Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Journal Title: Jurnal Ilmu Kedokteran dan Kesehatan Indonesia (JIKKI) Initials: JIKKI Frequency: Maret, Juli dan November Print ISSN: 2827-8488 Online ISSN: 2827-797X Editor in Chief: Febri Adi Prasetya DOI: 10.55606 Publisher: Pusat Riset dan Inovasi Nasional Jurnal Ilmu Kedokteran dan Kesehatan Indonesia (JIKKI) : ISSN: 2827-8488 (cetak), ISSN: 2827-797X(online) diterbitkan 3 kali dalam setahun, yaitu pada bulan Maret, Juli dan November.Jurnal ini terakreditasi SINTA 5 (Surat Keputusan Direktur Jenderal Pendidikan Tinggi, Riset, dan Teknologi Nomor 10/C/C3/DT.05.00/2025 tanggal 21 Maret 2025 tentang Peringkat Akreditasi Jurnal Ilmiah Periode I Tahun 2025) dimulai dari Volume 2 Nomor 2 Tahun 2022 sampai Volume 7 Nomor 1 Tahun 2027. Jurnal Ilmiah Kedokteran dan Kesehatan Indonesia menyajikan hasil penelitian dan tinjauan pustaka sehingga jurnal ini bermanfaat bagi dokter, pengambil kebijakan, tenaga kesehatan, dosen serta mahasiswa yang tertarik dengan publikasi ilmiah terkait Ilmu Kedokteran dan Kesehatan Indexed by : Journal Sponsors and Partners :
Tingkat Stres Hubungannya dengan Kejadian Obesitas Penderita Hipertensi
Excessive stress and obesity are factors that cause hypertension that are often not realized, poor psychological conditions and lifestyle patterns that are full of stressors will risk the impact of hypertension problems, if left untreated this disease can interfere with the function of other organs, such as the heart and kidneys. This study aims to determine whether stress levels are related to the incidence of obesity in people with hypertension. This study used a cross-sectional bivariate analysis method with a chi-square statistical test (Contingency Coefficient) with a sample of 55 respondents, the sampling technique used purposive sampling with the criteria of respondents who suffered from hypertension. The results showed that the stress level of most respondents experienced moderate stress as many as 28 people (50.9%) and most were obese as many as 34 people (61.8%). There is a relationship between stress levels and the incidence of obesity in people with hypertension with a p-value = 0.003 <α = 0.05. This condition can be followed up with efforts by health workers to provide education to people with hypertension in managing stress, dealing with emotions, and maintaining mental health as well as diet and exercise in achieving sustainable weight control. Thus, when stress and obesity are well managed, it will reduce the risk of hypertension recurrence in respondents.
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Hubungan Tingkat Pengetahuan Ibu Hamil terhadap Perilaku Pencegahan HIV di Puskesmas Cilacap Selatan II Kabupaten Cilacap
The high prevalence of HIV/AIDS in Indonesia, including 2,490 positive cases among pregnant women in 2023, highlights the importance of prevention efforts, particularly in preventing mother-to-child transmission. At Puskesmas Cilacap Selatan II, one out of 265 pregnant women tested between January and October 2024 showed a reactive HIV result. Early detection and pregnant women’s knowledge are crucial, as low knowledge can hinder the utilization of Voluntary Counseling and Testing (VCT) services. This study aimed to analyze the correlation between pregnant women’s knowledge and HIV prevention behaviors. Using a quantitative correlational method with a cross-sectional design, 86 respondents were selected from a population of 341 through purposive sampling. Data were collected via questionnaires and analyzed using a correlation test (specific statistical test to be confirmed). The results showed a p-value of 0.001 (<0.05) and a correlation coefficient of 0.765, indicating a very strong and positive correlation—the higher the knowledge, the better the prevention behavior. It was concluded that pregnant women’s knowledge is strongly associated with HIV prevention behavior. Therefore, it is recommended that the Puskesmas enhance HIV/AIDS education to prevent mother-to-child transmission.
Prevalensi Kejadian Anemia pada Siswi SMP Negeri 1 Kintamani
Anemia is a condition characterized by low levels of hemoglobin or red blood cell counts in the bloodstream, resulting in a decreased ability of the blood to transport oxygen throughout the body. The prevalence of anemia is relatively high, especially in developing countries. In Indonesia, there has been an increase in the prevalence of anemia among adolescents aged 15-24 years, reaching 13.6%. In Bali, the recorded prevalence of anemia is 21.9%, with Bangli Regency ranking second. Kintamani is one of the sub-districts located in Bangli Regency, and SMP Negeri 1 Kintamani is one of the middle schools in the area. This study aims to identify the prevalence of anemia among female students of SMP Negeri 1 Kintamani. The method used is a cross-sectional study involving 147 respondents. Hemoglobin levels were measured using the Easy Touch GCHb device. The results indicate that the prevalence of anemia among female students at SMP Negeri 1 Kintamani is 18.37%, with mild anemia at 12.24% and moderate anemia at 6.12%. The majority of respondents are 12 years old.
Hubungan Lemak Tubuh dengan Kesehatan Selama Menstruasi pada Remaja di MTs Islamic Kedawung
Adolescent in the world in 2024 amounted to 1.9 billion girls of reproductive age experiencing menstruation, in Indonesia as many as 70.1% of adolescents have experienced menstruation, in West Java as many as 72.5% of adolescents have experienced menstruation and in Cirebon Regency as many as 73.3% have menstruating. The purpose of this study was to determine the relationship between body fat and health during menstruation in adolescents at MTs Islamic Kedawung.This research method uses correlational descriptive with cross sectional approach. The sample of this study was female students who were menstruating, totaling 60 respondents, the sampling technique was accidental sampling. The instrument used is body fat, namely skinfold and menstrual cycle related signs and symptoms (MCSs) questionnaires, as well as data analysis using the spearman rank test. This research was conducted on young women at MTs Islamic Kedawung on 29 June 2022 – 7 Juny 2022.The results showed that body fat in adolescents was (56.7%) in the ideal category and health during menstruation in adolescents was (63.3%) in the no severity category. The results of the bivariate analysis using the Spearmank rank test showed p value < and r < 1.00 with a positive correlation direction, meaning that H0 was rejected, so there was a significant positive and strong correlation between body fat and health during menstruation in adolescents at MTs Islamic Kedawung, which means the more ideal body fat, the health during menstruation is getting less severe (p value= 0.000; = 0.05; r= 0.615).Adolescent are strived to be able to maintain a balance of body fat and health by routinely carrying out activities and adequate nutrition for health during menstruation.
Pengaruh Senam Ergonomik Terhadap Tekanan Darah Lansia Penderita Hipertensi di Kelurahan Gayam Kabupaten Sukoharjo
Hypertension is a major health problem among the elderly and a significant risk factor for cardiovascular disease. In Central Java, the prevalence of hypertension among the elderly ranked the highest in Indonesia in 2021 at 32.5%, and by 2024, it had markedly increased to 71.47%. This alarming rise highlights the urgent need for effective and practical interventions that can be implemented at the community level. One non-pharmacological intervention that has been shown to help lower blood pressure is ergonomic exercise, a form of physical activity designed to be safe, low-impact, and suitable for older adults. This study aimed to determine the effect of ergonomic exercise on the blood pressure of elderly individuals with hypertension in Gayam Village, Sukoharjo Regency. This research employed a quantitative, pre-experimental design using a one-group pretest–posttest approach. The sample consisted of 17 elderly respondents selected through purposive sampling. Blood pressure measurements were obtained using a sphygmomanometer. The ergonomic exercise intervention was administered three times per week, with each session lasting 23 minutes, over a set intervention period. Data were analyzed using the Wilcoxon signed-rank test to assess differences in systolic and diastolic blood pressure before and after the intervention. The analysis revealed a p-value of 0.000 (p < 0.05), indicating a statistically significant reduction in blood pressure following the exercise program. These findings suggest that ergonomic exercise can effectively reduce blood pressure in elderly individuals with hypertension and may serve as a supportive, low-cost, and easily implemented intervention in community health programs. It is recommended that ergonomic exercise be incorporated into routine elderly health promotion activities to help control hypertension and improve overall cardiovascular health.
Gambaran Pola Makan Ibu Hamil Kekurangan Energi Kronis Wilayah Kerja Puskesmas Cilacap Selatan II Kabupaten Cilacap
Chronic Energy Deficiency (SEZ) in pregnant women is still a significant nutritional problem in Indonesia, contributing to maternal and infant morbidity such as the risk of Low Birth Weight (BBLR). The prevalence of SEZs in Central Java increased from 158,327 cases in 2022 to 344,806 in 2023. At the South Cilacap II Health Center, there were 24 cases of pregnant women in the SEZ out of 175 pregnant women in December 2024. An inadequate diet is often the main cause of SEZs. This study aims to describe the diet of pregnant women with SEZs in the working area of the South Cilacap II Health Center. This study used a quantitative descriptive method by involving as many as 85 pregnant women as respondents, consisting of 26 pregnant women in KEK and 59 pregnant women in non-KEK (as a comparison group). The sampling technique used incidental sampling. Data was collected using the Food Frequency Questionnaire (FFQ), then analyzed descriptively through frequency and percentage distribution. Food intake is the main indicator in the assessment of diet. The majority of pregnant women in KEK (88.5%; 23 out of 26 KEK respondents) have a diet that is categorized as "lacking". On the other hand, in the non-KEK pregnant women, the majority (83.1%; 49 out of 59 respondents) showed a "good" diet. Insufficient nutrition has been shown to be closely correlated with the incidence of SEZs. Maternal health during pregnancy is greatly influenced by the quality and quantity of daily food intake. Balanced nutrition must be met to support fetal growth and maternal health. Nutrition counseling and routine education from health workers are highly recommended. It is suggested that the South Cilacap II Health Center increase health promotion efforts through pregnant women's classes, individual counseling, and the provision of educational materials on a balanced nutritious diet to prevent and overcome KEK in pregnant women.
Evaluasi Program Pengendalian Hipertensi di Puskesmas Darul Imarah Kabupaten Aceh Besar 2022-2024
The hypertension control program at the Darul Imarah Community Health Center has been running continuously for the past few years as part of the promotive and preventive efforts in the primary health care system. An evaluation of the program implementation for the period 2022–2024 was conducted to assess the effectiveness and shortcomings of the program based on the IPO-OI (Input, Process, Output, Outcome, Impact) evaluation approach. This study used a descriptive method with a mixed approach, namely qualitative and quantitative, with data obtained through documentation studies of activity reports, field observations, and in-depth interviews with health workers and cadres directly involved in program implementation. The evaluation results show that in terms of input, the program has been supported by the availability of adequate human resources, operational budget support, blood pressure check facilities, regular cadre training, and internal regulations that support program implementation. The target coverage also continues to expand as the number of at-risk populations increases. The implementation process includes routine activities such as hypertension screening, recording and reporting cases, education through counseling groups, and community-based innovations such as the KEPAK (Kendalikan Penyakit Kronis) program, which has been proven to increase community participation. The resulting outputs include an increase in the number of registered hypertension patients from 2,800 in 2022 to 3,500 by the end of 2024, increased follow-up visits, and increased community engagement in the program. Outcomes are evident in the proportion of patients able to control their blood pressure, reaching 80%, and increased adherence to long-term treatment. Meanwhile, the impact of this program is increased public awareness of the dangers of hypertension, improved health literacy, and strengthened community-based primary healthcare systems. Overall, the evaluation results indicate that the hypertension control program at the Darul Imarah Community Health Center is effective and has the potential to be replicated in other areas.
Meninjau Angka Kasus Hipertensi di Puskesmas Lampisang Kecamatan Peukan Bada Kabupaten Aceh Besar
The working area of the Lampisang Community Health Center, Peukan Bada District, Aceh Besar Regency, has shown an increasing trend in hypertension cases over the past three years, making this disease the most common case treated. Hypertension is one of the main causes of morbidity and mortality due to non-communicable diseases, and is a significant burden both clinically and economically in various countries, including Indonesia. This study aims to conduct the implementation of the hypertension program at the Lampisang Community Health Center in 2022–2024 with a comprehensive evaluation approach that includes input, process, output, outcome, and impact. The evaluation was conducted using quantitative and qualitative descriptive approaches. Data were collected from Posbindu PTM forms, Community Health Center activity reports, and interviews with cadres and health workers. The analysis focused on service achievements, education effectiveness, therapy fulfillment, and long-term impacts on patients and the health care system. During 2022–2024, the number of hypertension patients increased from 320 to 404 cases. Blood pressure screening coverage reached 63.4% in 2024. The percentage of educated patients increased from 56.3% to 73.0%, and therapy adherence reached 62.6% in 2024. Outcomes showed that 64.0% of patients experienced a decrease in blood pressure and 59.0% made positive lifestyle changes. Long-term impacts showed improved early detection, but complications were still found in 36 cases over three years. Key challenges included limited facilities, low service coverage, and minimal village fund allocation for Posbindu (Community Health Post). The hypertension program at the Lampisang Community Health Center (Puskesmas) showed increasing achievements and outcomes year after year. However, program effectiveness still needs to be improved through strengthening facilities, ongoing education, and cross-sector collaboration to significantly reduce the prevalence and complications of hypertension.
Pengaruh Spiritual Emotional Freedom Technique (SEFT) terhadap Tekanan darah pada Lansia dengan Hipertensi
The global elderly population (>60 years) has reached 1.4 billion, with a high vulnerability to cardiovascular disease, including hypertension, which affects approximately 1.28 billion individuals worldwide. Hypertension in the elderly is often chronic and requires long-term management, both pharmacological and non-pharmacological approaches. While antihypertensive medications have proven effective, long-term side effects can include kidney disorders, electrolyte imbalances, and decreased quality of life due to drug dependence. Therefore, the development of non-invasive, affordable, and low-risk alternative interventions is crucial. One non-pharmacological approach currently being studied is the Spiritual Emotional Freedom Technique (SEFT), an emotional healing method that combines spiritual elements, positive affirmations, and stimulation of the body's meridian points. SEFT works through the autonomic nervous system and is believed to reduce psychological stress that contributes to high blood pressure. This therapy is easy to learn, can be performed independently, and does not require special equipment, making it highly suitable for use in elderly communities with limited access to advanced medical services. The purpose of this study was to determine the impact of SEFT therapy on blood pressure in hypertensive elderly people at the Nakula Elderly Integrated Health Post (Posyandu). This study also aims to provide a scientific basis for developing a spiritual and emotional-based community intervention model to lower blood pressure in the elderly, while supporting a promotive-preventive approach in the primary health care system. Furthermore, it is important to understand that blood pressure in the elderly is influenced not only by physiological factors but also by psychological conditions such as stress, anxiety, and feelings of loneliness, which are common in old age.
Hubungan Peran Tenaga Kesehatan dengan Perilaku Masyarakat dalam Pencegahan Demam Berdarah Dengue di Wilayah Puskesmas Purwosari
Jajar Village has been identified as the area with the highest risk of Dengue Hemorrhagic Fever (DHF) within the Purwosari Health Center Work Area. Several environmental and demographic factors contribute to this elevated risk, including the village’s proximity to a river, high population density, presence of stagnant water that facilitates mosquito breeding, and scattered waste that serves as additional breeding sites. Although health workers have implemented various DHF prevention programs, their execution has not yet reached optimal effectiveness. Objective: This study aimed to determine the relationship between the role of health workers and community behavior in preventing DHF in the Purwosari Health Center Work Area. Methods: A quantitative approach was employed using a correlational analytic design with a cross-sectional framework. The study population consisted of 549 individuals, from which 56 respondents were selected as the sample through purposive sampling. Data collection was conducted using structured questionnaires assessing both the perceived role of health workers and community preventive behaviors. Statistical analysis was carried out using univariate and bivariate techniques to explore the association between variables. Results: The majority of respondents were female, in their early twenties, and had completed senior high school education. Most respondents (88.2%) rated the role of health workers as good, while 82.4% demonstrated good behavior in preventing DHF, including eliminating mosquito breeding sites and maintaining environmental cleanliness. Bivariate analysis revealed a statistically significant relationship between the role of health workers and community behavior in DHF prevention, indicating that greater health worker involvement is associated with improved preventive actions among residents. Conclusion: The findings highlight that the active and effective role of health workers plays a critical role in shaping positive community behavior toward DHF prevention. Strengthening health worker engagement and sustaining community education programs are recommended to reduce DHF incidence in high-risk areas.
Hubungan Tingkat Stres dengan Kejadian Hipertensi pada Lansia di Panti Sosial Tresna Werdha Natar
Introduction: Numerous reactions, including behavioral, emotional, cognitive, and physiological ones, are brought on by stress. The hormone adrenaline causes the arteries to tighten (vasoconstriction) and the heart rate to rise in response to stress, which raises blood pressure. Objective: At the Tresna Werdha Natar Social Home in South Lampung Regency, this study is to determine the association between stress levels and the prevalence of hypertension among the elderly in 2025.Method: This type of research uses a quantitative approach with a cross-sectional design. The population in this study is all elderly people in the Tresna Werdha Natar Social Home, South Lampung Regency in 2025 as respondents and stress levels are measured using a validated questionnaire while hypertension status is determined based on measurements. blood pressure according to WHO standards. In this study the sampling techniques used were total sampling and purposive sampling.Results: Based on the results of the study, it shows that out of 30 respondents who did not experience stress were 8 respondents (26.7%), and mild stress with 12 respondents (40.0%), moderate stress with 1 respondent (3.3%), and those who experienced severe stress were 6 respondents (20.0%). and some who experienced very severe stress with 3 respondents (10.0%).And respondents who experienced hypertension level 1 with a total of 18 respondents (60.0%), while hypertension level 2 amounted to 7 people (23.3%) and hypertension level 3 amounted to 5 respondents (16.7%). Stress levels and hypertension in the Tresna Werdha social home are significantly correlated, according to the statistical test results, which showed a p-value of 0.005 <0.05.Conclusion: The prevalence of hypertension among senior citizens at the Tresna Werdha communal home in 2025 is correlated with stress levels.Suggestion: It is hoped that it can increase knowledge about stress prevention, especially in the elder.
Gambaran Tingkat Kecemasan Warga tentang Bencana Tanah Longsor Akibat Penambangan Liar di Desa Paseban Klaten
Landslides are natural disasters that cause significant harm to communities, commonly triggered by extreme geomorphological conditions and tropical climates. In Indonesia, 809 landslide incidents have been recorded. These disasters not only disrupt daily life but also impact mental health. While many individuals exhibit normal psychological responses, others may experience disorders such as PTSD, psychosis, depression, and severe anxiety. Objective: To identify the characteristics of respondents and describe the anxiety levels of residents regarding landslides caused by illegal mining in Paseban Village, Klaten. Method: This study employed a descriptive quantitative design using cluster random sampling. The total population was 5,393, with 98 respondents selected as the sample. Results: Most respondents were adults aged 20–44 years (40.8%) and female (58.2%). The majority had an elementary school education (46.9%). The residents' anxiety level regarding landslides caused by illegal mining was predominantly in the mild anxiety category (43.9%). Conclusion: The majority of residents in Paseban Village, Klaten, experienced mild anxiety related to landslide disasters caused by illegal mining.
Pengaruh Metode Peer Education Terhadap Perubahan Pengetahuan dalam Pencegahan Skabies di Pesantren Aceh Besar
Scabies is a contagious skin disease that remains a significant public health problem, particularly in developing countries such as Indonesia. This disease is commonly found in densely populated environments, including Islamic boarding schools and orphanages, where close physical contact and limited sanitation practices facilitate rapid transmission. Effective prevention of scabies requires adequate knowledge, awareness, and healthy behavioral practices among individuals at risk. Therefore, innovative educational strategies that are participatory and contextual are urgently needed. This study aims to analyze the effect of health education using the peer education method on students’ knowledge in preventing scabies. The research applied a quasi-experimental design with a one-group pre-test and post-test approach. The population of the study consisted of all students in the selected institution, and the total sampling technique was used so that every student became part of the research sample. Data were collected through structured questionnaires assessing knowledge about scabies transmission, symptoms, prevention, and treatment. Statistical analysis was performed using the paired sample t-test to measure differences between pre-test and post-test scores. The results of the study showed a significant increase in students’ knowledge after receiving health education through peer education. The paired sample t-test revealed a p-value of 0.000, which is less than 0.05, indicating a statistically significant difference between pre-test and post-test results. These findings demonstrate that peer education is an effective method for improving knowledge in scabies prevention. By involving peers as educators, the program fosters more interactive communication, increases student engagement, and enhances the likelihood of knowledge retention and behavioral change. In conclusion, health education using the peer education method has a positive impact on students’ knowledge regarding scabies prevention.
Efektivitas Terapi Dzikir dalam Menurunkan Risiko Perilaku Kekerasan pada Pasien Skizofrenia di Panti Gramesia Cirebon
Schizophrenia is a chronic mental disorder characterized by disturbances in the mind, emotions, and behavior that can affect an individual's ability to carry out daily activities. According to the World Health Organization (WHO, 2022), there are approximately 24 million people with schizophrenia worldwide, while in Indonesia the prevalence reaches 1.8 per 1,000 population. This condition is often accompanied by the risk of violent behavior that can harm oneself and others. Based on data from the Panti Gramesia Cirebon, 24 patients were recorded at risk of violent behavior due to schizophrenia. One intervention that can be provided to reduce this risk is spiritual therapy, specifically through the practice of dhikr, which is believed to provide mental peace and reduce agitation levels in patients. This paper uses a case study design with a nursing process approach that includes the stages of assessment, establishing a nursing diagnosis, intervention planning, implementation, and evaluation. The case subject is Ms. S, a patient at risk of violent behavior due to schizophrenia. The intervention provided was spiritual therapy dhikr for three consecutive days with the assistance of a psychiatric nurse. The implementation results showed a decrease in symptoms in the form of reduced verbal threats, decreased agitation, increased patient cooperation, and active participation in spiritual activities. Further evaluation showed the achievement of short-term and long-term goals, namely a reduced risk of violent behavior and increased emotional calm of the patient. The findings of this case study indicate that spiritual therapy dhikr is an effective intervention that can be applied in psychiatric nursing care, especially for schizophrenia patients at risk of violent behavior. Therefore, it is recommended that dhikr therapy be made a routine and integrated intervention in healthcare facilities to support patient recovery holistically.
Manajemen Pemberian Foot Massage sebagai Intervensi Keperawatan Maternitas Nyeri Akut Akibat Post Operasi Sectio Caesarea di RSD Gunung Jati Kota Cirebon
Caesarean section (CS) is a surgical delivery method whose incidence continues to increase globally. The World Health Organization (2021) reports that approximately 21% of births worldwide are by CS, and this figure is expected to increase to 29% by 2030. In Indonesia, 21.4% of mothers still experience labor complications, while in Cirebon City, approximately 2,700 mothers gave birth in 2024. One of the main problems after CS is acute pain, which is reported to be experienced by 60% of patients within the first 24 hours despite analgesic therapy. This condition can affect patient comfort, sleep quality, and mobility. Therefore, additional safe and effective interventions are needed to help reduce postoperative pain. One non-pharmacological method that has proven beneficial is foot massage, which can increase relaxation, improve blood circulation, and reduce pain perception. This case study was conducted on Mrs. L, a post-CS patient at Gunung Jati Regional Hospital. Foot massage intervention was given for 15 minutes, twice daily, for three consecutive days. Pain levels were measured using the Numerical Rating Scale (NRS). The results showed a decrease in pain from a scale of 7 before the intervention to a scale of 4 after three days of foot massage. The patient reported feeling more comfortable, improved sleep quality, and improved mobility, with no side effects observed. The conclusion of this case study is that foot massage therapy is effective in reducing acute pain in post-C-section patients and can be used as an additional intervention in maternity nursing practice. Nurses are advised to implement this therapy as part of comprehensive care to help reduce pain from surgical wounds and improve the quality of maternal recovery after C-section.
Evaluasi Program Hipertensi di Puskesmas Beutong Kabupaten Nagan Raya
Hypertension is a non-communicable disease that poses a major challenge to the health system, particularly in rural areas. Community health centers (Puskesmas), as first-level service facilities, play a crucial role in the early detection, control, and prevention of hypertension complications. However, the achievement of Minimum Service Standards (SPM) targets is often hampered by various factors. This study aims to evaluate the implementation of the hypertension prevention and control program at the Beutong Community Health Center, Nagan Raya Regency, and to identify supporting and inhibiting factors in achieving program targets. The study used a mixed methods approach with formative and summative evaluation designs. Quantitative data were collected through secondary documents, while qualitative data were obtained through field observations and in-depth interviews with health workers and cadres. The evaluation was conducted using an input–process–output–outcome approach. Data analysis was descriptive and thematic with source triangulation to enhance validity. The evaluation results indicate that from the input side, the availability of tools and human resources is still limited, especially in Posbindu activities. In terms of process, screening and education are ongoing but not evenly distributed across all work areas. From the output side, the coverage of hypertension case examinations and detection has not yet reached the SPM target. The outcomes indicate that patient adherence to treatment and healthy lifestyle changes still need to be improved. The main inhibiting factors include lack of community participation, limited facilities, and suboptimal recording and reporting. The hypertension program at the Beutong Community Health Center (Puskesmas) has been running but is not yet optimal. Strengthening logistics, information systems, empowering cadres, and improving community education are needed to support the achievement of Minimum Service Standards (SPM) and reduce the number of complications caused by hypertension.
Gambaran Tentang Perilaku Hidup Bersih dan Sehat (PHBS) pada Siswa/Siswi di Sekolah Dasar Negeri 02 Bejen Karanganyar
There are still behaviors that do not align with the principles of Clean and Healthy Living Behavior (PHBS), such as littering, not washing hands with soap, and limited sanitation facilities available. According to UNICEF data (2023), the lack of handwashing habits is one of the leading causes of death from diarrhea, with 25,671 cases of diarrhea recorded in Karanganyar Regency. This study aims to assess the clean and healthy living behavior (PHBS) of students at SDN 02 Bejen Karanganyar based on eight main PHBS indicators. This research uses a descriptive quantitative method with a survey approach and stratified random sampling for data collection. The population consists of 373 students from grades I to VI, and a sample of 79 students was selected. The instrument used was a questionnaire consisting of 17 questions related to PHBS. The results show that the level of PHBS among the students of SDN 02 Bejen Karanganyar falls into the very good category, with 62% of the students in this range. The highest-scoring indicators are healthy snack consumption and waste disposal, with a percentage of 98.1%. However, the indicator for using latrines has the lowest score, which is 80.4%. The conclusion of this study is that while the clean and healthy living behavior of the students at SDN 02 Bejen Karanganyar is already quite good, improvements are still necessary, especially for the latrine usage indicator. These improvements can be achieved through continuous education on the importance of cleanliness and health, as well as improvements in supporting facilities in the school environment, such as better sanitation facilities. It is expected that with these efforts, students' awareness of PHBS will increase, and healthy living behaviors will become more integrated into their daily lives.
Senyawa Metabolit Sekunder pada Daun Kelengkeng dan Daun Jeruk Limau yang Berkhasiat sebagai Obat Tradisional
Public interest in natural remedies has increased significantly in recent years, leading to a growing reliance on traditional medicinal plants as alternative or complementary therapies. Among the plants widely used across generations in various cultural practices are longan leaves (Euphoria longan (Lour.) Steud) and kaffir lime leaves (Citrus amblycarpa (Hassk.) Ochse). Both are believed to possess a variety of health-promoting properties and have long been utilized in traditional medicine for their therapeutic potential. Despite their popularity, scientific investigations that specifically explore their phytochemical composition and pharmacological activities remain limited. This study was therefore conducted to examine the secondary metabolite content of both plants and to evaluate their potential as sources of bioactive compounds. The extraction process was carried out using the maceration technique with 96% ethanol as a solvent, followed by a series of phytochemical screening tests. The analysis aimed to identify the presence of key classes of secondary metabolites such as flavonoids, alkaloids, tannins, saponins, terpenoids, and steroids, which are known to contribute to various biological activities including antioxidant, anti-inflammatory, antimicrobial, and hepatoprotective effects. The results revealed that both longan and kaffir lime leaves tested positive for all targeted secondary metabolite groups. The consistent presence of flavonoids, alkaloids, tannins, saponins, terpenoids, and steroids suggests that these plants hold considerable pharmacological promise. Their metabolite profiles align with the reported therapeutic uses of these leaves in traditional medicine, providing scientific support for their continued application as herbal remedies. Overall, this research strengthens the understanding of Euphoria longan and Citrus amblycarpa as potential sources of phytopharmaceuticals. The findings not only validate their traditional medicinal uses but also highlight their potential in the development of natural-based drug formulations. Further in-depth studies, including isolation of active compounds and pharmacological assays, are recommended to fully characterize their therapeutic properties and clinical applications.
Pengaruh Pemberian Fraksi Etil Asetat Daun Kelor (Moringa Oleifera Lamk.) terhadap Daya Ingat Mencit Jantan dengan Menggunakan Metode Labirin Y-Maze
Memory decline is an early symptom of neurodegenerative disorders such as dementia, often caused by oxidative stress due to an imbalance between the production of Reactive Oxygen Species (ROS) and the body’s antioxidant defense system. Moringa leaves (Moringa oleifera Lamk.) are known to contain flavonoids, particularly quercetin, which exhibit antioxidant activity and are potentially beneficial for cognitive function. This study aimed to evaluate the effect of the ethyl acetate fraction of Moringa leaves on memory improvement in male mice induced with 10% ethanol. The ethyl acetate fraction was obtained through maceration using 70% ethanol, followed by fractionation with ethyl acetate. A total of 25 male mice were divided into five groups: negative control (1% CMC Na), positive control (Ginkgo biloba 60 mg/kgBW), and three treatment groups receiving the ethyl acetate fraction of Moringa leaves at doses of 50, 100, and 150 mg/kgBW. Memory performance was assessed using the Y-Maze method, consisting of three phases: acclimatization (T0), induction (T1), and treatment (T2). Data were analyzed using one-way ANOVA followed by Duncan’s post hoc test.The results showed that the ethyl acetate fraction of Moringa leaves significantly (p value < 0.05) reduced error counts and latency time, with the most optimal effect observed at a dose of 150 mg/kgBW. This dose led to a significant improvement in memory performance compared to the control groups, including the positive control. These findings suggest that the ethyl acetate fraction of Moringa leaves has a more effective potential to enhance memory compared to the positive control, with a time difference of 40 seconds and an error rate difference of 11.67%.
Studi Kasus Teknik Pemeriksaan Radiografi Ossa Pedis Pediatrik dengan Klinis Congenital Talipes Equino Varus (CTEV) di Rumah Sakit Islam Kendal
Congenital Talipes Equino Varus (CTEV) is a congenital foot deformity that is commonly found in pediatric patients, with a fairly high prevalence in Indonesia. Radiographic examination of the foot becomes important to assess the degree of deformity and assist in therapy planning. The projections used in cases of Congenital Talipes Equino Varus (CTEV) include the anterior-posterior (AP) projection (Kite Method), lateral projection (Kite Method), and axial dorsoplantar projection (Kandel Method). The objective of this study is to identify the examination techniques for pediatric feet with clinical congenital talipes equino varus (CTEV) and to understand the reasons for using the anteroposterior (AP) and lateral (Kite method) projections. This research uses a qualitative method with a case study approach. Data were collected through observation, interviews, and documentation on five pediatric patients diagnosed with CTEV who underwent foot radiographic examinations at the Radiology Installation of Islamic Hospital Kendal. Data analysis was conducted to compare the radiographic examination techniques applied at RSI Kendal with the recommended radiographic projection standards in the literature, as well as to assess their impact on image quality and diagnostic accuracy. Results radiographic examination of the feet in pediatric patients with CTEV at RSI Kendal was performed without any special preparation, other than removing metal objects from the area being examined. The equipment used includes a CR X-ray machine, 24x30 cm cassette, computer, printer, and image reader. The examination was conducted with two projections, namely anteroposterior (AP) and lateral, both with the patient in a supine position and the X-ray beam perpendicular to the cassette. The FFD used was 100 cm with an exposure factor of 4 mAs and 40-50 kVp. This technique is deemed sufficient to produce diagnostic images in cases of CTEV. Conclusions, pediatric foot examination techniques with two projections (AP and lateral) are deemed effective in establishing the diagnosis of CTEV and producing optimal diagnostic images. The aim of using the anteroposterior (AP) projection is to assess the talo first metatarsal angle and the talocalcaneal angle, while the lateral projection helps to evaluate the laterocalcaneal angle. To achieve better visualization of the foot anatomy, it is advisable to add an axial dorsoplantar projection to enhance the quality of visualization of the anatomical structures of the foot.
Gambaran Tingkat Kecemasan Penderita Diabetes Melitus di Prolanis Puskesmas Cepogo
Diabetes mellitus (DM) is a chronic condition characterized by elevated blood glucose levels due to impaired insulin production or function. This disease is progressive and cannot be fully cured, often causing significant psychological burdens, including anxiety, in sufferers. Anxiety can negatively impact disease management, medication adherence, and the overall quality of life of sufferers. To address this problem, the Chronic Disease Management Program (Prolanis), initiated by BPJS Kesehatan, is one of the Indonesian government's strategic efforts. This comprehensive and sustainable program aims to prevent complications and improve the quality of life of chronic patients, including DM sufferers, through promotive, preventive, curative, and rehabilitative approaches involving a multidisciplinary health team. This study aims to determine the level of anxiety in diabetes mellitus sufferers participating in the Prolanis program at the Cepogo Community Health Center. The approach used was a quantitative descriptive approach with a simple random sampling technique and involved 57 respondents. The results showed that the majority of DM sufferers experienced mild anxiety (54.4%), followed by moderate anxiety (22.8%), severe anxiety (19.3%), and no anxiety (3.5%). Respondents were predominantly middle-aged (82.5%), female (68.4%), and had diabetes for ≤ 5 years (80.7%). Based on these results, it can be concluded that most DM patients in the Prolanis program at the Cepogo Community Health Center experienced mild anxiety, especially in the middle-aged and female groups with a relatively short disease duration. These findings demonstrate the importance of psychological interventions, ongoing education, and emotional support in the care of DM patients to improve their mental resilience and overall quality of life. An active role for healthcare workers in routinely monitoring the psychological aspects of patients is needed to support more effective DM management.
Pengaruh Isometric Handgrip dan Relaksasi Nafas dalam terhadap Mean Arterial Pressure pada Penderita Hipertensi di Puskesmas Juwiring Klaten
Hypertension is one of the non-communicable diseases that is a leading cause of death worldwide, with a prevalence of 341,727 hypertensive patients in Klaten District. In Juwiring Subdistrict, there were 15,951 residents in 2023. Hypertension treatment can be conducted using non-pharmacological methods such as isometric handgrip and deep breathing relaxation. To determine the effect of isometric handgrip exercise and deep breathing relaxation therapy on Mean Arterial Pressure in hypertensive patients at the Juwiring Health Center, Klaten. A quasi-experimental design with a two-group pretest-posttest approach was used. The study population consisted of 126 individuals, with a sample of 62 respondents divided into an intervention group and a control group, each comprising 31 respondents, selected using purposive sampling. The intervention was conducted over five days, with each session lasting approximately four minutes. The Mann-Whitney MAP test yielded a p-value of 0.000 < 0.05, indicating a significant difference in MAP reduction after the intervention. This study found that isometric handgrip and deep breathing relaxation therapy are effective in lowering MAP in hypertensive patients. The intervention can serve as an alternative in hypertension management and improve quality of life.
Pengaruh Brisk Walking Exercise terhadap Nilai Tekanan Darah pada Lansia Penderita Hipertensi di Posyandu Nusa Indah Kabupaten Sukoharjo
Old age is a phase of change caused by the aging process. One of the health problems experienced by the elderly is hypertension. Hypertension in the elderly usually occurs due to degenerative factors. to determine the effect of brisk walking exercise on blood pressure in elderly people with hypertension. using experimental Quasy with one group pre-test and post-test design. A sample of 33 respondents was selected using purposive sampling techniques. Bivariate test using the Wilcoxon test. The intervention was carried out three times in one week, with a duration of 20 minutes per session. univariate test results before 154.52/93.70 mmHg and after 146.33/86.30 mmHg. The results of the bivariate test showed a significant decrease in systolic and diastolic blood pressure after the intervention (p < 0.05). This study is effective in lowering blood pressure in elderly people with hypertension. So there is an effect of the intervention of brisk walking exercise on the blood pressure value of elderly people with hypertension at Posyandu Nusa Indah, Cemani Village.
Hubungan Tingkat Pengetahuan Ibu Hamil Tentang Anemia dengan Kejadian Anemia pada Ibu Hamil di Wilayah Puskesmas Cilacap Selatan I Kabupaten Cilacap Tahun 2025
Anemia is a significant public health concern, particularly among pregnant women, as it can adversely affect both maternal and fetal health. During pregnancy, the body’s iron requirements increase due to the demands of the growing fetus and the increased blood volume in the mother. Iron deficiency anemia (IDA) is the most common type of anemia among pregnant women, and it can lead to complications such as preterm birth, low birth weight, and maternal morbidity. Adequate iron intake is crucial for preventing anemia, and adherence to iron supplementation is essential for managing and preventing this condition. Knowledge of anemia, including its causes, consequences, and prevention methods, is a key factor influencing the adherence to iron tablet consumption among pregnant women. Women with better knowledge are more likely to understand the importance of iron supplementation and are more consistent in taking their prescribed iron tablets. In contrast, those with limited knowledge may fail to recognize the significance of proper nutrition and the necessity of adhering to medical recommendations. Health education interventions have been shown to improve maternal knowledge about anemia and, in turn, enhance compliance with iron supplementation regimens. The findings of this study underscore the relationship between maternal knowledge and the occurrence of anemia during pregnancy. It was found that women with good knowledge about anemia had a lower incidence of the condition. This emphasizes the need for health education programs at the community level to enhance awareness and promote the importance of iron supplementation. Health professionals should focus on educating pregnant women about the risks of anemia, the benefits of iron tablets, and the proper consumption methods to reduce the prevalence of anemia and improve maternal and fetal health outcomes.
Hubungan Keragaman Pangan, Konsumsi Makan, dan Status Ekonomi Keluarga terhadap Status Gizi Siswa SMP XYZ
Adolescents are an age group that is in a period of rapid growth and development so that their nutritional needs are relatively high. However, adolescents are also classified as vulnerable to experiencing nutritional problems. Factors that affect the nutritional status of adolescents include the diversity of food available, daily consumption habits, and family socioeconomic conditions. This study aims to analyze the relationship between food diversity, consumption patterns, and family economic status to the nutritional status of junior high school students in the city of Bandung. The study used a cross-sectional design with a quantitative approach, involving 43 students selected through purposive sampling. Data were collected through interviews using the Household Dietary Diversity Score (HDDS) questionnaire to assess family food availability, the Individual Dietary Diversity Score (IDDS) to measure individual food diversity, and a 2x24-hour food recall to determine the adequacy of nutrients. The economic status of the family was determined by the Kuppaswamy scale, while anthropometric measurements were carried out using microtoa and digital scales to determine the height and weight of the respondents. The results showed that economic status was positively significantly related to nutritional status (r = 0.389). This means that the better the family's economic status, the better the nutritional status of adolescents. In contrast, food diversity had a negative relationship with nutritional status (r = -0.030), as well as IDDS scores (r = -0.068). This shows that the variety of food consumed by adolescents is not always directly proportional to nutritional quality, because the factors of amount, portion, and balance of nutrients are also very decisive. In conclusion, the economic status of families influenced by education, type of work, and income level of parents plays an important role in maintaining the nutritional adequacy of adolescents.
Penentuan Nilai SPF (Sun Protection Factor) Limbah Destilasi Rimpang Jahe Emprit (Zingiber officinale Var Amarum) dengan Metode Spektrofotometri UV-VIS
Zingiber officinale Var. Amarum (commonly known as jahe emprit) is a local ginger variety recognized for its richness in bioactive compounds, including flavonoids, phenolics, tannins, saponins, and terpenoids, which are widely reported to possess antioxidant properties and the ability to absorb ultraviolet (UV) radiation. These characteristics highlight its potential as a natural source of photoprotective agents. The present study was conducted to evaluate the Sun Protection Factor (SPF) of ginger rhizome distillation waste and to perform phytochemical screening in order to identify its secondary metabolite content. Distillation was performed on 250 grams of fresh ginger rhizomes using a solvent ratio of 1:2 (b/v). The process yielded 130 mL of liquid waste with a 52% recovery rate and retained the distinctive aromatic profile of ginger. Phytochemical analysis revealed the presence of flavonoids, phenolics, saponins, and phytosterols, while alkaloids were detected only in trace amounts, suggesting the waste still contains valuable bioactive constituents despite undergoing distillation. Determination of SPF was carried out using the Mansur spectrophotometric method, which measures absorbance within the wavelength range of 290–320 nm at 5 nm intervals. The extract demonstrated an average SPF value of 39.29, which is categorized as ultra protection, indicating a very high level of photoprotective capacity. These results confirm that ginger rhizome distillation waste retains compounds with strong UV absorption and antioxidant potential, supporting its use as an active ingredient in sunscreen formulations. Beyond its functional efficacy, the utilization of this by-product also promotes sustainability by reducing waste from the essential oil industry and contributing to eco-friendly cosmetic innovation. In conclusion, the study provides scientific evidence that ginger distillation waste can be valorized into high-value products, offering both environmental and economic benefits while meeting the growing demand for natural and safe alternatives in skincare formulations.
Kesiapan Pelaksanaan Rekam Medis Elektronik (RME) dengan Pendekatan 5 M (Man, Money, Material, Machine, Methode)
Electronic Medical Record (EMR) is a system used to record medical information of patients electronically, which aims to facilitate and speed up the recording process. The use of EMR offers ease, practicality, and efficiency in patient data management (Yoga et al., 2020). This study aims to analyze the readiness of implementing EMR at the Muhammadiyah General Hospital in Ponorogo, based on the 5M management elements (Man, Money, Material, Machine, Method). The study uses a descriptive qualitative design with a case study approach, which was conducted through interviews to obtain data. The sample in this study consisted of 27 healthcare workers involved in using the EMR application. The sample was selected using purposive sampling. The results showed that the readiness of EMR implementation in terms of the Man element (human resources) is quite good, as most of the staff have demonstrated readiness in using the EMR application, as seen from their comfort and skills in operating the system. In terms of Money, the hospital has allocated sufficient funds for the maintenance of the EMR system, which is continuously updated, and for its implementation in the inpatient and Emergency Department (ED) areas. For the Material element, the software used for EMR is adequate and ready to support the implementation of the system. In the Machine element, the availability of computers and supporting devices, such as stable internet connections and servers, has been well established. The user-friendly system also supports the implementation process. Finally, the Method element shows that there are clear SOPs (Standard Operating Procedures) for EMR implementation and workflows that are easy to follow by the users. Overall, this study indicates that the Muhammadiyah General Hospital in Ponorogo is ready to implement the Electronic Medical Record system with strong support in all 5M management aspects.
Analisis Sistem Rekrutmen Karyawan di RSU Muhammadiyah Ponorogo: Proses, Tantangan, dan Praktik Terbaik dalam Seleksi SDM
Employee recruitment systems are a critical component in maintaining the quality of human resources (HR) in healthcare institutions, particularly in Muhammadiyah General Hospital (RSU Muhammadiyah), which is based on Islamic values. This study aims to describe the process, challenges, and best practices in the employee recruitment system at RSU Muhammadiyah Ponorogo. Using a qualitative approach, data were collected through in-depth interviews with the Human Resources Development (HRD) team and key stakeholders, direct observation of the selection process, and relevant document studies. Data analysis was conducted thematically, revealing that the recruitment stages at RSU Muhammadiyah Ponorogo include identifying HR needs, administrative selection, written tests, in-depth interviews that assess not only technical competence but also alignment with Islamic values and culture, and health checks. One of the main challenges in this process is finding candidates who possess not only sufficient technical competence but also integrity and ethics that align with Muhammadiyah values. Additionally, ensuring transparency and objectivity in the selection process is crucial to ensure fairness and professionalism. The best practices identified in this study highlight the importance of close coordination between the HRD team and hospital management to create an effective and efficient recruitment process. Emphasizing value-based selection, which not only considers competence but also character and integrity, is key to producing a high-quality workforce. The findings stress the need for strengthening value-based selection to produce employees who are not only professional but also reflect the vision, mission, and Islamic values upheld by RSU Muhammadiyah Ponorogo.
A Review of Health Workers' Preparedness in Flood Disaster Management at Rantau Selamat Public Health Center, East Aceh Regency
Health personnel play a crucial role in delivering health services, including disaster management. In Indonesia, floods are the most frequent type of disaster, with East Aceh District experiencing recurring floods that resulted in four fatalities between 2019 and 2022. Rantau Selamat Subdistrict is particularly vulnerable, making it essential for the local health center to function effectively as a frontline facility during flood events. This study aims to describe the preparedness of health workers in flood disaster management at the Rantau Selamat Health Center, East Aceh District. A descriptive research design with a cross-sectional approach was employed. Total sampling was used, involving 96 health workers. Data were collected through questionnaires. The results indicated that 95.8% of respondents had good knowledge and attitudes toward flood preparedness. However, disaster emergency response capacity was low among 62.5% of respondents, and 81.3% showed limited access to or awareness of an effective early warning system. In contrast, all respondents (100%) reported good readiness in terms of resource mobilization. In conclusion, most health workers demonstrated good knowledge, attitudes, and readiness in terms of resource and medication availability. However, weaknesses were identified in the emergency response plan and early warning system, indicating the need for strategic improvements to enhance overall preparedness for flood disaster management at the Rantau Selamat Health Center.
Analisis Cemaran Staphylococcus aureus pada Saus yang digunakan Pedagang Bakso di Lingkungan Sekolah Dasar Kecamatan Banda Sakti Lhokseumawe
Sauce is a processed product made from fruits or vegetables in paste form and is commonly used as a food condiment, especially in popular street foods like meatballs (bakso) in Indonesia. Inadequate attention to hygiene and sanitation in food handling can lead to contamination by microorganisms, including Staphylococcus aureus. This study aimed to evaluate the hygiene and sanitation practices of meatball street vendors around elementary schools in Banda Sakti District, Lhokseumawe, and to detect the presence of S. aureus contamination in the sauces used, as well as assess compliance with the Indonesian National Standard (SNI) 7388-2009. The research involved interviews and observational assessments of vendors, as well as laboratory analysis of 25 sauce samples using the Spread Plate method on Baird Parker Agar with three levels of dilution and colony counting based on the Aerobic Plate Count formula. Samples were collected using purposive sampling. The results showed that vendors had good hygiene and sanitation practices, and no S. aureus contamination was found in the sauce samples. Therefore, the sauces met the microbial safety standards set by SNI 7388-2009. In conclusion, the vendors maintained proper hygiene and sanitation, and the sauces used were free from Staphylococcus aureus contamination, indicating compliance with food safety standards.
Hubungan Keaktifan Mengikuti Organisasi dengan Afeksi Positif Psikologis pada Mahasiswa Semester 6 Program Studi Kesehatan Masyarakat Fikkia Universitas Airlangga
This study aims to analyze the relationship between organizational participation intensity and positive psychological affect among sixth-semester students of the Public Health Study Program, FIKKIA, Universitas Airlangga. Employing a quantitative correlational design, the research involved 36 respondents selected through purposive sampling using Slovin’s formula with a 10% margin of error. The instruments consisted of an organizational activity scale adapted from previous studies and the Affect Balance Scale (ABS) to measure positive affect, both of which demonstrated validity (r > 0.30) and high reliability (α > 0.7). Data were analyzed using the biserial correlation test. The results indicated that most students fell into the moderate participation category (44%), followed by high (36%) and low (20%) categories. Positive affect was reflected in five statements, including interest in learning new things, feeling pleased when opinions are heard, and pride in contributing to others. Negative affect appeared in four statements, such as frustration when performance is poorly evaluated and anxiety when speaking in public. The correlation analysis yielded a Sig. two-tailed value of 0.802 (>0.05), indicating no significant relationship between organizational participation intensity and positive psychological affect. These findings suggest the potential influence of confounding variables, such as personality traits, gratitude, social support, or academic workload, affecting both variables. The study highlights the importance of considering these factors in designing organizational activities to foster students’ psychological well-being.
Analisis Manfaat Implementasi SIMRS Webview di Instalasi Radiologi RSUD Dr. R. Soetijono Blora
The Hospital Management Information System (SIMRS) is an essential instrument in supporting data management and enhancing healthcare services more effectively. This system is designed to provide accurate, fast, and reliable information, thereby facilitating decision-making processes within hospital environments. The Radiology Department of Dr. R. Soetijono Regional General Hospital, Blora, has adopted a WebView-based SIMRS as part of its digital transformation efforts. The procedure begins with patient data management initiated by referring physicians. The data are then imported into the SIMRS, which is automatically connected to the radiology department, thereby simplifying the workflow of patient examination services. The objective of this study is to evaluate the benefits and effectiveness of using SIMRS Pilar compared to SIMRS WebView, particularly in the context of radiology services. This research employed a quantitative method using a questionnaire consisting of 30 items, which was distributed to 13 radiographers directly involved in service delivery through SIMRS. The findings indicate that SIMRS WebView significantly improves service efficiency. This is reflected in faster patient data entry and access, smoother integration between hospital units, and a reduction in errors and data redundancy. Validity testing of the research instrument showed that all items had correlation values above 0.444 with significance levels below 0.50, confirming their validity. In addition, respondents considered the new system more practical compared to the previous one, as it allows access through devices connected to the hospital’s internal network. Nevertheless, the study also identified several technical challenges, such as unstable network connectivity and the need for adaptation among users who were not yet fully familiar with web-based technology. Overall, the study concludes that the implementation of SIMRS WebView in the Radiology Department of Dr. R. Soetijono Regional General Hospital is effective and beneficial in improving service quality.
Perbedaan Persepsi Tentang Penggunaan Kontrasepsi Implan pada Akseptor Implan dan Non Implan Menggunakan Teori Health Belief Model
Implant is one of the Long-Term Contraceptive Methods (LTCM) that still has relatively low popularity compared to other contraceptive methods. In Indonesia, the use of contraceptive implants remains limited. Data from the 2022 active family planning participants in Malang Regency showed that only 8.2% of acceptors used implants (BPS of East Java Province, 2022). The low coverage may be influenced by various factors, one of which is people’s perception of implants. Perception plays an important role in the process of choosing contraception. Individuals who are able to perceive themselves well tend to have greater self-awareness in selecting a contraceptive method that suits their needs (Windarti, 2020). This phenomenon can be analyzed through the Health Belief Model (HBM), which emphasizes the importance of perception factors such as susceptibility, severity, benefits, and barriers in health-related decision-making, including contraceptive use. This study aims to analyze the differences in perceptions regarding implant contraception based on the Health Belief Model. The research employed a comparative design with a sample of 72 respondents, consisting of 32 implant acceptors and 40 non-implant acceptors, selected using the Proportionate Cluster Random Sampling technique. The research instrument was a structured questionnaire that had been tested for validity and reliability. The results indicated a significant difference in perception of implant use between implant and non-implant acceptors, with a p-value of 0.027 (<0.05). The most meaningful differences were observed in the perceptions of susceptibility and severity. Implant acceptors tended to have a more positive perception of implant contraception, whereas non-implant acceptors were more likely to hold negative perceptions. An individual’s perception becomes positive when it aligns with their needs and, conversely, becomes negative when it conflicts with perceived needs. These findings highlight the importance of strengthening education and counseling on implant contraception to improve community perceptions, thereby encouraging greater use of implants as an effective long-term contraceptive choice.
Hubungan Pengetahuan tentang Kanker Payudara dengan Perilaku Pemeriksaan Payudara Sendiri (SADARI) pada Remaja Putri di MA Muhammadiyah 1 Kota Malang
In Malang City, breast cancer is recorded as the second most common cancer in East Java. Based on data from 2021–2022, the number of breast cancer cases in Malang increased to 29 cases. This indicates that breast cancer remains a serious public health problem requiring special attention, particularly in terms of prevention and early detection. One of the simplest early detection efforts that can be carried out independently is breast self-examination (BSE). However, the practice of BSE among adolescent girls is strongly influenced by their level of knowledge regarding breast cancer. The purpose of this study was to determine the relationship between knowledge about breast cancer and breast self-examination behavior among adolescent girls at MA Muhammadiyah 1 Malang. This research employed an analytical correlation method with a cross-sectional approach. The study population consisted of 85 students, with a sample of 46 students selected through proportional random sampling. The research instruments included a breast cancer knowledge questionnaire and a BSE behavior questionnaire that had been tested for validity. The results showed that the level of knowledge among adolescent girls at MA Muhammadiyah 1 Malang was mostly in the moderate category. Similarly, their BSE behavior was also predominantly in the moderate category. Data analysis using the Chi-Square statistical test revealed a significant relationship between knowledge about breast cancer and breast self-examination behavior, as indicated by a p-value = 0.022 (<0.05), which means the research hypothesis was accepted. In conclusion, the findings suggest that better knowledge of breast cancer is associated with better BSE behavior among adolescent girls. Therefore, continuous efforts in the form of communication, information, and education (CIE) on early detection of breast cancer are necessary. Improved knowledge is expected to raise awareness and encourage adolescent girls to routinely perform BSE as a preventive measure against breast cancer
Analisis Kualitas Pelayanan dan Kaitannya dengan Minat Kunjungan Ulang Pasien Umum di RS Islam Pondok Kopi Jakarta Timur
Revisit intention is the tendency of a patient to return to the same healthcare facility after receiving prior services. Based on a preliminary study of ten Out of Pocket patients at RS Islam Jakarta Pondok Kopi, 60% showed low revisit intention. This study aims to determine the relationship between service quality and revisit intention among Out of Pocket patients in the outpatient unit. The research used a quantitative approach with a cross-sectional design. The study population consisted of all Out of Pocket patients from January to April 2025, with a total of 9,664 patients. The sample size was 65 respondents, selected through purposive sampling. Data were collected using questionnaires measuring revisit intention (Behavioral Intention model) and service quality (SERVQUAL dimensions). Data analysis included univariate and bivariate analysis using the Chi-Square test. The results showed that 50.8% of respondents had low revisit intention. The highest dissatisfaction was in the tangibles dimension (60%), while the reliability (56.9%), responsiveness (53.8%), assurance (61.5%), and empathy (63.1%) dimensions were mostly rated as satisfactory. Bivariate analysis revealed significant relationships between revisit intention and all service quality dimensions: tangibles (p < 0.001), reliability (p < 0.001), responsiveness (p < 0.001), assurance (p 0.003), and empathy (p 0.006). Therefore, improvements in all five dimensions of service quality are essential to increase Out of Pocket patients’ revisit intention.
Edukasi Manajemen Penurunan Fleksibilitas pada Lansia di Desa Kwagean
Aging is a natural process experienced by every individual and is often accompanied by various physiological changes. One of the most noticeable changes is the decline in muscle and joint flexibility among the elderly. This condition can lead to limited mobility, reduced functional ability, and difficulties in performing daily activities such as walking, bending, or doing simple household chores. Decreased flexibility is also associated with an increased risk of falls and injuries, making it an important issue in maintaining the quality of life of older adults. This study aimed to examine the effect of flexibility management education on the elderly in Kwagean Village. The research design used was pre-experimental with a one-group pre-test post-test approach. A total of 20 elderly participants were selected purposively and attended the educational program, which was conducted after regular elderly exercise sessions. The education was delivered through lectures, discussions, and demonstrations of simple exercises that can be practiced at home to maintain muscle and joint flexibility. Data were collected using a knowledge questionnaire about flexibility and the sit-and-reach test as a measure of physical ability. The results showed an increase in the average knowledge score from 65.0 in the pre-test to 85.0 in the post-test. In addition, there was an improvement in the average flexibility score from 15.2 cm to 20.8 cm after the intervention. Statistical analysis indicated a significant difference (p<0.05), meaning that flexibility management education was proven effective. These findings suggest that education combined with physical activity can positively impact both knowledge and physical ability in the elderly. Practically, such programs can be implemented regularly at the village or community health post level to prevent functional decline. Thus, flexibility management education serves as a promotive and preventive strategy to improve the quality of life and independence of older adults in carrying out daily activities.
Faktor yang Berhubungan dengan Pemberian Mp-Asi Dini di Wilayah Kerja Puskesmas Dapurang
Providing complementary foods (MP-ASI) that is not appropriate to the timing, either too early or too late, can have negative impacts on children's health, such as malnutrition, decreased immunity, and increased risk of gastrointestinal infections. This study is a quantitative study with an analytical method using a cross-sectional approach. The study population included all mothers with children aged 6–23 months in Dapurang Village, a total of 111 people. Of these, 53 respondents were selected as samples using a purposive sampling technique according to predetermined criteria. The variables studied included maternal knowledge, socio-cultural factors, the role of health workers, and the practice of providing early MP-ASI. Data were collected through questionnaires, then analyzed univariately and bivariately using the chi-square test to see the relationship between variables. The results showed that 62.3% of mothers had good knowledge, 58.4% were still influenced by less supportive socio-cultural factors, and 66% of respondents stated that health workers played an active role. In addition, 64.1% of respondents did not provide early MP-ASI to their children. The results of statistical tests showed a significant relationship between knowledge (ρ = 0.000), socio-cultural factors (ρ = 0.001), and the role of health workers (ρ = 0.002) with the practice of providing early complementary feeding. Therefore, this study concluded that the level of maternal knowledge, socio-cultural support, and the involvement of health workers have a significant influence on the practice of providing early complementary feeding in the Dapurang Community Health Center work area.
Teknik Pemeriksaan Shoulder Joint dengan Klinis Trauma di RS PKU Muhammadiyah Karanganyar
This study aims to examine the technique of Shoulder Joint radiographic examination in trauma cases carried out at PKU Muhammadiyah Hospital Karanganyar. The method used is qualitative descriptive with a case study approach through direct observation, interviews with radiographers, and documentation of examination procedures. The results showed that the radiographic examination was carried out using Posterior Antero Thorax (AP) projection without special preparation, except for the removal of metal objects around the examination area. This projection was chosen because it was able to assess the condition of the shoulder and thorax simultaneously, allowing comparisons between the healthy side and the traumatized side, as well as detecting abnormalities in the costae and lungs with minimal radiation exposure. Although the AP projections provide an overview, this study highlights the importance of developing a specific Standard Operating Procedure (SPO) for the examination of the Shoulder Joint in trauma cases to improve diagnostic consistency and accuracy. The study also recommends the use of additional projections such as the Scapula Y view and Transthoracic Lateral as a complement to obtain a more detailed visualization of the structure of the shoulder joint and surrounding tissues. These findings are expected to be a reference in the development of radiography protocols for shoulder trauma in health care facilities, as well as improve the quality of radiology diagnostic services as a whole.
Chromogenic Black Stain pada Gigi Anak : Tinjauan Literatur
Stains are pigmented deposits on the surface of teeth, commonly caused by activities that increase the risk of discoloration, such as consuming colored beverages (e.g., coffee, tea, and soft drinks) and smoking, which leaves brownish to blackish tar residue. This discoloration typically develops gradually over time and can lead to aesthetic concerns. Such changes may have a significant psychological impact, particularly when they affect the anterior teeth, which are visible during speaking or smiling.Tooth discoloration can occur in both permanent and primary (deciduous) teeth. This condition is especially important to address in children, as teeth play a vital role in their growth and development. In childhood, teeth function not only as tools for chewing but also assist in speech development, facial balance, and aesthetics. Moreover, primary teeth serve as guides for the proper eruption of permanent teeth. Therefore, maintaining the cleanliness and health of children's teeth from an early age is crucial to prevent the formation of stains and discoloration, which can have long-term effects on both function and appearance.Preventive efforts through education on proper oral hygiene habits, avoiding substances that contribute to staining, and regular dental visits are essential strategies in preserving children's dental health. Early intervention and awareness can significantly reduce the risk of staining and ensure that children's teeth continue to support their overall well-being throughout the stages of development
Evaluasi Penggunaan dan Outcome Terapi Obat Antinyeri pada Pasien Diabetik Neuropati di RS PKU Muhammadiyah Surakarta
Diabetic neuropathy is a type of neuropathic pain commonly found in patients with diabetes, resulting from damage to the central or peripheral nervous system. Neuropathic pain is one of the most frequent and distressing symptoms experienced by patients with diabetic peripheral neuropathy, affecting approximately 16% to 26% of patients. Neuropathic pain can significantly impact daily activities, self-care ability, work productivity, and sleep quality (Rivani et al., 2024). This study aimed to analyze the patterns of analgesic therapy use in patients with diabetic neuropathy and to evaluate the effectiveness of such therapy in reducing neuropathic pain levels. This study employed a retrospective observational design, using medical records data from January to December 2024. Data collected included patient characteristics, types and doses of analgesic drugs, and clinical outcomes based on pain improvement. Descriptive analysis and Chi-Square tests were performed. A total of 72 samples meeting the inclusion criteria were obtained. The evaluation of the use and outcomes of analgesic therapy in patients with diabetic neuropathy at PKU Muhammadiyah Hospital Surakarta revealed that the effectiveness of therapy was assessed based on patient outcomes after treatment. Most patients showed improvement in pain conditions, with Gabapentin demonstrating the highest effectiveness in reducing neuropathic pain. The Chi-Square test analysis on the relationship between the type of analgesic drug combination and the patient’s pain level after therapy yielded a significance value of 0.005. Since the significance value was <0.05, it can be concluded that there is a statistically significant relationship between the type of drug administered and the patient’s pain level after undergoing therapy.
Hubungan Gaya Hidup dengan Insiden Fibroadenoma
Fibroadenoma mammae is one of the most common benign solid lump with a prevalence of 15-23% based on autopsy study. Characteristics of Fibroadenoma mammae (FAM) is a firm mass with sharply circumscribed and the diameter is no more than 3 cm.Fibroadenoma is typically occurring in patients between the ages of 14 and 35 years, but it can happen at any age. The risk factors of fibroadenoma and breast cancer are similar. The highest risk factors of benign breast lump are environment and lifestyle. This study aimed to observe the correlation between lifestyles and the incidence of fibroadenoma. The lifestyles under this study are dietary patterns, physical activity, alcohol consumption, and smoking. An analytical observational study with cross-sectional design is used to perform fibroadenoma patients who were under primary care at the University of Sumatera Utara Hospital year 2021-2022. A chi square test was used to analyze the data with p value ≤0,05. The test showed p-value of the lifestyles; 0,032 for dietary pattern, 0,031 for physical activity, 0,334 for smoking, and none for alcohol consumption. The p value of alcohol consumption was not found due to no respondents drink alcohol. Dietary pattern and physical activity are associated with incidence of fibroadenoma. Smoking and alcohol consumption are not associated with incidence of fibroadenoma.
Gambaran Hemodinamik Pasien pada Pembedahan Laparaskopi dan Laparatomi dengan General Anestesi di RSUD Kardinah Tegal
Among various surgical procedures, laparotomy and laparoscopy are among the most frequently performed, especially in cases involving abdominal organs. Both procedures use general anesthesia, but there are differences that affect patient stability, particularly regarding hemodynamic aspects such as blood pressure, pulse rate, and oxygen saturation. These factors can stem from organ manipulation during surgery, bleeding, increased intra-abdominal pressure, or the effects of anesthesia. This study aims to describe the hemodynamic conditions of patients during the pre- and intraoperative phases of laparotomy and laparoscopy. Using a comparative quantitative descriptive study design using a cross-sectional approach, the sample consisted of 52 patients, divided into 26 patients undergoing laparotomy and 26 patients undergoing laparoscopy. An observation sheet was used to collect data. The results of observations during the preoperative phase showed that all patients were hemodynamically stable and within the normal range. However, during surgery, laparotomy patients tended to experience a more significant decrease in blood pressure compared to the laparoscopy group, with an average of 107.3/65.65 mmHg. In contrast, in patients undergoing laparoscopy, a more pronounced increase in heart rate was identified, with an average of 73.26 beats per minute. Despite this difference in response, oxygen saturation levels generally remained stable both pre- and intraoperatively in both patient groups.
Evaluasi SIM-RS menggunakan Metode TAM (Technology Acceptance Model) di Ruang Rawat Inap Rumah Sakit Umum Cut Meutia Kota Langsa Tahun 2025
Evaluation measures work or things that are done, evaluation is very useful or useful because it can determine the level of work and also as an assessment of what has been done or done. Management Information Systems are a network of data processing procedures developed within an organization and approved when necessary to provide data to management as a basis for decision making in order to achieve goals. This research aims to determine the relationship between SIMRS Evaluation and the TAM (Technology Acceptance Model) Method. This type of research is analytical, with a cross sectional design, this research uses independent variables, namely perceived Ease of Use and Attitude Toward Using, technically it also uses an independent variable, namely SIMRS Evaluation. With a total sample of 52 respondents using accidental sampling technique. Data were analyzed univariately and bivariately with chi square presented in the form of a frequency distribution table. The results of the research concluded that of the 52 respondents, the majority were Good, 23 respondents (44.2%) while the majority were Not Good, namely 29 respondents (55.8%). There is a relationship between the SIMRS Evaluation of Convenience in the Cut Meutia Langsa General Hospital Inpatient Installation with a P-value of 0.000 (p<0.05). and there is a relationship between the SIMRS Evaluation of Attitudes in the Cut Meutia Langsa General Hospital Inpatient Installation with a p-value of 0.000 (p<0.05). The conclusion of this research is that the Cut Meutia Langsa General Hospital can carry out regular structural evaluations of officers in operating SIMRS.
Pengaruh Tingkat Pendidikan, Pekerjaan dan Kondisi Ekonomi terhadap Perilaku Ibu dalam Pemenuhan Imunisasi Dasar di Praktik Mandiri Bidan Dewi Sesmera Tanjung Mulia
Immunization is one of the essential public health efforts that are effective in providing specific immunity against Immunization-Preventable Diseases. The study used a quantitative cross-sectional approach. The study sample was 33 mothers who underwent basic immunization at the Dewi Sesmera Tanjung Mulia Independent Midwife Practice. The statistical test used was the Chi-Square test and the Crostabs test. The results of the study concluded that of the 25 mothers who behaved well in fulfilling basic immunization, there were 72.7% (24 people with high education); 3.0% (1 person) with secondary education and none with low education. Furthermore, as many as 6.1% (2 people) behaved poorly with a high level of education; 18.2% (6 people) with secondary education and 0% (no one) with low education. The results of the data analysis obtained a p value = 0.000 <0.05, meaning there was an influence of education level on maternal behavior in fulfilling basic immunization at the Dewi Sesmera Tanjung Mulia Independent Midwife Practice. Of the 25 mothers with good behavior in fulfilling basic immunizations, 75.8% (25 people) were housewives and no mothers were working. Furthermore, 9.1% (3 people) had bad behavior with the status of housewives, and 15.1% (5 people) with working status. The results of the data analysis obtained a p value = 0.000 <0.05, there was an influence of work on maternal behavior in fulfilling basic immunizations at the Dewi Sesmera Tanjung Mulia Midwife Independent Practice. Of the 25 mothers with good behavior in fulfilling basic immunizations, 45.5% (15 people) had very high economic conditions, 24.2% (8 people) had middle economic conditions, 6.1% (2 people) had middle economic conditions, and 0% (none) had low economic conditions. Furthermore, 15.1% (5 people) had bad behavior with middle economic conditions, 9.1% (3 people) had middle economic conditions, there were 0% (none) with very high economic conditions and low economic conditions. The data analysis yielded a p-value of 0.008 <0.05, indicating that economic conditions influence maternal behavior in fulfilling basic immunizations at the Dewi Sesmera Tanjung Mulia Independent Midwife Practice. This study concluded that education level, occupation, and economic conditions influence maternal behavior in fulfilling basic immunizations.
Uji Toksisitas Akut Ekstrak Etanol Daun Manggis (Garcinia Mangostana L.) dengan Melihat Fungsi Hati Tikus Putih Jantan Galur Wistar
Mangosteen (Garcinia mangostana L.) is known to contain various bioactive compounds such as xanthones, flavonoids, and tannins which have great potential as herbal medicine, although its safety aspect still requires further research. This study aims to determine the LD₅₀ value and assess the effect of administering ethanol extract of mangosteen leaves on liver function of male white rats of the Wistar strain using SGOT and SGPT enzyme parameters. Acute toxicity tests were conducted based on the Acute Toxic Class (OECD 423) method by administering the extract orally to two dose groups, namely 300 mg/kgBW and 2000 mg/kgBW, as well as a control group using 1% Na-CMC. The test results showed that at a dose of 300 mg/kgBW no mortality was found in the experimental animals (0%), while at a dose of 2000 mg/kgBW mortality was recorded at 60% (2 out of 3 test animals). The LD₅₀ value cannot be determined precisely due to limited dose variation, but it can be estimated to be in the range of 300–2000 mg/kgBW, in accordance with OECD guidelines that allow reporting of LD₅₀ values ​​in interval form if data are incomplete. Furthermore, liver function tests showed an increase in liver enzyme levels in the 2000 mg/kgBW dose group, where SGOT increased from 42.25 U/L to 74.25 U/L, while SGPT increased from 35.25 U/L to 52.25 U/L, although these values ​​are still within the normal physiological range. Thus, mangosteen leaf extract shows potential toxicity at high doses, so its use as a herbal medicine still requires further study.
Implementasi Kompres Aloevera terhadap Penurunan Suhu Tubuh pada Anak dengan Kejang Demam Sederhana
Child health encompasses physical, mental, and social well-being, which must be maintained optimally by parents and the community through comprehensive child protection efforts. Toddlers are particularly vulnerable to various illnesses such as fever, acute respiratory infections, and diarrhea, all of which can trigger febrile seizures. Prompt and appropriate management of hyperthermia is essential to prevent serious complications, including seizures and death. One non-pharmacological method that can be used to reduce body temperature is an Aloe vera compress. This case study aims to analyze the effectiveness of Aloe vera compresses in lowering body temperature in children experiencing febrile seizures. The study employed a descriptive case study approach with data collected through physical examination, interviews, and direct observation of the patient. The results showed a decrease in body temperature from 39℃ to 36.5℃ after the administration of Aloe vera compresses over three days (3×24 hours), accompanied by clinical improvement such as the absence of shivering and increased patient comfort. Based on these findings, it is recommended that healthcare providers consider Aloe vera compresses as an non-pharmacological therapy in managing hyperthermia in children, that parents be educated on proper application techniques, and that further research using an experimental design be conducted to evaluate the effectiveness of this intervention in a larger population.
Prosedur Pemeriksaan Radiografi Cervical Dinamik pada Klinis Herniated Nucleus Pulposus (HNP) di Instalasi Radiologi RSUD Brebes
Background: Herniated Nucleus Pulposus (HNP) in the cervical region is a condition in which the intervertebral disc protrudes and may compress the nerve roots, causing pain and movement disorders. At the Radiology Department of RSUD Brebes, there are differences in cervical examination techniques compared to standard theory, namely the use of hyperflexion and hyperextension projections. Objective: This study aims to further examine the radiographic techniques used in cervical examinations with clinical indications of Herniated Nucleus Pulposus (HNP), particularly the use of additional lateral hyperflexion and hyperextension projections. Method: This research employed a qualitative method with a case study approach. Data collection was conducted through observation, interviews, documentation, and literature review at the Radiology Department of RSUD Brebes. Informants included five people: three radiographers, one radiology specialist, and one referring physician. Data were analyzed using reduction, presentation, and conclusion drawing techniques. Results: Dynamic cervical radiographic examination for clinical HNP at RSUD Brebes utilized additional hyperflexion and hyperextension projections with the patient standing sideways at the bucky stand, the Central Point (CP) located at cervical 4, and the Central Ray (CR) perpendicular horizontally. Focus Film Distance (FFD) was 100 cm, with exposure factors of 77 kV and 10 mAs. Patient preparation required no special measures, only removing metal objects around the cervical region such as earrings and necklaces. The rationale for using hyperflexion and hyperextension projections in dynamic cervical examinations for HNP cases at RSUD Brebes was to determine whether there was compression or displacement at the intervertebral disc. Conclusion: Dynamic cervical radiographic techniques for HNP cases at RSUD Brebes were conducted using hyperflexion and hyperextension projections. This examination was also used to evaluate degenerative conditions commonly occurring with aging and to assess cervical movement, since this region is more dynamic compared to thoracic and lumbar vertebrae, thus helping identify movement limitations in patients to support diagnosis.
Pengaruh Intervensi Pill Box dan Medication Chart Terhadap Kepatuhan Dan Luaran Klinis Pasien Diabetes Mellitus Tipe 2 di Puskesmas Susukan
Type 2 Diabetes Mellitus (T2DM) is a major non-communicable disease in Indonesia with high morbidity and mortality. Poor adherence to antidiabetic medication is a key factor contributing to inadequate glycemic control. Practical tools such as pill boxes and medication charts have been developed to support patients in following prescribed therapy. This study aimed to evaluate the effectiveness of pill boxes and medication charts in improving medication adherence and clinical outcomes, specifically fasting blood glucose (GDP) and random blood glucose (GDS), among T2DM patients at Susukan Public Health Center. A quasi-experimental pre-test and post-test design with a control group was applied. Ninety respondents were recruited using total sampling and divided equally into pill box, medication chart, and control groups. Medication adherence was assessed using the Medication Adherence Rating Scale-10 (MARS-10), while GDP and GDS levels were measured using a glucometer. Data were analyzed with paired t-tests, Wilcoxon tests, and intergroup comparisons at a 5% significance level. Results showed significant improvement in adherence in both intervention groups compared to the control (p<0.05). In the pill box group, mean GDP decreased from 157.23 ± 53.21 mg/dL to 126.76 ± 14.82 mg/dL (p=0.000), while in the medication chart group it decreased from 162.66 ± 24.89 mg/dL to 145.66 ± 26.54 mg/dL (p=0.006). No significant change was seen in the control group (p=0.741). For GDS, a significant reduction was found only in the pill box group (p=0.005). In conclusion, both pill boxes and medication charts improved adherence among T2DM patients, with pill boxes providing greater benefit for glycemic control. These low-cost, practical strategies are recommended for routine use in primary healthcare to enhance diabetes management.are recommended for integration into primary healthcare services to optimize diabetes management.
Formulasi Sediaan Pomade dan Uji Efektivitas Ekstrak Daun Salam (Syzygium Polyanthum) terhadap Pertumbuhan Rambut Kelinci New Zealand White
Bay leaves are known to contain flavonoids, tannins, saponins, and essential oils, which have been empirically proven to promote healthy hair. This study aimed to determine the potential of bay leaf extract (Syzygium polyanthum) as an active ingredient in pomade and its effectiveness on hair growth in New Zealand White rabbits. The research method used was an experimental laboratory with four variations of pomade formulations: F0 (without extract), F1 (20%), F2 (25%), and F3 (30%). Evaluations were conducted on physical quality parameters such as organoleptic properties, pH, homogeneity, spreadability, viscosity, and adhesion. Effectiveness testing was conducted on the rabbits' backs for 28 days, measuring hair growth. The results of the study showed that pomade preparations with bay leaf extract had physical qualities that met the requirements for hair growth with various extract effectiveness on the 28th day of peak testing showing Formula I (20%) 0.4 cm, formula II (25%) 0.4 cm, Formula III (30%) 1.0 cm, providing the highest hair growth results, namely Formula III compared to other formulas. The results of SPSS statistical analysis with a significance value <0.05 resulted in differences between treatments. So it can be concluded that bay leaf extract can be formulated into an effective pomade preparation in stimulating hair growth.
Pengaruh Gaya Hidup dan Lingkungan dan Kebiasaan Masyarakat terhadap Penyebaran Malaria di Kampung Dosay Kabupaten Jayapura
Malaria remains one of the major infectious diseases and continues to be a public health problem in many tropical regions, including Indonesia. This disease is transmitted through the bite of infected Anopheles mosquitoes and can have serious impacts on health, productivity, and quality of life. Jayapura Regency, particularly Dosay Village, is one of the malaria-endemic areas that requires serious attention in terms of control and prevention efforts. This study aimed to analyze the influence of lifestyle and environmental conditions on the spread of malaria in Dosay Village. A quantitative approach with a cross-sectional design was employed. The study sample consisted of 45 respondents selected using purposive sampling. Data were collected using a questionnaire that had been tested for validity and reliability, and analyzed using the chi-square test. The results showed a significant relationship between lifestyle and malaria transmission (p = 0.009), as well as between environmental conditions and malaria transmission (p = 0.002). These findings emphasize that community behaviors, such as using bed nets, maintaining household cleanliness, and avoiding outdoor activities at night, are closely associated with the risk of malaria transmission. Furthermore, environmental factors such as stagnant water, poor sanitation, and housing density also contribute significantly to the breeding of malaria vectors.
Hubungan Kepemimpinan Transformasional Stres Kerja terhadap Kepuasan Kerja Perawat Ruang Rawat Inap Rumah Sakit Embung Fatimah Kota Batam Tahun 2024
According to Global data, the level of job satisfaction is at its lowest point, only (22%) workers worldwide are satisfied. In 2023, Japan was recorded as having job satisfaction (42%), and Portugal was reported to have one of the lowest satisfaction levels in Europe, especially among workers, and in Indonesia in 2014 according to the National Statistics Agency, 73% of employees were dissatisfied with their jobs. Several studies show that job satisfaction is still in the suboptimal category. This study aims to determine the relationship between transformational leadership and job stress on job satisfaction of inpatient nurses at Embung Fatimah Hospital, Batam City in 2024. This study uses a quantitative analytical design with a Cross Sectional approach to 83 inpatient nurses at Embung Fatimah Hospital, Batam City in 2024. Sampling uses the total sampling technique. The measuring instrument in this study uses a questionnaire. The results obtained transformational leadership in the good category as many as 61 nurses (47.7%), stress in the stress category as many as 45 nurses (35.2%) and job satisfaction in the satisfied category as many as 79 nurses (61.7%). Data analysis used is the sci square test. The test results obtained a p value of 0.001 <0.05 which means H0 is rejected and Ha is accepted. So it can be concluded that there is a significant relationship between transformational leadership and job stress on nurse job satisfaction in the Inpatient Room at Embung Fatimah Hospital, Batam City in 2024. Hospital management can maximize leaders by paying attention to nurse satisfaction such as providing promotions, salaries and coworkers according to expectations, especially for nurses in order to create optimal satisfaction.
Perbandingan Pemberian Cairan Koloid dengan Pemberian Terapi Obat Ephedrine dalam Mencegah Terjadinya Hipotensi Pasca Anestesi Spinal pada Pasien Sectio Caesarea di RSUD Ajibarang
Hypotension is one of the most common complications following spinal anesthesia, particularly in patients undergoing cesarean section. If not properly managed, it can lead to serious consequences such as nausea, vomiting, loss of consciousness, cardiovascular collapse, and decreased uteroplacental blood flow, which may endanger both the mother and fetus. Therefore, preventive measures are essential to ensure patient safety during surgery. This study aimed to compare the effectiveness of colloid fluid administration and intravenous ephedrine therapy in preventing hypotension after spinal anesthesia in cesarean section patients. This was a quantitative comparative study using a two-group pretest-posttest design, involving 80 respondents at RSUD Ajibarang. The subjects were divided into two intervention groups: one receiving colloid fluids and the other receiving intravenous ephedrine. Blood pressure measurements were taken before and after the interventions, and data were analyzed using paired sample t-tests and independent t-tests to assess intra- and inter-group differences.The results showed that both interventions were able to increase blood pressure; however, intravenous ephedrine administration was more effective in maintaining hemodynamic stability. A statistically significant difference was found in post-intervention measurements between the two groups (p = 0.046), with the ephedrine group demonstrating a higher mean arterial pressure compared to the colloid fluid group. These findings suggest that intravenous ephedrine is superior to colloid fluid administration in preventing post-spinal anesthesia hypotension during cesarean section. Ephedrine can therefore be considered a preferred intervention for improving maternal safety and reducing the risk of complications during cesarean procedures.
Kajian Etnobotani Tumbuhan Obat Untuk Penyakit Malaria pada Masyarakat Kabupaten Keerom
Malaria remains a major public health problem in Papua, including Keerom District. Limited access to healthcare services has encouraged the local community to utilize traditional medicinal plants as an alternative therapy for malaria. This study aimed to document local knowledge regarding the use of antimalarial medicinal plants in Arso 7, Keerom District.The study was conducted in October 2023 using a descriptive qualitative design. The study population consisted of 500 households, with a purposive sample of 100 households. Primary data were collected through field observations, in-depth interviews using semi-structured questionnaires, documentation, and plant collection for botanical identification. Secondary data were obtained from relevant institutions and literature. Data were analyzed qualitatively by categorizing plant species based on local names, scientific names, plant parts used, preparation methods, and medicinal properties, and were presented descriptively.The findings revealed that the majority of respondents were aged 36–45 years (38%), female (68%), had primary school education (59%), and worked as housewives (51%). The most commonly used plants were papaya (Carica papaya) (45%), sambiloto (Andrographis paniculata) (40%), and brotowali (Tinospora crispa) (11%). Most plants were sourced from home gardens (60%), used in fresh form (100%), with leaves being the most frequently utilized part (98%), and predominantly prepared by boiling (90%).This study highlights that the traditional use of medicinal plants for malaria treatment remains strong within the Keerom community. Documenting this ethnobotanical knowledge is essential for preserving local wisdom and supporting the development of safe and sustainable antimalarial remedies.
Hubungan Jumlah Tusukan Spinal Anestesi Lebih dari Satu Kali dengan Kejadian Post-Dural Puncture Headache pada Pasien Sectio Caesarea di RSUD Ajibarang
Background: Spinal anesthesia is a commonly used technique for cesarean section procedures. However, this technique carries a risk of complications, one of which is post-dural puncture headache (PDPH). PDPH can be caused by several factors, including multiple attempts at spinal needle insertion. Objective: To determine the relationship between the number of spinal anesthesia punctures greater than once and the incidence of PDPH in cesarean section patients at RSUD Ajibarang. Methods: This study used a quantitative design with a cross-sectional approach. A total of 80 cesarean section patients who underwent spinal anesthesia were selected using purposive sampling. Data were collected through observation and interviews and analyzed using the Spearman correlation test. Results: A total of 96.3% of patients experienced two punctures, while 3.8% experienced three punctures. Most patients did not experience PDPH (90.0%), while 8.8% reported moderate headache and 1.3% reported severe headache. The analysis showed a significant relationship between the number of spinal punctures and the incidence of PDPH (p=0.001; r=0.367). Conclusion: There is a significant correlation between the number of spinal anesthesia attempts and the incidence of PDPH among cesarean section patients at RSUD Ajibarang. The greater the number of spinal punctures, the higher the risk of developing PDPH.
Uji Aktivitas Antioksidan Ekstrak dan Fraksi Daun Rambutan (Nephelium lappaceum L.) dengan Metode FRAP (Ferric Reducing Antioxidant Power) serta Penetapan Flavonoid Total
Free radicals are unstable and highly reactive molecules that can cause oxidative stress, leading to cell damage and the development of degenerative diseases such as cancer, cardiovascular disorders, diabetes, and premature aging. To counteract these harmful effects, antioxidant compounds are required to inhibit oxidative reactions and protect cellular structures. Rambutan leaves (Nephelium lappaceum L.) are rich in bioactive compounds, including flavonoids, tannins, and saponins, which are reported to have strong antioxidant potential. The objective of this study was to evaluate the antioxidant activity of rambutan leaf extracts and their fractions, as well as to determine the IC₅₀ value using the Ferric Reducing Antioxidant Power (FRAP) method. Fractionation was performed using solvents of varying polarity, namely n-hexane, ethyl acetate, and water, to obtain different active fractions. Antioxidant activity was measured based on the ability of extracts and fractions to reduce Fe³⁺ ions to Fe²⁺ at a wavelength of 595 nm. The findings revealed that rambutan leaf extract exhibited very strong antioxidant activity, indicated by an IC₅₀ value of 20.65 ppm. Moreover, the activity increased proportionally with concentration, confirming a significant positive linear correlation. These results suggest that rambutan leaves are a promising natural source of antioxidants with potential applications in the development of pharmaceutical products, functional foods, and nutraceuticals aimed at preventing oxidative stress-related diseases.
Asuhan Keperawatan Anestesiologi pada Pasien Otitis Media Supuratif Kronis Dilakukan Timpanoplasti dengan General Anestesi Intubasi di Kamar Operasi RSUD Arosuka Kabupaten Solok
Chronic Suppurative Otitis Media (CSOM) is a middle ear disease characterized by tympanic membrane perforation and persistent ear discharge, often leading to hearing loss and a higher risk of severe complications. The management of CSOM through tympanoplasty requires comprehensive anesthetic care to ensure patient safety and comfort. This case study aims to describe the anesthesiology nursing care for CSOM patients undergoing tympanoplasty with general anesthesia and intubation. A qualitative case study approach was applied to five patients at RSUD Arosuka, Solok Regency, covering the stages of assessment, identification of anesthetic health problems, interventions, implementation, and evaluation. The findings indicated that although the patients were generally fit for surgery, potential anesthetic problems were identified, including preoperative anxiety, difficult intubation, respiratory and cardiovascular risks, thermoregulation disorders, delayed recovery, fall risk, and postoperative shivering. All interventions were systematically carried out based on evidence-based practice, successfully preventing complications and supporting optimal recovery. This study emphasizes the critical role of nurse anesthetists, not only in technical skills but also in risk detection, patient education, and collaborative care. Comprehensive, planned, and evidence-based anesthetic nursing care proved effective in maintaining perioperative stability and improving surgical safety outcomes for tympanoplasty patients.
Gambaran Obesitas pada Penderita Hipertensi di Puskesmas Gondangrejo
Background: Obesity can exacerbate blood pressure and increase the risk of cardiovascular complications, including hypertension. Hypertension is a disease with an increasing prevalence each year, particularly among individuals from the productive age group to the elderly. Objective: This study aimed to describe the prevalence of obesity among hypertensive patients at the Gondangrejo Public Health Center. Methods: This study employed a descriptive quantitative method with a cross-sectional design. The sampling technique used was incidental sampling, which involved 62 respondents. Data were collected through direct observation, observation sheets and documentation. Results: The findings showed that the majority of respondents were in late adulthood (45–59 years old), totaling 35 individuals, with 41 of the respondents being female. Most of the participants were housewives (22 respondents). Blood pressure levels were categorized as Stage I Hypertension, while obesity levels were predominantly classified as Obesity Class I. Conclusion: The study concluded that middle-aged adult females, particularly housewives with Stage I Hypertension and Obesity Class I, constitute the dominant profile of hypertensive patients at the Gondangrejo Public Health Center.
Penetapan Nilai Sun Protection Factor (SPF) pada Destilat Rimpang Jahe Emprit (Zingiber officinale var. Amarum) dengan Metode Spektrofotometri UV-Vis
Emprit ginger (Zingber officinale var Amarum) is one of the local ginger varieties in Indonesia that has great potential in the pharmaceutical and cosmetic fields because of the content of active compounds in it, especially phenolic and flavonoid compounds. These compounds are often known to have high antioxidant activity so that they are able to ward off free radicals, and act as compounds that are able to protect the skin from exposure to UV rays. One of the potentials of these compounds is as an active ingredient in sunscreen preparations. Sunscreen compounds are compounds that absorb, reflect, or spread ultraviolet (UV) rays from the sun, so that they can cause skin damage such as premature aging, burns, and skin cancer. This research aims to evaluate the activity of sunscreen from emprit ginger distillate based on the Sun Protection Factor (SPF) value. Emprit ginger distillate (Zingber officinale var Amarum) is obtained through the process of water distillation using aquadest as a solvent, then its activity is tested in vitro using the UV spectrophotometry method at a wavelength of 290–320 nm with an interval of every 5 nm. Test results show that the SPF value of ginger distillate emprit on three consecutive replications is 26,72; 36,12; and 31,69. These three values are included in the ultra protection category because they have an SPF value of ≥ 15. Based on these results, it can be concluded that emprit ginger distillate has a very good potential as a natural active ingredient in the formulation of natural sunscreen preparations.