Journal Title : Jurnal Ventilator: Jurnal riset ilmu kesehatan dan Keperawatan Initials : Ventilator Frequency : Maret, Juni, September dan Desember Print ISSN : 2986-786X Online ISSN : 2986-7088 Editor in Chief : Nanang Khosim Azhari, M.Kep.,Sp.Kep.J DOI:10.59680 Publisher : STIKES KESDAM IV/DIPONEGORO Jurnal Ventilator: Jurnal riset ilmu kesehatan dan Keperawatan, ISSN: 2986-786X (cetak), ISSN: 2986-7088 (Online) Jurnal riset ilmu kesehatan dan Keperawatan menyajikan hasil penelitian dan tinjauan pustaka sehingga jurnal ini bermanfaat bagi dokter dan perawat, pengambil kebijakan, tenaga kesehatan, dosen serta mahasiswa yang tertarik dengan publikasi ilmiah terkait Ilmu ilmu kesehatan dan Keperawatan. Jurnal ini terbit 1 tahun 4 kali (Maret, Juni, September dan Desember). Jurnal ini terakreditasi SINTA 4 (SK Direktur Jenderal Pendidikan Tinggi, Riset, dan Teknologi Nomor 156/C/C3/KPT/2026 tanggal 7 April 2026, tentang Pemberitahuan Hasil Akreditasi Jurnal Ilmiah Periode 2 Tahun 2025), dimulai dari Volume 1 Nomor 2 Tahun 2023 sampai Volume 6 Nomor 1 Tahun 2028. threecountriestravel.com Indexed by : Journal Sponsors and Partners :
Stikes Kesdam IV/Diponegoro Semarang, Indonesia
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Mapping The Determinants of Infectious Diseases among Under-Five Children: A Scoping Review
Infectious diseases remain a major cause of morbidity and mortality among children under five, especially in coastal communities characterized by environmental vulnerability and socioeconomic disparities. Understanding the multifactorial determinants of these diseases is essential for effective prevention and policy intervention. This scoping review aimed to map the determinants influencing infectious diseases among under-five children in coastal areas and identify research gaps. The review followed the PRISMA-ScR framework, with literature searches conducted in Scopus, PubMed, and ScienceDirect databases for articles published between 2015 and 2025. Fifteen eligible studies were critically appraised using the Joanna Briggs Institute (JBI) tools, and data were categorized into environmental, socioeconomic, behavioral, and biological determinants. Most studies used a cross-sectional design and were conducted in developing countries across Asia and Africa. Socioeconomic factors—particularly maternal education and household income—were the most frequently reported determinants, followed by biological aspects such as nutritional status and immunization. Environmental quality and hygiene behaviors also significantly contributed to respiratory and diarrheal infections. These findings highlight that infectious diseases among under-five children in coastal settings arise from complex, interrelated factors, underscoring the need for multisectoral, evidence-based prevention strategies.
Copyright (c) 2026 Dwi Jati Setya Bakti, Sri Achadi Nugraheni, Martini Martini https://creativecommons.org/licenses/by-sa/4.0
Potensi Saponin Rumput Laut Merah (Eucheuma Spinosum) sebagai Bahan Aktif Alami: Analisis Kadar Berdasarkan Perbedaan Variasi Konsentrasi Pelarut
This study aims to analyze and compare the effectiveness of 70% and 96% ethanol solvents in extracting saponin compounds from red seaweed (Eucheuma spinosum) from Panjang Beach, Bengkulu City. Saponin is a secondary metabolite that has important biological activities such as antioxidants, antimicrobials, and anticancer potential for the health sector. Extraction was carried out using the maceration method followed by quantitative analysis of UV-Vis spectrophotometry at a wavelength of 495 nm. The results showed that the crude drug had a drying loss value of 89.36%. The 70% ethanol solvent produced a higher extract yield (22.95%) compared to 96% ethanol (12.45%). However, the determination of saponin content showed different results; the 70% ethanol extract had a higher average content of 89.10% (891 mg DE/g) compared to 96% ethanol which was only 88.51% (885.1 mg DE/g). Statistical analysis of the independent sample t-test showed a significance value of 0.861 and 0.862 (p > 0.05), indicating no significant difference between the two solvents. It was concluded that 70% ethanol is a more optimal and selective solvent in extracting saponin compounds from E. spinosum for the purpose of standardizing natural active ingredients.
Copyright (c) 2026 Shanata Prilsie Haryono, Dwi Kurnia Putri, Ikhsan Ikhsan, Rose Intan Perma Sari, Encik Putri Ema Komala https://creativecommons.org/licenses/by-sa/4.0
Studi Karakteristik Epidemiologis Kasus Malaria di Puskesmas Batom, Kabupaten Pegunungan Bintang, Papua
Malaria is a serious threat to society, especially in endemic areas. This disease causes material and mental losses, even various other negative impacts, including death. Epidemiological studies are needed to determine the distribution of malaria data variations that are useful for mapping the management of malaria infections sustainably. The purpose of this study is to conduct an epidemiological study of malaria in highly endemic malaria areas in remote areas. The study used secondary data at the Batom Community Health Center, Central Mountains, Papua. The research variables include gender, patient age, type of malaria parasite infection, and patient occupation. Data analysis used cross-tabulation of each variable to describe the number and percentage of each research variable. The results showed that male sufferers were higher than female sufferers with a ratio of 51.19% : 48.81%, the highest sufferers were unemployed individuals and students with a total of 34.75% and 22.18%. While the most common type of parasite was a mixed infection (Plasmodium falciparum and P. vivax) with a value of 52.87%. The conclusion of this study is that epidemiological malaria studies provide useful information for mapping and further decision-making in malaria elimination efforts in highly endemic areas.
Copyright (c) 2026 Agnes S. Rahayu, Yofatifa Ramandey, Elieser Elieser, Dais Iswanto https://creativecommons.org/licenses/by-sa/4.0
Kajian Komparatif Kadar Metabolit Sekunder Saponin pada Anggur Laut (Caulerpa racemosa) : Analisis Variasi Konsentrasi Etanol dengan Metode Spektrofotometri
Sea grapes (Caulerpa racemosa) are green algae that contain secondary metabolites, including saponins, which have potential as bioactive compounds. This study aimed to determine the saponin content in 70% and 96% ethanol extracts and to analyze the differences in saponin levels between the two solvents using the UV-Vis spectrophotometric method.This research was an experimental laboratory study involving sample preparation, extraction by maceration using 70% and 96% ethanol, qualitative saponin testing, and quantitative determination of saponin levels using the vanillin–sulfuric acid method. Measurements were carried out at a maximum wavelength of 495 nm using a standard calibration curve with concentrations of 20–100 ppm.The results showed that the saponin content in the 70% ethanol extract was 954.06 ± 11.0 mg QE/g, while in the 96% ethanol extract it was 938.06 ± 8.9 mg QE/g. Statistical analysis using an independent t-test indicated no significant difference between the two extracts (p > 0.05).In conclusion, both 70% and 96% ethanol solvents are capable of extracting saponins from Caulerpa racemosa, but there is no significant difference in the saponin content obtained.
Copyright (c) 2026 Ayummi Halimah Dhyani, Dwi Kurnia Putri, Tri Danang Kurniawan, Rose Intan Perma Sari, Oky Hermansyah https://creativecommons.org/licenses/by-sa/4.0
Faktor yang Mempengaruhi Calon Pengantin Wanita dalam Pelaksanaan Skrining Prakonsepsi di Kua Kecamatan Kuranji
The coverage of premarital health services among prospective couples in Indonesia remains low. In 2024, only 39.7% of 1,480,302 registered couples accessed premarital health services. A similar condition was observed in Padang City in 2023, where out of 8,378 registered couples, 7,374 received services, including 180 cases of anemia and 192 undernourished female prospective brides. At Belimbing Community Health Center, preconception service coverage is also suboptimal, with only 54.5% of 774 couples receiving standard services. This study aims to analyze factors influencing the implementation of preconception screening at KUA Kuranji in 2025. This study used an observational analytic design with a cross-sectional approach. Data were collected from 97 respondents. The results showed that knowledge, education, attitudes were significantly associated with preconception screening implementation. Education was identified as the most dominant factor. In conclusion, preconception screening implementation is influenced by both individual and environmental factors. Strengthening health education and improving collaboration between health workers and KUA are essential to enhance participation in preconception screening.
Copyright (c) 2026 Annisa Sufi Husna, Roza Sri Yanti, Rozi Sastra Purna, Husna Yetti https://creativecommons.org/licenses/by-sa/4.0
Role of Camellia Sinensis in Polycystic Ovary Syndrome: A Systematic Review
Polycystic Ovary Syndrome (PCOS) is one of the most common endocrine-metabolic disorders affecting women of reproductive age and has significant impacts on hormonal, metabolic, and reproductive functions. Conventional therapies generally focus on managing symptoms but do not comprehensively target the underlying pathogenesis of PCOS. This systematic review aimed to evaluate the potential effects of Camellia sinensis and its bioactive compounds on PCOS based on in vivo experimental studies. The review was conducted according to PRISMA 2020 guidelines using databases including PubMed, ScienceDirect, and Google Scholar. Eligible studies involved validated animal models of PCOS induced by letrozole, estradiol valerate, or similar agents, with interventions consisting of green tea extract, catechins, or epigallocatechin-3-gallate (EGCG). Risk of bias was assessed using the SYRCLE Risk of Bias tool for animal studies. Six in vivo studies met the inclusion criteria. The findings indicate that Camellia sinensis may improve hormonal imbalance, ovarian histomorphology, folliculogenesis, insulin resistance, inflammatory markers, and oxidative stress in PCOS models. One study also demonstrated enhanced metabolic and histological outcomes when EGCG was combined with vitamin D. However, the evidence remains preclinical, heterogeneous, and limited in several outcome domains. Further well-designed human studies are necessary to confirm its therapeutic potential in PCOS management.
Copyright (c) 2026 Evi Lusiana, Fitry Dwi Asmeliana https://creativecommons.org/licenses/by-sa/4.0
Hubungan Tingkat Pengetahuan Ibu tentang Pencegahan Demam Tifoid dengan Kejadian pada Anak di Aceh Utara
Typhoid fever is a systemic infectious disease caused by Salmonella typhi and remains a public health concern, particularly among children. In 2019, the prevalence of typhoid fever in North Aceh reached 0.7%. The high incidence of typhoid fever among children suggests that household sanitation practices may not be optimally implemented, which is presumed to be associated with mothers’ knowledge of typhoid fever prevention. This study aimed to assess mothers’ knowledge of preventive measures against typhoid fever and analyze its association with typhoid fever incidence among pediatric patients at Cut Meutia Regional General Hospital, North Aceh. This analytical quantitative study used a cross-sectional design involving 101 mothers of pediatric patients who met the inclusion criteria. Data were collected through a maternal knowledge questionnaire and medical records, then analyzed using univariate and bivariate analyses with the Chi-square test. The results showed that most children were aged 2–6 years (46.5%) and female (59.4%). Most mothers were housewives (73.3%) and had completed senior high school education (53.5%). Typhoid fever was found in 46 children (45.5%), while most mothers had good knowledge of typhoid fever prevention (53.5%). Bivariate analysis showed that children with typhoid fever were more likely to have mothers with poor knowledge, whereas children without typhoid fever were more likely to have mothers with good knowledge. A significant association was found between maternal knowledge and typhoid fever incidence in children (p=0.000). These findings highlight the importance of strengthening maternal health education as part of typhoid fever prevention in children.
Copyright (c) 2026 Annisa Naila Dzakira, Julia Fitriany, Sarah Rahmayani Siregar, Fury Maulina, Mardiati Mardiati https://creativecommons.org/licenses/by-sa/4.0
Pengaruh Variasi Konsentrasi Cera Alba terhadap Karakteristik Fisik Sediaan Salep Ekstrak Teh Hijau (Camellia sinensis)
This study was conducted in response to the increasing use of natural ingredients in topical formulations, particularly green tea extract (Camellia sinensis L.), which is known for its antioxidant activity and potential in skin care applications. The selection of an appropriate base, including the use of cera alba, plays an important role in determining the physical characteristics of the formulation. This study aimed to evaluate the effect of variations in cera alba concentration on the physical characteristics of green tea extract ointment. The method involved preparing several ointment formulations with different concentrations of cera alba, followed by physical evaluations including organoleptic properties, homogeneity, pH, spreadability, and adhesion. The results showed that all formulations met the requirements for organoleptic properties, homogeneity, pH, and adhesion, but did not meet the standard for spreadability. An increase in cera alba concentration tended to increase the viscosity of the formulation, resulting in decreased spreadability but improved adhesion. These findings indicate that cera alba plays a significant role in determining the physical characteristics of ointment formulations, and further optimization is needed to achieve an ideal formulation with balanced properties and potential for development as a natural-based topical product.
Copyright (c) 2026 Rufaidah Azzahrah, Sitti Hartina, Nurul Izzah H. L. Pasi, Elfira Buamona https://creativecommons.org/licenses/by-sa/4.0
Analisis Pemenuhan Kebutuhan Spiritual dalam Meningkatkan Koping Keluarga yang Mendampingi Anak dengan Bronkopneumonia
Background:Bronchopneumonia is a respiratory infection in children that affects not only the physical condition but also the psychological and spiritual well-being of the family. Families often experience anxiety and stress, requiring adaptive coping mechanisms. One approach is the fulfillment of spiritual needs.This study aimed to analyze the role of spiritual needs fulfillment in improving family coping among parents accompanying children with bronchopneumonia. Method: A qualitative phenomenological approach was used. Participants were parents who accompanied their children during hospitalization. Data were collected through in-depth interviews and spiritual support interventions, including encouraging prayer, promoting positive thinking, and facilitating religious practices. Thematic analysis was used to analyze the data. Result :The results showed differences in spiritual condition and coping between when the child was healthy and during hospitalization. Spiritual support improved emotional calmness, reduced anxiety, and enhanced family coping. Conclusion: the conclusion, spiritual care plays an important role in improving family coping and should be integrated into holistic nursing care.
Copyright (c) 2026 Aisyah Fadhila Safrudin, Falasifah Ani Yuniarti https://creativecommons.org/licenses/by-sa/4.0
Pengaruh Mobilisasi Dini terhadap Penurunan Skala Nyeri dan Peningkatan Rentang Gerak pada Pasien Pasca Sectio Caesarea di RSD Gunung Jati Kota Cirebon
Background: Severe preeclampsia is characterized by increased blood pressure, oedema, and even proteinuria. According to WHO (2020) the prevalence of SC method indicating preeclampsia is 7%, Indonesia is 13.4%, West Java is around 12%, Cirebon City is around 23.7%. Objective: To gain real experience in providing maternity nursing care to Mrs. I with acute pain nursing problems due to postoperative Sectio Caesarea for indications of PEB in the Endang Geulis room, Gunung Jati Hospital, Cirebon City. Methods: Descriptive design in the form of a case study (case study). Population: A total of 1 respondent post SC patient indicating PEB with 1 sample selected according to the inclusion and exclusion criteria. Nursing care for post sectio caesarea patients with indications of severe preeclampsia (PEB) focused on acute pain nursing problems. The study used postpartum assessment sheet including subjective and objective data, Numeric Rating Scale, tensimeter, stethoscope. Results: The patient complained of pain in the postoperative SC wound in the lower abdomen with a length of 10 cm horizontally. The main diagnosis is acute pain with a pain scale of 6. The nursing plan is to do early mobilization. Nursing implementation carried out is to perform early mobilization techniques. Evaluation found that the problem was resolved on the third day where the pain scale decreased from 6 to 2. Conclusion: This study found that the action of early mobilization techniques that had been carried out was successful. Suggestion: This research is expected to be useful for nursing services or education in providing nursing care
Copyright (c) 2026 Sofiyati Sofiyati, Nanda Saqinah Aprilia https://creativecommons.org/licenses/by-sa/4.0
Analisis Praktik Keperawatan pada Pasien Chronic Kidney Disease (CKD) dengan Intervensi Inovasi Pemberian Terapi Tertawa terhadap Tekanan Darah Tinggi di Ruang Hemodialisis RSUD Aji Muhammad Parikesit Tenggarong
Background: Chronic Kidney Disease (CKD) is a progressive decline in kidney function where the remaining kidney mass is unable to maintain the internal environment. End-stage kidney disease cannot be cured, when the body is unable to maintain metabolic, fluid and electrolyte balance, causing uremia. Problems caused by the buildup or lack of production of metabolic waste that cannot be excreted by the body can cause high blood pressure due to the buildup of sodium and water in the body. In this state, blood volume becomes excessive, and the effects of renin, angiotensin, and aldosterone, which stabilize blood pressure, decrease. Left ventricular hypertrophy due to dilated cardiomyopathy or hypervolemia. The purpose of dialysis is to maintain the patient's life and health until kidney function is restored. Objective: to find out whether there is an effect of Laughter Therapy to reduce high blood pressure in patients with CKD on HD. Method: The method used is measuring blood pressure before and after. Results: Blood pressure was measured, 180/100 mmHg to 160/90 mmHg. 190/110 mmHg becomes 160/90 mmHg. 180/110 mmHg becomes 170/90 mmHg, 190/120 mmHg become 160/90 mmHg. Laughter therapy for patients has a relaxing effect, relaxes muscles and reduces stress, thereby reducing patient scores. Conclusion: The conclusion regarding the innovative intervention of providing laughter therapy to chronic kidney failure patients to reduce hypertension in CKD on HD patients is influential.
Copyright (c) 2026 Siti Khairani Prida, Rusni Masnina, Milkhatun Milkhatun, Faried Rahman Hidayat https://creativecommons.org/licenses/by-sa/4.0
Hubungan Pengetahuan dengan Sikap Masyarakat pada Penggunaan Antibiotik di Kelurahan Padang Harapan Kota Bengkulu
Antibiotics are chemical substances used to kill or inhibit the growth of bacteria that cause infections; therefore, their use must be appropriate and in accordance with medical indications. Irrational use of antibiotics can increase the risk of antibiotic resistance, which has become a global health problem. Public knowledge and attitudes play an important role in determining antibiotic use behavior. This study aimed to analyze the relationship between the level of knowledge and community attitudes toward antibiotic use in Padang Harapan Village. This study used a quantitative method with an observational analytic design through a cross-sectional approach. The sample consisted of 108 respondents selected using proportional sampling techniques. Data were collected using questionnaires that had been tested for validity and reliability. Data were analyzed using univariate and bivariate analyses with the Chi-Square test. The results showed that most respondents had good knowledge levels (78.7%) and positive attitudes toward antibiotic use (76.9%). Bivariate analysis showed a significant relationship between knowledge level and community attitudes with a p-value of 0.000 (p<0.05). Respondents with better knowledge tended to have more positive attitudes toward antibiotic use. This study indicates that continuous health education is needed to improve public understanding of rational antibiotic use and prevent antibiotic resistance. Therefore, healthcare workers have an important role in providing accurate information regarding antibiotic use in the community. Efforts to improve public knowledge are expected to support appropriate, safe, effective, and rational antibiotic use in accordance with healthcare recommendations.
Copyright (c) 2026 Fadillah Fadillah, Oky Hermansyah, Tri Danang Kurniawan, Putri Mulia, Ikhsan Ikhsan https://creativecommons.org/licenses/by-sa/4.0
Analisis Penerapan Intervensi Mobilisasi Dini untuk Mempercepat Penyembuhan Luka Post SC pada Ibu Post partum: Systimatic Review
Background Sectio caesarea is an action to give birth to a fetus by making an incision in the uterus through the abdominal wall. The action of sectio caesarea can also have an impact on fulfilling the patient's basic needs and can also cause pain in the surgical scar, for example, damage to skin/tissue integrity, disturbances elimination of urine, impaired nutrition and fluid intake, impaired activity. The presence of scars after a caesarean section operation will cause pain in the patient. One of the basic concepts of care in the postpartum period for post-cesarean section patients is that early mobilization is given after a caesarean section. Objective: To know the management of early mobilization in accelerating wound healing in post-caesarean section patients. With Network Integrity Disruption. Method: This method uses a non-systematic literature review study based on relevant references from related titles. The data source is based on the most updated journal from 2019-2024. Results: Based on 5 journals that have been reviewed, the results obtained after implementing early mobilization show that there is an influence of early mobilization in wound healing in post-Op Sectio Caesarea patients.
Copyright (c) 2026 Niah Kurniasih, Esther Lenny D Marisi, Dea Aprilya https://creativecommons.org/licenses/by-sa/4.0
Efektivitas Konseling Berbasis Alat Keputusan (Roda KLOP) terhadap Pemilihan Alat Kontrasepsi pada Ibu Post Partum di TPMB Bdn. Afita Delianah, S.Keb Turen Kabupaten Malang
Family planning counseling is an important strategy to increase contraceptive use and reduce unintended pregnancies. Globally, approximately 65% of married women use modern contraceptive methods; however, in Indonesia, the contraceptive prevalence rate remains at 57.2%, with an unmet need rate of 23%. In East Java, the use of modern contraception has reached 62.4%, but participation among postpartum mothers remains low, and discontinuation rates are relatively high. These conditions highlight the need for innovative counseling methods, one of which is the use of a decision-support tool known as the KLOP wheel. This study aimed to determine the effectiveness of counseling based on the KLOP wheel decision aid in contraceptive method selection among postpartum mothers at TPMB Bdn. Afita Delianah, Malang Regency. This study employed a quasi-experimental design using a posttest-only control group approach. A total of 32 respondents were divided into intervention and control groups. Data were analyzed using the Mann–Whitney test. The results showed a significant difference between the two groups, with a p-value of 0.009 (p < 0.05), indicating that counseling using the KLOP wheel was more effective in assisting postpartum mothers in selecting appropriate contraceptive methods compared to conventional counseling. The use of this tool improved understanding, increased active participation, and supported informed decision-making. In conclusion, KLOP wheel-based counseling is effective in improving contraceptive method selection among postpartum mothers. It is recommended that postpartum mothers actively participate in family planning counseling and utilize the information provided by healthcare professionals to choose contraceptive methods that are appropriate for their reproductive needs and conditions.
Copyright (c) 2026 Shendy Nadira Deri Dwi, Rani Safitri, Sulistiyah Sulistiyah https://creativecommons.org/licenses/by-sa/4.0
Optimasi Anggaran UHC JKN melalui Kebijakan Mapping Kepesertaan
Universal Health Coverage (UHC) through Indonesia’s National Health Insurance (JKN) program aims to ensure equitable access to quality healthcare without causing financial hardship. In Bangkalan Regency, the PBPU and Local Government Contribution (BP Pemda/PBI D) segment represented around 19% of JKN participants in 2024. However, the rapid increase in membership was not supported by adequate regional budget capacity for premium payments. This study analyzed how participant mapping policies through verification and validation processes could improve budget efficiency and support the sustainability of the UHC JKN program. A descriptive qualitative approach was applied using purposive sampling involving 10 heads of primary health centers (puskesmas) and one informant from the Population and Civil Registration Office. Data were collected through questionnaires and document reviews related to JKN membership and health financing regulations, then analyzed thematically. The number of PBPU and BP Pemda participants increased from 108,779 in January to 130,097 in July 2024, while the allocated budget ceiling decreased compared to 2023. Key challenges identified included invalid participant data, weak implementation of local JKN regulations, moral hazard among financially capable residents shifting to subsidized schemes, and limited monitoring mechanisms. The study found that membership mapping through systematic verification and validation could improve targeting accuracy, reduce inefficient premium payments, and strengthen budget sustainability. Strengthened local regulations, intersectoral coordination, and funding support from DBHPR, DBHCHT, and earmarked DAU are crucial for effective implementation.
Copyright (c) 2026 Sih Retno Widiyati, Luthfiana Nur https://creativecommons.org/licenses/by-sa/4.0
Efektivitas Diaphragmatic Breathing, Pursed Lip Breathing, dan Effective Coughing Terhadap Fungsi Respirasi Pada Pasien PPOK: Studi Kasus
Chronic Obstructive Pulmonary Disease (COPD) is a chronic respiratory disorder characterized by progressive airflow limitation and is often accompanied by increased sputum production and dyspnea. Ventilatory impairment in COPD may lead to decreased respiratory function and limitations in daily activities. This study aimed to determine the effectiveness of diaphragmatic breathing, pursed lip breathing, and effective coughing on respiratory function in patients with COPD. The research method used was a case study of a 74-year-old male patient who complained of dyspnea during activity, productive cough, and fatigue. Physiotherapy interventions focused on diaphragmatic breathing, pursed lip breathing, and effective coughing exercises to improve ventilatory efficiency and facilitate airway secretion clearance. Evaluations were conducted using respiration rate, Modified Borg Scale, thoracic expansion, and the 2 Minutes Walking Test. After the intervention, there was a decrease in respiration rate from 22 to 20 breaths/minute, a reduction in dyspnea scale during activity from 6/10 to 5/10, improvement in thoracic expansion, and an increase in 2 Minutes Walking Test distance from 48.9 meters to 59.9 meters. These results indicate that diaphragmatic breathing, pursed lip breathing, and effective coughing may help improve respiratory function in patients with COPD.
Copyright (c) 2026 Dinda Rispati, Wahyu Tri Sudaryanto, Ririt Ika Lestari https://creativecommons.org/licenses/by-sa/4.0
Hubungan Tingkat Pengetahuan Manajemen Stres dengan Tingkat Stres pada Remaja SMPN 1 Kota Bandar Lampung
Stress among adolescents is a growing phenomenon driven by academic demands and developmental changes. The World Health Organization (WHO) reports that 1 in 7 adolescents aged 10–19 years experiences mental health disorders, with school-related pressure increasing by 9% since 2018. In Indonesia, the prevalence of depression among students reached 2.0% (SKI 2023). Stress can lead to emotional disturbances, behavioral problems, decreased academic achievement, and increased risk of suicide. Prevention efforts can be carried out through education and improving knowledge of stress management. The low level of knowledge among students of SMPN 1 Bandar Lampung City, along with reported cases of suicide attempts, became the basis for this research. This study aims to determine the relationship between the level of knowledge of stress management and stress levels among adolescents. This study used a quantitative method with a cross-sectional research design. The population consisted of all 8th grade students of SMPN 1 Bandar Lampung City, totaling 343 students. A sample of 185 students was selected using proportional random sampling. Data collection was conducted using questionnaires and analyzed using univariate and bivariate analysis (Chi-square test). The results showed that the majority of respondents had a moderate level of knowledge (63.6%), and experienced mild stress (57.1%). There was a significant relationship between the level of knowledge of stress management and stress levels among adolescents at SMPN 1 Bandar Lampung City, with a p-value of 0.001. Adolescents are expected to manage stress effectively, get adequate rest, and engage in positive activities according to their interests.
Copyright (c) 2026 Niken Tri Atmaja, Rilyani Rilyani, Triyoso Triyoso https://creativecommons.org/licenses/by-sa/4.0
Peran Higiene dan Sanitasi dalam Meningkatkan Keamanan Pangan: Analisis Perubahan Perilaku UMKM (Usaha Mikro Kecil Menengah)
Food safety represents a persistent challenge for street vendors and Micro, Small, and Medium Enterprises (MSMEs), where inadequate hygiene and sanitation practices substantially increase the risk of food contamination. This study aims to examine key determinants of behavioral change among vendors, including educational attainment, business scale, and the availability of sanitation infrastructure. Employing a conceptual article design based on a structured literature review, the analysis critically synthesizes findings from previous empirical studies, with particular attention to the role of hygiene and sanitation in reshaping food safety practices within MSMEs. The results indicate that sustained educational interventions-such as training programs and targeted outreach-significantly enhance vendors’ knowledge (with mean scores increasing from 54.07 to 73.70). Nevertheless, major barriers persist, notably the limited provision of basic sanitation facilities (e.g., access to clean water, handwashing stations, and waste disposal systems) and weak regulatory enforcement. This study proposes a three-pronged strategy: (1) evidence-based and intensive capacity-building programs, (2) the development of affordable and context-appropriate sanitation infrastructure, and (3) routine monitoring supported by transparent reward–punishment mechanisms. Effective collaboration among government agencies, vendor associations, and academic institutions is essential to ensure sustainability, shifting food safety compliance from a regulatory obligation toward an embedded organizational culture.
Copyright (c) 2026 Erma Noor Wahyuningsih, Asep Rismunandar, Retno Hestuningtyas, Freddy Lusjana, Meidina Meidina https://creativecommons.org/licenses/by-sa/4.0
Pangan Fungsional dalam Pencegahan Penyakit Tidak Menular (PTM): Systematic Literatur Review
Non-Communicable Diseases (NCDs) such as diabetes mellitus, hypertension, obesity, and cardiovascular disease are the leading causes of global mortality and contribute substantially to healthcare burdens. Major risk factors for NCDs are closely associated with dietary patterns characterized by high caloric intake, low fiber consumption, and insufficient bioactive compounds. Functional foods, defined as foods containing biologically active components such as dietary fiber, probiotics, polyphenols, plant sterols, and unsaturated fatty acids, are increasingly recognized for their potential role in reducing metabolic risk factors. This study aims to analyze the effectiveness of functional foods in preventing NCDs through a Systematic Literature Review (SLR) approach. Relevant articles were identified through searches in international scientific databases using keywords related to functional foods and cardiometabolic diseases, applying PICOS-based selection criteria and PRISMA guidelines. The synthesis of the literature indicates that functional food consumption is associated with improved glycemic control, reduced blood pressure, better weight management, and improved lipid profiles. These benefits are mediated through mechanisms including enhanced insulin sensitivity, modulation of gut microbiota, reduction of systemic inflammation, and decreased oxidative stress. However, their effectiveness is influenced by dietary patterns, demographic characteristics, and lifestyle factors. Overall, functional foods can serve as an important component of promotive and preventive strategies for NCD control when integrated into balanced diets and supported by evidence-based health education.
Copyright (c) 2026 Tesa Nadila, Fatmalina Febry, Suci Destriatania https://creativecommons.org/licenses/by-sa/4.0
Hubungan antara Parasosial dan Kecemasan pada Mahasiswa
This study aims to examine the relationship between parasocial interaction and anxiety among university students in Semarang City. Parasocial interaction is defined as a one-sided emotional attachment formed by individuals toward media figures, which may influence psychological well-being. This research employed a quantitative explanatory approach involving 205 students aged 19–24 years selected through convenience sampling. Data were collected using an online questionnaire and analyzed using descriptive statistics, normality tests, linearity tests, and Pearson correlation analysis with SPSS software. The findings revealed a significant positive relationship between parasocial interaction and anxiety (r = 0.721, p < 0.05), indicating that higher parasocial involvement is associated with higher levels of anxiety. Most respondents were categorized as having moderate levels of both parasocial interaction and anxiety. These findings suggest that excessive emotional attachment to media figures may reduce direct social interaction and increase psychological vulnerability. This study highlights the importance of media literacy and self-concept development to help students regulate parasocial engagement and maintain emotional well-being.
Copyright (c) 2026 Chamilul Hikam Al Karim, Ana Tasya Al Munawara https://creativecommons.org/licenses/by-sa/4.0
Efektivitas Senyawa Sulforaphane dari Microgreen Brokoli (Brassica Oleracea) sebagai Immunomodulator (Anti-Pyroptosis Macrophage) dan Antifibrosis Paru untuk Pengobatan Penyakit Tuberkulosis Paru
Pulmonary tuberculosis is a contagious infectious disease caused by Mycobacterium tuberculosis and remains one of the leading causes of death worldwide, including in Indonesia. Long-term tuberculosis treatment often results in various problems, such as drug resistance, poor patient adherence, lung tissue damage, and post-infection pulmonary fibrosis. Therefore, innovative natural-based therapeutic approaches are needed to improve treatment effectiveness while minimizing complications. This study aims to examine the potential of sulforaphane (SFN), a phytochemical compound derived from broccoli microgreens (Brassica oleracea), as an immunomodulatory and anti-pulmonary fibrosis agent through nanoencapsulation technology. This study employed a narrative literature review method using scientific databases, including PubMed, Scopus, ScienceDirect, and Google Scholar, covering publications from 2018–2024. Data were analyzed using critical appraisal techniques to systematically evaluate and synthesize previous findings. The review demonstrated that SFN exhibits antioxidant activity by activating the NRF2 signaling pathway, thereby reducing reactive oxygen species (ROS) production, inhibiting NLRP3 inflammasome activation, and preventing macrophage pyroptosis induced by M.
Copyright (c) 2026 Nohan Noer Adnan, Naufal Issan Beryldivito Iskandar, Ganesha Galang Yudistira https://creativecommons.org/licenses/by-sa/4.0
MICROMETRICS: Teknik Diagnosis Portable Kanker Kolorektal Menggunakan Biomarker MiR-21 Berbasis Point-of-Care Testing (POCT) dengan Metode Colorimetry melalui Nanoparticle-Based Assay
Colorectal cancer (CRC) is one of the most commonly diagnosed cancers worldwide and remains the second leading cause of cancer-related mortality. Delayed screening significantly contributes to the high mortality rate of CRC. Current screening methods, such as colonoscopy and Fecal Immunochemical Testing (FIT), are considered gold standards; however, these approaches are invasive, costly, and may cause discomfort or intestinal injury. Therefore, the development of a minimally invasive, affordable, and portable diagnostic method is urgently needed. This study proposes MICROMETRICS, a smartphone-based Point-of-Care Testing (POCT) innovation designed to detect miR-21, a promising biomarker for colorectal cancer, using a colorimetric nanoparticle-based assay. The study employed a literature review method using scientific databases, including PubMed, Google Scholar, ResearchGate, and ScienceDirect. Data were analyzed through descriptive and critical appraisal approaches to design a low-fidelity prototype and evaluate its feasibility using SWOT analysis. The MICROMETRICS system integrates a mini-laboratory hardware setup with smartphone software capable of analyzing color changes generated by interactions between miR-21 and metallic nanoparticles. The captured images are processed through RGB-to-CIELAB color conversion and mathematical algorithms to determine miR-21 concentration quantitatively. The results are then displayed graphically in real time through the application interface. Elevated miR-21 concentrations indicate a positive CRC screening result. Overall, MICROMETRICS demonstrates strong potential as a flexible, cost-effective, rapid, and minimally invasive diagnostic platform for colorectal cancer screening and early detection, particularly in resource-limited healthcare settings.
Copyright (c) 2026 Naufal Issan Beryldivito Iskandar, Nohan Noer Adnan, Ganesha Galang Yudistira https://creativecommons.org/licenses/by-sa/4.0
Dukungan Suami dalam Perawatan Bayi Baru Lahir di Masa Transisi Menjadi Orang Tua
Abstract. The transition to parenthood requires complex physical, psychological, and social adjustments for couples with a newborn baby. Husbands’ support in neonatal care plays a crucial role in breastfeeding success, maternal postpartum mental health, and parenting quality; however, in-depth studies in rural communities of West Sulawesi remain limited. This study aimed to explore the forms of husbands’ support in newborn care during the transition to parenthood in Parappe Village, Campalagian District, Polewali Mandar Regency. A qualitative study with a descriptive phenomenological design was employed. Eight participants, consisting of four married couples with infants aged 0–3 months, were selected through purposive sampling. Data were collected through in-depth interviews, non-participant observation, and field notes from January to May 2026. The data were analyzed using thematic analysis, supported by source triangulation, member checking, and peer debriefing to ensure credibility. The findings identified five major themes: physical support, emotional and psychological support, informational support, structural barriers, and the role of culture and gender expectations. All female participants emphasized that their husbands’ support, even in simple forms, had a significant impact on their self-confidence, psychological well-being, and breastfeeding success. In conclusion, husbands’ support is multidimensional and contextual, while workload and patriarchal gender norms remain major challenges. Therefore, maternal and child health programs should integrate education on fathers’ active involvement starting from the antenatal period.
Copyright (c) 2026 Hasmidar Hasmidar, Sukmawati Sulfakar, St. Hairah, Masyitah Wahab https://creativecommons.org/licenses/by-sa/4.0
Pengaruh Dynamic Neuromuscular Stabilization (DNS) terhadap Aktivitas Otot Multifidus pada Low Back Pain
Low Back Pain (LBP) is one of the most common musculoskeletal disorders and is closely associated with decreased segmental stability of the spine. The multifidus muscle plays an important role in maintaining lumbar stability; however, patients with LBP frequently exhibit reduced activation and neuromuscular control of this muscle. Dynamic Neuromuscular Stabilization (DNS) is an exercise approach based on developmental kinesiology that aims to optimize the coordination and activation of deep stabilizing muscles. This study aimed to determine the effect of Dynamic Neuromuscular Stabilization on multifidus muscle activity in patients with Low Back Pain. The research employed a quasi-experimental design with a pretest–posttest approach. The study subjects were patients with non-specific Low Back Pain who met the inclusion and exclusion criteria. DNS intervention was administered for 4–6 weeks with a frequency of 2–3 sessions per week. Multifidus muscle activity was measured using electromyography (EMG) before and after the intervention. Data were analyzed using a paired t-test or Wilcoxon test according to data distribution. The results demonstrated a significant increase in multifidus muscle activity following DNS intervention (p < 0.05). In conclusion, Dynamic Neuromuscular Stabilization has a positive effect on increasing multifidus muscle activity in patients with Low Back Pain and can therefore be recommended as a physiotherapy intervention to improve lumbar stability and reduce the risk of pain recurrence.
Copyright (c) 2026 Astrid Komala Dewi, Catherine Hermawan Salim, Ria Efkelin https://creativecommons.org/licenses/by-sa/4.0
Tinjauan Literatur Determinan Pemilihan Kontrasepsi Intra Uterine Device (IUD) pada Wanita Usia Subur
The intra uterine device (IUD) is one of the most effective long-term contraceptive methods for preventing pregnancy. However, various studies show that IUD low utilization rates are influenced by multiple determinants, both internal and external. This literature review aims to analyze the internal and external factors that contribute to IUD use among women of reproductive age. The method used was a systematic literature review of five national journals published between 2018–2023, obtained from Garuda, Google Scholar, and DOAJ databases. The internal factors identified include age, education, parity, knowledge, attitude, occupation, and income. External factors include husband’s support, health workers’ support, availability of contraceptive facilities, and access to reproductive health services. The findings reveal that knowledge and attitude are the most dominant internal factors, while husband’s support and the role of health workers are the main external factors influencing IUD success and continuity. Strengthening counseling, empowering women through education, and involving partners are crucial to minimize IUD failure and improve contraceptive effectiveness.
Copyright (c) 2026 Darah Ifalahma, Ana Yuliana, Risma Nurul Istiqomah, Reni Dika Wardani https://creativecommons.org/licenses/by-sa/4.0
Analisis Faktor-Faktor yang Memengaruhi Kesejahteraan Psikologis dan Tingkat Kecemasan Ibu Hamil: Sebuah Tinjauan Literatur
Mental health during pregnancy is an essential aspect of maternal well-being that often receives less attention than physical health. Psychological problems experienced during pregnancy, such as anxiety, stress, and depression, can negatively affect both maternal and fetal health outcomes. Therefore, understanding the factors that influence the psychological well-being of pregnant women is important for developing effective interventions and support systems. This study aimed to identify the dominant factors influencing the psychological well-being of pregnant women through a literature review of 20 relevant research articles. The review was conducted using journal searches from the Google Scholar database and the Garuda Portal. Articles were selected based on their relevance to maternal mental health during pregnancy and were analyzed to identify common findings related to psychological well-being. The results of the review revealed that several factors significantly influence the mental health of pregnant women. Social support from partners, family members, and healthcare providers was identified as the most influential protective factor. In addition, maternal age, economic status, educational level, and pregnancy-related complications were found to affect anxiety and stress levels. The findings suggest that psychosocial interventions and strong partner support play a vital role in reducing the risk of antenatal depression and promoting better mental health during pregnancy.
Copyright (c) 2026 Siti Zulhijjah, Nurul Wahidah, Martina Astari, Theresia Shella, Sesilia Triana https://creativecommons.org/licenses/by-sa/4.0
Efektivitas Senam Hamil dan Prenatal Yoga Terhadap Nyeri Punggung Ibu Hamil Trimester III
Back pain is one of the most common complaints experienced by pregnant women, especially during the third trimester. The increasing size of the uterus shifts the body's center of gravity forward, causing postural changes such as lumbar lordosis that contribute to back pain. This study aimed to determine the effectiveness of pregnancy exercises and prenatal yoga in reducing back pain among third-trimester pregnant women and to compare the effectiveness of both interventions. A quasi-experimental study with a two-group pretest-posttest design was conducted involving 18 third-trimester pregnant women experiencing back pain. Participants were selected using a simple random sampling technique. The independent variables were pregnancy exercises and prenatal yoga, while the dependent variable was back pain intensity measured using the Numeric Rating Scale (NRS). Data were analyzed using the Wilcoxon test and Mann–Whitney test with a significance level of 0.05. The Wilcoxon test results showed significant reductions in back pain after pregnancy exercises (p = 0.000) and prenatal yoga (p = 0.000). The Mann–Whitney test demonstrated a significant difference in effectiveness between the two interventions (p = 0.027). Mean rank analysis indicated that prenatal yoga (22.17) was more effective than pregnancy exercises (14.83) in reducing back pain. In conclusion, both pregnancy exercises and prenatal yoga are effective non-pharmacological interventions for reducing back pain in third-trimester pregnant women, with prenatal yoga showing greater effectiveness.
Copyright (c) 2026 Ulin Nafiah, Amin Fatayati, Sony Factarun https://creativecommons.org/licenses/by-sa/4.0
Hubungan Pola Konsumsi Makanan Keluarga dengan Status Gizi Balita di Kelurahan Dawi-Dawi Kecamatan Pomalaa
Nutritional status in toddlers is an important indicator of child health and growth, which can be influenced by family dietary consumption patterns. This study aimed to analyze the relationship between family food consumption patterns and the nutritional status of toddlers in Dawi-Dawi Village, Pomalaa District. This research used a quantitative analytic observational design with a cross-sectional approach. The sample consisted of 24 mothers or caregivers of toddlers aged 12–59 months selected using total sampling technique. Data on food consumption patterns were collected using a Food Frequency Questionnaire (FFQ) and 24-hour dietary recall, while nutritional status was measured using anthropometric assessments based on weight-for-age index (W/A). Data were analyzed using univariate, bivariate, and multivariate logistic regression analyses. The results showed that there was no statistically significant relationship between meal frequency, dietary diversity, 24-hour nutrient intake, and family food consumption patterns with the nutritional status of toddlers (p>0.05). However, toddlers with poor food consumption patterns had a 3.57 times greater risk of having abnormal nutritional status. Multivariate analysis indicated that food consumption pattern was the most dominant factor associated with toddler nutritional status after controlling for infectious disease history (OR=7.50; p=0.158). In conclusion, family food consumption patterns remain an important factor influencing toddler nutritional status, although the statistical association was not significant. Therefore, improving parental knowledge regarding balanced and diverse nutrition is necessary to support optimal child growth and development.
Copyright (c) 2026 Ekawati Saputri, Rosmiati Rosmiati https://creativecommons.org/licenses/by-sa/4.0
Hubungan Konsumsi Suplemen Multiple Micronutrient Supplement (MMS) pada Masa Kehamilan terhadap Berat Badan Lahir Bayi di RSUD Dr. M.M. Dunda Limboto
Low Birth Weight (LBW) remains a global health issue associated with an increased risk of neonatal morbidity and mortality. One strategy for preventing LBW is ensuring adequate micronutrient intake during pregnancy through the consumption of Multiple Micronutrient Supplements (MMS). This study aims to determine the relationship between MMS consumption during pregnancy and infant birth weight at Dr. M.M. Dunda Limboto Regional General Hospital. This study used a quantitative observational analytical design with a retrospective cross-sectional approach. The study population consisted of mothers who gave birth at Dr. M.M. Dunda Limboto Regional General Hospital, with a sample size of 42 respondents selected using purposive sampling. Data were collected from secondary sources, including medical records and the Maternal and Child Health (MCH) Book, and analyzed using the chi-square test. The results showed that the majority of respondents adhered to taking MMS, totaling 25 respondents (59.5%), while 17 respondents (40.5%) did not adhere. Based on birth weight, 28 infants (66.7%) had normal birth weight, and 14 infants (33.3%) were low birth weight (LBW). The results of the Chi-Square test showed a p-value of 0.000 (p<0.05), indicating a significant association between MMS intake and infant birth weight. Pregnant women who adhered to MMS intake were more likely to give birth to infants with normal birth weight compared to those who did not adhere. The conclusion of this study is that there is a significant association between MMS intake during pregnancy and infant birth weight. Adherence to MMS intake needs to be improved through education and routine monitoring during pregnancy.
Copyright (c) 2026 Fegi Indriyani Suleman, Harismayanti, Fahmi A. Lihu https://creativecommons.org/licenses/by-sa/4.0
Peningkatan Pengetahuan Ibu Hamil Mengenai Pencegahan Stunting dan Manfaat Vitamin D Melalui Edukasi Kesehatan Menggunakan Media Leaflet
Stunting is a chronic nutritional problem that can affect children's growth and development. One of the efforts to prevent stunting is by increasing pregnant women’s knowledge about the importance of nutritional intake and the benefits of vitamin D for child growth. This study aimed to determine the increase in pregnant women’s knowledge regarding stunting prevention and the benefits of vitamin D after receiving health education using leaflet media. This study used a quantitative descriptive approach with a one group pretest-posttest design. The study was conducted at Adipala II Health Center, Maos Health Center, and Kroya I Health Center involving 79 pregnant women. Data were collected using pretest and posttest questionnaires and analyzed descriptively in the form of percentages and tables. The results showed that respondents’ knowledge increased from 56.71% in the pretest to 82.28% in the posttest, with an increase of 25.57%. Health education using leaflet media was able to significantly improve pregnant women’s knowledge regarding stunting prevention and the benefits of vitamin D. These findings indicate that simple educational media such as leaflets can be an effective tool in maternal health promotion programs to support early prevention of stunting in children.
Copyright (c) 2026 Windi Nur Fadhilah, Zahra Amalia Ristiana, Yusi Lusiana Amanda, Yoni Nugrahaning Widhi, Tjandra Ali Yassin, Rani Prabandari https://creativecommons.org/licenses/by-sa/4.0
Hubungan Fungsi Kognitif dan Psikososial dengan Quality of Life pada Lansia di PSTW Abiyoso Pakem Yogyakarta
The increasing elderly population leads to physiological and psychological changes, particularly in cognitive and psychosocial functions, which may impact their quality of life. This study aims to determine the relationship between cognitive function and psychosocial status with the quality of life among the elderly at PSTW Pakem, Yogyakarta. To determine the relationship between cognitive function and psychosocial status with the quality of life among the elderly at PSTW Pakem, Yogyakarta. This study used a correlational design with a cross-sectional approach. Data were collected from 30 elderly respondents using questionnaires and analyzed using the Chi-Square test. The results showed a significant relationship between cognitive function and quality of life (p=0.001) and a significant relationship between psychosocial status and quality of life (p=0.003). Most respondents with normal cognitive function and good psychosocial status reported a higher quality of life. There is a significant relationship between cognitive function and psychosocial status with the quality of life of the elderly. Maintaining mental and social health is essential to ensure a better quality of life in old age.
Copyright (c) 2026 Arita Murwani, Lisa Wulandari, Riza Yulina Amry, Juda Julia Kristiarini, Sarni Anggoro, Tantiana Tantiana, Dina Pamarta, Hadi Ashar https://creativecommons.org/licenses/by-sa/4.0
Analisis Retrospektif Pemanfaatan Hemodialisis pada Awal Implementasi Kebijakan JKN di Indonesia
It has been more than a decade since the initial National Health Insurance (JKN) policy was enacted by the government, and as of 2026, chronic kidney disease (CKD) remains among the top five countries with the highest catastrophic costs, with the number continuing to increase annually. According to 2023 data, 38.71% of patients with kidney failure underwent hemodialysis therapy. Health service utilization is a critical issue that requires attention in achieving health system goals. This can be achieved if health services are distributed according to geography, socioeconomic status, and community needs. Objective: To analyze and describe hemodialysis utilization in the early phase of JKN implementation based on BPJS Kesehatan data. This is an analytical study with a cross-sectional design using secondary data from the 2015-2016 BPJS Kesehatan sample. The variables used were individual characteristics (age, gender, type of membership) and region. Data analysis was performed using univariate analysis, bivariate analysis using chi-square analysis, and multivariate analysis using logistic regression.The analysis showed that hemodialysis utilization among BPJS Kesehatan patients in 2015-2016 was influenced by gender, age, membership type, and region. Multivariate analysis showed that women were more likely to utilize hemodialysis, with an OR of 1.25 compared to men aged >64 years (OR=3.50). Those with PBPU membership and residing in Java were 4.36 times more likely to utilize hemodialysis. Hemodialysis utilization is influenced by participant characteristics and geographic location. These findings provide important historical empirical evidence for further policymaking and the formulation of preventive strategies.
Copyright (c) 2026 Irma Fitrilia, Dwi Ani Rahmawati, Restu Prihandini Widiar https://creativecommons.org/licenses/by-sa/4.0
Pengetahuan tetang Diabetes Melitus sebagai Faktor Pendukung Perilaku Hidup Sehat pada Lansia di Posyandu Lansia Puskesmas Samudera Aceh Utara
Diabetes Mellitus is one of the most common chronic diseases among older adults and may lead to various serious complications if not properly managed. Knowledge of Diabetes Mellitus plays an important role in supporting healthy lifestyle behaviors, including maintaining a balanced diet, engaging in regular physical activity, adhering to medication, and undergoing routine health check-ups. Elderly integrated health service posts (Posyandu Lansia) have a strategic role in providing health education to improve older adults’ understanding of diabetes prevention and management. This study aims to determine the relationship between knowledge of Diabetes Mellitus and healthy lifestyle behaviors among older adults at the Elderly Posyandu of Samudera Community Health Center, North Aceh. The study employed a quantitative method with a descriptive-analytic design and a cross-sectional approach. The population consisted of all elderly participants attending Posyandu activities within the working area of the Samudera Community Health Center. Data were collected using questionnaires measuring respondents’ knowledge of Diabetes Mellitus and healthy lifestyle behaviors. The results showed that most elderly participants had good knowledge of Diabetes Mellitus and demonstrated relatively good healthy lifestyle behaviors. Older adults with higher levels of knowledge were more likely to maintain healthy eating habits, engage in physical activities, and routinely monitor their blood glucose levels. The study concludes that knowledge of Diabetes Mellitus serves as an important supporting factor for healthy lifestyle behaviors among older adults.
Copyright (c) 2026 Quranayati Quranayati, Srie Wahyuni, Salsabila Salsabila https://creativecommons.org/licenses/by-sa/4.0
Hubungan Dukungan Emosional Keluarga dengan Kualitas Hidup Pasien Gagal Ginjal Kronik dalam Menjalani Terapi Hemodialisis di RSUD dr. R. Koesma Tuban
Patients with chronic kidney disease undergoing hemodialysis often experience a decline in their quality of life due to physical, psychological, social, and environmental burdens. Family emotional support is defined as a form of empathy demonstrated through care, concern, and understanding toward family members facing difficulties. This study aimed to examine the relationship between family emotional support and the quality of life of patients with chronic kidney disease undergoing hemodialysis at RSUD dr. R. Koesma Tuban. This research used a quantitative design with a cluster random sampling technique and a cross-sectional approach. The population in this study consisted of 127 patients with chronic kidney disease undergoing hemodialysis at RSUD dr. R. Koesma Tuban, from which 97 respondents were selected using a simple random sampling method.
Copyright (c) 2026 Siti Shofiahten, Dyah Pitaloka https://creativecommons.org/licenses/by-sa/4.0
Gambaran Tingkat Stres pada Pasien Diabetes Melitus Tipe 2 Dengan Masalah Fungsi Seksual di Puskesmas Limboto Kabupaten Gorontalo
Type 2 diabetes mellitus (T2DM) is a chronic disease that may lead to complications, including sexual dysfunction in both men and women. Untreated sexual dysfunction may trigger psychological stress, which can further worsen patients' overall health status. This study aimed to describe the stress levels among patients with type 2 diabetes mellitus experiencing sexual dysfunction at the Limboto Community Health Center, Gorontalo Regency. A descriptive study with a cross-sectional approach was conducted among 61 respondents selected through purposive sampling. The instruments used were the Perceived Stress Scale-10 (PSS-10), the International Index of Erectile Function-5 (IIEF-5) for male respondents, and the Female Sexual Function Index-19 (FSFI-19) for female respondents. Data were analyzed using descriptive statistics with SPSS version 22. Most male respondents (33.3%) experienced mild and mild-to-moderate sexual dysfunction, while the majority of female respondents (53.6%) experienced mild sexual dysfunction. The distribution of stress levels indicated that moderate stress was the predominant category among both male (72.7%) and female respondents (64.3%). Most patients with type 2 diabetes mellitus experienced mild to moderate sexual dysfunction and moderate levels of stress. These findings highlight the importance of routine screening and counseling for stress and sexual function as integral components of holistic care for patients with type 2 diabetes mellitus.
Copyright (c) 2026 Thasya Revalina Talalu, Ita Sulistiani Basir, Mihrawaty S. Antu https://creativecommons.org/licenses/by-sa/4.0
Efektivitas Metode Cermin terhadap Nyeri Persalinan Kala II di Puskesmas Sukahurip Garut
Second stage labor pain is one of the most intense forms of pain experienced by women during childbirth. The mirror method, a non-pharmacological intervention that allows mothers to observe the birthing process through a mirror, is believed to enhance motivation to push, increase maternal awareness, and reduce perceived pain. This study employed a quasi-experimental design using a one-group pretest-posttest approach involving 9 laboring mothers at Puskesmas Sukahurip Garut. Pain intensity was measured using the Numeric Rating Scale (NRS) before and after the intervention. The results indicated a significant reduction in mean pain scores from 6.44 before the intervention to 4.78 after the intervention, with a p-value of 0.000. These findings suggest that the mirror method is effective in reducing second stage labor pain and contributes to a more positive, controlled, and participatory birthing experience. In addition, this method may improve maternal psychological readiness, strengthen coping mechanisms, and reduce anxiety during labor. It is recommended that the mirror method be applied routinely in midwifery care, particularly in primary healthcare settings, due to its safety, simplicity, and low cost. Furthermore, its implementation may reduce reliance on pharmacological analgesics and improve overall maternal satisfaction with maternity care services.
Copyright (c) 2026 Novianti Rizki Amalia, Nurul Fitriani, Novi Nur Ratnasari https://creativecommons.org/licenses/by-sa/4.0
Pengaruh Konsumsi Channa Striata terhadap Fibrosis yang Dipicu oleh TGF-B pada Rhinosinusitis Kronik tanpa Polip Hidung / Chronic Rhinosinusitis Without Nasal Polyps. (CRSsNP): Systematic Review
Chronic rhinosinusitis without nasal polyps is a chronic inflammatory disorder of the nasal and paranasal sinus mucosa characterized by persistent inflammation and structural tissue remodeling, including mucosal fibrosis. The transforming growth factor-beta signaling pathway plays an important role in fibrogenesis by promoting fibroblast activation, collagen synthesis, and extracellular matrix deposition. Channa striata contains various bioactive compounds with potential anti-inflammatory, antioxidant, and immunomodulatory effects that may contribute to tissue repair and regulation of fibrotic processes. This systematic review aimed to examine the potential role of Channa striata in TGF beta mediated fibrosis in based on available scientific evidence. The review was conducted according to the PRISMA guidelines and the PICO framework. Literature searches were performed in PubMed, ScienceDirect, Wiley Online Library, and Google Scholar for studies published between 2015 and 2026. After identification, screening, and eligibility assessment, 14 articles met the inclusion criteria and were analyzed. The findings indicate that activation of the TGF beta/Smad signaling pathway contributes to mucosal fibrosis through increased fibroblast proliferation, collagen production, and extracellular matrix remodeling. Evidence also suggests that Channa striata may modulate inflammatory mediators and growth factors involved in fibrogenesis. Therefore, Channa striata has potential as an adjuvant therapeutic candidate to reduce chronic inflammation and mucosal fibrosis in. However, direct clinical evidence in patients remains limited, and further studies are needed to confirm its efficacy, safety, and clinical applicability.
Copyright (c) 2026 Iwan Setiawan Adji, Nabila Putri Hartia, Yesa Nor Fatimah, Fidzol Birru ’Izza, Fany Raihan Padilah, Tiar Aqda Saputra https://creativecommons.org/licenses/by-sa/4.0
Formulasi dan Evaluasi Emulgel Ekstrak Etanol 96% Daun Pandan (Pandanus Amaryllifolius) Sebagai Tabir Surya dengan Uji Sun Protection Factor (SPF)
Excessive exposure to ultraviolet (UV) radiation can cause various skin disorders; therefore, sunscreen products are needed to protect the skin from the harmful effects of UV rays. Pandan leaf (Pandanus amaryllifolius Roxb.) contains secondary metabolites with potential antioxidant and photoprotective properties. This study aimed to determine whether pandan leaf extract could be formulated into an emulgel dosage form, identify the most optimal formulation based on its physical characteristics, and determine its Sun Protection Factor (SPF) value. The study was conducted by formulating pandan leaf extract into three emulgel formulations with different extract concentrations. Physical evaluations included organoleptic, homogeneity, pH, viscosity, spreadability, and emulsion type tests. A hedonic test was also performed to assess panelists’ acceptance, while SPF values were determined in vitro using UV-Vis spectrophotometry at wavelengths of 290–320 nm. The results showed that all formulations met the requirements for good physical characteristics. All formulations exhibited a water-in-oil (W/O) emulsion type. Hedonic testing indicated that Formula F1 was the most preferred formulation based on color, aroma, and appearance. The SPF values of Formula F1, F2, and F3 were 2.65 ± 0.099, 3.16 ± 0.040, and 5.13 ± 0.442, respectively. Formula F3 showed the highest SPF value and was categorized as providing moderate protection. In conclusion, pandan leaf extract can be successfully formulated into an emulgel with acceptable physical characteristics. Formula F1 was identified as the most optimal formulation based on physical evaluation and hedonic testing, whereas Formula F3 demonstrated the highest sunscreen activity.
Copyright (c) 2026 Andika Jaya Sirait, Rose Intan Perma Sari, Dessy Triana https://creativecommons.org/licenses/by-sa/4.0
Hubungan Antara Umur dengan Status Kesehatan Jemaah Haji Diy Tahun 1444h/2023m
The Hajj pilgrimage is a mandatory religious obligation for Muslims who are physically, mentally, and financially capable. As one of the world's largest annual mass gatherings, it presents significant public health challenges. In Indonesia, the waiting period for regular Hajj pilgrims ranges from 11 to 48 years, while in the Special Region of Yogyakarta reaches approximately 33 years, resulting in many pilgrims departing at an older age. This study aimed to examine the relationship between age and the health status of Hajj pilgrims in the Special Region of Yogyakarta during the 1444 H/2023 M pilgrimage season. An analytical descriptive study with a cross-sectional design was conducted using secondary data from 387 pilgrims selected through proportionate stratified random sampling from a population of 3,267 pilgrims. Data were analyzed using cross-tabulation and the chi-square test. The findings showed that 71.1% of respondents were aged 60 years or older, while 50.9% were female. Stage I health examination identified 74.7% of pilgrims as high risk. In Stage II, 60.2% met the health requirements (istithaah), 39.5% met the requirements with assistance, and 0.3% did not meet the requirements. Stage III examination showed that 97.2% of pilgrims were declared fit to fly. Statistical analysis indicated a significant relationship between age and health status in Stage I and Stage II examinations, whereas no significant relationship was found between age and Stage III health status.
Copyright (c) 2026 Dian Damayanti, Sri Herwiyanti, Muryani Muryani https://creativecommons.org/licenses/by-sa/4.0
Pengaruh Pengaturan Posisi Tidur Ergonomis Terhadap Skala Nyeri Pasien Pasca Operasi
Background: Postoperative pain is a common problem during the recovery period that may limit early mobilization, delay healing, and decrease patient comfort. Besides pharmacological management, ergonomic sleeping position adjustment is a non-pharmacological intervention that may reduce pain by minimizing pressure on the surgical wound, improving circulation, and promoting relaxation. Objective: This study aimed to determine the effect of ergonomic sleeping position adjustment on the pain scale of postoperative patients at Hospital X. Methods: This case study involved two hospitalized postoperative patients. Ergonomic sleeping positions were adjusted according to each patient's condition and surgical wound location for two consecutive days. Pain intensity was assessed before and after the intervention using the Numerical Rating Scale (NRS), with scores ranging from 0 to 10. Data were analyzed descriptively by comparing pain scores before and after the intervention. Results: Both participants experienced reduced pain after the intervention. The first participant's pain score decreased from 3 to 2 on the first day and to 1 on the second day. The second participant's pain score decreased from 4 to 3 on the first day and to 1 on the second day. Both participants also reported a comfort score of 72 (100%), indicating a very comfortable condition. Conclusion: Ergonomic sleeping position adjustment reduced postoperative pain and improved patient comfort. This simple, safe, and practical nursing intervention can support postoperative recovery.
Copyright (c) 2026 Anis Suryaningsih, Ika Hari Astuti https://creativecommons.org/licenses/by-sa/4.0