Jurnal Kesehatan Saelmakers PERDANA (JKSP)

Kepatuhan Penggunaan Alat Pelindung Diri (APD) Pekerja Sektor Informal: Kajian Literatur

Sita Dewi Mulyawati, Mahajendra Arham Widarso — Mon, 27 Oct 2025 00:00:00 +0000

Indonesia's industrial sector is growing rapidly, and the informal sector plays a significant role in regional economic development. However, many workplace accidents in Indonesia's informal sector remain unrecorded and unrecognized. This study aims to identify the main factors influencing the use of personal protective equipment (PPE). The study uses a literature review method with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) strategy to select valid and relevant sources clearly and consistently. The search strategy uses Google Scholar and Garuda within the timeframe of 2022–2025. The literature search and selection process was conducted over a two-month period, from March to April 2025. Of the 530 articles found in the article search, five were deemed relevant and met the criteria for analysis in this study after screening. Compliance with PPE use in the informal sector is significantly influenced by knowledge and attitude as well as the availability of PPE and workplace and psychosocial factors. Adequate knowledge and positive attitudes are the main foundations for establishing safe work behavior. However, compliance with PPE use in the informal sector still faces various complex challenges. The main influencing factors are the level of knowledge and attitudes of workers, the availability of PPE, and support for occupational health and safety (OHS) socialization. Therefore, improving compliance with PPE use requires education, training, adequate PPE provision, strict supervision, and OHS socialization tailored to the informal sector's characteristics.

Hubungan Antara Pengetahuan Dan Sikap Remaja Putri Terhadap Deteksi Dini Kanker Payudara Dengan Metode SADARI Di Pondok Pesantren Al-Khoiriyah Banyuasin

Dalinur Qur’andini, Novita Magumi — Mon, 27 Oct 2025 00:00:00 +0000

Efektivitas Peran dan Fungsi Kepala Ruangan dalam Menurunkan Angka Kejadian Insiden Keselamatan Pasien Rawat Inap

Yeni Susanti, Emiliana Tarigan — Mon, 27 Oct 2025 00:00:00 +0000

The role and function of the head nurse in nursing services is crucial, as they hold full responsibility for ensuring safe and high-quality nursing care practices. However, several issues related to the role and function of head nurses are still found, such as a lack of control in preventing incidents, limited knowledge of patient safety, and suboptimal development of their competencies. This study aims to analyze the role and function of head nurses in reducing the number of inpatient patient safety incidents in hospitals.The research employed a literature review method by analyzing articles from databases such as Scopus, ScienceDirect, ProQuest, and Google Scholar in 2020 - 2024. The results show that the role and function of head nurses are more effective in reducing patient safety incidents. This effectiveness is influenced by several factors, including: (1) limited knowledge and skills of head nurses regarding patient safety; (2) the absence of clear standard operating procedures (SOPs) outlining their roles and functions; (3) lack of managerial support from hospital leadership; and (4) low awareness and commitment among nurses in implementing patient safety measures. Efforts to improve the effectiveness of the head nurse's role and function can be achieved through targeted training to enhance their competencies and the development of clear SOPs related to their responsibilities.

Pengaruh Terapi Singkat Berfokus Solusi (TSBS) untuk Mengurangi Stres Kerja dan Meningkatkan Kesejahteraan Psikologis Perawat

Yulyanti Yulyanti, Yunita Yunita, Candra Kusuma Negara, Ricky Prawira — Mon, 27 Oct 2025 00:00:00 +0000

Work-related stress is a significant challenge faced by nurses, particularly in high-demand hospital environments, and it negatively impacts psychological well-being, job performance, and service quality. This study aimed to evaluate the effectiveness of Solution-Focused Brief Therapy (SFBT) in reducing work stress and enhancing the psychological well-being of nurses at Banjarmasin Regional Hospital. A quasi-experimental design with pre-test and post-test control groups was employed. Sixty nurses were selected through purposive sampling and divided into intervention (n = 30) and control (n = 30) groups. The intervention consisted of five online video-based SFBT sessions conducted over four weeks. Instruments included a work stress questionnaire and the Indonesian version of Ryff’s Psychological Well-Being Scale (RPWBS). Validity testing yielded r-values > 0.423, and reliability testing showed high internal consistency (Cronbach’s Alpha = 0.894 and 0.912). Data were analyzed using the Wilcoxon Signed Rank Test and Mann–Whitney U Test via SPSS version 25. Results revealed a significant reduction in work stress scores (mean: 71.4 to 53.2; p = 0.001) and a notable increase in psychological well-being (59.3 to 74.1; p = 0.000). Participants also reported feeling more confident, calm, and reflective. The study concludes that SFBT is an effective, practical, and adaptable psychological intervention suitable for institutional adoption in hospital settings.

Faktor Risiko Diabetes Melitus Pada Dewasa

Mon, 27 Oct 2025 00:00:00 +0000

Gambaran Persepsi Ibu Hamil Tentang Skincare Yang Berbahaya Selama Kehamilan Di Puskesmas Boom Baru Palembang Tahun 2024

Dessi Irmala Sari, Vivi Oktari — Mon, 27 Oct 2025 00:00:00 +0000

Skincare is a series of facial skin care treatments that aim to maintain health and improve the appearance of the skin, as well as address various skin problems. This treatment involves the use of various products that have specific functions, tailored to the type and condition of the skin. For pregnant women, choosing safe skincare is very important to maintain healthy skin and avoid harmful chemicals that can affect the health of the mother and baby.This study aims to identify pregnant women's perceptions of dangerous skincare products during pregnancy at the Boom Baru Community Health Center in Palembang. The percentage of cosmetic use among pregnant women in Indonesia has not been specifically stated in the available information, but surveys indicate that more than 60% of pregnant women use various cosmetic products.This study uses a descriptive research design using a total sampling technique. Based on the results of the study conducted on 73 pregnant women, it can be concluded that the distribution of the characteristics of the respondents who were mostly aged 20-35 years as much as 100%, the second trimester of pregnancy as much as 53.5%, higher education as much as 95.5%, and working as much as 68%, the overview of knowledge about the use and skincare products is in the poor category as much as 68%. Based on the results of this study, there are still many pregnant women who do not know the skincare products for pregnant women. This research is expected to provide additional information for healthcare providers by providing health information about safe skincare products for pregnant women, thereby preventing potential risks.

Implementasi Metode Intentional Rounds (IR) sebagai Upaya Peningkatan Kepuasan Pasien dan Peningkatan Mutu Pelayanan Keperawatan

Naimatul Aufa, Muhammad Mukhlis Solehin, Candra Kusuma Negara — Mon, 27 Oct 2025 00:00:00 +0000

Peran Spiritualitas dalam Meningkatkan Kesejahteraan Psikologis dan Kepuasan Hidup Pada Lansia: Sebuah Studi Fenomenologis

Elizabeth Ari Setyarini, Lidwina Triastuti, Friska Sinaga, Lisna Anisa Fitriana — Mon, 27 Oct 2025 00:00:00 +0000

The integration of spirituality in nursing, particularly to improve the psychological well-being of the elderly, is a field that is developing in line with holistic care. This study uses a phenomenological qualitative approach to explore the subjective experiences of the elderly regarding the role of spirituality in improving their psychological well-being and life satisfaction. The study was conducted with 6 elderly individuals and 1 key informant at PW Titian Benteng Gading Cihanjuang in Bandung Barat District. The findings were based on in-depth interviews with the elderly individuals and the care home staff. The analysis was conducted using a thematic approach to identify themes and subthemes that represent the spiritual experiences and well-being of the elderly in the care home. Three main themes were identified: Theme 1: Spirituality as a Source of Well-being for the Elderly with 5 subthemes, Theme 2: Orderly Life and Social Balance in the Home with 3 subthemes, and Theme 3: Self-Acceptance and Gratitude in Old Age with 2 subthemes, reinforced by key quotes from participants. The conclusion of this study is that the spiritual well-being of the elderly is closely related to activities that bring them closer to God, which directly contribute to increased life expectancy, quality of life, and overall life satisfaction. The recommendation is that enjoyable experiences and a regular life in the nursing home should always be lived with joy and togetherness among the elderly to be continuously improved.

Hubungan Perencanaan Efektif Terhadap Keberhasilan Upaya Pengendalian Eliminasi Malaria Di Puskesmas Pante Raya Kecamatan Wih Pesam Kabupaten Bener Meriah

Helina Syafutri, Rahmayani Rahmayani, Dede Dessy Listyana — Mon, 27 Oct 2025 00:00:00 +0000

Pengaruh Kombinasi Foot Massage Dan Aromaterapi Lavender Terhadap Fatique Pada Pasien Gagal Ginjal Kronik Yang Menjalani Hemodialisa

Delina Delina, Dewi Siti Oktavianti — Mon, 27 Oct 2025 00:00:00 +0000

Management of chronic renal failure includes hemodialysis and CAPD. Complications of hemodialysis are fatigue which can disrupt daily activities. One of the non-pharmacological therapies for fatigue is giving a combination of foot massage and lavender aromatherapy, which is effective in reducing fatigue. The aim of this study was to determine the effect of a combination of foot massage and lavender aromatherapy on fatigue in chronic kidney failure patients undergoing hemodialysis. The design of this research is quasi experimental with a pre-post test with control group design. The population of this study was 106 chronic kidney failure patients undergoing hemodialysis. The sample for this study was 50 respondents divided into 2 groups, namely 25 respondents in the intervention group and 25 respondents in the control group. The sampling technique uses consecutive sampling. The research instrument used was the fatigue severity scale questionnaire. The statistical test used independent t test with p value = 0.0001 (p<0.05), meaning that there was a significant difference in the mean fatigue levels between the intervention group and the control group in patients with chronic kidney failure undergoing hemodialysis. It is hoped that the results of this research can become a non-pharmacological therapy, namely providing a combination of foot massage and lavender aromatherapy which can reduce fatigue in patients undergoing HD

Pengaruh Rebusan Jahe Terhadap Penurunan Mual Muntah Pada Ibu Hamil Trimester I

Ranida Arsi, Juwairia Juwairia, Andre Utama Saputra — Fri, 31 Oct 2025 00:00:00 +0000

The first trimester of pregnancy affects physical changes in a woman. During pregnancy, the hormones estrogen, progesterone, and human chorionic gonadotropin fluctuate, causing nausea and vomiting. Nausea and vomiting are conditions that usually appear starting at 4 weeks of pregnancy and ending at 16 weeks of pregnancy. Ginger is an alternative to overcome nausea and vomiting in pregnant women. The first advantage of ginger is the content of essential oils that are refreshing and inhibit the gag reflex so that blood circulation and nerves work properly. This study aims to determine the effect of boiled ginger on reducing nausea and vomiting in pregnant women in the first trimester. This study used a quasi-experimental method with a non-equivalent with control group design. In this design, the subjects were divided into two groups, namely the experimental group given ginger and the control group given water. Respondents were 54 pregnant women who experienced nausea and vomiting who were divided into 2 groups. The results of the study found that there was a significant difference in the frequency of nausea and vomiting in pregnant women before and after being given ginger decoction in the experimental group with a p value = 0.000 and there was a significant difference in the frequency of nausea and vomiting in pregnant women before and after being given water in the control group with a p value = 0.000. There was no difference in the effectiveness of reducing the frequency of nausea and vomiting in the experimental group and the control group with a value of (p = 0.831). It is hoped that this research can be a reference and can be applied to pregnant women to reduce nausea and vomiting, especially in pregnant women in the first trimester

Penerapan balance scorecard untuk menilai kinerja apotek dalam aspek keuangan dan proses internal : literature review

Berly Surya Dharma, Oti Mudia Puspa, Teguh Utama , Seftika Sari — Mon, 27 Oct 2025 00:00:00 +0000

Increasingly fierce competition in the pharmaceutical sector requires pharmacies to maintain and continuously improve their performance to maintain customer satisfaction and trust. This study aims to assess pharmacy performance, focusing on two main perspectives: internal business processes and finance. The method used was a systematic review of journals using PRISMA guidelines, using data from Google Scholar for the period 2015–2025.Of the 200 articles found, seven met the inclusion criteria and were further analyzed. The study revealed that 43% of the journals reported challenges with medication availability and customer information, although service aspects such as dispensing times and medication labeling generally met standards. From a financial perspective, most pharmacies experienced a decline in key financial indicators such as Return on Investment (ROI), profit margin, and inventory turnover, indicating challenges in inventory management and profitability. Some pharmacies, such as PT Apotik Bangka Pratama, demonstrated good financial performance and internal processes with a score of 75% (category A), while others, such as Apotek Kasih Farma and Toko Obat Sejahtera Bali, faced significant financial performance declines. This study emphasized the importance of optimizing internal processes through the implementation of standard operating procedures (SOPs), human resource training, and service innovation, as well as the need for a more aggressive and efficient financial strategy. Management can take focused, evidence-based improvement measures to enhance service quality and pharmacy competitiveness

Tren Penelitian Global tentang ASI Eksklusif: Analisis dan Visualisasi Bibliometrik pada Database Scopus (2021-2024)

Fri, 31 Oct 2025 00:00:00 +0000

Exclusive breastfeeding during the first six months of life is one of the most effective public health interventions for preventing infant mortality and improving child nutritional status. However, its practice continues to face numerous challenges, including policy constraints, cultural barriers, and limited access to information. This study aims to analyze trends, collaboration patterns, and topical focus in scientific publications on exclusive breastfeeding during the period 2020–2024. The method employed in this study is a quantitative-descriptive approach using bibliometric analysis based on data retrieved from the Scopus database. The collected data were then analyzed using VOSviewer software to identify publication trends, citation patterns, and prevalent keywords. Based on bibliometric analysis and visualization, global research trends on exclusive breastfeeding show a declining pattern during the period from 2020 to 2024, with a peak in publication activity observed in 2020 followed by a decrease in subsequent years. Through analysis using VOSviewer, seven major thematic clusters were identified, featuring dominant keywords such as exclusive breastfeeding, stunting, and infant health. The analysis and visualizations in this study highlight both well-established themes and underexplored areas, including postpartum factors and anthropometric indicators. These findings confirm a shift in research focus and offer direction for future studies and the development of informed policies.

Pengaruh Latihan Fisik Terhadap Indeks Massa Tubuh Tenaga Rescuer Di Kantor Pencarian Dan Pertolongan Kelas B Palangka Raya

Muhammad Shaleh, Putria Carolina, Kristin Rosela — Mon, 27 Oct 2025 00:00:00 +0000

An imbalanced body mass index increases the risk of various diseases and affects career paths, requiring rescuers to have a BMI with ideal weight and height. Physical exercise is expected to improve and help maintain BMI within the normal range. This is prepared for individuals, especially rescuers, in good physical, technical, tactical, and psychological (mental) condition and improves rescue workers who are always ready in any situation. The purpose of this study was to determine the effect of physical exercise on BMI in rescuers at the Class B Search and Rescue Office in Palangka Raya. This study used a one-group pre-test and post-test design. The sample of this study was the Rescuers of the Class B Search and Rescue Office in Palangka Raya. The number of samples with (Simple Random Sampling) was 42 samples. Data collection was conducted on June 10-24, 2025 for 2 weeks using an observation sheet. Pre-IMT and Post-IMT were given physical exercise interventions 5 times in 1 month. Data analysis used comparative analysis with statistical tests T-test, Paired T-test. Results of the 42 respondents, there were research results showing changes in BMI Pre-test were normal in 31 people (74%), pre-obese in 8 people (19%), obese in 3 people (7%), BMI Post-test with normal values in 32 people (76%), pre-obese in 9 people (22%) and obese in 1 person (2%). The results of the statistical test P value = 0.001 or a significance level of p < 0.05, so H1 is accepted that there is an effect of physical exercise on Body Mass Index marked by the pre-BMI value to post-BMI in Rescuer personnel. There is an influence of physical exercise on the Body Mass Index, indicated by the pre-BMI to post-BMI value in rescue workers, where there is a significant change after physical exercise

Apa Faktor yang Berkontribusi Terhadap Pelaporan Insiden Keselamatan Pasien di Rumah Sakit? Systematic Review

Siska Afri Nofita, Cicilia Ika Wulandari — Mon, 27 Oct 2025 00:00:00 +0000

Patient safety incidents are the third leading cause of death worldwide. Reporting all incidents is essential to identify problems and develop solutions based on root causes. However, underreporting of medical errors remains a major challenge in improving patient safety. This study aims to examine the factors influencing the reporting of patient safety incidents through a systematic review. The method used follows the PRISMA guidelines, with the aid of Zotero software. Article searches were conducted through PubMed, Science Direct, and ResearchGate databases using a PICO strategy and specific keywords. Out of 15,314 articles identified, only five met the inclusion criteria after a rigorous screening process. The analysis revealed that incident reporting is influenced by various factors, such as managerial support, training, communication, and organizational culture. In addition, there are other factors that are less explored, including perceptions of reporting, fear of peer judgment, time required to fill out reporting forms, and the influence of leadership. These aspects remain debated in the literature. Therefore, further research is needed to explore the barriers and enablers of patient safety incident reporting, particularly among nurses and healthcare professionals in hospital settings.

Faktor – faktor yang berhubungan dengan Penurunan Tinggi Fundus Uteri pada ibu post partum

Ranida Arsi , Ulmia Hilpi, Andre Utama Saputra — Mon, 27 Oct 2025 00:00:00 +0000

Uterine involution is the process of the uterus returning after the baby is born so that it reaches its pre-pregnancy state. The purpose of this study was to determine the factors associated with a decrease in the height of the uterine fundus in postpartum mothers. Method This research method uses a correlational analytical research design. The sampling technique with total sampling where the number of research samples was 30 respondents. Data collection tools used observation, questionnaires and measuring tapes to measure the height of the uterine fundus (TFU) with direct measurements to respondents then recorded on the observation sheet. The research analysis used two methods, namely univariate and bivariate. Results Age, of the 30 respondents, most were 20-35 years old with an ideal category of 28 respondents (93.3%) and respondents with age <20 years in the non-ideal category were 2 respondents (6.7%). Parity, that from the total of 30 respondents, most of the postpartum mothers' parity has 1-3 children with the ideal category as many as 29 respondents (96.7%) respondents with Parity > 3 children with the non-ideal category as many as 1 respondent (3.3%). IMD, from the total of 30 respondents, most of the postpartum mothers did Early Breastfeeding Initiation (IMD) as many as 25 respondents (83.3%) and postpartum mothers who did not do Early Breastfeeding Initiation (IMD) as many as 5 respondents (16.7%). Uterine Fundus Height, from the total of 30 respondents, there were 26 respondents (86.7%) with normal Uterine Fundus Height and 4 respondents with abnormal uterine fundus height (13.3%).

Pengaruh Murottal Al-Qur’an Terhadap Intensitas Nyeri Disminore Pada Remaja Putri di SMK Kesehatan Kader Bangsa Palembang Tahun 2025

Ria Enjelina, Sri Rahayu — Mon, 27 Oct 2025 00:00:00 +0000

Prevalence of Dysmenorrhea According to data from the World Health Organization (WHO), there are 1,769,425 people (90%) women who experience dysmenorrhea with 10-15% experiencing severe dysmenorrhea. This study aims to determine the effect of murottal al-Qur'an on the intensity of dysmenorrhea pain in adolescent girls. This type of research is Quasi Experiment with a pretest-posttest research method design. The population in this study were all adolescent girls who experienced dysmenorrhea pain who met the inclusion criteria of the researcher, with a sample of 15 respondents of murottal al-Qur'an, the sampling technique used was purposive sampling. The research instrument used the NRS (Numeric Rating Scale) checklist sheet. Data analysis used the Independent T-Test and Paired T Test. The results of the analysis of Murrotal Al-Qur'an Therapy with a sig value of 0.002, meaning that it has significant effectiveness on the intensity of pain in adolescent girls. The results of the Independent T-Test showed a p-value of 0.878, meaning that Al-Quran murrotal therapy can reduce the intensity of dysmenorrhea pain in female adolescents at the Palembang Kader Bangsa Health Vocational School in 2025.

Efektivitas Family-Based Diabetes Self-Management Education (DSME) Meningkatkan Kualitas Hidup Penderita Diabetes Melitus Tipe 2

Bernadeta Trihandini, Dania Relina Sitompul, Candra Kusuma Negara — Mon, 27 Oct 2025 00:00:00 +0000

Type 2 Diabetes Mellitus (T2DM) is a chronic disease that significantly impacts patients’ quality of life. Family-Based Diabetes Self-Management Education (DSME) has been considered effective in enhancing disease management by actively involving family support. This study aimed to evaluate the effectiveness of the Family-Based DSME program in improving the quality of life among individuals with T2DM in the working area of the Banjarmasin Community Health Center. A quasi-experimental design with a non-equivalent control group pre-test and post-test was employed. A total of 30 respondents were selected using purposive sampling and divided into two groups: 15 participants in the intervention group and 15 in the control group. The intervention was administered over two weeks through an integrated educational program that actively engaged family members. The instrument used was the Diabetes Quality of Life (DQOL) questionnaire, and data were analyzed using paired sample t-test and independent sample t-test. The results revealed a significant improvement in the total quality of life score in the intervention group from 2.70 to 3.35 (p = 0.001), whereas no significant change was observed in the control group (p = 0.638). The post-test score difference between the two groups was also statistically significant (p = 0.001). These findings indicate that the Family-Based DSME program is effective in enhancing the quality of life for patients with T2DM. Family involvement plays a crucial role in improving treatment adherence, motivation, and patients’ psychosocial well-being. This intervention is recommended for implementation in primary healthcare settings.

Family-Based Diabetes Self Management Education (DSME) Terhadap Self Care Pasien Dengan Luka Ulkus Diabetikum

Mon, 27 Oct 2025 00:00:00 +0000

Diabetes mellitus (DM) is a chronic disease with an increasing prevalence and often leads to serious complications such as diabetic foot ulcers. In Indonesia, this complication frequently occurs due to patients' poor self-care abilities, particularly in foot care and blood glucose monitoring, which increases the risk of amputation. Diabetes Self-Management Education (DSME) is an educational approach aimed at improving patients' knowledge and skills in managing their condition independently. This study aimed to evaluate the effectiveness of DSME interventions in enhancing self-care among DM patients with diabetic foot ulcers. A quasi-experimental design with a one-group pre-test and post-test approach was used. A total of 30 respondents participated in a seven-day DSME intervention that included face-to-face education sessions on foot care, glucose monitoring, dietary management, physical activity, and medication adherence. Self-care ability was measured before and after the intervention using the Summary of Diabetes Self-Care Activities (SDSCA) questionnaire. Data were analyzed using paired sample t-tests. The results showed a significant increase in self-care scores from a mean of 17.9 ± 3.4 at pre-test to 22.6 ± 3.1 at post-test (p < 0.001). These findings indicate that the DSME intervention is effective in improving patients' self-care abilities. It is recommended as a standard educational strategy in healthcare facilities to prevent complications and improve diabetic wound management.

Hubungan Pengetahuan, Mekanisme Koping Dan Dukungan Suami Dengan Kualitas Hidup Pada Wanita Menopause

Bela Purnama Dewi — Mon, 27 Oct 2025 00:00:00 +0000

Knowledge, Coping Mechanisms, and Husband Support are factors that can influence the quality of life of menopausal women. Menopause is often accompanied by physical and psychological changes that may reduce women's quality of life. Low levels of knowledge, the use of maladaptive coping mechanisms, and lack of husband support are factors that can worsen this condition. This study aimed to determine the relationship between knowledge, coping mechanisms, and husband support with the quality of life of menopausal women at Pustu Sungai Pasir in 2025. This research used a descriptive survey method with a purposive sampling technique, involving 65 respondents. Research instruments included the Menopause Knowledge Questionnaire, the Brief COPE Inventory to assess coping mechanisms, a husband support questionnaire, and the MENQOL (Menopause-Specific Quality of Life Questionnaire) to measure quality of life. Data were analyzed using the Chi-Square test. The results showed that the majority of respondents used adaptive coping mechanisms (55.4%), 47.7% reported low husband support, and 56.9% had a good quality of life. Statistical analysis indicated a significant relationship between knowledge, coping mechanisms, and husband support with the quality of life of menopausal women (p-value = 0.000). Based on these findings, it is recommended that menopausal women improve their knowledge, apply adaptive coping strategies, and utilize support from their husbands to enhance their quality of life

Efektifitas Media Edukasi berbasis Augmented Reality terhadap Peningkatan Pengetahuan Pola Makan Sehat dalam Pencegahan Diabetes Mellitus

Muhammad Tajaruddin, Hijratun Wahana, Candra Kusuma Negara, Ricky Prawira — Mon, 27 Oct 2025 00:00:00 +0000

The increasing cases of Type 2 Diabetes Mellitus (T2DM) in adolescents is a serious challenge in public health. Unhealthy eating patterns and low nutritional literacy are the main risk factors. This study aims to analyze the effectiveness of augmented reality (AR)-based e-booklet educational media in improving students' quality of life (QoL) through healthy eating education. The study used a quasi-experimental design of the one-group pretest-posttest type on 115 grade XI students at a high school in Banjarmasin in May – June 2025. The research instrument was a QoL questionnaire consisting of five aspects: satisfaction with therapy, the effect of therapy on life, fear of complications, social problems, and total QoL score. Data analysis used a paired sample t-test with the Kolmogorov–Smirnov normality test. The results showed a significant increase in all aspects of QoL, with a p value <0.001 for all variables. The total QoL score increased from 11.38 ± 1.86 to 14.52 ± 1.39 after the intervention. These findings indicate that AR e-booklet media is effective in improving students' understanding and has a positive impact on emotional, social, and attitudinal aspects of health. In conclusion, AR-based education is an innovative approach that not only improves knowledge but also the quality of life of adolescents in the context of DM Type II prevention.

Hubungan Dukungan Keluarga Terhadap Tingkat Kesepian Pada Lansia Di Puskesmas Guguk Panjang Kota Bukittinggi

Widia Putri, Yuli Permata Sari, Sisca Oktarini — Tue, 04 Nov 2025 00:00:00 +0000

Faktor – Faktor Yang Berhubungan Dengan Kejadian Diare Pada Bayi di Wilayah Kerja Puskesmas Sungsang Banyuasin II

Lusi Marta Indah , Ranida Arsi , Andre Utama Saputra — Mon, 27 Oct 2025 00:00:00 +0000

Diarrhea is a leading cause of death worldwide, accounting for 5–10 million deaths per year. The magnitude of this problem is evident in the high mortality rate due to diarrhea and morbidity, especially in children aged 6–12 months who are vulnerable groups. Diarrhea remains a global health problem, including in Indonesia. Many factors influence the incidence of diarrhea, such as maternal knowledge, maternal attitudes, exclusive breastfeeding, and handwashing behavior. The purpose of this study was to determine the factors associated with the incidence of diarrhea in toddlers in the working area of the Sungsang Banyuasin II Community Health Center. This study used an analytical survey design using a cross-sectional approach. The population in this study were all 76 mothers of infants at the Sungsang Community Health Center. The sample in this study was obtained using the Slovin formula of 30 people. The sampling technique was carried out using purposive sampling. Bivariate analysis used the chi-square test. The results of the study explained that there was a relationship between knowledge and the incidence of diarrhea in infants (p = 0.003). There was a relationship between attitudes and the incidence of diarrhea in infants (p = 0.000). There is a relationship between exclusive breastfeeding and the incidence of diarrhea in infants (p=0.004). There is a relationship between handwashing behavior and the incidence of diarrhea in infants (p=0.000). It is hoped that mothers will pay more attention to their babies' health by increasing their knowledge about diarrhea.

Faktor-Faktor Yang Berhubungan Dengan Kejadian Bullying Di Smpn 6 Kota Payakumbuh Tahun 2024

Nadia Miranda Putri, Marizki Putri, Rezi Prima — Mon, 27 Oct 2025 00:00:00 +0000

The phenomenon of bullying has been going on for a long time throughout the world and is endless. Bullying can result in short-term and long-term effects on both victims, perpetrators and witnesses The purpose of this study was to determine the factors related to bullying incidents in class VIII students at SMP N 6 Payakumbuh City in 2024. This study used a quantitative approach with a correlation method. The sampling technique used a simple random sampling technique with a sample analysis of 64 respondents. The data was obtained on April 4, 2024, then the research was conducted on July 17-19, 2024 by having respondents fill out the questionnaire provided. The results of the chi-square statistical test showed that the family support factor with the incident of bullying p-value 0.012, the peer group factor with the incident of bullying p-value 0.028, the self-concept factor with the incident of bullying p-value 0.037 where the support of family factors, peer groups, and self-concept obtained p-value <0.05), which means there is a significant relationship between family support factors, peers, and self-concept with the incident of bullying in class VIII students at SMP N 6 Payakumbuh City in 2024 With the conclusion obtained low family support, high peer groups and low self-concept, then bullying incidents will often occur. For this reason, it is hoped that teachers can increase bullying prevention activities, and students can further identify the factors that cause bullying incidents in schools.

Pemberian Jus Buah Nanas Terhadap Penurunan Kadar Asam Urat Pra Lansia

Rahayu Rahayu, Ranida Arsi, Ria Wulandari, Andre Utama Saputra — Fri, 31 Oct 2025 00:00:00 +0000

Gout Arthritis is a type of arthritis that occurs due to the accumulation of uric acid crystals. This condition can occur in any joint, such as in the toes, ankles, knees, and most often in the big toe. The prevalence of gout sufferers in the world according to WHO reached 34.2% in 2029 and increased in 2020. This is very important because gout will cause severe pain and will interfere with comfort, especially in the pre-elderly which can reduce their quality of life. This study aims to determine the effect of giving pineapple juice on reducing uric acid levels. This type of research is quantitative with a quasi-experimental design using a one group pretest-posttest design. The tools used are easy touch to measure uric acid levels, and observation sheets. The population in this study was 38 people, then using the Slovin formula, a sample of 17 people was obtained. Samples were taken using the purposive sampling technique. The study was conducted at the Ngulak Banyuasin Health Center in July 2024. The results obtained were that the uric acid level before being given Pineapple Juice was 9.5 mg/dl and the uric acid level after being given pineapple juice decreased to 5.5 mg/dl. Pineapple juice was given once a day at noon after lunch for 5 days. Uric acid levels were measured before administration on the first day and after administration of pineapple juice on the fifth day. The results of the statistical test using the Parried T-Test showed that the significance value was p-value 0.000 (p<0.05) which means that there is a significant effect between pineapple juice and reducing uric acid levels. It is hoped that it can increase information and knowledge about gout so that people can choose the right solution or management such as consuming pineapple juice to reduce uric acid levels

Faktor-Faktor Yang Mempengaruhi Keputusan Pembelian Pelanggan di Apotek: Tinjauan Sistematis Literatur

Fikri Shalmantyas, Seftika Sari, Merisa Riski — Mon, 27 Oct 2025 00:00:00 +0000

Increasingly fierce competition in the pharmacy industry demands a thorough understanding of the factors influencing customer purchasing decisions. This study aims to identify and evaluate the key factors influencing purchasing decisions in pharmacies through a systematic literature review. The method used was a systematic review following the PRISMA guidelines and the PICO framework. A search was conducted through the Google Scholar database and e-journals with keywords related to pharmacy, customers, and purchasing. Of the 300 articles identified, 11 journals (2015–2025) met the inclusion criteria and were analyzed in depth. The review results indicated that price and service quality were the most dominant factors (36%), followed by pharmacy image or brand image (27%), and other factors such as product diversity, psychological aspects, and halal labels (9% each). The study also revealed that purchasing decisions are influenced by a combination of rational (price, product availability) and emotional (trust, convenience, religiosity) aspects. In conclusion, pharmacy managers need to develop service and marketing strategies based on consumer preferences, emphasizing quality service, trust, and strengthening product image and value

Persepsi Guru, Orang Tua dan Siswa Tentang Kecacingan di SD Smart School Swari Kabupaten Deli Serdang

David Sumanto Napitupulu, Ruth Agree Kartini Sihombing, , Seri Rayani Bangun — Fri, 31 Oct 2025 00:00:00 +0000

with lower middle-class economic status and limited sanitation environments. The effects of worms can disrupt the digestive system to serious complications that affect other organs of the body. A toddler in Jember complained of difficulty defecating, stomach ache, nausea and shortness of breath and underwent surgery and 3 jars of worms were removed from the toddler's body. This case is a real example of how worms are very dangerous for children in particular. Teachers act as the best educators for students at school, parents act as the best reminders for children at home and students act directly as patients in worm infestation. Worm infections are often found in society, but it is still necessary to find the right solution to reduce the number of worm infections. The purpose of this study was to explore the perceptions of teachers, parents and students about worms at Smart School Swari Elementary School, Deli Serdang Regency. The research design is qualitative phenomenology with research instruments in the form of informant language through direct interviews conducted. The results of the interview showed that the perception of teachers, parents and students regarding worms is a disease caused by parasitic worms and attacks the human digestive tract. The factors that cause worms are unhealthy lifestyles and uncleanliness of oneself and the surrounding environment. The impact of worms can cause digestive problems, itching in the anus, loss of appetite, weight loss, inability to focus on studying, lack of enthusiasm for studying, anemia. Prevention of worms can be done by taking worm medicine, maintaining personal and environmental hygiene, consuming perfectly cooked food, consuming garlic, moringa leaves, guava leaves and Chinese stink beans. perception, worms, SD Smart School Swari, teachers, students, parents.

Hubungan Aktivitas Fisik Dan Pola Makan Dengan Upaya Pencegahan Hipertensi Bagi Pengunjung Di UPT Puskesmas Tumbang Samba

Rosa Elia, Putria Carolina, Kristin Rosela — Mon, 27 Oct 2025 00:00:00 +0000

Hypertension is a major non-communicable disease that continues to pose a growing public health challenge. Preventive measures such as maintaining a healthy diet and regular physical activity are known to help reduce the risk of hypertension. However, the extent to which these two factors contribute to hypertension prevention at the primary healthcare level remains unclear. This study aims to determine the relationship between physical activity and diet with hypertension prevention efforts among visitors to the Tumbang Samba Community Health Center (UPT) in 2025. This study used a quantitative approach with a descriptive-analytical design through a cross-sectional method. Data were collected from June 9-16, 2025, for two weeks, and 40 respondents were selected through accidental sampling. Data collection was conducted using a questionnaire. Data were analyzed using the chi-square test with a significance level of 0.05. The results showed that most respondents engaged in light physical activity (82.5%) and had good eating habits (72.5%). In addition, 77.5% of respondents demonstrated high levels of effort in hypertension prevention. The chi-square analysis showed no significant relationship between physical activity and hypertension prevention (p = 0.672), but there was a significant relationship between eating habits and hypertension prevention (p = 0.000). The conclusion shows that eating habits have a significant relationship with hypertension prevention efforts, while physical activity does not. Therefore, health promotion strategies should focus on improving healthy eating behaviors as the primary step in hypertension prevention.

Pengaruh Media Poster Terhadap Pengetahuan Penderita Hipertensi Tentang Hipertensi Emergensi

Arzeti Apriliasari, Dhona Andhini, Hikayati Hikayati — Mon, 27 Oct 2025 00:00:00 +0000

Pengaruh Pemberian Aromaterapi Peppermint Terhadap Penurunan Kecemasan Pasien Pre Operasi Dengan Anestesi Spinal Pada Pasien Sectio Caesarea

Andika Aidil Saputra , Danang Tri Yudono , Magenda Bisma Yudha , Amin Susanto — Mon, 27 Oct 2025 00:00:00 +0000

Preoperative anxiety is commonly experienced by patients before undergoing surgical procedures, including Caesarean section with spinal anesthesia. Peppermint aromatherapy is a non-pharmacological method that can be used to reduce anxiety. This study aimed to determine the effect of peppermint aromatherapy on reducing preoperative anxiety in the operating room at RST Padang. This research used a pre-experimental design with a one-group pretest posttest approach. The sample consisted of 36 patients selected using total sampling. Anxiety levels were measured before and after the administration of peppermint aromatherapy using an anxiety scale and analyzed using the Wilcoxon Signed Rank Test. The results showed that before the intervention, the majority of respondents experienced moderate anxiety (97.2%), while 2.8% had mild anxiety. After the intervention, 55.6% of respondents no longer experienced anxiety, and 44.4% were at a mild anxiety level. The Wilcoxon test showed a Z value of -5.263 with p < 0.001, indicating a significant difference in anxiety levels before and after the intervention. In conclusion, peppermint aromatherapy has been proven effective in reducing preoperative anxiety and can be considered as a complementary therapy in the management of patient anxiety before surgery. It is recommended that healthcare workers use this approach to enhance patient comfort during surgical preparation.

Strategi Pemenuhan Kompetensi Dasar Perawat dengan Metode Preseptorship: A Systematic Review

Satri Yunita, Sr Engeltrudis Bunga — Mon, 27 Oct 2025 00:00:00 +0000

The need for effective clinical learning to support the transition of newly graduated nurses and nursing students into the clinical environment necessitates the implementation of structured and supportive methods. Preceptorship, which involves experienced nurses serving as mentors, is a strategic approach to bridging competency gaps and has been proven to significantly enhance nurses' confidence, skills, and clinical knowledge. This study aims to examine strategies for fulfilling nurses’ basic competencies through the preceptorship method. A systematic review was conducted following the PRISMA guidelines and utilizing Zotero software. Articles were retrieved using the PICO strategy from electronic databases including PubMed, ProQuest, and Google Scholar, using relevant keywords. Out of 2,353 articles identified (PubMed: 129, Google Scholar: 1,030, ProQuest: 1,194), 413 duplicate articles were removed. After screening based on title and publication year, 978 articles remained; however, most were either inaccessible in full text or not relevant. As a result, only seven articles met the study criteria and were further critically analyzed. The findings indicate that preceptorship and mentorship methods play a crucial role in enhancing preceptors' capacity to provide clinical learning. Structured preceptorship fosters a harmonious work environment and supports the development of nurses’ clinical authority according to their placement. Further research is needed to examine the specific effectiveness of preceptorship and mentorship methods in improving nurses’ competencies in clinical practice.

Hubungan Perilaku Cuci Tangan Perawat Terhadap Pencegahan Infeksi Nosokomial

Anita Romauli Batubara, Selamat Parmin, Serli Wulan Safitri — Mon, 27 Oct 2025 00:00:00 +0000

In Indonesia, nosocomial infections reach 15.74%, far above developed countries which range from 4.8 - 15.5%. Hand hygiene is one of the applications of nurses in preventing nosocomial infections. The purpose of the study was to determine the relationship between nurses' handwashing behavior and the prevention of nosocomial infections in hospitals in Bukit Asam Medika in 2024. The type of research is descriptive analytical with a cross-sectional approach. The study was conducted from April to July 2024. The population in the study were all nurses working at Bukit Asam Medika Hospital in 2024, with a population of 147 nurses. Simple Random Sampling, namely each member or unit of the population has an equal opportunity to be selected as a sample of 60 people. Data were collected using a questionnaire, the data was processed computerized with the Chi-square test. Based on the results of the study showed (66.7%) respondents with good therapeutic communication, (53.3%) respondents with high knowledge, (63.3%) respondents with positive attitudes and (60%) respondents with low emotions. The results of the analysis showed a relationship between knowledge (p value = 0.007), attitude (p value = 0.015) and

Persepsi Perawat Terhadap Kegunaan Dan Kemudahan EMR Untuk Pengisian Pengkajian Pada Pasien Kritis: Pilot Study

Ricky Prawira, Dikki Saputra — Mon, 27 Oct 2025 00:00:00 +0000

The implementation of Electronic Medical Records (EMRs) in the initial assessment of critically ill patients is a key innovation to enhance the efficiency and accuracy of nursing documentation This study is a pilot study that aims to determine nurses' perceptions of the usefulness and ease of use of EMR in the initial assessment process for critical patients. A total of 20 nurses from intensive care units in a private hospital in Palembang participated using a total sampling technique. The instrument used was a questionnaire based on the Technology Acceptance Model (TAM). The results showed an average perception score of 4.31 for usefulness and 4.32 for ease of use, both categorized as technology very acceptance. The highest-rated usefulness indicator was “speeds up work” (4.49), while the highest ease-of-use indicator was “easy to control” (4.48). These positive perceptions were influenced by respondent characteristics predominantly female, young (ages 25–30), diploma-level education (D3), and over two years of work experience. The findings indicate that EMRs are well accepted by nurses, especially when supported by user-friendly design and adequate training. This study provides a valuable foundation for the further development and optimal implementation of EMRs in critical care environments.

Perbandingan Hasil Kadar Bilirubin Total pada Serum Segera dan Penundaan Selama 24 Jam dengan Suhu 20-25°C menggunakan Metode End-point

Sela Historiani Akhmad, Chairil Anwar, Aji Widyantara — Mon, 27 Oct 2025 00:00:00 +0000

the biliary system. The stability of bilirubin levels in serum is greatly influenced by storage conditions, particularly the duration and temperature. Prolonged storage of serum at room temperature can cause a decrease in bilirubin concentration, thereby affecting the accuracy of the test results. This study aims to compare the total bilirubin levels in serum analyzed immediately with serum subjected to a 24-hour delay at a temperature of 20–25°C, using the End-point method. This research is an analytical observational study employing an experimental design with a cross-sectional approach. Data were collected through purposive sampling by distributing questionnaires to 18 staff members in PKU Muhammadiyah Hospital Wonosobo. Data analysis began with the Shapiro-Wilk normality test, followed by the Paired Sample t-Test. The results showed a statistically significant difference in total bilirubin levels between the immediately analyzed serum (mean = 0.52 mg/dL) and the serum delayed for 24 hours (mean = 0.22 mg/dL). The significance value (2-tailed) of 0.001 indicates that p < 0.05; thus, the null hypothesis (H0) is rejected, and the alternative hypothesis (H1) is accepted. The decrease in bilirubin levels after storage for 24 hours reached approximately 59%. These findings indicate that storing serum with a 24-hour delay at room temperature (20–25°C) without light protection can significantly reduce total bilirubin levels. Therefore, it is recommended that the examination be conducted immediately or the serum be stored in dark conditions, such as wrapped in aluminum foil, to maintain the stability of the bilirubin levels.

Hubungan pola makan, konsumsi kopi dan Tingkat Stres Dengan Kejadian Gastritis Di Wilayah Kerja BLUD UPTD Puskesmas Poasia Tahun 2024

Fitriani Fitriani, Nani Yuniar, Sri Tungga Dewi — Mon, 27 Oct 2025 00:00:00 +0000

Gastritis, commonly known as ulcers, is inflammation or bleeding in the lining of the stomach caused by an unhealthy lifestyle. To determine whether there is a relationship between diet, coffee consumption, and stress levels with the incidence of gastritis in the BLUD UPTD Poasia Health Center work area in 2024. This study used a quantitative research method using a cross-sectional design approach. The results showed that diet (p-value = 0.00), coffee consumption (p-value = 0.00), and stress levels (p-value = 0.00). The results showed that there was a relationship between diet, coffee consumption, and stress levels with the incidence of gastritis in the BLUD UPTD Poasia Health Center work area in 2024

Hubungan Pengetahuan Dan Sikap Tenaga Gizi Dengan Hygiene Pengelolaan Makanan Di BLUD Datu Beru Takengon Kabupaten Aceh Tengah

Nurlaely HS, Seri Warzukni, Rahmah Rahmah — Mon, 27 Oct 2025 00:00:00 +0000

Peran Surgical Safety Checklist dalam Peningkatan Keselamatan dan Tingkat Kepuasan Pasien di Instalasi Bedah Sentral RSI Aisyiyah Malang

Nurhaliza Nurhaliza, Erlina Suci Astuti, Marsaid Marsaid, Supono Supono — Mon, 27 Oct 2025 00:00:00 +0000

Quality nursing care is an important factor in determining the level of patient satisfaction, especially in surgical services. Nurses as the frontline have a significant role in ensuring patient safety. The Surgical Safety Checklist (SSC) is a standard instrument developed to improve safety and minimize the risk of complications during surgical procedures. This study aims to determine the role of the surgical safety checklist in improving safety and patient satisfaction levels at the Central Surgical Installation of RSI Aisyiyah Malang. This study used a cross-sectional design with an accidental sampling technique. The number of respondents was 58 patients who underwent surgery during the period of February 3 to March 3, 2025, and had met the inclusion criteria. The independent variable was the implementation of the SSC, while the dependent variables included patient safety and satisfaction. Data analysis was performed univariately and bivariately using the Spearman correlation test. There was a significant relationship between the implementation of the SSC and patient safety (r = 0.472) and patient satisfaction (r = 0.620) with a significance value (p = 0.000) for both. This indicates a moderate correlation with patient safety and a strong correlation with patient satisfaction. Surgical safety checklists play a crucial role in improving patient safety and satisfaction during surgical procedures. Consistent and comprehensive implementation is highly recommended as part of efforts to improve the quality of surgical services.

Kadar Kreatinin dalam Sampel Darah 15 Menit dan 30 Menit Sebelum Disentrifugasi

Fenita Arum Puspita, Margareta Haiti, Agnes Felicia Lubis — Mon, 27 Oct 2025 00:00:00 +0000

A clinical laboratory is a facility that performs examinations of clinical samples related to health conditions, including three stages: pre-analytical, analytical, and post-analytical. Creatinine is a crucial indicator in assessing kidney function and is frequently used in clinical chemistry assessments. Creatinine test results are significantly influenced by the preanalytical phase, particularly the length of time the blood is allowed to stand before centrifugation. This standing allows the blood to fully clot before centrifugation. The aim of this study was to determine creatinine levels in blood samples 15 minutes and 30 minutes before centrifugation. This study used a quantitative approach characterized by a cross-sectional analytical observational design with a sample size of 38 people.Using an SST-type test tube containing a clot activator can enhance the clotting process. Creatinine examination was performed using the Bio System BA 200 instrument, with analysis using the Wilcoxon test. The average creatinine level in blood samples centrifuged 15 minutes after sampling was 0.78 mg/dL, while in samples centrifuged 30 minutes after sampling, the level was 0.79 mg/dL. The Wilcoxon Signed Rank test produced a p-value of 0.706 (p>0.05). The results showed no difference in creatinine levels in blood samples left for 15 minutes and 30 minutes before centrifugation. Further research can be recommended using the Jaffe method using alternative tubes (Plain, Clot)

Tren Penelitian Intervensi Nutrisi dalam Pencegahan Stunting: Studi Bibliometrik dari Basis Data Scopus

Fri, 31 Oct 2025 00:00:00 +0000

Stunting is a chronic form of malnutrition that has been a global public health issue for many years, with serious consequences on the physical growth, cognitive development and productive capacity of individuals. However, to date, there is no comprehensive map of research trends focusing on nutritional interventions to prevent this condition. This study aims to evaluate scientific advances in the field of nutritional interventions aimed at preventing stunting in children, indexed in the Scopus database between 2016 and 2025. The method used was quantitative bibliometric analysis, which consists of four steps: identification, screening, eligibility and inclusion. The study included publication volume per year, citations, h and g indexes, collaboration between authors and between countries, and keyword mapping using network and density visualization techniques. The results show an upward trend in the number of publications in 2017 and 2022, with the United States and Australia as major contributors and significant international collaboration. Key highly cited publications highlighted the effectiveness of breastfeeding education interventions, micronutrient supplementation and integrated nutrition farming interventions. Keyword visualization identified a major focus on “human, stunting, malnutrition” and the emergence of new themes such as “child health” and “eating behaviour”. In conclusion, nutrition intervention research trends for stunting prevention show significant growth and an evolving thematic focus, so these bibliometric results can serve as a reference for academics and policy makers to determine research priorities and more targeted and effective nutrition intervention strategies.

Hubungan Kepuasan Pelayanan Petugas Kesehatan Dengan Minat Kunjungan Ulang Pasien Di Puskesmas Bukit Hindu

Budi Wijaya, Putria Carolina, Kristin Rosela — Mon, 27 Oct 2025 00:00:00 +0000

Patient satisfaction with healthcare services is an important indicator in assessing service quality, especially in primary healthcare facilities such as Puskesmas. The phenomenon at Puskesmas Bukit Hindu shows fluctuations in the number of patient visits over the past three years, with a decline in 2023 despite an increase in 2024. This indicates that patient satisfaction with healthcare services may influence the interest in return visits. Objective to determine the relationship between healthcare service satisfaction and the interest in return visits among patients at Puskesmas Bukit Hindu. This study used a correlational design with a cross-sectional approach. The sampling technique used accidental sampling with a total of 40 participants. Data collection using a questionnaire was conducted from June 16 to 30, 2025 and statistical analysis was performed using the Chi-Square test. From 40 respondents, it was found that patient satisfaction with healthcare services who were dissatisfied and not interested in return visits consisted of 12 respondents (85.7%), while those interested in return visits were 2 respondents (14.3%). Furthermore, among those satisfied with healthcare services, 3 respondents (11.5%) were not interested in return visits, and 23 respondents (88.5%) were interested in return visits. The Chi-Square test yielded a p-value of 0.000, which is less than the significance level of p < 0.05, thus H1 is accepted, indicating a relationship between healthcare service satisfaction and the interest in return visits among patients at UPTD Puskesmas Bukit Hindu. There is a relationship between healthcare service satisfaction and the interest in return visits among patients. It is hoped that Puskesmas Bukit Hindu Palangka Raya can improve the resources of healthcare personnel, facilities, and infrastructure to support healthcare services