Jurnal Kesehatan Saelmakers PERDANA (JKSP)

Pengaruh Pemberian Murrotal Quran Terhadap Kecemasan Pre Operasi Pada Pasien Sectio Caesarea Dengan Spinal Anestesi

Shelly Sylviani Dewi, Wilis Sukmaningtyas, Rahmaya Nova H, Septian Mixrova S — Tue, 30 Dec 2025 00:00:00 +0000

Surgery is a medical procedure that uses an invasive method by opening the body part to be treated. Every CS is performed under spinal anesthesia, because spinal anesthesia is the standard method of elective CS anesthesia globally. Surgery poses an actual or potential threat that can cause psychological and physiological stress. When facing surgery, patients will experience various stressors that cause anxiety and fear, even the waiting period can cause anxiety. Anxiety will cause physical and psychological changes that can activate the sympathetic autonomic nervous system, resulting in increased heart rate, blood pressure, and breathing, which in general will reduce the patient's energy level, which will impact the operation and the healing process after surgery. Murottal Al-Qur'an has a positive influence on its listeners. Murottal Al-Qur'an Surah Ar-Rahman is recited with a rhythmic and lilting tone, so it can increase a sense of calm and comfort so that feelings of fear and anxiety are reduced. Objective: To determine the effect of providing murrotal Quran on preoperative anxiety in CS patients with spinal anesthesia at Dr. Soekardjo Regional Hospital, Tasikmalaya City. Method: This study was a quantitative pre- experimental study with a One Group Pretest-Posttest design. The total sample size was 43 respondents. Results: There is an Effect of Murottal Therapy on Pre-operative Anxiety of CS with Spinal Anesthesia at Dr. Soekardjo Regional Hospital, Tasikmalaya City with a p-value (sig. (2.tailed)) of 0.000 (p<0.05).

Efektivitas Peer Counseling Berbasis Health Belief Model Terhadap Pengetahuan Gizi Remaja di SMA Kota Binjai

Muhammad Crystandy, Yulita Yulita — Tue, 30 Dec 2025 00:00:00 +0000

Adolescence is a critical period for the formation of long-term eating patterns, yet it is vulnerable to nutritional problems. The lack of effective nutrition education in schools is a major contributing factor. Innovative interventions are needed to improve healthy nutritional behavior. This study aims to determine the effectiveness of Peer Counseling education based on the Health Belief Model (HBM) in improving nutritional knowledge in adolescents. This study used a quasi-experimental design with a pre-test and post-test approach without a control group, conducted in five high schools in Binjai City. The study sample consisted of 213 students selected using a cluster sampling technique. The intervention was delivered by 10 students who had been trained as peer counselors using a module developed based on the Health Belief Model framework. Data analysis was performed using the Wilcoxon Signed-Rank Test. The results showed a highly significant increase in adolescents' nutritional knowledge after the intervention. The average knowledge score more than doubled, from 12.04 at the pre-test to 26.49 at the post-test. The statistical test results showed a significance value of p=0.000 (p<0.05), indicating that the HBM-based Peer Counseling intervention was statistically effective. In conclusion, the Peer Counseling educational model integrated with the Health Belief Model framework proved effective in significantly improving nutritional knowledge among high school students. This approach successfully leveraged the influence of peers as agents of positive change. It is recommended that schools and health offices adopt this model as part of health promotion programs, such as school health programs, for sustainable adolescent nutritional empowerment.

Hubungan Dukungan Keluarga Dengan Tingkat Kecemasan Pasien Pre Operasi Menggunakan General Anestesi

Salman Alfarizal, Wilis Sukmaningtyas , Dwi Novitasari , Emilia Elsi Jerau — Tue, 30 Dec 2025 00:00:00 +0000

General anesthesia can cause a negative response from patients called psychological responses, if this condition is not handled properly, it can cause anxiety in patients. The study aims to determine the relationship between family support and the level of anxiety in preoperative patients using general anesthesia at Bhayangkara Moh. Hasan Hospital, Palembang. The research method uses an analytical survey with a cross-sectional approach. The sampling technique uses a total sampling of 185 preoperative patients using general anesthesia. Data was taken using a questionnaire. The results of the study showed that there was a relationship between family support and the level of anxiety in preoperative patients using general anesthesia at Bhayangkara Moh. Hasan Hospital, Palembang (p value = 0.002). Therefore, family support is useful for reducing anxiety in preoperative patients.

Peningkatan Pengetahuan Dan Keterampilan Melakukan Aktivitas Fisik Untuk Menurunkan Gangguan Fisik Pada Masa Premenopause

Nur Cahyani Ari Lestari, Zulhijriani Zulhijriani — Wed, 31 Dec 2025 00:00:00 +0000

Premenopause is a transitional period characterized by various physical disorders such as hot flashes, sleep disorders, and joint pain. Research in Tondomulyo Village showed 67.3% of women have low levels of physical activity with an average duration of only 86.4 minutes per week, far below WHO recommendations. The purpose of this community service is to increase knowledge and skills in performing physical activities to reduce physical disorders during premenopause. The service method used a participatory approach with brainstorming, lectures, question and answer sessions, and demonstrations conducted in 4 meetings over 1 week targeting 30 premenopausal women aged 40-55 years and 12 health cadres. The program included education about premenopause, demonstration of physical activities including aerobic exercises, strength training, yoga, and empowerment of health cadres. Results showed a very significant increase in knowledge from an average pretest score of 45.33 to posttest 79.67 with a 75.8% increase. Statistical tests showed significance value p=0.000 (p<0.001). Skills evaluation showed 93.3% of participants were able to perform aerobic exercises, 100% were able to do simple strength training, 86.7% were able to perform basic yoga movements, and 83.3% were able to combine all three. The program successfully formed 3 physical activity groups based on areas. Conclusion the physical activity education program proved to be very effective in increasing the knowledge and skills of premenopausal women with a 100% success rate and very high statistical significance.

Hubungan Teknik Mengedan Dan Berat Badan Bayi Baru Lahir Dengan Kejadian Ruptur Perineum Pada Persalinan Normal Di Bidan Praktik Mandiri (BPM) Hirawati, S.Keb.Bd. Desa Simpang Balik Kecamatan Wih Pesam Kabupaten Bener Meriah

Rizki Widia Utami, Mawadhah Yusran, Nurlaely HS — Sun, 31 Dec 2023 00:00:00 +0000

Rupture perineum is a tear in the perineum area of the mother during normal delivery that can be influenced by several factors, such as the technique of straining and the weight of the new born. According to the World Health Organization (WHO), there are about 2.7 million cases of rupture perineum in women in maternity and are expected to increase to 6.3 million cases by 2050 This study aims to analyze the relationship between straining techniques and new born weight with the incidence of rupture perineum in normal childbirth in Hirawati independent practice midwife (BPM) Simpang Balik, Kecamatan Wih Pesam, Kabupaten Bener Meriah, during the period January 16 to June 15, 2025. This study uses quantitative methods with cross-sectional design and involves 30 respondents selected in total sampling. Data were analyzed using Chi-Square test with P value of 0.001 for the relationship of straining technique with rupture perineum, which means statistically significant (P<0.05). While the relationship between birth weight and rupture perineum showed P value of 0.333, which was not significant P >0.05) These results concluded that straining techniques have a significant effect on the incidence of rupture perineum, while the baby's birth Weight did not have a significant relationship It iS recommended that health workers increase education about the correct straining technique to minimize the risk of rupture perineum during childbirth

Effectiveness Of Benson Relaxation Therapy And Murottal A Quran On Sleep Quality Of Elderly People Inn Harapan Kita Social Associates Palembang In 2025

Amien Saputra, Andre Utama Saputra, Sasono Mardiono — Wed, 31 Dec 2025 00:00:00 +0000

Sleep disorders are common health problems among the elderly that can decrease quality of life and increase the risk of degenerative diseases. Non-pharmacological interventions are considered safe alternatives to sleeping medications, including Benson Relaxation Therapy and Qur’anic Murottal Therapy. This study aimed to examine the effectiveness of both therapies in improving the sleep quality of elderly residents at the Harapan Kita Social Institution in Palembang. A quasi-experimental design with a two-group pretest–posttest design was employed. A total of 30 respondents were selected through purposive sampling and divided into two groups: the Benson Relaxation group and the Qur’anic Murottal group. The Pittsburgh Sleep Quality Index (PSQI) was used as the measurement instrument. Data were analyzed using univariate and bivariate approaches with the Wilcoxon Signed Rank Test and the Mann-Whitney U Test. The results showed a significant improvement in sleep quality in both groups after the interventions (p < 0.05). The study concludes that both Benson Relaxation Therapy and Qur’anic Murottal Therapy are equally effective non-pharmacological interventions to enhance sleep quality among the elderly.

Efektifitas Edukasi Laktasi Terhadap Keberhasilan ASI Ekslusif

Romlah Romlah — Wed, 31 Dec 2025 00:00:00 +0000

Background: Exclusive breastfeeding coverage nationally has only reached 52.5%, still far from the target of 70% in the National Medium-Term Development Plan (RPJMN). This study aims to determine the effectiveness of lactation education on the success of exclusive breastfeeding. Methods: The type of research used observational analytics using a cross sectional design. Purposive sampling technique , a total of 46 respondents. Data were taken by observing retrospective data of respondents' medical records. The analysis technique uses the Chi-Square test. Results: The results of statistical tests showed a significant relationship between lactation education and the success of exclusive breastfeeding (pv=0.035). Conclusion: there is a relationship between lactation education and the success of exclusive breastfeeding. Based on these results, it is hoped that it can be additional information that all women who are planning a pregnancy need to be equipped early on about the benefits of lactation, education about the benefits of IMD is also provided during childbirth, and overcomes mothers' doubts about difficulties in breastfeeding through lactation education.

Hubungan Self Care Perawatan Kaki dengan Pencegahan Luka Diabetik pada Pasien Diabetes Mellitus di Rumah Sakit Umum Jeumpa Hospital

Tue, 30 Dec 2025 00:00:00 +0000

Pengaruh pemberian edukasi pencegahan risiko hipertensi terhadap pengetahuan pada remaja di LPPA Domby Kids Hope Yogyakarta

Rachaelia Adrianawati, MI Ektarina Wijayanti, Margaretha Kurniastuti — Tue, 30 Dec 2025 00:00:00 +0000

Teenagers now have a higher prevalence of hypertension (29.28%). One of the main causes of hypertension in teenagers is a sedentary lifestyle, which includes being overweight, eating a lot of fatty foods, eating few fruits and vegetables, staying up late, and not exercising. The goal of this study is to ascertain how teaching teenagers at LPPA Domby Kids Hope Yogyakarta about hypertension risk prevention affects their understanding of this topic. This study used a pre-experimental one-group pretest-posttest methodology with a descriptive experimental design. 35 respondents were chosen for the study's sample using the total sampling technique. Pretest and posttest questionnaires were distributed as part of the data gathering procedures. Of the respondents, 48.6% are late adolescents and students, and 57.1% are female. According to the research findings, 91.4% of respondents had strong knowledge after receiving education, compared to 62.9% of respondents who had inadequate knowledge before to school. The paired t-test analysis revealed a p-value of 0.000, and the normality test results indicated that the data were normally distributed. It may be inferred that there is a relationship between educating teenagers at LPPA Domby Kids Hope Yogyakarta about hypertension risk prevention and their understanding of the topic. Teenagers are encouraged to lead healthy lifestyles, researchers are encouraged to carry out more studies on the impact of knowledge on behavior related to preventing hypertension, and medical professionals are encouraged to produce creative content that includes health information about reducing the risks of hypertension

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

Lusi Marta Indah , Ranida Arsi , Andre Utama Saputra — Tue, 30 Dec 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.

Hubungan Paritas, Pengetahuan dan Dukungan Tenaga Kesehatan Terhadap Rendahnya Cakupan Kunjungan Antenatal Pertama (K1) Murni di Klinik Charitas Lidwina Palembang

Tue, 30 Dec 2025 00:00:00 +0000

Perbandingan Hasil Pemeriksaan Jumlah Eritrosit Menggunakan Antikoagulan K2edta dan K3edta Dengan Variasi Waktu Penundaan

Okvi Andraini, Rosmita Anggraeni, Suryanto Suryanto — Tue, 30 Dec 2025 00:00:00 +0000

Erythrocyte count examination is a crucial component of hematological analysis and plays a significant role in the clinical diagnostic process. One of the key factors affecting result accuracy is the type of anticoagulant used, as well as the delay time before examination. This study aims to compare erythrocyte count results using K2EDTA and K3EDTA anticoagulants with three delay time variations: immediately, after 1 hour, and after 2 hours. The study was conducted at Bumiayu Hospital using a comparative quantitative design with a cross-sectional approach. Venous blood samples from six patients were analyzed using a hematology analyzer, with six repetitions for each treatment combination. Normality was tested using the Shapiro-Wilk method, followed by a paired t-test to determine any significant differences. The results showed no statistically significant difference in erythrocyte counts between K2EDTA and K3EDTA at all delay times (p > 0.05). The sample size was determined using the Federer formula; however, statistically, this number was insufficient to detect small differences significantly. Therefore, the findings should be interpreted with caution, and future studies with larger sample sizes are recommended. Descriptively, K2EDTA tended to yield more stable and slightly higher erythrocyte values compared to K3EDTA, suggesting it may be more suitable for hematological examinations involving delayed analysis.

Efektivitas Pemberian Permen Rasa Mint Terhadap Mual Muntah Pada Post Operasi Sectio Caesaria Dengan Anestesi Spinal Adjuvant Morfin

Ricky Edwar Rosady, Septian Mixrova Sebayang, Tophan Heri Wibowo, Made Suandika — Tue, 30 Dec 2025 00:00:00 +0000

Spinal anesthesia with morphine adjuvant can cause post-operative side effects, one of which is nausea and vomiting. Postoperative Nausea and Vomiting (PONV) is a complication that often occurs in anesthesia after 24–48 hours of surgery. Postoperative Nausea and Vomiting (PONV) can be treated with pharmacological and non-pharmacological treatments. Supportive care is provided with pharmacological antiemetics, such as ondansetron, appetite stimulants, and parenteral and enteral nutrition. Management of PONV with non-pharmacological therapies includes aromatherapy, acupressure, distraction, relaxation, and mobilization. The active compounds of peppermint, including menthol and menthone, play a role in its anti-nausea properties. The purpose of this study was to determine the effectiveness of giving mint-flavored perfume on nausea and vomiting in post-Caesarean section surgery with morphine adjuvant spinal anesthesia at Dr. Soekardjo Regional Hospital, Tasikmalaya City. The method in this study is a quantitative pre-experimental type with a One Group Pretest-Posttest research design using a total sampling technique with a sample size of 42 patients. The results of this study are the effectiveness of giving mint-flavored candy to post-Caesarean section patients with Spinal Anesthesia Adjuvant Morphine at Dr. Soekardjo Regional General Hospital, Tasikmalaya City

Perbandingan Kejadian Shivering Pasca Operasi Pada Pasien Dengan Anestesi Umum dan Pasien Dengan Spinal Anestesi

Suprapto Suprapto, Emiliani Elsi Jerau, Made Suandika, Magenda Bisma Yudha — Tue, 30 Dec 2025 00:00:00 +0000

Postoperative shivering is a common physiological complication that occurs after surgical procedures, particularly in patients undergoing anesthesia. This condition can increase oxygen consumption, cardiac workload, and patient discomfort. This study aims to compare the incidence of postoperative shivering between patients receiving general anesthesia and those receiving spinal anesthesia. The research was conducted in the Operating Room of RS Tk. III Dr. Reksodiwiryo Padang using a descriptive analytic design with a quantitative approach. A total of 48 patients were selected through total sampling, consisting of 24 patients who received general anesthesia and 24 who received spinal anesthesia. Data were analyzed using the Chi-Square test and Fisher’s Exact Test.The results showed that postoperative shivering occurred more frequently in patients who received spinal anesthesia 23 respondents (95.8%) than in those who received general anesthesia 13 respondents (54.2%). Fisher’s Exact Test revealed a p-value of 0.002 (p < 0.05), indicating a statistically significant relationship between the type of anesthesia and the occurrence of postoperative shivering. This finding suggests that the type of anesthesia influences the risk of shivering, with spinal anesthesia posing a higher risk. Preventive measures, such as warming intravenous fluids and monitoring body temperature, are recommended—especially for patients undergoing spinal anesthesia

Hubungan Variasi Durasi Lama Puasa Dengan Status Hemodinamik Dan Kadar Gula Darah Pada Pasien Bedah Elektif

Irwadi Irwadi, Tophan Heri Wibow, Roro Lintang Suryani, Martyarini Budi — Tue, 30 Dec 2025 00:00:00 +0000

Preoperative fasting is important before differentiation to prevent aspiration. The American Society of Anesthesiologists (ASA) guidelines recommend a minimum of 6 hours of fasting, but in practice, longer fasting durations negatively impact the patient's hemodynamic and metabolic status. This study aims to analyze the relationship between variations in fasting duration and hemodynamic status, as well as blood sugar levels, in elective surgical patients. This study used a quantitative cross-sectional approach design with a sample of 135 elective surgical patients collected by purposive sampling. Spearman Rank test analysis showed a significant negative relationship between variations in fasting duration and blood sugar levels (r = -0.380; p = 0.001). No significant relationship was found between variations in fasting duration and diastolic blood pressure, diastolic, MAP, pulse rate, and oxygen saturation (p > 0.05). In conclusion, variations in fasting duration are associated with blood sugar levels, but do not affect hemodynamics. These findings underscore the importance of preoperative fasting duration management to maintain metabolic and physiological stability in elective surgery patients.

Faktor Sanitasi Lingkungan Dengan Kejadian Diare Pada Balita Di Desa Padang Bindu Kabupaten Muara Enim Tahun 2025

Darma Welli, Eva Yustati, Fera Meliyanti — Tue, 30 Dec 2025 00:00:00 +0000

Introduction. Diarrhea in toddlers, if left untreated, can lead to dehydration and death. One risk factor for diarrhea is environmental factors or basic sanitation, including clean water facilities, healthy latrines, and sanitation facilities. Methods. This study used a cross-sectional design. The population in this study was 102 mothers of toddlers aged 1-5 years living in Padang Bindu Village, Muara Enim Regency, with a sample size of 80 toddlers in 2025. Results Univariate analysis showed that of the 80 respondents, 45 (56.3%) toddlers who suffered from diarrhea did not suffer from diarrhea (35 (43.8%), 46 (57.5%) had clean water facilities available, 34 (42.5%), 42 (52.5%), and the availability of family latrines that did not meet the requirements (38 (47.5%). 47 (58.8%) had wastewater disposal facilities that did not meet the requirements (33 (41.3%). Bivariate analysis Chi-square statistical test The availability of clean water facilities, latrines, and SPAL obtained a p-value of 0.000, indicating a significant relationship between clean water facilities, latrines, SPAL, and the incidence of diarrhea in toddlers.

Conclusion. There is a significant relationship between clean water facilities (SPAL) and the incidence of diarrhea in toddlers in Padang Bindu Village, Muara Enim Regency in 2025.

Hubungan Peran Perawat Terhadap Proses Penyembuhan Luka Ibu Post Partum Dengan Sectio Caesaria (SC) di Rumah Sakit Ibu dan Anak Permata Vunda Kota Solok Tahun 2025

Afriza Diyastari , Sisca Oktarini, Rezi Prima, Marizki Putri, Annisa Sri Utami — Tue, 30 Dec 2025 00:00:00 +0000

The phenomenon that often occurs in postpartum mothers with cesarean section (SC) is a slow wound healing process and the risk of complications if not handled optimally, therefore the role of nurses is key in accelerating the wound healing process through appropriate nursing care. This study aims to determine the relationship between the role of nurses and the wound healing process in postpartum mothers with CS at Permata Bunda Mother and Child Hospital, Solok City in 2025 using a research design that is a quantitative approach chi square method and sampling technique that is random sampling, with a population of 450 respondents and a sample of 82 people. The instrument in this study used a questionnaire and observation sheet and obtained results that most respondents gave a good assessment of the role of nurses (75.6%), and most respondents also had a good wound healing process (89%), while the bivariate analysis in the study used the Chi-Square statistical test with a p-value = 0.001 (p <0.05) it can be concluded that there is a significant relationship between the role of nurses and the wound healing process in postpartum mothers with CS. For this reason, it is hoped that the hospital will maintain nursing services, especially in terms of wound care, through ongoing training and a holistic approach so that the post-operative wound healing process can run optimally.

Faktor-Faktor Yang Mempengaruhi Rendahnya Dalam Penggunaan Alat Kontrasepsi Pil Pada Pasangan Usia Subur (PUS) Di Puskesmas Bies Kecamatan Bies Kabupaten Aceh Tengah

Selvia Febriyanti, Nurlaely HS, Zulfikar Zulfikar — Wed, 31 Dec 2025 00:00:00 +0000

Family Planning is an effort to increase community awareness and participation through maturing marriage, birth control, fostering, family resilience, improving family welfare, to create a happy and prosperous small family. The purpose of this study is to identify and analyze the factors that influence the low use of contraceptive pills among couples of childbearing age (PUS). The benefit of this study is to increase insight into the factors that influence the low use of contraceptive pills among couples of childbearing age at the BIES Community Health Center. This type of research uses quantitative research with a cross-sectional research design. The location of the study is the Bies Community Health Center, the research period is from May to July 2025. The population in this study are all couples of childbearing age (PUS) who use contraceptives totaling 1,085 respondents. The sample taken using probability sampling technique, with the number of samples in this study amounting to 92 PUS mothers. The analysis used is the chi-square test (a = 0.05). The results of the chi-square test showed that there was a relationship between knowledge of the use of contraceptive pills with the value (p-value = 0.000 <0.05), there was a relationship between the mother's attitude towards the use of contraceptive pills with the value (p-value = 0.002 <0.05), there was a relationship between husband's support for the use of contraceptive pills with the value (p-value = 0.001 <0.05), there was no relationship between the mother's education on the use of contraceptive pills with the value (p-value = 0.648 >0.05). Suggestions for PUS mothers to pay more attention to the benefits, advantages, and side effects in determining the type of contraception to be used.

Efektivitas Kompres Hangat Kunyit dan Serai terhadap Penurunan Nyeri Rematik pada Lansia

Cindy Senora , Andre Saputra, Sasono Mardiono, Fika Minata Wathan — Wed, 31 Dec 2025 00:00:00 +0000

Rheumatoid arthritis (RA) or rheumatic pain is a chronic condition in the elderly that affects quality of life. Pharmacological therapy may cause side effects, making non - pharmacological alternatives such as herbal warm compresses safe and practical. This study aimed to determine the effectiveness of turmeric and lemongrass warm compresses in reducing rheumatic pain among the elderly at the Harapan Kita Social Home, Palembang. A pre- experimental design with a pretest–posttest without control group was applied. The sample consisted of 30 elderly respondents, divided into two groups: turmeric compress (15) and lemongrass compress (15), selected through purposive sampling. Pain intensity was measured using the Numeric Rating Scale (NRS) and analyzed with the Paired Sample T-test. Results showed a significant reduction in pain scores: from 4.67 to 3.00 in the turmeric group (p=0.000), and from 4.46 to 2.73 in the lemongrass group (p=0.000). In conclusion, both turmeric and lemongrass warm compresses are effective in reducing rheumatic pain in the elderly, with lemongrass showing slightly greater reduction.

Hubungan Usia Ibu Dan Paritas Ibu Hamil Terhadap Kejadian Protein Urine Di Wilayah Kerja Puskesmas Pante Raya Kabupaten Bener Meriah

Devi Aulia Sari, Mawadhah Yusran, Nurlaely HS — Wed, 31 Dec 2025 00:00:00 +0000

Hubungan Pengetahuan, Sikap, dan Tindakan Penderita TB Paru dengan Kepatuhan Minum Obat di Rumah Sakit Sansani Pekanbaru

Tue, 30 Dec 2025 00:00:00 +0000

Pulmonary tuberculosis (TB) is caused by the bacteria mycobacterium tuberculosis and most often attacks the lungs. Pulmonary tuberculosis is spread through the air when a person with pulmonary tuberculosis coughs, sneezes, or sweats. A person only needs to inhale a few germs to become infected. This study aims to determine the relationship between knowledge, attitudes, and actions of pulmonary TB patients with medication compliance. This type of research is a quantitative study using an analytical survey design with a cross-sectional study design. This research was conducted at the Sansani Hospital, Pekanbaru in May-June 2025. The sampling technique in this study used a total sampling of 37 people. The instrument used was a questionnaire sheet containing questions related to knowledge, attitudes, and actions. Data were analyzed using the Chi-Square test. The results showed that there was a relationship between knowledge of pulmonary TB patients and medication compliance. Respondents who had negative attitudes were 20 (54.1%) respondents, there was a relationship between the attitudes of pulmonary TB patients and medication compliance, and there was a relationship between the actions of pulmonary TB patients and medication compliance. It is recommended for health workers to conduct continuous health promotion to patients and families to improve knowledge, attitudes, and actions in the treatment process.

Latihan Fisik Aerobik Sebagai Upaya Pencegahan Gangguan Siklus Haid Pada Wanita Pre Menopouse

Sari Octarina Piko, Rifka Zalila, Tuti Elyta, Rian Martha, Rika Saputri — Tue, 30 Dec 2025 00:00:00 +0000

The purpose of this study is to determine how aerobic exercise impacts menstrual cycle disorders in premenopausal women. This study used a one-group pre-experimental pre-post-test method, where 20 respondents aged 40 to 50 participated in an aerobic exercise program 3 times a week for a month, or 12 sessions, each lasting 30 minutes, with an average attendance rate of 93%. Menstrual cycle regularity, duration of menstruation, intensity of menstrual pain, and volume of bleeding are all metrics that are measured. The research results show that all indicators experienced significant changes after the intervention. With a P value of 0.000 (p < 0.05), the menstrual cycle becomes more regular. The average cycle length was 29.5 ± 3.8 days, the duration of menstruation decreased to 5.9 ± 0.9 days, menstrual pain scores dropped drastically to 3.5 ± 1.1, and bleeding volume became more manageable at 3.2 ± 1.0 pads per day. Additionally, most respondents reported an improved quality of life; among other things, 80% experienced milder menstrual pain, 70% experienced emotional stability, and 60% felt more restful sleep. This study shows that aerobic exercise is effective as a non-pharmacological treatment for preventing and reducing menstrual cycle disorders in pre-menopausal women. This exercise also improves overall quality of life thru hormonal changes.

Hubungan Dukungan Keluarga Dengan Kepatuhan Minum Obat Pada Pasien Skizofrenia Di Poliklinik Rawat Jalan Rumah Sakit Jiwa Kalawa Atei

Rany Saratoga, Putria Carolina, Kristin Rosela — Tue, 30 Dec 2025 00:00:00 +0000

Family support plays a key role in helping schizophrenic patients adhere to medication adherence to their relapse prevention. Medication compliance is an important point that patients, families and health workers must be aware of. Mental health is a condition in which an individual can develop physically, mentally, spiritually and socially. Mental disorders will make it difficult for individuals to develop properly. Schizophrenia is a mental disorder that causes an individual's thoughts, perceptions, emotions and behavior to become distorted. Treatment in schizophrenia takes a long time and adherence to treatment. Research Objective to determine the relationship between family support and medication adherence in schizophrenic patients at Kalawa Atei Psychiatric Hospital. This study used non-experimental quantitative research of unpaired category correlation analysis with a cross sectional approach that emphasizes the time of measurement or observation of independent and dependent variable data only once at a time, then assessed simultaneously and no follow-up. Results: Based on the results of the Chi-Square test, a p value of 0.000 or a significance level of p < 0.05, thus there was a significant relationship between family support and medication adherence in schizophrenia patients at the Kalawa Atei Psychiatric Hospital Polyclinic. Based on the results of the identification of family support for schizophrenic patients at the Kalawa Atei Mental Hospital Polyclinic in Palangka Raya, most of the respondents had good support, namely 17 respondents (56.7%).

Analisis Diterminan Kejadian Hiperemesis Gravidarum Di Ruang Perawatan Kebidanan Charitas Hospital Km 7 Palembang Tahun 2024.

Kristina Indri Astitik — Tue, 30 Dec 2025 00:00:00 +0000

Hyperemesis Gravidarum (HEG) is a condition where pregnant women experience excessive nausea and vomiting during pregnancy, disrupting their daily activities and causing dehydration, acidosis, metabolism, alkalosis, and hypokalemia. The complications of HEG are the complications for mothers and fetuses, such as: nausea, vomiting which can cause disturbances in fetal development, especially in the first trimester of pregnancy, premature birth, and the birth of a low baby weight. The objective of this study is to disclose the risk factors for age, parity, and education on the incidence of HEG. The method used in this study was a cross sectional approach. The population in this study included all pregnant women, 167 respondents in total, treated in the midwifery care room at Charitas Hospital KM.7 Palembang in 2024, and the sample consisted of 63 respondent with the HEG cases and 48 others without HEG cases. The sampling was taken using a purposive sampling technique with secondary data taken from medical record data. The collection tool was a checklist. The data were analyzed using the Chi Square test. The results of this study revealed that there was no relationship between age and the incidence of (HEG) (p value of 0.529), there was a relationship between parity and Hyperemesis Gravidarum (HEG) (p value of 0,038 and there was no relationship between education and Hyperemesis Gravidarum (HEG) (p value of 0,506). It is recommended that efforts be made by midwives to identify factors that play a role in the occurrence of Hyperemesis Gravidarum (HEG) so that preventive measures, early detection, and more optimal treatment can be carried out for pregnant women who are at risk of experiencing Hyperemesis Gravidarum (HEG), especially pregnant women in the period of the 1^st trimester to the 2^nd trimester.

Gambaran Hemodinamik Pre Dan Pasca Anastesi Spinal Pada Pasien Sectio Ceasarea

Ayudarni Anggrayani, Amin Susanto , Septian M Sebayang , Asmat Burhan — Tue, 30 Dec 2025 00:00:00 +0000

Spinal anesthesia is a widely used regional anesthetic technique for cesarean section procedures due to its rapid onset, effectiveness, and safety. However, spinal anesthesia carries a significant risk of hemodynamic changes, such as hypotension and alterations in heart rate, which may affect both maternal and fetal conditions. This study aims to describe the hemodynamic profile before and after spinal anesthesia in cesarean section patients in the operating room of Muhammadiyah Hospital Palembang. This research employed an analytical observational design with a cross-sectional approach. A total of 60 patients undergoing cesarean section with spinal anesthesia were selected using total sampling. Data were collected through observation of blood pressure, mean arterial pressure (MAP), heart rate, and respiratory rate before anesthesia and at the 5th, 20th, 35th, and 50th minutes after the procedure. The results showed that 41.7% of respondents experienced hypotension at the 5th minute, 36.7% had MAP values below 60 mmHg, and 25% developed compensatory tachycardia. Hemodynamic parameters began to stabilize between the 35th and 50th minutes. This study concludes that significant hemodynamic changes occur after spinal anesthesia, especially in the early phase. Therefore, close monitoring of the patient's hemodynamic status is essential to prevent further complications.

Pengaruh Pemberian Terapi Akupresur Terhadap Mual Muntah Pasca Operasi Sectio Ceasarea Dengan Anestesi Spinal

Rio Harmoni, Septian Mixrova Sebayang, Dwi Novitasari, Emiliani Elsi Jerau — Tue, 30 Dec 2025 00:00:00 +0000

Treatment for post-surgical nausea and vomiting can be provided pharmacologically and non-pharmacologically. Pharmacological therapy involves administering antiemetics, while non-pharmacological therapy involves acupressure. This study aimed to determine the effect of acupressure therapy on post-surgical nausea and vomiting following cesarean section with spinal anesthesia. This study used a quasi-experimental design with a pre-post test and control group design. Respondents will be given pretest and posttest treatment with Gordon measurement scale, in the experimental group will be given acupressure therapy. The sample in this study amounted to 44 respondents. The sampling technique used was consecutive sampling. Data collection in May - July 2025. The results of the study found that in the experimental group, most patients were found to have no nausea and vomiting in the pre-test, namely 68.2%, post-test 2 hours felt nausea and vomiting in both groups, namely 52.3%. Post-test 6 hours did not feel nausea, namely 84.1%. In the control group, most patients were found to have no nausea and vomiting in the pre-test, namely 72.7%), post-test 2 hours felt nausea and vomiting in both groups, namely 45.5%. Post-test 6 hours did not feel nausea, namely 88.6%. There was a significant difference between the incidence of nausea and vomiting before and after 2 hours (p = 0.013) and after 6 hours (p = 0.046) administration of acupressure therapy in the experimental group. There was a significant difference between the incidence of nausea and vomiting before and after 2 hours (p=0.000) and after 6 hours (p=0.021) of acupressure therapy in the control group after Caesarean section surgery with spinal anesthesia. There was no significant difference in the incidence of nausea and vomiting between the two groups in the pre-test data (p=0.706), 2-hour post-test (0.201) and 2-hour post-test (0.537) after Caesarean section surgery with spinal anesthesia

Hubungan Komunikasi Terapeutik Perawat Dengan Tingkat Kecemasan Pasien Yang Akan Menjalani Kateterisasi Jantung Di RSUD Dr. Doris Sylvanus Palangka Raya

Venie Venie , Putria Carolina, Kristin Rosela — Tue, 30 Dec 2025 00:00:00 +0000

Hubungan Tingkat Kecemasan Terhadap Tekanan Darah Pada Pasien Pra Operasi

Elsya Yosita Utami, Amin Susanto, Emiliani Elsi Jerau, Dwi Novitaari — Tue, 30 Dec 2025 00:00:00 +0000

Preoperative anxiety can affect physiological conditions in patients, particularly blood pressure. Anxiety increases the release of adrenaline and cortisol, leading to elevated heart rate, vasoconstriction, and potential hypertension. This study aimed to examine the relationship between anxiety level and blood pressure in preoperative patients at RSI Ibnu Sina Padang. A quantitative cross-sectional design was used with 85 respondents selected by purposive sampling from a population of 574 preoperative patients. Anxiety was measured by the APAIS questionnaire and blood pressure with a sphygmomanometer. Data were analyzed using univariate and bivariate analyses with the Chi Square test. Most respondents were aged 26–35 years (24.7%), female (63.5%), with ASA II (58.8%). The highest anxiety level was “severe anxiety” (41.2%), and most had normal blood pressure (63.5%). Statistical test showed a significant relationship between anxiety level and blood pressure (p=0.000). It is concluded that the higher the level of anxiety in preoperative patients, the higher the risk of hypertension, hence early detection of preoperative anxiety is important for maintaining hemodynamic stability.

Hubungan Penggunaan Gadget dengan Perkembangan Pada Anak Usia Dini

Evi Yuniarti, Ayu Nina Mirania — Tue, 30 Dec 2025 00:00:00 +0000

Gadgets are proof of progress in the world of technology. With the existence of gadgets, it cannot be denied that the existence of gadgets is a form of technological progress. The big impact of gadgets is influencing social development along with the times. So it is often seen that children playing with gadgets tend to be more engrossed in their gadgets so that social relations between each other decrease. The influence of gadgets in human life depends on how people use these gadgets. If humans can utilize gadgets, then gadgets will have a positive impact on human life. However, on the contrary, if humans cannot use gadgets wisely and there are no restrictions on their use, then gadgets will have a bad impact on human life itself. This type of research is quantitative with a cross sectional approach. The population of this research is all students aged 3-5 years in Ulil Albab Kindergarten Palembang, while the samples for this research were those that met the inclusion and exclusion criteria. The analysis processing technique uses chi square. The research results showed that the p value obtained from the analysis results = 0.000 (<0.05) indicating that there is a significant relationship between gadget use and early childhood development

Hubungan Pengetahuan Dan Sikap Ibu Hamil Tentang Gizi Seimbang Dengan Pencegahan KEK (Kekurangan Energi Kronis) Pada Ibu Hamil Diwilayah Kerja Puskesmas UPTD Bandar Kecamatan Bandar Kabupaten Bener Meriah

Desi Hartini, Nurlaely HS, Hudnah Hudnah — Tue, 30 Dec 2025 00:00:00 +0000

Chronic Energy Deficiency (CED) is one of the problems faced by pregnant women, the indirect cause of CED is an imbalance in nutritional intake (energy and protein). The impact of CED is anemia, prematurity, low birth weight (LBW), and stunting. WHO data from 2024 shows that CED in pregnant women is (75%) of the maternal mortality rate. In Indonesia, as many as 1.35 million pregnant women experience CED, while in Bener Meriah Regency in 2024, out of 3,431 pregnant women, 193 were found to have CED, and in the study area, 59 pregnant women experienced CED. This condition indicates that the problem of CED is still quite high, so early prevention efforts are needed. The purpose of this study was to analyze the relationship between knowledge and attitudes of pregnant women about balanced nutrition and CED prevention in the Bandar Community Health Center work area. This type of research is quantitative with a cross-sectional design. The sampling technique used a total sampling technique with 72 respondents. The instrument used was a questionnaire. Data analysis was carried out univariately and bivariately with the chi-square test. The chi-square test results showed a significant relationship between knowledge and CED prevention (p-value = 0.002), and a significant relationship between attitude and CED prevention (p-value = 0.021). Pregnant women are advised to adopt a balanced nutritional diet, consume affordable nutritious food according to their family's economic situation, and maintain a positive attitude to prevent CED in pregnant women.

Faktor-Faktor Yang Berhubungan Dengan Sikap Siswi Kelas XI Tentang Kesehatan Reproduksi

Umi Haniah, Merisa Riski, Siti Aisyah — Wed, 31 Dec 2025 00:00:00 +0000

Efektifitas Kompres Hangat Jahe Merah Dan Kompres Hangat Rebusan Serai Terhadap Penurunan Nyeri Sendi Pada Lansia Penderita Arthritis Gout Di Wilayah Puskesmas Gandus Tahun 2025

Rama Pranata, Andre Utama Saputra, Alvian Harisandy — Wed, 31 Dec 2025 00:00:00 +0000

Gout arthritis is a degenerative disease frequently found in the elderly, characterized by joint pain caused by uric acid crystal deposits. Pain management can be achieved through pharmacological and non-pharmacological approaches, including herbal warm compresses. This study aimed to evaluate the effectiveness of warm red ginger compresses (Zingiber officinale Roscoe var. rubrum) and warm lemongrass decoction compresses (Cymbopogon citratus) in reducing joint pain among elderly patients with gout arthritis at the Gandus Public Health Center, Palembang, in 2025. A quasi-experimental design with a pretest–posttest two-group approach was applied. Thirty elderly respondents were recruited using total sampling and divided into two intervention groups. Pain intensity was measured using the Numerical Rating Scale (NRS), and data were analyzed with the Wilcoxon and Mann-Whitney tests. The results showed that both warm red ginger and lemongrass compresses significantly reduced joint pain (p = 0.000), but no significant difference was found between the two interventions (p = 0.550). These findings confirm that both therapies are equally effective in relieving joint pain in elderly patients. Therefore, warm compresses with red ginger or lemongrass can be recommended as safe, simple, effective, and practical non-pharmacological alternatives for managing gout arthritis pain in older adults.

Penerapan slow deep breathing terhadap fatigue pada pasien gagal ginjal yang menjalankan hemodialisa: sebuah tinjauan sistematis

Yofa Anggriani Utama — Wed, 31 Dec 2025 00:00:00 +0000

Chroniic kiidneiy diiseiasei or chroniic reinal faiilurei ranks as thei 20 th leiadiing causeiof deiath worldwiidei iin Iindoneisiia, chroniic kiidneiy faiilurei ranks 10 th among causeis of deiath. Chroniic kiidneiy faiilurei iis a condiitiion iin whiich thei kiidneiys do not functiion propeirly duei to kiidneiy damagei, whiich can bei treiateid wiith heimodiialysiis, causiing physiical weiakneiss, deicreiaseid eineirgy, and fatiiquei duei to compliicatiions from heimodiialysiis. Thei purposei of thiis study was to deiteirmiinei thei eiffeict of slow deieip breiathiing on fatiiquei iin kiidneiy faiilurei patiieints undeirgoiing heimodiialysiis. Baseid on thei reisult of systeimatiic reiviieiw, iit was found that slow deieip breiathiing theirapy has an affeict on fatiiquei iin kiidneiy faiilurei patiieints undeirgoiing heimodiialysiis.

Hubungan Self Care Perawatan Kaki dengan Pencegahan Luka Diabetik pada Pasien Diabetes Mellitus di Rumah Sakit Umum Jeumpa Hospital

Tue, 30 Dec 2025 00:00:00 +0000

Sumber Koping Berhubungan dengan Mekanisme Koping Pasien Gagal Ginjal Kronik yang Menjalani Hemodialisa

Meltha Melynia Preza, Sutejo Sutejo, Deasti Nurmaguphita — Tue, 30 Dec 2025 00:00:00 +0000

The kidneys are organs that function to maintain homeostasis in the body byregulating fluid composition and excreting metabolic waste in the form of urine. A decrease inkidney function results in the kidneys being unable to maintain the balance offluid and electrolyte metabolism, which can lead to uremia. One form of kidney therapyis hemodialysis, which is performed for 4 to 5 hours per session and is carried out2 to 3 times a week. This treatment can cause side effects, both physical and psychological. Efforts to overcome this situation, which involve theability to solve problems, are known as coping. If the coping mechanismis successful, individuals can adapt and undergo change, but conversely,if there is no change, individuals are at risk of experiencing mental disorders. This studyaims to determine the relationship between coping sources and mechanisms of coping in patients chronic with choronic kidney failure undergoing hemodialysis at the Yogyakarta PDHI Islamic Hospital. This study uses a quantitative approachwith a cross-sectional design. The sample consists of 52 chronic kidney failure patients undergoing hemodialysis, selected usingaccidental sampling techniques. The instruments used in this studywere an adaptation of Stuart's (2016) coping sources questionnaire and astandard coping mechanisms questionnaire from Lazarus and Folkman, University of California, SanFrancisco, in Ferayanti's (2016) study, which was then redevelopedfor hemodialysis patients with 40statements. The results showed that most respondents with moderate coping resources preferred problem-focused coping mechanisms, while respondents with low coping resourcestended to use emotional-focused coping mechanisms. The Chi-square test results obtained a p-value of 0.001 (<0.05), whichindicates a significant relationship between coping resources andcoping mechanisms in patients with chronic kidney failure receveing hemodialysis. Thus, it can be concluded that coping resources are significantly relatedto the mechanisms of coping in patients chronic with choronic kidney failure.

Hubungan Pengetahuan Dengan Peran Kader Posyandu Dalam Upaya Pencegahan Penyakit Tidak Menular Di Puskesmas Bukit Hindu

Tenun Tenun, Putria Carolina, Kristin Rosela — Tue, 30 Dec 2025 00:00:00 +0000

Non-communicable diseases (NCDs) are a group of diseases that are not caused by infection, are chronic, and usually develop slowly over time. The increasing burden of non-communicable diseases (NCDs) is caused by various preventable risk factors, including smoking habits, unhealthy diets, lack of physical activity, and alcohol consumption. Efforts to resolve the problem of non-communicable diseases in the community require the important role of active community involvement, especially Posyandu cadres. The government also issued a policy regarding Community-Based Health Efforts (UKBM) such as Posyandu which is expected to be able to resolve health problems in the community to detect and control non-communicable diseases (NCDs) early. This study was to determine the relationship between knowledge and the role of Posyandu cadres in efforts to prevent non-communicable diseases in the work area of the Bukit Hindu Community Health Center UPTD, Palangka Raya City. This research uses a cross-sectional method, namely research that. aims to study the dynamics of the correlation (relationship) between independent variables and dependent variables by means of an observation approach or data collection at one time ( point time approach ) with a sample of 50 respondents. The results of the study showed that there was a significant relationship between knowledge and the role of Posyandu cadres in efforts to prevent non-communicable diseases in the work area of the UPTD Bukit Hindu Health Center, Palangka Raya City. The implication of the research results is that there is a significant relationship between knowledge and the role of cadres, reinforcing that the quality of cadres is highly dependent on the extent to which they understand the tasks and functions in Posbindu PTM . Interventions in the form of regular training, provision of adequate measuring tools and strengthening motivation are very necessary so that cadres can carry out their roles optimally and sustainably.

Dampak Psikososial Anak dan Remaja dengan Kanker dalam Reintegrasi Sekolah dan Sosial: Scoping Review

Suci Ayu Kurniasih, Ikeu Nurhidayah,, Nina Sumarni — Tue, 30 Dec 2025 00:00:00 +0000

Cancer in children and adolescents is a global health challenge with increasing rates, making attention to quality of life during and after treatment increasingly important. Cancer treatment in children can have long-term effects on physical, cognitive, and psychosocial functioning that affect children's participation in school and social environments. School and social reintegration are important aspects of the survivorship phase because they shape children's identity, social relationships, and psychological well-being. Still, this process often faces challenges such as social stigma, isolation, and changes in peer relationships. This study aims to map the scientific evidence related to school and social reintegration in children and adolescents with cancer and its impact on psychological well-being. This study used a scoping review design with a PCC approach. Literature searches were conducted in international databases and selected according to PRISMA-ScR guidelines. A total of 12 articles met the inclusion criteria. The findings showed challenges in school reintegration, such as academic delays and concentration disorders. In the social aspect, stigma, isolation, changes in peer relationships, and bullying were the main obstacles. Psychological impacts included anxiety, decreased self-confidence, and quality of life, although some studies also showed resilience and positive growth. School and social reintegration in children and adolescents with cancer is a process that requires ongoing psychosocial support and cross-sector collaboration to improve psychological well-being.

Pengaruh Pemberian Coloading Cairan Kristaloid Rl Terhadap Tekanan Darah Sistolik Pada Pasien Intra Anestesi Spinal

Junaidi Junaidi, Tophan Heri Wibowo, Wilis Sukmaningtyas, Martyarini Budi S — Tue, 30 Dec 2025 00:00:00 +0000

Hypotension is a common complication of spinal anesthesia due to sympathetic blockade that triggers vasodilation and decreased vascular tone. This study aims to determine the effect of Ringer's Lactate (RL) crystalloid fluid administration via coloading on the blood pressure of patients undergoing spinal anesthesia. The method used was a quasi-experiment with a pretest-posttest design involving 42 patients at RS Tk. III Dr. Reksodiwiryo Padang. Data were analyzed using the Wilcoxon test due to non-normal data distribution based on the Shapiro-Wilk test. The results showed that before the intervention, 69.0% of respondents experienced systolic hypotension and 19.0% experienced diastolic hypotension. After the coloading intervention, all respondents (100%) no longer experienced hypotension. The Wilcoxon test indicated a significant difference in systolic (Z = - 5.587; p < 0.001) and diastolic (Z = -5.659; p < 0.001) blood pressure before and after coloading. These findings demonstrate that RL crystalloid coloading is effective in preventing intraoperative hypotension.In conclusion, RL coloading has been proven to help maintain hemodynamic stability during spinal anesthesia. This intervention is highly recommended, especially for high-risk patient groups such as women and the elderly. This study also supports the implementation of coloading as a standard protocol in clinical anesthetic practice.