Nama Jurnal: Manuju : Malahayati Nursing Journal Initials: Manuju Online ISSN: 2655-4712 Print ISSN: 2655-2728 Editor in Chief: Dr. M. Arifki Zainaro, M.Kep Frekuensi: Setiap Bulan Publisher: Universitas Malahayati Lampung MANUJU : Malahayati Nursing Journal merupakan jurnal yang memiliki fokus utama pada hasil penelitian dan ilmu-ilmu di bidang kesehatan yang dikembangkan dengan pendekatan interdispliner dan multidisiplin. Proses penerimaan naskah selalu terbuka setiap waktu, naskah yang sudah disubmit oleh penulis akan direview oleh reviewer yang memiliki track record jurnal internasional bereputasi. MANUJU : Malahayati Nursing Journal telah menggunakan Open Journal System sejak pertama kali terbit pada tahun 2019 dimana penulis, editor, dan reviewer bisa memantau proses naskah secara online. MANUJU: Malahayati Nursing Journal Terakreditasi SINTA 3 No: 295/C/C3/KPT/2026.
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Pengaruh Edukasi melalui Metode Lonto Leok Terhadap Pengetahuan dan Kepatuhan Pengobatan Hipertensi Pada Lansia di Desa Lengko Namut Kabupaten Manggarai Timur
ABSTRACT Hypertension is a non-communicable disease that is a public health problem with a high prevalence in the elderly. Low levels of knowledge and adherence to treatment are the main causes of uncontrolled blood pressure. Local culture-based health education such as the Lonto Leok method is expected to improve public health understanding and behavior. This study aims to analyze the effect of Lonto Leok method education on the level of knowledge and adherence to hypertension treatment in the elderly in Lengko Namut Village, East Manggarai Regency. Using a quasi-experimental nonequivalent control group design with 56 respondents (28 intervention groups, 28 controls with video education), data were collected through pre- and post-test questionnaires (knowledge: 18 items; adherence: MMAS-8). The Lonto Leok group showed significant improvement (knowledge: mean increase of 4.36, p=0.000; adherence: increase of 1.93, p=0,000), superior to the video group (knowledge: 3.86, p=0.002; adherence: 1.61, p=0.000), analyzed by Wilcoxon test and t-test. The Lonto Leok cultural approach was proven to be more effective in improving hypertension management in this local context. Keywords: Lonto Leok, Hypertension, Knowledge, Medication, Elderly. ABSTRAK Hipertensi merupakan penyakit tidak menular yang menjadi masalah kesehatan masyarakat dengan prevalensi tinggi pada kelompok lansia. Rendahnya tingkat pengetahuan dan kepatuhan pengobatan menjadi penyebab utama tidak terkontrolnya tekanan darah. Edukasi kesehatan berbasis budaya lokal seperti metode Lonto Leok diharapkan mampu meningkatkan pemahaman dan perilaku kesehatan masyarakat. Penelitian ini bertujuan menganalisis pengaruh edukasi metode Lonto Leok terhadap tingkat pengetahuan dan kepatuhan pengobatan hipertensi pada lansia di Desa Lengko Namut Kabupaten Manggarai Timur. Menggunakan rancangan two group pre-test post-test design dengan 56 responden (28 kelompok intervensi, 28 kontrol dengan edukasi video), data dikumpul melalui kuesioner pre- dan post-test (pengetahuan: 18 item; kepatuhan: MMAS-8). Kelompok Lonto Leok menunjukkan peningkatan signifikan (pengetahuan: rata-rata naik 4,36, p=0,000; kepatuhan: naik 1,93, p=0,000), lebih unggul dari kelompok video (pengetahuan: 3,86, p=0,002; kepatuhan: 1,61, p=0,000), dianalisis dengan uji Wilcoxon dan t-test. Pendekatan budaya Lonto Leok terbukti lebih efektif dalam meningkatkan pengelolaan hipertensi di konteks lokal ini. Kata Kunci: Lonto Leok, Hipertensi, Pengetahuan, Kepatuhan, Lansia.
Kepuasan Pasien terhadap Persalinan Operasi Seksio Sesaria dengan Protokol Enhanced Recovery After Cesarean Surgery (ERACS) di Rumah Sakit Tingkat Sekunder di Indonesia
ABSTRACT The increasing rate of cesarean section has been associated with a higher incidence of postoperative complications, prolonged recovery, and reduced patient comfort. Enhanced Recovery After Cesarean Surgery (ERACS) was introduced as an evidence-based perioperative care pathway to accelerate postoperative recovery while improving patient-centered outcomes. This descriptive observational study was conducted from September to November 2024 at a secondary-level hospital in Indonesia and included all patients who underwent cesarean section using the ERACS protocol during the study period. Primary data were collected through structured interviews using a standardized questionnaire, while secondary data were obtained from medical records. A total sampling technique was employed, resulting in 203 eligible participants. Data were analyzed using descriptive statistics. Most participants were aged 20–35 years, multiparous, at term gestation, and had a hospital stay of two days. Overall, patient satisfaction with ERACS was high across all evaluated domains. Very high satisfaction was reported for preoperative, intraoperative, and postoperative hospital services. Most patients also expressed high satisfaction with the adequacy of information provided, postoperative nausea and vomiting control, pain management, early mobilization, timely urinary catheter removal, and appropriate initiation of oral intake, with the highest level of satisfaction observed for early oral intake. These findings indicate that cesarean section performed using the ERACS protocol provides high patient satisfaction throughout the perioperative and postoperative periods, supporting ERACS as an effective, evidence-based, and patient-centered approach to enhancing postoperative recovery and improving the overall patient experience following cesarean delivery. Keywords: Cesarean Section, ERACS, Patient Satisfaction, Enhanced Recovery, Obstetric Surgery. ABSTRAK Peningkatan angka persalinan dengan operasi seksio sesaria berkaitan dengan meningkatnya risiko komplikasi pascaoperasi, pemulihan yang lebih lama, serta berkurangnya kenyamanan pasien. Enhanced Recovery After Cesarean Surgery (ERACS) dikembangkan sebagai pendekatan pelayanan perioperatif berbasis bukti yang bertujuan mempercepat enhanced recovery sekaligus meningkatkan luaran yang berpusat pada pasien. Penelitian ini menggunakan desain observasional deskriptif yang dilaksanakan pada September hingga November 2024 di salah satu rumah sakit tingkat sekunder di Indonesia. Sampel penelitian meliputi seluruh pasien yang menjalani persalinan dengan operasi seksio sesaria menggunakan protokol ERACS selama periode penelitian. Data primer diperoleh melalui wawancara terstruktur menggunakan kuesioner baku, sedangkan data sekunder diperoleh dari rekam medis. Teknik total sampling menghasilkan 203 responden yang memenuhi kriteria penelitian, dan data dianalisis secara deskriptif. Sebagian besar responden berusia 20–35 tahun, multipara, berada pada usia kehamilan aterm, serta menjalani lama rawat inap selama dua hari. Secara keseluruhan, tingkat kepuasan pasien terhadap penerapan ERACS tergolong tinggi pada seluruh aspek yang dievaluasi. Tingkat kepuasan yang sangat tinggi ditemukan pada pelayanan praoperatif, intraoperatif, dan pascaoperatif. Sebagian besar pasien juga menyatakan sangat puas terhadap kecukupan informasi yang diberikan, pengendalian mual dan muntah pascaoperasi, pengelolaan nyeri, pelaksanaan mobilisasi dini, waktu pelepasan kateter urin, serta ketepatan pemberian asupan oral, dengan tingkat kepuasan tertinggi terdapat pada waktu dimulainya pemberian asupan oral. Temuan ini menunjukkan bahwa penerapan protokol ERACS mampu memberikan tingkat kepuasan pasien yang tinggi pada seluruh komponen pelayanan perioperatif dan pascaoperatif, sehingga mendukung ERACS sebagai pendekatan pelayanan yang efektif, berbasis bukti, dan berpusat pada pasien dalam mempercepat pemulihan serta meningkatkan pengalaman pasien setelah persalinan dengan seksio sesaria. Kata Kunci: Seksio Sesaria, ERACS, Kepuasan Pasien, Enhanced Recovery, Operasi Obstetri.
Pengaruh Transcutaneous Electrical Auricular Acupressure Stimulation (Teaas) Terhadap Xerostomia dan Rasa Haus pada Pasien CKD yang Menjalani Hemodialisis
ABSTRACT Chronic Kidney Disease (CKD) patients undergoing hemodialysis often experience xerostomia and excessive thirst, which impact their comfort and quality of life. Available interventions are limited, necessitating alternative non-pharmacological approaches such as Transcutaneous Electrical Auricular Acupressure Stimulation (TEAAS). Analyzed the effect of TEAAS on reducing xerostomia and thirst in CKD patients undergoing hemodialysis and compared its effectiveness with a control intervention (gargling with boiled water). This study used a quasi-experimental design with a pre-test and post-test with a control group. A sample of 34 respondents was selected using purposive sampling and divided into the intervention (TEAAS) and control (gargling with boiled water) groups. The interventions were administered six times over three weeks. Measurements were made using the SXI-ID and TDS. Data were analyzed using the Wilcoxon, Mann–Whitney, and GEE tests. Results: TEAAS significantly reduced xerostomia (p < 0,001) and thirst (p < 0,001), with better results compared to the control group. There were significant differences between groups at post-test for xerostomia (p = 0,007) and thirst (p = 0,008). Fluid hydration status significantly influenced both variables (p < 0,001). TEAAS is more effective than gargling with boiled water in reducing xerostomia and thirst in CKD patients undergoing hemodialysis, and hydration status is a significant influencing factor. Keywords: Chronic Kidney Disease, Hemodialysis, Transcutaneous Electrical Auricular Acupressure Stimulation, Xerostomia, Thirst. ABSTRAK Pasien Chronic Kidney Disease (CKD) yang menjalani hemodialisis sering mengalami xerostomia dan rasa haus berlebih yang berdampak pada kenyamanan serta kualitas hidup. Intervensi yang tersedia masih memiliki keterbatasan sehingga diperlukan pendekatan nonfarmakologis alternatif seperti Transcutaneous Electrical Auricular Acupressure Stimulation (TEAAS). Menganalisis pengaruh TEAAS terhadap penurunan xerostomia dan rasa haus pada pasien CKD yang menjalani hemodialisis serta membandingkan efektivitasnya dengan intervensi kontrol (berkumur air matang).Penelitian ini menggunakan desain quasi experimental dengan pre-test dan post-test with control group. Sampel berjumlah 34 responden yang dipilih secara purposive sampling dan dibagi menjadi kelompok intervensi (TEAAS) dan kontrol (berkumur air matang). Intervensi diberikan sebanyak enam kali selama tiga minggu. Pengukuran menggunakan SXI-ID dan TDS. Analisis data menggunakan uji Wilcoxon, Mann–Whitney, dan GEE. Hasil: TEAAS secara signifikan menurunkan xerostomia (p < 0,001) dan rasa haus (p < 0,001), dengan hasil yang lebih baik dibandingkan kelompok kontrol. Terdapat perbedaan signifikan antar kelompok pada post-test untuk xerostomia (p = 0,007) dan rasa haus (p = 0,008). Status hidrasi cairan berpengaruh signifikan terhadap kedua variabel (p < 0,001). TEAAS lebih efektif dibandingkan berkumur air matang dalam menurunkan xerostomia dan rasa haus, serta status hidrasi menjadi faktor yang memengaruhi kedua kondisi tersebut. Kata Kunci: Chronic Kidney Disease, Hemodialisis, Transcutaneous Electrical Auricular Acupressure Stimulation, Xerostomia, Rasa Haus.
Using Mobile Health Applications to Prevent Preeclampsia in Pregnant Women: A Scoping Review
ABSTRACT Preeclampsia remains one of the leading causes of maternal morbidity and mortality worldwide. One of the interventions implemented is health education for pregnant women. However, in practice, this is often hindered by limited time and healthcare personnel. With the advancement of technology, the use of mobile applications in preeclampsia prevention can serve as an alternative educational medium that is easily accessible to pregnant women, as mobile health technology can improve the management of high blood pressure through patient education, facilitate communication between patients and healthcare providers, and support self-monitoring of blood pressure. This study aims to systematically map the use of information systems and digital technology in preventing preeclampsia in pregnant women through a scoping review approach. The scoping review was conducted following the PRISMA-ScR guidelines. A literature search was performed in international and national scientific databases for articles published from 2018 to 2026 via Google Scholar, Scopus, PubMed, and ScienceDirect. Studies meeting the inclusion criteria were mapped based on research design, type of mHealth intervention, focus, and reported outcomes. Findings from 9 articles indicate that mHealth apps are used for education, early detection, health monitoring, improved access to health services, and increased engagement of pregnant women in health services. The most frequently reported outcomes and objectives of mHealth interventions were early detection and blood pressure monitoring in pregnant women (n=4), while evidence regarding preventive behavioral changes and clinical impacts remains limited. Mobile health applications play a role in supporting preeclampsia prevention, particularly through increased knowledge and engagement among pregnant women. However, further research is needed to evaluate their impact on preventive behavioral changes and clinical outcomes. Keywords: Mobile Health Application, Prevention, Preeclampsia, Pregnant Women.
Analisis Medication Error pada Fase Prescribing, Transcribing dan Dispensing yang Berpengaruh terhadap Keselamatan Pasien di Instalasi Farmasi Rawat Jalan RSU Marina Permata Tanah Bumbu Kalimantan Selatan
ABSTRACT Medication error significantly affects patient safety and the quality of pharmaceutical services. This study examined the impact of errors in the prescribing, transcribing, and dispensing phases on patient safety at the Outpatient Pharmacy of Marina Permata Hospital, Tanah Bumbu. A quantitative design with multiple linear regression was applied to assess both partial and simultaneous effects. The results showed that all three phases significantly influenced patient safety, with dispensing identified as the most dominant factor. Simultaneous analysis also confirmed a significant combined effect. The Adjusted R² value of 0.438 indicates that 43.8% of the variation in patient safety was explained by the three phases of medication error. These findings highlight that errors throughout the medication use process contribute to patient safety risks. Strengthening prescription accuracy, verification procedures, and dispensing practices is therefore essential to reduce medication errors and enhance patient safety. Keywords: Medication Error, Prescribing, Transcribing, Dispensing, Patient Safety. ABSTRAK Kesalahan pengobatan (*medication error*) berdampak signifikan terhadap keselamatan pasien dan mutu pelayanan kefarmasian. Penelitian ini mengkaji dampak kesalahan pada tahap penulisan resep (*prescribing*), penyalinan resep (*transcribing*), dan penyiapan serta penyerahan obat (*dispensing*) terhadap keselamatan pasien di Instalasi Farmasi Rawat Jalan Rumah Sakit Marina Permata, Tanah Bumbu. Desain kuantitatif dengan analisis regresi linear berganda digunakan untuk menilai pengaruh baik secara parsial maupun simultan. Hasil penelitian menunjukkan bahwa ketiga tahap tersebut berpengaruh signifikan terhadap keselamatan pasien, dengan tahap penyiapan dan penyerahan obat (*dispensing*) teridentifikasi sebagai faktor yang paling dominan. Analisis simultan juga mengonfirmasi adanya pengaruh gabungan yang signifikan. Nilai *Adjusted R²* sebesar 0,438 menunjukkan bahwa 43,8% variasi dalam keselamatan pasien dijelaskan oleh ketiga tahap kesalahan pengobatan tersebut. Temuan ini menegaskan bahwa kesalahan di sepanjang proses penggunaan obat berkontribusi terhadap risiko keselamatan pasien. Oleh karena itu, peningkatan akurasi penulisan resep, prosedur verifikasi, dan praktik penyiapan serta penyerahan obat sangat penting dilakukan untuk mengurangi kesalahan pengobatan dan meningkatkan keselamatan pasien. Kata Kunci: Kesalahan Pengobatan, Penulisan Resep, Penyalinan Resep, Penyiapan dan Penyerahan Obat, Dispensing, Keselamatan Pasien.
Hubungan Motivasi dengan Perilaku tentang Pemeriksaan Payudara Sendiri (Sadari) Pada Siswi Kelas VII dan VIII di SMPN 1 Cireunghas Wilayah Kerja Puskesmas Cireunghas Kabupaten Sukabumi
ABSTRACT Breast cancer is one of the leading causes of death among women aged 15–49 years. One of the measures that can be taken is early detection through Breast Self-Examination (BSE). The behaviour regarding BSE is influenced by many factors, one of which is motivation. Analysing the relationship between motivation and behaviour regarding self-breast examination (SADARI) among Year 7 and Year 8 schoolgirls. This is a correlational study employing a cross-sectional approach. The population comprised all female students in Years 7 and 8 at SMPN 1 Cireunghas, totalling 194 respondents. The sample consisted of 131 respondents, selected using proportional random sampling. Data was collected using a questionnaire. The data was analysed using Somersd’s test. The results of the study indicate that the majority of respondents demonstrated high motivation and good behaviour. The results of the Somers’d test showed a p-value of <0.001, which indicates a significant association between motivation and behaviour regarding self-examination of the breasts (BSE). There is a relationship between motivation and behaviour regarding self-breast examination (BSEI) among Year 7 and Year 8 female students at SMPN 1 Cireunghas within the Cireunghas Public Health Centre catchment area, Sukabumi Regency. Keywords: Breast Cancer, Motivation, Behaviour, Adolescents, BSE ABSTRAK Kanker payudara merupakan salah satu penyebab kematian utama pada wanita usia 15–49 tahun. Salah satu upaya yang dapat dilakukan adalah melalui deteksi dini berupa Pemeriksaan Payudara Sendiri (SADARI). Perilaku dalam melakukan SADARI banyak dipengaruhi oleh faktor, salah satunya adalah motivasi. Menganalisis hubungan motivasi dengan perilaku tentang pemeriksaan payudara sendiri (SADARI) pada siswi kelas VII dan VIII. Jenis penelitian korelasional dengan pendekatan cross-sectional. Populasi melibatkan seluruh siswi kelas VII dan VIII di SMPN 1 Cireunghas sebanyak 194 responden. Sampel berjumlah 131 responden menggunakan proportional random sampling. Pengumpulan data menggunakan kuesioner. Analisis data menggunakan uji somers’d. Hasil studi menunjukan bahwa sebagian besar responden memiliki motivasi tinggi dan perilaku yang baik. Hasil uji somers’d menunjukan nilai p-value <0,001 yang berarti ada hubungan motivasi dengan perilaku tentang pemeriksaan payudara sendiri (SADARI). Terdapat hubungan motivasi dengan perilaku tentang pemeriksaan payudara sendiri (SADARI) pada siswi kelas VII dan VIII di SMPN 1 Cireunghas Wilayah Kerja Puskesmas Cireunghas Kabupaten Sukabumi. Kata Kunci: Kanker Payudara, Motivasi, Perilaku, Remaja, SADARI.
Analisis Reaktifitas IMLTD Donor Pengganti dan Sukarela di UPD RSUD Provinsi NTB
ABSTRACT This analytical retrospective study examined comprehensive data of 12,610 blood donors who donated at the Regional General Hospital Blood Transfusion Unit in West Nusa Tenggara Province during a six-month period from July 1 to December 31, 2025. The research was designed with primary objectives to map complete demographic and biological profiles, identify temporal donation patterns throughout the observation period, and compare IMLTD screening results between replacement donor group comprising 72 percent and voluntary donor group comprising 28 percent. Research methodology employed total sampling approach with descriptive statistical analysis for profile characterization, chi-square testing for bivariate association exploration, and multivariate logistic regression for identification of independent predictors. Research findings demonstrated that IMLTD reactivity in replacement donors reached 2.50 percent (227 out of 9,079 donors) which was significantly higher compared to voluntary donors at 0.91 percent (32 out of 3,531 donors) with p-value less than 0.001 and risk ratio 2.78. Hepatitis B represented the dominant component with disparity of 1.80 percent versus 0.54 percent. Replacement donor status, age greater than 40 years, and first-time donor status were identified as significant independent predictors. The study recommends systematic transition toward voluntary donor system through phased strategies based on local empirical evidence. Keywords: Replacement Donor, IMLTD Reactivity, Voluntary Donor System. ABSTRAK Penelitian retrospektif analitik ini menganalisis data komprehensif sebanyak 12.610 donor darah yang melakukan donasi di Unit Pengelola Darah Rumah Sakit Umum Daerah Provinsi Nusa Tenggara Barat selama periode enam bulan dari 1 Juli hingga 31 Desember 2025. Penelitian ini dirancang dengan tujuan utama memetakan profil demografis dan biologis lengkap, mengidentifikasi pola donasi temporal sepanjang periode observasi, serta membandingkan hasil skrining IMLTD antara kelompok donor pengganti yang mendominasi sebesar 72 persen dan donor sukarela sebesar 28 persen. Metodologi penelitian menggunakan pendekatan total sampling dengan analisis statistik deskriptif untuk karakterisasi profil, uji chi-square untuk eksplorasi asosiasi bivariat, dan regresi logistik multivariat untuk identifikasi prediktor independen. Hasil penelitian menunjukkan bahwa reaktifitas IMLTD pada donor pengganti mencapai 2,50 persen (227 dari 9.079 donor) yang signifikan lebih tinggi dibandingkan donor sukarela sebesar 0,91 persen (32 dari 3.531 donor) dengan nilai p kurang dari 0,001 dan risk ratio 2,78. Hepatitis B merepresentasikan komponen dominan dengan disparitas 1,80 persen versus 0,54 persen. Status donor pengganti, usia di atas 40 tahun, dan status donor pertama kali teridentifikasi sebagai prediktor independen signifikan. Penelitian merekomendasikan transisi sistematis menuju sistem donor sukarela melalui strategi berjenjang berbasis bukti empiris lokal. Kata Kunci: Donor Pengganti, Reaktifitas IMLTD, Sistem Donor Sukarela.
Hubungan Tingkat Stres Dengan Siklus Menstruasi Pada Remaja Putri di SMAN 1 Wilayah Kerja Puskesmas Gedong Panjang Kota Sukabumi
ABSTRACT Adolescence is the time between childhood and adulthood when people start going through puberty. Menstruation is a sign of puberty in teenage girls. Menstrual disorders are among the reproductive health problems that teenage females are susceptible to during puberty. Adolescents are also more susceptible to stress because of changes in their bodies and minds as well as growing environmental pressures. Adolescent girls may experience menstrual cycle abnormalities as a result of this stress's disruption of the reproductive hormone balance. The objective of this study is to determine the relationship between stress levels and menstrual cycles among female adolescents at SMAN 1 in the service area of the Gedong Panjang Community Health Center, Sukabumi City. This research applied a correlational study design using a cross-sectional approach. The sample included 236 adolescent girls who were selected through proportional random sampling. Stress levels were assessed using the Perceived Stress Scale-10 (PSS-10) questionnaire, while menstrual cycle characteristics were evaluated using the Guttman scale. Data were analyzed using both univariate and bivariate methods, with the Chi-Square test applied at a significance level of α = 0.05, and the strength of the relationship was assessed using the contingency coefficient. According to the study's findings, 185 respondents (78,4%) reported moderate stress, while 190 respondents (80,5%) reported regular menstrual periods. With a contingency coefficient of 0.654 and a p-value of 0.000 < 0.05, the Chi-Square test results demonstrated a high correlation between stress levels and the menstrual cycle. There is a significant association and strong correlation between stress levels and the menstrual cycle, such that increased stress levels may potentially increase the risk of menstrual disorders among adolescent girls at SMAN 1 within the service area of the Gedong Panjang Community Health Center in Sukabumi City. Keywords: Adolescent Girls, Menstrual Cycle, Stress Level. ABSTRAK Masa remaja merupakan periode peralihan dari masa anak menuju dewasa, di mana individu mulai mengalami pubertas. Pada remaja perempuan, pubertas ditandai dengan terjadinya menstruasi. Pada masa pubertas, remaja putri berpotensi mengalami berbagai permasalahan kesehatan reproduksi, salah satunya gangguan menstruasi. Selain itu, remaja juga rentan mengalami stres akibat perubahan fisik, psikologis, serta tuntutan lingkungan yang semakin meningkat. Kondisi stres tersebut dapat memengaruhi keseimbangan hormon reproduksi sehingga berpotensi menyebabkan gangguan siklus menstruasi pada remaja putri. Tujuan dari penelitian ini adalah untuk mengetahui bagaimana tingkat stres dan siklus menstruasi remaja putri di SMAN 1 di wilayah kerja Puskesmas Gedong Panjang Kota Sukabumi berhubungan. Penelitian ini menggunakan desain korelasional dengan pendekatan cross-sectional.Sampel penelitian berjumlah 236 remaja putri Sampel penelitian dipilih menggunakan teknik proportional random sampling. Pengukuran tingkat stres dilakukan dengan menggunakan kuesioner Perceived Stress Scale-10 (PSS-10), sedangkan siklus menstruasi diukur menggunakan skala Guttman. Analisis data dilakukan melalui analisis univariat dan bivariat dengan uji Chi-Square pada tingkat signifikansi α = 0,05 dan menilai keeratan hubungan dengan koefisien kontengensi. Berdasarkan temuan studi ini, 185 responden (78,4%) melaporkan mengalami tingkat stres sedang, sementara 190 responden (80,5%) melaporkan siklus menstruasi yang teratur. Dengan koefisien kontingensi sebesar 0,654 dan nilai p sebesar 0,000 < 0,05, hasil uji Chi-Square menunjukkan adanya korelasi yang kuat antara tingkat stres dan siklus menstruasi. Terdapat korelasi hubungan yang signifikan dengan keterikatan hubungan yang kuat antara tingkat stres dan siklus menstruasi, di mana peningkatan tingkat stres berpotensi meningkatkan risiko gangguan menstruasi pada remaja putri di SMAN 1 wilayah kerja Puskesmas Gedong Panjang Kota Sukabumi. Kata Kunci: Remaja Putri, Siklus Menstruasi, Tingkat Stres.
Effectiveness of HIV/AIDS Education Using Leaflets and Tiktok Videos for Adolescents in Panimbang District, Pandeglang Regency
ABSTRACT HIV/AIDS among teenagers is a problem that is still quite high and has an impact on adolescent health. HIV/AIDS often occurs because sexual activity among teenagers is increasing due to knowledge about HIV/AIDS not being improved. Objective This research is to determine the effectiveness of counseling using leaflets and Tiktok video media for teenagers in Panimbang District, Pandeglang Regency in 2024. Method of this research is a quasi-experimental quantitative research with a two group pre-test and post-test design, data was collected using a pre-questionnaire.- test and post-test. The population of this study was 2425. The sample in this study was 378 respondents who were divided into 2 groups, 189 respondents as the leaflets outreach group and 189 respondents as the tiktok video outreach. Result: There was an increase in the average value of knowledge and attitudes between before and after HIV/AIDS education using leaflets and tiktok videos among teenagers in Panimbang District. Conclusion: HIV/AIDS education using TikTok video is more effective than leaflets. Keywords: Media, Leaflet, Knowledge, HIV/AIDS Education, Video Tiktok.
Hubungan Mengonsumsi Makanan Cepat Saji (Fast Food) dengan Dismenore Primer pada Remaja Putri di SMAN 1 Kota Sukabumi Wilayah Kerja Puskesmas Gedong Panjang Kota Sukabumi
ABSTRACT Menstrual pain or dysmenorrhea is a common condition among adolescent girls that can disrupt their daily routines. Dietary habits, particularly the frequent intake of fast food, are considered as one of the possible contributing factors. This study was conducted to identify whether there is an association between fast food consumption and the occurrence of primary dysmenorrhea among female students of SMAN 1 Kota Sukabumi. A quantitative study with a cross-sectional design was applied. From a total population of 574 students, 236 participants were selected through proportional stratified random sampling. Data collection involved the use of a Food Frequency Questionnaire (FFQ) to evaluate eating patterns and a Numeric Rating Scale (NRS) to assess pain intensity. The relationship between variables was analyzed using the Chi-Square test. Findings indicated that 41.5% of respondents frequently consumed fast food, while 62.7% reported experiencing dysmenorrhea. The statistical test produced a p-value of 0.002, which is below the significance threshold. The analysis suggests a statistically significant association between fast food consumption and primary dysmenorrhea among adolescent girls. Keywords: Fast Food, Primary Dysmenorrhea, Adolescent Girls. ABSTRAK Dismenore merupakan nyeri yang muncul saat menstruasi dan cukup banyak dialami oleh remaja putri hingga dapat mengganggu aktivitas harian. Salah satu faktor yang diduga berperan adalah pola makan, khususnya kebiasaan mengonsumsi makanan cepat saji. Penelitian ini dilakukan untuk mengetahui ada tidaknya hubungan antara kebiasaan konsumsi makanan cepat saji dengan kejadian dismenore primer pada siswi SMAN 1 Kota Sukabumi. Penelitian ini menggunakan pendekatan kuantitatif dengan desain cross sectional. Dari total 574 siswi, sebanyak 236 responden dipilih melalui teknik proportional stratified random sampling. Pengumpulan data dilakukan menggunakan Food Frequency Questionnaire (FFQ) untuk menilai pola konsumsi dan Numeric Rating Scale (NRS) untuk mengukur tingkat nyeri. Analisis hubungan antar variabel menggunakan uji Chi-Square. Sebanyak 41,5% responden termasuk dalam kelompok yang sering mengonsumsi makanan cepat saji, sementara 62,7% mengalami dismenore. Hasil uji statistik menunjukkan nilai p sebesar 0,002 yang berada di bawah batas signifikansi. Hasil penelitian menunjukkan adanya hubungan yang bermakna antara konsumsi makanan cepat saji dengan kejadian dismenore primer pada remaja putri. Kata Kunci: Makanan Cepat Saji, Dismenore Primer, Remaja Putri.
The Application of Slow Deep Breathing and Spiritual Emotional Freedom Technique in a Patient with Rectal Cancer Experiencing Chronic Pain and Anxiety: A Case Report
ABSTRACT Rectal cancer is a malignancy of the lower gastrointestinal tract that is often accompanied by chronic pain and anxiety, particularly in patients undergoing chemotherapy. These conditions affect physical, psychological, and spiritual aspects, thus requiring a holistic nursing care approach. This case report aimed to describe the patient’s response to a combination of Slow Deep Breathing (SDB) and Spiritual Emotional Freedom Technique (SEFT) interventions in reducing pain and anxiety. This study employed a case report design involving a 48-year-old male patient diagnosed with stage III rectal cancer, accompanied by anemia, who was undergoing chemotherapy. The intervention was administered once daily for three consecutive days, with each session lasting 20–25 minutes. Pain intensity was measured using the Visual Analogue Scale (VAS), while anxiety levels were assessed using the Hamilton Anxiety Rating Scale (HAM-A) before and after the intervention. The results showed a reduction in the pain score from 8 to 5 and a decrease in the anxiety score from 28 to 19. Clinically, the patient appeared more relaxed, cooperative, and showed improved acceptance of his illness. The combination of SDB and SEFT has the potential to serve as a complementary nursing intervention that supports a holistic approach in the care of patients with rectal cancer. Keywords: Rectal Cancer, Slow Deep Breathing, Spiritual Emotional Freedom Technique, Pain, Anxiety.
Efektivitas Mobile Learning App dalam Edukasi dan Pemantauan Log Activity Terhadap Pencegahan Risiko Dm Tipe 2 Pada Remaja
ABSTRACT The increasing risk of Type 2 Diabetes Mellitus among adolescents is associated with unhealthy lifestyles, including low physical activity and high sedentary behavior. The use of mobile learning integrated with activity logs has emerged as an innovative approach to improve health literacy and promote behavioral change. This study aimed to determine the effect of mobile learning–based education on knowledge, physical activity behavior, and prediabetes risk parameters among adolescents. This study employed a quasi-experimental design involving 50 tenth-grade students of SMAN 1 Tumpang, Malang, selected using purposive sampling. Data were collected using knowledge and prediabetes questionnaires. Blood glucose levels and Body Mass Index (BMI) were measured before and after the educational intervention. Data were analyzed using the Wilcoxon test. The intervention significantly improved participants’ knowledge (p = 0.000). However, the Wilcoxon test showed no significant effect on blood glucose levels (p = 0.496) or BMI (p = 0.698). Mobile learning–based education combined with activity log monitoring effectively improves adolescents’ knowledge but does not significantly affect blood glucose levels or BMI. Keywords: Education, Physical Activity, Blood Glucose, Body Mass Index, Adolescents. ABSTRAK Peningkatan risiko Diabetes Mellitus Tipe 2 pada remaja berkaitan dengan gaya hidup tidak sehat, seperti rendahnya aktivitas fisik dan tingginya perilaku sedentari. Pemanfaatan mobile learning yang terintegrasi dengan log activity menjadi pendekatan inovatif dalam meningkatkan literasi kesehatan dan mendorong perubahan perilaku. Mengetahui pengaruh edukasi berbantuan mobile learning app terhadap pengetahuan, perilaku aktivitas fisik, dan parameter risiko pradiabetes pada remaja. Penelitian menggunakan desain Quasi Eksperimen dengan subyek penelitian 50 remaja SMAN 1 Tumpang Malang. Teknik Pengambilan Sampel menggunakan Purposive Sampling pada siswa kelas X. Data dikumpulkan menggunakan Kuesioner pengetahuan dan prediabetes. Pengukuran Gula Darah dan IMT Remaja dilakukan sebelum dan sesudah edukasi. Analisis menggunakan uji Wilcoxon. Edukasi Dan Pemantauan Log Activity Berbantuan Mobile Learning App meningkatkan pengetahuan (p= 0.000). Hasil uji Wilcoxon menunjukkan bahwa tidak terdapat pengaruh signifikan terhadap kadar gula darah (p = 0,496) maupun IMT (p = 0,698). Edukasi dan pemantauan log activity berbantuan mobile learning app meningkatkan pengetahuan, tidak berpengaruh signifikan terhadap kadar gula darah maupun IMT remaja. Kata Kunci: Edukasi, Aktivitas Fisik, Gula Darah, Index Masa Tubuh, Remaja.
Analisis Perilaku Pencarian Pengobatan (Health Seeking Behavior) terhadap Kejadian Penyakit Keluarga Petani di Kayu Aro
ABSTRACT Health-seeking behavior is a crucial aspect of family health management, especially when a family member experiences illness. Parents, as the primary decision-makers in the family, play a crucial role in determining when, where, and how treatment is administered. This study aims to analyze the role and actions of parents in health-seeking behavior related to family illnesses. This study used a quantitative approach and was conducted in Sungai Renah Village, Kayu Aro District, Kerinci Regency, Jambi Province, focusing on farming families in the area. Forty respondents were recruited for quantitative data collection through a survey. The quantitative data were analyzed using descriptive and inferential statistical analysis. This study shows a relationship between knowledge and health-seeking behavior (p=0.004) and between attitudes and health-seeking behavior (p<0.001). In this study, knowledge and attitudes are factors that can influence health-seeking behavior in Kayu Aro farming families. Keywords: Health-seeking Behavior, Knowledge, Attitude, Farmers, Families. ABSTRAK Perilaku pencarian pengobatan (health seeking behavior) merupakan aspek penting dalam penanganan kesehatan keluarga, terutama ketika anggota keluarga mengalami penyakit. Orang tua sebagai pengambil keputusan utama dalam keluarga memiliki peran krusial dalam menentukan kapan, di mana, dan bagaimana pengobatan dilakukan. Penelitian ini bertujuan untuk menganalisis peran dan tindakan orang tua dalam perilaku pencarian pengobatan terhadap kejadian penyakit keluarga. Penelitian ini menggunakan pendekatan Kuantitatif yang dilakukan di Desa Sungai Renah, Kecamatan Kayu Aro, Kabupaten Kerinci, Provinsi Jambi, dengan fokus pada keluarga petani di wilayah tersebut. Penelitian ini melibatkan 40 responden untuk pengumpulan data kuantitatif melalui survei. Data kuantitatif akan dianalisis menggunakan analisis statistik deskriptif dan inferensial. Hasil Penelitian ini menunjukkan bahwa adanya hubungan antara Pengetahuan dengan Health Seeking Behavior (p=0,004) dan adanya hubungan antara Sikap dengan Health Seeking Behavior (p<0,001). Pada penelitian ini pengetahuan dan sikap menjadi faktor yang dapat mempengaruhi perilaku pencarian pengobatan pada keluarga Petani Kayu Aro. Kata Kunci: Perilaku Pencarian Pengobatan, Pengetahuan, Sikap, Petani, Keluarga.
Hubungan Pengetahuan dengan Tindakan Personal Hygiene Saat Menstruasi pada Remaja di SMPN 1 Gegerbitung Wilayah Kerja Uptd Puskesmas Gegerbitung
ABSTRACT Maintaining personal hygiene during menstruation is vital for adolescents’ reproductive health. It is believed that adequate knowledge influences adolescents’ personal hygiene practices during menstruation. To determine the relationship between knowledge and personal hygiene practices during menstruation among adolescents. A correlational study using a cross-sectional approach. The study population consisted of a sample of female adolescents in Years 8 and 9 at SMPN 1 Gegerbitung, within the catchment area of the Gegerbitung Community Health Centre (Puskesmas) and the Gegerbitung Community Health Centre Operational Unit (UPTD), with a sample size of 128 respondents selected using proportional random sampling. Data were collected using a knowledge questionnaire (Guttman scale) and a personal hygiene practices questionnaire (Likert scale). Data analysis was conducted using univariate and bivariate analyses with the Chi-Square test. The results showed that of the 128 respondents with good knowledge, 51 respondents (58.6%) had personal hygiene practices in the ‘good’ category. The statistical test using the Chi-Square test yielded a p-value of 0.000 (p < 0.05). There is a relationship between knowledge and personal hygiene practices during menstruation among adolescents at SMPN 1 Gegerbitung within the working area of the Gegerbitung Public Health Centre (UPTD Puskesmas). Keywords: Knowledge, Personal Hygiene Actions, Menstruation, Teenager. ABSTRAK Menjaga personal hygiene saat menstruasi sangat penting untuk kesehatan reproduksi remaja. Pengetahuan yang cukup diyakini memengaruhi tindakan personal hygiene remaja selama menstruasi. Untuk mengetahui hubungan pengetahuan dengan tindakan personal hygiene saat menstruasi pada remaja. Penelitian korelasional dengan pendekatan cross sectional. Populasi yang diteliti terdiri dari sebagian remaja putri kelas VIII dan IX di SMPN 1 Gegerbitung wilayah kerja Puskesmas Gegerbitung wilayah kerja UPTD Puskesmas Gegerbitung dengan jumlah sampel 128 responden yang diambil melalui teknik proposional random sampling. Data dikumpulkan menggunakan kuesioner pengetahuan (skala Guttman) dan kuesioner tindakan personal hygiene (skala likert). Analisis data dilakukan secara univariat dan bivariat menggunakan uji Chi-Square. Hasil menunjukan bahwa dari 128 responden yang berpengetahuan baik yaitu sebanyak 51 responden (58,6%) tindakan personal hygiene dalam kategori baik. Hasil uji statistik menggunakan Chi-Square diperoleh nilai p-value = 0,000 (p < 0,05). Terdapat hubungan pengetahuan dengan tindakan personal hygiene saat menstruasi pada remaja di SMPN 1 Gegerbitung wilayah kerja UPTD Puskesmas Gegerbitung. Kata Kunci: Menstruasi, Pengetahuan, Personal hygiene, Remaja, Tindakan.
Pengembangan Aplikasi Deteksi dan Pencegahan Stunting Wilayah Kepulauan
ABSTRACT Stunting is a significant health problem in Indonesia. Although there has been a reduction in the stunting rate to 21.6% in 2022, this figure has not met the target of reducing stunting by 14% in 2024. Island regions have their own challenges in terms of disseminating information and health services related to stunting, so it is necessary to develop innovative technology-based solutions to detect and prevent stunting. This research aims to develop an Android-based stunting detection and prevention application model that can be used in island areas. This research uses a qualitative method with a Waterfall Design Thinking approach in application development. Data collection was carried out through observation, interviews and literature study with 30 respondents from the Belitung and East Belitung districts. Focus Group Discussion (FGD) was conducted to obtain input regarding application development. Application development using hardware instruments, software including Flutter software and Visual Studio Code.The research results show that the majority of respondents have used information technology such as social media, but only 3.3% have used Android-based applications specifically for stunting. All respondents had a positive perception of application use, with an emphasis on ease of use and accessibility. The FGD results also show that applications with offline features are really needed in areas with limited internet access. The "SAFFARI" application developed is designed to provide nutritional information, stunting detection guidance, and intervention recommendations in visual form, so that it is easy to understand by users with a low level of technological literacy.This research provides an overview of the need for developing the "SAFFARI" application which can be used for stunting detection and prevention in island areas and the design of the application wireframe. Keywords: Application, Detection, Stunting. ABSTRAK Stunting merupakan masalah kesehatan yang signifikan di Indonesia Meskipun terdapat penurunan angka stunting menjadi 21,6% pada tahun 2022, angka ini belum memenuhi target penurunan stunting sebesar 14% pada tahun 2024. Wilayah kepulauan memiliki tantangan tersendiri dalam hal penyebaran informasi dan pelayanan kesehatan terkait stunting, sehingga perlu dikembangkan solusi inovatif berbasis teknologi untuk mendeteksi dan mencegah stunting. Penelitian ini bertujuan untuk mengembangkan model aplikasi deteksi dan pencegahan stunting berbasis Android yang dapat digunakan di wilayah kepulauan. Penelitian ini menggunakan metode kualitatif dengan pendekatan Design Thinking metode Waterfall dalam pengembangan aplikasi. Pengumpulan data dilakukan melalui observasi, wawancara, dan studi pustaka dengan 30 responden dari wilayah Kabupaten Belitung dan Belitung Timur. Focus Group Discussion (FGD) dilakukan untuk mandapatkan masukan terkait pengembangan aplikasi. Pengembangan aplikasi menggunakan instrumen perangkat keras, perangkat lunak termasuk software Flutter dan Visual Studio Code. Hasil penelitian menunjukkan mayoritas responden telah menggunakan teknologi informasi seperti media sosial, namun hanya 3,3% yang telah memanfaatkan aplikasi berbasis Android khusus untuk stunting. Seluruh responden memiliki persepsi positif terhadap penggunaan aplikasi, dengan penekanan pada kemudahan penggunaan dan aksesibilitas. Hasil FGD juga menunjukkan bahwa aplikasi dengan fitur offline sangat dibutuhkan di daerah dengan akses internet terbatas. Aplikasi "SAFFARI" yang dikembangkan dirancang untuk menyediakan informasi nutrisi, panduan deteksi stunting, dan rekomendasi intervensi dalam bentuk visual, sehingga mudah dipahami oleh pengguna dengan tingkat literasi teknologi yang rendah. Penelitian ini memberikan Gambaran kebutuhan pengembangan aplikasi "SAFFARI" yang dapat digunakan untuk deteksi dan pencegahan stunting di wilayah kepulauan dan rancangan wireframe aplikasi. Kata Kunci: Aplikasi, Deteksi, Stunting.
Pengaruh Teknik Pernapasan Tiup-Tiup (Pursed Lips Breathing) terhadap Durasi Kala II Pada Ibu Bersalin Primigravida di Taman Ibu Bidan Annisa dan TPMB Bidan Diati Malang
ABSTRACT In first-time pregnant women (primigravidas), the second stage of labor is a crucial period that often lasts longer and poses a risk of problems such as fetal distress and maternal fatigue. The pursed-lip breathing technique is a non-pharmacological method that can be used to help regulate breathing and promote calm during labor. The purpose of this study was to determine how the pursed-lip breathing method affects the duration of the second stage of labor in primigravida women. This study used a posttest-only control group and a quasi-experimental design. Twenty individuals formed the study sample, divided into the intervention group and the control group. An independent t-test was used to analyze the data. According to the findings, the second stage of labor lasted an average of 60.90 minutes in the intervention group and 54.40 minutes in the control group. According to the statistical test findings, there was no significant difference between the two groups, with a p-value of 0.633 (>0.05). This study concluded that the pursed-lip breathing method has implications for increasing maternal comfort and relaxation during labor, but has no significant effect on the duration of the second stage of labor. Keywords: Childbirth, Second Stage, Primigravida, Pursed Lips Breathing. ABSTRAK Pada wanita hamil pertama kali (primigravida), tahap kedua persalinan merupakan periode penting yang seringkali berlangsung lebih lama dan menimbulkan risiko masalah seperti gawat janin dan kelelahan ibu. Teknik pernapasan bibir mengerucut adalah metode non-farmakologis yang dapat digunakan untuk membantu mengatur pernapasan dan meningkatkan ketenangan selama persalinan. Tujuan penelitian ini adalah untuk mengetahui bagaimana metode pernapasan bibir mengerucut memengaruhi durasi tahap kedua persalinan pada wanita primigravida. Penelitian ini menggunakan kelompok kontrol posttest-only dan desain kuasi-eksperimental. Dua puluh individu membentuk sampel penelitian, dibagi menjadi kelompok intervensi dan kelompok kontrol. Uji t independen digunakan untuk menganalisis data. Menurut temuan, tahap kedua persalinan berlangsung rata-rata 60,90 menit pada kelompok intervensi dan 54,40 menit pada kelompok kontrol. Menurut temuan uji statistik, tidak ada perbedaan signifikan antara kedua kelompok, dengan nilai p 0,633 (>0,05). Studi ini menyimpulkan bahwa metode pernapasan dengan bibir mengerucut memiliki implikasi untuk meningkatkan kenyamanan dan relaksasi ibu selama persalinan, tetapi tidak memiliki efek signifikan pada durasi tahap kedua persalinan. Kata Kunci: Persalinan, Kala II, Primigravida, Pernapasan Tiup-Tiup.
Perbedaan Pengaruh Antara Massage Effleurage dan Massage Minyak Esensial Lavender Terhadap Penurunan Tekanan Darah
ABSTRACT Older adults experience various changes related to the aging process, including physical and physiological changes, which may lead to the development of various diseases. One of the physical changes commonly experienced in older adults is an increase in blood pressure or hypertension. Before developing hypertension, individuals usually enter a prehypertensive phase. There are various ways to manage high blood pressure. Blood pressure control can be achieved through natural therapies, including pharmacological and non-pharmacological approaches, lifestyle modifications, adherence to treatment, stress management, and relaxation therapies. One effective complementary method for lowering blood pressure is massage therapy. The effleurage massage technique is considered necessary to optimize the management of blood pressure reduction. Massage therapy is combined with lavender essential oil, which has a relaxing effect. Therefore, this study aims to analyze the effect of effleurage massage and lavender essential oil massage applied to the lower extremities and back on blood pressure reduction in older adults. This study employed a quantitative true experimental design with a posttest-only control design. The study population consisted of female patients with hypertension in the Polindes area of Pamaroh Village, Kadur Public Health Center, Pamekasan Regency, in 2023, totaling 156 individuals. The sample consisted of 20 participants selected using simple random sampling, with intervention groups determined based on specific considerations. Based on the statistical analysis using the Paired T-test, the systolic blood pressure results in the lower extremity massage group using the effleurage technique showed a significance value of 0.334 (> 0.05), indicating no significant difference. Thus, there was no effect of lower extremity effleurage massage on blood pressure reduction in older adults with hypertension. In contrast, the statistical results for the lavender essential oil massage group showed a systolic blood pressure significance value of 0.003 (< 0.05), indicating a significant difference in blood pressure before and after the intervention. It can be concluded that lower extremity massage using lavender essential oil has an effect on reducing blood pressure. This therapy is expected to be an alternative option in addition to pharmacological treatment to help maintain stable blood pressure in older adults. Keywords: Effleurage Massage, Lavender, Hypertension, Older Adults. ABSTRAK Lanjut usia mempunyai hubungan perubahan yang disebabkan proses bertambahnya usia seperti fisik yang berubahatau fisiologis dan timbulnya berbagai macam-macam penyakit. Dampak fisik yang berubah terjadi saat lanjut usiaadalah tekanan darah yang meningkat atau hipertensi dan sebelum terjadi hipertensi akan berada di fase prahipertensi. Berbagai macam cara untuk mengatasi tekanan darah tinggi. Banyak cara yang bisa digunakan untukmengontrol tekanan darah dapat dilakukan melalui terapi alami dengan obat-obatan dan terapi herbal yaitunonfarmakologi, gaya hidup yang harus dirubah, disiplin dalam pengobatan, pengendalian terhadap stress dan terapipenenangan. Cara yang sangat baik untuk menurunkan tekanan darah dengan metode komplomenter adalah masase atau pemijatan. Pengaruh terapi masase teknik effleurage di rasa sangat perlu untuk memaksimalkan penangananuntuk menurunkan tekanan darah. Masase atau pijat akan dikombinasikan dengan minyak esensial lavender yang merilekskan. Oleh karena itu, tujuan penelitian ini untuk menganalisis “pengaruh antara Massage Effleurage dan Massage Minyak Esensial Lavender di bagian ekstremitas bawah-punggung terhadap Penurunan Tekanan Darah pada Lansia”. Penelitian ini merupakan penelitian dengan analisis True Experimental Kuantitatif dan Desain dari penelitianini yaitu “posttest-only control design”. Populasi dalam penelitian ini adalah penderita hipertensi berjenis kelamin perempuan di wilayah Polindes Desa Pamaroh Puskesmas Kadur Kabupaten Pamekasan Tahun 2023, sebanyak 156 orang. Sampel yang didapatkan peneliti sebesar 20 orang dengan metode Simple Random Sampling, yaitu kelompok intervensi atau sampel ditentukan oleh segala pertimbangan. Berdasarkan Data analisa hasil uji statistik Paired T tespada tekanan sistolik memiliki nilai signifikansi 0,334 > 0,05, yang berarti tidak ada perbedaan yang signifikan ,sehingga tidak ada pengaruh massase ekstremitas bawah dengan teknik effluerage terhadap penurunan tekanandarah pada lansia hipertensi. Sedangkan hasil uji statistik masase minyak lavender menunjukkan pada tekanansistolik memiliki nilai signifikansi 0,003 < 0,05, yang berarti ada perbedaan yang signifikan tekanan darah sebelum dengan sesudah perlakuan. Sehingga dapat disimpulkan bahwa ada pengaruh massase ekstremitas bawah denganminyak esensial lavender terhadap penurunan tekanan darah. Diharapkan dari penelitian ini bahwa massaseekstremitas bawah dengan minyak esensial lavender menjadi pilihan alternatif selain pengobatan farmakologisdalam menjaga tekanan darah tetap stabil. Kata Kunci: Masase Effurage, Lavender, Hipertensi, Lansia.
Efektivitas Edukasi Audio Visual terhadap Peningkatan Pengetahuan dan Sikap Remaja Putri tentang Gizi Seimbang “Isi Piringku”
ABSTRACT Young women are the early period of contribution to intergenerational quality. Where adolescent girls with nutritional problems such as anemia, obesity and chronic energy deficiency (SEZ), if the adolescent girl is pregnant, the risk of giving birth to a baby with low birth weight (BBLR) and stunting, premature birth, and maternal and child mortality during childbirth is higher. One of the efforts that can be made through balanced nutrition health education. Education in this case is part of nutrition education as an effort to bring about changes in knowledge and attitudes in terms of consuming balanced nutritional foods in the visual of Isi Piringku. The visual of Fill My Plate depicts a healthy eating guide with 50% vegetables and the other 50% in the form of staples and side dishes. The use of audio-visual media in providing education because it is considered interesting and not noticeable by displaying movements, images and sounds. The purpose of this study was to determine the influence of audio visual intervention on the knowledge and attitudes of adolescent girls about balanced nutrition "fill my plate" at SMP Negeri 4 Kaur. The research design was quisy-experiment with a one group pretest – posttest design with a population of adolescent girls in grade IX of SMPN 4 Kaur. The sample in this study is 32 people. Sampling in this study used purposive sampling technique. The results of the analysis of this study using the Sample Paired T-test showed that there was an influence of audio visual intervention on the knowledge and attitude of adolescent girls about balanced nutrition "fill my plate" at SMP Negeri 4 Kaur. Keywords: Fill My Plate, Knowledge, Attitude, Audio Visual, Young Women. ABSTRAK Remaja putri menjadi periode awal kontribusi terhadap kualitas antar generasi. Dimana remaja putri dengan masalah gizi seperti anemia, obesitas dan kekurangan energi kronik (KEK), jika remaja putri tersebut hamil, maka resiko melahirkan dengan bayi berat badan lahir rendah (BBLR) dan stunting, kelahiran prematur, serta kematian ibu dan anak saat melahirkan lebih tinggi. Salah satu upaya yang dapat dilakukan melalui edukasi kesehatan gizi seimbang. Edukasi dalam hal ini merupakan bagian dari pendidikan gizi sebagai upaya untuk mengadakan perubahan pengetahuan dan sikap dalam hal konsumsi makanan gizi seimbang dalam visual Isi Piringku. Visual Isi Piringku menggambarkan panduan makan sehat setiap sekali makan dengan 50% bagian sayuran dan sedangkan 50% lainnya berupa makanan pokok dan lauk pauk. Penggunaan media audio visual dalam pemberian edukasi karena dianggap menarik dan tidak menoton dengan menampilkan gerak, gambar dan suara. Tujuan penelitian ini untuk mengetahui pengaruh intervensi audio visual terhadap pengetahuan dan sikap remaja putri tentang gizi seimbang “isi piringku” di SMP Negeri 4 Kaur. Desain penelitian quisy-eksperimen dengan rancangan one group pretest – posttest dengan populasi remaja putri kelas IX SMPN 4 Kaur. Sampel dalam penelitian ini yaitu sebanyak 32 orang. Pengambilan sampel dalam penelitian ini menggunakan teknik purposive sampling. Hasil analisis penelitian ini menggunakan uji Sample Paired T-tes menunjukkan bahwa ada pengaruh intervensi audio visual terhadap pengetahuan dan sikap remaja putri tentang gizi seimbang “isi piringku” di SMP Negeri 4 Kaur. Kata Kunci: Isi Piringku, Pengetahuan, Sikap, Audio Visual, Remaja Putri.
Efektivitas Edukasi Asi Eksklusif melalui Whatsapp Group Terhadap Pengetahuan, Sikap dan Dukungan Suami
ABSTRACT Exclusive breastfeeding is the provision of breast milk alone, without any other food additives from birth until the baby is 6 months old. Breast milk contains all the nutrients, fluids and immunity that babies need to fulfill their nutritional needs in the first 6 months. The Indonesian government has set a target of 80% coverage of exclusively breastfed infants as stipulated. Based on data from the Bengkulu City Health Profile Book, the highest coverage of exclusively breastfed infants in the Beringin Raya Health Center working area was 96.3% while the lowest was 17.1% in the Sawah Lebar Health Center working area. The purpose of this study was to determine the benefits of implementing exclusive breastfeeding education through whatsapp groups on the knowledge and attitudes of pregnant women and husband support (wife's perception) in the working area of the Sawah Lebar Health Center, Bengkulu City. This type of research uses the Quasi Experiment method with a one group pre test-post test design. The sample of this study was pregnant women TM III totaling 30 people using purposive sampling technique. Data analysis used in the study using Wilcoxon test and Paired Sample T Test. The results obtained the average knowledge of pregnant women before 6.00 and after 7.73, the average attitude of pregnant women before 29.40 and after 31.32 and the average husband's support before 5.60 and after 7.30. The results of the Wilcoxon signed rank test obtained a p value of knowledge of 0.00 (p < 0.05), a p value of attitude of 0.00 (p < 0.05), a p value of husband support of 0.00 (p < 0.05) showed that there was an increase in knowledge and attitudes of pregnant women and husband support (wife's perception) before and after being given exclusive breastfeeding education through whatsapp groups in the working area of the Sawah Lebar Health Center, Bengkulu City. Keywords: Exclusive Breastfeeding Education, Whatsapp Group, Pregnant Women TM III, Knowledge, Attitude, Husband Support. ABSTRAK Meskipun ASI eksklusif memberikan banyak manfaat bagi bayi dan pemerintah Indonesia menetapkan target cakupan bayi mendapat ASI eksklusif yaitu sebesar 80%, tetapi nyatanya cakupan bayi yang mendapat ASI eksklusif masih rendah. Data cakupan pemberian ASI eksklusif di Provinsi Bengkulu tahun 2022 sebesar 64,4%, dimana cakupan bayi yang mendapat ASI eksklusif terendah di wilayah kerja Puskesmas Sawah Lebar yaitu 17,1%. Tujuan penelitian ini untuk mengetahui manfaat penerapan edukasi ASI eksklusif melalui whatsapp grup terhadap pengetahuan, sikap dan dukungan suami (persepsi istri) di wilayah kerja Puskesmas Sawah Lebar Kota Bengkulu. Penelitian ini menggunakanQuasi Eksperimen dengan rancangan one group pre test-post test design. Sampel penelitian yaitu ibu hamil TM III yang berjumlah 30 orang. Teknik sampling menggunakan purposive sampling. Analisis data univariat menggunakan uji shipor wilk dan analisis bivariat dengan menggunakan uji Wilcoxon dan Paired Sample T Test. Diperoleh nilai mean pre test pengetahuan ibu hamil sebesar 6,00 dan nilai mean post test sebesar 7,73, nilai mean pre test sikap ibu hamil sebesar 29,40 dan nilai mean post test sebesar 31,32 dan nilai mean pre test dukungan suami sebesar 5,60 dan nilai mean post test sebesar 7,30. Analisis data dari hasil uji Wilcoxon signed rank test diperoleh nilai p value pengetahuan 0,00 (p < 0,05), nilai p value sikap 0,00 (p < 0,05) dan nilai p value dukungan suami 0,00 (p < 0,05) artinya secara statistic menunjukan hasil yang signifikan. Ada peningkatan pengetahuan, sikap dan dukungan suami (persepsi istri) sebelum dan sesudah diberikan edukasi ASI eksklusif melalui whatsapp grup di wilayah kerja Puskesmas Sawah Lebar Kota Bengkulu Tahun. Kata Kunci: ASI Eksklusif, Whatsapp Grup, Ibu Hamil TM III, Pengetahuan, Sikap, Dukungan Suami.
Pengaruh Aromaterapi Lavender dalam Menurunkan Kecemasan Pasien Pre Operasi Sectio Caesarea di Rumah Sakit Tiara Sella Kota Bengkulu
ABSTRACT Cesarean section delivery can cause anxiety because of worry about the condition of the mother and baby. As the time for surgery approaches, anxiety will increase. A high level of anxiety can endanger preoperative Caesarean section patients and can even delay surgery. One effort to reduce anxiety with a traditional medical approach is Lavender aromatherapy using essential oils used in a diffuser which is able to provide a relaxing effect on pre-Caesarean section surgery patients. The aim of the research is to find out how effective lavender aromatherapy is in reducing the anxiety level of patients who are planning a caesarean section at Tiara Sella Hospital Bengkulu 2024. The research method is a quantitative method using non-equivalent control groups before and after the test, all pregnant patients with elective caesarean section surgery The first time at Tiara Sella Hospital Bengkulu was the population of this study, while the total sample was 40 patients. The process and method of obtaining samples is Accidental Sampling, with 20 treatment groups and 20 control groups. The data used are primary data and secondary data, and analysis was carried out univariate and bivariate. The research will be carried out on January 16 - February 16 2024 at Tiara Sella Hospital, Bengkulu City. The results of the univariate analysis, of the 20 mothers who had preoperative caesarean section for the first time, 11 people had moderate anxiety (55.0%) and 9 people had severe anxiety (45%) for respondents' anxiety, an average of 18.6 (moderate anxiety) at the age of 20. -25 years. The results of bivariate analysis with parametric statistics (paired T-test Dependent) obtained anxiety (p=0.000) with a value of p<0.05 so it can be assessed that carrying out lavender aromatherapy intervention can reduce the anxiety level of mothers before caesarean section surgery. The conclusion of this research is that there is an effect of lavender aromatherapy on reducing anxiety levels in pre-Caesarean Section surgery patients. Keywords: Anxiety, Lavender Aromatherapy. ABSTRAK Persalinan secara Section Caesarea dapat menimbulkan rasa cemas karena rasa khawatir tentang keadaan ibu dan bayinya. Semakin mendekati waktu untuk operasi maka kecemasan akan semakin meningkat. Tingkat kecemasan yang tinggi dapat membahayakan pasien pre operasi Section Caesarea dan bahkan dapat dilakukan penundaan operasi. Salah satu usaha untuk menurunkan rasa cemas dengan metode pendekatan medis tradisional berupa aromaterapi Lavender menggunakan minyak esensial yang digunakan pada diffuser mampu memberikan efek rileks pada pasien pre operasi Section Caesarea. Tujuan dari penelitian untuk mengetahui bagaimana efektivitas aromaterapi lavender dalam menurunkan tingkat cemas pasien yang terencana sectio caesarea di Rumah Sakit Tiara Sella Bengkulu 2024. Metode dalam penelitian berupa metode kuantitatif menggunakan non equivalent control kelompok sebelum dan sesudah tes, semua pasien hamil dengan operasi elektif sectio caesarea pertama kali di Rumah Sakit Tiara Sella Bengkulu merupakan populasi penelitian ini, sedangkan jumlah sampel 40 pasien. Proses dan cara memperoleh sampel yaitu Accidental Sampling, dengan 20 kelompok perlakuan dan 20 kelompok kontrol. Data yang digunakan yaitu data primer dan data sekunder, dan analisa yang dilakukan secara univariat dan bivariat. Pelaksanaan penelitian pada tanggal 16 Januari - 16 Februari Tahun 2024 di Rumah Sakit Tiara Sella Kota Bengkulu. Hasil analisa univariat, dari 20 ibu pre operasi section caesarea pertama kali sebagian besar kecemasan sedang 11 orang (55,0%) dan kecemasan berat 9 orang (45%) untuk kecemasan responden rata-rata 18,6 (kecemasan sedang) pada usia 20-25 tahun. Hasil analisis bivariate dengan statistik parametric (paired T-test Dependen) diperoleh kecemasan (p=0,000) dengan nilai p<0,05 sehingga dapat dinilai bahwa melakukan intervensi aromaterapi lavender dapat terjadi penurunan tingkat cemas ibu pre operasi sectio caesarea. Kesimpulan dari penelitian ini adalah ada pengaruh aromaterapi lavender terhadap penurunan tingkat kecemasan pada pasien pre operasi Section Caesarea. Kata Kunci: Kecemasan, Aromaterapi Lavender.
Efektivitas Whatsapp Group dalam Meningkatkan Pengetahuan dan Sikap Remaja Putri tentang Kesehatan Reproduksi
ABSTRACT Personal hygiene is very important and must be paid attention to, especially during menstruation, because the cleanliness of the vulva will affect the health of the reproductive organs. According to WHO (2018), 75% of all women in the world will experience vaginal discharge at least once in their lifetime and as many as 45% will experience vaginal discharge 2 or more times. In Indonesia, around 90% have the potential to experience vaginal discharge because Indonesia is a country with a tropical climate. This research aims to determine the relationship between knowledge and attitudes of adolescent girls and personal hygiene behavior during menstruation among adolescent girls at SMPN 22 Bengkulu City. This research uses an analytical survey method with a cross sectional approach which was collected using a questionnaire with a sample of 46 respondents. Of the 46 samples, there were 13 people (28.3%) with low education and 33 people (71.7%) with high education, 21 people (47.9%) had unsupportive attitudes and 25 people (52.1%) had unsupportive attitudes and 17 people (37.0%) had negative behavior and 29 people (63.0%) had positive behavior. There is a significant relationship between knowledge and personal hygiene behavior (P-Value = 0.019) and there is a significant relationship between knowledge and personal hygiene behavior (P-Value = 0.001). Keywords: Knowledge, Attitude, Personal Hygiene, Teenage Girls. ABSTRAK Kebersihan diri merupakan hal yang sangat penting dan harus diperhatikan terutama saat menstruasi, karena kebersihan vulva akan berpengaruh terhadap kesehatan organ – organ reproduksi. Menurut WHO (2018) bahwa 75%dari seluruh wanita di dunia ini pasti akan mengalami keputihan paling sekali dalam seumur hidup dan banyak 45% akan mengalami 2 kali atau lebih keputihan di Indonesia sekitar 90% berpotensi akan mengalami keputihan karena Indonesia merupakan Negara yang beriklim tropis. Penelitian ini bertujuan untuk mengetahui hubungan pengetahuan dan sikap remaja putri dengan perilaku personal hygiene saat menstruasi pada remaja putri di SMPN 22 Kota Bengkulu. Penelitian ini menggunakan survey analitik dengan pendekatan cross sectional yang dikumpulkan dengan kuisioner dengan sampel sebanyak 46 responden. Dari 46 sampel terdapat 13 orang (28,3%) berpendidikan rendah dan 33 orang (71,7%) berpendidikan tinggi, yang memiliki sikap tidak mendukung sebanyak 21 orang (47,9%) dan sikap mendukung sebanyak 25 orang (52,1%) dan yang memiliki perilaku negative sebanyak 17 orang (37,0%) dan yang memiliki perilaku positif 29 orang (63,0%). Ada hubungan yang signifikan antara pengetahuan dengan perilaku personal hygiene (P-Value = 0,019) dan ada hubungan yang signifikan antara pengetahuan dengan perilaku personal hygiene (P-Value = 0,001). Kata Kunci: Pengetahuan, Sikap, Personal Hygiene, Remaja Putri.
Perbedaan Pemberian Media Leaflet Terhadap Tingkat Pengetahuan Remaja Putri tentang Sadari
ABSTRACT Breast cancer is the number one cancer in women in the world. Breast cancer mortality rates are higher in developing countries than in developed countries. The incidence of cancer in Indonesia is 136.2/100,000 population, ranking 8th in Southeast Asia, while in Asia it is ranked 23rd. This study aims to determine the difference in knowledge of young women about breast cancer with BSE behavior. This study design is a quasi-experimental design using a pretest-posttest control group design. The population in this study was 280 people and the number of samples in this study was 37 people using a proportional random sampling technique. The data collection method in this study used a questionnaire. Data analysis used univariate and bivariate analysis with a T-test statistical test. The results showed that 39.4% of respondents had sufficient knowledge, 29.6% had insufficient knowledge, and 31.0% had insufficient knowledge. From the results of the T-test, it was found that there was a difference between knowledge and BSE behavior, mean = 11.5 knowledge before being given the leaflet media, and mean = 13.5 knowledge after being given the leaflet media. It is hoped that schools will collaborate with health workers to provide education on BSE for early detection of breast cancer. Keywords: Leaflet, Knowledge, Adolescent Girls, SADARI. ABSTRAK Kanker payudara merupakan urutan pertama kanker pada perempuan di dunia. Angka kematian kanker payudara lebih tinggi pada negara berkembang dibandingkan negara maju. Angka kejadian penyakit kanker di Indonesia sebanyak 136,2/100.000 penduduk berada pada urutan 8 di Asia Tenggara, sedangkan di Asia urutan ke 23. Penelitian ini bertujuan untuk mengetahui perbedaan pengetahuan remaja putri tentang kanker payudara dengan perilaku SADARI. Desain penelitian ini yaitu quasi eksperimen dengan menggunakan rancangan pretest-posttest control group design. Populasi dalam penelitian ini adalah 280 orang dan jumlah sampel dalam penelitian ini 37 orang dengan menggunakan teknik proportional random sampling. Metode pengambilan data dalam penelitian ini dengan menggunakan kuisioner. Analisis data menggunakan analisis univariat dan bivariat dengan uji statistik T-test. Hasil penelitian menunjukkan 39,4% responden pengetahuan cukup, 29,6% memiliki pengetahuan kurang, dan 31,0% memiliki pengetahuan kurang. Dari hasil uji T-test didapatkan ada perbedaan antara pengetahuan dengan perilaku SADARI mean = 11,5 pengetahuan sebelum diberikan media leflet, dan mean =13,5 pengetahuan sesudah diberikan media leflet. Diharapkan agar pihak sekolah bekerja sama dengan petugas kesehatan untuk memberikan penyuluhan mengenai SADARI untuk mendeteksi dini terjadinya kanker payudara. Kata Kunci: Leaflet, Pengetahuan, Remaja Putri, SADARI.
Faktor-Faktor yang Mempengaruhi Perilaku Merokok di Kalangan Pekerja dan Pengunjung Perawatan Kesehatan di Rumah Sakit Rawat Inap Chc Vera Cruz
ABSTRACT Smoking behavior remains a persistent issue even within healthcare environments, such as the Vera Cruz Inpatient Community Health Center in Dili, Timor–Leste. While healthcare workers are expected to act as role models for healthy behavior, smoking practices still occur within health service areas. This study aimed to analyze the factors influencing smoking behavior among healthcare workers and visitors using the Precede-Proceed model. A quantitative, descriptive-correlational, and cross–sectional study was conducted involving 92 respondents selected randomly from a population of 118. Data were collected using a validated questionnaire and analyzed using univariate, bivariate (Chi-square), and multivariate logistic regression tests. The results revealed that 46.7% of respondents were current smokers, while 42.4% were non–smokers. Significant factors associated with smoking behavior included knowledge of smoking hazards (p = 0.017), health promotion (p = 0.042), anti–smoking policy enforcement (p = 0.031), and stress level (p = 0.022). Multivariate analysis showed that respondents with low knowledge (OR = 3.45), poor health promotion exposure (OR = 2.75), absence of anti–smoking policies (OR = 2.56), and moderate to severe stress levels (OR = 3.21) were significantly more likely to engage in smoking behavior. Observational findings indicated weak policy enforcement, ineffective health promotion, and stress as primary drivers of continued smoking. The study concludes that smoking behavior in healthcare settings is a complex issue influenced not only by individual knowledge but also by institutional policy strength, health communication effectiveness, and mental health conditions. It recommends improving policy enforcement, designing contextual health promotions, and providing psychosocial support to create a truly smoke-free healthcare environment. Keywords: Health Promotion, Healthcare Workers, Policy Enforcement, Smoking Behavior, Stress. ABSTRAK Perilaku merokok masih menjadi masalah yang persisten bahkan di lingkungan pelayanan kesehatan, seperti di Puskesmas Rawat Inap Vera Cruz di Dili, Timor–Leste. Meskipun tenaga kesehatan diharapkan menjadi teladan dalam perilaku hidup sehat, praktik merokok masih ditemukan di area pelayanan kesehatan. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang mempengaruhi perilaku merokok pada tenaga kesehatan dan pengunjung dengan menggunakan model Precede-Proceed. Penelitian ini menggunakan pendekatan kuantitatif dengan desain deskriptif korelasional dan pendekatan cross-sectional. Penelitian melibatkan 92 responden yang dipilih secara acak dari populasi sebanyak 118 orang. Data dikumpulkan menggunakan kuesioner yang telah divalidasi dan dianalisis menggunakan analisis univariat, bivariat (uji Chi-square), serta regresi logistik multivariat.Hasil penelitian menunjukkan bahwa 46,7% responden merupakan perokok aktif, sedangkan 42,4% merupakan non-perokok. Faktor yang berhubungan secara signifikan dengan perilaku merokok meliputi pengetahuan tentang bahaya merokok (p = 0,017), promosi kesehatan (p = 0,042), penegakan kebijakan anti-merokok (p = 0,031), dan tingkat stres (p = 0,022). Analisis multivariat menunjukkan bahwa responden dengan pengetahuan rendah (OR = 3,45), paparan promosi kesehatan yang kurang (OR = 2,75), tidak adanya kebijakan anti-merokok (OR = 2,56), serta tingkat stres sedang hingga berat (OR = 3,21) memiliki kemungkinan lebih besar untuk melakukan perilaku merokok. Hasil observasi juga menunjukkan bahwa lemahnya penegakan kebijakan, promosi kesehatan yang tidak efektif, serta stres menjadi pendorong utama berlanjutnya perilaku merokok.Penelitian ini menyimpulkan bahwa perilaku merokok di lingkungan pelayanan kesehatan merupakan masalah yang kompleks yang dipengaruhi tidak hanya oleh pengetahuan individu, tetapi juga oleh kekuatan kebijakan institusi, efektivitas komunikasi kesehatan, serta kondisi kesehatan mental. Oleh karena itu, diperlukan peningkatan penegakan kebijakan, perancangan promosi kesehatan yang kontekstual, serta penyediaan dukungan psikososial untuk menciptakan lingkungan pelayanan kesehatan yang benar-benar bebas asap rokok. Kata Kunci: Perilaku Merokok, Stres, Promosi Kesehatan, Penegakan Kebijakan, Tenaga Kesehatan, Pengunjung, Timor-Leste.
Hubungan Obesitas Maternal Prakehamilan dengan Kejadian Preeklampsia di Surakarta
ABSTRACT Preeclampsia is a pregnancy‑specific hypertensive disorder characterized by hypertension and proteinuria after 20 weeks of gestation and remains a major cause of maternal and perinatal morbidity and mortality. Pre‑pregnancy maternal obesity is a key modifiable risk factor, but evidence from primary care settings is still limited. To examine the association between pre‑pregnancy maternal obesity and the incidence of preeclampsia among pregnant women at Posyandu Merdisiwi. An analytical observational study with a case–control design was conducted on 34 mothers, consisting of 17 cases with preeclampsia and 17 controls without preeclampsia selected by consecutive sampling. Data were obtained from medical records and structured interviews. Pre‑pregnancy obesity was defined using body mass index (BMI), and preeclampsia was diagnosed based on standard criteria of blood pressure ≥140/90 mmHg and proteinuria at gestational age ≥20 weeks. Data were analyzed using the chi‑square test and odds ratio (OR) with a 95% confidence interval. Pre‑pregnancy obesity was more frequent in the preeclampsia group (64.7%) than in the control group (17.6%). Obese mothers before pregnancy had a significantly higher risk of preeclampsia than non‑obese mothers (OR 8.56; 95% CI 1.85–39.59; p < 0.01). High‑risk maternal age and anemia also showed significant associations, while gravidity, occupation, and education did not. Pre‑pregnancy maternal obesity is strongly associated with preeclampsia. Integrating preconception weight management, early risk assessment, and closer antenatal surveillance for obese women is essential to reduce preeclampsia in primary care. Keywords: Preeclampsia, Pregnant Women, Pre‑Pregnancy Obesity, Maternal Health, Primary Care. ABSTRAK Preeklamsia adalah gangguan hipertensi spesifik kehamilan yang ditandai hipertensi dan proteinuria setelah 20 minggu kehamilan dan masih menjadi penyebab penting morbiditas dan mortalitas maternal serta perinatal di negara berkembang. Obesitas maternal prakehamilan dikenal sebagai faktor risiko yang dapat dimodifikasi, namun bukti di tingkat pelayanan primer masih terbatas. Menganalisis hubungan obesitas maternal prakehamilan dengan kejadian preeklamsia pada ibu hamil di Posyandu Merdisiwi. Penelitian observasional analitik dengan rancangan kasus–kontrol pada 34 ibu, terdiri atas 17 kasus preeklamsia dan 17 kontrol tanpa preeklamsia yang dipilih secara consecutive sampling. Data diperoleh dari rekam medis dan wawancara terstruktur. Obesitas prakehamilan ditentukan berdasarkan indeks massa tubuh (IMT), sedangkan preeklamsia ditegakkan menurut kriteria tekanan darah ≥140/90 mmHg dan proteinuria pada usia kehamilan ≥20 minggu. Analisis menggunakan uji chi‑square dan odds ratio (OR) dengan interval kepercayaan 95%. Proporsi obesitas prakehamilan lebih tinggi pada kelompok preeklamsia (64,7%) dibandingkan kontrol (17,6%). Ibu dengan obesitas prakehamilan memiliki risiko jauh lebih tinggi mengalami preeklamsia dibandingkan yang tidak obes (OR 8,56; IK 95% 1,85–39,59; p < 0,01). Usia berisiko dan anemia juga berhubungan bermakna, sedangkan gravida, pekerjaan, dan pendidikan tidak. Obesitas maternal prakehamilan berhubungan kuat dan signifikan dengan kejadian preeklamsia. Pengendalian berat badan prakonsepsi, skrining risiko dini, dan pemantauan antenatal lebih intensif pada ibu obes perlu diintegrasikan ke dalam layanan kesehatan ibu rutin. Kata Kunci: Preeklamsia, Ibu Hamil, Obesitas Prakehamilan, Kesehatan Ibu, Pelayanan Primer.
Kompetensi Dosen dan Prestasi Akademik di Pendidikan Tinggi Vokasional: Peran Mediasi Motivasi Belajar Mahasiswa
ABSTRACT Vocational education, especially at the Diploma III (DIII) level, has a strategic role in preparing students to enter the workforceby strengthening technical skills and developing professional attitudesrelevant to industry needs. In this context, lecturer competence as afacilitator of the learning process becomes a very important and necessaryelement, students can develop in the learning process and form professionalism.as students. The purpose of this study is to explore the relationship betweenlecturer competence from the student perspective and student motivation at PoltekkesTasikmalaya as a vocational education institution for health workers. This research method is quantitative with adescriptive, correlational, or explanatory (regression) design. Sampling byrandom sampling in each study program, as many as 35 people. The results of the analysis show thatLecturer competence has a very strong relationship with student learning motivation (r = 0.976; p = 0.000) and is proven to be a significant predictorin the regression model (B = 1.087; p = 0.000). The R² value of 0.952 indicatesthat 95.2% of the variation in student learning motivation is influenced bylecturer competence, very strongly. Keywords: Academic, Lecturer, Student, Vocational Education. ABSTRAK Pendidikan vokasi, terutama pada jenjang Diploma III (DIII), memiliki peran strategis dalam mempersiapkan mahasiswa memasuki dunia kerja melalui penguatan keterampilan teknis serta pembentukan sikap profesional yang relevan dengan kebutuhan industri. Dalam konteks tersebut, kompetensi dosen sebagai fasilitator proses pembelajaran menjadi elemen yang sangat penting dan dibutuhkan, mahasiswa dapat berkembang dalam proses belajar dan pembentukan profesionalisme menjadi mahasiswa. Tujuan penelitian ini adalah untuk mengeksplorasi hubungan antara kompetensi dosen dari perspektif mahasiswa dan motivasi mahasiswa di Poltekkes Tasikmalaya sebagai institusi Pendidikan viokasi tenaga Kesehatan. metode penelitian ini adalah kuantitatif dengan desain deskriptif korelasional atau explanatory (regresi). Pengambilan sampel dengan random sampling pada setiap prodi, sebanyak 35 orang. hasil analisis menunjukkan bahwa kompetensi dosen memiliki hubungan yang sangat kuat dengan motivasi belajar mahasiswa (r = 0,976; p = 0,000) dan terbukti sebagai prediktor signifikan dalam model regresi (B = 1,087; p = 0,000). Nilai R² = 0,952 mengindikasikan bahwa 95,2% variasi motivasi belajar mahasiswa dipengaruhi oleh kompetensi dosen, sangat kuat. Kata Kunci: Akademisi, Dosen, Mahasiswa, Pendidikan Vokasi.
Pemberdayaan Pos Kesehatan Pesantren dengan Edukasi Video Anemia Terhadap Pengetahuan, Sikap dan Kadar HB Pada Remaja Putri di Sekolah Tinggi Ilmu Tarbiyah (STIT) Buntet Pesantren Cirebon
ABSTRACT Anemia is a condition of deficiency in macro nutrients (protein) and micro nutrients, especially iron, which can cause symptoms such as paleness, lethargy/fatigue, and decreased appetite. The purpose of this study was to determine the empowerment of poskestren on the knowledge, attitudes, and Hb levels of adolescent girls at the Buntet Pesantren Islamic College (STIT) in Cirebon Regency. The research design is quantitative, using a quasi-experimental design with a pretest-posttest with control group design. The sampling technique used is purposive sampling. The results of the study showed significant differences in knowledge (p=0.000), attitudes (p=0.000), and hemoglobin levels (p=0.000) among female adolescents before and after being provided with educational videos on anemia. There was a significant difference in knowledge, attitude, and Hb levels between the intervention and control groups (p=0.000). The empowerment program was effective in improving knowledge, attitude, and Hb levels among adolescent girls. Keywords: Poskestren, Knowledge, Attitudes, Hb Levels. ABSTRAK Anemia merupakan sebuah kondisi kekurangan zat gizi makro (protein) dan zat gizi mikro, terutama zat besi sehinggadapat menimbulkan gejala seperti pucat, lesu/lelah dan nafsu makan menurun. Tujuan penelitian ini adalah mengetahui pemberdayaan poskestren terhadap pengetahuan, sikap dan kadar Hb remaja putri di Sekolah Tinggi IlmuTarbiyah (STIT) Buntet Pesantren Kabupaten Cirebon. Desain penelitian ini adalah penelitian kuantitatif dengan menggunakan rancangan quasy eksperimental dengan bentuk pretest-postest with control group design. Teknik sampling yang digunakan adalah purposive sampling. Hasil peneilitan didapatkan terdapat perbedaan yang signifikanpengetahuan (p=0,000), sikap (p=0,000) dan kadar Hb (p=0,000) remaja putri sebelum dan sesudah diberikan mediavideo edukasi anemia. Terdapat perbedaan yang signifikan pengetahuan, sikap dan kadar Hb antara kelompok intervensi dan kontrol (p=0,000). Pemberdayaan poskestren efektif dalam meningkatkan pengetahuan, sikap dan kadar Hb remaja putri. Kata Kunci: Poskestren, Pengetahuan, Sikap, Kadar Hb
Health Diplomacy and Domestic Political Stability: A Qualitative Analysis of European Union Support for Public Health Programs in Indonesia
ABSTRACT Health diplomacy has become a crucial element in global governance, serving not only to improve national health capacities but also as an instrument of soft power for donor countries. Within this framework, the European Union (EU) actively engages in international health initiatives, positioning itself as both a normative power and a key global health actor. Indonesia, as a strategic partner in Southeast Asia, provides a compelling case to examine how external health diplomacy influences domestic political dynamics. This study aims to analyze the role of the European Union (EU) in health diplomacy in Indonesia and to assess its implications for domestic political stability. The research seeks to understand how EU-led health cooperation contributes to strengthening Indonesia’s health system and the legitimacy of its government in the public domain. Using a qualitative research design with a case study approach, this study examines policy documents, official EU communications, Indonesian Ministry of Health reports, and WHO publications. The analysis focuses on identifying the forms of EU support, the key actors involved, the mechanisms of implementation, and the political effects arising from such collaborations. The findings reveal that the EU’s health diplomacy in Indonesia encompasses financial assistance, technical cooperation, joint research programs, and vaccine distribution. These initiatives collectively enhance Indonesia’s health system capacity while reinforcing public trust and governmental legitimacy. Furthermore, health diplomacy operates as a soft power tool for the EU, strengthening its normative and humanitarian image in the global order. This study concludes that the EU’s health diplomacy plays a dual role: it contributes to domestic stability in Indonesia through capacity building and simultaneously projects the EU’s identity as a normative global actor. The research highlights the need for transparent, adaptive, and sustainable international health collaborations. It also encourages comparative analysis with other global actors such as China, the United States, and ASEAN to better understand variations in health diplomacy strategies and their political outcomes. Keywords: Health Diplomacy, European Union, Indonesia, Soft Power, Political Stability, Global Health Governance.
Effectiveness of Implementing Mobile Monitoring Applications on Compliance of Diabetes Mellitus Patients in The Infectious Ward of Mekar Sari Hospital
ABSTRACT Diabetes Mellitus (DM) is a chronic metabolic disease with many causes which is generally characterized by increased blood glucose levels accompanied by impaired carbohydrate, lipid, and protein metabolism as a result of impaired insulin function. In the current era, technology can facilitate health care with simple messages and warnings that help achieve adherence to treatment for patients with the disease . Lack of knowledge, lack of family support, poor communication with health workers, and limited health literacy are factors that hinder the compliance of diabetes mellitus sufferers in taking medication, thus causing blood sugar to tend to be uncontrolled.To determine the effectiveness of the application of mobile monitoring applications on dietary compliance of Diabetes Mellitus patients in the Inpatient Room of Mekar Sari Hospital, Bekasi. This research uses a quantitative design with a quasi-inquiry method. experiment one group pre-test and post-test . The research sample consisted of 24 patients in the inpatient ward of Mekarsari Hospital, Bekasi . Data analysis was performed using the Dependent T- test or Wilcoxon test , according to the data distribution. The results of the study showed that the use of mobile monitoring accompanied by filling out a diet questionnaire had a significant impact on the management of Diabetes Mellitus patients. This was demonstrated by the results of the statistical analysis with a p-value of 0.000 (<0.05 ) , which indicates a significant relationship between the use of mobile monitoring and patient compliance in filling out the diet questionnaire.The use of mobile monitoring is accompanied with filling proven diet questionnaire give significant influence in management Diabetes Mellitus patients . This shown by the results analysis statistics showing existence meaningful relationships between mobile monitoring usage and level compliance patient in fill in diet questionnaire . With Thus , the application of mobile monitoring can become one of the effective strategies For increase compliance patient as well as support more optimal management of Diabetes Mellitus . Keywords: Diabetes Mellitus , Effectiveness , Mobile Monitoring.
Bibliometric Mapping of Nurse-led Weaning ventilator in Chronic Disease Patients: Research Trends, Scientific Collaboration, and Conceptual Evolution in Critical Care Nursing (2000–2026
ABSTRACT Ventilator weaning is a critical stage in the management of patients receiving mechanical ventilation, contributing to the reduction of complications, length of hospital stay, healthcare costs, and mortality rates. The growing implementation of nurse-led ventilator weaning has increased the volume of scientific publications, highlighting the need for a comprehensive mapping of research developments in this field. This study aimed to analyze global research trends, scientific collaboration patterns, and thematic developments related to nurse-led ventilator weaning among patients with chronic diseases between 2000 and 2026. A bibliometric approach was employed using publications retrieved from the Dimensions database. The identification and selection process followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework. A total of 19,589 publications were initially identified, and after the screening process, 7,988 publications were included for analysis. Bibliometric analyses were conducted using VOSviewer version 1.6.20, including publication trend analysis, research field distribution, keyword co-occurrence analysis, network visualization, overlay visualization, and density visualization. The results demonstrated a dynamic development of publications related to nurse-led ventilator weaning throughout the study period. The dominant research fields were Biomedical and Clinical Sciences (7,722 publications), Health Sciences (5,466 publications), Clinical Sciences (2,324 publications), and Nursing (930 publications). Keyword co-occurrence analysis identified three major research clusters focusing on mechanical ventilation and the weaning process, patient safety and clinical outcomes, and evidence-based practice alongside clinical guideline development. Overlay visualization revealed a shift in research focus from the technical aspects of mechanical ventilation toward evidence-based practice implementation, patient safety, and quality improvement in critical care nursing. This study highlights the growing importance of nurse-led ventilator weaning as a multidisciplinary research area with substantial contributions to evidence-based critical care nursing practice. The findings provide valuable insights for future research, particularly regarding specific chronic diseases, digital health integration, and community-based ventilatory care. Keywords: Bibliometric Analysis, Weaning ventilator, Mechanical Ventilation, Critical Care Nursing, Nurse-Led Weaning. ABSTRAK Weaning ventilator merupakan tahapan penting dalam pengelolaan pasien yang menjalani ventilasi mekanik dan berperan dalam menurunkan komplikasi, lama rawat inap, biaya pelayanan kesehatan, serta mortalitas. Perkembangan pendekatan nurse-led ventilator weaning mendorong meningkatnya jumlah publikasi ilmiah sehingga diperlukan pemetaan penelitian secara komprehensif. Penelitian ini bertujuan menganalisis tren penelitian global, pola kolaborasi ilmiah, dan perkembangan tema penelitian mengenai nurse-led ventilator weaning pada pasien penyakit kronis selama periode 2000–2026. Penelitian ini menggunakan metode bibliometrik dengan sumber data dari database Dimensions. Proses identifikasi dan seleksi publikasi dilakukan menggunakan pendekatan PRISMA. Sebanyak 19.589 publikasi teridentifikasi dan setelah proses penyaringan diperoleh 7.988 publikasi yang dianalisis menggunakan perangkat lunak VOSviewer versi 1.6.20. Analisis meliputi tren publikasi, distribusi bidang penelitian, keyword co-occurrence, network visualization, overlay visualization, dan density visualization. Hasil penelitian menunjukkan bahwa publikasi mengenai nurse-led ventilator weaning mengalami perkembangan yang dinamis selama periode pengamatan. Bidang penelitian didominasi oleh Biomedical and Clinical Sciences (7.722 publikasi), Health Sciences(5.466 publikasi), Clinical Sciences (2.324 publikasi), dan Nursing (930 publikasi). Analisis kata kunci mengidentifikasi tiga klaster utama penelitian yang berfokus pada ventilasi mekanik dan proses weaning, keselamatan pasien serta luaran klinis, dan praktik berbasis bukti beserta pengembangan pedoman klinis. Overlay visualization menunjukkan pergeseran fokus penelitian dari aspek teknis ventilasi mekanik menuju implementasi evidence-based practice, keselamatan pasien, dan peningkatan mutu pelayanan keperawatan kritis. Penelitian ini menunjukkan bahwa nurse-led ventilator weaning berkembang sebagai area penelitian multidisiplin dengan kontribusi yang semakin besar terhadap pengembangan praktik keperawatan kritis berbasis bukti. Temuan ini dapat menjadi dasar untuk pengembangan penelitian lanjutan terkait penyakit kronis spesifik, integrasi teknologi digital, dan pelayanan ventilasi berbasis komunitas. Kata Kunci: Bibliometric Analysis, Weaning ventilator, Mechanical Ventilation, Critical Care Nursing, Nurse-Led Weaning.
Hubungan Berat Badan Lahir dan Panjang Badan Lahir dengan Kejadian Stunting pada Balita di Salah Satu Puskesmas Wilayah Pesisir Kabupaten Lombok Barat
ABSTRACT Stunting is an irreversible linear growth disorder caused by chronic nutritional deficiency during the first 1,000 days of life. Low birth weight (LBW) and short birth length are important risk factors potentially affecting linear growth in children. To analyze the association of birth length and birth weight with stunting in children under five at a Coastal Community Health Center in West Lombok Regency. An observational analytic study with a cross-sectional design was conducted. A total of 50 children under five were selected from posyandu records in the working area of a coastal community health center in West Lombok Regency using purposive sampling. The independent variables were birth weight and birth length; the dependent variable was stunting status based on the HAZ index (Z-score <-2 SD). Bivariate analysis was conducted using Chi-Square test. Of 50 subjects, 26 (52.0%) were stunted. The prevalence of LBW was 32.0% and short birth length was 34.0%. All children with LBW experienced stunting (100%). There was a statistically significant association between birth weight and stunting (χ²=18.983; p<0.0001) and between birth length and stunting (χ²=20.952; p<0.0001). Low birth weight and short birth length are associated with the occurrence of stunting in children under five in the working area of a coastal community health center in West Lombok Regency. Keywords: Birth Length, Birth Weight, Children Under Five, Nutritional Status, Stunting. ABSTRAK Stunting merupakan gangguan pertumbuhan linier yang bersifat ireversibel akibat defisiensi gizi kronik pada 1.000 hari pertama kehidupan. Berat badan lahir rendah (BBLR) dan panjang badan lahir (PBL) pendek merupakan faktor risiko penting yang berpotensi memengaruhi pertumbuhan linear anak. Menganalisis hubungan panjang badan lahir dan berat badan lahir dengan kejadian stunting pada balita di salah satu Puskesmas Wilayah pesisir Kabupaten Lombok Barat. Penelitian analitik observasional dengan desain potong lintang. Sampel berjumlah 50 balita yang diambil dari data posyandu salah satu Puskesmas Wilayah pesisir Kabupaten Lombok Barat menggunakan teknik purposive sampling. Variabel bebas adalah berat badan lahir dan panjang badan lahir, sedangkan variabel terikat adalah status stunting berdasarkan indeks TB/U (Z-score <-2SD). Analisis bivariat menggunakan uji Chi-Square. Dari 50 subjek, 26 (52,0%) mengalami stunting. Prevalensi BBLR sebesar 32,0% dan PBL pendek sebesar 34,0%. Seluruh balita dengan BBLR mengalami stunting (100%). Terdapat hubungan bermakna antara berat badan lahir dengan kejadian stunting (χ²=18,983; p<0,0001) dan hubungan bermakna antara panjang badan lahir dengan kejadian stunting (χ²=20,952; p<0,0001). Berat badan lahir rendah dan panjang badan lahir pendek berhubungan dengan kejadian stunting pada balita di salah satu Puskesmas Wilayah pesisir Kabupaten Lombok Barat Kata Kunci: Balita, Berat Badan Lahir, Panjang Badan Lahir, Stunting, Status Gizi.
Relationship Between Characteristics of Pregnant Women And History of Hypertension with Severe Preeclampsia in Banyumas Regional Hospital
ABSTRACT The maternal mortality rate remains a major problem in Indonesia's healthcare system. One of the leading causes of maternal death is severe preeclampsia, a hypertensive disorder during pregnancy that can progress to eclampsia if not detected and treated early. Severe preeclampsia also increases the risk of fetal death and serious complications for the mother. Risk factors associated with severe preeclampsia include maternal age, education, occupation, and a history of hypertension. This study aims to analyze the relationship between maternal age characteristics, education, occupation, history of hypertension This study used a quantitative retrospective study with a case-control design. The sample consisted of 40 respondents in the case group and 40 respondents in the control group. The research instrument used was a checklist for secondary data collection (RM). The results showed that occupation (p=0.001) and history of hypertension (p=0.000) were significantly associated with severe preeclampsia. Meanwhile, maternal age (p=0.063) and education (p=0.895) were not associated with the severe preeclampsia in pregnancy (p>0.05). There was a significant relationship between occupation and history of hypertension with the severe preeclampsia in pregnancy. There was no significant relationship between maternal age and education with the severe preeclampsia in pregnancy. Keywords: Characteristics, Pregnancy, Severe Preeclampsia. ABSTRAK Angka Kematian Ibu (AKI) masih menjadi masalah utama dalam sistem kesehatan di Indonesia. Salah satu penyebab utama kematian ibu adalah preeklampsia berat, suatu gangguan hipertensi selama kehamilan yang dapat berkembang menjadi eklampsia jika tidak terdeteksi dan ditangani sejak dini. Preeklamsia berat juga meningkatkan risiko kematian janin dan komplikasi serius pada ibu. Beberapa faktor risiko yang terkait dengan preeklamsia berat antara lain usia ibu, pendidikan, pekerjaan, dan riwayat hipertensi. Penelitian ini bertujuan menganalisis hubungan karakteristik usia ibu, pendidikan, pekerjaan, riwayat hipertensi. Penelitian ini menggunakan studi retrospektif kuantitatif dengan desain kasus-kontrol. Sampel terdiri dari 40 responden pada kelompok kasus (ibu hamil dengan preeklampsia berat) dan 40 responden pada kelompok kontrol (ibu hamil tanpa hipertensi dan preeklampsia). Pengumpulan data dilakukan menggunakan lembar checklist dari rekam medis. Hasil penelitian menunjukkan bahwa pekerjaan (p=0,001), dan riwayat hipertensi (p=0,000) memiliki hubungan yang signifikan dengan kehamilan preeklampsia berat. Sedangkan usia ibu (p=0,063) dan pendidikan (p=0,895) tidak berhubungan dengan kehamilan preeklampsia berat (p>0,05). Terdapat hubungan yang signifikan antara pekerjaan dan riwayat hipertensi dengan kehamilan preeklampsia berat. Tidak terdapat hubungan antara usia dan pendidikan ibu hamil dengan kehamilan preeklampsia berat. Kata Kunci: Karakteristik, Kehamilan, Preeklampsia Berat.
Hubungan Length of Stay (Los) dengan Diskrepansi Tarif Bpjs Kesehatan Pada Klaim Rawat Inap Kasus Kardiovaskular di RSUD Dr. Soedirman Kebumen
ABSTRACT The case-based payment system using INA-CBGs implemented in the National Health Insurance Program (JKN) aims to improve the efficiency of healthcare financing. However, in practice, discrepancies are still frequently found between BPJS Kesehatan claim tariffs and the actual costs of hospital services, commonly referred to as tariff discrepancies. One of the factors suspected to contribute to these discrepancies is Length of Stay (LOS), particularly in cardiovascular cases, which involve a high level of service complexity. This study aims to analyze the relationship between Length of Stay (LOS) and BPJS Kesehatan tariff discrepancies in inpatient claims for cardiovascular cases at Dr. Soedirman Kebumen Regional General Hospital. This study used a quantitative correlational study with a cross-sectional design and a total sampling method for 728 inpatient claims data from the study year. Data analysis was performed using univariate and bivariate analyses using Spearman's rho correlation tests. The analysis showed a strong and statistically significant relationship between Length of Stay (LOS) and BPJS Kesehatan tariff discrepancies (r = 0.695; p < 0.001), with a positive correlation direction. Length of Stay (LOS) has been shown to contribute significantly to cost discrepancies in inpatient claims, the longer the LOS, the greater the potential for BPJS Kesehatan tariff discrepancies in inpatient claims for cardiovascular cases. Hospitals need to improve the management of Length of Stay (LOS) to reduce tariff discrepancies Keywords: Cost Discrepancy, Cardiovaskular, Inpatient Claim, Length of Stay (LOS). ABSTRAK Sistem pembayaran berbasis INA-CBGs yang diterapkan dalam Program Jaminan Kesehatan Nasional (JKN) dirancang untuk meningkatkan efisiensi dalam pembiayaan pelayanan kesehatan. Namun dalam implementasinya masih sering ditemukan selisih antara tarif klaim BPJS Kesehatan dan biaya aktual pelayanan rumah sakit yang dikenal sebagai diskrepansi tarif. Salah satu faktor yang diduga berkontribusi terhadap diskrepansi tersebut adalah Length of Stay(LOS), terutama pada kasus kardiovaskular yang memiliki kompleksitas pelayanan tinggi. Penelitian ini bertujuan untuk menganalisis hubungan antara LOS dengan diskrepansi tarif BPJS Kesehatan pada klaim rawat inap kasus kardiovaskular di RSUD Dr. Soedirman Kebumen. Penelitian ini menggunakan jenis penelitian kuantitatif korelasional dengan rancangan pengambilan data cross-sectional dan metode pengambilan sampel total sampling terhadap 728 data klaim rawat inap periode Juli-Desember 2025. Analisis data dilakukan secara univariat dan bivariat menggunakan uji korelasi Spearman’s rho. Penelitian menunjukkan bahwa terdapat hubungan yang kuat dan signifikan antara LOSdan diskrepansi tarif BPJS Kesehatan (r = 0,695; p < 0,001), dengan arah korelasi positif. LOS terbukti berkontribusi secara signifikan terhadap terjadinya diskrepansi tarif pada klaim rawat inap, dimana semakin lama LOS, semakin besar potensi terjadinya diskrepansi tarif BPJS Kesehatan pada klaim rawat inap kasus kardiovaskular. Rumah sakit perlu meningkatkan pengelolaan LOS untuk mengurangi diskrepansi tarif. Kata Kunci: Diskrepansi Tarif, Kardiovaskular, Klaim Rawat Inap, Length of Stay (LOS).
Hubungan Usia, Paritas dan Penyakit Penyerta dengan Kejadian Abnormal Uterine Bleeding di Rumah Sakit Umum Daerah Banyumas
ABSTRACT Abnormal Uterine Bleeding (AUB) is a common uterine bleeding disorder among women of reproductive age and may be caused by structural or non-structural factors based on the PALM–COEIN classification. This condition can negatively affect quality of life, overall health status, and increase the demand for healthcare services. Several factors are suspected to be associated with the occurrence of AUB, including age, parity, and comorbid diseases. This study aimed to analyze the relationship between age, parity, and comorbidities with the incidence of Abnormal Uterine Bleeding (AUB) at Banyumas Regional General Hospital. This study used a quantitative analytic design with a retrospective method using medical record data. The sample consisted of 110 women of reproductive age diagnosed with AUB at Banyumas Regional General Hospital in 2024. Data analysis was performed using univariate analysis and bivariate analysis with the Chi-square test. The results of univariate analysis showed that the majority of respondents experienced non-structural AUB, as many as 75 people (68.2%), the majority were in the at-risk age group (>35 years old) as many as 104 people (94.5%), and most of them had comorbid diseases as many as 92 people (83.6%). Bivariate analysis indicated that age (p-value = 0.662) and parity (p-value = 0.915) were not significantly associated with the incidence of AUB. Meanwhile, comorbid diseases showed a significant relationship with the incidence of AUB (p = 0.004). Keywords: Abnormal Uterine Bleeding, Age, Comorbidities, Parity. ABSTRAK Abnormal Uterine Bleeding (AUB) merupakan gangguan perdarahan uterus yang sering terjadi pada wanita usia reproduktif dan dapat disebabkan oleh faktor struktural maupun non struktural sesuai klasifikasi PALM–COEIN. Kondisi ini dapat berdampak pada kualitas hidup, status kesehatan, serta meningkatkan kebutuhan pelayanan kesehatan. Beberapa faktor diduga berhubungan dengan terjadinya AUB, di antaranya usia, paritas, dan penyakit penyerta. Penelitian ini bertujuan untuk menganalisis hubungan usia, paritas, dan penyakit penyerta dengan kejadian Abnormal Uterine Bleeding (AUB) di Rumah Sakit Umum Daerah (RSUD) Banyumas. Penelitian ini merupakan penelitian kuantitatif analitik dengan pendekatan retrospektif menggunakan data rekam medis. Sampel penelitian berjumlah 110 wanita usia reproduktif dengan diagnosis AUB di RSUD Banyumas tahun 2024. Analisis data dilakukan secara univariat dan bivariat menggunakan uji Chi-Square. Hasil analisis univariat menunjukkan bahwa sebagian besar responden mengalami AUB non struktural yaitu sebanyak 75 orang (68,2%), mayoritas berada pada kelompok usia berisiko (>35 tahun) sebanyak 104 orang (94,5%), dan sebagian besar memiliki penyakit penyerta sebanyak 92 orang (83,6%). Hasil analisis bivariat menunjukkan bahwa usia (p-value = 0,662) dan paritas (p-value = 0,915) tidak memiliki hubungan yang bermakna dengan kejadian AUB. Sedangkan, penyakit penyerta memiliki hubungan yang signifikan dengan kejadian AUB (p = 0,004). Kata Kunci: Abnormal Uterine Bleeding, Paritas, Penyakit Penyerta, Usia.
Intervensi Pemberian Madu Pada Pasien dengan Luka untuk Pencegahan Infeksi: Rapid Review
ABSTRACT A wound is a condition of damage or loss of body tissue that can occur due to trauma, whether caused by sharp or blunt objects, chemicals, physical injury agents, or changes in temperature. Honey is one substance used for wound care and to prevent infection in patients. To determine the effectiveness of honey in preventing infection in patient wound care. This literature review used a rapid review design. Articles were collected from four databases: PubMed, Sage Journals, Scopus, and Google Scholar. Articles were selected according to predetermined inclusion and exclusion criteria, and seven articles met. Data were analyzed by grouping them into a data extraction table to facilitate analysis. The use of honey in wound care is effective in preventing infection in patients' wounds. Honey, as a natural antibiotic, has been used as part of non-pharmacological wound care procedures. Honey helps accelerate the growth of granulation tissue, making it effective as a wound care agent. Nurses can implement honey during wound care interventions to prevent and reduce the risk of wound infection in patients. Keywords: Honey, Infection, Wound Care. ABSTRAK Luka merupakan kondisi rusak atau hilangnya sebagian jaringan tubuh yang dapat terjadi karena trauma, baik oleh benda tajam maupun tumpul, zat kimia, agen pencedera fisik, atau perubahan suhu. Madu merupakan salah satu zat yang digunakan untuk perawatan luka dan mencegah infeksi pada pasien. Untuk mengetahui efektifitas penggunaan madu dalam mencegah infeksi pada perawatan luka pasien. Desain yang digunakan dalam literature review ini Adalah rapid revew, artikel dikumpulkan dari empat basis data, yaitu Pubmed, Sage Journal, Scopus, dan Google Scholar. Penyeleksian artikel dilakukan sesuai dengan kriteria inklusi dan eksklusi yang telah ditetapkan dan didapatkan tujuh artikel yang sesuai. Dilakukan analisa data dengan mengelompokkannya ke dalam sebuah tabel ekstraksi data untuk memudahkan dalam melakukan analisis. Penggunaan madu pada perawatan luka efektif dalam mencegah terjadinya infeksi pada luka pasien. Madu sebagai antibiotik alami memiliki digunakan sebagai bagian dari prosedur perawatan luka non farmakologi. Madu membantu mempercepat pertumbuhan jaringan granulasi, sehingga efektif untuk digunakan sebagai bahan perawatan luka. Penggunaan madu pada saat melakukan intervensi wound care dapat diterapkan oleh perawat untuk mencegah dan mengurangi risiko infeksi luka pada pasien Kata Kunci: Infeksi, Madu Perawatan Luka.
Efektivitas Brisk Walking Exercise 150 Menit Per Minggu Terhadap Perubahan Tingkat Stres Pada Penderita Hipertensi: Studi Quasi-Eksperimental dengan Repeated Measures
ABSTRACT Hypertension is a major global health burden affecting more than 1.56 billion adults worldwide and contributing to approximately 10.44 million deaths annually. Psychological stress is a frequently overlooked yet clinically significant dimension of hypertension management, as uncontrolled stress activates the sympathetic nervous system and the hypothalamic-pituitary-adrenal (HPA) axis, leading to persistent increases in cortisol and catecholamines that worsen blood pressure control. This study aimed to evaluate the effectiveness of brisk walking exercise at 150 minutes per week on changes in stress levels among hypertensive patients at the Puskesmas Belimbing, Padang City. A quasi-experimental design with repeated measures and a control group was employed over four weeks from March to May 2026. A total of 64 respondents were selected through randomized sampling, comprising an intervention group (n=32) and a control group (n=32). The intervention group received brisk walking exercise for 30 minutes, five days per week (totaling 150 minutes per week), at a speed of 4–6 km/h. Stress levels were measured five times using the validated Perceived Stress Scale (PSS-10; Cronbach's α=0.847). Data were analyzed using General Linear Model-Repeated Measures (GLM-RM) with Greenhouse-Geisser correction and Pairwise Comparison (Bonferroni). Results showed a significant and progressive reduction in the intervention group's stress scores from baseline (mean=20.25; moderate stress) to week four (mean=5.23; mild stress), representing a total decline of 15.02 points compared to only 4.01 points in the control group. Between-group comparison confirmed a statistically significant difference (mean difference=−5.245; p=0.000). It is concluded that brisk walking exercise of 150 minutes per week is effective in reducing stress levels among hypertensive patients and is recommended as an evidence-based non-pharmacological nursing intervention in primary healthcare settings. Keywords: Brisk Walking Exercise, Hypertension, Perceived Stress Scale, Repeated Measures, Stress Level. ABSTRAK Hipertensi merupakan beban kesehatan global utama yang memengaruhi lebih dari 1,56 miliar orang dewasa di seluruh dunia dan berkontribusi pada sekitar 10,44 juta kematian per tahun. Stres psikologis merupakan dimensi yang kerap terabaikan namun memiliki signifikansi klinis penting dalam pengelolaan hipertensi, karena stres yang tidak terkendali mengaktivasi sistem saraf simpatis dan aksis hipotalamus-pituitari-adrenal (HPA), sehingga mengakibatkan peningkatan menetap kadar kortisol dan katekolamin yang memperburuk kontrol tekanan darah. Penelitian ini bertujuan mengevaluasi efektivitas brisk walking exercise 150 menit per minggu terhadap perubahan tingkat stres pada penderita hipertensi di wilayah kerja Puskesmas Belimbing Kota Padang. Desain penelitian menggunakan quasi-eksperimental dengan repeated measures dan kelompok kontrol, dilaksanakan selama empat minggu pada bulan Maret–Mei 2026. Sebanyak 64 responden dipilih melalui randomized sampling, terdiri dari kelompok intervensi (n=32) dan kelompok kontrol (n=32). Kelompok intervensi menerima brisk walking exercise 30 menit sebanyak lima kali per minggu (total 150 menit per minggu) dengan kecepatan 4–6 km/jam. Tingkat stres diukur sebanyak lima kali menggunakan Perceived Stress Scale (PSS-10) yang telah tervalidasi (Cronbach's α=0,847). Analisis data menggunakan General Linear Model-Repeated Measures (GLM-RM) dengan koreksi Greenhouse-Geisser dan uji Pairwise Comparison (Bonferroni). Hasil penelitian menunjukkan penurunan skor stres yang signifikan dan progresif pada kelompok intervensi dari baseline (mean=20,25; stres sedang) hingga minggu keempat (mean=5,23; stres ringan), dengan total penurunan 15,02 poin dibandingkan hanya 4,01 poin pada kelompok kontrol. Perbandingan antara kelompok mengonfirmasi perbedaan yang bermakna secara statistik (mean difference=−5,245; p=0,000). Disimpulkan bahwa brisk walking exercise 150 menit per minggu efektif menurunkan tingkat stres pada penderita hipertensi dan direkomendasikan sebagai intervensi nonfarmakologis berbasis bukti dalam asuhan keperawatan di layanan kesehatan primer. Kata Kunci: Brisk Walking Exercise, Hipertensi, Perceived Stress Scale, Repeated Measures, Tingkat Stres.
Hubungan Pendidikan dan Pekerjaan Ibu dengan Kejadian Stunting di Desa Tanjung Gunung Tahun 2025
ABSTRACT Stunting is a growth problem where children do not reach the normal height for their age, and it remains a health issue faced by many countries around the world. This condition can slow down brain development, reduce thinking ability, and affect the long-term quality of human resources and national productivity. A mother’s education and job are known to play an important role in the occurrence of stunting. This study aims to find out how education and employment of mothers relate to cases of stunting in Tanjung Gunung Village in 2025. The research uses a quantitative method with an analytical observational approach and a cross-sectional design. The population involved 363 mothers with children aged 0 to 59 months, and 79 of them were selected as samples. The results show that both education (ρ = 0.003) and work status (ρ = 0.006) of mothers are significantly related to stunting in Tanjung Gunung Village in 2025. The conclusion of this study indicates that maternal education and employment are associated with stunting incidence in Tanjung Gunung Village in 2025. It is expected that mothers with lower educational backgrounds are not deprived of information related to stunting, while those with higher education are encouraged to utilize their knowledge more effectively. Furthermore, working mothers are expected to balance their responsibilities between employment and childcare. Meanwhile, non-working mothers are encouraged to make use of their time at home to focus more on maintaining their children’s health. Keywords: Education, Employment, Stunting. ABSTRAK Stunting adalah kondisi tinggi badan balita di bawah standar usianya, masalah ini masih ditemukan diseluruh dunia. Dampak stunting berpotensi menghambat perkembangan otak anak, menurunkan kemampuan berpikir, serta berdampak jangka panjang pada kualitas SDM dan produktivitas bangsa. Faktor pendidikan dan pekerjaan ibu diketahui sebagai determinan penting dalam kejadian stunting. Berdasarkan latar belakang tersebut, riset ini bertujuan untuk mengidentifikasi hubungan antara variabel pendidikan dan pekerjaan ibu dengan kejadian stunting di Desa Tanjung Gunung tahun 2025. Riset ini menggunakan metode kuantitatif melalui pendekatan analitik observasional dan rancangan studi potong lintang (cross-sectional). Populasi dalam riset ini terdiri dari 363 ibu dengan balita berusia 0 hingga 59 bulan, sedangkan sampel yang diambil sebanyak 79 ibu dari kelompok tersebut. Hasil penelitian ini menunjukkan bahwa terdapat hubungan pendidikan (ρ=0,003) dan pekerjaan (ρ=0,006) dengan kejadian stunting di Desa Tanjung Gunung tahun 2025. Hasil penelitian ini menunjukkan bahwa terdapat hubungan pendidikan (ρ=0,003) dan pekerjaan (ρ=0,006) dengan kejadian stunting di Desa Tanjung Gunung tahun 2025. Kesimpulan yang didapatkan adalah pendidikan dan pekerjaan ibu berhubungan dengan kejadian stunting di Desa Tanjung Gunung tahun 2025. Diharapkan ibu dengan pendidikan rendah tidak kekurangan informasi terhadap stunting, sedangkan ibu dengan pendidikan tinggi diharapkan mampu memanfaatkan pengetahuannya secara lebih luas. Sementara itu, diharapkan ibu yang bekerja mampu menyeimbangkan tanggung jawab antara pekerjaan dan pengasuhan, sedangkan ibu yang tidak bekerja diharapkan dapat menggunakan waktu di rumah untuk lebih fokus menjaga kesehatan anak. Kata Kunci: Pendidikan, Pekerjaan, Stunting.
Hubungan Literasi Digital dengan Kecemasan Orang Tua Terhadap Aktivitas Bermain Game Online Anak di SD Plus Al-Ghifari Kota Bandung
ABSTRACT The rapid development of digital technology has made online gaming a popular activity among elementary school children, which often triggers anxiety in parents regarding the negative impacts on child development. Parental digital literacy is hypothesized to play a role in shaping psychological responses to these challenges. The purpose of this study was to determine the relationship between digital literacy and parental anxiety levels regarding children's online gaming activities at SD Plus Al-Ghifari, Bandung. A quantitative correlational study with a cross-sectional approach was conducted in March 2026. A total of 84 parents of 4th and 5th-grade students were recruited using purposive sampling. Data were collected using the Digital Literacy Scale (25 items, Cronbach's alpha 0.950) and the State-Trait Anxiety Inventory Form Y-2 (STAI-T) Indonesian version (20 items, Cronbach's alpha 0.91), then analyzed using univariat (frequency distribution) and bivariate (Spearman's rank correlation) analyses. The results showed that 76 respondents (90,5%) had high digital literacy, while 38 respondents (45.2%,) had moderate anxiety and 28 respondents (33,3%) had severe anxiety. Spearman's correlation test showed a significant negative relationship between digital literacy and parental anxiety (ρ = -0.460, p = 0.000). This study concludes that higher digital literacy is associated with lower anxiety levels. However, high digital literacy does not automatically guarantee low anxiety, as cognitive and ethical dimensions as well as trait anxiety also play a role. It is recommended that community nurses develop holistic digital literacy interventions and facilitate support groups for parents. Keywords: Digital Literacy, Parental Anxiety, Online Gaming, Elementary School Children, Digital Parenting. ABSTRAK Kemajuan teknologi telah meningkatkan paparan game online pada anak usia sekolah dasar, sehingga orang tua perlu literasi digital yang memadai karena keterbatasan literasi digital dapat menyulitkan pengawasan dan memicu kecemasan orang tua. Penelitian ini bertujuan menganalisis hubungan antara literasi digital dan kecemasan orang tua terhadap aktivitas bermain game online anak di SD Plus Al Ghifari. Penelitian ini menggunakan desain kuantitatif korelasional dengan pendekatan cross-sectional pada Maret 2026. Sebanyak 84 orang tua siswa kelas 4 dan 5 direkrut menggunakan teknik purposive sampling. Data dikumpulkan menggunakan Skala Literasi Digital dan STAI-T versi Indonesia, kemudian dianalisis secara univariat (distribusi frekuensi) dan bivariat (korelasi Spearman). Hasil penelitian menunjukkan 76 responden (90,5%) memiliki literasi digital tinggi, sedangkan 38 responden (45,2%) mengalami kecemasan sedang dan 28 responden (33,3%) mengalami kecemasan berat. Uji korelasi Spearman menunjukkan hubungan negatif yang signifikan antara literasi digital dan kecemasan orang tua (ρ = -0,460, p = 0,000). Penelitian ini menyimpulkan bahwa semakin tinggi literasi digital, semakin rendah kecemasan yang dialami. Namun, literasi digital yang tinggi tidak secara otomatis menjamin kecemasan rendah karena dimensi kognitif, etika, dan trait anxiety turut berperan. Disarankan bagi perawat komunitas untuk mengembangkan intervensi peningkatan literasi digital secara holistik dan memfasilitasi kelompok dukungan bagi orang tua. Kata Kunci: Literasi Digital, Kecemasan Orang Tua, Game Online, Anak Usia Sekolah Dasar, Pengasuhan Digital.
Fenomena Self-harm: Studi Prevalensi pada Mahasiswa Fakultas Kedokteran Universitas Sriwijaya
ABSTRACT Self-harm is the deliberate act of injuring oneself without suicidal intent and is commonly regarded as a maladaptive coping strategy for managing emotional distress. Medical students are particularly vulnerable because of the intense academic demands and psychological pressures associated with medical training. However, evidence regarding the prevalence of self-harm among Indonesian medical students remains limited. This study aimed to determine the prevalence of self-harm among undergraduate medical students at the Faculty of Medicine, Universitas Sriwijaya. A descriptive cross-sectional study was conducted between May and June 2021 using an online survey with the Self-Harm Behavior Questionnaire (SHBQ). A total of 187 preclinical medical students from the 2017–2019 cohorts participated, with most respondents coming from the 2017 cohort (71.7%). The findings revealed that 26 students (13.9%) had engaged in self-harm, comprising 18 students (9.6%) from the 2017 cohort, 4 students (2.1%) from the 2018 cohort, and 4 students (2.1%) from the 2019 cohort. The highest prevalence was observed among senior students, suggesting that cumulative academic responsibilities and prolonged exposure to educational stress may increase the likelihood of maladaptive coping behaviors. Self-harm was frequently reported as a means of regulating overwhelming negative emotions, expressing anger, or self-punishment. The prevalence identified in this study exceeded that reported among medical students in the United States (9.4%), which may partly reflect the anonymous nature of the survey that encouraged more candid responses. These findings highlight the need for early identification, routine mental health screening, and comprehensive psychological support programs within medical education. Keywords: Self-Harm, Self-Harm Behavior Questionnaire (SHBQ), Medical Students, Sriwijaya University. ABSTRAK Self-harm merupakan perilaku melukai diri sendiri secara sengaja tanpa adanya niat untuk mengakhiri hidup dan sering muncul sebagai respons terhadap tekanan emosional. Mahasiswa kedokteran termasuk kelompok yang rentan mengalami self-harm karena menghadapi tuntutan akademik yang tinggi, sehingga prevalensinya di Indonesia penting untuk diketahui. Penelitian ini bertujuan menentukan prevalensi self-harm pada mahasiswa Program Studi Pendidikan Dokter Fakultas Kedokteran Universitas Sriwijaya. Penelitian menggunakan desain deskriptif cross-sectional yang dilakukan secara daring pada mahasiswa preklinik angkatan 2017–2019 selama Mei–Juni 2021 menggunakan instrumen Self-Harm Behavior Questionnaire (SHBQ). Sebanyak 187 mahasiswa berpartisipasi, dengan mayoritas berasal dari angkatan 2017 (71,7%). Hasil penelitian menunjukkan prevalensi self-harm sebesar 13,9% (26 mahasiswa), terdiri atas 18 mahasiswa angkatan 2017 (9,6%), 4 mahasiswa angkatan 2018 (2,1%), dan 4 mahasiswa angkatan 2019 (2,1%). Proporsi terbesar ditemukan pada mahasiswa tahun akhir, yang bersesuaian dengan meningkatnya tuntutan akademik, tanggung jawab, serta akumulasi stres selama pendidikan kedokteran. Self-harm umumnya digunakan sebagai mekanisme koping maladaptif untuk meredakan emosi negatif, mengekspresikan kemarahan, atau menghukum diri sendiri. Prevalensi yang didapat pada penelitian ini lebih tinggi dibandingkan penelitian di Amerika Serikat (9,4%), kemungkinan dipengaruhi oleh penggunaan survey bersifat anonim sehingga responden lebih terbuka dalam melaporkan perilakunya. Temuan ini menunjukkan bahwa self-harm merupakan masalah kesehatan mental yang memerlukan perhatian serius, sehingga diperlukan upaya deteksi dini, skrining rutin, serta intervensi psikologis yang komprehensif di lingkungan pendidikan kedokteran. Kata Kunci: Self-Harm, Self-Harm Behavior Questionnaire (SHBQ), Mahasiswa Kedokteran, Universitas Sriwijaya.
Hubungan Aktivitas Senam Lansia Terhadap Penyakit Tidak Menular (Hipertensi) Pada Lansia di Puskesmas Sanggeng
ABSTRACT The elderly group is the most vulnerable to non-communicable diseases due to physiological changes that occur with aging as well as high exposure to behavioral risk factors. Based on preliminary study data at Sanggeng Health Center, there are still elderly individuals experiencing hypertension, and interviews with 10 elderly people found that 7 of them had not engaged in physical activities such as senior exercise. This study aims to analyze the relationship between physical activity and non-communicable diseases (hypertension) in the elderly at Sanggeng Health Center. This type of research is analytical with a cross-sectional study approach, where the independent and dependent variables are measured at the same time. The researchers only conducted observations without intervening with the research subjects. The sample in this study includes all elderly visitors to Sanggeng Health Center using a total sampling technique. This study involved human research subjects, comprising 69 respondents who were given a questionnaire that had been tested for validity and reliability. The data collected were primary data, and the data analysis was conducted using the Chi-Square test. The results of the study indicated that there is a relationship between physical activity in the form of elderly exercise and non-communicable diseases (hypertension) at Sanggeng Health Center, with a p-value of 0.000 < α value (0.05). The conclusion is that physical activity in the form of elderly exercise is a factor that can influence non-communicable diseases or hypertension in the elderly. Keywords: Physical Activity, Non-Communicable Diseases, Hypertension. ABSTRAK Kelompok lansia merupakan kelompok yang paling rentan terhadap penyakit tidak menular karena perubahan fisiologis yang terjadi seiring bertambahnya usia serta tingginya paparan terhadap faktor risiko perilaku. Berdasarkan data studi pendahuluan di Puskesmas Sanggeng masih ditemukan lansia yang mengalami hipertensi dan hasil wawancara pada 10 lansia ditemukan bahwa terdapat 7 lansia yang belum melakukan aktivitas fisik seperti senam lansia. Penelitian ini bertujuan untuk mengenalisis hubungan aktivitas fisik dengan penyakit tidak menular (hipertensi) pada lansia di Puskesmas Sanggeng. Jenis penelitian ini merupakan penelitian analitik dengan pendekatan cross-sectional study dimana variabel independen dan variabel dependen diukur pada waktu yang bersamaan. Peneliti hanya melakukan observasi tanpa melakukan intervensi terhadap subjek penelitian Sampel dalam penelitian ini adalah semua lansia yang berkunjung ke Puskesmas Sanggeng dengan teknik total sampling. Penelitian ini menggunakan subjek penelitian manusia yaitu sebanyak 69 responden yang akan diberikan kuisioner yang telah diuji validitas dan reliabilitas. Data yang diambil merupakan data primer dan analisa data menggunakan uji Chi-Square. Hasil penelitian menunjukan bahwa terdapat hubungan aktivitas fisik senam lansia dengan penyakit tidak menular (hipertensi) di PuskesmasSanggeng dengan nilai p value 0.000 < nilai α (0,05). Kesimpulan yaitu aktivitas fisik berupa senam lansia merupakan faktor yang dapat mempengaruhi penyakit tidak menular atau hipertensi pada lansia. Kata Kunci: Aktivitas Fisik, Penyakit Tidak Menular, Hipertensi.
Hubungan Tingkat Pengetahuan dengan Kepatuhan Minum Obat ARV di Ruang Khusus CST Puskesmas Kemayoran Jakarta
ABSTRACT HIV/AIDS continues to be one of the leading global health challenges. Antiretroviral therapy (ART) has proven effective in reducing viral load, yet its success largely depends on patient adherence. Knowledge is often considered an important factor influencing adherence, although previous research has shown inconsistent results. "The purpose of this study is to determine the relationship between the level of knowledge and adherence to antiretroviral (ARV) medication among patients in the CST (Care, Support and Treatment) unit at Kemayoran Public Health Center, Jakarta, in 2025. This study applied a quantitative correlational design involving 51 HIV-positive patients undergoing ART at the CST Unit of Kemayoran Public Health Center, Jakarta. Data were collected using the ART Knowledge Scale – Honghe Prefecture and the MMAS-8 questionnaire. Statistical analysis was performed using the Spearman Rank correlation test. The findings indicated that the majority of respondents demonstrated a low level of knowledge (64.7%), while adherence levels were mostly moderate (39.2%) and high (39.2%). Statistical analysis yielded a p-value of 0.723 (p > 0.05) with a correlation coefficient of r = 0.051, suggesting no significant relationship between knowledge and adherence. Knowledge alone is not the main determinant of adherence to ART. Other factors, including patient motivation, family support, and psychosocial conditions, appear to play a more substantial role in influencing treatment adherence. Keywords: HIV/AIDS, Knowledge, Compliance, Antiretroviral Therapy (ART), Kemayoran Community Health Center. ABSTRAK Latar Belakang, sampai saat ini HIV/AIDS menjadi masalah kesehatan global yang utama. Terapi antiretroviral (ARV) terbukti efektif menekan jumlah virus, namun keberhasilannya sangat dipengaruhi kepatuhan pasien. Pengetahuan dianggap sebagai faktor penting dalam kepatuhan, meskipun hasil penelitian sebelumnya tidak konsisten. Tujuan penelitian ini untuk mengetahui hubungan antara tingkat pengetahuan dengan kepatuhan mengonsumsi obat antiretroviral (ARV) di ruang khusus CST (Care, Support and Treatment) Puskesmas Kemayoran Jakarta Tahun 2025.Metode penelitian ini menggunakan desain kuantitatif korelasional terhadap 51 responden pasien HIV yang menjalani ART di ruang CST Puskesmas Kemayoran Jakarta. Data dikumpulkan menggunakan kuesioner ART Knowledge Scale – Honghe Prefecture dan MMAS-8. Proses analisis statistik menggunakan uji Rank Spearman. Hasil penelitian menunjukkan bahwa sebagian responden memiliki tingkat pengetahuan rendah (64,7%) dengan tingkat kepatuhan sedang (39,2%) maupun tinggi (39,2%). Hasil uji statistik mendapatkan nilai p = 0,723 (p > 0,05) dengan koefisien korelasi r = 0,051, yang menunjukkan tidak ada hubungan signifikan antara pengetahuan dan kepatuhan. Kesimpulan,pengetahuan tidak tidak menjadi penentu utama dalam kepatuhan minum obat ARV. Faktor-faktor lainnya seperti motivasi pasien, dukungan keluarga, dan kondisi psikososial dianggap lebih berpengaruh terhadapa kepatuhan pasien. Kata Kunci: HIV/AIDS, Pengetahuan, Kepatuhan, Antiretroviral Therapy (ART), Puskesmas Kemayoran.
Gambaran Kesiapsiagaan Darurat Rumah Tangga Menghadapi Bencana di Kecamatan Baolan, Kabupaten Tolitoli
ABSTRACT Indonesia is a disaster-prone country, and households serve as the frontline unit in facing disaster impacts before formal response systems intervene. Most disaster preparedness instruments used in Indonesia have been developed locally for specific hazards and have not comprehensively measured preparedness across multiple domains, including the needs of vulnerable household members. This study aimed to describe the level of household emergency preparedness in Baolan, Tolitoli Regency across five preparedness domains, including domains addressing the needs of vulnerable household members. This study used a quantitative descriptive observational design with a cross-sectional approach, conducted from June to July 2026. A sample of 100 respondents (heads of household) was selected through purposive sampling based on predetermined inclusion and exclusion criteria. Data were collected using the Indonesian Household Emergency Preparedness Instrument (I-HEPI), comprising 50 items across five domains, with total scores converted into percentages and classified into five preparedness categories. The mean overall preparedness score was 48.3% (SD 16.0). The preparedness planning domain achieved the highest score (67.8%), while the domain addressing access and functional needs of vulnerable members achieved the lowest (41.1%), with pregnant women showing the lowest sub-criterion score (25.0%). The largest proportion of respondents (43.0%) fell into the Moderately Prepared category. Household preparedness is uneven across domains: planning-related preparedness is best mastered, whereas domains dependent on financial resources, regulatory support, and the specific needs of vulnerable members remain lagging. Cognitive domains are shaped mainly by household knowledge, while resource-dependent and conditional domains are shaped by structural factors beyond household control. These findings can guide community nurses in designing preparedness interventions tailored to each domain rather than a uniform approach. Keywords: Disaster Preparedness, Household, Community Nursing, Disaster Nursing. ABSTRAK Indonesia merupakan negara rawan bencana, dan rumah tangga berperan sebagai unit terdepan dalam menghadapi dampak bencana sebelum sistem respons formal bekerja. Sebagian besar instrumen kesiapsiagaan bencana yang digunakan di Indonesia dikembangkan secara lokal untuk bahaya spesifik dan belum mengukur kesiapsiagaan secara komprehensif pada berbagai domain, termasuk kebutuhan anggota rumah tangga yang rentan. Penelitian ini bertujuan mengetahui gambaran tingkat kesiapsiagaan darurat rumah tangga di Kecamatan Baolan, Kabupaten Tolitoli pada lima domain kesiapsiagaan, termasuk domain yang menyasar kebutuhan anggota rumah tangga yang rentan. Penelitian ini menggunakan desain deskriptif observasional dengan pendekatan cross-sectional, dilaksanakan pada Juni–Juli 2026. Sampel sebanyak 100 responden (kepala keluarga) dipilih dengan teknik purposive sampling berdasarkan kriteria inklusi dan eksklusi yang telah ditetapkan. Data dikumpulkan menggunakan Indonesian Household Emergency Preparedness Instrument (I-HEPI) yang terdiri atas 50 item dalam lima domain, dengan skor total dikonversikan ke bentuk persentase dan diklasifikasikan ke dalam lima kategori kesiapsiagaan. Rerata skor kesiapsiagaan keseluruhan sebesar 48,3% (SD 16,0). Domain perencanaan kesiapsiagaan memperoleh skor tertinggi (67,8%), sedangkan domain akses dan kebutuhan fungsional kelompok rentan memperoleh skor terendah (41,1%), dengan sub-kriteria ibu hamil menunjukkan skor terendah (25,0%). Proporsi responden terbesar (43,0%) berada pada kategori Cukup Siap. Kesiapsiagaan rumah tangga tidak merata pada seluruh domain: aspek perencanaan paling baik dikuasai, sedangkan domain yang bergantung pada sumber daya finansial, dukungan regulasi, dan kebutuhan kelompok rentan masih tertinggal. Domain kognitif lebih dipengaruhi pengetahuan keluarga, sedangkan domain sumber daya dan kondisional lebih dipengaruhi faktor struktural di luar kendali keluarga. Temuan ini dapat menjadi dasar bagi perawat komunitas dalam merancang intervensi kesiapsiagaan yang disesuaikan dengan karakteristik masing-masing domain. Kata Kunci: Kesiapsiagaan Bencana, Rumah Tangga, Kelompok Rentan, Keperawatan Komunitas, Keperawatan Bencana.