Jurnal Kesehatan Saelmakers PERDANA (JKSP)

Pengaruh Kondisi Rumah, Kondisi Tempat Penampungan Air dan Sistem Pembuangan Sampah Terhadap Kejadian DBD di Desa Geulanggang Teungoh Kecamatan Kota Juang Kabupaten Bireuen

2026-08-08T12:29:59+00:00

Hubungan Penggunaan Jamban Keluarga Dengan Kejadian Penyakit Diare Di Desa Bener Kelipah Kabupaten Bener Meriah

2026-08-10T04:15:25+00:00

A family toilet is a building used to dispose of feces or human waste or filth for a family which is commonly called a toilet or WC. Good maintenance of a healthy family toilet is that the toilet floor should always be clean and there is no standing water, clean the toilet regularly so that the toilet room is always clean, there is no visible dirt inside the toilet, there are no insects (cockroaches, flies) and rats running around, cleaning tools are available and if there is damage it is immediately repaired. One of the risk factors for diarrhea that is often studied is environmental factors which include Clean Water Facilities (SAB), sanitation, toilets, Wastewater Drains (SPAL), bacteriological quality of water and house conditions. The purpose of this study was to determine the "Relationship between the Use of Family Latrines and the Incidence of Diarrhea in Bener Kelipah Village, Bener Meriah Regency. The population in this study was 173 respondents with a sample of 63 people. The sampling technique was random sampling. This study was analytical with a cross-sectional design. Statistical tests used the chi-square test. Data collection can be done using a questionnaire with observation and direct interviews with the community. This study was conducted in December 2023 for 1 week. The results of statistical analysis using the chi-square test obtained a p value = 0.004 <0.05, so Ha was accepted, this shows that there is a relationship between family latrines and the incidence of diarrhea. It is recommended to pay attention to basic sanitation, especially the condition of family latrines, which should have sufficient water and hand washing soap, maintaining their cleanliness. In handling waste processing from the latrines, a septic tank should be used which is 10 meters from the well. And the community is advised to change behavior towards a better direction and be willing to make efforts to improve family latrines sanitation so as not to experience diarrhea again.

Gambaran Kondisi Psikososial dan Aktivitas Fisik Pada Mahasiswa Tingkat Akhir Fakultas Keperawatan Universitas Padjadjaran

2026-09-07T14:02:15+00:00

Health is a fundamental aspect that encompasses overall physical, mental, and social well-being. Final-year students are prone to psychosocial stress due to academic demands, thesis writing, and concerns about the future, which can trigger stress, anxiety, and depression. On the other hand, physical activity also plays an important role in maintaining physical and psychological balance, but is often neglected due to busy academic activities. Nursing students, as future health workers, are expected to be able to apply a healthy lifestyle through sufficient physical activity and good psychosocial management. This study aims to describe the psychosocial conditions and physical activity of final year students at the Faculty of Nursing, Padjadjaran University. This study used a quantitative descriptive method with a cross-sectional approach. The study population consisted of 213 final-year students from the 2022 cohort at the Faculty of Nursing, Padjadjaran University, selected via total sampling, conducted from December 31, 2025, to February 11, 2026. Data were collected using the Depression Anxiety Stress Scale (DASS-21) and the Global Physical Activity Questionnaire (GPAQ) and analyzed using univariate analysis. The results showed that students experienced psychosocial problems with depression in 104 students (52.00%) and stress in 95 students (47.50%) in the normal category, while anxiety problems were in the moderate category in 67 students (69.00%). In terms of physical activity, most students were in the low physical activity category, with 80 students (40.00%). The presence of psychosocial issues among students, characterized by moderate anxiety and low levels of physical activity, underscores the need for educational institutions to strengthen their promotive and preventive efforts to improve student health.

Penurunan Kecemasan Hospitalisasi Pada Anak Prasekolah Melalui Terapi Bermain Origami Di RSUD dr. M Yunus

2026-09-07T14:18:28+00:00

Hospitalization is a period when a child must face inpatient care due to a health condition. This can cause anxiety, stress, or trauma, resulting in negatif responses in the child, such as uncooperativeness during treatment and impacting recovery. One way to minimize the impact of hospitalization is by playing origami, a game suitable for preschoolers. This study aimed to determine the effect of playing origami on hospitalization anxiety in preschool children. This study used a quasi-experimental pretest and posttest group design without a control group. The sample was 13 parents of children aged 3-6 years who were hospitalized in the Edelweis Inpatient Ward at Dr. M. Yunus Regional Hospital, Bengkulu. The sampling technique used was accidental sampling. The data were analyzed using a paired sample test. The results showed a mean score before the hospitalization of 24.31, while the mean score after the hospitalization was 18.62. Hospitalization anxiety decreased by 5.69 points, with a p-value of 0.003. The conclusion is that playing origami has an effect on hospitalization anxiety in preschool children at Dr. M. Yunus Regional Hospital.

Perceived Belief Pasien Diabetes Melitus Tipe 2 terhadap Pelaksanaan Prolanis

2026-09-07T14:41:29+00:00

The Chronic Disease Management Program (Prolanis) aims to help patients with Type 2 Diabetes Mellitus manage their condition sustainably at primary care facilities. However, the level of sustained patient participation in the program remains suboptimal. Perceived belief is a key factor influencing patients’ decision-making regarding sustained participation in Prolanis. This quantitative descriptive study aims to describe patients’ perceived beliefs regarding Prolanis based on the Health Belief Model (HBM) framework, as well as their association with clinical outcomes and patient participation rates. The study was conducted in January 2026 and involved 55 community health center patients recruited through accidental sampling. Data was collected using a questionnaire measuring perceived benefits, barriers, susceptibility, severity, self-efficacy, and cues to action, and then analyzed descriptively. Results showed that 50.9% of patients had positive beliefs across all domains. Most patients had positive perceptions in cues to action (80%) and self-efficacy (61.8%). Additionally, 56.4% positively perceived program benefits, and 52.7% recognized their susceptibility and disease severity. However, 52.7% of patients reported barriers, particularly regarding family mobilization support and time constraints. Although perceived belief, attendance rates, and fasting blood glucose (FBG) levels were not significantly correlated (p-value > 0.05), suboptimal patient participation remains a challenge that must be addressed. Therefore, to overcome the participation barriers experienced by patients, the implementation of family-based interventions such as Family-Based Diabetes Self-Management Education and improved service accessibility are highly recommended to build patient’s perceived belief toward the program.

Pengaruh Kepemimpinan Transformasional Terhadap Loyalitas, Inovasi, dan Kesiapan Struktural Karyawan Rumah Sakit

2026-09-07T15:01:26+00:00

Gambaran Pengetahuan dan Praktik Perawat tentang Perawatan Paliatif di ICU RSUD Kota Bandung

2026-09-07T15:12:58+00:00

Palliative care in the Intensive Care Unit (ICU) is a comprehensive approach aimed at improving the quality of life of patients with critical and life-threatening conditions. Nurses play a crucial role in the implementation of palliative care; therefore, their knowledge and practices are important factors influencing the quality of care. However, studies examining both nurses’ knowledge and practices of palliative care simultaneously, particularly in ICU settings in Indonesia, remain limited. This study aimed to identify the knowledge and practices of nurses regarding palliative care in the ICU of RSUD Kota Bandung. This study employed a descriptive quantitative design. A total sampling technique was used, involving 41 ICU nurses as respondents. The study was conducted from August 2025 to March 2026, with primary data collection carried out between January and February 2026. The instruments used were the Palliative Care Knowledge Test (PCKT) to assess knowledge and the Palliative Care Self-Reported Practices Scale (PCPS) to assess practices. Data were analyzed using univariate analysis. The total knowledge score (PCKT) was 8.73 ± 2.80 out of a maximum score of 20. Domain scores included philosophy (1.24 ± 0.86), pain (2.37 ± 1.07), dyspnea (1.29 ± 0.90), psychiatric problems (2.20 ± 0.95), and gastrointestinal problems (1.63 ± 0.97). The practice score (PCPS) had a mean of 80.27 within a possible range of 18–90. Domain scores for practice (mean ± SD) were as follows: dying-phase care (13.15 ± 1.88), patient- and family-centered care (13.98 ± 1.77), pain (13.93 ± 1.62), delirium (12.32 ± 2.72), dyspnea (13.27 ± 2.07), and communication (13.63 ± 1.67). Palliative care practices among ICU nurses were generally high; however, their knowledge remained insufficient. This gap suggests that clinical practice may have been more influenced by experience and workplace culture rather than comprehensive theoretical understanding. Therefore, strengthening structured and continuous education and training is necessary to improve the integration of knowledge and practice in palliative care implementation in the ICU.

Tingkat Kesadaran (Awareness) Wanita Menopause Tentang Kanker Payudara di UPTD Puskesmas Puter Bandung

2026-09-07T15:25:22+00:00

Breast cancer remains one of the major health problems among women in Indonesia, with a considerable proportion of cases still being diagnosed at an advanced stage. This condition indicates the urgency to assess the level of awareness among high-risk groups, particularly menopausal women, as an effort to support the optimization of early detection and prevention of breast cancer. The purpose of this study was to identify the level of awareness of menopausal women regarding breast cancer at UPTD Puter Public Health Center, Bandung. This study used a descriptive quantitative design with an accidental sampling technique and involved 107 menopausal women at UPTD Puter Public Health Center, Bandung. Data were collected using the Breast Cancer Awareness Scale–Indonesia (BCAS-I) questionnaire, which has been tested for validity and reliability (Cronbach’s Alpha = 0.79), and data were analyzed using univariate analysis. The results showed that the level of awareness of menopausal women regarding breast cancer in all BCAS-I domains was in the moderate category, including knowledge of risk factors (71 respondents), knowledge of signs and symptoms (71 respondents), attitudes toward prevention (89 respondents), barriers to breast examination (80 respondents), and healthy behaviors related to breast cancer awareness (86 respondents), with the lowest scores found in the domains of knowledge of risk factors and knowledge of signs and symptoms, and the highest score found in the domain of attitudes toward prevention. These findings indicate that respondents’ awareness has been established at a basic level; however, it still requires improvement through more intensive health education in the form of promotive and preventive efforts at the primary health care level.

Gambaran Microsleep selama Mengemudi Kendaraan pada Mahasiswa Program Sarjana di Universitas Padjadjaran

2026-09-07T15:33:54+00:00

Microsleep is a brief episode of sleep that occurs unconsciously and can increase the risk of traffic accidents, particularly while driving. Students who commute independently to campus are at risk of decreased alertness due to fatigue or drowsiness. Therefore, this study aims to describe the occurrence of microsleep while driving among undergraduate students at Universitas Padjadjaran. This study employed a quantitative descriptive design with a survey approach. Data collection was conducted from January to February over a one-month period. The sample consisted of 419 undergraduate students who met the inclusion criteria. Data were collected using a microsleep questionnaire developed by Moorjani and Putranto (2021), which includes five items measuring the frequency of microsleep occurrences in various driving situations. Data analysis was performed descriptively using frequency distributions and percentages. The results showed that driving on straight and long roads without obstacles (63.5%) was the most frequently reported situation triggering microsleep among respondents. Although most respondents reported relatively low frequencies of occurrence, a proportion of students still experienced repeated microsleep episodes, particularly in monotonous driving conditions. These findings highlight that microsleep remains a potential risk among student drivers, especially in low-stimulation driving situations, emphasizing the need to increase awareness of the importance of adequate sleep and alertness before driving.

Evaluasi Kebijakan Pemerataan Dan Retensi Tenaga Kesehatan di Daerah Prioritas Untuk Kinerja Layanan Primer: Literature review

2026-09-08T08:31:01+00:00

the performance of primary health care services, particularly in priority areas. The limited number of health workers, their uneven distribution, and high turnover rates all impact the quality of care. This study aims to analyze policies regarding the equitable distribution and retention of healthcare workers, as well as to identify factors influencing retention and their implications for primary care performance. The method used is a literature review, examining 10 articles sourced from Google Scholar, GARUDA, and PubMed based on inclusion criteria for the past five years (2022–2026). The findings indicate that existing policies have not been optimally implemented, particularly regarding central-local coordination and program sustainability. Factors significantly influencing retention include compensation, career development, work environment, leadership, reward systems, job security, and availability of facilities. Additionally, the current fragmented policy approach poses a barrier to achieving sustainable retention. In conclusion, more comprehensive, integrated, and region-specific policies are needed, along with strengthened cross-sectoral collaboration to improve the equitable distribution and retention of health workers in support of optimizing primary health care services.

Hubungan Sikap dan Tingkat Kesiapsiagaan dalam Menghadapi Bencana Gempa Bumi pada Kelompok Disabilitas: Tuna Rungu SLB Negeri Cicendo Kota Bandung

2026-09-10T15:05:27+00:00

Earthquake disasters have a significant impact on vulnerable groups, including hearing-impaired individuals who face challenges in receiving audio information, accessing early warnings, and disaster education materials, which increases their risk during such events. Attitudes toward preparedness play an important role in encouraging preventive actions and appropriate responses. Objective: To determine the relationship between attitudes toward preparedness and the level of earthquake disaster preparedness among hearing-impaired students at SLB Negeri Cicendo Kota Bandung. Methods: This study employed a quantitative cross-sectional design with a population consisting of all hearing-impaired students at SLB Negeri Cicendo Bandung from grades X, XI, and XII. A total of 38 respondents were selected using total sampling. Data were analyzed univariately using frequency distribution and percentages, and bivariately using Pearson correlation. Results: Results showed that all students had a positive attitude (68.4%), and their level of earthquake disaster preparedness was categorized as prepared (39.5%) and very prepared (23.7%). Additionally, there was a moderate positive correlation between attitude and preparedness (p-value = 0.000). Conclusion: There is a significant relationship between attitudes toward preparedness and the level of earthquake preparedness among students at SLB Negeri Cicendo Kota Bandung. It is hoped that regular earthquake preparedness training will be enhanced in accordance with the characteristics of the disabled group.

Dampak Paparan Media Sosial terhadap Perilaku Makan pada Dewasa Muda: Sebuah Literature Review

2026-09-10T15:23:16+00:00

The development of information technology has made social media a primary space for interaction among young adults. However, this phenomenon carries the risk of exposure to unhealthy food content and health misinformation, contributing to an increased prevalence of overweight and eating disorders as a result of digital stimulation without adequate literacy filters. This literature review aims to map the impact of social media exposure on the eating behavior of young adults. The research method used was a scoping literature review with a systematic search in the PubMed, EBSCOHost, and Scopus databases using the Population, Concept, Context (PCC) framework and the PRISMA-ScR approach. The selected articles were published between 2022 and 2026, were open access, written in English, and focused on individuals aged 18 to 25 years, resulting in 16 articles suitable for analysis. The review findings indicate that social media exposure affects four categories of eating behavior: changes in daily dietary patterns, the emergence of restrictive behaviors, uncontrolled eating behaviors, and an increase in emotional eating. In conclusion, nurses need to promote digital nutrition literacy so that young adults can independently filter information and avoid developing eating disorders in the future.

Efektivitas Intervensi Digital terhadap Kesehatan Seksual dan Reproduksi Remaja: Literature Review

2026-09-10T15:40:39+00:00

Adolescent sexual and reproductive health is an important public health issue because adolescents are in a transitional stage of development that is vulnerable to various problems such as unplanned pregnancies, sexually transmitted infections, and risky sexual behavior. One factor contributing to these problems is limited access to accurate sexual and reproductive health information, which is influenced by social stigma, cultural norms, and limited youth-friendly health services. The development of digital technology has opened up opportunities for the use of digital-based interventions as a more accessible and youth-friendly medium for health education. The study aims to review the scientific evidence regarding the effectiveness of digital interventions on adolescent sexual and reproductive health using a literature review approach. The articles were search utilized the PubMed, Scopus, and EBSCOhost databases. The selected articles were studies published between 2021 and 2026. The articles obtained were then selected based on inclusion criteria, resulting in ten articles for analysis. The review results showed that digital interventions were generally able to improve adolescents' knowledge, attitudes, and self-efficacy regarding sexual and reproductive health. However, the effect on behavioral change still showed varying results. These findings indicate that digital interventions have the potential as an innovative strategy in supporting the improvement of adolescent sexual and reproductive health.

Persepsi Ibu Hamil terhadap Kegunaan Aplikasi Kesehatan dalam Pemantauan Kehamilan di Kota Ambon

2026-09-10T15:52:40+00:00

The Maternal Mortality Rate (MMR) remains a maternal health issue that requires attention, especially in developing countries such as Indonesia. Efforts to improve access to information and monitor pregnancy health are important strategies in reducing the risk of pregnancy complications. The development of digital technology has encouraged the use of mobile health (mHealth) applications as a means of supporting pregnancy health monitoring. However, the effectiveness of its use is not only determined by the completeness of its features, but also by users' perceptions of the application's usability. The perception of usability is an important factor in determining the acceptance and sustainability of health application use by pregnant women. This study aims to analyze the perceptions of pregnant women in Ambon City regarding the usefulness of health applications in supporting pregnancy health monitoring. This study used a descriptive design with secondary data that was part of the “Ultralight Project” research. The research sample consisted of 300 pregnant women who used health applications to monitor their pregnancies in Ambon City. The measurement of the application's usability was carried out using the Mobile Application Usability Questionnaire (MAUQ). Data analysis was carried out descriptively by calculating the mean and standard deviation of each statement item. The results showed that all items had mean values in the range of 5.52–6.41, indicating a high level of agreement with the aspects of ease of use, ease of learning the application, and the benefits of the application for pregnancy health. The item with the highest mean was ease of use, while the aspect of access in limited connection conditions received a relatively lower mean value. This study concludes that the health application is perceived to have a high level of usefulness by pregnant women in Ambon City. However, optimization of network accessibility and user experience is still needed to support more effective use of mHealth in maternal health services.

Pengaruh Pendidikan Kesehatan tentang Pemeriksaan Payudara Sendiri (SADARI) Secara Simultan Terhadap Pengetahuan, Sikap, dan Tindakan Remaja Putri

2026-09-22T02:15:38+00:00

Breast cancer is one of the types of cancer with the highest incidence rate in women in the world. This study aims to determine the effect of health education about breast self-examination (BSE) simultaneously on the knowledge, attitudes, and actions of young women. This study used a pre-experimental design with a one-group pre-test post-test design. The population in this study were young women with a sample of 30 respondents selected using the total sampling technique. Data collection was carried out using a questionnaire to measure the knowledge, attitudes, and actions of respondents before and after being given health education about BSE. Data analysis was carried out using univariate analysis and bivariate analysis using the Wilcoxon Signed Rank Test. The results of the study showed that there was an increase in knowledge, attitudes, and actions of young women after being given health education about BSE. The results of statistical tests showed a significant effect of health education on the knowledge, attitudes, and actions of young women with a p-value <0.05. The conclusion is that health education about breast self-examination (BSE) has an effect on increasing the knowledge, attitudes, and actions of young women in conducting early detection of breast cancer. It is recommended that health education regarding BSE can be carried out continuously in the school environment as an effort to increase awareness of adolescent girls in maintaining reproductive health

Perbedaan kadar glukosa darah sewaktu dengan darah yang Didiamkan selama 15 menit dan 30 menit Sebelum di sentrifuse

2026-09-22T02:34:40+00:00

A clinical laboratory is a health laboratory that performs examination services on clinical samples to obtain information about health conditions. In each stage of the examination quality control procedure, which consists of three stages: pre-analytical, analytical, and post-analytical. One factor that affects the accuracy of the examination results is the pre-analytical stage, specifically the time the blood is left to stand before centrifugation. Glucose is an important parameter in evaluating blood sugar levels and is often used in clinical chemistry examinations. This study aims to determine the difference in blood glucose levels when standing for 15 minutes and 30 minutes before centrifugation. Venous blood samples of ± 3 mL were collected in Vacutainer serum separator tubes, then left for 15 minutes and 30 minutes before centrifugation. Glucose examinations were performed using a Bio System BA200 device, and analyzed using the Wilcoxon test. There were differences in the results of the blood glucose level examination when standing for 15 minutes and for 30 minutes. Further research can utilize storage at lower room temperatures.

Efektifitas pemberian edukasi self care pada pasien hipertensi dalam mengontrol tekanan darah dan meningkatkan kualitas hidup:literature review

2026-09-22T02:43:50+00:00

Hubungan waktu tunggu pelayanan dengan tingkat kepuasan pasien rawat jalan: literature review

2026-09-22T02:50:01+00:00

Gambaran Distres Psikososial Pasien Kanker Payudara pada Fase Pengobatan di RSUD Welas Asih Bandung

2026-09-22T03:04:54+00:00

Breast cancer is a global health problem that not only causes physical effects but also leads to various psychosocial distress affecting quality of life and treatment outcomes. Therefore, psychosocial screening is important to identify problems early and determine appropriate interventions. This study aimed to describe psychosocial problems across different domains among breast cancer patients undergoing treatment at the Surgical Oncology Clinic and Chemotherapy Unit of Welas Asih Regional Hospital. A quantitative descriptive design was used with an accidental sampling technique involving 103 respondents. Data collection was conducted over one month, during the third and fourth weeks of December 2025 and the first and second weeks of February 2026 using the Psychosocial Distress Questionnaire–Breast Cancer (PDQ-BC), which includes nine domains: trait anxiety, state anxiety, depressive symptoms, social support, social problems, physical problems, body image, sexual problems, and financial problems. Data were analyzed using univariate analysis based on cut-off points and mean scores. The results showed that the highest proportion of problems was found in depressive symptoms (47.6%) and trait anxiety (39.8%), while the lowest was in social problems (1%). A total of 53.4% of respondents needed referral to social workers and 15.5% to psychologists. These findings show that depression and anxiety are common among respondents and require serious attention in healthcare services. Therefore, nurses have an important role in early detection, providing psychosocial support, and collaborating with other healthcare professionals to ensure comprehensive patient care.

Gambaran Sikap Perawat terhadap Digitalisasi dalam Pencegahan TB Anak di Puskesmas Wilayah Kerja Kabupaten Sumedang

2026-09-22T03:25:54+00:00

Tuberculosis (TB) remains a global health issue, including in Indonesia. Children are a vulnerable group for TB infection because their immune systems are not yet fully developed, thus requiring effective prevention efforts. The use of digitalization has the potential to improve the effectiveness of prevention programs. The implementation of digitalization is heavily influenced by the attitudes of nurses as the primary implementers; however, the nature of nurses’ attitudes toward digitalization in childhood TB prevention at community health centers in Sumedang Regency remains unclear. This study aims to describe nurses’ attitudes toward digitalization in childhood TB prevention at community health centers within Sumedang Regency. The study employed a quantitative descriptive design using total sampling of secondary data involving 30 TB responsible nurses at community health centers in the Sumedang Regency service area. Data were collected using the Nurses’ Knowledge, Attitudes, and Behaviors on Digital Health questionnaire, which had been translated, with a focus on the attitude domain. The results showed that 60% (18 nurses) had a supportive attitude toward the use of digitalization in the prevention of childhood TB, while 40% (12 nurses) were not supportive, indicating that acceptance is not yet uniform. It was concluded that the majority of nurses have a supportive attitude toward the use of digitalization, but there is still a significant proportion who do not support it. Therefore, efforts are needed to prepare nurses for digitalization through training in order to support the optimization of childhood TB prevention.

Pengaruh Teknik Relaksasi Benson Terhadap Intensitas Nyeri Pada Pasien Post Operasi Fraktur Di Rumah Sakit Siloam Sriwijaya Palembang Tahun 2026

2026-09-22T04:27:26+00:00

Pain intensity in post-fracture surgery patients is the level of pain caused by tissue damage during surgery. In theory, the Benson relaxation technique can reduce pain through a relaxation response resulting from closing the eyes, regulating slow breathing, and repeating a word or prayer according to one's beliefs. This response increases the release of endorphins, reduces anxiety and muscle tension, thereby reducing the perception of pain.This study aimed to determine the effect of the Benson relaxation technique on pain intensity in post-fracture surgery patients. The study used a quasi-experimental design with a one-group pretest-posttest design. The study was conducted at Siloam Sriwijaya Hospital, Palembang. The sample consisted of 18 post-fracture surgery patients at Siloam Sriwijaya Hospital, Palembang, in 2026.The results showed that almost all respondents experienced moderate pain before the Benson relaxation technique (87.1%). Most respondents experienced mild pain after the Benson relaxation technique (64.5%). The Benson relaxation technique did have an effect on pain intensity in post-fracture surgery patients.It is hoped that the Palembang Class I LPKA will incorporate Progressive Muscle Relaxation therapy into its mental health development program for its youth.

Pengaruh Diabetes Self-Management Education terhadap Pengetahuan Penderita Diabetes Melitus Tipe 2

2026-09-22T04:44:56+00:00

Type 2 diabetes mellitus (DM) is a health problem that continues to increase globally, both in developed and developing countries. This condition is one of the main causes of high morbidity and mortality rates due to non-communicable diseases. Type 2 DM also contributes significantly to various chronic complications, such as cardiovascular disease, kidney disorders, and visual impairment, which impact the quality of life of sufferers. This study used a pre-experimental design with a one-group pretest–posttest design. All respondents were given an initial assessment (pretest), followed by a Diabetes Self-Management Education (DSME) intervention, and then a re-assessment (posttest) to assess changes in knowledge scores. The population in this study was all type 2 diabetes mellitus patients visiting the Pembina Community Health Center in Palembang, totaling 775 people based on data from the Pembina Community Health Center. The sample size was 25 respondents. This study obtained a p-value (Asymp. Sig.) <0.001. Because the p-value was less than 0.05 (p <0.05), Ha was accepted and H2 was rejected. This indicates a significant effect of providing Diabetes Self-Management Education (DSME) on the level of knowledge of type 2 diabetes mellitus patients at the Pembina Community Health Center in Palembang City in 2026.

Tinjauan Naratif: Kadar Serum Vitamin D dan Hubungannya dengan Ketidakteraturan Siklus Menstruasi pada Wanita Usia Reproduktif

2026-09-23T03:17:15+00:00

Menstrual cycle irregularities are common among women of reproductive age and may be influenced by lifestyle, hormonal, and nutritional factors, including vitamin D status. In recent years, vitamin D deficiency has remained a global public health concern, affecting a significant proportion of women. This condition has been suggested as a potential contributor to menstrual disturbances due to the important role of vitamin D in hormonal regulation, calcium homeostasis, and reproductive function. Additionally, inadequate sun exposure and poor dietary intake may further exacerbate vitamin D deficiency. This narrative review aims to synthesize current evidence on the relationship between serum vitamin D levels and menstrual cycle irregularities in women of reproductive age. The literature search was conducted using publications from the last ten years (2016–2026) obtained from databases including Google Scholar, PubMed (NCBI), and ScienceDirect. The included articles were selected from reputable journals indexed in databases such as PubMed and nationally accredited journals (SINTA), ensuring the credibility and quality of the sources. The keywords used were “vitamin D”, “menstrual cycle”, “irregular menstruation”, “vitamin D deficiency”, and “reproductive hormones”. Articles were included if they involved human subjects, focused on women of reproductive age, investigated serum vitamin D levels in relation to the menstrual cycle, were published in English, and were available in full text. The reviewed studies indicate that vitamin D plays a role in modulating reproductive hormones, particularly luteinizing hormone (LH), which may influence ovulation and menstrual cycle regularity. Low vitamin D levels are associated with hormonal imbalance that may contribute to irregular menstrual cycles. Overall, the findings suggest a significant association between serum vitamin D levels and menstrual cycle irregularities. Further studies are needed to confirm these relationships and to evaluate the effectiveness of vitamin D interventions in improving menstrual regularity and reproductive health.

Faktor-faktor yang Berhubungan dengan Kejadian Anemia pada Ibu Hamil di Unit Pelayanan Terpadu Puskesmas Wondiboi

2026-09-23T03:37:07+00:00

Anemia in pregnant women remains a public health problem that increases the risk of pregnancy complications, childbirth disorders, and impaired fetal growth. Knowledge, dietary patterns, and socioeconomic status are considered important factors influencing the occurrence of anemia during pregnancy. This study aimed to determine the simultaneous and partial relationships between maternal knowledge, dietary patterns, and socioeconomic status with the incidence of anemia among pregnant women at the Integrated Service Unit of Wondiboi Community Health Center in 2025. This research employed a quantitative design using an analytic survey with a cross-sectional approach. The population consisted of 40 pregnant women who visited the health center in 2025, and all were included using total sampling technique. Data were collected through interviews using structured questionnaires and hemoglobin (Hb) measurements with an Hb meter. Data analysis included univariate and bivariate analysis using the chi-square test with a significance level of 0.05. The results showed that 32.5% of respondents experienced anemia. There were significant relationships between maternal knowledge (p=0.003; OR=13.062), dietary patterns (p=0.013; OR=12.923), and socioeconomic status (p=0.006; OR=17.455) and the incidence of anemia among pregnant women. In conclusion, low knowledge, poor dietary patterns, and low socioeconomic status significantly increase the risk of anemia in pregnancy. Strengthening health education, improving balanced nutrition intake, and enhancing access to health services are essential to reduce anemia incidence among pregnant women.

Pengaruh Senam Hamil Terhadap Pengurangan Intensitas Nyeri Punggung Pada Ibu Hamil Trimester III

2026-09-23T03:52:15+00:00

Back pain is one of the most common discomforts experienced by pregnant women, especially in the third trimester, and can disrupt daily activities. One non-pharmacological effort to reduce this pain is pregnancy exercises. This study aimed to determine the effect of pregnancy exercises on reducing back pain intensity in pregnant women in the third trimester at the Lismarini Midwifery Center, Palembang City in 2025. This study was a pre-experimental study with a one-group pretest-posttest design. The study population was all pregnant women in their third trimester, with a sample size of 32 respondents selected using purposive sampling. The research instruments used a questionnaire and a Numeric Rating Scale (NRS) to measure pain intensity. Data were analyzed using a t-test. The results showed a significant difference in back pain intensity before and after the prenatal exercise intervention, with a p-value of 0.000 (p < 0.05). This demonstrates that prenatal exercise is effective in reducing back pain intensity in pregnant women in their third trimester. The findings of this study are expected to serve as a consideration for healthcare providers, especially midwives, to provide education and facilitate regular prenatal exercise for third-trimester pregnant women as a non-pharmacological effort to reduce back pain. For pregnant women, it is recommended to actively participate in prenatal exercise to obtain maximum benefits for health and comfort during pregnancy. Furthermore, future studies with larger samples and different methods are suggested to strengthen these findings.

Efektifitas Pijat Oksitosin Dalam Meningkatkan Produksi Asi pada Ibu Postpartum di BPM Listikaria

2026-09-23T04:07:20+00:00

Insufficient breast milk will affect the level of confidence of a mother in her ability to breastfeed, thus causing the emergence of concerns in the mother about insufficient breast milk production which can be a factor influencing the mother's psychological condition so that it has an impact on oxytocin release. This study aims to determine the description of breast milk production in postpartum mothers at BPM Listikaria, Lempuing District, OKI Regency in 2025 before being given oxytocin massage. This type of research is pre-experimental with a one group pretest-posttest design. The study population is all postpartum mothers. The population in this study is all postpartum mothers at BPM Listikaria. The observation sheet is a measuring tool by observing and recording based on certain objects and phenomena. The data is analyzed by a questionnaire to ensure that the answers listed in the checklist have been filled in completely, clearly, relevantly, and consistently. The results of the Wilcoxon Signed Rank Test show a significant difference between breast milk production before and after the intervention with a Z value = -4.787 and a p-value = 0.000 (p <0.05). This shows that oxytocin massage is effective in increasing breast milk production in postpartum mothers.

Faktor – Faktor Yang Berhubungan Dengan Perilaku Pemeriksaan Payudara Sendiri Pada Siswi

2026-09-23T04:29:39+00:00

Hubungan Risiko Internet Gaming Disorder (IGD) dengan Interaksi Sosial pada Remaja di SMPN 44 Bandung

2026-09-23T08:14:28+00:00

The phenomenon of the growing number of online gamers worldwide and in Indonesia has become a trend and a serious issue, particularly among adolescents. The increasing intensity of online gaming among adolescents has the potential to lead to Internet Gaming Disorder (IGD), a condition characterized by a loss of control over excessive online gaming that impacts various aspects of adolescents’ lives, including social interaction. This study aims to analyze the relationship between the risk of Internet Gaming Disorder (IGD) and social interaction among adolescent at SMPN 44 Bandung. A quantitative method with a correlational design was used, involving 400 respondents selected through total sampling based on inclusion criteria. Data were collected using the IGDS9-SF questionnaire translated by Pramukti et al. (2023) and the social interaction instrument by Suharningsih (2023), both of which had undergone validity and reliability testing. The data were then analyzed using SPSS software through univariate and bivariate analyses employing the Spearman Rank correlation test. The study was conducted from January 22 to February 7, 2026, at SMPN 44 Bandung. The results of the study indicate a significant negative relationship between IGD risk and social interaction among adolescents at SMPN 44 Bandung (p < 0.05), with a moderate strength of association (r = -0.345). This means that the higher the IGD risk, the lower the level of adolescents’ social interaction, and vice versa. These findings underscore the importance of collaboration between schools, parents, and healthcare professionals through a promotive and preventive approach to minimize the risk of IGD and optimize the quality of adolescents’ social interaction.

Sikap Mahasiswa Keperawatan Universitas Padjadjaran terhadap Orang dengan Gangguan Jiwa

2026-09-23T08:28:19+00:00

Attitudes toward people with mental disorders (ODGJ) are one of the factors that influence the quality of mental health services. Negative attitudes can influence how individuals perceive and interact with ODGJ. Nursing students, as future health workers, will be directly involved in mental health services, so it is important to understand their attitudes toward ODGJ. This study aims to determine the attitudes of nursing students at Padjadjaran University toward ODGJ. This study used a quantitative descriptive method with a cross-sectional survey design. The study population consisted of 917 students with a sample of 279 respondents. Data collection took place over one month, from January 5 to February 1, 2026. Attitudes were measured using the Community Attitudes toward the Mentally Ill (CAMI) questionnaire and analyzed univariately. The results showed that the average score for authoritarianism was 28.33 (SD 2), benevolence was 36.48 (SD 3), social restrictiveness was 25.71 (SD 3), and community mental health ideology was 35.08 (SD 3). Based on the results of the study, it was found that the most dominant attitude was benevolence, which means that students tend to be caring and supportive of the social acceptance of people with mental disorders. Therefore, this attitude needs to be maintained and strengthened. However, there are still certain dimensions that need to be improved through the mental health nursing learning process.

Gambaran Pengetahuan Remaja tentang Infeksi Menular Seksual (IMS) pada Era Digital di SMK Pasundan Jatinangor

2026-09-23T08:38:56+00:00

Sexually transmitted infections (STIs) remain a global health problem, with more than 374 million new cases each year (WHO, 2024). Adolescents are a vulnerable group due to their developmental stage, which is influenced by social environments and digital information exposure. This study aimed to describe the level of adolescents’ knowledge about STIs in the digital era at SMK Pasundan Jatinangor. A descriptive quantitative design was used, with an adapted Indonesian version of the Sexually Transmitted Disease Knowledge Questionnaire (STD-KQ), which had been tested for validity and reliability. The population consisted of 530 students, with a sample of 245 respondents selected using the Slovin formula (5% margin of error) and stratified random sampling. The results showed that most respondents had a low level of knowledge (197 students; 80.4%), and the majority obtained information from digital media (123 respondents; 50.2%). These findings indicate that although adolescents have broad access to digital information, their understanding of STIs is still limited. More structured and media-appropriate reproductive health education is needed.

Gambaran tingkat resiliensi pada ayah dan ibu dengan anak down syndrome di komunitas POTADS jawa barat

2026-09-23T08:48:16+00:00

Down Syndrome is a genetic disorder caused by the presence of an extra copy of chromosome 21, which affects body systems and developmental processes. Children with Down syndrome require special attention and care to ensure optimal growth and development. To achieve this, resilient parents are essential as the primary caregivers. This study aimed to describe the level of resilience among fathers and mothers of children with Down syndrome in the POTADS Community Jawa Barat. This research employed a quantitative descriptive design involving 154 respondents selected through quota sampling. The resilience instrument used was the Connor–Davidson Resilience Scale (CD-RISC 25) Indonesian adaptation by Reformasianto (2024), consisting of 23 items that had been tested for validity and reliability, with a Cronbach’s Alpha value of 0.92. Data analysis was conducted using univariate analysis by presenting the distribution of frequency, percentage, minimum and maximum values, mean, and standard deviation.The results showed that fathers were predominantly categorized as having a moderate level of resilience (70.6%), with the strongest resilience dimension in the aspect of self-control. Meanwhile, mothers were also predominantly categorized as having a moderate level of resilience (51.7%), with the strongest dimension in personal competence. Both fathers and mothers demonstrated the weakest dimension in the aspect of self-confidence. Based on the child’s age category, parents of children aged <5 years were predominantly categorized as having high resilience, while parents of children aged 5–9 years and 10–18 years were predominantly categorized as having moderate resilience.In conclusion, the resilience of fathers and mothers of children with Down syndrome is dynamic and can develop alongside the adaptation process at each stage of the child’s development. Therefore, continuous support is needed to enhance and sustain the resilience of fathers and mothers of children with Down syndrome.

Stigma Orang Tua Terhadap Penyakit Tuberkulosis Pada Anak Di Puskesmas Kota Bandung

2026-09-28T03:12:39+00:00

Tuberculosis (TB) in children remains a serious global health issue, including in Indonesia. The control of tuberculosis depends on treatment success rates and is influenced by various factors, including the stigma associated with the disease. Stigma can lead to feelings of shame, fear of social judgment, and concerns about discrimination, all of which create barriers to treatment. This study aims to provide an overview of parental stigma regarding childhood tuberculosis at community health centers in Bandung City. This study employed a quantitative descriptive design among parents of children with tuberculosis at the Pasir Kaliki, Sukajadi, and Garuda Community Health Center, using accidental sampling to recruit 52 respondents over a one-month data collection period from January to February 2026. Stigma was measured using the Van Rie TB Stigma Scales (VTSS). Data were analyzed univariately using descriptive statistical tests in the form of frequency distribution and percentages tables. The results of this study indicate that the majority of parents exhibit low levels of stigma (55.8%), while nearly half still experience high levels of stigma (44.2%). Domain analysis reveals that most respondents fall into the low-stigma category regarding concerns about disease transmission (65.4%) and disease disclosure (67.3%). However, in the domain of values and attitudes related to feelings of shame, disgrace, and negative judgment, high stigma was observed (51.9%). Therefore, an appropriate intervention approach is needed to reduce stigma in support of successful tuberculosis treatment for children at the primary healthcare level.

Gambaran Keparahan Restless Legs Syndrome pada Pasien Penyakit Ginjal Kronis yang Menjalani Hemodialisis

2026-09-28T03:20:13+00:00

Chronic Kidney Disease is a global health problem that often leads to various complications, one of which is Restless Legs Syndrome, a neurological sensorimotor disorder commonly found in patients undergoing hemodialysis. This study aimed to describe the severity of Restless Legs Syndrome among patients undergoing hemodialysis for early detection of emergencies. The population in this study consisted of Chronic Kidney Disease patients undergoing hemodialysis at Rumah Sakit Umum Daerah Welas Asih. Samples were obtained using purposive sampling, resulting in 143 respondents who experienced symptoms of Restless Legs Syndrome. Data were collected using the Indonesian version of the Self-administered Version of the International Restless Legs Syndrome Rating Scale, which had undergone validity and reliability testing. The instrument demonstrated good face validity (SFI-Ave = 0,978), construct validity with Corrected Item-Total Correlation values ranging from 0,42 to 0,77, and high reliability with a Cronbach’s alpha of 0,893. The collected data were analyzed using descriptive statistics to obtain frequency distribution, percentage and mean values for the Restless Legs Syndrome severity. Most respondents were adults (83,2%) and female (60,1%). The majority had undergone hemodialysis for less than 5 years (65,7%), with a frequency of twice per week (98,6%) and had hypertension as a comorbidity (65%). The mean score was 16,17 ± 6,3, indicating that the severity of symptoms was relatively low. However, based on item analysis most respondents reported symptoms at a moderate level across most questionnaire items. Restless Legs Syndrome symptoms in hemodialysis patients were generally mild with minimal impact. However, the assessment and monitoring remained important for early detection and prevention of condition deterioration and patient safety risks.

Hubungan antara Gejala Depresi dengan Pengalaman Kehilangan Orang Terdekat pada Mahasiswa Keperawatan: Scoping Review

2026-09-28T03:25:53+00:00

Mental health among nursing students is an important issue influenced by various factors, one of which is the experience of losing a loved one. Loss can trigger complex emotional responses and potentially lead to depressive symptoms, especially among young adults who are in a vulnerable developmental stage. This study aimed to examine the relationship between depressive symptoms and the experience of losing a close person among nursing students using a scoping review approach. Data were obtained from Scopus, Ebscohost, and Wiley databases with a publication range from 2016 to 2026. The article selection process followed the PRISMA 2020 guidelines and resulted in 15 relevant studies for analysis. The findings indicate that loss is significantly associated with increased depressive symptoms, particularly in cases of sudden or traumatic loss. Factors such as prolonged grief disorder, emotion regulation, coping mechanisms, and social support play important roles in influencing this relationship. Among nursing students, the risk of depression is higher due to the dual emotional burden of personal loss and clinical exposure to death. In conclusion, the experience of loss is a significant risk factor for depression among nursing students, highlighting the need for comprehensive interventions to support their mental health.

Gambaran Cyberbullying pada Siswa SMAN X Kabupaten Bandung

2026-09-28T03:31:46+00:00

The increase in internet usage among teenagers raises the risk of cyberbullying, which affects their mental health, emotional functioning, psychological condition, and academic performance. Although the phenomenon of cyberbullying has been widely reported globally and nationally, data regarding the prevalence, forms, and roles of students in cyberbullying in Bandung Regency is still limited. This study aims to describe cyberbullying among students at SMAN 1 Margahayu, Bandung Regency. This study uses a quantitative descriptive design with a survey approach. The population consisted of 1,410 students from all grade levels, with a sample of 312 students determined using the Slovin formula and the proportionate stratified random sampling technique, allocated proportionally to each grade level (106 students from grade X, 107 students from grade XI, and 99 students from grade XII). Data collection was conducted from February 3-7, 2026, using the Indonesian version of The Second Revision of the Revised Cyber Bullying Inventory (RCBI-II), which underwent a forward-back translation process and validity and reliability testing by Rasyada (2019), resulting in good validity and a Cronbach’s alpha reliability of 0.88. The research results show that 137 students (43.9%) acted as victims of cyberbullying, 72 students (23.1%) as perpetrators, 41 students (13.1%) as both perpetrators and victims, and 62 students (19.9%) were not involved. Victims are more commonly found among female students, 10th grade, with an internet access duration of 2-4 hours per day. Based on the form of action, flaming is the most common form of cyberbullying (61.2%), while impersonation is the least frequently found (32.6%). About half of the respondents played the role of victims of cyberbullying. Psychosocial health screening, strengthening digital literacy, and collaboration between healthcare professionals, schools, and families are needed in efforts to prevent and address cyberbullying..

Penerimaan diri pada wanita penderita kanker payudara : Literatur review

2026-09-28T03:37:47+00:00

A breast cancer diagnosis not only has physical consequences but also creates complex psychological stress that affects patients’ mental well-being. Self-acceptance serves as a crucial psychological coping mechanism to help individuals come to terms with their condition and maintain their quality of life. This article aims to comprehensively review the concept, process, influencing factors, and the role of self-acceptance in women with breast cancer based on empirical studies. The method used was a narrative literature review with article searches conducted through the Google Scholar, PubMed, and ScienceDirect databases using the keywords “breast cancer,” “self-acceptance,” “acceptance of illness” and “psychological adaptation.” Inclusion criteria included research articles in Indonesian or English, full-text articles, published between 2021 and 2026, and relevant to the topic. A total of 7 articles were analyzed following the selection process. The review results indicate that patients’ levels of self-acceptance vary from low to high, influenced by sociodemographic factors, clinical factors, psychological factors, and other factors such as social support. The process toward self-acceptance is dynamic and gradual, progressing through five stages: non-acceptance, passive acceptance, willingness to accept, behavioral acceptance, and transcendence of acceptance. Good self-acceptance is associated with increased resilience, more adaptive clinical decision-making, and a reduced risk of demoralization syndrome. In conclusion, self-acceptance in breast cancer patients is a dynamic psychological process that develops gradually.

Bystander Effect Mahasiswa Pecinta Alam Universitas Padjadjaran pada Situasi Darurat

2026-09-28T04:33:41+00:00

Outdoor activities among nature lover students (MAPALA) carry a high risk of emergency situations that require rapid response. However, helping behavior may be influenced by the bystander effect, a tendency for individuals to refrain from acting when others are present. This study aimed to describe the bystander effect among members of MAPALA Universitas Padjadjaran. A descriptive quantitative design was used with a total of 66 respondents selected through total sampling. The instrument used was a bystander effect questionnaire with a Likert scale. Data were collected online and analyzed descriptively. The results showed that the majority of respondents had a high tendency to help (54.5%), while 45.5% experienced the bystander effect. Social influence was mostly in the high category (54.5%), bystander barriers were high (53%), and diffusion of responsibility was low (54.5%). It can be concluded that MAPALA members generally have a good tendency to help, although psychological barriers still exist in emergency situations. Therefore, simulation-based emergency training is recommended to improve preparedness and reduce these barriers.

Hubungan Body Image dengan Perilaku Makan Pada Remaja di SMPN 19 Kota Bandung

2026-09-28T04:26:40+00:00

Adolescence is a developmental period characterized by physical and psychosocial changes that can influence body image and eating behavior. Body dissatisfaction can increase the risk of unhealthy eating behaviors. This study aims to examine the relationship between body image and eating behavior among adolescents at SMPN 19 in Bandung. This study employed a quantitative correlational design with a cross-sectional approach. The population consisted of 921 students, with a sample of 258 respondents selected using proportionate stratified systematic sampling. Data collection took place from February to March 2026, with the survey conducted from March 2 to 12, 2026 (approximately 2 weeks), using the Body Esteem Scale for Adolescents and Adults (BESAA) and the Eating Attitudes Test-13. Data analysis was performed using the Chi-Square test. The results showed that the majority of respondents had a high body image (52.7%) and showed no indication of eating disorders (74.4%). There was a significant association between body image and eating behavior (p-value = 0.001), with adolescents having a positive body image tending to exhibit healthier eating behaviors. Implications for nursing include using these findings as a basis for developing promotive and preventive interventions through education to enhance positive body image and prevent unhealthy eating behaviors among adolescents

Profil Psikososial Pasien Kanker Serviks: Dominasi Trait Anxiety pada Setting Rumah Sakit Daerah

2026-09-28T03:57:26+00:00

Cervical cancer remains one of the leading causes of mortality among women in Indonesia and is associated with significant psychosocial challenges that may affect treatment adherence and quality of life. However, evidence describing domain-specific psychosocial problems among cervical cancer patients in regional healthcare settings remains limited. This study aimed to examine the psychosocial profile of cervical cancer patients, with a particular focus on identifying dominant problem domains. This study employed a quantitative descriptive design involving 71 cervical cancer patients undergoing outpatient treatment at a regional hospital in Indonesia. The study was conducted from December 2025 to February 2026 (9 weeks). Data were collected using the Psychosocial Distress Questionnaire–Breast Cancer (PDQ-BC), which assesses nine domains of psychosocial problems, including trait anxiety, state anxiety, depressive symptoms, social problems, and social support. Data were analyzed using descriptive statistics. The findings revealed that trait anxiety was the most dominant psychosocial problem, affecting 52.1% of patients. In contrast, most patients did not experience significant problems in other domains, including social support (100%), social problems (97.2%), and depressive symptoms (67.6%). These findings suggest that persistent anxiety represents a critical psychosocial concern among cervical cancer patients, even when other domains appear relatively adaptive. Contextual factors such as strong social support and healthcare coverage may contribute to lower levels of situational distress. In conclusion, routine psychosocial screening, particularly for trait anxiety, is essential in oncology nursing practice to enable early identification and targeted interventions aimed at improving patients’ psychological well-being and overall quality of care.

Interaksi antara Persepsi, Kognisi, dan Kesejahteraan pada Orang dengan HIV: Tinjauan Cakupan

2026-09-28T04:04:37+00:00

Despite viral suppression, people living with HIV continue to experience significant declines in quality of life (QoL) and cognitive function. Current literature suggests a complex interplay between biological mechanisms and psychological perceptions; however, the pathways linking these factors to well-being remain fragmented. This scoping review aims to map the interplay between illness perception, cognitive function, and well-being in people living with HIV, with a focus on identifying underlying neurobiological and psychological mediators. A scoping review was conducted following the Arksey and O'Malley framework and PRISMA-ScR guidelines. A systematic search across EBSCOHost, SCOPUS, and ScienceDirect was limited to articles published between 2020 and 2025. A total of 17 studies met the inclusion criteria. Thematic analysis identified three interconnected domains: 1) Neurobiological Drivers, where chronic immune activation (e.g., T-cell exhaustion, monocyte activation) and reduced neurotrophic support (BDNF) were associated with cortical atrophy and cognitive decline; 2) Psychological Mediators, where sleep disturbances and maladaptive illness perceptions (e.g., rumination) exacerbated cognitive deficits; and 3) Functional Impact, where cognitive impairment was a stronger predictor of disability and reduced QoL than viral load alone. Well-being in people living with HIV is shaped by a self-reinforcing interaction between neurobiological vulnerability and maladaptive psychological processes. Integrating routine cognitive screening, sleep management, and behavioral-based interventions into HIV care is essential to improve functional outcomes and overall quality of life.

Hubungan Malnutrisi dan Frailty Pada Lansia : Scoping Review

2026-09-28T04:47:55+00:00

The increase in the global aging population has led to a rise in geriatric health issues, particularly malnutrition and frailty, which are interrelated and contribute to a decline in functional capacity and quality of life. Until now, these conditions have often been studied separately; thus, a comprehensive study is needed to understand the relationship between the two. This study aims to identify and analyze scientific evidence regarding the relationship between malnutrition and frailty in older adults through a scoping review method. Literature was obtained from the PubMed, ScienceDirect, and Scopus databases with a publication range of 2021–2026 using the keywords "malnutrition", "frailty", and "elderly" or "older adults". A total of 13 articles met the inclusion criteria. The review results indicate a relationship between malnutrition and frailty in older adults. Older adults with a frail condition are known to have a 4.47 times greater risk of experiencing malnutrition compared to non-frail older adults. This linkage occurs through the mechanism of sarcopenia, which is triggered by a deficit in protein and energy intake, resulting in a decrease in muscle mass and strength. In addition to biological factors, this condition is influenced by psychological and social factors, such as depression, social isolation, and dependence in daily activities. This risk is found to be higher in hospitalized older adults due to the stressors of acute illness and immobilization. In conclusion, malnutrition and frailty have been shown to form a mutually worsening pathological cycle. Therefore, the implementation of integrated early detection and the provision of multicomponent interventions focusing on meeting nutritional needs and increasing physical activity are highly essential to break this cycle, so that the independence and quality of life of older adults can be optimally maintained.

Hubungan Perilaku Caring Perawat Dengan Kepatuhan Pasien Menjalankan Hemodialisa Di Rumah Sakit Mitra Sejati

2026-09-28T05:02:27+00:00

Caring is how nurses understand meaningful events in one's life and are emotionally present, doing things to others just like doing to oneself, informing and facilitating one's way in undergoing life transitions and putting one's trust in living one's life. Caring behavior must be instilled and become an inherent culture in nurses in providing nursing care so that every action or care that can be given as a form of satisfying client needs. This study aims to determine the relationship between nurses' caring behavior and patient compliance on hemodialysis at Mitra Sejati Hospital Medan. This type of research is a correlative descriptive research using quantitative methods with a cross-sectional approach. Sampling using total sampling technique with the number of respondents as many as 42 patients. Data collection using questionnaires in the form of closed questions. The analysis test used is the Pearson Chi Square correlation test with a confidence level of 95%. The results of the analysis test using Pearson Chi Square showed that there was a close relationship between the caring behavior of nurses and patient compliance on hemodialysis (p < 0.000, r = - 0.003). It can be concluded that the caring behavior of nurses is related to patient compliance in running hemodialysis at Mitra Sejati Hospital Medan, where the higher the caring nurse, the lower the patient's non-compliance in carrying out hemodialysis, if the lower the nurse's caring, the higher the patient's non-compliance in carrying out hemodialysis. Nurses are expected to increase care for patients to improve the quality and compliance of patients in carrying out hemodialysis

Perbandingan Penggunaan Jarum Cutting Spinal Ukuran 25g Dan 27g Terhadap Prevalensi Kejadian Post Dural Puncture Headache (Pdph) Pasca Anestesi Spinal

2026-09-28T05:09:49+00:00

Post Dural Puncture Headache (PDPH) is a common complication after spinal anesthesia, characterized by headache resulting from cerebrospinal fluid leakage through a dural puncture. One contributing factor to PDPH is the size of the spinal needle used. This study aims to compare the prevalence of PDPH between the use of 25G and 27G cutting spinal needles in patients after spinal anesthesia at RSUD dr. Sadikin Kota Pariaman. This research employed an observational analytic method with a cross-sectional approach. The sample consisted of 59 patients, including 33 who received spinal anesthesia with a 25G needle and 26 with a 27G needle, selected using purposive sampling. Results showed that 16 out of 33 patients (48.5%) with the 25G needle experienced PDPH, while only 5 out of 26 patients (19.2%) with the 27G needle developed PDPH. Statistical analysis revealed a significant difference between the two groups (p = 0.017). The conclusion is that using a 27G spinal needle significantly reduces the incidence of PDPH. These findings are expected to serve as a reference for choosing safer and more effective anesthetic tools.

Faktor – Faktor Yang Berhubungan dengan Kejadian Dismenorhea pada Mahasisiwi S1 Kebidanan

2026-09-29T07:56:49+00:00

Reproductive health problems commonly experienced by adolescent females include menstrual disorders such as dysmenorrhea. Dysmenorrhea refers to menstrual pain that is often accompanied by cramps centered in the lower abdomen and radiating to the back and inner thighs. This study aimed to investigate the relationship between sleep quality, stress, and physical activity and the incidence of dysmenorrhea among undergraduate midwifery students at Kader Bangsa University, Palembang, in 2025. This quantitative research employed an analytical survey method with a cross-sectional approach. The study was conducted in July 2025 at Kader Bangsa University. The study population consisted of all sixth- and eighth-semester undergraduate midwifery students, totaling 53 respondents selected through total sampling. Primary data were collected using questionnaires and analyzed using the Chi-Square test. Univariate analysis showed that among the 53 respondents, 21 (39.6%) experienced mild dysmenorrhea, 16 (30.2%) experienced moderate dysmenorrhea, and 16 (30.2%) experienced severe dysmenorrhea. Bivariate analysis using the Chi-Square test revealed that sleep quality had a p-value of 0.004, stress had a p-value of 0.464, and physical activity had a p-value of 0.002. These results indicated a significant correlation between sleep quality and physical activity with the incidence of dysmenorrhea, while stress was not significantly associated. This study is expected to serve as a reference for reproductive health education regarding factors influencing dysmenorrhea. Furthermore, it may provide a basis for implementing reproductive health counseling programs for adolescents, particularly on dysmenorrhea and other contributing factors.

Faktor-Faktor Yang Mempengaruhi Kurangnya Minat Ibu Menggunakan Kontrasepsi Intra Uterine Device (IUD)

2026-09-29T08:03:10+00:00

The low interest of mothers in using Intra Uterine Device (IUD) contraception remains a significant issue in the Family Planning program. This study aims to determine the relationship between husband's support, knowledge, and side effects with mothers' interest in using IUD contraception in the Sukarami Community Health Center working area, Sungai Rotan District, Muara Enim Regency in 2025. The research design used was quantitative with an analytical survey method through a cross-sectional approach. The study population included all active family planning acceptor mothers, totaling 5,828 people. The sample size was determined using the Slovin formula with a 10% error rate, resulting in 98 respondents. The sampling technique was accidental sampling. Primary data were collected through questionnaires, while secondary data were obtained from Community Health Center records. Data analysis used univariate and bivariate analysis. The results of the univariate analysis showed that most respondents had low knowledge (62.2%), did not receive husband's support (80.6%), and were afraid of side effects after using contraception (90.8%). Bivariate analysis showed a significant relationship between husband's support (p=0.000; OR=26.361), knowledge (p=0.003; OR=4.968), and side effects (p=0.000; OR=22.458) with mothers' interest in using IUDs. The conclusion of this study is that husband's support, knowledge, and side effects are associated with low maternal interest in using IUD contraception. The recommendation from this study is the need to increase reproductive health education, counseling, and education by involving husbands to increase maternal participation in IUD use.

The Impact of Sugar-Sweetened Beverage Tax on Projected Prevalence of Type 2 Diabetes Mellitus: A Literature Review

2026-09-29T08:09:16+00:00