Jurnal Medicare is a peer-reviewed scientific journal dedicated to the dissemination of high-quality, evidence-based research and scholarly knowledge in the field of health sciences. The journal provides a scientific platform for researchers, academics, health professionals, practitioners, and scholars to disseminate original research findings, literature reviews, and scientific contributions relevant to the advancement of health sciences and healthcare practice. Jurnal Medicare welcomes scientific contributions covering a broad range of interdisciplinary health science topics, including public health, nursing, midwifery, clinical health sciences, complementary and traditional medicine, health promotion, nutrition, maternal and child health, reproductive health, health technology, and other relevant areas of health sciences. The journal particularly encourages manuscripts that address contemporary health problems, present meaningful scientific evidence, demonstrate appropriate and rigorous research methodology, and provide relevant implications for clinical practice, healthcare services, public health programs, health policy, or community health improvement. Jurnal Medicare prioritizes manuscripts that demonstrate a clear research problem, current state of knowledge, well-defined research gap, originality or novelty, appropriate methodology, rigorous data analysis, and meaningful interpretation of research findings. Authors are encouraged to clearly position their work within the current scientific literature and explain the contribution of their findings to the development of knowledge and evidence-based healthcare practice. All submitted manuscripts are subject to an independent peer-review process conducted by qualified reviewers with relevant expertise. Manuscripts are evaluated based on their originality, relevance to the journal's focus and scope, clarity of the research objectives, methodological rigor, ethical considerations, quality of data analysis, interpretation of findings, discussion in relation to previous research, and overall scientific contribution. The editorial decision is made independently by the editors based on the scientific quality of the manuscript, reviewers' recommendations, ethical considerations, and the journal's editorial policies. The journal is committed to maintaining an objective, transparent, and rigorous peer-review process while protecting the confidentiality and integrity of submitted manuscripts. Jurnal Medicare is committed to maintaining high standards of publication ethics, academic integrity, editorial independence, transparency, and responsible scholarly communication. The journal follows established principles of good scholarly publishing practice and takes appropriate measures to prevent plagiarism, fabrication, falsification, duplicate publication, authorship disputes, conflicts of interest, research misconduct, and other forms of unethical publication practices. The journal promotes transparency throughout the publication process, including policies concerning authorship and contributorship, peer review, research ethics, plagiarism, conflicts of interest, funding, correction of published articles, retraction, complaints and appeals, copyright, licensing, data and research integrity, and the responsible use of artificial intelligence in scholarly publishing. Jurnal Medicare supports the dissemination and accessibility of scholarly knowledge. Published articles are made available to readers in accordance with the journal's applicable copyright, licensing, and access policies, allowing scientific findings to be disseminated and used responsibly for academic, professional, research, and educational purposes. The journal welcomes high-quality manuscripts from researchers, academics, health professionals, and practitioners from Indonesia and other countries. Contributions from diverse institutions, disciplines, and geographical regions are encouraged to strengthen scientific collaboration, diversity of perspectives, and the broader dissemination of health science research. Jurnal Medicare is published four times a year, in January, April, July, and October, by CV. Rena Cipta Mandiri. The journal continuously strives to improve the quality of its editorial management, peer-review process, scientific content, publication standards, visibility, and contribution to the advancement of health sciences and evidence-based healthcare. Journal Focus: Health Sciences, Public Health, Nursing, Midwifery, Clinical Health Sciences, Complementary and Traditional Medicine, Health Promotion, Nutrition, Maternal and Child Health, Reproductive Health, Health Technology, and related interdisciplinary health fields. Publication Frequency: Four issues per year — January, April, July, and October. Article Types: Original Research Articles, Review Articles, Literature Reviews, Systematic Reviews, and other scholarly contributions relevant to the journal's focus and scope. Peer Review: All eligible manuscripts undergo an independent peer-review process by qualified reviewers with relevant expertise before a final editorial decision is made. ISSN: ISSN 2828-352X (media online) Publisher: CV. Rena Cipta Mandiri
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Profile of Irregular Antibodies in Multiparous Pregnant Women and Its Implications for Maternal Transfusion Services at Gotong Royong Hospital, Surabaya
Background: Multiparous pregnancy increases maternal exposure to fetal red blood cell antigens that differ from maternal antigens, potentially triggering the formation of irregular antibodies. These antibodies have implications for maternal transfusion safety because they may complicate the selection of compatible blood and increase the risk of transfusion reactions and hemolytic disease in the fetus or newborn. Objective: This study aimed to identify the profile of irregular antibodies in multiparous pregnant women and analyze their implications for maternal blood transfusion services at Gotong Royong Hospital, Surabaya. Methods: This study employed a descriptive observational design with a cross-sectional approach. The subjects were multiparous pregnant women undergoing antenatal examinations. Laboratory examinations included ABO and Rhesus blood grouping, irregular antibody screening, and antibody identification in samples with positive screening results. Maternal characteristics, parity, transfusion history, and pregnancy history were analyzed descriptively. Results: Variations were found in the results of irregular antibody screening. The identified antibodies were evaluated based on their clinical significance for blood compatibility. Multiparity and a history of blood transfusion were important factors in pre-transfusion evaluation. Conclusion: Screening and identification of irregular antibodies are important to support the selection of compatible blood and improve the safety of maternal transfusion services.
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HUBUNGAN KARAKTERISTIK IBU DAN PERKEMBANGAN EMOSIONAL ANAK USIA 3-5 TAHUN DI WILAYAH KERJA PUSKESMAS SUMBER KABUPATEN CIREBON
The golden period (golden age) is a sensitive period of growth and development that only occurs once in a lifetime. Broadly speaking, the domain of child development consists of gross motor skills, fine motor skills, language/speech, and personal social/independence.The aim of the research was to determine the relationship between maternal characteristics and the emotional development of children aged 3-5 years in the Sumber Health Center Working Area, Cirebon Regency. The research method is quantitative research with a correlational study design approach. The research was conducted in the Sumber Health Center Working Area, Cirebon Regency, on 40 mothers who had children aged 3 - 5 years. The analysis used is the chi square test between the independent variable and the dependent variable. The research results show that the majority of respondents are 26-35 years old (60.00%), the majority of respondents have moderate education (67.50%), the majority of respondents do not work (62.50%) and the majority of children aged 3-5 years grow according to development. as many as 33 people (82.50%). The chi square test results showed that there was a relationship between maternal age and education and the emotional development of children aged 3-5 years with a p value= 0.007 and 0.003. This research recommends that interested parties pay more intense attention to children who are indicated to have abnormal emotional development problems, so that they can help parents in providing good care as an effort to improve children's behavior. The research method is quantitative research with a correlational study design approach. The research was conducted in the Sumber Health Center Working Area, Cirebon Regency, on 40 mothers who had children aged 3 - 5 years. The analysis used is the chi square test between the independent variable and the dependent variable. The research results show that the majority of respondents are 26-35 years old (60.00%), the majority of respondents have moderate education (67.50%), the majority of respondents do not work (62.50%) and the majority of children aged 3-5 years grow according to development. as many as 33 people (82.50%). The chi square test results showed that there was a relationship between maternal age and education and the emotional development of children aged 3-5 years with a p value= 0.007 and 0.003. This research recommends that interested parties pay more intense attention to children who are indicated to have abnormal emotional development problems, so that they can help parents in providing good care as an effort to improve children's behavior.
EFEKTIVITAS BIRTH PREPAREDNESS AND COMPLICATION READINESS TERHADAP KESIAPAN PERSALINAN PADA IBU HAMIL TRIMESTER III DI PUSKESMAS PASEAN PAMEKASAN
Background: Birth Preparedness and Complication Readiness (BPCR) is a strategy designed to improve pregnant women’s preparedness for childbirth and potential obstetric complications. Adequate preparation is essential to reduce delays in seeking and receiving appropriate maternal health care. Objective: This study aimed to analyze the effectiveness of BPCR in improving childbirth preparedness among third-trimester pregnant women at Pasean Public Health Center, Pamekasan. Methods: This study used a quasi-experimental design with a one-group pretest-posttest approach. A total of 40 third-trimester pregnant women were selected using total sampling. Childbirth preparedness was measured using a questionnaire before and after the BPCR educational intervention. Data were analyzed using the Wilcoxon signed-rank test. Results: After the intervention, 34 respondents (85.0%) were categorized as prepared for childbirth. The mean preparedness score increased from 61.25 before the intervention to 84.50 after the intervention. The Wilcoxon test showed a statistically significant difference (p<0.001). Conclusion: BPCR was effective in improving childbirth preparedness among third-trimester pregnant women at Pasean Public Health Center, Pamekasan.
Hubungan Antara Pengalaman Ibu Mengalami Kekerasan Dengan Kejadian Stunting Pada Anak
This study aimed to determine the association between maternal exposure to violence and child stunting using data from the Demographic and Health Survey (DHS). The study employed a secondary data analysis design. Data were obtained from the Demographic and Health Survey (DHS) conducted in four countries. The participants were randomly selected married women of reproductive age (15–49 years) who had at least one child under five years of age with complete anthropometric measurements. The exposure variable was maternal experience of violence, including sexual violence, physical violence, or a combination of both. The outcome variable was moderate or severe child stunting, measured using the Height-for-Age Z-score (HAZ) among children aged 6–59 months. Separate Cox proportional regression analyses were performed for each country's dataset to examine the association between maternal exposure to violence and child stunting. The results showed that the prevalence of maternal exposure to violence ranged from 10.17% to 31.00%. The prevalence of child stunting was lowest at 14.04% and highest at 35.86%. The proportion of children with severe stunting was highest at 16.60%, followed by 14.79%. Overall, the findings indicate that maternal exposure to violence is significantly associated with child stunting
Pengaruh Pemberian Essential Oil dari Serai dan Jeruk Nipis terhadap Tekanan Darah pada Lansia dengan Hipertensi di Wilayah Kerja Puskesmas Nguter
Background: Hypertension is one of the most common non-communicable diseases among older adults and a major risk factor for cardiovascular diseases. Complementary therapy using essential oils has the potential to help control blood pressure through relaxation and vasodilatory effects. Objective: To analyze the effect of lemongrass (Cymbopogon citratus) and lime (Citrus aurantifolia) essential oils on blood pressure among older adults with hypertension in the working area of Nguter Primary Health Center. Methods: This study employed a quasi-experimental design with a one-group pretest-posttest repeated measures approach. A total of 30 hypertensive older adults were recruited using purposive sampling. The intervention consisted of inhalation of lemongrass and lime essential oils through a diffuser for 30 minutes daily for 14 consecutive days. Blood pressure measurements were conducted at baseline, day 7, and day 14. Data were analyzed using the Friedman Test for systolic blood pressure and Repeated Measures ANOVA for diastolic blood pressure. Results: Mean systolic blood pressure decreased from 156.90±10.53 mmHg to 135.67±7.01 mmHg, while mean diastolic blood pressure decreased from 93.30±8.01 mmHg to 80.70±4.69 mmHg. Statistical analysis revealed significant effects on both systolic (p<0.001) and diastolic blood pressure (p<0.001). Conclusion: Lemongrass and lime essential oils were effective in reducing blood pressure among older adults with hypertension and may serve as a promising complementary non-pharmacological therapy.
Analisis Rasio Neutrofil-Limfosit sebagai Penanda Inflamasi pada Ibu Hamil dengan Preeklampsia di RS Gotong Royong Surabaya
Background: Preeclampsia is a pregnancy complication associated with systemic inflammation and endothelial dysfunction. The neutrophil-to-lymphocyte ratio (NLR) is a simple hematological parameter that can be used as an inflammatory marker. Objective: This study aimed to analyze NLR as an inflammatory marker in pregnant women with preeclampsia at Gotong Royong Hospital Surabaya. Methods: This study used an observational analytic design with a cross-sectional approach. The sample consisted of 40 pregnant women with preeclampsia. Data were obtained from medical records and complete blood count results. Results: A total of 28 respondents (70%) had preeclampsia without severe features, while 12 respondents (30%) had preeclampsia with severe features. The median NLR among all respondents was 3.85. The median NLR in the preeclampsia with severe features group was higher than in the group without severe features, at 5.42 and 3.18, respectively. Statistical analysis showed a significant association between NLR and preeclampsia severity, with p=0.001. Conclusion: NLR has the potential to serve as a simple inflammatory marker in pregnant women with preeclampsia.
The Relationship Between Stress Levels and Alcohol Abuse in Adolescents in Banjar Sala, Bangli Regency
Adolescents are an age group vulnerable to stress due to academic, social, and emotional pressures that can lead to risky behaviors such as alcohol abuse. Poorly managed stress is often a major factor in alcohol use as a negative coping mechanism. This study aims to determine the relationship between stress levels and alcohol abuse among adolescents in Banjar Sala, Bangli Regency. The study design used a quantitative descriptive correlational approach with a cross-sectional approach and involved 159 respondents selected through purposive sampling. The research instruments included the Perceived Stress Scale (PSS-10) to measure stress levels and the Alcohol Use Disorders Identification Test (AUDIT) to assess alcohol abuse. Data analysis used the Spearman Rank test with a significance level of 0.05. The results showed that most respondents had moderate stress levels (58,5%), and the highest category of alcohol abuse was risky use (36,5%). The statistical test produced a p-value = 0.000 (p < 0.05) with a correlation coefficient of r = 0.625, indicating a strong positive relationship between stress levels and alcohol abuse. These findings support that stress plays a significant role in increasing the risk of alcohol consumption in adolescents. Therefore, preventative measures are needed through mental health education, stress management training, and increased social support so that adolescents can manage stress adaptively without using alcohol as a negative coping mechanism
HUBUNGAN PENGETAHUAN TENTANG PERTOLONGAN PERTAMA DENGAN KESIAPSIAGAAN SISWA DALAM SITUASI GEMPA BUMI DI LINGKUNGAN SEKOLAH
SD Negeri 2 Serangan is located in an area with a high risk of earthquakes; therefore, students' disaster preparedness needs to be enhanced through first aid knowledge. This study aimed to analyze the relationship between students' level of first aid knowledge and their preparedness for earthquake disasters. This study employed a descriptive correlational design with a cross-sectional approach. A total of 142 students were selected using a random sampling technique. Data were collected using validated and reliable questionnaires on first aid knowledge and earthquake disaster preparedness. Data were analyzed using Spearman's rank correlation test. The results showed a significant relationship between first aid knowledge and students' earthquake preparedness (p = 0.007; r = 0.227). The correlation coefficient indicated a positive but weak relationship. It can be concluded that higher levels of first aid knowledge are associated with better earthquake preparedness among students. Therefore, continuous first aid education and disaster preparedness training should be implemented to improve students' readiness for earthquake disasters.
PERCEPTION OF NET BENEFITS OF ELECTRONIC MEDICAL RECORDS AND ITS IMPACT ON THE EFFECTIVENESS OF POLY-CARE SERVICES IN HOSPITAL
The digitization of medical records in hospitals was developed to support the quality and effectiveness of services through more systematic, rapid, and integrated patient data management. However, in its implementation, the utilization of this system has not fully achieved optimal results due to various technical and operational obstacles that still affect the smoothness of services and the level of benefits perceived by users. This study aims to analyze the relationship between the perceived net benefits of electronic medical records and the effectiveness of polyclinic services at Prof. Dr. Soekandar Regional General Hospital, Mojokerto Regency. The research was conducted using a quantitative approach using a cross-sectional analytical design. All 70 polyclinic staff were involved as respondents. Data were collected through questionnaires and tested for validity and reliability. The data were then analyzed descriptively and inferentially using the Spearman correlation test. The findings indicate that the perception of the benefits of EMR and the level of effectiveness of polyclinic services are mostly in the moderate category. Statistical testing confirmed a significant and positive correlation between the perceived benefits of the system and the effectiveness of services. This means that increasing the benefits of EMR tends to be followed by an increase in the effectiveness of polyclinic services. Therefore, optimizing system quality, strengthening information technology infrastructure, and improving user competency are strategic steps to maximize the utilization of EMR and improve health service performance.
PENDIDIKAN PRANIKAH MENINGKATKAN KESIAPAN MENGHADAPI KEHAMILAN
Readiness for pregnancy should be established during the premarital period to reduce the risk of adverse pregnancy outcomes resulting from inadequate physical, psychological, and knowledge preparedness. A preliminary study conducted at the Labang District Office of Religious Affairs (KUA), Bangkalan, found that most prospective brides were not adequately prepared for pregnancy. This study aimed to analyze the effect of premarital education on pregnancy readiness among prospective brides. A pre-experimental one-group pre-test and post-test design was employed involving 28 prospective brides. The intervention consisted of a ±20-minute premarital education session using a flipchart. Data were collected through a structured questionnaire and analyzed using the Wilcoxon Signed Rank Test. Before the intervention, 71.4% of participants were categorized as unprepared, whereas after the intervention, 53.6% were classified as prepared. The mean readiness score increased from 22.79 to 37.07 (p = 0.001). Premarital education significantly improved pregnancy readiness and is recommended as a routine program at the Office of Religious Affairs (KUA) to support healthy pregnancy planning.
HUBUNGAN POLA ASUH ORANG TUA TERHADAP PERKEMBANGAN MOTORIK ANAK DI TK ABA WILAYAH PANEMBAHAN KRATON, YOGYAKARTA
Children are social individuals in the golden period, a critical stage of growth and development, particularly motor development, which is strongly influenced by parenting styles. Appropriate parenting plays an important role in optimizing children’s development. This study aims to determine the relationship between parenting styles and motor development of children at TK ABA Panembahan Kraton Area, Yogyakarta, as specific studies at the local kindergarten level are still limited. The research used a non-experimental descriptive correlational design with a cross-sectional approach. The independent variable was parenting style, and the dependent variable was children’s motor development. Data were collected simultaneously using questionnaires and developmental assessment sheets and analyzed using the Spearman Rank test. Respondents were selected based on inclusion criteria, namely children aged 4–6 years who were active students and parents/guardians willing to participate. The results showed that most parents applied democratic parenting (71.58%), and all children in this group had appropriate motor development. Authoritarian parenting was applied by 15.79% of parents and permissive parenting by 12.63%; in these groups, some children showed doubtful development, although the majority remained appropriate. No motor development deviations were found. The Spearman Rank test indicated a significant positive relationship (p = 0.000; r = 0.528) with moderate strength, concluding that there is a relationship between parenting styles and children’s motor development.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PENGELOLAAN BANK SAMPAH DI KECAMATAN WERU KABUPATEN CIREBON TAHUN 2024
Waste bank is one of the strategies for implementing 3R (reduce, reuse, recycle) in waste management at the source at the community level. Three main factors related to waste bank management, namely community participation or role, the role of the government, and adequate infrastructure. The purpose of this study is to determine the factors related to waste bank management in Weru District, Cirebon Regency in 2024. This study uses quantitative research with a cross-sectional design. The population in this study are waste bank customers who have certain qualities and characteristics determined by the researcher. The sample in the study was 40 samples. The sampling technique was total sampling. The results of the study showed that 20 respondents (50%) had poor waste bank management, 22 respondents (55%) with poor community roles, 24 respondents (60%) with poor government roles and 21 respondents (52%) had poor infrastructure. The results of the chi square test show that the role of the community (p=0.022), the role of the government (p=0.021), infrastructure (p=0.010), have a significant relationship with waste bank management.
ASUHAN KEBIDANAN PADA IBU NIFAS NY.R DENGAN HEMOGLOBIN (HB) RENDAH DI PMB SRI WIYANTI GRESIK
Postpartum maternal anemia is a condition in which the body's hemoglobin level is less than 10 g/dl. Although pregnant women have sufficient iron content, the concentration of prenatal hemoglobin is usually around 11 to 12 g/dL. Anemia can be exacerbated by reduced blood volume during delivery and respiratory periods. In 2020, postpartum maternal mortality from anemia reached 30% in Indonesia. The research sample used was 1 (one) mother fas with Anemia at PMB Sri Wiyanti Gresik. The method of continuity of care, which is continuous care, is used in running foster care. The solutions provided are KIE regarding nutritional needs in niphas, improvement of resting patterns and provision of Fe tablets. From the care provided, the results are that the difficulty can be handled properly so that it does not cause more dangerous effects.
ANALISIS KETIDAKSESUAIAN SUSUNAN FORMULIR REKAM MEDIS PADA PROSES ASSEMBLING (Analysis of Inconsistency in the Arrangement of Medical Record Forms in the Assembling Process)
Orderly medical record management is essential in supporting the quality of health services in hospitals. One stage in medical record management is the assembling process, which aims to arrange medical record forms according to the order listed in the medical record table of contents. However, in practice, inconsistencies in the arrangement of medical record forms are still found and may hinder subsequent document management processes. This study aims to analyze the inconsistency in the arrangement of medical record forms in the assembling process. This research used a descriptive method with an observational approach on inpatient medical record documents. Data were collected by observing 50 medical record documents for three weeks during February to March 2026. The results showed that 40 medical record documents (80%) were not arranged according to the order listed in the medical record table of contents, while 10 documents (20%) were arranged appropriately. The inconsistency in document arrangement can cause difficulties in further document management processes such as document sorting and storage. Therefore, improvement efforts are needed by providing visual guidance media such as a poster of the medical record form sequence to assist staff in arranging medical record documents systematically.
ANALISIS FAKTOR-FAKTOR PENYEBAB TERJADINYA KEHAMILAN PADA REMAJA
Teenage pregnancy has a negative impact on reproductive health, psychology, social aspects, and the sexual behavior of adolescents. In 2022, BKKBN released data showing 15,212 applications for marriage dispensation in East Java, with one of the largest contributing districts being Probolinggo Regency. This research aims to identify and analyze various factors that contribute to the occurrence of teenage pregnancy in Probolinggo Regency. The study uses a qualitative method with a case study design. Participants in this study were female adolescents aged 15-19 years with a history of pregnancy and childbirth that occurred in 2024 - 2025. The main subjects were 15 adolescents, the supporting subjects (the adolescents' parents) were 15 people, and the school principals were 4 people. Data collection was conducted through in-depth interviews. The research results showed that several factors were found to cause teenage pregnancy, including risky premarital sexual behavior, low knowledge of reproductive health, the role of schools, and the parenting style applied by parents to their children. The factors that influence the occurrence of teenage pregnancy include age, with the majority being 16 years old. Most teenagers' last level of education is junior high school, most parents work as farmers, and on average, parents' last level of education is no schooling. It is necessary to integrate schools and parents regarding reproductive health literacy and education for teenagers, as well as actively involving parents in building more open communication with their teenage children.
HUBUNGAN DUKUNGAN SUAMI DAN SOSIAL EKONOMI DENGAN MINAT PENGGUNAAN KONTRASEPSI METODE OPERASI WANITA (MOW) PADA PASANGAN USIA SUBUR (PUS) DI RUMAH SAKIT AISYIYAH KUDUS
Female surgical contraception (FSC) is an effective method of contraception that reduces birth rates. The choice of contraception is influenced by several factors, one of which is the support of the husband. In addition to spousal support, an individual's ability to choose contraception is also based on cost considerations. This study aims to analyse the relationship between spousal and socioeconomic support and interest in using female surgical contraception (FSC) among couples of reproductive age (CRA). This study used an analytical correlation approach. The population of this study consisted of all patients who used contraception at Aisyiyah Kudus Hospital, totalling 85 patients. The sample required in this study was 71 respondents. The instruments used were a husband support questionnaire, a socio-economic questionnaire, and a questionnaire on interest in using MOW. Statistical analysis used the Spearman rank test with a significance level of 5% (0.05). A total of 45 (63.4%) received support from their husbands, 39 (54.9%) had an income equal to or above the minimum wage, and respondents had a high interest in using MOW contraception, namely 50 (70.4%). There is a relationship between spousal support (0.000) and socioeconomic status (0.003) with interest in using the female surgical contraceptive method (MOW) among couples of reproductive age (PUS) at Aisyiyah Hospital in Kudus.
Identifikasi Faktor Penyebab Keterlambatan Pengambilan Logistik Non-Medis Menggunakan Diagram Fishbone di Rumah Sakit Muhammadiyah Lamongan
Delays in non-medical logistics retrieval are a problem that can reduce distribution effectiveness in hospitals. This study aims to identify the factors causing delays in non-medical logistics retrieval and to propose improvement efforts. The research used a descriptive qualitative method with an observational approach through observation, interviews, and documentation at the General Logistics Unit of Muhammadiyah Hospital Lamongan from February to March 2026. Data were analyzed using a fishbone diagram to identify root causes. The results showed that delays were influenced by factors related to human resources, methods, materials, systems, and environment, including high workload, absence of retrieval time limits, low urgency of items, suboptimal system utilization, and ineffective inter-unit communication. These conditions lead to stock accumulation in the warehouse and reduced distribution efficiency. Therefore, it is necessary to establish SOP for retrieval time limits, implement reminder systems, and improve coordination and communication between units.
PENGARUH RENDAMAN AIR HANGAT DENGAN GARAM EPSOM TERHADAP REDUKSI PEMBENGKAKAN KAKI PADA IBU HAMIL TRIMESTER III
Leg swelling (edema) is a common complaint among pregnant women in the third trimester due to excess fluid accumulation in the interstitial tissue. This condition can cause discomfort and interfere with activities if left untreated. One non-pharmacological therapy that can be used is a warm water soak with Epsom salts, which contain magnesium and sulfate, which function to improve blood circulation, reduce fluid retention, and provide a relaxing effect. This study aimed to determine the effect of a warm water soak with Epsom salts on reducing leg swelling in pregnant women in the third trimester at the Tanjungmedar Community Health Center in Sumedang Regency.The study used a pre-experimental, one-group pretest-posttest design, with a population of all pregnant women in the third trimester experiencing edema. A sample of 34 respondents was selected using a purposive sampling technique. Data analysis used a Paired Samples Test.The results showed a significant difference between the degree of swelling before and after treatment with a p-value of 0.000 (p < 0.05). The conclusion of this study is that a warm water soak with Epsom salts is effective in reducing the degree of leg swelling in pregnant women in the third trimester. It is hoped that this intervention can be implemented as self-care or in primary healthcare settings to improve maternal comfort during pregnancy.
ANALISIS KELUHAN PASIEN TERKAIT PEMBUATAN AKUN MOBILE JKN SECARA ONLINE DI APLIKASI MOBILE JKN
The Mobile JKN application was developed to facilitate public access to healthcare services, including online account registration. However, patients still experience various obstacles during the account registration process, affecting the effectiveness of digital healthcare services. This study aimed to analyze patient complaints related to online Mobile JKN account registration, identify the contributing factors, and propose improvement strategies. This study employed a descriptive qualitative approach. Data were collected through observation and interviews with patients and healthcare staff involved in the Mobile JKN registration service. The problems were analyzed descriptively to identify the main causes of patient complaints. The results showed that the most common complaints included failure to verify personal data, one-time password (OTP) codes not being received, registered phone numbers or email addresses, application errors, unstable internet connections, and limited patient understanding of the registration procedure. These complaints were caused by system factors, technological limitations, and users' lack of knowledge regarding Mobile JKN registration Improvement efforts include enhancing system performance, providing clear registration guidelines, strengthening patient education, and improving coordination between healthcare facilities and BPJS Kesehatan. These efforts are expected to reduce patient complaints and improve the quality of digital healthcare services.
GAMBARAN PENGETAHUAN IBU TENTANG PERKEMBANGAN BALITA DI POSYANDU SUMBER SEHAT KELURAHAN LAWANG KABUPATEN MALANG
Toddler's development is influenced by various interconnected factors, including biological, psychosocial, and environmental elements. Beyond participation in *Posyandu* (Integrated Health Post) activities, a mother's knowledge is a key determinant in the successful monitoring of toddler development. Insufficient maternal knowledge can delay the recognition of developmental disorders, thereby postponing access to early intervention. Children with developmental delays are at risk of difficulties in language, cognition, motor function, and social-emotional skills. Such conditions can affect school readiness, lower academic achievement, hinder social interaction, and ultimately impact productivity and quality of life in adulthood. This study aimed to assess the knowledge of mothers regarding toddler development at the Sumber Sehat *Posyandu* in Lawang Village, Malang Regency, in 2026. A descriptive research method with a cross-sectional design was employed. The study population consisted of all mothers whose toddlers were registered at the Sumber Sehat *Posyandu* in May 2026. A total sampling technique was used, resulting in a sample size of 23 mothers. Data were collected using a 40-item questionnaire administered via Google Forms. The results showed that among the 23 mothers, 12 (52.1%) possessed adequate knowledge, while 11 (47.9%) possessed good knowledge.
GAMBARAN TINGKAT PENGETAHUAN PENDERITA HIPERTENSI TENTANG MANAJEMEN HIPERTENSI DI PUSKESMAS II DENPASAR BARAT
Hypertension is a non-communicable disease with a high prevalence that increases the risk of heart disease, stroke, and kidney failure. Hypertension control is influenced by patients' ability to manage their condition, which is closely related to their level of knowledge. This study aimed to describe the level of knowledge of patients with hypertension regarding hypertension management in the working area of UPTD Puskesmas II West Denpasar. The study employed a quantitative descriptive design with a cross-sectional approach. A total of 50 respondents were selected using a purposive sampling technique. Data were collected using a questionnaire consisting of 15 questions and analyzed using univariate analysis. The results showed that the majority of respondents were aged 40–50 years (52%), female (58%), had completed senior high school education (42%), and were unemployed (66%). Most respondents demonstrated a good level of knowledge (98%), while 2% had a moderate level of knowledge. It can be concluded that the level of knowledge among patients with hypertension was generally good. Therefore, this should be maintained through continuous health education to support optimal hypertension control.
HUBUNGAN PENGGUNAAN GADGET TERHADAP PERKEMBANGAN BALITA USIA 1-5 TAHUN DI POSYANDU FLAMBOYAN WILAYAH KERJA PUSKESMAS KASIHAN II
Gadget use is increasing along with technological developments in the digital era, raising concerns about its impact on under-five children development, particularly those aged 1-5, which is considered the golden age. If gadget use is not controlled by restrictions and parental supervision, it has the potential to impact under-five children development, particularly in fine motor skills, speech and language, socialization, independence, and gross motor skills. To determine the relationship between gadget use and the development of under-five children the Posyandu (Integrated Health Post) Flamboyan. This study employed quantitative methods with a cross-sectional design. Data analysis performed was the Spearman's Rho test. The sample selected in this study was 63 under-five children aged 1-5, obtained using total sampling. Data collection utilized was a gadget use questionnaire and a Developmental Pre-Screening Questionnaire (KPSP-Kuesioner Pra Skrining Perkembangan). The Spearman's Rho correlation test yielded a p-value (sig) of 0.168 > 0.05. There is no relationship between gadget use and the development of under-five children aged 1-5 years at the Posyandu Flamboyan in the Puskesmas (Community Health Center) Kasihan II working area.
Nilai dan Kearifan Lokal Komunitas Suku Mee Bagi Kekuatan Tumbuh Kembang Anak di Paniai, Papua
Latar Belakang: Kearifan lokal memengaruhi perilaku kesehatan ibu dan anak, namun bukti ilmiah pada masyarakat Suku Mee di Kabupaten Paniai masih terbatas. Tujuan: Mengeksplorasi nilai dan kearifan lokal yang berkontribusi terhadap kesehatan ibu dan tumbuh kembang anak. Metode: Penelitian kualitatif dengan desain etnografi melibatkan tokoh adat, tokoh perempuan, orang tua, kader kesehatan, dan tenaga kesehatan yang dipilih secara purposive. Data dikumpulkan melalui wawancara mendalam, observasi, dan dokumentasi, kemudian dianalisis menggunakan model Miles, Huberman, dan Saldaña. Hasil: Nilai kebersamaan, kekerabatan, dan pengasuhan kolektif mendukung kesehatan ibu dan anak. Kearifan lokal meliputi pemanfaatan pangan lokal, dukungan keluarga, pantangan kehamilan, persalinan berbasis keluarga, serta penerimaan pemeriksaan kehamilan saat diperlukan. Simpulan: Kearifan lokal merupakan modal sosial yang perlu diintegrasikan dengan pelayanan kesehatan yang sensitif budaya untuk meningkatkan kesehatan ibu dan tumbuh kembang anak.
ANALISIS PENYEBAB TINGGINYA KELUHAN PASIEN TERKAIT AKUN MOBILE JKN YANG SERING TER-LOGOUT DI RSI MUHAMMADIYAH SUMBERREJO TAHUN 2026
Mobile JKN is a digital application developed by BPJS Kesehatan to facilitate National Health Insurance members in accessing healthcare services. However, frequent complaints about automatic account logouts remain a problem at RSI Muhammadiyah Sumberrejo, disrupting service delivery. This study aimed to identify the causes of frequent Mobile JKN account logouts. A qualitative descriptive method was employed through in-depth interviews with three purposively selected informants, supported by observation and documentation. Data were analyzed using the Miles and Huberman model. The findings showed that the main causes of account logouts were system updates, system maintenance, and account access from different devices. Other barriers included forgotten passwords and not carrying mobile phones. These problems increased service waiting time and staff workload. Providing simple educational media is recommended to improve patients' understanding and independence in using the Mobile JKN application, thereby enhancing the efficiency and quality of healthcare services.
The Relationship Between Family Support And The Level Of Independence Among Post-Stroke Patients At Tabanan Regional General Hospital
Stroke is a major cause of disability that can reduce patients’ level of independence in performing activities of daily living. Post-stroke conditions require continuous support, particularly from family members as the closest support system. Optimal family support is expected to assist the recovery process and enhance patients’ independence. This study aimed to analyze the relationship between family support and the level of independence among post-stroke patients at Tabanan Regional General Hospital. This study employed a correlational analytic design with a cross-sectional approach. The sample consisted of 78 post-stroke patients selected using a total sampling technique. Data were collected using a family support questionnaire and a patient independence questionnaire, and were analyzed using the Spearman correlation test. The results showed that the majority of respondents received moderate family support, accounting for 41 respondents (52.6%). Most post-stroke patients had a moderate level of dependency, with 38 respondents (48.7%). The Spearman correlation analysis indicated a significant relationship between family support and the level of independence among post-stroke patients, with a correlation coefficient of r = 0.562 and a p-value = 0.000 (p < 0.05). Better family support was associated with a higher level of patient independence. The conclusion of this study demonstrates that there is a significant relationship between family support and the level of independence among post-stroke patients. Therefore, family involvement should be optimized as an integral part of post-stroke care and rehabilitation programs
PENGEMBANGAN EDUKASI BERBASIS KONSELING UNTUK MENGURANGI GANGGUAN POLA MENSTRUASI PADA AKSEPTOR IMPLANT
The use of implant contraception may cause side effects such as menstrual cycle disturbances, including spotting, amenorrhea, and irregular bleeding. Counseling-based education is needed to improve acceptors’ understanding in managing these side effects. This study aims to determine the effect of counseling-based education on menstrual cycle disturbances among implant contraceptive acceptors. This study used a pre-experimental design with a one-group pretest-posttest approach. The sample consisted of 30 implant contraceptive acceptors selected using a purposive sampling technique. The intervention was carried out through counseling-based education, and measurements were taken using questionnaires before (pretest) and after (posttest) the intervention. Data analysis was performed using a paired t-test with a significance level of 0.05. The results showed that the mean score of menstrual cycle disturbances before the intervention was 79.03 and decreased to 66.70 after the intervention. The paired t-test results obtained a t-value of 89.108 with a p-value of 0.000 (p < 0.05), indicating a significant effect of counseling-based education on reducing menstrual cycle disturbances among implant acceptors. Counseling-based education was proven to be effective in reducing menstrual cycle disturbances among implant contraceptive acceptors.
PENGARUH PUASA INTERMITEN TERHADAP NILAI TRIGLISERIDA PASIEN OBESITAS DI SURABAYA
Background: Obesity is frequently accompanied by hypertriglyceridemia, which increases cardiometabolic risk. Objective: To evaluate the effect of a 12-hour intermittent fasting regimen, performed on three non-consecutive days per week for six weeks, on triglyceride levels in patients with obesity. Methods: This quasi-experimental study employed a non-equivalent control group pretest–posttest design involving 50 participants, divided into an intervention group (n=25) and a control group (n=25). The intervention group fasted from 06:00 to 18:00, while the control group maintained their usual dietary habits. Fasting triglyceride levels were measured before and after the intervention. Data were analyzed using paired tests, Welch’s t-test, and ANCOVA. Results: Triglyceride levels decreased from 251.64 to 178.80 mg/dL in the intervention group and to 227.20 mg/dL in the control group. The adjusted reduction was significantly greater in the intervention group by 48.40 mg/dL (95% CI: 33.60–63.20; p<0.001), with a compliance rate of 90.2%. Conclusion: A 12-hour intermittent fasting regimen performed three times weekly for six weeks reduced triglyceride levels more effectively than a usual diet. Larger randomized controlled trials are needed to confirm these findings. Intermittent fasting may represent a simple, low-cost intervention with potential application in primary healthcare, accompanied by continuous monitoring of dietary intake and physical activity.
The Hubungan Konsumsi Junk Food dengan Gangguan Siklus Menstruasi pada Remaja Putri di SMK Ar Rahma Gempol, Kabupaten Pasuruan
Background : Menstrual cycle disorders are conditions characterized by abnormal changes in the frequency, duration of menstruation, and the volume of menstrual blood. Data obtained from Riskesdas show that 13.7% of women in Indonesia aged 10–59 years experienced irregular menstrual cycles within the last year. These disorders can be influenced by various factors, one of which is the habit of consuming junk food. Objective : This study aimed to analyze the relationship between junk food consumption and menstrual cycle disorders among female adolescents at SMK Ar-Rahma in 2025. Methods: This study used a quantitative analytic method with a cross-sectional design. The research was conducted from August 30 to September 2025 with a total population of 143 adolescents. The sampling technique used purposive sampling, resulting in 59 respondents. Data collection in this study used an FFQ questionnaire and a checklist sheet. Data analysis was performed using the Chi-Square statistical test. Results : The results showed that most adolescents frequently consumed junk food, totaling 42 respondents (71.2%), and 51 respondents (86.4%) experienced menstrual cycle disorders. Bivariate analysis using the Chi-Square test (p = 0.003) indicated a significant relationship between junk food consumption and menstrual cycle disorders. Conclusions: Therefore, concrete efforts are needed through promotive, preventive, and educative activities, accompanied by the development of effective strategies to improve adolescent reproductive health through appropriate nutritional approaches.
Efektivitas Intervensi Nonfarmakologis Terhadap Fungsi Kognitif Pada Pasien Demensia: A Systematic Review
Introduction: Dementia is a progressive neuro degenerative disorder characterized by a decline in cognitive function that affects memory, thinking, and daily activities. The increasing prevalence of dementia worldwide highlights the importance of effective management strategies, including non-pharmacological interventions. Objective: This study aimed to review the effectiveness of non-pharmacological interventions in improving cognitive function among patients with dementia. Methods: A systematic review was conducted using the PRISMA approach. Literature searches were performed in Pub-med, EMBASE, and Scopus databases for studies published between 2020 and 2026. Of the 2,904 articles identified, 10 studies met the inclusion criteria and were analyzed. Results: The review found that non-pharmacological interventions, particularly cognitive stimulation therapy and virtual reality-based interventions, were effective in maintaining and improving cognitive function. Additional benefits included enhanced quality of life and reduced loneliness. Music therapy, dance therapy, and lifestyle-based programs also demonstrated positive effects on cognitive outcomes. Conclusion: Non-pharmacological interventions are effective in supporting cognitive function and overall well-being in patients with dementia. These findings emphasize the importance of integrating multidisciplinary and multi-modal approaches into dementia care to promote independence, improve quality of life, and slow cognitive decline.
PENGARUH AKUPUNKTUR TITIK LI11, ST36, DAN TITIK LOKAL KASUS DERMATITIS ATOPIK PADA SANTRI DI PONDOK DARUL IHSAN SRAGEN
Dermatitis is an inflammatory skin disorder caused by a type IV cell-mediated hypersensitivity reaction following disruption of the skin barrier by specific antigens. Various factors, including age, sex, environmental conditions, personal hygiene, clothing, cosmetics, and topical medications, contribute to its occurrence. This study aimed to evaluate the effect of acupuncture at LI11, ST36, and local points on reducing dermatitis lesion severity among students at the Darul Ihsan Muhammadiyah Islamic Boarding School, Sragen. A pre-experimental one-group pretest–posttest design was employed from October to November 2025. Of 425 boarding school students, 150 had a history of dermatitis, and 30 participants met the inclusion criteria. Dermatitis severity was assessed using the SCORAD questionnaire and observation sheets before and after treatment. Data were analyzed using the Wilcoxon signed-rank test with a significance level of 0.05. The results showed a significant reduction in dermatitis lesion severity (p = 0.001), indicating that acupuncture may serve as a safe, non-pharmacological complementary therapy for dermatitis.
PENGARUH WOOLWICH MASSAGE MENGGUNAKAN MINYAK ZAITUN DENGAN KEBERHASILAN MENYUSUI PADA IBU NIFAS POST SC DI RSU SEBENING KASIH TAYU
Breastfeeding is the process of feeding breast milk to babies from birth to 2 years of age with the aim of providing optimal nutrition to babies. This study aims to analyse the effect of Woolwich massage using olive oil on breastfeeding success in post-caesarean section mothers at Sebening Kasih General Hospital. The research method used was quantitative, namely a quasi-experimental study with a two-group pretest-posttest design. The population consisted of 142 post-caesarean section mothers. The sample size was calculated using the Slovin formula to be 60, with a ratio of 30 respondents receiving the intervention and 30 respondents in the control group. The analysis in this study used the Wilcoxon Sign Rank test. The results of the study showed that before and after the intervention of Woolwich massage using olive oil, there was a significant increase in the success rate of breastfeeding, especially among postpartum mothers who had undergone a caesarean section and received Woolwich massage using olive oil.
HUBUNGAN PERKEMBANGAN ANAK USIA TODDLER PADA ANAK YANG LAHIR PREMATUR DAN YANG LAHIR ATERM DI PUSKESMAS UABAU
Background: Preterm birth (<37 weeks of gestation) is associated with an increased risk of growth and developmental disorders compared with term birth, making early developmental screening during the golden period essential. Objective: To compare the development of toddlers born preterm and those born at term in the Uabau Primary Health Center working area. Methods: This descriptive comparative field study assessed child development using the Denver Developmental Screening Test (DDST). The sample included 21 toddlers with a history of preterm birth and 30 toddlers born at term, selected through purposive sampling. Data were analyzed using statistical tests with a significance level of 95% (α = 0.05). Results: The analysis showed an Asymp. Sig value of 0.388 (p > 0.05), indicating no significant difference in developmental outcomes between preterm and term-born toddlers. Conclusion: Preterm birth was not associated with significantly different developmental outcomes in this study. Nevertheless, routine developmental monitoring remains important to detect developmental problems early and optimize child development.
ANALISIS KEPATUHAN JADWAL PERMINTAAN LOGISTIK UMUM TERHADAP EFISIENSI DISTRIBUSI BARANG DI RS X
Logistics management is an important component in supporting hospital operational activities. Logistics requests that do not follow the scheduled system can disrupt the distribution process and reduce the efficiency of logistics services. This study aims to analyze compliance with the schedule of general logistics requests and its impact on the efficiency of goods distribution at RS X. This research used a descriptive qualitative method with observation and problem analysis using the USG (Urgency, Seriousness, Growth) method. Data were obtained through field practice activities in the General Logistics Unit by observing the process of requesting and distributing logistics goods. The results showed that several work units still submitted logistics requests outside the predetermined schedule stated in the standard operating procedures, which disrupted the workflow of logistics staff, increased workload, and reduced the efficiency of the distribution process. The study concludes that compliance with logistics request schedules significantly influences the efficiency of goods distribution in hospitals. Therefore, it is necessary to improve SOP socialization, conduct periodic monitoring, and strengthen coordination between work units and the logistics department to enhance the effectiveness of hospital logistics management.
PENGARUH INTERVENSI KELOMPOK DUKUNGAN SEBAYA TERHADAP MEKANISME PENYESUAIAN DIRI PADA WANITA DENGAN SINDROM PRAMENSTRUASI
Background: Premenstrual Syndrome (PMS) is a reproductive health disorder characterized by physical, emotional, and behavioral symptoms during the luteal phase of the menstrual cycle, which can interfere with daily activities, academic performance, social relationships, and quality of life. Methods: This study used a case report design involving a 19-year-old female adolescent who experienced dysmenorrhea, mood swings, and decreased concentration. Coping mechanisms were assessed using the Premenstrual Change Coping Inventory (PMS-COPE) before and after the intervention. The Junk foodintervention included education about PMS, sharing experiences, group discussions, emotional support, reflection, and practice of adaptive coping strategies. Results: The PMS-COPE score increased from 53 to 54 after the intervention. In addition, the patient became better able to recognize PMS symptoms, was more open to sharing experiences, felt more confident in dealing with emotional changes, began to utilize peer support, and applied more adaptive coping strategies. Conclusion: The Junk foodhas the potential to improve coping mechanisms in adolescent girls with PMS and can be considered as a nonpharmacological nursing intervention to support adaptation to PMS symptoms.
FAKTOR-FAKTOR YANG MEMPENGARUHI MINAT PASANGAN USIA SUBUR (PUS) DALAM PENGGUNAAN KONTRASEPSI IUD PASKA SALIN DI RSU SEBENING KASIH
The high rate of population growth, which has not been accompanied by an improvement in the quality of the population, has led to efforts to address this issue through the Family Planning (KB) programme. One form of contraception is the IUD. This study aims to determine the factors that influence the interest of couples of childbearing age (PUS) in using IUD contraception. This study uses a quantitative correlational research design and a cross-sectional research design. The population consisted of 246 patients, and the sample size was 61 respondents. Data collection used a questionnaire to assess the factors influencing the interest of couples of childbearing age (PUS) in using IUD contraception. The results showed that of the 61 respondents, 33 respondents (54%) had low interest and 28 respondents (46%) had high interest in IUDs. Spearman's rank analysis showed that there was a relationship between interest in IUD use and education (p-value 0.004), parity (p-value 0.014), husband's support (p-value 0.014), and culture (p-value 0.005).
HUBUNGAN INDEKS MASSA TUBUH (IMT) DENGAN BENTUK ARKUS KAKI PADA ANAK USIA 7 – 12 TAHUN DI SDN 03 TOHUDAN KARANGANYAR
Abnormal foot arch shape can cause balance disorders, pain, and increase the risk of injury. One factor influencing this condition is Body Mass Index (BMI). Children with high BMI, such as overweight and obesity, tend to have flat foot arches (pes planus) due to greater body weight. This study aims to determine the relationship between foot arch shape and BMI in elementary school children. This study at SDN 03 Tohudan Karanganyar using an analytical observational method with a cross-sectional approach. The sample consisted of 92 students selected through total sampling. BMI was measured using body weight and height, while foot arch shape was assessed using the Clarke Angle method. Data analysis included normality testing and hypothesis testing using the Spearman Rank test.The results showed a significant relationship between BMI and foot arch shape, with a p-value of 0.013 (p < 0.05) and a correlation coefficient of -0.258. This negative correlation indicates that as BMI increases, foot arch shape decreases. However, the correlation strength was weak. In conclusion, there is a significant negative relationship between BMI and foot arch shape in children aged 7–12 years. Higher BMI is associated with lower foot arch shape, which may increase the risk of musculoskeletal disorders.
Pengaruh Massage Effleurage Dengan Minyak Atsiri Biji Pala (Myristica Fragrans) untuk Mengurangi Nyeri Betis pada Pekerja Wanita Pabrik Sarden di Jembrana
Introduction: Musculoskeletal pain in the lower extremities, especially calf pain, is commonly experienced by industrial workers and may reduce productivity. Effleurage massage with nutmeg essential oil has the potential to serve as a non-pharmacological therapy to help reduce pain. Objective: This study aimed to determine the effect og effleurage massage with nutmeg essential oil on the reduction of calf pain among female workers in a sardine factory in Jembrana. Methods: this study used a pre-experimental design with a one-group pretest-posttest approach. The sampel consisted of 38 female workers selected by purposive sampling. Pain intensity was measured using the numeric rating scale (NRS) before and after the intervention. The intervention was applied for three consecutive days using 5 mL of nutmeg seed essential oil, witch each sesion lasting 15 minutes. Data were analyzed using the Wilcoxon Signed Rank Test at a significance level of 0,05. Results:The results showed a decrease in calf pain scores after the effleurage massage intervention with nutmeg essential oil. The was a significant difference in pain intensity before and after the intervention. Conclusion: eflleurage massage with nutmeg essential oil was effective in reducing calf pain among female workers in the sardine factory in Jembrana.
EVALUASI KEPATUHAN PENGGUNAAN APD PETUGAS CLEANING SERVICE DALAM MENDUKUNG PROGRAM PPI DI RUMAH SAKIT X
Hospitals are healthcare facilities with a high risk of infection transmission to patients, healthcare workers, and supporting staff. One of the important efforts to prevent infection is the implementation of the Infection Prevention and Control (IPC) program, including compliance with the use of Personal Protective Equipment (PPE). This study aimed to evaluate PPE compliance among cleaning service staff in supporting the IPC program at Hospital X. This study used a descriptive quantitative design. Data were collected through direct observation and PPE compliance monitoring records from the IPC unit. Problem analysis was conducted using the USG method (Urgency, Seriousness, Growth), while root causes were analyzed using a Fishbone diagram. The results showed that PPE compliance from October to December was above 90%, namely 91.0% in October, 92.9% in November, and 91.6% in December, but had not reached the optimal standard of 100%. USG analysis identified PPE non-compliance as the main problem. Fishbone analysis indicated that the issue was influenced by individual, method, management, and environmental factors. Improvement efforts were carried out using a Lean Management approach by installing PPE reminder posters to increase staff awareness and compliance.
HUBUNGAN INTENSITAS PENGGUNAAN MEDIA SOSIAL DENGAN KESEHATAN MENTAL REMAJA DI SMPK 1 HARAPAN DENPASAR
The increasing intensity of social media use among adolescents has the potential to affect their mental health. This study aimed to analyze the relationship between the intensity of social media use and adolescents' mental health at SMPK 1 Harapan Denpasar. This study employed a quantitative descriptive correlational design with a cross-sectional approach. A total of 180 adolescents were selected using a purposive sampling technique. Data were collected using a social media use intensity questionnaire and the Self-Reporting Questionnaire (SRQ-20) and were analyzed using Spearman's rank correlation test. The results showed that most respondents had a moderate level of social media use (99.4%) and did not experience mental health problems (68.9%). Spearman's rank correlation analysis revealed a significant relationship between the intensity of social media use and mental health (p = 0.001; r = 0.517). It can be concluded that the intensity of social media use is significantly associated with adolescents' mental health. Therefore, continuous education on the responsible use of social media should be strengthened through the involvement of families, schools, and healthcare professionals.
ANALISIS FAKTOR RISIKO KEJADIAN KETUBAN PECAH DINI PADA IBU BERSALIN: PENELITIAN CASE-CONTROL
Premature rupture of membranes (PROM) is one of the pregnancy complications that can increase maternal and neonatal morbidity and mortality. This study aimed to analyze the association between maternal age, education, occupation, parity, gestational age, anemia status, history of diabetes mellitus, and history of PROM with the incidence of PROM. A case-control design was employed using secondary data from 346 respondents, consisting of 173 cases and 173 controls. Data were analyzed using the Chi-square test with a 95% confidence level (α = 0.05). The results showed significant associations between maternal age (p = 0.025), education (p = 0.000), parity (p = 0.001), gestational age (p = 0.000), anemia status (p = 0.000), and history of PROM (p = 0.000) with the incidence of PROM. In contrast, occupation (p = 0.274) and history of diabetes mellitus (p = 0.200) were not significantly associated with PROM. It can be concluded that certain maternal and obstetric factors are associated with the incidence of PROM. Therefore, optimal antenatal monitoring is necessary to identify and manage these factors in order to reduce the risk of PROM.
PENGARUH PENGGUNAAN POSTER STUNTING TERHADAP ORANG TUA BAYI BALITA DI PUSKESMAS ALAK KOTA KUPANG
Health interventions spanning form the prenatal period through the first five years of life aim to ensure child survival and improve quality of life. Perental involvement is crucial for meeting nutritional needs, as children require significant attenstion and support during this period of rapid growth and development. This study aimed to examine the relationship between parents knowledge regarding stunting-related posters and their use of these materials at the Alak Community Health Center (Puskesmas). Methods:A descriptive study descriptive design was employed. The study population consistednof all parents of children under five visiting five auxiliary community helaths centers, totaling 616 respondents; the entire population served as the simple. The independent variable was parental knowledge, while the dependent variable was the use of stunting posters. Data were collected via quastionnaires and analyzed using descriptive statistics. Results: The majority of respondents were under 25 years old (n=359;58.3%), had a high school education (n=289; 46.9%), were employed in office jobs (n=375; 60.9%), and possessed good knowledge regarding the posters (n=396; 64.3%). Conclusion: Most parents of children under five demonstrated good knowledge concerning the use of stunting posters. Recommended: Awareness-raising initiatives regarding stunting posters should be conductednto further enhance parental knowledge, thereby improving family nutrition and preventing stunting.
ANALISIS PERMASALAHAN PENERAPAN PENCEGAHAN DAN PENGENDALIAN INFEKSI (PPI) PADA PERAWAT DI RUMAH SAKIT XXX
Hospitals are healthcare facilities that are at risk of healthcare-related infections. One of the most effective infection prevention efforts is the implementation of hand hygiene by healthcare workers. However, in its implementation, hand hygiene compliance is still often found to be suboptimal. This study aims to analyze the problem of hand hygiene compliance and efforts to improve compliance using the Lean Management approach, the USG method, and the PDSA cycle at XXX Hospital. This study used a descriptive qualitative method with an observational approach conducted during the internship. The data used were monitoring data on hand hygiene compliance of healthcare workers from October to December. The results showed that the level of hand hygiene compliance in October was 76.5%, in November 75%, and in December 79.1%. The results of the Lean Management analysis showed waste in the form of defects and motion that affected the implementation of hand hygiene. Based on the USG method analysis, the problem of suboptimal hand hygiene compliance is a priority problem that needs to be addressed. Improvement efforts are carried out through the PDSA method by increasing education, regular compliance monitoring, and providing adequate hand hygiene facilities. These efforts are expected to improve healthcare workers' compliance in implementing hand hygiene, thereby supporting the Infection Prevention and Control program in hospitals.
AKUPRESUR TITIK ST 16 DAN ST 18 MENINGKATKAN PRODUKSI ASI PADA IBU POST SECTIO CESAREAN: SEBUAH STUDI QUASI-EKSPERIMENTAL
Post-cesarean section mothers often experience delayed and insufficient breast milk production due to pain, anxiety, and limited mobility, so that the breastfeeding process in the first days is not optimal. Nationally, the rate of delivery via cesarean section reaches 17.6%, and in East Java it is 19.1%, with a lower rate of early breastfeeding success compared to normal delivery. Acupressure is a complementary approach that is easy to do and inexpensive to help the mother's body relax, increase blood flow to the breast area, and stimulate the release of prolactin and oxytocin hormones that play an important role in breast milk production. The purpose of this study was to analyze the effect of acupressure on ST 16 and ST 18 points on breast milk production after CS. The research method was quasi-experimental with a one-group pretest–posttest design on 26 post-CS mothers on day 2. The results of the Wilcoxon Signed Rank-Test p-value = 0.000 indicating a significant difference between breast milk production before and after acupressure. The conclusion is that there is an effect of acupressure on the ST 16 and ST 18 points on breast milk production after a caesarean section, with a difference in the increase in breast milk production of 161.35 cc.