This research design was an observational analytic study with a case-control approach. The sampling technique used simple random sampling with a sample ratio of 139:139. The instruments used were secondary data. Data analysis used the Chi-Square test and Odds Ratio. Results: A total of 139 mothers (50.0%) had experienced abortion. A total of 92 mothers (33.1%) were at risk (<20 years or >35 years). A total of 29 mothers (46.4%) had high-risk parity (1 child or >3 children). A total of 99 mothers (35.6%) had a history of abortion. Conclusion: There was a correlation between maternal age (P 0,002, OR 2,211), parity (P 0,012, OR 1,845), and history of abortion (P 0,001, OR 2,372) with the incidence of abortion at Pambalah Batung Hospital. Pambalah Batung Regional Hospital can develop strategies and evaluations to reduce the incidence of abortion.

FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN PNEUMONIA PADA BALITA

2026-05-05T10:27:06+07:00

Background: According to the World Health Organization (WHO), pneumonia is the leading cause of death in children under five worldwide, the "forgotten child killer." The incidence of pneumonia at the Amuntai Selatan Community Health Center reached 80.59% cases in 2024. Pneumonia can be caused by nutritional status, immunization status, and exposure to cigarette smoke. Objective: To find out the factors associated with the incidence of pneumonia in toddlers at the South Amuntai Community Health Center. Methods: This study used an observational analytical design with a case-control approach. The sample was drawn using systematic sampling with a ratio of 141 cases to 282 controls. Data were analyzed using the Chi-Square tests and Odds Ratio. Results: A total of 141 toddlers (33.3%) experienced pneumonia. Fifty-one toddlers (12.1%) had poor nutritional status. A total of 144 toddlers (34.0%) had incomplete immunization status. Conclusion: There was a correlation between nutritional status (P=0.027), immunization status (P=0.000, OR=2.099), and cigarette smoke exposure (P=0.000, OR=2.134) and the incidence of pneumonia. Parents of toddlers should ensure balanced nutrition, provide their children with complete basic immunizations to ensure good immunity against various diseases, especially pneumonia, and avoid smoking near toddlers.

PENATALAKSANAAN FISIOTERAPI DAN TERAPI LATIHAN PADA KASUS POST ORIF MANUS DIGITI IV SINISTRA

2026-05-05T10:27:06+07:00

Background: Fracture of the manus digiti is a traumatic injury that can cause pain, limited range of motion (ROM), decreased muscle strength, and impaired functional activity, especially in post Open Reduction Internal Fixation (ORIF) conditions. These problems require appropriate physiotherapy management to restore optimal hand function. Objective: This study aimed to analyze physiotherapy management using exercise therapy and to evaluate clinical outcomes in a patient with post-ORIF manus digiti IV sinistra. Methods: This study employed a case report design with a pre–post approach without a control group. The subject was a 19-year-old male patient treated at Dr. Kariadi General Hospital, Semarang. Interventions included passive exercise, active exercise, resisted active exercise, static contraction, and hold-relax exercise, conducted over four therapy sessions. Data were collected using the Visual Analog Scale (VAS) for pain, a goniometer for range of motion (ROM), and Manual Muscle Testing (MMT) for muscle strength. Data analysis was performed descriptively by comparing results before and after intervention. Results: The results showed a reduction in tenderness and movement pain, as well as improvements in range of motion in the MCP, PIP, and DIP joints, and increased muscle strength following the exercise therapy interventions. Conclusion: Physiotherapy management using exercise therapy is effective in reducing pain, improving range of motion, and increasing muscle strength in post-ORIF manus digiti IV sinistra patients, thereby enhancing functional ability.

PENATALAKSANAAN FISIOTERAPI DENGAN SHORTWAVE DIATHERMY DAN TERAPI LATIHAN PADA FROZEN SHOULDER DEXTRA ET CAUSA TENDINITIS SUPRASPINATUS

2026-05-05T10:27:06+07:00

Background: Frozen shoulder associated with supraspinatus tendinitis leads to pain and restricted range of motion, resulting in impaired functional activities. Physiotherapy interventions such as Short Wave Diathermy (SWD) and exercise therapy are required to manage this condition. Objective: To evaluate the effectiveness of combined Short Wave Diathermy and exercise therapy in a patient with right frozen shoulder due to supraspinatus tendinitis. Methods: A case study involving a 60-year-old female patient at Sunan Kalijaga General Hospital, Demak. The intervention consisted of SWD and active exercise therapy over four sessions. Outcomes included pain (VAS), muscle spasm, range of motion (ROM), muscle strength (MMT), and functional ability (SPADI). Results: After four sessions, movement pain decreased from 5 to 2, tenderness from 3 to 1, and muscle spasm resolved. ROM improved, particularly abduction (90° to 110°), and muscle strength increased (MMT from 3 to 4). SPADI scores indicated functional improvement. Conclusion: The combination of SWD and exercise therapy effectively reduced pain and muscle spasm while improving ROM, muscle strength, and functional outcomes in frozen shoulder due to supraspinatus tendinitis

FAKTOR YANG BERHUBUNGAN DENGAN PEMBERIAN ASI EKSKLUSIF

2026-05-05T10:27:06+07:00

Background: Breast milk is the optimal source of nutrition for babies during the first six months of life. Data from the Amuntai Selatan Community Health Center shows that 52.2% of infants under six months of age were exclusively breastfed in 2024. This low exclusive breastfeeding rate is influenced by various factors, including age, knowledge, family support, and support from health workers. Objective: To find out the factors related to exclusive breastfeeding at the Amuntai Selatan Community Health Center. Methods: This study employed an analytical, observational, and cross-sectional approach. The sampling technique used purposive sampling with a sample size of 58 participants. Data analysis used the Chi-Square test. Results: A total of 34 infants (58.6%) received exclusive breastfeeding. A total of 41 mothers aged 20-35 years (70.7%) had good knowledge. A total of 41 mothers (70.7%) received family support. A total of 44 mothers (75.9%) received support from health workers. Conclusion: There was no correlations between age and exclusive breastfeeding (P=0.984). There was a correlations between between knowledge (P=0.023), family support (P=0.020), and health worker support (P=0.009) with exclusive breastfeeding. Community health centers are expected to monitor breastfeeding practices until they can be categorized as exclusive breastfeeding until the baby is 6 months old.

FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN PREEKLAMPSIA PADA IBU BERSALIN

2026-05-05T10:27:07+07:00

Background: Preeclampsia is a serious pregnancy complication that occurs in about 3-8% of all pregnancies. The incidence of preeclampsia at Pambalah Batung Regional Hospital in 2024 was 10.65%. Several factors that increase the incidence of preeclampsia include maternal age, parity, history of hypertension, and history of preeclampsia. Objective: . To find out the factors associated with the incidence of preeclampsia in mothers giving birth at Pambalah Batung Regional Hospital in 2024. Methods: This study design was an observational analytical study with a case-control sample. The sampling technique used simple random sampling with a ratio of 258 cases: 258 controls. Data analysis used the Chi-Square test and dan Odss Ratio. Results: There were 258 mothers (50.0%) experienced preeclampsia. A total of 143 mothers (27.7%) were at risk (<20 years or >35 years). A total of 148 respondents (28.7%) had a parity at risk (1 child or more than 3 children). A total of 112 mothers (21.7%) had a history of chronic hypertension. A total of 127 mothers (24.6%) had a history of preeclampsia. Conclusion: There was a correlation between maternal age (P 0.002, OR 1,835), parity (P 0.011, OR 1,643), history of chronic hypertension (P 0.010, OR 1,741), and history of preeclampsia (P=0.011, OR 1,695) with the incidence of preeclampsia at Pambalah Batung Regional Hospital. Pambalah Batung Regional Public Hospital can develop strategies and evaluations to reduce the incidence of preeclampsia.

FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN STUNTING

2026-05-05T10:27:07+07:00

Background: Stunting is a very serious nutritional problem that can occur in toddlers. The incidence of stunting at the Amuntai Selatan Health Center in 2024 was 19.22%. Several factors that influence the incidence of stunting are mostly minimal maternal knowledge, history of breastfeeding and history of low birth weight (LBW). Objective: To find out the factors related to the occurrence of stunting in the Amuntai Selatan Health Center work area. Methods: The design of this study is observational analytic with a cross-sectional approach. The sampling technique used accidental sampling with a sample size of 95 people. Data analysis used the Chi-Square test. Results: The incidence of stunting in toddlers was 27 toddlers (28.4%). Mothers with sufficient knowledge were 43 people (45.3%). Toddlers with a history of exclusive breastfeeding were 53 people (55.8%). Toddlers with a history of non-LBW (≥2500 grams) were 75 toddlers (78.9%). Conclusion: There was a correlations between maternal knowledge (ρ=0.024), history of exclusive breastfeeding (ρ=0.020) and history of LBW (ρ=0.000) with the incidence of stunting in the Amuntai Selatan Health Center work area. It is expected that the Health Center can improve the programs that have been implemented, add information related to stunting. Evaluation of the stunting handling program needs to be carried out periodically.

DUKUNGAN KELUARGA DAN MOTIVASI IBU DALAM PEMBERIAN ASI EKSKLUSIF PADA BAYI USIA 0-6 BULAN

2026-05-05T10:27:07+07:00

Background: The low achievement of Exclusive Breastfeeding at the Puruk Cahu Seberang Health Center with an achievement of 8.4% and the low understanding of mothers, families and communities about breast milk so that they throw away colostrum because it is considered dirty. Motivation from within breastfeeding mothers encourages them to behave in providing breast milk. Family support can influence the mother's behavior in breastfeeding and providing Exclusive Breastfeeding. Objective: To find out the correlations between family support and maternal motivation in providing exclusive breastfeeding to infants aged 0-6 months. Method: Quantitative research with a correlational study design with a cross-sectional approach. The study population was 128 breastfeeding mothers aged 0-6 months and a sample of 56 respondents in the Puruk Cahu Sebrang Health Center working area in April 2025, taken using the accidental sampling technique. Data were analyzed using the Spearman Rho test. Result: Family support is mostly in the high category, which is 35 people (62.5%), Mother's motivation in providing exclusive breastfeeding is mostly in the medium category, which is 39 people (69.6%). Conclusion: There is a relationship between family support and mother's motivation in providing exclusive breastfeeding to infants aged 0-6 months in the Puruk Cahu Seberang Health Center with a p-value (0.024<0.05), r = 0.301. It is recommended that the health center provide motivation to mothers in providing exclusive breastfeeding to infants

DUKUNGAN KELUARGA DAN TINGKAT KEPATUHAN MINUM OBAT PADA PASIEN DIABETES MELITUS TIPE 2

2026-05-05T10:27:07+07:00

Background: Type 2 Diabetes Mellitus is a chronic disease that requires long-term treatment and high medication adherence to prevent complications. One factor that is thought to play a role in improving medication adherence is family support. Family support is expected to help patients adhere to regular medication use; however, in practice, medication adherence among patients with Type 2 Diabetes Mellitus is often found to be low.Objective: This study aimed to determine the relationship between family support and the level of medication adherence among patients with Type 2 Diabetes Mellitus at Gamping II Primary Health Center. Methods: This study employed a quantitative design with a cross-sectional approach. The sample consisted of 89 patients with Type 2 Diabetes Mellitus selected using a total sampling technique. Data were collected using a family support questionnaire and a medication adherence questionnaire. Data analysis was conducted using univariate and bivariate analyses with the Chi-Square test. Results: The results showed that most respondents had moderate family support (53.9%) and a low level of medication adherence (86.5%). The Chi-Square test yielded a p-value of 0.341 (p > 0.05), indicating that there was no significant relationship between family support and medication adherence among patients with Type 2 Diabetes Mellitus. Conclusion: The majority of patients with Type 2 Diabetes Mellitus at Gamping II Community Health Center have a moderate level of family support; however, their medication adherence remains low. Statistical analysis showed that there was no significant relationship between family support and medication adherence among patients with Type 2 Diabetes Mellitus (p > 0.05).

PENGETAHUAN DAN SIKAP REMAJA PUTRI TERHADAP KEJADIAN ANEMIA

2026-05-05T10:27:07+07:00

Background: Adolescent girls are one of the groups at high risk of experiencing anemia. Data from MTsN 5 Hulu Sungai Utara school shows that 31.5% of adolescent girls experience anemia. Lack of knowledge and attitudes make adolescents more susceptible to anemia. Knowledge and attitudes of adolescent girls about anemia will influence behavior in preventing anemia. Objective: To find out the correlations between knowledge and attitudes of adolescent girls towards the incidence of anemia at MTsN 5 HSU. Method: The design of this study is observational analytic with a cross-sectional approach. The sampling technique used total sampling with a sample size of 56 people. The instruments used were questionnaire sheets and blood tests. Data analysis used the Chi-Square test. Result: There were 20 (35.7%) female adolescents who experienced anemia. The knowledge of female adolescents in the good and sufficient category was 26 (46.4%). There are 27 teenagers (48.2%) who have negative attitudes. There was a correlations between knowledge (P = 0.018) and attitude (P = 0.015) of female adolescents with the incidence of anemia at MTsN 5 HSU. Conslusion: Knowledge and attitudes of adolescent girls towards the incidence of anemia at MTsN 5 HSU. Adolescent girls should continue to actively seek information about the incidence of anemia to increase their knowledge and prevent anemia.

FAKTOR YANG BERHUBUNGAN DENGAN KUNJUNGAN ANTENATAL CARE (K4)

2026-05-05T10:27:08+07:00

Background: The government has developed strategies and policies in the form of health improvement programs to reduce maternal mortality, including improving antenatal care (ANC) services. Data from the Amuntai Selatan Community Health Center (UPT Puskesmas) in 2024 showed that ANC coverage for K4 reached 77.43%, still below the Strategic Plan target of 86%. Health service utilization is influenced by several factors, such as knowledge, family support, and parity. Objective: To find out the factors related to ANC visits (K4) in the work area of the South Amuntai Health Center. Method: This study was designed as a cross-sectional analytical observational study. The sampling technique used total sampling with a sample size of 32 participants. Data were analyzed using the Chi-Square test. Result: A total of 11 pregnant women (34.4%) had incomplete ANC (K4) visits. A total of 9 pregnant women (28.1%) had insufficient maternal knowledge. A total of 9 pregnant women (28.1%) did not receive family support. A total of 13 pregnant women (40.6%) had high-risk maternal parity. There was a correlations between maternal knowledge (P-value 0.032), family support (P-value 0.016), and maternal parity (P-value 0.007) with ANC (K4) visits in the working area of the Amuntai Selatan Community Health Center. Pregnant women are expected to pay more attention to their pregnancies by attending ANC visits regularly and completely to detect and prevent pregnancy complications.

EMPLOYABILITY AND TRACER STUDY OF NURSING GRADUATES OF CENTRAL MINDANAO UNIVERSITY

2026-05-05T10:27:08+07:00

Background: Graduates of study programs at universities and colleges contribute significantly to the workforce, and their employability is crucial in both local and global labor markets. Understanding graduate employability and aligning academic preparation with industry needs are essential for improving educational outcomes, particularly in nursing education. Objective: This study aimed to determine the profile of nursing graduates, identify their employability status, and ascertain the employability attributes required by employers of nursing graduates from Central Mindanao University. Method: This study employed a descriptive research design conducted at Central Mindanao University using an online tracer study platform. The respondents included Bachelor of Science in Nursing (BSN) graduates and their respective employers, who were invited to complete structured survey questionnaires. The study traced graduates employed both locally and internationally. Results: Findings revealed that most graduates perceived the overall curriculum—including general education, core courses, electives, and undergraduate thesis—as highly useful for professional practice. The gap between employment and unemployment was largely attributed to graduates pursuing advanced studies or second degrees. Other contributing factors included family-related concerns, preparation for overseas employment, and review for licensure examinations such as NCLEX. Graduates identified key competencies gained from the program, ranked from most to least beneficial: work ethic, interpersonal skills, decision-making skills, teamwork, verbal communication, leadership, problem-solving, written communication, initiative, enthusiasm, and creativity. However, some graduates emphasized the need for increased practical training to enhance real-world readiness. From the employers' perspective, essential competencies to be strengthened in the BSN program include patient-centered care, evidence-based practice, interdisciplinary collaboration, quality improvement, and informatics utilization. Conclusion: The BSN curriculum at Central Mindanao University generally equips graduates with relevant competencies for professional practice. However, enhancing practical training and strengthening key employability skills aligned with employer expectations are necessary to further improve graduate readiness and competitiveness in the workforce.

KONDISI PSIKOLOGIS PASIEN DAN PENYAKIT KRONIS : LITERATURE REVIEW

2026-05-05T10:27:08+07:00

Background: Chronic diseases require long-term management, are persistent in nature, and may lead to various problems, including psychological issues. Objective: This study aimed to identify the psychological conditions of patients with chronic diseases. Methods: A literature review was conducted using PubMed and Google Scholar databases. Inclusion criteria were full-text articles in English published between 2021 and 2025 discussing psychological conditions in patients with chronic diseases, with participants aged ≥18 years. Articles that were not original research were excluded. Results: A total of 1,658 articles from PubMed and 17,600 from Google Scholar were identified; however, only 5 articles met the inclusion criteria. The findings indicate that patients with chronic diseases experience psychological problems such as depression, anxiety, fear, and stress, which affect social and economic aspects and contribute to feelings of helplessness. Conclusion: Psychological problems in patients with chronic diseases are predominantly characterized by depression, accompanied by anxiety, fear, and helplessness, leading to decreased treatment motivation and quality of life.

EDUKASI BERBASIS VIDEO DALAM MENINGKATKAN KEPATUHAN MINUM OBAT PADA PENDERITA DIABETES MELLITUS

2026-05-05T11:14:14+07:00

Diabetes Mellitusis a chronic metabolic disease that requires long-term treatment and optimal patient adherence to prevent complications. Low medication adherence often becomes a major barrier to successful therapy. This study aimed to determine the effect of education delivered through video media on medication adherence among patients with Diabetes Mellitus in the working area of Puskesmas Perumnas, Kendari City. This research employed a pre-experimental design with a one-group pretest–posttest approach, involving 87 respondents selected using a purposive sampling technique. The independent variable was education using video media, while the dependent variable was medication adherence measured using the MMAS-8 questionnaire. The results showed that before receiving the educational intervention, most respondents had low (57.5%) and moderate (42.5%) adherence levels. Following the video-based education, adherence improved, with 63.2% categorized as high, 27.6% as moderate, and 9.2% as low. The Marginal HomogeneityTest yielded a p-valueof 0.000 (<0.05), indicating a significant effect of video-based education on improving medication adherence among patients with Diabetes Mellitus. In conclusion, education delivered through video media is effective in increasing medicationa dherence.

PERAN STRES AKADEMIK TERHADAP KOMPETENSI KEGAWATDARURATAN PADA MAHASISWA VOKASIONAL KEPERAWATAN

2026-05-05T11:22:36+07:00

Background: Academic stress is prevalent among nursing students and may hinder the acquisition of emergency nursing competencies, which require high discipline and mental readiness. Objective: This study aimed to examine the relationship between academic stress and emergency nursing competency among diploma (D-III) nursing students in East Java. Method: A cross-sectional design was employed with 472 nursing students selected through purposive sampling. Academic stress was measured using the Student Stress Questionnaire (CSSQ), while competency was assessed based on the AIPVIKI emergency nursing curriculum. Data were analyzed using Spearman’s rho. Results: Most respondents experienced mild academic stress (69.5%) and demonstrated moderate competency levels (67.8%). A significant negative correlation was found between academic stress and competency (r = -0.234; p < 0.001). Conclusion: Higher academic stress is associated with lower emergency nursing competency. Educational institutions should implement effective stress management strategies and foster supportive learning environments to optimize competency development.

TERAPI HEPIKA DAN RELAKSASI BENSON UNTUK KELELAHAN PADA PASIEN ANEMIA

2026-05-05T11:28:58+07:00

Background: Anemia is a hematological disorder that can cause fatigue and reduce activity tolerance as well as quality of life. The management of anemia is not limited to pharmacological therapy but also requires safe and easily applicable non-pharmacological interventions, such as the combination of HEPIKA therapy, which includes Range of Motion [ROM] exercises and Benson relaxation. This combination of interventions can help improve circulation, reduce stress, and alleviate fatigue. Objective: To determine the effect of the combination of HEPIKA therapy and Benson relaxation in reducing fatigue levels in anemia patients.To find out the factors related to exclusive breastfeeding at the Amuntai Selatan Community Health Center. Methods: This study employed a case study design with a one-subject pre–post intervention approach. The subject was a 20-year-old female with moderate anemia experiencing fatigue. The intervention, consisting of a combination of HEPIKA therapy and Benson relaxation, was administered for one week with five evaluation sessions. Fatigue levels were measured using the Fatigue Severity Scale [FSS] before and after the intervention. Results: The FSS score before the intervention was 6.1, indicating severe fatigue, and decreased to 2.0 after the intervention, indicating mild to no fatigue. Additionally, there was an improvement in activity tolerance, peripheral perfusion, stabilization of breathing patterns, and the patient’s ability to perform light activities without easily feeling fatigued. Conclusion: The combination of HEPIKA therapy and Benson relaxation is effective in reducing fatigue levels in patients with anemia within a relatively short period. This intervention has the potential to be an alternative non-pharmacological therapy to improve activity tolerance and quality of life in patients.

PENATALAKSANAAN FISIOTERAPI KASUS BELL’S PALSY SINISTRA DENGAN MODALITAS LOW LEVEL LASER TERAPY, MASSAGE DAN PROPRIOCEPTIVE NEUROMUSCULAR FACILITATION FACIAL

2026-05-05T12:23:07+07:00

Background: Bell's Palsy is an acute paralysis that occurs in the facial nerve with an unknown cause. This condition is relatively common and can affect facial muscle function, leading to functional limitations in daily activities. Objective: This study aims to describe the application and potential effectiveness of physiotherapy interventions, including low-level laser therapy, massage, and Proprioceptive Neuromuscular Facilitation (PNF), in managing Bell’s Palsy sinistra. Method: This study uses a case study approach focusing on a patient with Bell’s Palsy sinistra. Physiotherapy interventions applied include low-level laser therapy, massage, and facial PNF techniques administered progressively. Result: Low-level laser therapy helps accelerate the wound healing process, improve tissue repair and remodeling, restore normal nerve function after nerve injury, reduce pain, stimulate endorphin release, and modulate the immune system. Massage and facial PNF techniques contribute to improving muscle strength and endurance, facilitating stability, mobility, neuromuscular control, and coordinated movements, thereby supporting the recovery of muscle function. Conclusion: The combination of low-level laser therapy, massage, and facial PNF shows potential benefits in improving facial muscle function in patients with Bell’s Palsy. This case is relevant due to the high incidence of the condition and the unclear etiology, highlighting the importance of effective physiotherapy management.

KEPATUHAN TERAPI KELASI BESI DAN KUALITAS HIDUP ANAK DENGAN THALASSEMIA MAYOR

2026-05-05T12:27:17+07:00

Background: Thalassemia is a genetic blood disorder characterized by a deficiency of globin chains in hemoglobin. One of the main problems in patients with thalassemia is non-adherence to iron chelation therapy. As a lifelong chronic disease, thalassemia requires continuous treatment, including iron chelation therapy, which functions to remove excess iron accumulation in the body due to routine blood transfusions through feces and urine. Adherence to this therapy plays an important role in improving the quality of life of patients. Objective: To determine the relationship between adherence to iron chelation therapy and quality of life in children with thalassemia at RSUD dr. Slamet Garut. Methods: This study used a descriptive analytic design with a quantitative approach and a correlation study design. The sample consisted of 96 respondents selected using a purposive sampling technique. Data were collected to assess adherence to iron chelation therapy and the quality of life of respondents. Data analysis was performed using univariate and bivariate analysis to determine the relationship between variables. Results: The results showed that almost all respondents (95.8%) were not adherent to iron chelation therapy, and the majority of respondents (92.7%) had a poor quality of life. Statistical analysis showed a significant relationship between adherence to iron chelation therapy and quality of life in children with thalassemia, with a p-value of 0.01 (p < 0.05). Conclusion: There is a relationship between adherence to iron chelation therapy and the quality of life in children with thalassemia. Good adherence to therapy can help improve quality of life, optimize growth and development, and prolong the survival of children with thalassemia.

FISIOTERAPI DAN TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION, SHORTWAVE DIATHERMY DAN TERAPI LATIHAN PADA OSTEOARTHRITIS GENU SINISTRA

2026-05-05T12:34:50+07:00

Background: Knee osteoarthritis is a progressive degenerative joint disorder commonly affecting adults and the elderly, characterized by pain, stiffness, reduced joint range of motion, muscle weakness, and functional limitations. Physiotherapy modalities such as Transcutaneous Electrical Nerve Stimulation (TENS), Short Wave Diathermy (SWD), and therapeutic exercise are applied to reduce symptoms and improve functional movement in patients with osteoarthritis. Objective: To describe the physiotherapy management using TENS, SWD, and therapeutic exercise in a patient with left knee osteoarthritis. Methods: A case study was conducted on a 61-year-old female patient diagnosed with grade 3 left knee osteoarthritis. Evaluation tools included the Visual Analog Scale (VAS) for pain assessment, a goniometer for joint range of motion, Manual Muscle Testing (MMT) for muscle strength, and the WOMAC scale for functional ability. The intervention was provided over four therapy sessions. Results: After four physiotherapy sessions, there was a reduction in tenderness and movement pain, an increase in left knee joint range of motion, improved extensor muscle strength, and enhanced functional ability based on WOMAC scores. Conclusion: The combination of TENS, SWD, and therapeutic exercise is effective in reducing pain, improving joint mobility, muscle strength, and functional activity in patients with left knee osteoarthritis

PERAN AYAH DALAM PENANGANAN STUNTING

2026-05-05T12:37:07+07:00

Background: Stunting is a chronic nutritional problem that remains a major public health challenge in Indonesia. This condition results from prolonged nutritional deficiencies, particularly during the first 1,000 days of life, and affects children’s physical growth, cognitive development, and future productivity. One of the key factors in preventing stunting is the father’s role in childcare and fulfilling the child’s nutritional needs. Objective: To determine the relationship between the father’s role and the incidence of stunting in the working area of Sungai Ambawang Public Health Center, Kubu Raya District. Methods: This study used a quantitative approach with a cross-sectional design. A total of 90 respondents were selected using the simple random sampling technique. Data were collected through a structured questionnaire and analyzed using the Chi-Square test. Results: A total of 38.9% of children were stunted, and there was a significant relationship between the father’s role and the incidence of stunting (p = 0.000). Conclusion: The better the father’s role in childcare, nutrition fulfillment, and health-related decision-making, the lower the risk of stunting in children.

HIDROTERAPI RENDAM HANGAT SEBAGAI UPAYA PENURUNAN TEKANAN DARAH PADA PASIEN HIPERTENSI

2026-05-05T12:41:49+07:00

Background: Hypertension is a chronic disease that can cause various serious complications and requires appropriate treatment. In addition to pharmacological therapy, non-pharmacological interventions such as warm immersion hydrotherapy can be used to help lower blood pressure. Objective: This study aimed to determine the effectiveness of warm immersion hydrotherapy on lowering blood pressure in hypertensive patients. Method: The method used was a quasi-experimental study with a pretest–posttest design without a control group. The intervention was carried out by soaking the feet or lower body in warm water for 15–20 minutes. Blood pressure was measured before and after the intervention. Result: The results showed a decrease in systolic and diastolic blood pressure after warm immersion hydrotherapy. Conclusion: It can be concluded that warm immersion hydrotherapy is effective as a complementary therapy in helping to lower blood pressure in hypertensive patients.

PEMBERIAN REBUSAN SARI KUNYIT (CURCUMA LONGA LINN) PADA REMAJA PUTRI DENGAN FLOUR ALBUS PATOLOGIS PASCA MENSTRUASI

2026-05-05T13:19:31+07:00

Background: Vaginal discharge in women in Indonesia reaches 75%, where some women in Indonesia have experienced vaginal discharge, either once or more than once. Every year, cases of vaginal discharge in Indonesia continue to increase. In women aged 15–24 years, 31.8% experience vaginal discharge. Adolescent girls have a higher risk of experiencing vaginal discharge, cases of vaginal discharge that occur in women as much as 50%. To overcome vaginal discharge, there is a non-pharmacological method, namely giving turmeric drinks while maintaining personal hygiene genitalia is effective in reducing vaginal discharge. Objective: This study aims to determine the effect of giving boiled turmeric juice (Curcuma Longa Linn) to adolescent girls in overcoming pathological post-menstrual flour albus. Methods: This type of research is quantitative using a quasi-experimental method with a One Group Pre test–Post test Design research design. The population in this study were 228 adolescent girls at SMK Negeri 5 Pontianak. The number of samples was 34 adolescent girls with a purposive sampling technique. The instruments used were an observation sheet and SOP (Standard Operating Procedure) for making boiled turmeric juice. Data collection was conducted during the intervention for 7 consecutive days (pretest and posttest). Results: The results of the univariate analysis showed that before the intervention, 34 (100%) respondents had pathological flour albus. After the intervention, 23 (67.64%) respondents experienced physiological flour albus. Bivariate analysis using the Wilcoxon Signed Rank Test obtained a Z-score of -5.124 with a significance level (Asymp. Sig. 2-tailed) of 0.000. This indicates a statistically significant difference before and after the intervention. Conclusion: The effect of giving boiled turmeric juice (Curcuma Longa Linn) to adolescent girls in overcoming pathological post-menstrual flour albus.

ACTIVITIES OF DAILY LIVING PADA PASIEN STROKE ISKEMIK

2026-05-05T13:26:27+07:00

Background: Ischemic stroke is a global health problem that causes significant mortality and disability worldwide, with a prevalence of approximately 6.2 million deaths annually. Ischemic stroke is the most common type of stroke in Indonesia, accounting for 87%. Objective: This study was conducted to determine the relationship between body mass index (BMI) and the level of dependency in ischemic stroke patients. Method: This is a descriptive analytical study with a cross-sectional approach. The cross-sectional sample used in this study consisted of 20 respondents, including ischemic stroke patients at Tanjungpura University Hospital, Pontianak. The sampling technique used was purposive sampling. Results: The Spearman Rank test showed significant results (2-tailed) with a p-value of 0.576, indicating no relationship between body mass index and Activities of Daily Living in ischemic stroke patients. Conclusion: There is no relationship between body mass index and Activities of Daily Living in ischemic stroke patients.

IMPLEMENTASI EDUKASI PERAWATAN MULUT PADA PASIEN KEMOTERAPI

2026-05-05T13:35:21+07:00

Background: Chemotherapy is a common therapeutic modality for cancer patients that may lead to various side effects, including oral mucositis, which can cause pain, impaired eating ability, and decreased quality of life. Preventive strategies, such as oral care education, are essential to minimize these complications. Objective: To evaluate the implementation of oral care education in preventing oral mucositis among chemotherapy patients. Methods: This study employed a qualitative approach with a case study design involving two chemotherapy patients selected through purposive sampling. Data were collected through observation, interviews, and documentation over a seven-day period. Oral mucosal conditions were assessed using the WHO Oral Mucositis Scale. Data analysis was conducted using Colaizzi’s method. Results: After the implementation of oral care education, both patients maintained moist oral mucosa without lesions, pain, or signs of infection. Additionally, patients demonstrated improved understanding and independent behaviors in maintaining oral hygiene. Conclusion: Oral care education is beneficial in preventing oral mucositis and improving patient comfort during chemotherapy. It should be incorporated as a routine nursing intervention for chemotherapy patients.

SENAM HIPERTENSI DAN LATIHAN NAPAS DALAM PADA TEKANAN DARAH LANSIA

2026-05-05T13:49:55+07:00

Background: Hypertension is a medical condition often referred to as a silent killer because it often has no symptoms but can lead to serious complications. One independent nursing intervention that can be implemented to help control blood pressure is hypertension exercises and deep breathing. These interventions are relatively simple and easy to perform, as well as non-pharmacological and natural, so they can be implemented independently by individuals. Objective: To determine the effect of hypertension exercises and deep breathing on systolic and diastolic blood pressure in elderly people with hypertension. Methods: This study was an experimental study with a quasi-experimental design and nonequivalent control group design. The sampling technique used purposive sampling with 18 respondents in one group. Data analysis used univariate and bivariate analysis using paired t-tests for normally distributed data and wilcoxon tests for non-normally distributed data. Results: After hypertension exercise therapy and deep breathing, systolic and diastolic blood pressure were examined. The wilcoxon test results showed systolic blood pressure before and after hypertension exercise and deep breathing (p-value 0.000), diastolic blood pressure before and after hypertension exercise and deep breathing (p-value 0.002). These results indicate that Ho is rejected and Ha is accepted or there is an effect of hypertension exercise and deep breathing on systolic and diastolic blood pressure in elderly with hypertension at the Sibela Mojosongo Community Health Center. Conclusion: There is an effect of hypertension and deep breathing exercises on systolic and diastolic blood pressure in the elderly with hypertension.

TINGKAT KECEMASAN DAN POST POWER SYNDROME PADA LANSIA PENSIUNAN APARATUR SIPIL NEGARA (ASN)

2026-05-05T13:59:48+07:00

Background: Many people believe that retirement marks the beginning of a decline in their quality of life. Many individuals experience anxiety because they cannot imagine their post-retirement life. This can lead to depression and psychological shock as well as very severe anxiety for those who cannot accept their condition or suffer from post power syndrome. Objektive: This study aims to determine whether there is a relationship between anxiety levels and Post Power Syndrome in the Elderly. Method: This study is a quantitative study using a descriptive analytical method with a cross-sectional approach. The sampling technique used a total sampling of 53 respondents. The instruments used were the Hamilton Anxiety Rating Scale (HARS) questionnaire to assess anxiety levels and the post power syndrome questionnaire to assess post power syndrome levels. The analysis used in this study was a bivariate analysis using the Chi Square test. Results: The study found that the anxiety levels of 53 respondents ranged from severe to very severe anxiety as many as 18 (34.0%) and moderate levels of post power syndrome as many as 33 (62.3%). The results of the bivariate analysis P-value = 0.000 (α <0.05). Conclusion: so it can be concluded that Ha is accepted, which means there is a relationship between anxiety levels and post-power syndrome in elderly retired civil servants (ASN) in Lemah Mekar Village, Indramayu.

KOMBINASI SENAM KAKI DAN RENDAM AIR HANGAT JAHE PADA KADAR GLUKOSA DARAH PASIEN DIABETES MELLITUS

2026-05-05T14:11:32+07:00

Background: Diabetes Mellitus is a chronic metabolic disease characterized by elevated blood glucose levels and a risk of various complications, thus requiring proper management. In addition to pharmacological therapy, non-pharmacological interventions such as foot exercises and warm water soaking with ginger can be used to help control blood glucose levels and improve peripheral circulation. Objective: To determine the effect of the combination of foot exercises and warm water soaking with ginger on changes in blood glucose levels in patients with Diabetes Mellitus. Methods: This study used a case study design with a one-subject pre–post intervention approach. The subject was a patient with Diabetes Mellitus. The intervention consisted of foot exercises and warm water soaking with ginger, administered routinely for seven days. Blood glucose levels were evaluated on day 1, day 3, and day 7. Results: Blood glucose levels remained high on day 1 and day 3 but decreased on day 7, although they had not yet reached normal levels. In addition, the patient reported increased comfort, reduced tension in the lower extremities, and improved peripheral circulation. Conclusion: The combination of foot exercises and warm water soaking with ginger has the potential to be a complementary therapy in helping to reduce blood glucose levels in patients with Diabetes Mellitus, but it still needs to be combined with medical therapy and a healthy lifestyle.

FAKTOR-FAKTOR DETERMINAN TINGKAT DISABILITAS PADA PASIEN DEWASA DAN LOW BACK PAIN

2026-05-05T15:04:13+07:00

Background: Low Back Pain (LBP) is one of the musculoskeletal disorders that is a major cause of disability globally. The level of disability due to LBP is influenced by various individual and behavioral factors. Objective: This study aimed to analyze the factors associated with the level of disability in patients with Low Back Pain at the Orthopedic Clinic of Royal Prima Hospital in Medan in 2025. Methods: This study used a quantitative analytical design with a cross-sectional approach. The study sample consisted of 120 respondents selected using purposive sampling. Data were collected through interviews using questionnaires, Body Mass Index (BMI) measurements, and disability level assessments using the Oswestry Disability Index (ODI). Data analysis was performed using bivariate analysis with the Chi-square test and multivariate analysis using binary logistic regression. Results: The results showed that most respondents experienced moderate to severe disability (78.3%). Bivariate analysis showed a significant relationship between age (p=0.018), BMI (p=0.032), duration of sitting per day (p=0.006), and level of physical activity (p=0.004) with the level of disability. Patients aged ≥45 years, with overweight or obese BMI, sitting duration of more than 6 hours per day, and low physical activity tended to experience more severe disability. Meanwhile, gender did not show a significant relationship with disability level (p=0.210). Multivariate analysis results showed that low physical activity was the most dominant factor associated with disability levels (OR=4.58; 95% CI: 1.79–11.69). Conclusion: This study indicates that physical activity plays an important role in determining disability levels in patients with low back pain.

PERAN KOMUNIKASI INTERPERSONAL PASANGAN SUAMI ISTRI DALAM KEHARMONISAN KELUARGA

2026-05-05T17:17:04+07:00

Background: A harmonious family is an important indicator of well-being in family life. The roles of husbands and wives are essential in achieving family harmony; however, many couples still encounter challenges due to ineffective interpersonal communication. Previous studies have shown that effective interpersonal communication can strengthen relationships and improve family harmony. Objective: To examine the relationship between spousal interpersonal communication and family harmony in Sungai Raya District. Methods: This study employed a quantitative correlational design involving 100 married couples selected from Sungai Raya District. Data were collected using the Interpersonal Communication Scale and the Family Harmony Scale. Statistical analysis was performed using Pearson’s Product Moment correlation test with SPSS software. Results: The results showed a strong positive correlation between interpersonal communication and family harmony (r = 0.859; p = 0.000 < 0.05). This indicates that better interpersonal communication is associated with higher levels of family harmony. Conclusion: Interpersonal communication plays a significant role in fostering family harmony among married couples. Strengthening communication skills between spouses may contribute to improved family well-being.

TINGKAT PENDIDIKAN DAN PEKERJAAN ORANG TUA DENGAN PERILAKU HIDUP BERSIH DAN SEHAT PADA ANAK USIA SEKOLAH

2026-05-05T17:20:15+07:00

Background: Clean and Healthy Living Behavior (CHLB) is a behavior based on personal awareness to maintain and improve health, enabling individuals and families to protect themselves and actively participate in social life. Family-related factors, such as parents’ education level and occupation, are assumed to influence the development of health behaviors in school-aged children. Objective: This study aimed to analyze the relationship between parents’ education level and occupation and clean and healthy living behavior among school-aged children. Methods: This study employed a quantitative method with an analytic observational cross-sectional design. A total of 144 respondents were selected using stratified random sampling. Data were collected using questionnaires measuring parents’ education level, occupation, and children’s clean and healthy living behavior. Univariate analysis was used to describe respondent characteristics, while bivariate analysis using the chi-square test examined the relationships between variables. Results: The results showed that most parents had a basic level of education (43.1%) and worked in the formal sector (62.5%). Meanwhile, 56.9% of children demonstrated good clean and healthy living behavior. The chi-square test indicated no significant relationship between parents’ education level and children’s clean and healthy living behavior (p=0.870), as well as no relationship between parents’ occupation and children’s clean and healthy living behavior (p=0.543). Conclusion: Parents’ education level and occupation are not significantly associated with clean and healthy living behavior among school-aged children.

IMPLEMENTASI DEEP LEARNING DALAM SISTEM DETEKSI MANDIRI BERBASIS MOBILE UNTUK LUKA DIABETIK GUNA MENDUKUNG KESEHATAN MASYARAKAT

2026-05-05T17:44:26+07:00

Diabetic foot ulcers affect 15-25% of diabetic patients globally, causing significant morbidity, healthcare costs, and amputation risks. Early detection is crucial for preventing severe complications, yet limited access to specialized healthcare services, especially in remote areas, creates substantial barriers to timely wound management. This study developed a mobile-based self-detection system using deep learning technology to enable early diabetic wound identification and improve healthcare accessibility for patients in resource-limited settings. A Convolutional Neural Network with MobileNetV2 architecture was trained on over 5,000 diabetic wound images categorized into five classes: healthy skin and Wagner grades 1-4 ulcers. The cross-platform mobile application features AI-based wound detection, diagnosis history tracking, educational content, and integrated telemedicine consultation. Clinical validation compared AI predictions with three certified wound care specialists across 500 cases, while usability testing involved 100 diabetic patients.The model achieved 92.4% accuracy with 94.2% sensitivity and 91.7% specificity. For high-grade ulcers, performance improved to 96.8% sensitivity with 1.8-second processing time per image. Clinical validation showed substantial agreement with specialists (Cohen's kappa = 0.89). The application scored 82.5/100 on System Usability Scale with 88.5% user satisfaction and 91.2% willing to recommend it. This mobile-based deep learning system demonstrates high accuracy and clinical reliability for diabetic wound self-detection, successfully bridging healthcare gaps for underserved populations and showing significant potential for early intervention and healthcare cost reduction.

TERAPI DZIKIR SEBAGAI INTERVENSI KEPERAWATAN UNTUK MENURUNKAN ANSIETAS PADA LIMFOMA NON-HODGKIN

2026-05-05T18:41:34+07:00

Background: Non-Hodgkin's Lymphoma is a type of cancer that can lead to psychological problems, particularly anxiety. Unmanaged anxiety may negatively affect physical condition and treatment outcomes. One non-pharmacological intervention that can be applied is dhikr therapy as a spiritual approach in nursing care. Objective: This study aimed to describe the application of dhikr therapy in reducing anxiety levels in patients with Non-Hodgkin's Lymphoma. Methods: This study employed a case study design using a nursing care approach, including assessment, nursing diagnosis, planning, implementation, and evaluation. The subject was a 63-year-old female patient treated in the Wijaya Kusuma Ward of Prof. Dr. Margono Soekarjo Regional Hospital with anxiety as the primary nursing problem. Dhikr therapy was administered for approximately 10 minutes as part of the nursing intervention. Results: The evaluation results showed positive changes in the patient’s psychological condition after the implementation of dhikr therapy. The patient reported better understanding of her illness and reduced feelings of anxiety and confusion. Objectively, the patient appeared calmer, more cooperative, and exhibited decreased restlessness compared to before the intervention. The patient’s response to treatment also improved. Conclusion: Dhikr therapy is effective as a non-pharmacological nursing intervention in reducing anxiety in patients with Non-Hodgkin's Lymphoma.

IDENTIFIKASI FAKTOR PREDIKTOR SINDROM METABOLIK PADA PASIEN RAWAT JALAN

2026-05-05T20:12:34+07:00

Metabolic syndrome is a collection of metabolic risk factors that increase the likelihood of cardiovascular disease, type 2 diabetes mellitus, and various other chronic complications. This study aims to analyze factors associated with the incidence of metabolic syndrome in outpatients at the Internal Medicine Clinic of Royal Prima Hospital in Medan in 2025. This study used an analytical observational design with a quantitative approach and a cross-sectional design. The study sample consisted of 96 patients selected using purposive sampling. Data collection was conducted through medical records and questionnaires to obtain information on the demographic characteristics, anthropometry, physical activity, and dietary patterns of the respondents. Data analysis was performed univariately, bivariately using the Chi-square test, and multivariately using logistic regression to determine the most dominant factors. The results showed that 49 patients (51.0%) had metabolic syndrome. Bivariate analysis showed that age ≥45 years, body mass index (BMI) ≥25 kg/m², high waist circumference, light physical activity, and unhealthy eating patterns were significantly associated with the occurrence of metabolic syndrome, while gender did not show a significant association. Multivariate analysis showed that waist circumference was the most dominant factor with an odds ratio (OR) of 4.14. These results indicate that abdominal obesity is an important factor in the occurrence of metabolic syndrome. Therefore, prevention efforts should focus on controlling waist circumference through increased physical activity and the implementation of a healthy diet.

PERAN USIA DAN DUKUNGAN KELUARGA DALAM MENENTUKAN KUALITAS HIDUP PASIEN HEMODIALISIS

2026-05-06T23:47:32+07:00

Background: Chronic Kidney Disease (CKD) is a global health problem that significantly impacts patients’ quality of life, especially those undergoing hemodialysis therapy. Quality of life in CKD patients is influenced by various factors, including age and family support, which play important roles in adaptation to chronic illness and long-term treatment. Objective: This study aimed to analyze the relationship between patient age and family support with the quality of life of CKD patients undergoing hemodialysis. Methods: This study employed a quantitative design with a cross-sectional approach. A total of 103 respondents were selected using purposive sampling. Data were collected using family support and quality of life questionnaires and analyzed using the chi-square test. Results: The results showed a significant relationship between age and patient quality of life (p-value = 0.000; r = 0.613), as well as between family support and quality of life (p-value = 0.000; r = 0.569). Younger patients tended to have better quality of life than older patients, and strong family support played an important role in improving patients' quality of life. Conclusion: Age and family support are significantly associated with the quality of life of CKD patients undergoing hemodialysis. Therefore, family involvement in patient care should be enhanced, particularly for elderly patients, to optimize their quality of life.

PERAN MOTIVASI DAN DISIPLIN KERJA DALAM MENINGKATKAN KEPUASAN KERJA PERAWAT

2026-05-07T00:46:50+07:00

Background: Nurse job satisfaction is a critical indicator of healthcare service quality. Low job satisfaction can lead to decreased performance, increased absenteeism, and reduced quality of care. Work motivation and discipline are factors that may influence job satisfaction. Objective: This study aimed to analyze the relationship between work motivation and work discipline with nurse job satisfaction. Methods: This study employed a quantitative approach with a correlational design and cross-sectional method. The sample consisted of 80 nurses selected using total sampling. Data were collected through validated and reliable questionnaires. Data analysis was conducted using the Spearman Rank test due to non-normal data distribution. Results: The results showed a significant relationship between work motivation and job satisfaction (p=0.000; r=0.512), as well as between work discipline and job satisfaction (p=0.000; r=0.869). However, no significant relationship was found between work motivation and work discipline (p=0.785). Conclusion: Work motivation and discipline are important factors associated with nurse job satisfaction. Therefore, hospital management should improve human resource management strategies to enhance job satisfaction and healthcare service quality.

E-SIABA SEBAGAI MEDIA EDUKASI DIGITAL DALAM PENINGKATAN PENGETAHUAN ORANG TUA TENTANG DEMAM ANAK

2026-05-07T01:24:41+07:00

Background: Fever is one of the most common health problems in children and often causes anxiety among parents. Inappropriate handling due to limited knowledge can worsen the child's condition. Objective: This study aimed to determine the effect of electronic education based on chayote and shallots (E-SiaBa) on parental knowledge in managing fever in children. Methods: The research used a pre-experimental design with a one-group pretest-posttest approach. A total of 75 parents with toddlers at Posyandu Mawar, Wringin Village, were involved as respondents. The intervention was delivered through an audio-visual educational video for one week. Data were collected using questionnaires and analyzed using the Wilcoxon test. Results: The results showed a significant increase in parental knowledge after the intervention (p = 0.000). Conclusion: In conclusion, E-SiaBa is effective in improving parental knowledge in managing childhood fever. This media can be an alternative educational tool that is practical, accessible, and based on local wisdom.