Jurnal Kesehatan Saelmakers PERDANA (JKSP)

Hubungan Perilaku Minum Obat Dengan Tingkat Pengendalian Tekanan Darah Di Dusun Tamanan Kelurahan Tamanmartani

Vincensia Seklin Geovani — 2026-06-30

Hypertension is a chronic disease characterized by persistently elevated blood pressure and is known as a silent killer because it often shows no symptoms, but can cause serious complications if not properly controlled. Tamanan Hamlet is one of the areas in Sleman Regency with a fairly high number of hypertension sufferers. Based on a preliminary study, a total of 4,217 cases of hypertension were recorded at the Kalasan Community Health Center during 2024. The purpose of this study was to determine the relationship between medication-taking behavior and the level of blood pressure control in hypertension sufferers in Tamanan Hamlet. This study used a descriptive correlational method with a sample of 48 respondents with hypertension selected using a total sampling technique. Data were collected using a medication-taking behavior questionnaire and blood pressure measurements and data were taken on July 7-9, 2025. The results showed that the majority of respondents had poor medication-taking behavior as many as 41 people (85.4%) and uncontrolled blood pressure as many as 43 people (89.6%). The results of statistical tests using the Spearman test showed a p value of 0.833 for systolic blood pressure and p = 0.177 for diastolic blood pressure (p > 0.05), so it can be concluded that there is no significant relationship between medication-taking behavior and the level of blood pressure control. Therefore, hypertension control does not only depend on medication-taking behavior, but also needs to be supported by healthy lifestyle changes, ongoing education, and adequate social and family support.

Hubungan Pola Pemberian Makan Terhadap Angka Kejadian Stunting di Sleman Daerah Istimewa Yogyakarta

Angela Chiesa Vidyananda Christi — 2026-06-30

Stunting is a condition of growth failure that occurs in toddlers due to chronic malnutrition. To date, stunting remains an unresolved nutritional problem. This condition can cause long-term problems, such as affecting the child's physical, mental, cognitive, and intellectual development. The purpose of this study is to identify the relationship between feeding patterns and the incidence of stunting in one village in Yogyakarta. The study used a cross-sectional method with a sample size of 127 toddlers and 127 parents of toddlers as respondents, selected using purposive sampling technique. Data collection was done using a questionnaire that had been tested for validity and reliability, as well as through measuring the height of toddlers. The data was then analyzed using the Chi-Square test with a significance level of <0.05. The research results show that 18 people (52.9%), or more than half of the parents, provided their children with the correct dietary patterns, and their children did not experience stunting. Meanwhile, 71 people (76.3%), the majority of parents who provided incorrect dietary patterns, had children who experienced stunting. Statistical analysis shows a significant relationship between feeding patterns and the incidence of stunting, with a p-value of 0.002. There is a relationship between feeding patterns and the incidence of stunting. It is hoped that future researchers can

Hubungan Ketahanan Pangan Rumah Tangga Dengan Status Gizi Balita Di Wilayah Rawan Banjir

Serlina Silalahi — 2026-06-30

Toddlers are a highly vulnerable age group to nutritional problems, particularly stunting. In 2024, the prevalence of stunting in Indonesia reached 19.8%, which has an impact on children’s physical growth and cognitive development. Nutritional intake fulfillment, household food security, and environmental conditions, especially flood-prone areas, are important factors influencing the nutritional status of toddlers. This study employed a quantitative approach with a cross-sectional design involving 50 respondents who met the criteria of toddlers aged 1–5 years. Data analysis was conducted descriptively and bivariately using the Chi-Square test to determine the relationship between household food security and toddlers’ nutritional status based on the height-for-age index (TB/U). Household food security was measured using a questionnaire. The results showed that male toddlers accounted for 25% and female toddlers also accounted for 25%. Based on the height-for-age index, most toddlers had normal nutritional status or were not stunted, accounting for 50%, while no toddlers were categorized as stunted or severely stunted. Parental characteristics indicated that most mothers were aged 24–36 years (30%), unemployed (35%), and had higher education levels (45%). Meanwhile, almost all fathers were employed (49%) and had higher education levels (45%). The Chi-Square test results showed a p-value of 1.000, indicating no significant relationship between household food security and toddlers’ nutritional status. Nevertheless, cross-tabulation analysis indicated a tendency that lower household food security was associated with a higher proportion of stunted toddlers. However, family economic conditions still play an important role in determining household food security in the flood-prone area of Perumahan Simalingkar, Medan.

Hubungan Perilaku Sedentary Terhadap Penumpukan Adiposa Pada Remaja di Pondok Pesantren Bogor

Salma Febriska Marciano — 2026-06-30

Faktor-Faktor yang Mempengaruhi Kelengkapan Imunisasi Dasar Lengkap pada Bayi di Puskesmas Tanah Abang Kabupaten PALI

Dita Dita — 2026-06-30

Immunization is one of the most effective public health interventions for preventing infectious diseases by inducing protective immunity through vaccination. Complete basic immunization in infants is essential to protect them from vaccine-preventable diseases that can result in severe morbidity, disability, or death. However, coverage of complete basic immunization remains suboptimal in several settings, including the service area of Tanah Abang Primary Health Care Center, Penukal Abab Lematang Ilir (PALI) Regency. This study aims to analyze the factors associated with the completeness of basic immunization in infants at Tanah Abang Public Health Center in PALI Regency in 2025, particularly in relation to mothers' knowledge, attitudes, and family support. The type of research used was quantitative with a cross-sectional design. The population of the study included all mothers with infants aged 9–18 months and the sample used total sampling technique. Data collection was conducted through a structured questionnaire, then analyzed univariately and bivariately using the Chi-Square test. The univariate analysis results showed a relationship between knowledge, attitude, and family support simultaneously with the completeness of basic immunization. Meanwhile, the bivariate results showed a partial relationship between each variable. The factor of maternal knowledge was significantly related to immunization completeness with a p-value of 0.000. The factor of maternal attitude was also proven to be related with a p-value of 0.013. In addition, family support had a significant effect with a p-value of 0.000. Based on these findings, it can be concluded that knowledge, attitude, and family support play an important role in determining the completeness of basic immunization for infants. Therefore, health workers are expected to increase educational activities, provide counseling, and actively involve families to encourage the achievement of optimal basic immunization coverage.

Hubungan Mutu Pelayanan Kesehatan Terhadap Kepuasan Pasien BPJS Rawat Inap Kelas III di RSUD OKU Timur

Rini Herdiani — 2026-06-30

"Quality healthcare services are key to achieving patient satisfaction. The level of patient satisfaction is influenced by many factors, including comfort during treatment, the quality of human interaction, and the timeliness of service. Issues regarding suboptimal service prompted researchers to examine the relationship service quality and the satisfaction of Class III inpatient BPJS patients at RSUD OKU Timur. This study aims to determine the relationship between specific aspects of healthcare quality—comfort, human relations, and timeliness—and the satisfaction of Class III Inpatient BPJS patients. The research utilized a quantitative method with a cross-sectional design. Samples were collected through incidental sampling from a total of 30 Class III inpatient BPJS patients. Data were gathered via questionnaires and interviews, then analyzed univariately and bivariately using the chi-square test to assess the significance of the relationship between variables. The results showed that the majority of patients (60%) were dissatisfied with the services received, while 40% were satisfied. Regarding service quality, 56.7% of respondents rated comfort as poor, 56.7% rated human relations as poor, and 46.7% stated that timeliness was unsatisfactory. Statistical analysis revealed a significant relationship between comfort and patient satisfaction (p-value = 0.001; Odds Ratio 25.000), human relations and patient satisfaction (p-value = 0.013; Odds Ratio 10.500), and timeliness of service and patient satisfaction (p-value = 0.021; Odds Ratio 10.000). In conclusion, healthcare service quality—encompassing comfort, human relations, and timeliness—significantly influences the satisfaction of Class III Inpatient BPJS patients at RSUD OKU Timur. It is hoped that these findings will serve as input for the hospital to continuously improve service quality, particularly in these three key aspects, to achieve optimal patient satisfaction standards and support patient trust and loyalty in the future."

Faktor – Faktor yang Berhubungan dengan Kejadian Kekurangan Energi Kronis pada Ibu Hamil

Amanda Sakira — 2026-06-30

Aspek-Aspek Bioetis dalam Pelayanan Pastoral Care Lintas Agama

Teresia Sri Sumiyati, — 2026-06-30

Pastoral care as a form of spiritual care at Charitas Hospital Palembang is carried out holistically, taking into account all aspects of patients' lives regardless of their religious background, ethnicity, race, or social status. The study aims to explore and analyse the bioethical aspects that arise in interfaith pastoral care, particularly in the context of a Catholic hospital serving a pluralistic community. This study used a descriptive qualitative design involving 24 informants consisting of hospital pastoral care officers, interfaith religious leaders, health workers (doctors and nurses), hospital directors, and inpatients. Data collection techniques included semi-structured interviews, observation, and documentation, which were then analysed thematically. The results showed that bioethical aspects such as respect for autonomy, non-maleficence, beneficence, and justice have been applied in pastoral care services, despite challenges related to religious diversity, limited training, and public perception. The combination of Beauchamp and Childress' bioethical principles with Sulmasy's spiritual care ethics proved to be highly relevant, as it prioritises a holistic and patient-centred approach. Interfaith pastoral care services that respect ethics and are inclusive support more meaningful, humane and dignified healthcare.

Hubungan antara Breastfeeding Self-Efficacy dengan Kepuasan ibu Menyusui di Wilayah Kerja Puskesmas Buleleng II

Made Ririn Sri Wulandari — 2026-06-30

Exclusive breastfeeding for the first six months of life is recommended by the WHO and the Indonesian Ministry of Health because of its benefits for maternal and infant health. However, the coverage of exclusive breastfeeding in Indonesia remains low, at 36,9%. Breastfeeding Self-Efficacy (BSE), or a mother’s confidence in her ability to breastfeed, is a factor that may be associated with the breastfeeding experience, including maternal satisfaction. This study aimed to analyze the relationship between BSE and breastfeeding satisfaction among breastfeeding mothers in the catchment area of Primary Health Center Buleleng II. A correlational study with a cross-sectional approach was conducted. A total of 40 breastfeeding mothers were selected through purposive sampling based on inclusion and exclusion criteria. Data were collected using the Breastfeeding Self-Efficacy Scale–Short Form (BSES-SF) and the Maternal Breastfeeding Evaluation Scale (MBES) questionnaires. Bivariate analysis to assess the relationship between total BSE scores and total breastfeeding satisfaction scores was performed using the pearson correlation test at a significance level of 0.05. The results showed that 72,5% of respondents had low BSE and 62,5% had low breastfeeding satisfaction. Descriptively, 65,5% of mothers with low BSE also reported low breastfeeding satisfaction. However, correlation analysis indicated no significant relationship between BSE and breastfeeding satisfaction (r=0,151; p=0,354). These findings suggest that breastfeeding satisfaction is not determined solely by BSE but may also be influenced by other factors such as social support and environmental conditions. Therefore, a more comprehensive approach, including strengthening social support and implementing breastfeeding-friendly policies, is needed to improve mothers breastfeeding experiences and success.

Fenomenologi: Perilaku Hidup Bersih dan Sehat (PHBS) pada Remaja di Lingkungan Padat Penduduk

Nurharlinah Nurharlinah — 2026-06-30

Clean and Healthy Living Behavior is essential for disease prevention and improving adolescents’ quality of life. This study aims to explore adolescents’ experiences in implementing PHBS in densely populated areas. A qualitative phenomenological approach was used, with in-depth interviews of 15 adolescents aged 15 – 18. Data were analyzed using Colaizzi’s approach. Findings indicate that PHBS is influenced by knowledge, family, environmental factors, and community support. Adolescents face challenges such as limited facilities, crowded housing, and inconsistent lifestyles. This study highlights the importance of community nurses and community-based interventions to promote sustainable PHBS.

Gambaran Perilaku Self-Harm pada Mahasiswa Keperawatan

Fatima Muthia Adyanie — 2026-06-30

Self-harm is an act of self-injury that emerges as a maladaptive response to psychological, social, or academic pressures. Nursing students are a group vulnerable to high stress due to the need to balance heavy academic demands and professional preparation in the health field. This study aims to describe self-harm behavior among students in the Bachelor of Nursing Program. The method used is quantitative descriptive with a population of 743 students and a sample of 260 respondents selected through Stratified Random Sampling. The instrument in this study is the Indonesian version of the Deliberate Self-Harm Inventory (DSHI), which has undergone validity and reliability testing. The study was conducted in January 2026 at one of the universities located in the Jatinangor area, Sumedang Regency, Indonesia. The results showed that 54.2% of respondents reported having engaged in self-harm, with the most common behaviors including intentionally interfering with wound healing, scratching the skin until bleeding, and biting the skin. These behaviors were more frequently reported among female students, senior students, and those living away from their families. This study found that more than half of undergraduate nursing students had engaged in self-harm, with behaviors that tended to be subtle and hidden, functioning as maladaptive coping mechanisms in response to academic and emotional stress. These behaviors were more commonly observed among female students, early-year students, and those living away from their families, highlighting the need to strengthen mental health promotion programs, early detection efforts, and accessible counseling services within the campus environment.

Analisis Framing Kesehatan Mental Di Kota Bahagia

Prasetyo Adinugroho — 2026-06-30

This study analyzes the framing of mass media regarding the mental health paradox in Jakarta, which has been designated a "Happy City." Prevalence data reveals a striking contradiction: the prevalence of depression in Jakarta reaches 1.5% (higher than the national average of 1.4%), with general mental health disorders at 2.2%. The Free Health Check (Cek Kesehatan Gratis/CKG) screening survey even found that 2.99% of residents potentially experience depressive symptoms. However, only 12.7% of those with depression seek treatment, with social stigma being the main barrier. This paradox reflects a misalignment between the positive image and the grim reality, exacerbated by social stigma, urban life pressures, and limited access to services. The research type used is qualitative, employing the research method of framing analysis based on Robert M. Entman's model. This method was applied to analyze online news articles from November-December 2025 to reveal how the media defines the problem, diagnoses causes, makes moral judgments, and suggests solutions. Using Robert Entman's framing model, this study explores how these media articles construct narratives through framing elements. The findings reveal two dominant frames: 1) The "Crisis and Irony" frame, which constructs the paradox as a failure of the 'happy city' title's legitimacy and emphasizes systemic causes such as stigma and urban pressure; and 2) The "Defense and Impression Management" frame, normalized by official narratives, which shifts the issue to a public misunderstanding and offers reactive solutions based on existing services like JakCare. This study reveals the implications of this framing for public perception, health policies, and anti-stigma advocacy, with recommendations for educational campaigns and preventive policy interventions. The novelty of the research lies in the application of Entman's model within the Indonesian urban context, providing insights for more effective health communication.

Simulasi Proteus Rangkaian Kendali Vibrator Terapi Otot Leher Berbasis Arduino

Pebri Prihatmoko — 2026-06-30

Terdiri dalam bahasa inggris serta satu alinea, mencakup masalah, tujuan, metode, hasil dan kesimpulan, pada point ini tanpa di bolt atau italic. (rata kanan kiri). [Font Times New Roman 10 bold] Neck muscle tension and pain are common health problems caused by non-ergonomic work postures, prolonged static activity, and excessive use of electronic devices. One common non-pharmacological method used to reduce these complaints is vibration therapy using a vibrator. However, a stable, safe, and programmable control system is required for the therapy to work optimally. This study aims to design and simulate an Arduino-based neck muscle therapy vibrator control circuit using Proteus software. The research methods include literature review, system block diagram design, electronic circuit design, Arduino microcontroller programming, and circuit simulation using Proteus to test system performance. The control system was designed using Arduino as the main controller, a motor driver module as the vibrator power regulator, and the Pulse Width Modulation (PWM) method to regulate the vibration intensity. The simulation results show that the control circuit is able to regulate the speed and vibration pattern of the vibrator according to the specified program, and works stably without excessive voltage disturbances on the components. In addition, the simulation proves that the use of Proteus is effective in visualizing and analyzing system performance before being realized in hardware form. The conclusion of this study is that the Proteus simulation of the Arduino-based neck muscle therapy vibrator control circuit can be used as an efficient and economical initial stage in the development of a controlled and safe vibration therapy device.

Hubungan Antara Indeks Massa Tubuh Pra-Maternal Dengan Menyusui Eksklusif Di Puskesmas Ritaebang Kab. Flores Timur

Maria Valeris — 2026-06-30

The coverage of exclusive breastfeeding at Puskesmas Ritaebang from January to August 2024 was still relatively low, at 46.4%, with various maternal factors suspected to influence it, one of which is pre-maternal Body Mass Index (BMI). This study aimed to determine the relationship between pre-maternal BMI and exclusive breastfeeding.This study employed a quantitative research design with a cross-sectional approach. The sample consisted of 77 mothers with children aged 6 months to 1 year, selected using a purposive sampling technique. The research was conducted at Puskesmas Ritaebang from November to December 2024. Data collection was carried out over two days in accordance with the integrated health post (posyandu) schedule, starting on December 9, 2024. Data were obtained through maternal and infant records as well as questionnaires, and were analyzed using the Chi-square statistical test.The results showed that the majority of respondents were aged 25–34 years (53.2%), had higher education (63.6%), were employed (50.6%), had a history of delivering healthy infants (53.2%), and had a pre-maternal BMI classified as underweight (51.9%). The rate of exclusive breastfeeding was only 40.3%. The Chi-square test results indicated a statistically significant relationship between pre-maternal BMI and exclusive breastfeeding (p-value = 0.000).Economic factors, geographical conditions, access to health services, cultural influences, and local practices also contributed to the low coverage of exclusive breastfeeding. In conclusion, pre-maternal BMI is significantly associated with the success of exclusive breastfeeding; therefore, maternal nutritional status before pregnancy requires greater attention

Efikasi Diri Berhubungan dengan Burnout Akademik pada Mahasiswa Akuntansi

Diah Amelya Sio — 2026-06-30

Academic burnout impacts emotional exhaustion, decreased learning motivation, decreased concentration, and low student confidence in completing academic tasks. Self-efficacy plays a role as an internal factor that can influence students' ability to cope with these pressures. This study aims to determine the relationship between self-efficacy and academic burnout in accounting students. This study used a quantitative correlational design with a cross-sectional approach, the sampling technique using total sampling with a sample of 91 accounting students in Yogyakarta. The instruments used were the General Self-Efficacy Scale (GSES-10) and the School Burnout Inventory (SBI-9). Data analysis used the Spearman Rank correlation test. The results of the data analysis showed that the majority of respondents had a high level of self-efficacy, but most also experienced academic burnout in the high category. The Spearman Rank correlation test produced p <0.001 with a correlation coefficient of 0.425, which indicates a significant positive relationship with a moderate strength of the relationship between self-efficacy and academic burnout. The higher the self-efficacy of accounting students, the greater the risk of experiencing burnout. This happens because strong self-confidence often encourages students to force themselves to achieve academic targets without paying attention to the limits of emotional exhaustion, so that coping resources that should protect them actually turn into triggers for vulnerability to burnout. These findings indicate that the relationship between self-efficacy and burnout is contextual and not always linear-negative as widely reported in previous literature, thus providing theoretical contributions by expanding the understanding of the dynamics of personal resources in students with high academic demands, where self-efficacy can play an adaptive or maladaptive role depending on the individual's self-regulation abilities.

Peranan Sense of Humor dan Dukungan Atasan terhadap Stres Kerja Perawat

Ongko Handoko — 2026-06-30

Nurses are at high risk of experiencing work-related stress due to heavy workloads, complex clinical demands, and responsibilities for patient safety. Prolonged stress without proper management may negatively affect nurses’ mental health and the quality of healthcare services, highlighting the importance of examining effective stress management mechanisms. This study aimed to analyze and compare the roles of sense of humor as an internal coping mechanism and supervisor support as an external factor in relation to nurses’ work stress. This study employed a quantitative approach with an explanatory design. The population consisted of nurses working in Palembang. The study was conducted from April to June 2024, with a sample of 114 respondents selected based on participant criteria using accidental sampling. Data were collected using a Likert scale and analyzed through multiple linear regression. The results showed that sense of humor and supervisor support simultaneously had a significant effect on work stress (p < 0.05). Partially, sense of humor did not have a significant effect on work stress (p = 0.864; p > 0.05), whereas supervisor support had a significant effect on work stress (p < 0.05). These findings indicate that external factors, particularly supervisor support, play a more dominant role than internal factors in managing nurses’ work stress. The practical implication highlights the need for a shift from reactive to preventive managerial approaches through strengthening systematic and sustainable supportive leadership

Pengaruh Slow Stroke Back Massage Terhadap Tekanan Darah pada Pasien Stroke

Miftah Apriani, — 2026-06-30

Stroke currently ranks third among the ten leading causes of death worldwide. Stroke occurs due to brain damage caused by reduced cerebral perfusion. The body increases blood pressure as a compensatory mechanism, triggering uncontrolled hypertension. Uncontrolled hypertension increases the risk of hemorrhagic transformation, cerebral edema, and worsens the prognosis. High blood pressure also triggers further bleeding or hemorrhagic transformation, which increases the likelihood of long-term disability and death. One non-pharmacological management method for controlling blood pressure is slow-stroke back massage in stroke patients. This technique is a gentle massage technique performed slowly and rhythmically on the back area, starting from the base of the neck to the waist, using both palms. The purpose of this study was to determine the effect of slow-stroke back massage on blood pressure in stroke patients. This study used a pre-experimental research design with a one-group pretest-posttest approach. The sampling technique was accidental sampling, with a total of 18 respondents. Data were taken from measurements and observations of research subjects using observation sheets and SSBM SOP sheets. The analysis technique used the Wilcoxon test. The results showed a Z value of -2.508 with an Asymp. Sig. (2-tailed) value of 0.012 (p < 0.05). This finding indicates a significant difference in diastolic blood pressure between before and after treatment. There is an effect of slow-stroke back massage on blood pressure in stroke patients. Based on these results, it is hoped that education on the correct slow-stroke back massage technique can be provided so that it can be performed independently at home as a supportive therapy for blood pressure control, of course after receiving guidance from a health professional

Efektivitas Program Terapi Pada Pasien Pasca Operasi Rekontruksi Anterior Cruciate Ligament (ACL)

Alfitri Yana Yunita — 2026-06-30

Pengaruh Pemberian Rebusan Daun Salam Dengan Pasien Hipertensi Pada Lansia Dipanti Boarding Care Noor Fatimah Kota Palembang Tahun 2025

Yetri Saspira — 2026-06-30

The World Health Organization (WHO) in 2023 showed that the number of people with hypertension globally reached 33%, meaning that 1 in 3 people suffer from hypertension. The purpose of this study was to determine the effect of bay leaf decoction on elderly patients with hypertension at the Noor Fatimah Nursing Home in Palembang City in 2025. This study used a pre-experimental analytical design with a single-group pre-test and post-test approach. The sample consisted of all 15 elderly patients with hypertension at the Noor Fatimah Nursing Home in Palembang in 2025. Based on the Wilcoxon test results, the p-value for systolic blood pressure was 0.000 and the p-value for diastolic blood pressure was 0.000. If the value of a (<0.05), then Ho is rejected and Ha is accepted, indicating that the average before giving bay leaf decoction was152.66/90.66 mmhg. After consuming bay leaf decoction, blood pressure became 136.66/78.00 mmhg. From the statistical test results, it can be concluded that there is an effect of administering bay leaf decoction in lowering blood pressure in hypertensive patients.

Efektivitas Jus Mentimun Dan Air Kelapa Muda Terhadap Perubahan Tekanan Darah Pada Lansia Penderita Hipertensi Di Puskesmas Bukit Selabu Tahun 2025

Ayu Nani — 2026-06-30

Hypertension is a major non-communicable disease commonly affecting the elderly and poses a risk of severe complications. Pharmacological therapy is effective but long-term use may cause side effects, thus non-pharmacological alternatives such as cucumber juice and young coconut water are required. This study aimed to evaluate the effectiveness of cucumber juice and young coconut water on blood pressure changes among elderly patients with hypertension at Bukit Selabu Public Health Center in 2025. A pre-experimental design with two group pretest–posttest was applied. A total of 30 elderly respondents were selected through purposive sampling, consisting of cucumber juice group (15) and young coconut water group (15). Interventions were given for 7 consecutive days: 200 ml/day of cucumber juice and 250 ml/day of young coconut water. Blood pressure was measured using a digital sphygmomanometer and analyzed using Paired Sample T-test and Independent T-test. Results showed a significant reduction in systolic blood pressure: from 150.03 to 145.69 mmHg (p=0.000) in the cucumber juice group, and from 166.84 to 131.37 mmHg (p=0.000) in the young coconut water group. In conclusion, both cucumber juice and young coconut water effectively reduced blood pressure in elderly patients, with greater reduction observed in the young coconut water group.

Faktor-Faktor yang Berhubungan dengan Kepatuhan Ibu dalam Memberikan Imunisasi Dasar pada Bayi di Puskesmas Sumaja Makmur

Melsiana Melsiana — 2026-06-30

A country’s health status can be assessed through child morbidity and mortality rates. One effective promotive and preventive effort to reduce infant morbidity and mortality is the immunization program. Infants who do not receive complete basic immunization are at high risk of contracting infectious diseases such as measles, polio, diphtheria, pertussis, and hepatitis B. This study aimed to determine the relationship between education, knowledge, and access to health services (independent variables) and maternal compliance in providing basic immunization to infants (dependent variable) at Sumaja Makmur Public Health Center in 2025.This study employed a quantitative analytic survey design with a cross-sectional approach. The research was conducted at Sumaja Makmur Public Health Center from April to August 2025. The study population consisted of all mothers with one-year-old infants, totaling 64 respondents, selected using purposive sampling. Data were collected using structured questionnaires and analyzed using correlation statistical tests with a significance level of 0.05. The results showed significant relationships between education (p-value = 0.014), knowledge (p-value = 0.026), and access to health services (p-value = 0.028) with maternal compliance in providing basic immunization. This study concludes that education, knowledge, and access to health services play important roles in improving maternal compliance with infant immunization. It is recommended that health centers enhance continuous health education programs and improve access to immunization services.

Faktor-Faktor Yang Berhubungan Dengan Kejadian BBLR di RSUD Kayu Agung Tahun 2024

Ina Marcellia — 2026-06-30

Model Konseptual Deteksi Dini Kegawatdaruratan Perdarahan Postpartum Berbasis Continuity of Care dalam Praktik Kebidanan

Romlah Romlah — 2026-06-30

Postpartum hemorrhage is a leading cause of maternal mortality, requiring early detection and timely clinical response. However, current approaches to early detection tend to be partial and not integrated across phases of midwifery care. This study aims to develop a conceptual model for early detection of postpartum hemorrhage emergencies based on continuity of care in midwifery practice. This study used a qualitative approach with a theoretical or conceptual research design through literature analysis and synthesis. Data sources were obtained from PubMed, Scopus, ScienceDirect, and Google Scholar databases using relevant keywords. The selection process was carried out systematically based on inclusion and exclusion criteria, resulting in 15 articles for analysis. Data analysis was carried out through stages of conceptual analysis, thematic synthesis, and theoretical integration to develop a conceptual model. The results show that early detection of postpartum hemorrhage emergencies is a longitudinal process, involving the integration of risk factors, clinical indicators, and clinical decision-making within a continuity of care framework. The resulting model consists of three main components: input (risk factors), process (continuous monitoring and clinical decision-making), and output (timely clinical response). This model positions midwives as central actors in integrating information and determining necessary actions. The study concluded that the continuity of care-based early detection model provides a more comprehensive framework than previous episodic approaches. This model has important implications for improving the quality of midwifery care and reducing the risk of complications and maternal mortality due to postpartum hemorrhage.

Hubungan Kesehatan Mental dengan Motivasi Belajar Siswa SMP di Kota Palembang

Vincencius Surani — 2026-06-30

Gambaran Stres Akademik dan Kejadian Sleep paralysis pada Mahasiswa Fakultas Keperawatan Universitas Padjadjaran

Della Yasinta Putri — 2026-06-30

Academic stress is a condition of psychological pressure resulting from an imbalance between academic demands and an individual’s ability to cope with them. Nursing students are particularly vulnerable to academic stress due to heavy academic workloads and the demands of clinical practice. Unmanaged academic stress can negatively affect physical and mental health, one of which is triggering sleep disturbances such as sleep paralysis. This study aimed to describe the level of academic stress and the incidence of sleep paralysis among nursing students. This study employed a quantitative descriptive design involving 279 active undergraduate nursing students from the Faculty of Nursing, Universitas Padjadjaran, selected using proportional stratified random sampling. The study was conducted from 22 to 31 December 2025 and lasted for 10 days. The research instruments included the Perceived Academic Stress Scale (PASS) to measure academic stress and a sleep paralysis questionnaire. Data were analyzed using univariate analysis through frequency distributions, percentages, mean values, and standard deviations. The results showed that nearly half of the students experienced moderate academic stress, with 117 students (41.9%). The most dominant dimension of academic stress was academic demands related to coursework and examinations. In addition, almost all respondents, namely 259 students (92.8%), reported having experienced sleep paralysis. The conclusion of this study indicates that moderate levels of academic stress and the occurrence of sleep paralysis are common among nursing students. Therefore, promotive and preventive efforts are needed through the implementation of academic stress management strategies and sleep health education to support students’ well-being and academic performance.

Pengaruh Edukasi Kesehatan Terhadap Perubahan Perilaku Konsumsi Tablet Tambah Darah Pada Mahasiswa Kebidanan

Yanti Destriyanti — 2026-06-30

Iron supplement tablets are one of the important efforts to prevent anemia among midwifery students as future health professionals. However, the behavior of consuming iron supplement tablets is still low due to lack of knowledge and negative perceptions regarding their consumption. Health promotion education is expected to improve knowledge and change iron supplement consumption behavior. Objective: This study aimed to determine the effect of health promotion education on changes in iron supplement tablet consumption behavior among midwifery students. This study used a pre-experimental design with a one-group pretest-posttest approach. The sample consisted of 30 second-semester midwifery students selected using a total sampling technique. Data were collected using questionnaires on iron supplement tablet consumption behavior before and after health promotion education. Data analysis was conducted using univariate and bivariate analysis to determine the effect of the educational intervention. Before the educational intervention, most respondents had poor iron supplement tablet consumption behavior, with 15 respondents (50.0%). After the intervention, the majority of respondents were in the good category, with 18 respondents (60.0%). The mean pretest score was 55.2 with a standard deviation of 8.4, while the mean posttest score increased to 78.6 with a standard deviation of 7.2. Statistical test results showed a p-value of 0.000 (<0.05), indicating a significant effect of health promotion education on changes in iron supplement tablet consumption behavior.Health promotion education has a significant effect on improving iron supplement tablet consumption behavior among midwifery students. Health education can be used as a strategy to improve adherence to iron supplement tablet consumption and prevent anemia.

Analisis Edukasi Peran Pendampingan Suami (Husband Support) Dalam Deteksi Dini Tanda Bahaya Kehamilan Pada Pasangan Usia Muda

Leonita Dwi Agustin Prima Lestari — 2026-06-30

Pregnancy is an important period that requires optimal support from husbands to maintain the health of both mother and fetus and to prevent complications. This study aimed to analyze education on the role of husband support in the early detection of danger signs during pregnancy among young couples in urban Palembang, using a quantitative cross-sectional design with 43 respondents.The results showed that the majority of husbands were in the productive age group (20–35 years), had a high school education, and were in the early phase of marriage. Most husbands had a good level of education (62.8%), good ability in early detection of danger signs (58.1%), and good support during pregnancy (60.5%), including emotional, informational, and instrumental support.Statistical analysis indicated a significant relationship between husband education and early detection ability (p = 0.021). This means that the better the husband’s education, the higher the ability to recognize danger signs during pregnancy.Thus, education on husband support plays an important role in improving early detection. Therefore, strengthening couple-based education is necessary to enhance husbands’ preparedness in supporting maternal health and preventing delays in managing complications.

Pengaruh Promosi Kesehatan terhadap Pengetahuan Kesehatan Reproduksi Pada Ibu Hamil

Ayu Widiyanti — 2026-06-30

Low levels of reproductive health knowledge among pregnant women can increase the risk of complications during pregnancy; one such issue is the high prevalence of vaginal discharge, affecting approximately 75% of women. Health promotion efforts are one strategy for improving pregnant women’s understanding. This study aims to analyze the effect of health promotion on reproductive health knowledge among pregnant women in the first, second, and third trimesters. This study uses a quantitative approach with a quasi-experimental design employing a one-group pretest-posttest design and accidental sampling. The intervention in this study is health promotion using leaflets, which will be distributed to respondents after they take the pretest; they will then be evaluated (posttest) using a questionnaire. The study was conducted at the Sukarami Community Health Center in Palembang in April 2026 with a sample size of 30 respondents. The results showed an increase in the knowledge of pregnant women following the health promotion intervention. In the pretest, most respondents had adequate knowledge (12 people, 40%), followed by the “insufficient” category (10 people, 33.3%), and the “good” category (8 people, 26.7%). After the intervention, there was a significant increase in the “good” category to 20 respondents (66.7%), while the ‘adequate’ category decreased to 8 respondents (26.7%) and the “poor” category decreased to 2 respondents (6.6%). The results of the statistical analysis show a p-value of <0.05, indicating that health promotion has a significant effect on improving the knowledge of pregnant women. Health promotion is effective in improving reproductive health knowledge. It is hoped that pregnant women will actively attend antenatal care visits and that health workers will consistently provide health promotion tailored to pregnant women to prevent the risk of pregnancy complications, including anemia

Hubungan Paparan Promosi Kesehatan dengan Perilaku Ibu dalam Pemberian ASI Eksklusif di RT 4 Kecamatan Sukarame

M Amelia Putri Habsari — 2026-06-30

Self-compassion Pada Mahasiswa Angkatan 2022 yang Sedang Menyusun Skripsi di Fakultas Keperawatan Universitas Padjadjaran

Miranda Nur Azizah — 2026-06-30

Students writing their theses face various academic and emotional demands, including completing final assignments, supervision processes, clinical practice, and preparation for further education. These pressures may lead to stress, anxiety, emotional exhaustion, decreased motivation, and even burnout. To cope with these challenges, students require adaptive self-regulation skills, one of which is self-compassion, defined as the ability to treat oneself with kindness when facing difficulties, failure, or distress. This study aimed to describe the level of self-compassion among 2022 nursing students who were writing their thesis at the Faculty of Nursing, Universitas Padjadjaran. This research employed a quantitative descriptive design with a total sample of 214 students selected using total sampling technique. Data were collected using the 26-item Self-Compassion Scale (Skala Welas Diri) with a 5-point Likert scale. Data were analyzed using univariate analysis to obtain frequency distributions, percentages, and mean values. The results showed that the average self-compassion score was 3.32 (SD = 0.45), categorized as moderate. The majority of respondents (62.6%) had moderate levels of self-compassion, 36.4% had high levels, and 0.9% had low levels. These findings indicate that most students possess adequate emotional regulation capacity in coping with thesis-related stress, although further institutional support is recommended

Hubungan Stigma Diri dengan Harga Diri pada Tahanan Perempuan di Rutan Perempuan kelas IIA Bandung

Siti Mar’atus Solikhah — 2026-06-30

Female detainees are individuals who are undergoing legal proceedings and have not yet received a final and legally binding court verdict. This group is vulnerable to psychological distress due to dual stigma, both as individuals in conflict with the law and as women perceived to have violated social norms. This condition may lead to self-stigma, which can affect self-esteem. This study aimed to identify the levels of self-stigma and self-esteem and to analyze the relationship between self-stigma, including each of its domains, and self-esteem among female detainees at the Class IIA Women’s Detention Center in Bandung. This study employed a quantitative approach with a correlational design and a cross-sectional method. The study population consisted of all female detainees, and total sampling was applied, resulting in 71 respondents. The instruments used were the Self-Stigma of Individuals with Criminal Records (SSICR) and the Rosenberg Self-Esteem Scale (RSES). Data were analyzed using the Spearman Rank correlation test. The results showed a statistically significant relationship between overall self-stigma and self-esteem (p = 0.049), with a weak correlation strength (rho = 0.234). However, analysis of each domain of self-stigma indicated that their relationships with self-esteem were not statistically significant (p > 0.05). In conclusion, overall self-stigma has a statistically significant but weak relationship with self-esteem, whereas at the domain level, the relationships were not statistically significant among female detainees at the Class IIA Women’s Detention Center in Bandung

Gambaran Pengetahuan dan Sikap Orang Tua Terhadap Pemberian Vaksin HPV Pada Siswa Sekolah Dasar

Fitri Nur Fadilah — 2026-06-30

Human Papillomavirus (HPV) is the leading cause of cervical cancer, and HPV vaccination is an effective primary prevention measure. The government has provided vaccines through the School Children Immunization Month (BIAS) program for 5th-6th grade elementary school students, but coverage is still below the national target. Parental knowledge and attitudes play an important role in children's immunization approval. This study aims to describe the knowledge and attitudes of parents of 5th-6th grade students at Al-Ma'soem Elementary School regarding HPV vaccination. The study used a quantitative descriptive design with a total sampling technique involving 78 parents from January to February 2026. Data collection was carried out using a questionnaire on knowledge and attitudes about HPV vaccination, then analyzed univariately using frequency distribution and percentage. The results showed that more than half of respondents (57.7%) had good knowledge, with 55 respondents (70.5%) having good knowledge about HPV infection, 70 respondents (89.7%) having good knowledge about cervical cancer, and 33 respondents (42.3%) having good knowledge about HPV vaccination. Meanwhile, more than half of the respondents, 43 (51.3%), had a positive attitude toward HPV vaccination. Overall, most parents had good knowledge and a positive attitude toward HPV vaccination. However, increased education, particularly regarding the technical aspects of vaccination, is needed to optimize vaccine acceptance through the BIAS program.

Hubungan Antara Dukungan Sosial Dengan Tingkat Kecemasan Pada Orang Tua Anak Thalasemia Mayor Di Rumah Sakit Al-Islam Bandung

Nilam Cahya Ressawati Santoso — 2026-06-30

Beta-thalassemia major is a chronic genetic disorder requiring lifelong treatment, imposing multiple burdens on families. Long-term care, including regular transfusions and iron chelation, makes parents prone to anxiety. According to Lazarus and Folkman’s stress and coping theory, social support acts as a protective resource when demands exceed adaptive capacity. This study aimed to examine the relationship between social support and anxiety levels among parents of children with beta-thalassemia major who are members of the POPTI Bandung Raya community and receive outpatient care at Rumah Sakit Al-Islam Bandung. This study employed a quantitative correlational cross-sectional design with a total sample of 77 respondents, conducted at Al-Islam Hospital Bandung in January 2026. The sample was obtained through total sampling based on inclusion and exclusion criteria. The instruments used were the Multidimensional Scale of Perceived Social Support (MSPSS) and the Zung Self-Rating Anxiety Scale (ZSAS). Findings indicated that most respondents reported high social support (71.4%) and mild anxiety (63.6%), with a significant negative correlation between social support and anxiety (r = –0.392; p = 0.000). The study highlights that social support, particularly from family and friends, plays a crucial role in reducing parental anxiety. Strengthening family- and community-based social support is recommended to enhance caregivers’ emotional well-being during the child’s treatment.

Hubungan Impostor Syndrome Dengan Harga Diri Situasional: Sebuah Studi Potong Lintang pada Mahasiswa Baru Program Sarjana Keperawatan

Nasywa Dhafwatul Aini — 2026-06-30

New students often experience a challenging transition at the beginning of university life as they adjust to new academic demands and changing roles. This transition may trigger psychological difficulties, including impostor syndrome, a condition characterized by persistent feelings of unworthiness despite one’s achievements. Such experiences may negatively affect situational self-esteem, which refers to self-evaluation that changes depending on context and personal experiences. Therefore, examining situational self-esteem during the early transition to university is important. This study aimed to examine the relationship between impostor syndrome and situational self-esteem among first-yearstudents during the early transition period of university life. A quantitative study with a descriptive cross-sectional correlational design was conducted over 16 days, from December 11 to 27, 2025. The population consisted of all first-year students in the Faculty of Nursing, class of 2025, at a public university in Indonesia, with a total sample of 253 students (participation rate: 96.9%). Data were collected using the Indonesian versions of the Clance Impostor Phenomenon Scale (CIPS) and the State Self-Esteem Scale (SSES), both of which had been tested for validity and reliability. Descriptive statistics and Spearman’s correlation test were used for data analysis. The findings showed that (48.6%) of students experienced severe or frequent impostor syndrome while (47.0%) had moderate situational self-esteem. A moderate negative correlation was found between impostor syndrome and situational self-esteem among new students (r = -0.478; p < 0.001). These results indicate that higher levels of impostor syndrome are associated with lower situational self-esteem and vice versa

Gambaran Tingkat Kesejahteraan Spiritualitas pada Penderita Diabetes Melitus di Kelurahan Babakan Sari

Sri Lintang Kencana — 2026-06-30

Hubungan Kadar Hba1c Dengan Nilai Laju Endap Darah Pada Diabetes Melitus Tipe 2 Berdasarkan Status Hipertensi

Hotmaria Simanullang — 2026-06-30

Type 2 diabetes mellitus (T2DM) is a chronic metabolic disease often accompanied by hypertension and micro-macrovascular complications. Poor glycemic control, reflected by HbA1c levels, can increase systemic inflammation, as indicated by the erythrocyte sedimentation rate (ESR) and other inflammatory markers, thereby exacerbating the risk of complications. This review aims to examine the relationship between HbA1c levels and ESR in patients with T2DM, including the influence of hypertension status, and its implications for complication prevention. Literature related to T2DM, HbA1c, ESR, inflammation, hypertension, and diabetic complications was reviewed through PubMed, ScienceDirect, and national repositories. The studies analyzed included observational analytical, prospective cohort, cross-sectional, and nutritional intervention and supplementation studies in patients with T2DM. The results indicate that high HbA1c levels are significantly associated with increased ESR and other inflammatory markers, which impact the progression of diabetic complications such as retinopathy, nephropathy, neuropathy, diabetic ulcers, and cardiovascular risk. Hypertension as a comorbidity worsens the inflammatory profile. Nutritional interventions, lifestyle, weight control, and certain supplementation have been shown to help reduce HbA1c and inflammation. In conclusion, there is a significant relationship between HbA1c levels and ESR in patients with T2DM, especially when analyzed by hypertension status. Routine monitoring of HbA1c and ESR, along with management of hypertension and lifestyle factors, can help identify high-risk patients and prevent long-term complications.

Faktor-Faktor yang Memengaruhi Kepatuhan Masyarakat terhadap Peraturan Daerah Kawasan Tanpa Rokok di Lingkungan Puskesmas Bestari Medan

Adethia Handayani — 2026-06-30

Smoking is a major risk factor for various chronic diseases, with the prevalence of adult smokers in Indonesia reaching around 34.5% or more than 70 million people. Although the Smoke-Free Area (KTR) policy has been implemented, violations are still found, including at the Bestari Community Health Center in Medan, which in 2025 still recorded 243 smokers out of 1,026 screening participants. This study used a quantitative design with a cross-sectional approach carried out in the Bestari Community Health Center working area in Medan City from July 2025 to February 2026. The study population was 278 smoker visitors who participated in smoking behavior screening, with a sample size of 75 respondents determined through purposive sampling techniques. Data analysis included univariate, bivariate, and multivariate analysis. The results showed that knowledge (p = 0.000), attitudes (p = 0.000), sanctions (p = 0.000), supporting facilities (p = 0.000), and support from health workers (p = 0.000). The results of the multivariate analysis indicate that sanctions are the most dominant variable influencing community compliance with the implementation of the Smoke-Free Area Bylaw at the Bestari Community Health Center in Medan (p=0.000). This study indicates that knowledge, community attitudes, availability of supporting facilities, support from health workers, and sanctions significantly influence community compliance with the Smoke-Free Area Bylaw. It is recommended that the Medan City government strengthen guidance and supervision of the implementation of the Smoke-Free Area Bylaw in health care facilities, particularly community health centers.

Faktor-Faktor yang Memengaruhi Keberhasilan Aplikasi Sehat Indonesia-Ku (ASIK) PTM di Kota Medan

Rini Purnama Ningsih Sagala — 2026-06-30

Non-communicable diseases (NCDs) are the leading cause of global death, and their management in Indonesia is supported by the My Healthy Indonesia Application (ASIK). However, the success factors for ASIK implementation in primary healthcare facilities still need to be studied. This quantitative cross-sectional study aims to analyze factors influencing the success of ASIK use in managing NCDs in Medan City. The study was conducted from August 2025 to February 2026 in the Medan City Health Office, involving a total population of 82 NCD data recorders and reporters across all community health centers (Puskesmas). Data were collected through a structured questionnaire and analyzed using univariate, bivariate, and multivariate logistic regression. The results showed that network quality, information quality, service quality, system utilization, individual factors, and organizational factors had a statistically significant effect on the success of the ASIK application (p<0.05). Through multivariate analysis, information quality was identified as the most dominant determinant of success (p=0.009; Exp(B)=13.950). It was concluded that these six factors significantly influenced the success of the ASIK application for NCD management. Therefore, the Medan City Health Office is advised to prioritize the provision of stable internet infrastructure, adequate hardware, and a structured information quality assurance mechanism to ensure optimal and sustainable system implementation across all regional community health centers.

Analisis Faktor Predisposisi, Pemungkin, dan Penguat terhadap Kejadian Karies Gigi pada Siswa Kelas 1 SD di SD Negeri 064983 Medan Helvetia

Carolina Atalanta — 2026-06-30

Dental caries remains one of the most prevalent oral health problems among elementary school–aged children. This study aimed to determine the factors influencing the incidence of dental caries among first-grade students at SD Negeri 064983 Medan Helvetia. This study employed an kuantitative design with a cross-sectional approach. The population and sample consisted of all first-grade students totaling 73 respondents, selected using a total sampling technique. Data were analyzed using statistical tests to identify associations between variables with Chi Square and Regresi logistic test. The results showed that gender (p < 0.001), consumption of sweet foods (p < 0.001), availability of school dental health facilities (p < 0.001), peer influence (p < 0.001), parental role (p < 0.001), teacher role (p < 0.001), and the role of health workers (p < 0.001) significantly affected the incidence of dental caries. The most dominant factor influencing dental caries was the availability of dental health facilities at school. Data analysis included univariate analysis to describe data distribution, chi-square tests to examine associations between variables, and logistic regression analysis to identify the most dominant factor. In conclusion, gender, sweet food consumption, availability of school dental health facilities, peer influence, parental role, teacher role, and the role of health workers significantly influence the incidence of dental caries. Therefore, improving the availability of dental health facilities at schools and strengthening the roles of parents, teachers, and health workers are essential in preventing dental caries among school-aged children.

Faktor-Faktor yang Mempengaruhi Risiko Anemia Pada Ibu Hamil di Puskesmas Sumaja Makmur Kabupaten Muara Enim Tahun 2025

Widia Ningsih — 2026-06-30

Anemia in pregnancy remains a significant public health problem due to its serious impact on both mother and fetus, including increased risk of miscarriage, preterm birth, hemorrhage, low birth weight, and perinatal mortality. In Indonesia, particularly in South Sumatra and the working area of Sumaja Makmur Public Health Center, Muara Enim Regency, the prevalence of anemia among pregnant women is still relatively high, highlighting the need to identify contributing risk factors. High parity may increase the risk of anemia due to repeated pregnancies and childbirth that deplete maternal iron stores without adequate recovery time. Non-adherence to iron (Fe) tablet consumption also contributes to anemia, as iron requirements increase during pregnancy to support fetal growth and expanded maternal blood volume. In addition, family income influences nutritional intake and access to health services. This study aimed to determine the relationship between parity, adherence to iron tablet consumption, and family income with the incidence of anemia among pregnant women. A quantitative study with a cross-sectional design was conducted involving 50 pregnant women selected through accidental sampling. Data were collected using questionnaires and analyzed using univariate and bivariate analysis with the Chi-Square test at a 95 percent significance level. The results showed significant relationships between parity and anemia (p=0.005), adherence to iron tablet consumption and anemia (p=0.001), and family income and anemia (p=0.012). In conclusion, parity, adherence to iron tablet consumption, and family income are significantly associated with anemia among pregnant women. Strengthening nutritional education, monitoring iron tablet adherence, and addressing socioeconomic conditions are recommended to prevent anemia in pregnancy.

Hubungan Kepatuhan Minum Obat dengan Kualitas Hidup Pasien Asam Urat di UPTD Puskesmas Batumarta II

Anggy Utama Putri — 2026-06-30

Gout arthritis is a disease caused by purine metabolism disorders characterized by increased uric acid levels in the blood, causing pain and inflammation in the joints. This disease can reduce the patient's quality of life if not treated properly. Patient compliance in taking medication plays a crucial role in achieving optimal therapy results because non-compliance with medication can result in joint damage and tophi (small white bumps) that usually appear on the big toe and on the ankles, which can cause inflammation, swelling, and pain, making it difficult for sufferers to carry out daily activities. The sample in this study were respondents who were willing to collect data and were over 60 years old. The study aimed to determine the relationship between medication adherence and the quality of life of gout patients at the Batumarta II Community Health Center (UPTD). This study used a quantitative method with a cross-sectional design. Samples were taken using a total sampling technique of 63 respondents. The research instruments included the MMAS-8 questionnaire to assess compliance and the WHOQOL-BREF to assess the patient's quality of life. Data analysis was performed using the Chi-Square test with a significance level of p<0.05. The results showed that the majority of patients had a high level of satisfaction (41.3%), moderate (36.5%), and low (22.2%). There was a significant relationship between medication adherence and patients' quality of life in the physical domain (p = 0.004). In conclusion, the presence of medication has a positive effect on the quality of life of gout patients, especially in the physical health aspect. Continuous patient education is needed to improve therapy adherence and overall quality of life.

Faktor Yang Berhubungan Dengan Kualitas Tidur Pada Remaja Di Smp Negeri 3 Lempuing Jaya Tahun 2025

Jaka Aldi — 2026-06-30

Poor sleep quality is one of the significant health problems for adolescents nowadays. Poor sleep quality can have negative impacts on physical and mental health, and academic achievement. This study aims to determine the factors related to the sleep quality in adolescents in SMP Negeri 3 Lempuing Jaya. This study uses analytical survey design with the Cross Sectional approach. The sampling technique uses a total sampling with the number of samples, consisting of 60 respondents. The analysis was conducted in univariate and bivariate means using the Chi-Square test with a significance level of 0.05. The results show that there is a significant relationship between sleep quality and the use of social media with p-value 0.02, addiction to online games with p-value 0.02, and environment with p-value 0.04. It is recommended that the school plays an active role in providing education to adolescents to control when using social media and playing online games and creating a comfortable sleep environment so that adolescents can get good sleep quality.

Faktor – Faktor yang Mempengaruhi Terjadinya Anemia pada Ibu Hamil di Bidan Praktik Mandiri Winda Lusiati

Winda Lusiati — 2026-06-30

hemoglobin (Hb) in the blood is insufficient to meet physiological needs (Yulia dkk, 2024). Anemia during pregnancy may adversely affect maternal health, including fatigue, shortness of breath, difficulty resting, and palpitations, and may also lead to adverse fetal outcomes such as low birth weight (LBW), infection, miscarriage, and preterm birth (Sipayung, 2024). This study aimed to examine the relationship between nutritional status, dietary patterns, and adherence to iron tablet consumption with the incidence of anemia among pregnant women. This study employed a quantitative analytic survey with a cross-sectional design. The population consisted of all pregnant women attending antenatal care at Bidan Praktik Mandiri Winda Lusiati, A.Md.Keb, Palembang City. A total sampling technique was applied, involving 62 pregnant women who attended antenatal care during June–July 2025. Data were collected through hemoglobin measurement, assessment of nutritional status, and structured questionnaire-based interviews. Data analysis was performed using univariate and bivariate analysis with the Chi-Square test. The results showed that 24 respondents (38.7%) had anemia, while 38 respondents (61.3%) did not. Bivariate analysis demonstrated a significant relationship between nutritional status (p = 0.000), dietary patterns (p = 0.016), and adherence to iron tablet consumption (p = 0.000) with the incidence of anemia among pregnant women. These findings may serve as evidence for health workers to strengthen nutritional interventions, dietary counseling, and adherence to iron supplementation in preventing anemia during pregnancy.

Hubungan Tingkat Kecemasan Ibu terhadap Pengeluaran ASI di Desa Kasah Muara Kuang Kabupaten Ogan Ilir

Ranida Arsi — 2026-06-30

The breastfeeding period is an important period for both mother and baby, as breast milk is the primary source of nutrition for babies. However, the breastfeeding process is often hampered by psychological factors such as anxiety. Anxiety can inhibit the let-down reflex by increasing adrenaline levels, which suppresses the release of oxytocin, thus disrupting breast milk production. This study aims to determine the relationship between maternal anxiety levels and breast milk production. This study used a quantitative design with a cross-sectional approach. The population of this study was all 360 breastfeeding mothers, with a sample size of 79 people determined based on the Slovin formula. The sampling technique was purposive sampling with inclusion criteria of mothers who were willing to be respondents, mothers with children aged 0-6 months. Exclusion criteria were mothers who did not have children with congenital abnormalities that interfere with the breastfeeding process. Data were collected from May 12-25, 2025. Data were collected using the HARS (Hamilton Anxiety Rating Scale) instrument to measure maternal anxiety levels and an observation sheet for breast milk production indicators. Data analysis was performed univariately and bivariately using the Chi-Square test. The results showed that most respondents experienced mild anxiety (38 people) (48.1%), and smooth breast milk production in 45 respondents (57.0%). Statistical tests showed a significant relationship between maternal anxiety levels and breast milk production with a p-value of 0.047 (<0.05). There is a significant relationship between maternal anxiety levels and breast milk production. Mothers with high levels of anxiety tend to experience obstacles in breast milk production. Suggestions for health services and health workers to improve knowledge and support for breastfeeding mothers, especially regarding stress and anxiety management during the postpartum period.

Faktor-Faktor Yang Berhubungan Dengan keberhasilan Pelaksanaan IMD Di Ruang Melati RSU TH II.DR. AK. Gani Palembang Tahun 2025

Megawati Megawati — 2026-06-30

Early Initiation of Breastfeeding (EIB) is an important effort to reduce infant morbidity and mortality rates and to support the success of exclusive breastfeeding. However, its implementation in health care facilities has not been fully optimal. This study aimed to determine the factors associated with the successful implementation of EIB in the Melati Ward of RSU TK II dr. AK Gani Palembang in 2025. The study used a quantitative analytic cross sectional design conducted from June to July 2025, with data collection carried out from June 1 to July 15, 2025, involving 85 respondents selected through incidental sampling from 585 mothers who gave birth during the January–May 2025 period. Primary data were obtained through structured interviews using a closed-ended questionnaire that had been tested for validity and reliability to measure knowledge, family support, education level, and EIB implementation, and were supported by secondary data from medical records and hospital reports. Data were analyzed using univariate and bivariate analysis with the Chi-Square test at a significance level of 0.05. The results showed that the majority of respondents implemented EIB. Maternal knowledge, family support, and education level were significantly associated with EIB implementation. Mothers with good knowledge, adequate family support, and higher education levels were more likely to successfully practice EIB. It can be concluded that individual and environmental factors play an important role in the successful implementation of EIB, highlighting the need to improve education and strengthen family support in health care facilities.

Efektivitas Metformin dan Myo-Inositol terhadap Luaran Metabolik dan Reproduktif Pasien Polycystic Ovary Syndrome (PCOS)

Tegar Wulandari Putri — 2026-06-30

Polycystic Ovary Syndrome (PCOS) is a complex endocrine disorder marked by ovulatory dysfunction, hyperandrogenism, and metabolic issues like insulin resistance. Metformin has long been used as an insulin-sensitizing agent in PCOS management; however, its limited tolerability and inconsistent effects on reproductive outcomes have encouraged the exploration of alternative therapies, including myo-inositol. This literature review aims to analyze the effectiveness of metformin and myo-inositol on metabolic and reproductive outcomes in patients with PCOS. The review was conducted through a systematic search of scientific articles in PubMed, Scopus, and ScienceDirect databases using keywords related to PCOS, metformin, myo-inositol, insulin resistance, menstrual cycle, ovulation, and androgen levels. Included studies were clinical studies published within the last ten years that met the predefined inclusion criteria. The findings indicate that both metformin and myo-inositol are effective in improving insulin resistance and metabolic parameters, although responses vary depending on body mass index and PCOS phenotype. Metformin appears to be more beneficial in PCOS patients with obesity and significant glycemic disturbances, whereas myo-inositol demonstrates better tolerability and benefits in certain reproductive outcomes, particularly in patients with normal body mass index and those undergoing assisted reproductive technologies. Several studies also suggest that combination therapy may offer additional benefits in selected patient groups, although it is not consistently superior to monotherapy. In conclusion, no single therapy is optimal for all PCOS patients; therefore, the choice between metformin and myo-inositol should be individualized based on the patient’s metabolic profile and clinical goals

Hubungan Perawatan Payudara, Frekuensi Menyusui, dan Pola Istirahat Terhadap Kelancaran Pengeluaran Asi pada Ibu Nifas

Tarisa Tarisa — 2026-06-30

Faktor-Faktor yang Berhungan dengan Kejadian Pernikahan Dini di Desa Lubuk Bintialo

Lidia Lestari — 2026-06-30

areas. Factors influencing the occurrence of early marriage include knowledge, economic conditions, and premarital sexual behavior. This study aimed to determine the factors associated with early marriage in Lubuk Bintialo Village, Batang Hari Leko Subdistrict, Musi Banyuasin Regency, in 2025. This research was quantitative with a cross-sectional design. The study population consisted of reproductive age couplesin Lubuk Bintialo Village, with a sample of 76 respondents selected using total sampling technique. Data were analyzed univariately and bivariately using the Chi-Square test. The results showed that most respondents had experienced early marriage (51%). Respondents with low knowledge were 39 people (51.3%), those with low economic status were 42 people (55.3%), and those with premarital sexual behavior were 40 people (52.6%). The statistical test results indicated a significant relationship between knowledge and early marriage (p=0.001), economic condition and early marriage (p=0.001), as well as premarital sexual behavior and early marriage (p=0.005). This proves that these three variables significantly contribute to the high prevalence of early marriage in Lubuk Bintialo Village. It is expected that village authorities, schools, and health workers will strengthen reproductive health education programs, improve access to education, and optimize efforts to prevent premarital sexual behavior. Furthermore, interventions for families with low economic status are also necessary to reduce the incidence of early marriage in rural communities

Faktor-Faktor Yang Berhubungan Dengan Kepatuhan Ibu Hamil Dalam Melakukan kunjungan Antenatal Care di Puskesmas Kutaraya Kabupaten Ogan Komering Ilir Tahun 2025

Lely Anggraini — 2026-06-30

The Maternal Mortality Rate (MMR) in Indonesia remains relatively high, and one of the contributing factors is the low compliance of pregnant women in attending Antenatal Care (ANC) visits. A minimum of four ANC visits (K4) is an important indicator for early detection of pregnancy complications and prevention of risks that may endanger both mother and fetus. This study aimed to determine the relationship between knowledge, husband’s support, and parity with pregnant women’s compliance in attending ANC visits at Kutarya Public Health Center, Ogan Komering Ilir Regency in 2025. This research used an analytic survey design with a cross-sectional approach. The population consisted of all pregnant women in trimester I–III who received antenatal care services at Kutarya Public Health Center. A total of 83 respondents were included using a total sampling technique. Data were collected using structured questionnaires and analyzed through univariate and bivariate analysis using the Chi-Square test with a significance level of 0.05. The results showed that most respondents had good knowledge (53%), received husband’s support (54.2%), and were multiparous mothers. Bivariate analysis indicated a significant relationship between knowledge and ANC visit compliance (p = 0.007; OR = 3.882), husband’s support and ANC visit compliance (p = 0.015; OR = 0.294), as well as parity and ANC visit compliance. In conclusion, knowledge, husband’s support, and parity are associated with pregnant women’s compliance in attending ANC visits. Strengthening health education for pregnant women and increasing husband involvement in antenatal care are important strategies to improve ANC compliance and support efforts to reduce maternal mortality

Faktor-Faktor yang Berhubungan Dengan Kejadian Hipertensi Pada Lansia di Puskesmas Tulung Selapan

Erik Rosadi — 2026-06-30

Hypertension is a type of non-communicable disease that is the main trigger for high premature mortality rates worldwide. In 2022, South Sumatra Province recorded 1,979,134 hypertension sufferers. The impacts of hypertension include stroke, heart attack, insomnia, depression, stress, and damage to the brain, eyes, heart, arteries, and kidneys, which ultimately can affect quality of life and health. The purpose of this study was to determine the relationship between physical activity, obesity, and sleep quality simultaneously with the incidence of hypertension in the Tulung Selapan 2025 community health center. The research design was quantitative descriptive with a population of 30 respondents. The sampling technique was total sampling, the sample in this study amounted to 30 respondents. The research instruments were physical activity questionnaires, sleep quality and observation sheets for data collection for 7 days. The results showed that the respondents studied Most of the respondents had poor physical activity totaling 15 respondents (50%) and those with poor sleep quality totaling 23 respondents (76.7%) and those with obesity totaling 18 respondents (60%). The results of the physical activity variable P value 0.005, the sleep quality variable P value 0.026 and the obesity variable P value 0.045 where this value is <0.05. It was found that there is a significant relationship between physical activity, sleep quality and obesity with the incidence of hypertension in the Tulung Selapan Community Health Center. Suggestions for research in community health centers, this study can help create a more effective Public Health program to reduce hypertension in the elderly

Kepuasan Pasien Rawat Jalan Terhadap Pelayanan Farmasi di Rsud Siti Fatimah Provinsi Sumatera Selatan

Wasila Yanuarti — 2026-06-30

Patient satisfaction is an important indicator for assessing the quality of healthcare services, including pharmaceutical services. High-quality pharmaceutical services are expected to meet patients’ needs and enhance their service experience, particularly among outpatients. This study aimed to analyze factors associated with outpatient satisfaction with pharmaceutical services at Siti Fatimah Regional General Hospital, South Sumatra Province. This quantitative study employed a cross-sectional design and was conducted from July to August 2025 at the Outpatient Pharmacy Unit of Siti Fatimah Regional General Hospital, South Sumatra Province. The study population comprised all outpatients who received pharmaceutical services, with a sample of 150 respondents selected using a purposive sampling technique. Data were collected using a questionnaire that had been tested for validity and reliability. Data analysis included univariate analysis, bivariate analysis using the Chi-square test, and multivariate analysis using multiple logistic regression.The results showed that 51.3% of patients were satisfied with the pharmaceutical services, while 48.7% were not satisfied. Bivariate analysis indicated that education (p = 0.016), occupation (p = 0.002), and type of disease (p = 0.019) were significantly associated with outpatient satisfaction. Multivariate analysis revealed that occupation was the most influential factor affecting outpatient satisfaction, with an odds ratio (OR) of 2.953.These findings indicate that patient characteristics, particularly employment status, play an important role in shaping the level of satisfaction with outpatient pharmaceutical services. Therefore, efforts to improve the quality of pharmaceutical services should focus on service time efficiency, enhancement of medication counseling quality, and effective communication between pharmacists and patients.

Pengaruh Prenatal Yoga Terhadap Peningkatan Kualitas Tidur Ibu Hamil

Willy Astriana — 2026-06-30

Due to the physical and psychological changes that occur during pregnancy, pregnant women often experience poor sleep quality. One non-pharmacological method for improving sleep quality is prenatal yoga. The aim of the study conducted by TPMB Ziandta Baturaja in 2025 was to determine how prenatal yoga affects the sleep quality of pregnant women. In this study, a pre-experimental design was used with a single pretest-posttest group comprising 30 pregnant women. The prenatal yoga intervention was assessed both before and after the intervention. The Wilcoxon test was used to analyse the data. The results of the study showed that the majority of pregnant women had poor sleep quality prior to the prenatal yoga intervention (70.0%), but following the intervention, 83.3% of respondents experienced an improvement in sleep quality. The results of the Wilcoxon test showed a p-value of 0.000 (p < 0.05), indicating that the average sleep quality decreased from 1.70 to 1.16, meaning this study found that prenatal yoga significantly improved the sleep quality of pregnant women. This finding is consistent with previous research over the last five years (2021–2024), which found that prenatal yoga effectively improves sleep quality in pregnant women. Therefore, prenatal yoga can be recommended as a non-pharmacological method to help pregnant women receive better care.

Gambaran Bakteri Escherichia Coli pada Makanan Jajanan Olahan di SDN 109 Wilayah Kerja Puskesmas Multiwahana Palembang

Novika Mardia Saputri — 2026-06-30

Pengaruh Relaksasi Otot Progresif Terhadap Fatigue Pada Pasien Gagal Ginjal Kronik Menjalankan Hemodialisa: Sebuah Tinjauan Sistematis

Yofa Anggriani Utama — 2026-06-30

Chroniic kiidneiy diiseiasei (CKD) iis a publiic heialth iissuei characteiriizeid by peirmaneint loss of kiidneiy functiion and iits iimpact on many organs and body systeims such as anemia, loss of appetite, fatigue, and edema. Patiieints wiith chroniic kiidneiy diiseiasei typiically undeirgo diialysiis as theiiir priimary treiatmeint. Patiieints wiith chroniic kiidneiy diiseiasei undeirgoiing heimodiialysiis may eixpeiriieincei symptoms such as fatiiguei. Fatiiguei can preiveint patiieints from peirformiing eivein liight actiiviitiieis; to miitiigatei theisei compliicatiions, a non-pharmacologiical meithod nameily, progreissiivei musclei reilaxatiion theirapy iis neieideid to addreiss fatiiguei complaiints and reiducei physiical s, theireiby iimproviing patiieints’ qualiity of liifei. Thei objeictiivei of thiis study iis to deiteirmiinei thei eiffeict of progreissiivei musclei reilaxatiion on fatiiguei iin chroniic kiidneiy diiseiasei patiieints undeirgoiing heimodiialysiis. Baseid on thei reisults of a systeimatiic reiviieiw, iit was found that theirei iis an eiffeict of Progreissiivei Musclei Reilaxatiion on Fatiiguei iin Patiieints wiith Chroniic Kiidneiy Diiseiasei Undeirgoiing Heimodiialysiis. Progressive muscle relaxation can help reduce fatigue, promote muscle relaxation, and improve patient comfort during hemodialysis treatment

Perbandingan Tingkat Pengetahuan Tentang Karies Gigi Menggunakan Video Animasi Powtoon dan Video Motion Graphic Pada Siswa di SD Negeri 129 Palembang

Mujiyati Mujiyati — 2026-06-30

Background: Dental caries is one of the oral health problems experienced by many school-age children. Prevention efforts can be done through providing education using learning media that is interesting and easily understood by students. Objectives: This study aims to determine the comparison between Powtoon animation videos and motion graphic videos in increasing students' knowledge about dental caries. Methods: The research design used was a quasi experiment with a two-group pretest-post-test design. The sample consisted of 32 students who were randomly divided into two groups, each of which received treatment in the form of playing powtoon animated videos and motion graphic videos. The data were analyzed using the Mann-Whitney U test. Results : showed that the average ranking of the increase in student knowledge scores in the group using motion graphic videos was consistently higher than the group using Powtoon animated videos, with significance values of 0.017; 0.000; and 0.043 (p < 0.05), respectively. This indicates a statistically significant difference between the two media at all three measurement stages. Conclusion: It can be concluded that motion graphic video media is more effective than powtoon animation video in increasing students' knowledge about dental caries. The use of visual media that is dynamic, interactive, and informative is proven to be an effective way to increase students' knowledge about dental caries.

Laktasi Digital Asistensi (LADIA) sebagai Inovasi Teknologi dalam Konseling dan Informasi Laktasi

Putu Windy Astuti — 2026-06-30

Exclusive breastfeeding is a key factor in improving infant health and growth, as well as supporting the second (Zero Hunger) and third (Good Health and Well-being) Sustainable Development Goals. The World Health Organization (2023) reported a decline in the prevalence of exclusive breastfeeding in Indonesia from 69.7% in 2021 to 67.96% in 2022. Barriers to exclusive breastfeeding are influenced by limited access to accurate information and a lack of access to lactation counseling with healthcare professionals. Amidst technological advancements, digital innovations for lactation counseling are necessary to expand access to and support for breastfeeding. This study aims to identify scientific evidence regarding the potential of Digital Lactation Assistance (LADIA), an innovative technological intervention. A literature search was conducted on PubMed, ScienceDirect, and Google Scholar. Additional searches were performed through relevant publisher and journal websites (BMC/Springer) with a publication range of the last five years (2019–2024). The search strategy utilized Boolean operators: (“pregnant women” OR “breastfeeding mothers”) AND (“direct counseling” OR “digital counseling”) AND (“exclusive breastfeeding”). The retrieved articles were selected and reviewed using the PRISMA guidelines and flowchart. Out of 99,887 identified records, 11 articles met the inclusion criteria for narrative synthesis. Digital-based lactation counseling was found to be more flexible and accessible than face-to-face counseling, demonstrating the potential to increase breastfeeding motivation and continuation across several studies. However, some simple interventions (e.g., WhatsApp, Telegram, Phone Calls/SMS) lacked adequate interactive features. One article indicated that telelactation services are effective for mothers who lack the confidence to engage in face-to-face counseling. Evidence-Based Practice (EBP) regarding Digital Lactation Assistance (LADIA) shows potential in improving exclusive breastfeeding rates. Further development of interactive features and user feedback is required to optimize digital counseling applications