Jurnal Keperawatan dan Kesehatan

PENGARUH VIDEO ANIMASI TERHADAP PENGETAHUAN PERTOLONGAN PERTAMA CEDERA RINGAN PADA SISWA SEKOLAH DASAR

Emerentiana Selpiani — 2025-10-27

Most minor injuries in schools involve bruises, abrasions, lacerations and open wounds, often occurring during sports and recreational activities. Factors such as age, gender and lack of understanding of environmental hazards increase the risk of injury in school-aged children. In addition, lack of knowledge and skills in providing first aid can also exacerbate the severity of the injury. Education through animated videos has been shown to be effective in improving knowledge and positive attitudes towards injuries and first aid. This study aims to determine the effect of animated videos on the knowledge of first aid for minor injuries among elementary school students at SDN 38 Sungai Raya. This study uses quantitative research that uses quasi-experimental methods with One Group planning, pretest and posttest. The sampling method in this study is using the total sampling technique. The research subjects totaled 60 people consisting of 4th and 5th grade students of SDN 38 Sungai Raya. Data were collected by distributing pretest questionnaires, showing animated videos on first aid for minor injuries, and distributing posttest questionnaires. The results of the study obtained an average pretest value of 59.17 and an average posttest value of 80.17. Followed by the wiicoxon test the results of p value = 0.000 ≤ 0.05 which means that there is an effect of increasing the knowledge score of students who are given animated videos and it is hoped that video animation can increase students' knowledge in preventing minor injuries and applying first aid for minor injuries assisted by the school.

Keywords: First Aid, Knowledge, Minor Injury, Video animation

TWISTED OVARIAN CYSTS IN PREGNANCY: BALANCING CONSERVATIVE AND SURGICAL MANAGEMENT FOR OPTIMAL OUTCOMES

Costan Tryono Parulian Rumapea — 2025-10-28

Objective: Ovarian cysts are commonly detected in pregnancy due to routine prenatal ultrasonography. Most are benign and resolve spontaneously, but some may cause complications, risking both mother and fetus. Case Report: A 23-year-old primigravida at 30-31 weeks of gestation presented for routine antenatal care. She had a history of laparotomy and left salpingo-oophorectomy at 11 weeks 3 days pregnant due to ovarian torsion. A 9.16 × 6.32 cm left ovarian cyst with a depth of 5.13 cm was detected early in pregnancy and managed conservatively. However, due to worsening pain, surgical intervention was performed. At the current visit, she was asymptomatic, and ultrasound confirmed a viable singleton pregnancy with normal fetal parameters. Vaginal delivery was recommended. Conclusion: This case highlights the importance of timely diagnosis and appropriate management of ovarian cysts in pregnancy. A balance between conservative monitoring and surgical intervention is crucial to ensure optimal maternal and fetal outcomes.

ANALYSIS OF TRANSFORMATIONAL LEADERSHIP IN COMMUNITY NURSES FOR REDUCING ADOLESCENT CYBERBULLYING

Roland Lekatompessy — 2025-10-28

Background: The problem of cyberbullying in adolescents must be prevented and changed, because adolescents cyberbulying has a negative impact on their physical, mental, social well-being. Information from the World Health Organization (WHO), states that “the population including adolescent must have good physical, mental and social well-being, so, in realizing that, it can be done through community nurses to practice education and care, respect for human dignity, and the physical health of adolescents. Community nurses are expected to be leaders who are able to do transformational leadership to influences and inspires adolescents, develops strategies, negotiation skills, and cyberbullying victim management.

Purpose: This study aimed to determine the transformational leadership style of community nurses to reducing adolescent cyberbullying.

Method: The method used in this research is literature review, information searched through PubMeds, Google Schoolar, and Diponegoro Nursing Journal. Searched keywords are aldolescent cyberbullying, community nurse, transformational leadership.

Result: Transformational leadership of community nurses for adolescents cyberbullying provides benefits such as providing emotional support to adolescents so that adolescents are able to have change their life to be better, This result is carried out through supporting the development of positive youth skills and assisting adolescents in achieving the desired results, stimulating adolescent intellectuals, inspiring adolescents, instilling pride, mutual respect and having trust in adolescents and their families.

Conclusion: Transformational leadership in community nurses has benefits to providing support and motivation, caring, and give better life such as positif or adaptive behaviour to adolescents who experience cyberbullying.

THE ROLE OF PROFESSIONAL IDENTITY IN IMPROVING NURSING SERVICE QUALITY AND JOB SATISFACTION: A LITERATURE REVIEW

Dikki Saputra — 2025-10-28

Professional identity reflects how nurses perceive and evaluate themselves, shaped by the values, norms, and ethical principles of the nursing profession. This concept encompasses four key aspects: professional values, ethics, knowledge, and leadership. Professional identity contributes to the quality of nursing care and nurses' job satisfaction. This study aims to explore the role of professional identity in these two aspects. A descriptive literature review was conducted to examine the relationship between professional identity, quality of care, and job satisfaction. Following JBI guidelines, the review evaluates nurses’ knowledge, motivation, and practices related to discharge planning. Searches were conducted in PubMed, ScienceDirect, and ProQuest using the keywords "Professional Identity" AND "Nurses," "Quality of Care," AND "Job Satisfaction," focusing on articles from 2019-2024. Results reveal a significant link between professional identity and job satisfaction, with professional identity also influencing burnout potential. Self-directed learning serves as a mediator, while a supportive work environment and positive organizational climate enhance nurse engagement and job satisfaction. A strong professional identity leads to better care quality and job satisfaction, with nurses gaining a clearer understanding of their roles.

GAYA HIDUP DENGAN KEJADIAN HIPERTENSI PADA LANSIA

Kamsari Kamsari — 2025-10-28

Latar belakang Lansia rentan mengalami penyakit yang berhubungan dengan proses menua, salah satunya hipertensi. Salah satu faktor resiko hipertensi pada lansia adalah gaya hidup. Gaya hidup suatu pola hidup seseorang dengan memperhatikan faktor-faktor tertentu yang mempengaruhi kesehatan diantaranya makanan dan olahraga. Hipertensi di seluruh Indonesia sebesar 63.309.620 jiwa dan berdasarkan Dinas Kesehatan Indramayau bahwa jumlah penderita hipertensi pada lansia yang tertinggi yakni puskesmas lelea sebanyak 2.507 jiwa. Tujuan untuk mengetahui hubungan antara gaya hidup dengan kejadian hipertensi pada lansia di Wilayah Kerja Puskesmas Lelea Kabupaten Indramayu.

Metode Penelitian ini menggunakan analitik dengan pendekatan cross sectional. Populasi pada penelitian ini yaitu seluruh lansia yang menderita hipertensi yang berjumlah 209 responden, adapun teknik pengambilan sampel menggunakan stratified random sampling sebanyak 136 responden. Instrumen penelitian menggunakan kuesioner dan dianalisis menggunakan uji Pearson Chi-Square.

Hasil didapatkan bahwa sebanyak 73 responden (53,7%) memiliki gaya hidup sehat, dan sebanyak 77 responden (56,6%) mengalami hipertensi sedang. Hasil uji statistik didapatkan nilai p-value = 0,485 (p-value > 0,05). Kesimpulan penelitian ini tidak ada hubungan antara gaya hidup dengan kejadian hipertensi pada lansia di Wilayah Kerja Puskesmas Lelea Kabupaten Indramayu. Disarankan bagi petugas kesehatan untuk mengkaji lebih dalam penyebab terjadinya hipertensi pada lansia.

PENERAPAN TERAPI MUSIK LULLABY UNTUK MENAIKKAN BERAT BADAN BAYI DENGAN BBLR DI RUANG PERINATOLOGI: STUDI KASUS

Nur Luthfiati — 2025-10-28

Low Birth Weight (LBW) infants are at risk of experiencing growth and developmental disorders as well as health complications. One of the non-pharmacological approaches to improve the weight of LBW infants is lullaby music therapy, which consists of soft and rhythmic music believed to have a calming effect, stimulate the sucking reflex, and improve the quality of the infant’s sleep. This study aimed to explore the effectiveness of lullaby music therapy as a non-pharmacological intervention in increasing the weight of LBW infants. The intervention was carried out by playing lullaby music for 20–30 minutes, 2–3 times per day, for three consecutive days. The results showed that lullaby music therapy administered for three consecutive days led to changes in the infants’ weight. During the first two days, there was a decrease in weight; however, on the third day, an increase was observed. Lullaby music therapy also had positive effects on improving the sucking reflex and stabilizing the infants’ physiological parameters. These findings indicate that lullaby music contributes to enhancing feeding processes and nutritional intake, which ultimately support weight gain in LBW infants. The conclusion of this study is that lullaby music therapy is effective in supporting weight gain, improving the sucking reflex, and maintaining physiological stability in LBW infants. This therapy may be considered a non-pharmacological intervention in neonatal nursing; however, further research with larger sample sizes is needed to strengthen its scientific basis.

HUBUNGAN FAMILY SUPPORT DENGAN MOTIVASI DAN SELF EFFICACY PADA PASIEN MULTI DRUG RESISTANCE TUBERCULOSIS (MDR-TB) DI YAYASAN BINA ASRI PONTIANAK

Nuratika Nuratika — 2025-10-28

Pendahuluan: Multi Drug Resistance (MDR) merupakan jenis resistensi bakteri tuberculosis terhadap beberapa jenis OAT. MDR-TB disebabkan karena terputusnya masa pengobatan dan tidak memenuhi sandar DOTS (Directly Observed Treatment Shortcourse) sehingga dapat mengakibatkan kekambuhan yang mengakibatkan terjadinya resistensi sekunder. Masa mengkonsumsi OAT sedikitnya 6 bulan secara rutin. Pengobatan yang membutuhkan waktu yang cukup lama ini menjadi perhatian bagi segala aspek kehidupan bagi penderitanya. Penelitian ini bertujuan untuk menganalisis hubungan antara Family Support dengan Motivasi dan Self Efficacy pada pasien dengan Multidrug Resistance Tuberculosis (MDR-TB) di Yayasan Bina Asri Pontianak.

Metode: Jenis penelitian ini adalah kuantitatif dengan melakukan analisis dinamika korelasi antar variabel. Sampel yang digunakan sebanyak 33 responden dengan metode accidential sampling. uji statistik menggunkan uji Somers'd dengan derajat kemaknaan α ≤ 0,05.

Hasil: Family support memiliki hubungan yang signifikan terhadap motivasi dengan p value=0,018 < α =0,05 dan Family support memiliki hubungan dengan self efficacy dengan p value=0,030 < α =0,05.

Kesimpulan: Ada hubungan yang signifikan antara family support dengan motivasi dan self efficacy pada pasien dengan MDR-TB. Diharapkan keluarga dapat mengoptimalkan peran untuk memberikan dukungan kepada pasien dalam upaya untuk meningkatkan kesembuhan bagi pasien.

KONTRIBUSI HIPERTENSI, DIABETES MELLITUS, DAN HIPERCHOLESTEROLEMIA TERHADAP KEJADIAN STROKE ISKEMIK PADA ORANG DEWASA

Heltty Heltty — 2025-10-28

Stroke is a cerebrovascular disease caused by blockage or rupture of blood vessels in certain parts of the brain. Various factors can cause ischemic stroke. This study aims to determine the contribution of hypertension, diabetes mellitus, and hypercholesterolemia to the incidence of stroke. This type of study uses a Case-Control design. The respondents of this study were 152 respondents, sampling using a purposive sampling technique. Respondents of patients with conditions suspected of having a stroke based on the symptoms that appear who treated at the Kendari City Hospital. Data collection used measuring instruments (tension meter and easy touch). Data analysis was carried out using univariate and bivariate analysis tests. The results showed that hypertension, diabetes mellitus, and hypercholesterolemia were risk factors for stroke with an estimated value of hypertension = 3.986, diabetes mellitus = 0.289, and hypercholesterolemia = 1.699. Recommendation: Hypertension, diabetes mellitus, and hypercholesterolemia are risk factors for stroke, so it is very important for nurses to provide education to the community so that they can control blood pressure, blood glucose levels, and cholesterol to prevent stroke.

STRES AKADEMIK DAN KEJADIAN GASTRITIS PADA REMAJA

Joanne Evansha Ignatia — 2025-10-28

Academic is an activity related to teaching and learning activities at an educational institution, such as a high school. Teenagers who become students at high school institutions can certainly experience academic stress caused by the workload, long study time, and high demands for achievement. Academic stress can be one of the factors that cause gastritis so that it causes signs and symptoms, such as decreased appetite, heartburn, bloating and sour taste in the mouth. The purpose of this study is to determine the relationship between the level of academic stress and the incidence of gastritis in adolescents at Santu Petrus Catholic High School Pontianak. Quantitative research design using a cross-sectional descriptive approach. The sampling technique is simple random sampling and the sample of this study is 245 students of Santu Petrus Pontianak Catholic High School for the 2023-2024 school year. The research instruments used were the Educational Stress Scale for Adolescent questionnaire and the Gastritis questionnaire. Bivariate data analysis used the Chi Square test to determine the relationship between academic stress levels and the incidence of gastritis at Santu Petrus Catholic High School Pontianak. The results of this study showed that the incidence of gastritis was 86 respondents (35.1%) and the majority of the levels of academic stress were moderate with 209 respondents (85.3%). From the chi square test , p-value = 0.016 (<0.05), then Ha is accepted, which can be interpreted that there is a relationship between the level of academic stress and the incidence of gastritis in adolescents at Santu Petrus Catholic High School Pontianak. In this study, there is a relationship between the level of academic stress and the incidence of gastritis in adolescents at Santu Petrus Catholic High School Pontianak.

Keywords: Academic Stress, Adolescents, Gastritis, Senior High School

REBUSAN DAUN SALAM (SYZYGIUM POLYANTHUM) DAN KOMBINASI AYAT RUKYAH BERPENGARUH TERHADAP TEKANAN DARAH PADA PENDERITA PRE HIPERTENSI DAN HIPERTENSI DERAJAT I

Burhanudin Hartono — 2025-10-29

Latar belakang : Hipertensi merupakan salah satu masalah kesehatan yang dihadapi masyarakat di seluruh dunia. Hipertensi juga merupakan penyebab kematian di seluruh dunia akibat komplikasi yang ditimbulkannya, hipertensi jika tidak dilakukan penatalaksanaan dengan baik akan mengakibatkan komplikasi yang serius, seperti infark miokard, jantung koroner, dan gagal jantung kongestif. Penatalaksanaan non farmakologi dalam mengatasi hipertensi dapat dilakukan dengan rebusan daun salam (Syzygium Polyanthum) dan mengkobinasikan ayat rukyah dalam menurunkan tekanan darah pada penderita hipertensi. Tujuan: Penelitian ini bertujuan untuk mengkombinasikan ayat rukyah dengan rebusan daun salam dalam menurunkan tekanan darah pada penderita hipertensi Metode : Rancangan pada penelitian ini adalah pre eksperimental design dengan pretest dan posttest one group design. Populasi pada penelitian ini adalah guru penderita pre hipertensi dan hipertensi di Pondok Pesantren Al-Mahalli Wonokromo, Pleret, Bantul, Yogyakarta yang berjumlah 15 responden. Teknik mengambilan sampel menggunakan total sampling yang berjumlah 15 responden. Kegiatan intervensi pemberian rebusan daun salam dan kombinasi ayat rukyah yang diberikan selama 6 hari berturut. Hasil analisis menggunakan wilcoxone. Hasil : penelitian ini penurunan score tekanan darah sistolik rata-rata sebesar 10,9 mmHg dengan nilai p value 0,001, penurunan score, penurunan score tekanan darah distoik sebesar 4,23 mmHg dengan nilai p value 0,012. Kesimpulan : terdapat pengaruh tekanan darah penurunan tekanan darah sistolik dan diastolic setelah diberikan rebusan daun salam dengan kombinasi ayat rukyah terhadap tekanan darah pada penderita pre hipertensi dan hipertensi derajat I di Pondok Pesantren Al-Mahalli Wonokromo, Pleret, Bantul, Yogyakarta.

PENATALAKSANAAN FISIOTERAPI PADA CALCANEUS SPURS SANISTRA DENGAN MODALITAS ULTRASOUND DAN TERAPI LATIHAN

Meidiana Nurul Milla — 2025-10-31

Calcaneus spur is an abnormal bone growth on the inferior calcaneus that may cause pain and functional limitations. This study aimed to determine the effectiveness of ultrasound and exercise therapy in a patient with calcaneus spur sinistra through a case study with four treatment sessions. Interventions included ultrasound and exercises such as towel stretch, myofascial release, and calf raises. The results showed decreased tenderness, movement-related pain, and gastrocnemius spasm, along with increased muscle strength, joint range of motion, and functional activity based on the FADI score. In conclusion, ultrasound and exercise therapy are effective in reducing symptoms and improving functional movement in calcaneus spur cases.

Keyword: Static Contraction, Active Exercise, Passive Exercise, Resisted Exercise, Hold Relax.

EFEKTIVITAS AKUPRESUR TITIK P6 (NEIGUAN) TERHADAP PENURUNAN MUAL MUNTAH PADA PASIEN CHRONIC KIDNEY DISEASE

Almayda Erris Aliefyansyah — 2025-10-30

ABSTRACT

Chronic Kidney Disease (CKD) is a chronic condition characterized by a gradual and irreversible decline in kidney function. One of the common complications experienced by CKD patients is anemia, which contributes to the occurrence of nausea and vomiting due to decreased erythropoietin production and the accumulation of uremic toxins. A non-pharmacological method that can be used to reduce nausea and vomiting is acupressure therapy at the P6 (Neiguan) point. This technique aims to alleviate nausea and vomiting by stimulating the central nervous system and suppressing the vomiting reflex. This study aimed to evaluate the effectiveness of acupressure therapy at the P6 (Neiguan) point in reducing the level of nausea and vomiting in CKD patients with anemia. The research employed a descriptive case study method based on an evidence-based practice approach. The sample in this study consisted of one patient with CKD and anemia whose main complaint was nausea and vomiting. The case study was conducted at Kardinah General Hospital, Tegal, from July 28 to July 30, 2025. The subject was Mr. S, a CKD patient with anemia. Data were collected through anamnesis, observation, physical examination, and documentation. The intensity of nausea and vomiting was measured using the Visual Analogue Scale (VAS). The results showed a decrease in the VAS score after the intervention. On the first day before the acupressure therapy, the nausea and vomiting score was 7 (severe), which decreased to 4 (moderate) by the third day. These findings indicate that acupressure at the P6 (Neiguan) point is effective in reducing nausea and vomiting in CKD patients with anemia.

Keywords: Chronic Kidney Disease; nausea and vomiting; anemia; acupressure; P6 (Neiguan) point

ABSTRAK

Chronic Kidney Disease (CKD) merupakan kondisi kronis yang ditandai dengan penurunan fungsi ginjal secara bertahap dan tidak reversibel. Salah satu komplikasi yang sering ditemukan pada pasien CKD adalah anemia, yang berperan dalam munculnya gejala mual dan muntah akibat penurunan produksi eritropoietin dan akumulasi uremia. Metode non-farmakologis yang dapat digunakan untuk mengurangi mual muntah adalah terapi akupresur pada titik P6 (Neiguan). Teknik ini bertujuan untuk mengurangi mual muntah dengan menstimulasi sistem saraf pusat dan menghambat refleks mual. Penelitian ini bertujuan untuk mengevaluasi efektivitas teknik terapi akupresure pada titik P6 (Neiguan) dalam menurunkan kadar mual muntah pada pasien CKD dengan anemia. Penelitian dilakukan dengan metode studi kasus deskriptif yang mengacu pada pendekatan evidence-based practice. Sampel dalam penelitian ini adalah satu orang pasien CKD dengan anemia yang memiliki keluhan utama mual muntah. Studi kasus dilaksanakan di RSUD Kardinah Kota Tegal pada tanggal 28-30 Juli 2025. Subjek penelitian adalah Tn.S, pasien CKD dengan anemia. Pengumpulan data dilakukan melalui anamnesis, observasi, pemeriksaan fisik, dan dokumentasi. Pengukuran skala mual muntah menggunakan Visual Analogue Scale. Hasil menunjukkan adanya penurunan skala nyeri setelah dilakukan intervensi. Sebelum terapi akupresur pada titik P6 (Neiguan), skala mual muntah pada hari pertama berada di skala 7 (berat) dan pada hari ke tiga skala mual muntah berada di skala 4 (sedang). Hal ini menunjukan bahwa teknik akupresur pada titik T6 (Neiguan) efektif dalam mengurangi mual muntah pada pasien CKD dengan anemia.

Kata kunci : Chronic Kidney Disease; mual muntah; anemia; akupresur; titik P6 (Neiguan)

EFEKTIVITAS AIR REBUSAN JAHE DAN AIR REBUSAN KAYU MANIS TERHADAP PENURUNAN KADAR GULA DARAH PADA ANGGOTA KELUARGA DENGAN DIABETES MELITUS TIPE II

Dihan Purnama Alam — 2025-10-30

Diabetes Melitus (DM) Tipe II merupakan masalah kesehatan global dengan prevalensi yang terus meningkat, termasuk di Indonesia. Pengobatan komplementer menggunakan tanaman herbal seperti jahe (Zingiber officinale) dan kayu manis (Cinnamomum burmanni) berpotensi sebagai terapi pendukung untuk mengontrol kadar gula darah. Tujuan: Studi kasus ini bertujuan untuk memberikan gambaran mengenai efektivitas pemberian air rebusan jahe dan air rebusan kayu manis terhadap penurunan kadar gula darah pada dua anggota keluarga dengan DM Tipe II di wilayah kerja Puskesmas Koja. Metode: Penelitian ini menggunakan metode studi kasus kualitatif . Subjek studi terdiri dari dua keluarga dengan anggota yang menderita DM Tipe II, dipilih berdasarkan kriteria inklusi dan eksklusi. Keluarga pertama (Tn. M, 65 tahun) menerima intervensi air rebusan jahe, dan keluarga kedua (Ny. R, 71 tahun) menerima air rebusan kayu manis. Intervensi diberikan setiap hari selama 4-5 hari, disertai edukasi. Pengumpulan data dilakukan melalui wawancara, observasi, dan pengukuran kadar gula darah sewaktu (GDS) sebelum dan sesudah intervensi. Hasil: Pada Tn. M, pemberian air rebusan jahe secara konsisten menunjukkan penurunan GDS setiap hari, dengan rata-rata penurunan 35.5 mg/dL selama empat hari. Pada Ny. R, pemberian air rebusan kayu manis juga menunjukkan tren penurunan GDS, dengan rata-rata penurunan 13.75 mg/dL Kesimpulan: Air rebusan jahe dan kayu manis berpotensi membantu menurunkan kadar gula darah pada penderita DM Tipe II. Intervensi ini, jika dikombinasikan dengan edukasi yang terstruktur, dapat menjadi terapi komplementer yang bermanfaat.

PERSEPSI MAHASISWA NERS TERHADAP PELAKSANAAN PRECEPTORSHIP

Farahiyah Fathaniah — 2025-10-30

Preceptorship is a clinical learning method that plays a crucial role in guiding nursing students. The role of the preceptor is essential in helping students develop nursing skills, attitudes, and knowledge. Students' perceptions of preceptorship implementation can serve as an indicator of the success of clinical guidance. This study aims to describe the perceptions of professional nursing students regarding the implementation of preceptorship at the Faculty of Nursing, University of Riau. This research employed a descriptive quantitative design with a total sampling technique. A total of 171 students participated as respondents. Data were collected using the Nursing Clinical Teacher Effectiveness Inventory (NCTEI) questionnaire, which evaluates eight dimensions of preceptor competence. The results showed that 152 respondents (88.9%) had a positive perception of preceptorship implementation. The highest-rated dimensions included leadership (97.7%), clinical competence (97.1%), and professional and ethical behavior (97.1%). In conclusion, most students had a good perception of their preceptors, and preceptorship was considered to optimally support the clinical learning process.

Keywords: perception, students, preceptorship, professional nurse

Abstrak

Preceptorship merupakan metode pembelajaran klinik yang berperan penting dalam membimbing mahasiswa keperawatan. Peran preceptor sangat menentukan dalam membantu mahasiswa mengembangkan keterampilan, sikap, dan pengetahuan keperawatan. Persepsi mahasiswa terhadap pelaksanaan preceptorship dapat menjadi indikator keberhasilan bimbingan klinik. Penelitian ini bertujuan untuk mengetahui gambaran persepsi mahasiswa terhadap pelaksanaan preceptorship pada mahasiswa profesi Ners di Fakultas Keperawatan Universitas Riau. Penelitian ini menggunakan desain deskriptif kuantitatif dengan teknik total sampling. Sebanyak 171 mahasiswa menjadi responden. Data dikumpulkan menggunakan kuesioner Nursing Clinical Teacher Effectiveness Inventory (NCTEI) yang menilai delapan dimensi kompetensi preceptor. Hasil menunjukkan bahwa 152 responden (88,9%) memiliki persepsi baik terhadap pelaksanaan preceptorship. Dimensi dengan penilaian tertinggi meliputi kepemimpinan (97,7%), kompetensi klinik (97,1%), serta perilaku profesional dan etika (97,1%). Dapat disimpulkan bahwa sebagian besar mahasiswa memiliki persepsi baik terhadap preceptor, dan preceptorship dinilai mendukung proses pembelajaran klinik secara optimal.

HUBUNGAN STATUS GIZI DENGAN KONSEP DIRI PADA REMAJA

Nadia Avria Damayanti — 2025-10-30

Remaja merupakan kelompok yang rentan terhadap berbagai masalah Kesehatan hingga status gizi, salah satunya adalah malnutrisi, karena percepatan pertumbuhan dan perkembangan fisik mereka yang cepat. Hal ini disebabkan oleh perilaku nutrisi yang tidak tepat, yang memicu persepsi diri mengenai perubahan bentuk tubuh. Penelitian ini bertujuan untuk meneliti hubungan antara status gizi dan konsep diri pada remaja di SMAN 5 Surakarta. Studi ini merupakan studi kuantitatif observasional analitik dengan pendekatan cross-sectional. Tehnik pengambilan sampel startified random sampling yang berjumlah 88 responden. Populasi dalam penelitian ini adalah remaja berusia 16-18 tahun. Instrumen penelitian ini timbangan digital, microtoise, dan kuesioner konsep diri (SPPSC).Uji analisis menggunakan uji spearman’s rho dan regresi linier berganda untuk menganalisis faktor yang paling mempengaruhi konsep diri remaja. Hasil analisis bivariat menunjukkan p value .004 (p < 0,05) dengan coeff correlation .303** dan .306**, menunjukkan hubungan antara status gizi dengan konsep diri aspek physical appearance dan aspek global self-worth, dengan arah positif dan tingkat korelasi yang lemah. Analisa multivariat menunjukkan bahwa terdapat usia, jenis kelamin, dan status gizi secara simultan mempengaruhi konsep diri aspek physical appearance pada remaja, dengan nilai p value .022 (p < 0,05) dan R Square .108 (10,8 %). Remaja yang memiliki status gizi normal lebih rentan mengalami persepsi konsep diri physical appearance dan global self-worth. Dalam penelitian ini didapatkan rerata konsep diri physical appearance sebanyak 2,43 dengan status gizi yang mendominasi.

PENERAPAN TERAPI OLAHRAGA JALAN KAKI 30 MENIT UNTUK MENGURANGI SAKIT KEPALA PADA PENDERITA HIPERTENSI: Case Report

Paramitha Tiara Rismanu — 2025-10-30

Hipertensi merupakan penyakit tidak menular yang menimbulkan banyak komplikasi, termasuk sakit kepala yang mengganggu kualitas hidup. Terapi nonfarmakologis seperti jalan kaki teratur selama 30 menit berpotensi menurunkan tekanan darah sekaligus mengurangi intensitas sakit kepala. Penelitian ini bertujuan untuk menganalisis penerapan terapi latihan jalan kaki terhadap penurunan nyeri kepala pada pasien hipertensi di Desa Pakis, Kabupaten Malang. Metode penelitian ini menggunakan laporan kasus sesuai kaidah Proses Keperawatan dengan teknik pengumpulan data melalui observasi, wawancara, Numeric Rating Scale, dan pengukuran tekanan darah. Analisis data responden Tn. D berusia 61 tahun dengan hipertensi yang mengeluh sakit kepala. Intervensi yang diberikan berupa jalan kaki 30 menit sebanyak tiga kali seminggu selama tiga hari, disertai dengan edukasi kesehatan. Hasil penelitian menunjukkan adanya penurunan nyeri kepala dari skala 4/10 (sedang) menjadi 2/10 (ringan), serta perbaikan tekanan darah dari 140/118 mmHg menjadi 123/83 mmHg. Selain itu, terdapat peningkatan pengetahuan pasien tentang hipertensi dan kepatuhan pengobatan. Kesimpulannya, latihan jalan kaki selama 30 menit telah terbukti efektif, aman, dan mudah diterapkan sebagai terapi nonfarmakologis untuk mengurangi sakit kepala pada pasien hipertensi, dan direkomendasikan sebagai bagian dari perawatan komprehensif dengan dukungan edukasi dan pemantauan oleh profesional perawatan kesehatan.

FORMULASI SEDIAAN HANDWASH EKSTRAK ETANOL DAUN BELIMBING WULUH (Averrhoa bilimbi L.)

Yusi Lusiana Amanda — 2025-10-30

Hands are a medium that can spread bacteria, this spread can be prevented by washing hands. Synthetic antibacterial ingredients such as triclosan in soap can damage the skin's normal flora. Starfruit leaves (Averrhoa bilimbi L.) are known to contain flavonoids, tannins, saponins and alkaloids. The aim of this research is to determine the physical properties and stability of handwash from the ethanol extract of starfruit leaves (Averrhoa bilimbi L.). This research uses experimental methods in making handwash with variations in the concentration of starfruit extract ethanol FI (10%), FII (12.5%) , and FIII (15%), the dosage for which physical properties were evaluated included organoleptic, homogeneity, pH, viscosity and foam height and stability tests were carried out using the cycling test method. Research shows that handwash preparations of ethanol extract of starfruit leaves have criteria according to soap standards set by SNI. The handwash preparation is homogeneous and the addition of the extract causes the preparation to be light brown in color, pH 8.2-9.7; viscosity 1,928-10,094 cPs; and foam height 1.53-1.93 cm. Has stable handwash preparation properties seen from the sig value. 2 tails > 0.05. Thus, the ethanol extract handwash from starfruit leaves has physical properties that comply with SNI including organoleptic, homogeneity, pH, viscosity and high foam and has stable properties.

FAMILY EXPERIENCE IN PARENTING STUNTING TODDLERS

Daddy Deo Gilbert Pamungkas Simanjuntak — 2025-10-30

Background: Stunting cases occur throughout the world, with many toddlers in various countries experiencing stunting and chronic malnutrition. Data from the UNICEF in 2020 shows that 22% of all children in the world, or around 149.2 million children suffer from stunting. The results of the Indonesian Nutritional Status Study (SSGI), the prevalence of stunted toddlers in Indonesia was 24.4% in 2021. In 2021, West Kalimantan was in 7th place nationally with a stunted toddler prevalence of 29.8%. Sambas Regency is one of the districts with the largest stunting rate in West Kalimantan with 5,500 stunted children under five. Aim of research: To find out the families' experiences in caring for stunting toddlers in Sambas Regency. Methods: Qualitative research with phenomenological study approach. The participants involved in this study as many as 5 people were selected with purposive sampling techniques. Data collection using in-depth interview method. Scientific finding results: The results of this research found 7 themes, namely sources of information, feelings, child feeding challenges, parenting support, obstacles to children's eating, selection of children's meal menu and sources of water for consumption. Conclusion: Children's eating problems were one of the most common factors causing stunting in this study. Parenting style is an important factor in a child's growth and development. It is important to apply good parenting patterns to children so that children get the nutrition they need to grow and develop well and avoid stunting.

PENGARUH BUERGER ALLEN EXERCISE TERHADAP KEKUATAN OTOT PADA PASIEN DIABETES MELLITUS TIPE 2

Andri Setyorini — 2025-10-31

Background: Diabetes mellitus has a side effect of decreasing neuropathy which can cause people to have less sensitive feet. Sensation or decreased sensitivity of the feet is one of the risk factors for ulcers. It is necessary to do Buerger Allen Exercise physical activity to increase muscle strength in patients with Type 2 Diabetes Mellitus. Research Objective: To determine the Effect of Buerger Allen Exercise on Muscle Strength in Patients with Type 2 Diabetes Mellitus. Research Method: This type of research is a pre-experiment with a one-group pre-post test design. The respondents in this study were patients with type 2 diabetes mellitus at the Pleret Bantul Yogyakarta Health Center. The population in this study was 32 patients with type 2 diabetes mellitus at the Pleret Public Health Center Bantul Yogyakarta. The sampling technique used was random sampling with a total of 20 respondents. This research was conducted in February 2025. The instrument used was Manual Muscle Testing. The test used was the Paired T-test, to measure the presence or absence of influence. Research Results: The average muscle strength before being given Buerger Allen Exercise was 73.65. The average muscle strength after being given Buerger Allen Exercise was 91.65. There was an increase in muscle strength score of 18.00. The p value of the Paired T-test = 0.000 (p value <0.05). Conclusion: There is an Effect of Buerger Allen Exercise on Muscle Strength in Type 2 Diabetes Mellitus Patients at the Pleret Bantul Health Center, Yogyakarta.

GAMBARAN PENERAPAN HAND HYGIENE PADA MAHASISWA PROFESI NERS

Azizah Azizah — 2025-10-31

Background: The incidence rate of HAIs (Healthcare-Assosiated Infection) is a benchmark for hospital services; if the HAI rate of a hospital is high, it can be interpreted that the quality of the hospital's services is poor. The spread of HAIs can occur even through non-invasive actions, such as physical contact between an infected patient and other patients or visitors, or with the hospital environment. The low level of compliance among healthcare workers in implementing hand hygiene can lead to an increase in the spread of HAIs in hospitals. Nursing students are personnel who often come into direct contact with patients, and the proper and correct implementation of hand hygiene is very important to reduce the spread of HAIs in hospitals. Objective: To determine how hand hygiene is applied among nursing profession students at Riau University. Methods: This research is a descriptive study with a quantitative approach. The sample in this study consisted of 128 respondents thats all are nursing profession students at Riau University using the total sampling method. Result: Out of 128 student respondents, the majority applied hand hygiene positively (56,25%). The application of hand hygiene at moment 1 was found to be 75,78% positive, at moment 2 it was 69,53% positive, at moment 3 it was 75% positive, at moment 4 it was 74,22% positive, at moment 5 it was 78,12% positive, and the application of hand hygiene using the 6-step hand hygiene method was found to be 71,87% positive. Conclusion: The nursing profession students at Universitas Riau have positively implemented hand hygiene. The application of hand hygiene among the nursing profession students at Universitas Riau is positive (56,25%) but still needs improvement.

Keywords: hand hygiene, handwashing, nursing profession

Abstrak

Pendahuluan: Angka kejadian HAIs (Healthcare-Assosiated Infection) merupakan tolak ukur pelayanan rumah sakit, jika angka HAIs suatu rumah sakit itu tinggi, maka dapat diartikan pelayanan rumah sakit tersebut memiliki mutu yang buruk. Penyebaran HAIs dapat terjadi bahkan melalui tindakan non-invasif, yaitu dengan adanya kontak fisik antara pasien yang sedang terinfeksi dengan pasien lain atau pengunjung, ataupun dengan lingkungan rumah sakit. Tingkat kepatuhan petugas kesehatan yang masih rendah dalam penerapan hand hygiene dapat menyebabkan semakin tinggginya penyebaran HAIs di Rumah sakit. Mahasiswa profesi ners merupakan petugas yang sering berhadapan langsung dengan pasien, penerapan hand hygiene yang baik dan benar sangat penting untuk mengurangi angka penyeparan HAIs di rumah sakit. Tujuan: Mengetahui bagaimana penerapan hand hygiene pada mahasiswa profersi ners Universitas Riau. Metode: Penelitian ini merupakan penelitian deskriptif dengan pendekatan kuantitatif. Sampel pada penelitian ini berjumlah 128 responden yang seluruhnya merupakan mahasiswa profesi ners Universitas Riau dengan metode sampling total sampling. Hasil: Dari 128 mahasiswa responden, didapatkan mayoritas responden menerapkan hand hygiene dengan positif (56,25%). Penerapan hand hygiene pada momen 1 didapatkan 75,78% positif, pada momen 2 didapatkan 69,53% positif, pada momen 3 didapatkan 75% positif, pada momen 4 didapatkan 74,22% positif, pada momen 5 78,12% positif, dan penerapan hand hygiene dengan menggunakan 6 langkah hand hygiene didpatkan 71,87% positif. Kesimpulan: Mahasiswa profesi ners Universitas Riau telah menerapkan hand hygiene dengan positif Penerapan hand hygiene pada mahasiswa profesi ners Universitas Riau positif namun masih perlu untuk ditingkatkan.

Kata Kunci: kebersihan tangan, cuci tangan, profesi ners

PENATALAKSANAAN FISIOTERAPI DENGAN MODALITAS INFRA RED, ULTRASOUND DAN EXERCISE THERAPY PADA CARPAL TUNNEL SYNDROME DEXTRA

Ega Naufal Wildananto — 2025-10-31

Carpal tunnel syndrome (CTS) merupakan gangguan pada pergelangan tangan yang muncul akibat aktivitas kerja dengan gerakan berulang pada posisi yang tidak ergonomis secara terus-menerus dalam jangka waktu lama, sehingga saraf medianus di pergelangan tangan mengalami penekanan atau terhimpit. Beberapa faktor yang mempengaruhi risiko CTS antara lain usia, jenis kelamin, dan aspek pekerjaan. Keluhan utama yang dirasakan pasien meliputi nyeri pada pergelangan tangan, sensasi kesemutan pada telapak tangan yang menjalar ke jari-jari. Penulisan ini menggunakan pendekatan studi kasus, dengan fokus pada penanganan pasien dan pengumpulan data melalui tindakan fisioterapi. Terapi yang diberikan berupa penggunaan Inframerah , Ultrasound , dan Latihan Terapi . Setelah dilakukan intervensi selama empat kali sesi, tampak adanya perbaikan pada pasien, seperti penurunan nyeri dan peningkatan kekuatan otot. Penanganan fisioterapi dengan kombinasi Inframerah , Ultrasound , dan latihan pada kasus Carpal Tunnel Syndrome Dextra terbukti efektif melalui empat kali pertemuan, terbukti membantu mengurangi rasa sakit, meningkatkan luas gerak sendi, serta memperkuat otot.

PENERAPAN TERAPI MUROTTAL AL-QUR’AN TERHADAP VITAL SIGN PADA BAYI PREMATUR

Siti Nadila Ria — 2025-10-31

Bayi prematur merupakan kelompok rentan yang sering mengalami ketidakstabilan tanda-tanda vital akibat ketidakmatangan organ tubuh. Penelitian ini bertujuan untuk menggambarkan penerapan terapi murottal Al-Qur'an terhadap tanda vital pada bayi prematur di RSUD Dr. M. Yunus Provinsi Bengkulu tahun 2025. Penelitian ini menggunakan metode studi kasus pada dua bayi prematur yang mengalami ketidakstabilan suhu tubuh, frekuensi pernapasan, denyut jantung, dan saturasi oksigen. Intervensi berupa pemutaran murottal Al-Qur'an selama 30–40 menit per hari selama lima hari. Hasilnya menunjukkan adanya perubahan positif, yaitu peningkatan kestabilan suhu tubuh, penurunan frekuensi pernapasan dan detak jantung, serta peningkatan saturasi oksigen pada kedua bayi. Terapi murottal terbukti dapat menstabilkan tanda vital bayi prematur sebagai metode non-farmakologis yang mudah diterapkan. Penelitian ini memberi nutrisi integrasi terapi murottal dalam pemeliharaan neonatal untuk meningkatkan kualitas perawatan bayi prematur.

Kata Kunci : Al-Qur'an, Bayi Prematur, Terapi Murottal, Vital Sign

PREVALENSI KECEMASAN DAN PERILAKU BERISIKO PADA REMAJA SMP DI GALESONG UTARA

Nurlaila Fitriani — 2025-10-31

Kecemasan merupakan kondisi psikologis yang sering menjadi permasalahan umum bagi kesejahteraan remaja. Masa remaja adalah fase pencarian jati diri yang rentan terhadap perilaku negatif dan gangguan kecemasan.Tujuan: Penelitian ini bertujuan untuk mengetahui gambaran tingkat kecemasan dan perilaku menyimpang pada remaja Sekolah Menengah Pertama di Kecamatan Galesong Utara, Provinsi Sulawesi Selatan.. Penelitian ini menggunakan metode deskriptif dengan desain cross sectional. Sampel berjumlah 104 remaja dipilih dari populasi 410 remaja menggunakan rumus Slovin dengan toleransi kesalahan 5%. Pengumpulan data dilakukan menggunakan kuesioner DASS-21 dan dianalisis secara deskriptif. Sebagian besar remaja tidak mengalami kecemasan (83,7%), sementara yang mengalami kecemasan ringan, sedang, dan berat masing-masing sebesar 9,6%, 5,8%, dan 1,0%. Sebagian kecil menunjukkan perilaku menyimpang, yaitu pernah mengonsumsi minuman keras (3,8%), mengonsumsi obat-obatan tanpa indikasi sakit (4,8%), dan merokok (5,8%). Sebanyak 7,7% orang tua responden memiliki riwayat konsumsi minuman keras. Mayoritas remaja SMP di Galesong Utara tidak mengalami kecemasan. Meskipun demikian, terdapat minoritas kecil yang menunjukkan perilaku menyimpang, mengindikasikan perlunya perhatian selektif terhadap kelompok berisiko tersebut.

EFEKTIFITAS TERAPI RELAKSASI BENSON TERHADAP PENURUNAN NYERI PADA PASIEN POST OPERASI KRANIOTOMI DENGAN CIDERA OTAK RINGAN

Syifa Nuraini Fitroh — 2025-10-31

Cedera otak ringan (COR) merupakan bentuk trauma kepala yang sering memerlukan tindakan kraniotomi dan dapat menimbulkan nyeri pasca operasi yang signifikan. Nyeri akut pasca kraniotomi berdampak pada aspek fisiologis maupun psikologis pasien, seperti peningkatan tekanan intrakranial, kecemasan, dan gangguan tidur. Penatalaksanaan nyeri biasanya dilakukan dengan terapi farmakologis, namun berisiko menimbulkan efek samping, sehingga diperlukan pendekatan nonfarmakologis yang efektif. Penelitian ini bertujuan untuk mengetahui efektivitas terapi relaksasi Benson terhadap penurunan nyeri pada pasien post operasi kraniotomi dengan cedera otak ringan. Penelitian menggunakan desain studi kasus deskriptif pada satu pasien post operasi kraniotomi H+1 di Ruang Amarilis RSUD Prof. Dr. Margono Soekarjo Unit Geriatri Pavilium Abiyasa. Terapi relaksasi Benson dilakukan selama tiga hari dengan durasi ±15 menit setiap sesi. Hasil menunjukkan adanya penurunan intensitas nyeri secara bertahap dari skala 8 menjadi 6 pada hari pertama, 4 pada hari kedua, dan 2 pada hari ketiga. Selain itu, pasien tampak lebih rileks, cemas berkurang, dan pola tidur membaik. Kesimpulannya, terapi relaksasi Benson efektif sebagai intervensi nonfarmakologis yang sederhana, aman, dan mudah diterapkan untuk mengurangi nyeri pada pasien pasca operasi kraniotomi.

PENERAPAN TERAPI RELAKSASI OTOT PROGRESIF UNTUK MENSTABILKAN TEKANAN DARAH DAN MENINGKATKAN KENYAMANAN LANSIA DENGAN HIPERTENSI

Mokhamad Ari Fuddin — 2025-10-31

Terapi farmakologis untuk mengobati hipertensi harus didukung oleh terapi non-farmakologis untuk menurunkan tekanan darah dan meningkatkan kenyamanan pasien. Relaksasi otot progresif (ROP) adalah salah satu terapi yang terbukti efektif, yang dilakukan dengan mengendurkan dan melemaskan otot secara berkala dengan tujuan menenangkan dan mengurangi aktivitas saraf simpatis. Penelitian ini bertujuan untuk mengetahui "pengaruh terapi relaksasi otot progresif terhadap tekanan darah dan tingkat kenyamanan pada lansia dengan hipertensi". Untuk mencapai tujuan ini, desain penelitian ini menggunakan pendekatan "studi kasus", di mana seorang pria berusia 72 tahun dengan hipertensi telah menderita sejak usia 43 tahun. Intervensi diberikan selama tiga hari berturut-turut, masing-masing selama dua puluh menit. Sebelum dan sesudah terapi, tekanan darah diukur untuk mengevaluasi tingkat kenyamanan melalui observasi dan respons subjektif pasien. Hasil penelitian menunjukkan penurunan tekanan darah yang signifikan; tekanan darah sistolik rata-rata turun dari 155,6 mmHg menjadi 144,6 mmHg dan tekanan darah diastolik turun dari 82,6 mmHg menjadi 79,3 mmHg. Selain itu, setelah tiga hari terapi, tingkat kenyamanan pasien meningkat dari 4 menjadi 9, dan keluhan fisik seperti pusing, nyeri kepala, dan kesemutan berkurang. Penelitian ini menemukan bahwa terapi relaksasi otot progresif menurunkan tekanan darah dan meningkatkan kenyamanan pada orang tua dengan hipertensi. Terapi ini dapat dianggap sebagai "intervensi keperawatan komplementer" yang aman, sederhana, dan mudah diterapkan untuk membantu pasien dengan hipertensi mencapai kestabilan tekanan darah mereka dan meningkatkan kualitas hidup mereka.

PENGARUH TERAPI RELAKSASI UNTUK MENGATASI KECEMASAN PADA IBU NIFAS

Efrosina Ludovika Kalista — 2025-10-31

Kecemasan akan berdampak pada saat postpartum serta berdampak buruk pada kesehatan lainnya. Kecemasan yang tidak ditangani dengan baik dapat berdampak negatif terhadap kesehatan ibu dan proses pengasuhan bayi. Terapi relaksasi merupakan salah satu metode non-farmakologis yang dapat membantu mengatasi kecemasan. Dari hasil penelitian yang telah dilakukan di PMB Titin Widyaningsih bahwa sebagian ibu sudah memiliki pengetahuan tentang terapi relaksasi namun tidak dilakukan saat dirumah. Penelitian ini menganalisis pengaruh terapi relaksasi untuk mengatasi kecemasan pada ibu nifas di PMB Titin Widyaningsih Pontianak tahun 2025. Desain penelitian yang digunakan adalah Pra-Eksperimen dengan pendekatan One Group Pretest-Posttest. Sampel penelitian berjumlah 36 responden ibu nifas. Pengambilan data dilakukan menggunakan kuesioner skala kecemasan (HARS) dan kuesioner sebelum (pretest) dan sesudah (posttest) pemberian terapi relaksasi. Data dianalisis secara univariat dan bivariat. Uji statistik inferensial yang digunakan adalah Uji Paired Sample t-Test setelah dilakukan uji normalitas data. Hasil penelitian menunjukan Analisis univariat menunjukkan bahwa sebelum intervensi, mayoritas responden (61,1%) berada pada kategori Cemas Sedang. Setelah pemberian terapi relaksasi, terjadi penurunan tingkat kecemasan yang signifikan, di mana mayoritas responden (77,8%) berada pada kategori Cemas Ringan. Hasil uji bivariat Paired Sample t-Test menunjukkan adanya penurunan rata-rata skor kecemasan dari 45,28 (pretest) menjadi 32,17 (posttest). Nilai signifikansi yang diperoleh adalah p = 0,000 (p < 0,05). Ada pengaruh terapi relaksasi untuk mengatasi kecemasan pada ibu nifas (nilai p < 0,05).

Kata Kunci: Terapi Relaksasi; Kecemasan; Ibu Nifas.

PENDIDIKAN IBU DAN DUKUNGAN SOSIAL TERHADAP PEMILIHAN KB PASCA PERSALINAN

Ina Rahayu Sakti — 2025-10-31

Postpartum contraceptive method selection remains a critical issue in reproductive health, significantly impacting unplanned pregnancy rates and maternal-child well-being. This study aimed to analyze the relationship between maternal education level and social support with postpartum contraceptive use (PPCU) in Indonesia. Employing a quantitative cross-sectional design, data were collected from 252 purposively sampled respondents and analyzed using chi-square tests via SPSS. Results demonstrated significant associations between education level and PPCU (p=0.012) and between social support and PPCU (p=0.014). Mothers with higher education were more likely to choose effective contraceptive methods. Additionally, strong social support—particularly from spouses, family, and healthcare providers—was shown to enhance maternal participation in PPCU programs. The findings underscore the importance of education and social environment in influencing postpartum contraceptive decisions. Consequently, interventions focusing on knowledge-based health education and strengthening family support systems are crucial to improving the uptake and success of postpartum family planning initiatives in Indonesia.

FAKTOR DEMOGRAFI PENENTU PEMILIHAN AKDR POST PLASENTA: ANALISIS UMUR DAN PARITAS

Evicenna Naftuchah Riani — 2025-10-31

Background: Postpartum contraception, particularly post-placental intrauterine device (IUD) insertion, is an effective method to delay or prevent pregnancy immediately after childbirth. Maternal factors such as age and parity are presumed to influence decision-making in the use of post-placental IUDs. This method is especially important for mothers at high risk to help regulate birth spacing and reduce maternal and neonatal mortality rates. Objective: This study aimed to analyze the influence of maternal age and parity on the use of post-placental IUDs in Banyumas Regency during 2023–2024. Methods: This research employed a retrospective cohort design involving 1,095 vaginally delivered mothers in 2023–2024. A total of 259 respondents were selected using purposive sampling. Data were obtained from delivery register books and analyzed using the Spearman rank test to determine the relationship between age, parity, and post-placental IUD use. Results: The majority of respondents were aged 20–35 years (76.8%) and were multiparous (62.2%). The bivariate analysis showed no significant effect of age (p=0.399) or parity (p=0.717) on post-placental IUD use. Conclusion: Maternal age and parity did not have a significant influence on the use of post-placental IUDs in Banyumas Regency during 2023–2024. Continuous education and counseling are recommended to improve postpartum mothers’ understanding of the benefits of long-term contraception.

PENGARUH REBUSAN AIR JAHE (ZINGIBER OFFICINALE) TERHADAP NYERI DISMINOREA PADA REMAJA PUTRI

Asmaurina Pramulya — 2025-10-31

Data dari World Health Organization (WHO) didapatkan sebesar 90% wanita mengalami dismenorea, 10-15% diantara nya mengalami dismenorea berat. Di Indonesia prevalensi dismenorea sebesar 68,4% yang terdiri dari 57,9% mengalami dismenorea primer dan 10,5% mengalami dismenorea sekunder untuk Provinsi Kalimantan Barat, kejadian dismenorea yang dialami oleh remaja putri sekitar 72%.

Untuk mengetahui Pengaruh Rebusan Air Jahe (Zingiber Officinale) Terhadap Nyeri Dismenorea Pada Remaja Putri Di SMK Negeri 5 Pontianak Tahun 2025.

Metode yang digunakan dalam penelitian ini adalah penelitian quasi eksperimen dengan rancangan one group pretest and posttest. Jumlah sampel sebanyak 18 responden. Teknik pengambilan sampel menggunakan teknik accidental sampling. Instrumen yang digunakan adalah lembar observasi dan ceklist.

Hasil analisis univariat menunjukkan bahwa dari 18 responden sebelum diberikan rebusan air jahe didapatkan bahwa sebagian besar dari responden mengalami nyeri sedang, yaitu 13 responden (72,22%). Sesudah diberikan rebusan air jahe didapatkan bahwa sebagian besar dari responden mengalami nyeri sedang, yaitu 13 responden (72,22%). Hasil uji Wilcoxon Rank Test dengan P Value = 1,000 yang artinya P Value > 0,05.

Tidak ada pengaruh rebusan air jahe (zingiber officinale) terhadap nyeri dismenorea pada remaja putri di SMK Negeri 5 Pontianak tahun 2025.

Dengan adanya penelitian tentang rebusan air jahe (zingiber officinale) dapat dijadikan sebagai bahan evaluasi dan masukan untuk setiap remaja putri serta lebih meningkatkan informasi dan pembelajaran mengenai rebusan air jahe (zingiber officinale) di sekolah.

PENGARUH VIDEO EDUKASI STUNTING TERHADAP PENGETAHUAN IBU HAMIL TENTANG PENCEGAHAN STUNTING

Apriliana Pipin — 2025-10-31

Stunting remains a major public health problem that affects the quality of human resources in Indonesia. The low level of knowledge among pregnant women regarding stunting prevention is one of the factors that exacerbate this condition. This study aims to determine the effect of stunting educational videos on the knowledge of pregnant women about stunting prevention in the working area of Sui Ambawang Health Center. The research design used was a quasi-experimental with a one group pretest-posttest design. The subjects of the study were all pregnant women in the Sui Ambawang Health Center area who received an intervention in the form of a 4-minute educational video. Data were collected through pre-test and post-test questionnaires on knowledge, and analyzed using the Wilcoxon test. The results showed that most respondents were multiparous mothers (76.7%), had a high school education (76.7%), and were housewives (76.7%). Before the intervention, 12 mothers (40%) had low knowledge, while after the intervention, 15 mothers (50%) had good knowledge. The Wilcoxon test showed a p-value of 0.013 (<0.05), indicating a significant effect of the educational video on improving pregnant women’s knowledge about stunting prevention. In conclusion, audiovisual media proved effective in increasing the knowledge of pregnant women, as it can deliver messages in an engaging, clear, and easily accessible manner. Educational videos can serve as an alternative medium in health promotion activities to support the national program for accelerating stunting reduction in Indonesia.

GAMBARAN PENGETAHUAN PERILAKU CERDIK UPAYA PREVENTIF PENYAKIT DEGENERATIF PADA REMAJA

Lydia Moji Lautan — 2025-10-31

Introduction: Degenerative diseases are a group of non-communicable diseases that occur due to damage or a gradual decline in the function of body tissues and organs. These diseases are often associated with the aging process and lifestyle. Currently, degenerative diseases are one of the increasing health problems in Indonesia, affecting not only the elderly, but also adolescents. The underlying risk factors for the occurrence of degenerative diseases include unhealthy lifestyles such as lack of physical activity, poor diet, exposure to cigarette smoke, stress, and lack of health checks. Therefore, early prevention efforts can be carried out through the CERDIK behavior movement (Regular health checks, Eliminate cigarette smoke, Regular physical activity, Balanced diet, Adequate rest, and Stress management) which is one of the programs of prevention and control of non-communicable diseases of the Ministry of Health since 2012. This study aims to determine the overview of adolescents' knowledge regarding CERDIK behavior in preventing degenerative diseases. The research method in this study used a quantitative descriptive design with a survey approach. The study sample consisted of 40 people, data were collected through pre-test and post-test questionnaires, which were then analyzed using frequency distribution. The results of the study showed that adolescents' knowledge before the educational intervention was still relatively low. After being provided with health education, there was an increase in all CERDIK components, especially in the components of a balanced diet, eliminating cigarette smoke, and managing stress, although understanding of diligent physical activity was still low. The conclusion in this study shows that providing CERDIK-based health education has been proven to increase adolescents' knowledge regarding the prevention of degenerative diseases. This increase in knowledge is expected to encourage adolescents to adopt a healthy lifestyle from an early age

SELF-CARE MANAGEMENT FROM THE PERSPECTIVE OF HEART FAILURE PATIENTS

Lee Siew Pien — 2025-10-31

Background: To explore the understanding of heart failure self-care management among patients.

Method: A generic qualitative research design was employed, utilizing the Arabic language version of face-to-face interviews and a purposive sampling technique. A sample of 24 patients treated for heart failure (HF) at a tertiary heart center in the Kingdom of Saudi Arabia was recruited from May 2024 to May 2025.

Results: Patients’ perceptions, beliefs, and readiness towards managing heart failure highlighted how limited awareness, emotional denial, and dependency on healthcare providers contributed to the inadequate and inconsistent self-care engagement behavior of the heart failure (HF) patients

Conclusion: This study emphasizes the need for HF symptom perception management education programs for patients, continuous professional development for healthcare providers, promotion of positive attitudes, and fostering interdisciplinary collaborations to improve HF self-care management among HF patients. Future research should examine how psychological stress affects coping in heart failure patients, explore organizational roles, and investigate how knowledge, attitudes, and clinical practices contribute to poor self-care, focusing on HCPs and caregivers.

PENGARUH TERAPI RENDAM KAKI AIR REBUSAN JAHE PUTIH TERHADAP PENURUNAN TEKANAN DARAH PADA LANSIA PENDERITA HIPERTENSI

Daffa Shaira Fiandari — 2025-10-31

Objective: To determine the effect of foot soak therapy in boiled white ginger water on blood pressure levels in elderly people with hypertension at BPSTW Budi Luhur. Method: The research design used was Quasy Experimental with a pre-test design and post-test design with control group. The sample taken was 22 people using the total sampling method. The intervention group consisted of 11 respondents who were given foot soak therapy in boiled white ginger water in the morning for 10-15 minutes which was carried out 6 times in 2 weeks and checked pre and post blood pressure. Meanwhile the control group only had pre and post blood pressure checked with a total of 11 respondents. The data analysis technique applied was a paired t-test because the data is normally distributed. Research results: The mean systolic blood pressure in the intervention group was -6.4mmHg with a p-value = 0.008 and the mean diastolic blood pressure was -3mmHg with a p-value = 0.007. The p-value showed <0.05, which means that there is an effect of providing foot soak therapy in boiled white ginger water on blood pressure levels in elderly with hypertension at BPSTW Budi Luhur.

STUDI KOMPARASI HASIL SKRINING GCU DAN TEKANAN DARAH DI POSYANDU LANSIA KEPEK DAN JETIS PENDOWOREJO GIRIMULYO KULON PROGO

Muhammad Amar Hanif — 2025-10-31

Lansia beresiko tinggi mengalami penyakit degeneratif seperti hipertensi, diabetes, asam uraat, dan kolesterol sehingga memerlukan pemantauan kesehatan secara rutin. Skrining kesehatan adalah salah satu cara untuk mengetahui adanya faktor risiko terjadinya penyakit tersebut. Posyandu Lansia berperan penting dalam meningkatkan kualitas hidup lansia. Namun, sebagian Posyandu Lansia mengalami kendala dalam menjaga keaktifan, sehingga berdampak pada kualitas pelayanan kesehatan yang diterima oleh lansia. Penelitian ini bertujuan untuk menganalisis perbandingan hasil skrining kesehatan yang meliputi pemeriksaan tekanan darah, gula darah, asam urat, dan kolesterol pada kelompok lansia di Posyandu Lansia Kepek (nonaktif) dan Posyandu Lansia Jetis (aktif). Jenis penelitian ini adalah studi komparatif dengan pendekatan cross-sectional. Total sampling pada penelitian ini adalah 19 lansia dari Jetis dan 20 lansia dari Kepek. Alat yang digunakan untuk pengambilan data menggunakan GCUmeter dan Sphyghmomanometer. Analisis data pada penelitian ini menggunakan uji Mann-Whitney pada setiap hasil skrining kesehatan. Hasil penelitian ini menunjukan bahwa rata-rata hasil skrining kesehatan Posyandu Lansia Jetis lebih baik daripada Kepek. Namun hasil p-value pada setiap parameter menunjukan nilai >0.05 sehingga dapat disimpulkan bahwa tidak ada perbedaan yang signifikan antara tekanan darah, kadar gula darah, kadar asam urat, dan kadar kolesterol pada Posyandu Lansia aktif (Jetis) dan nonaktif (Kepek).

PENGARUH KOMBINASI TERAPI RELAKSASI BENSON DAN TERAPI MUSIK TERHADAP TINGKAT NYERI PASIEN KANKER PAYUDARA POST OPERASI MODIFIED RADICAL MASTECTOMY

Dewi Suryandari — 2025-10-31

Pain is sometimes still felt by patients even though they have received analgesic therapy, so non-pharmacological therapy is needed that can reduce the pain felt by postoperative patients. Benson relaxation with a combination of music therapy is a relaxation technique that can be used to relieve pain. The purpose of this study was to determine the effect of a combination of benson relaxation therapy and music therapy on pain levels.

This study used a type of pre-experimental research with a one group pre test-post test design. The research was conducted in the inpatient room of Dr. Moewardi Surakarta Hospital in February 2025. The sample used was 38 patients with purposive sampling technique. Data collection tools using numeric rating scale pain assessment questionnaire sheet and SOP combination of Benson relaxation and Mozart music therapy. The data analysis used was Wilcoxon analysis.

The results showed that the characteristics of respondents based on the age of the respondents were mostly aged 25-44 years as many as 23 people (60,5%), the most respondent education was junior high school education as many as 19 people (50%), the most respondent disease history was having a history of disease as many as 28 people (73.7%). The average pain scale before the intervention was 5.45, while after the intervention was 4.26.

The conclusion is that there is an effect of giving benson relaxation therapy combined with music therapy on the pain level of Modified Radical Mastectomy (MRM) surgery patients at Dr. Moewardi Hospital (p value 0.000).

DAMPAK PRAKTIK KOLABORASI INTERPROFESIONAL YANG EFEKTIF DALAM MENINGKATKAN HASIL PERAWATAN

Ira Nur Aliyah — 2025-10-30

Interprofessional collaboration is increasingly vital in healthcare, yet it faces numerous challenges.

These barriers can originate at the organizational level, such as unclear standard operating procedures,

rigid hierarchies, an imbalance in the recognition of roles among healthcare professions, and systems

that inadequately support teamwork. This study aims to evaluate the effectiveness of interprofessional

collaboration in improving patient care outcomes. Employing the PICO framework and the Scoping

review methodology, this study analyzed literature from the Scopus, PubMed, Science Direct, and

SpringerLink databases, supplemented by the Google Scholar search engine, for publications from

2020–2024. From the 10 selected articles, the findings indicate that interprofessional collaboration

effectively enhances communication within healthcare teams. Structured and coordinated collaboration

facilitates more organized, significant, and comprehensive care, as every aspect of a patient's needs

can be thoroughly addressed. This increases patient satisfaction and contributes to more optimal care

outcomes. Therefore, interprofessional collaboration not only positively impacts healthcare team

communication but is also capable of improving patient care outcomes.

PENURUNAN NYERI DAN PENINGKATAN MOBILITAS FISIK PASIEN PASCA KISTEKTOMI ENDOMETRIOSIS: CASE STUDY

Merlisa Kesuma Intani — 2025-10-30

This case report aims to describe the holistic nursing care provided to three patients following

cystectomy surgery due to Endometriosis. The three subjects, Mrs. E (33 years old), Mrs. F (30 years

old), and Mrs. G (35 years old), were admitted on the first postoperative day with chief complaints of

Acute Pain and Impaired Physical Mobility.

Assessment revealed that Mrs. E experienced Acute Pain with a score of 8 on the surgical incision site,

required total bed rest, and had elevated Leukocyte levels (15,600/µL). Similar findings in Mrs. F and

Mrs. G also indicated acute pain of high intensity and immobility. The primary nursing diagnoses

established for all three cases were Acute Pain (D.0077), Impaired Physical Mobility (D.0054), and Risk

for Infection (D.0147). Interventions focused on non-pharmacological pain management (deep

breathing technique) and gradual early mobilization. Following 3x24 hours of nursing implementation,

a significant decrease in pain intensity was observed (Mrs. E's pain decreased from a score of 8 to 3)

and an improvement in mobility ability was noted in all three cases. The integrated nursing interventions

demonstrated a positive effect on reducing pain and enhancing the functional mobility of the

postoperative patients.

KEBIASAAN MEROKOK DAN NILAI FUNGSI PARU PADA REMAJA

Endang Yuliningsih — 2025-10-30

Tingginya prevalensi kebiasaan merokok dikalangan masyarakat Indonesia mencerminkan meningkatnya budaya kebiasaan dan peningkatan jumlah perokok aktif dalam populasi. Asap rokok yang dihirup mengandung berbagai zat berbahaya seperti nikotin, tar, dan karbon monoksida yang dapat memberikan efek merugikan terhadap sistem pernapasan. Kebiasaan merokok diketahui berhubungan dengan meningkatnya risiko terjadinya berbagai penyakit saluran pernapasan, antara lain penyakit paru obstruktif kronik (PPOK), pneumonia, asma, bronkitis, dan emfisema. Kondisi-kondisi tersebut dapat menurunkan fungsi paru secara signifikan. Penelitian ini bertujuan untuk menganalisis hubungan antara kebiasaan merokok dan fungsi paru pada remaja di Desa Mranggen. Jenis penelitian yang digunakan adalah penelitian kuantitatif dengan rancangan cross-sectional (potong lintang). Teknik pengambilan sampel yang digunakan adalah total sampling dengan jumlah responden sebanyak 40 orang. Instrumen penelitian meliputi kuesioner perilaku merokok Glover Nilsson Smoking Behavior Questionnaire (GN-SBQ) dan alat ukur peak flow meter untuk menilai fungsi paru. Analisis data dilakukan menggunakan uji korelasi gamma. Hasil analisis bivariat menunjukkan nilai p sebesar 0,000 (p < 0,005) yang mengindikasikan adanya hubungan yang signifikan antara kebiasaan merokok dan fungsi paru. Dengan demikian, dapat disimpulkan bahwa terdapat hubungan yang bermakna antara perilaku merokok dengan nilai fungsi paru pada remaja di Desa Mranggen.

UJI IN SILICO SENYAWA FITOKIMIA BIJI MAHONI (Switenia macrophylla) Pada Reseptor α-amylase SEBAGAI ANTI HIPERGLIKEMIK

Nur Jati Jagad — 2025-10-30

Penelitian ini mengkaji mekanisme senyawa metabolit dari biji mahoni (Swietenia macrophylla) yang

berperan sebagai antihiperglikemik, meskipun studi in vivo sebelumnya telah menunjukkan

efektivitasnya dalam menurunkan kadar glukosa darah pada tikus (Rattus novergicus). Analisis ini

dilakukan secara komputasi (in silico) melalui metode penambatan molekuler untuk melihat bagaimana

senyawa-senyawa tersebut berinteraksi dengan enzim α-amilase. Penelitian ini menggunakan basis

data PDB (ID: 1OSE) untuk mendapatkan reseptor enzim, sementara ligan uji yang digunakan adalah

eriodictyol dan dihidropiridin. Sebagai pembanding, digunakan akarbosa. Sebelum penambatan, sifat

farmakokinetik ligan diprediksi menggunakan aturan Lipinski. Proses penambatan molekuler dilakukan

dengan perangkat lunak Autodock Vina. Hasilnya dianalisis berdasarkan energi ikatan (ΔG), konstanta

inhibisi, dan jenis ikatan kimia yang terbentuk. Hasil studi menunjukkan bahwa semua ligan uji

berpotensi sebagai agen antihiperglikemik. Secara khusus, ligan uji eriodictyol menunjukkan aktivitas

penghambatan enzim α-amilase yang lebih baik daripada akarbosa, berdasarkan nilai ΔG dan %BSS.

SUPPORT FOR DOWN SYNDROME FAMILIES: NEEDS, EXPECTATIONS, AND FEATURE IDEAS

Siti Masdah — 2025-10-30

Families are the primary caregivers of children with Down syndrome (DS) and often face complex challenges involving medical, emotional, social, and economic aspects. These challenges require support systems that go beyond clinical care and address psychosocial and practical family needs. This study aimed to identify the needs, expectations, and innovative feature ideas desired by families of children with DS as a foundation for developing comprehensive and sustainable family support systems. This study employed a descriptive mixed-method design, integrating quantitative and qualitative approaches. A total of 156 parents or primary caregivers of children with DS in Indonesia participated through an online survey. Quantitative data were analyzed descriptively, while qualitative data were analyzed thematically to explore family experiences and expectations regarding support features. The findings revealed that the main family needs included educational support (42.95%), parental guidance (28.21%), and emotional and social support (17.31%). Families also suggested various digital-based support features, such as interactive educational modules, online consultations with health professionals, therapy activity scheduling tools, parent community forums, and motivational content. These features were perceived as helpful in improving knowledge, caregiving skills, and emotional well-being. In conclusion, support for families of children with DS should adopt a comprehensive, family-centered, and participatory care model. The utilization of digital technology is considered an effective medium for empowerment, communication, and access to support. This approach is expected to strengthen family resilience, enhance the quality of life of children with DS, and promote inclusive and sustainable family support systems.

PENGALAMAN ORANG TUA MENGASUH REMAJA DENGAN AUTISM SPECTRUM DISORDERS (ASD) SAAT PANDEMIK COVID-19

Lilis Lestari — 2025-10-30

The COVID-19 pandemic has significantly disrupted educational and healthcare services, including the closure of schools and therapy centers for children and adolescents with Autism Spectrum Disorder (ASD). This situation increased caregiving demands on parents who previously relied on support from teachers and therapists. Adolescents with ASD experience complex developmental impairments that require continuous and specialized care, making the prolonged pandemic particularly challenging for parents in managing caregiving, education, and therapy at home. This study aimed to explore parents’ experiences in caring for adolescents with ASD during the COVID-19 pandemic in Pontianak City, West Kalimantan, Indonesia. A qualitative study with a descriptive phenomenological approach was conducted. Data were collected through focus group discussions with parents of adolescents with ASD aged 9–18 years and analyzed using Colaizzi’s method. The findings identified three main themes: increased caregiving burden, mental health challenges, and parents’ expectations regarding government policies on education and healthcare services for children with ASD. These findings highlight the need for supportive policies and the active involvement of healthcare professionals, particularly nurses, to promote parental well-being and continuity of care during public health crises.

PENGETAHUAN IBU SEBAGAI DETERMINAN STUNTING PADA BALITA

Anselman Shicosci — 2025-10-30

Stunting adalah kondisi dimana pertumbuhan fisik anak tidak optimal sebagai akibat dari ketidakseimbangan gizi atau kekurangan gizi kronis. Salah satu faktor yang berperan adalah pengetahuan ibu tentang stunting relatif rendah secara nasional maupun di wilayah kerja Puskesmas Monterado. Posisi ibu sebagai sasaran kunci dalam program intervensi gizi spesifik maupun sensitif menjadi krusial dalam pencegahan kejadian stunting. Tujuan penelitian ini adalah untuk menganalisis hubungan tingkat pengetahuan ibu dengan kejadian stunting di wilayah kerja Puskesmas Monterado. Jenis penelitian adalah deskriptif korelatif dengan menggunakan pendekatan cross sectional. Jumlah hitung sampel dengan rumus slovin sebanyak 93 responden yang diambil dengan teknik purposive sampling. Instrumen penelitian menggunakan kuesioner pengetahuan ibu dan instrumen antropometri gizi dengan satandar WHO. Uji statistik yang digunakan adalah Correlation Spearman Rank. Hasil penelitian menunjukkan bahwa terdapat hubungan yang signifikan antara pengetahuan ibu dengan kejadian stunting dengan p Value 0.020 (p < α = 0,05) dan r = −0,235. Kesimpulan dari penlitian ini adalah semakin baik pengetahuan ibu, maka kecenderungan kejadian stunting pada balita semakin rendah.

Kata kunci: Balita; Ibu; Pengetahuan; Stunting

SPIRITUALITY-BASED LEADERSHIP AS A NURSE'S FOUNDATION: LESSONS FROM THE LIFE OF POPE FRANCIS

Usu Sius — 2025-10-30

The aim is to explore and understand the concept of spirituality-based leadership by analyzing the life and leadership of Pope Francis, as well as the spiritual principles he adheres to. The background of the importance of spiritual values in a nurse's leadership, especially in facing moral and ethical challenges in the modern era, in providing nursing care services. The method used is a qualitative analysis of book and journal literature. The analysis was conducted to identify the leadership principles employed by Pope Francis and their relevance in the leadership context. The results of the study, spirituality-based leadership exemplified by Pope Francis, include exemplary actions, selfless service, humility, openness to dialogue, and a commitment to social justice. Leadership that can be applied by a nurse is an exemplary attitude, acting selflessly, being humble, and being fair. The conclusion is that leadership based on spiritual values from Pope Francis has great potential to provide strong direction in making wise decisions, motivating patients, and building an inclusive and sustainable community for nurses in carrying out their duties.

HUBUNGAN DUKUNGAN KELUARGA TERHADAP KUALITAS HIDUP PASIEN DIABETES MELITUS DENGAN ULKUS DIABETIK

Elfi Quyumi Rahmawati — 2025-10-30

Family participation is one of the keys to success for diabetes patients in achieving the desired blood sugar targets. Diabetes patients who struggle to control blood sugar levels with family support will achieve their targets more quickly than if they struggled alone without a support system. Successful diabetes therapy is not only carried out by the patient and doctor, but must also be supported by support from the environment, in this case the family. The aim of this research is to determine the relationship between family support and quality of life in diabetes mellitus patients with diabetic ulcers in the Kaimana Regional Hospital. The design of this research is an observational analytic approach cross-sectional. The population in this study was 43 diabetes mellitus patients. The statistical test used is Chi-square with significance p value < 0,05. Based on test results chi square with a significant level of 5%, it was found that p = 0.063 < 0.05 showed that family support was lacking, while low quality of life was p = 0.088 < 0.05. There is a relationship between family support and quality of life in diabetes mellitus patients with diabetic ulcers at Kaimana Hospital, Kaimana Regency.