Journal Public Health and Clinical Science
Journal Title : Journal Public Health and Clinical Science ISSN : 3110-388X DOI Prefix : 10.64845 by Crossref Editor in Chief : Selvi Asarianti Managing Editor : Hendra Ma'arif Publisher : Athallah Publishing Frequency : 2 issues per year (Juny and December) Citation Analysis : GoogleScholar|Dimension|Morare Jurnal Public Health and Clinical Science is a scientific journal that contains articles on research results, scientific studies, and conceptual thinking in the fields of public health and clinical science. This journal aims to be a scientific publication media that supports the development of evidence-based health science and encourages collaboration between public health and clinical science disciplines in order to improve the health of the community at large. Jurnal Public Health and Clinical Science is published by the independent institution Athallah Publishing with the aim of becoming a forum for discussion and publication of research results by academics, researchers, and practitioners on the topics of Epidemiology and health promotion, Health management and policy, Environmental and occupational health, Public nutrition, Clinical medicine and disease diagnosis, Therapy and management of infectious and non-infectious diseases and Technological innovation in health services. Jurnal Public Health and Clinical Science is published twice a year, namely in Juny and December.
Effectiveness of Handheld Fan as A Non-Pharmacological Therapy in Reducing Dyspnea: A Scoping Review
Chronic conditions such as chronic obstructive pulmonary disease, heart failure, and cancer can disrupt daily activities and reduce quality of life. One frequently used non-pharmacological intervention is the handheld fan, which is a handheld fan directed at the face to provide airflow that can help reduce the perception of shortness of breath through trigeminal receptor stimulation. Purpose: This journal review was conducted to determine the extent to which a handheld fan is effective in reducing complaints of shortness of breath in various clinical conditions through a scoping review approach. Methods: This review was conducted by searching and reviewing research articles from Google Scholar, PubMed, and national journals in the period 2021–2025 using the PICO framework, which includes a patient population with shortness of breath, handheld fan intervention, a control group comparison or no comparison, and outcomes in the form of a reduction in dyspnea levels. A total of 10 articles met the inclusion criteria and were analyzed descriptively. Results: The use of a hand-held fan for 5–10 minutes at a distance of 15–30 cm was consistently effective, demonstrating a reduction in shortness of breath in patients with chronic disease. No adverse effects were observed in all studies. Therefore, a handheld fan is considered safe, easy to implement, and potentially helpful in managing dyspnea.
Copyright (c) 2026 Sandra Aprilia Putri, Ricky Putra Liyan, Nabilla Ramadhani, Gaviota Khalish, Chairul Huda, Romy Suwahyu (Author) https://creativecommons.org/licenses/by/4.0
Overview of Nutritional Status in Babies in Kampong Jawa, Langsa City District, Langsa City in 2026
Children's health and growth can be effectively measured through indicators of infant nutritional status. The problem of malnutrition, both in the form of malnutrition and overnutrition, remains a crucial issue for public health because it risks inhibiting growth and development and triggering chronic diseases in the future. Therefore, it is necessary to map the nutritional status of infants in Gampong Jawa, Langsa City District, as a basis for making accurate nutritional intervention policies. This study was conducted to describe the nutritional status of infants in Gampong Jawa, Langsa City District, for the period of 2026. The objectives of this study consist of general objectives and special objectives, which are as follows. This study adopted a descriptive quantitative approach with a cross sectional design of 75 infant subjects. The instruments used include digital scales and microtoises for weight and height measurement, as well as observation sheets in the form of checklists. Data analysis was carried out univariate to present a picture of the frequency distribution and percentage values of the variables studied. Most of the babies had a normal nutritional status of 60.0%, while 20.0% of the babies were classified as thin, 6.7% were very thin, and 13.3% were obese. This shows that there are still babies with abnormal nutritional status both in the form of deficiency and overnutrition.
Copyright (c) 2026 Afifa, Nailul Azkiya, Rayhan (Author) https://creativecommons.org/licenses/by/4.0
The Relationship Between Family Support and the Success of Early Breastfeeding Initiation (Ebi) at Teungku Peukan Regency General Hospital Southwest Aceh
Early Breastfeeding Initiation (EBI) is one of the important efforts in improving the health of newborns. EBI provides benefits in increasing the success of breastfeeding and strengthening the bond between mother and baby. However, the implementation of EBI is still not optimal. One of the factors that affect the success of EBI is family support, both in emotional, informational, and instrumental forms. To determine the relationship between family support and the success of Early Breastfeeding Initiation (EBI) at Teungku Peukan General Hospital, Southwest Aceh Regency in 2026. This study is an analytical research with a cross-sectional approach. The population in this study is all maternity mothers at Teungku Peukan General Hospital as many as 62 people. The sampling technique used a total sampling with a sample of 62 respondents. Data collection was carried out using questionnaires and observation sheets. Data analysis used the Chi-Square test with a 95% confidence level (α = 0.05). The results showed that most of the respondents received family support, namely 38 people (61.3%) and more than half of the respondents successfully implemented EBI, namely 35 people (56.5%). The results of the statistical test obtained a p-value = 0.004 (p < 0.05) which showed a significant relationship between family support and EBI success. Conclusion: Based on the results of the study, it can be concluded that there is a significant relationship between family support and the success of Early Breastfeeding Initiation (EBI) at Teungku Peukan General Hospital, Southwest Aceh Regency in 2026. It is hoped that health workers can improve education not only to mothers but also to families in order to provide optimal support in the implementation of EBI.
Copyright (c) 2026 Eka Susanti, Anggia Murni, Cut Nyak Yulia, Elly Febrianty, Dian Kurniawati (Author) https://creativecommons.org/licenses/by/4.0
The Effect of Breast Massage Education on Breast Milk Production in Postpartum Mothers in Lamamek Village, West Simeulue District, Simeulue Regency, Aceh Province
Breast milk is the best source of nutrition for babies which plays an important role in growth and development. However, there are still many postpartum mothers who experience obstacles in milk production, especially in the early postpartum period. One of the non-pharmacological efforts that can be made is breast mass education which aims to stimulate the hormones prolactin and oxytocin so that it can increase breast milk production. To determine the effect of breast mass education on breast milk production in postpartum mothers in Lamamek Village, West Simeulue District, Simeulue Regency, Aceh Province. This study uses a quasi-experimental design with a one group pretest-posttest design approach. The population in this study is all postpartum mothers as many as 52 people with a sampling technique, namely total sampling. Data collection was carried out through observation of breast milk production before and after the intervention. Data analysis was conducted using the Paired Sample T-Test. Results: The results of the study showed an increase in breast milk production after being given breast massage education. The average value of milk production before intervention was 14.85 ml and after intervention increased to 25.90 ml. The results of the statistical test showed a p value = 0.000 (p < 0.05), which means that there is a significant influence between breast mass education on breast milk production. There is an effect of breast mass education on increasing breast milk production in postpartum mothers in Lamamek Village, West Simeulue District, Simeulue Regency. Suggestion: It is hoped that health workers can increase education about breast mass to postpartum mothers as an effort to increase optimal breast milk production.
Copyright (c) 2026 Ressi Yulisa, Dinah Khayyiriyah, Jannatil Ma'wa, Khairina, Hayatul Ridha (Author) https://creativecommons.org/licenses/by/4.0
The Relationship Between Maternal Knowledge Level About Exclusive Breastfeeding and Breastfeeding Success in the Area of Birem Bayeun Health Center Birem Bayeun District East Aceh Regency
Exclusive breast milk is the best source of nutrition for babies aged 0–6 months because it contains complete nutrients and antibodies that are essential for growth and immunity. However, the scope of exclusive breastfeeding is still not optimal. One of the factors that affect the success of exclusive breastfeeding is the mother's level of knowledge. To determine the relationship between the level of knowledge of mothers about exclusive breastfeeding and the success of breastfeeding in the working area of the Birem Bayeun Health Center, Birem Bayeun District, East Aceh Regency. This study used a quantitative method with a cross sectional design. The population in this study is all mothers who have 50 babies aged 0–6 months, with a sampling technique using total sampling. Data collection was carried out using a questionnaire and analyzed with the Chi-Square test at a confidence level of 95%. The results showed that most of the respondents had a good level of knowledge as many as 22 people (44%). Most mothers had success in exclusive breastfeeding in the good category as many as 28 people (56%). The results of the Chi-Square test showed a p-value of 0.000 (p < 0.05). Conclusion: There was a significant relationship between the level of maternal knowledge about exclusive breastfeeding and the success of breastfeeding in the working area of the Birem Bayeun Health Center, Birem Bayeun District, East Aceh Regency. It is hoped that health workers can increase education and counseling to pregnant women and lactating mothers about the importance of exclusive breastfeeding to increase the success of breastfeeding.
Copyright (c) 2026 Sabrina, Miftahul Jannah, Nurdiniah, Nenti Andriani, Nurlinda (Author) https://creativecommons.org/licenses/by/4.0
The Effectiveness of the Newborn Care Education Program on the Anxiety of Primiparadi Mothers at Tengku Peukan Regional General Hospital, Southwest Aceh Regency
The neonatal period is the most critical phase of a baby's life, so it requires optimal care. Primipara mothers often experience anxiety in caring for newborns due to a lack of knowledge and experience. This condition can affect the quality of baby care and the success of the mother's adaptation process in carrying out her new role. Therefore, interventions in the form of educational programs are needed to increase knowledge and reduce maternal anxiety. To determine the effectiveness of the newborn care education program on maternal anxiety at the Tengku Peukan Regional General Hospital, Southwest Aceh Regency. This study is a quantitative research with a cross-sectional design. Data collection was carried out from February to March 2026. The population in this study was all mothers who had 54 newborns, with a sampling technique using total sampling. The research instrument used a questionnaire on the level of anxiety of primipara mothers. Data analysis was carried out univariate and bivariate using the Wilcoxon Signed Rank Test. The results showed that before being educated, most mothers experienced mild anxiety (53.70%) and moderate anxiety (24.07%). After being educated, there was a decrease in anxiety with the majority of respondents in the categories of not anxious (51.85%) and mild anxiety (33.33%). The results of the Wilcoxon test showed a p-value of 0.000 (p < 0.05) which means there is a significant difference. Conclusion: The newborn care education program is effective in reducing the anxiety level of primitive mothers at Tengku Peukan Hospital. Suggestion: It is hoped that health workers can increase the provision of education on newborn care systematically and continuously as part of postnatal services to increase maternal readiness in caring for babies.
Copyright (c) 2026 Cut Lola Mutia, Agustina, Aasnaini, Yusdiana, Ari Wahyuni (Author) https://creativecommons.org/licenses/by/4.0
The Relationship Between Early Breastfeeding Initiation (EBI) and Bonding Attachment Between Mother and Newborn at the Bineh Krueng Health Center, Southwest Aceh Regency, in 2026
Early Breastfeeding Initiation (EBI) is an important early intervention in forming an emotional bond between mother and baby through skin-to-skin contact in the first hour of life. The implementation of EBI can increase bonding attachment which plays a role in children's emotional and psychological development. However, not all mothers carry out EBI optimally so that it can affect the quality of the mother-baby relationship. To determine the relationship between Early Breastfeeding Initiation (EBI) and bonding attachment between mother and newborn at the Bineh Krueng Health Center, Southwest Aceh Regency. This study is a quantitative research with an observational analytical design using a cross sectional approach. The population in this study is all mothers who give birth to newborns as many as 60 people. The sampling technique used the Slovin formula so that a sample of 60 respondents was obtained. Data analysis using the Chi-Square test. The results showed that most of the mothers carried out EBI as many as 41 respondents (68.3%) and had good bonding attachment as many as 39 respondents (65%). The results of the Chi-Square test showed a value of p = 0.002 (p < 0.05) which means that there is a significant relationship between EBI and bonding attachment between mother and newborn. There is a significant relationship between Early Breastfeeding Initiation (EBI) and maternal and newborn attachment bonding. It is hoped that health workers can improve education and assistance to mothers and families in the implementation of EBI so that it can be carried out optimally to support the formation of emotional bonds between mothers and babies.
Copyright (c) 2026 Eka Ilhamni, Fera Sawita, Wirdayanti, Asmaul Husna, Suzanna Fitri (Author) https://creativecommons.org/licenses/by/4.0
The Relationship Between Low Birth Weight Infants (BBLR) and the Development of Toddlers (1–3 Years) at Teungku Peukan Southwest Aceh Hospital in 2026
Background: Low Birth Weight Infants (LBWI) are still one of the health problems in various countries, including Indonesia. Babies with a birth weight of less than 2500 grams have a higher risk of impaired health, growth, and development. The toddler period is an important period in children's growth and development because there is rapid development in motor, language, and social aspects. Therefore, early developmental monitoring is very necessary, especially in children with a history of BBLR. Objective: This study aims to determine the relationship between low birth weight inf (BBLR) and the development of toddler children (1–3 years) at Teungku Peukan Southwest Aceh Hospital in 2026. Research Design: This study uses an analytical design with a cross sectional approach. The population is all toddler children (1-3 years old) who are examined at Teungku Peukan Southwest Aceh Hospital. The sampling technique used a total sampling with a sample of 36 respondents. Data analysis was carried out using the Chi-Square test. Results: The results showed that most children had normal birth weight and age-appropriate development. Statistical tests showed a p-value of < 0.05, which means that there is a significant relationship between BBLR and the development of toddlers. Conclusions: There is a significant relationship between BBLR and toddler (1–3 years) development. Suggestion: Health workers are expected to improve monitoring of growth and development and carry out early detection in children with a history of BBLR.
Copyright (c) 2026 Yeli Yusnita Sari, Cici Desnia Miranda, Riza Mustika (Author) https://creativecommons.org/licenses/by/4.0
The Effectiveness of Baby Massage on Weight Gain and Sleep Quality of Babies Aged 3-6 Months at the Main Clinic of Rufaidah Care Banda Aceh City
Every baby experiences stages of growth and development in his or her lifetime. Growth and development is a continuous process, and growth is part of the developmental process, one of which is weight and sleep quality, many babies have sleep problems in Indonesia, which is around 44.2%. To determine the effectiveness of baby massage on weight gain and sleep quality of babies aged 3-6 months at the Rufaidah Care Main Clinic, Banda Aceh City Research Design. This study is a quasi-experimental research without a control group with a design one group pretest post test. This design uses one group of samples by taking one measurement before the treatment and after that another measurement is taken (post test). The population in this study is all babies aged 3-6 months as many as 27 people, the sampling technique is Total Sampling with a total sample of 27 people using the Paired t-test. that the application of Baby Massage was effective on weight gain and sleep quality because indigo p Value 0.00 (p< 0.05). Conclusion: Based on the results of the tests that have been carried out, it can be concluded that there is an effectiveness of baby massage.
Copyright (c) 2026 Syarifah Maulida, Desi Nanda Sari, Ira Yulianti, Dhita Meuthia Sari, Devi Arisandi (Author) https://creativecommons.org/licenses/by/4.0
The Relationship between Pregnant Women's Knowledge Level of Exclusive Breastfeeding and Success in Breastfeeding at Birem Bayeun Health Center, Birem Bayeun District, East Aceh Regency, Aceh Province
Exclusive breast milk is the best food for babies in the first six months of life because it contains complete nutrients and antibodies that can increase the baby's immunity. However, the coverage of exclusive breastfeeding has still not reached the expected target. One of the factors that affect the success of exclusive breastfeeding is the level of mother's knowledge about the benefits and importance of breastfeeding for the baby. To determine the relationship between the level of knowledge of mothers about exclusive breastfeeding and the success of breastfeeding in the working area of the Birem Bayeun Health Center, Birem Bayeun District, East Aceh Regency. This study is a quantitative research with an analytical approach using a cross sectional design. The population in this study is all mothers who have babies aged 0-6 months in the working area of the Birem Bayeun Health Center as many as 72 people. The sampling technique used the Slovin formula so that a sample of 42 respondents was obtained. Data collection was carried out using a questionnaire and analyzed using the Chi-Square statistical test with a 95% confidence level. Results: The results showed that most of the respondents had a good level of knowledge as many as 18 people (42.9%). Most mothers managed to give exclusive breastfeeding to their babies as many as 26 people (61.9%). The results of the Chi-Square test showed a p-value of 0.018 (p < 0.05). Conclusion: There was a significant relationship between the level of maternal knowledge about exclusive breastfeeding and the success of breastfeeding in the working area of the Birem Bayeun Health Center, Birem Bayeun District, East Aceh Regency. It is hoped that health workers can increase education and counseling to pregnant and breastfeeding women about the importance of exclusive breastfeeding.
Copyright (c) 2026 Yusliana, Melya Efrianti, Dewi Yusra, Fitri Andri Yani, Rosmala Dewi (Author) https://creativecommons.org/licenses/by/4.0
Analysis of the Effect of Service Quality and Patient Satisfaction on Patient Compliance Level in the Medical Rehabilitation Polycle of UMM Hospital
Patient satisfaction is one of the first indicators of hospital standards and measures of service quality. Low patient satisfaction will affect hospital visits, patient satisfaction is determined by the quality of service provided to patients where patient demands and service quality will increase over time and have an impact on the level of patient compliance. The purpose of this study is to analyze the effect of service quality and patient satisfaction on patient compliance at the Medical Rehabilitation Polyclinic of UMM General Hospital. In this study, researchers used an analytical quantitative design with a cross-sectional approach. The population in this study were outpatients at the Medical Rehabilitation Polyclinic of UMM General Hospital in August 2025, amounting to 988 patients, the number of research samples was determined by the Krejcie & Morgan table so that the number of samples was determined as 270 respondents. The data analysis technique used path analysis. The results of the analysis can be seen that there is an influence of service quality on patient satisfaction at the Medical Rehabilitation Polyclinic of UMM General Hospital, meaning that with better service quality, patient satisfaction will increase. There is an influence of service quality on patient compliance in the Medical Rehabilitation Clinic, meaning that with better service quality, patient compliance in the Medical Rehabilitation Clinic will increase. The results of the analysis show the influence of patient satisfaction on patient compliance in the Medical Rehabilitation Clinic, meaning that with increasing patient satisfaction, patient compliance will increase. Patient satisfaction has been proven to be an intervening variable in the influence of service quality on patient compliance in the Medical Rehabilitation Clinic. These results indicate that with increasing patient satisfaction, the influence of service quality on patient compliance can increase.
Copyright (c) 2026 Elsa Fian Dennis Alfandy, Sentot Imam Suprapto, Ratna Wardani (Author) https://creativecommons.org/licenses/by/4.0
The Effect of a Self-Care Practice-Based Supportive Educative System on Knowledge, Self-Efficacy, and Medication Compliance in Pulmonary Tuberculosis Patients in Blitar Regency, Indonesia
Prevention of Pulmonary Tuberculosis in Indonesia has become an important agenda because the number of sufferers is increasing. Regencies in Indonesia, including Blitar Regency, are highly endemic for Pulmonary Tuberculosis, so mitigation is necessary for sufferers. This disease can be cured, provided that sufferers have knowledge about their disease, have the motivation to recover and comply with health recommendations, namely regularly taking medication. This study was conducted in Blitar Regency, East Java Province, Indonesia with a sample of 85 patients with Pulmonary Tuberculosis. Patients were divided into two groups, where the first group was given minimal treatment according to government regulations, while the second group was given additional treatment.Supportive Educative System Based Self Care Practice. The result is that Supportive Educative System Based Self Care Practicecan provide patients with knowledge about the disease they are suffering from, thus motivating them to recover and raising awareness among these patients to comply with taking medication, so that patients can be cured.
Copyright (c) 2026 As'ad Faishal, Indasah, Joko Prasetyo (Author) https://creativecommons.org/licenses/by/4.0
Development of a Health Literacy Model Based on the One Student One Family Support Method for Pulmonary Tuberculosis Prevention in Rural Communities
Place the question addressed in a broad context. Write the research objectives concisely and clearly Families need to pay attention by involving nursing students to enhance the role of family members in assisting the family's knowledge about pulmonary tuberculosis and how to care for sick family members, as well as its prevention. The aim of this study is to identify the knowledge, attitudes, and behaviors of families in the prevention of pulmonary tuberculosis in the Boroko Community Health Center area of North Bolmong Regency in the intervention and control groups. Methods: the research method used in this study is a quasi-experiment pre-post-test with a control group design. This research will conduct health literacy model assistance involving nursing students as companions and providing support to families with members suffering from tuberculosis for 8 weeks with a total of 14 meetings. The sampling technique uses stratified random sampling according to the established criteria, and the sample selection uses Slovin's formula, resulting in 52 respondents consisting of 26 for the intervention group and 26 for the control group. The research results indicate that there is a significant difference between the knowledge, attitudes, and behaviors of the intervention group and the knowledge of the control group. The assistance of nursing students as support providers in the family has an impact on the knowledge, attitudes, and behaviors of patients in preventing tuberculosis.
Copyright (c) 2026 Ulfa Maulidah (Author) https://creativecommons.org/licenses/by/4.0
Status Sosial Ekonomi sebagai Determinan Status Gizi pada Remaja Putri: Studi di SMA Kota Semarang
Status gizi remaja putri merupakan indikator penting kesehatan masyarakat karena berpengaruh langsung terhadap pertumbuhan, kesehatan reproduksi, dan kualitas sumber daya manusia di masa mendatang. Salah satu faktor yang berperan dalam menentukan status gizi adalah kondisi sosial ekonomi keluarga, yang memengaruhi akses terhadap pangan, layanan kesehatan, dan pola hidup sehat. Penelitian ini bertujuan untuk menganalisis hubungan faktor sosial ekonomi dengan status gizi remaja putri di Sekolah Menengah Atas (SMA) Kota Semarang. Penelitian ini menggunakan pendekatan kuantitatif dengan desain cross-sectional. Sampel penelitian terdiri dari remaja putri yang dipilih menggunakan teknik sampling sesuai dengan kriteria inklusi. Data sosial ekonomi dikumpulkan melalui kuesioner terstruktur yang mencakup tingkat pendidikan orang tua, pekerjaan, dan pendapatan keluarga, sedangkan status gizi diukur berdasarkan indeks massa tubuh menurut umur (IMT/U). Analisis data dilakukan secara univariat dan bivariat untuk mengidentifikasi hubungan antara variabel sosial ekonomi dan status gizi. Hasil penelitian menunjukkan adanya hubungan yang bermakna antara faktor sosial ekonomi dan status gizi remaja putri. Remaja putri yang berasal dari keluarga dengan status sosial ekonomi lebih tinggi cenderung memiliki status gizi normal dibandingkan mereka yang berasal dari keluarga dengan status sosial ekonomi rendah. Temuan ini mengindikasikan bahwa kondisi sosial ekonomi berperan penting dalam menentukan status gizi remaja putri.
Copyright (c) 2025 Luluk Isnati Andini (Author) https://creativecommons.org/licenses/by/4.0
Paritas sebagai Faktor Determinan Tingkat Pengetahuan Ibu tentang Perawatan Masa Nifas: Studi Kasus Kota Magelang
Perawatan masa nifas merupakan komponen penting dalam upaya menjaga kesehatan ibu pascapersalinan dan mencegah terjadinya komplikasi. Tingkat pengetahuan ibu memiliki peran strategis dalam menentukan kualitas perawatan masa nifas yang dilakukan secara mandiri maupun dengan dukungan tenaga kesehatan. Salah satu faktor yang diduga memengaruhi tingkat pengetahuan tersebut adalah paritas, yang berkaitan dengan pengalaman persalinan dan perawatan sebelumnya. Penelitian ini bertujuan untuk menganalisis paritas sebagai faktor determinan tingkat pengetahuan ibu tentang perawatan masa nifas di Kota Magelang. Penelitian ini menggunakan pendekatan kuantitatif dengan desain cross-sectional. Sampel penelitian terdiri dari ibu nifas yang berada di wilayah Kota Magelang dan dipilih menggunakan teknik sampling sesuai kriteria inklusi. Data dikumpulkan melalui kuesioner terstruktur untuk mengukur tingkat pengetahuan ibu mengenai perawatan masa nifas. Analisis data dilakukan secara univariat dan bivariat untuk mengidentifikasi hubungan antara paritas dan tingkat pengetahuan. Hasil penelitian menunjukkan adanya hubungan yang bermakna antara paritas dan tingkat pengetahuan ibu tentang perawatan masa nifas. Ibu dengan paritas lebih tinggi cenderung memiliki tingkat pengetahuan yang lebih baik dibandingkan ibu primipara. Temuan ini mengindikasikan bahwa pengalaman melahirkan sebelumnya berkontribusi terhadap peningkatan pemahaman ibu mengenai perawatan masa nifas.
Copyright (c) 2025 Sofi Ariyanti (Author) https://creativecommons.org/licenses/by/4.0
Kelelahan sebagai Determinan Depresi Postpartum pada Ibu Nifas
Depresi postpartum merupakan masalah kesehatan mental yang sering terjadi pada ibu nifas dan berdampak signifikan terhadap kesejahteraan ibu, hubungan ibu–bayi, serta perkembangan anak. Salah satu faktor yang diduga berperan penting dalam munculnya depresi postpartum adalah kelelahan yang dialami ibu selama masa nifas. Penelitian ini bertujuan untuk menganalisis peran kelelahan sebagai determinan depresi postpartum pada ibu nifas. Penelitian ini menggunakan pendekatan kuantitatif dengan desain cross-sectional. Sampel penelitian terdiri dari ibu nifas yang memenuhi kriteria inklusi dan dipilih menggunakan teknik sampling yang sesuai. Data dikumpulkan melalui kuesioner terstandar untuk mengukur tingkat kelelahan dan derajat depresi postpartum, kemudian dianalisis menggunakan uji statistik yang relevan. Hasil penelitian menunjukkan bahwa kelelahan memiliki hubungan yang signifikan dengan tingkat depresi postpartum pada ibu nifas. Ibu nifas dengan tingkat kelelahan yang lebih tinggi cenderung memiliki risiko depresi postpartum yang lebih besar. Temuan ini mengindikasikan bahwa kelelahan merupakan faktor determinan yang perlu mendapat perhatian dalam upaya pencegahan depresi postpartum. Oleh karena itu, intervensi kesehatan yang berfokus pada pengelolaan kelelahan dan peningkatan dukungan selama masa nifas perlu diintegrasikan dalam pelayanan kesehatan ibu.
Copyright (c) 2025 Faqih Abdul Akbar (Author) https://creativecommons.org/licenses/by/4.0
Analisis Hubungan Pengetahuan dan Sikap Ibu Rumah Tangga dalam Upaya Pencegahan HIV/AIDS di Pekanbaru
HIV/AIDS masih menjadi permasalahan kesehatan masyarakat yang memerlukan perhatian serius, terutama pada kelompok rentan seperti ibu rumah tangga. Pengetahuan yang memadai tentang HIV/AIDS diyakini berperan penting dalam membentuk sikap pencegahan yang positif. Penelitian ini bertujuan untuk menganalisis hubungan antara tingkat pengetahuan dan sikap ibu rumah tangga dalam upaya pencegahan HIV/AIDS di Kota Pekanbaru. Penelitian ini menggunakan desain kuantitatif dengan pendekatan cross-sectional. Sampel penelitian terdiri dari ibu rumah tangga yang dipilih menggunakan teknik sampling tertentu. Data dikumpulkan melalui kuesioner terstruktur yang mengukur tingkat pengetahuan dan sikap responden terkait pencegahan HIV/AIDS, kemudian dianalisis menggunakan uji statistik yang sesuai. Hasil penelitian menunjukkan adanya hubungan yang signifikan antara tingkat pengetahuan dan sikap ibu rumah tangga terhadap pencegahan HIV/AIDS. Ibu rumah tangga dengan tingkat pengetahuan yang lebih baik cenderung memiliki sikap yang lebih positif terhadap upaya pencegahan HIV/AIDS. Temuan ini menunjukkan bahwa peningkatan pengetahuan melalui edukasi kesehatan berperan penting dalam membentuk sikap preventif. Oleh karena itu, program promosi dan pendidikan kesehatan yang terarah dan berkelanjutan perlu ditingkatkan sebagai strategi pencegahan HIV/AIDS pada tingkat keluarga dan masyarakat.
Copyright (c) 2025 Jamal Maulana Haris (Author) https://creativecommons.org/licenses/by/4.0
Latihan Intradialitik sebagai Intervensi Adaptif dalam Menurunkan Fatigue pada Pasien Hemodialisis
Fatigue merupakan salah satu masalah utama yang sering dialami oleh pasien hemodialisis dan berdampak signifikan terhadap kualitas hidup serta kepatuhan terhadap terapi. Penelitian ini bertujuan untuk menganalisis hubungan antara intradialytic exercise dan penurunan fatigue pada pasien hemodialisis dalam kerangka Model Adaptasi Roy. Penelitian ini menggunakan pendekatan konseptual melalui tinjauan literatur terhadap publikasi nasional dan internasional terkini periode 2022–2025. Hasil sintesis literatur menunjukkan bahwa intradialytic exercise, yaitu aktivitas fisik yang dilakukan selama proses hemodialisis, efektif menurunkan tingkat fatigue melalui peningkatan perfusi otot, keseimbangan hormonal, dan fungsi kardiovaskular. Dalam perspektif Model Adaptasi Roy, fatigue dipahami sebagai respons maladaptif terhadap stimulus fisiologis dan psikologis yang berlangsung kronis, sedangkan intradialytic exercise berperan sebagai mekanisme koping adaptif yang mendukung penyesuaian positif pada empat mode adaptasi Roy, yaitu fisiologis, konsep diri, fungsi peran, dan interdependensi. Temuan ini memberikan landasan teoretis bagi pengembangan intervensi keperawatan yang komprehensif dan berkelanjutan guna meningkatkan kualitas hidup pasien hemodialisis.
Copyright (c) 2025 Devy Hapsari Lubis (Author) https://creativecommons.org/licenses/by/4.0
Studi Penggunaan Obat Tradisional pada Lansia dengan Hipertensi Derajat 2 di Posyandu Lansia
Hipertensi derajat 2 merupakan faktor risiko penting dalam komplikasi kardiovaskular dan perlu mendapat penanganan yang adekuat. Obat tradisional banyak digunakan oleh masyarakat untuk menurunkan tekanan darah. Penelitian ini berfokus untuk menggambarkan penggunaan obat tradisional pada peserta posyandu lansia yang telah terdiagnosis hipertensi derajat 2. Penelitian observasional (survey) dengan desain cross sectional, dilakukan di tiga posyandu di wilayah suatu Puskesmas di kabupaten Bantul provinsi Yogyakarta. Dengan metode concecutive sampling, wawancara dilakukan pada responden yang memenuhi kriteria: peserta posyandu lansia, terdiagnosis hipertensi derajat 2 dan bersedia mengikuti penelitian. Data dianalisis secara deskriptif. Wawancara dilakukan pada 108 pasien, rata-rata usia 67.2 ± 9 (rentang 45-90 tahun). Sebagian besar pasien (86,1%) merespon “Ya” pada pertanyaan “apakah dalam 30 hari terakhir Anda menggunakan obat tradisional untuk menurunkan tekanan darah?”. Konsumsi Cucumis sativus/mentimun dilaporkan oleh 66,7% pasien (dimakan langsung, diparut atau dibuat jus), dan dianggap paling efektif menurunkan tekanan darah, diikuti oleh Citrullus lanatus/semangka (39,8%) dan beberapa buah/sayur lain. Persentase penggunaan jamu/herbal (buatan sendiri, racikan maupun kemasan) adalah 44,4%. Bahan jamu rumah tangga banyak didapat dari kebun meliputi daun seledri, daun salam, kunyit, temuireng, daun pepaya, daun alpukat. Konsumsi obat tradisional dilakukan dengan durasi rata-rata 5,5 ± 0.8 hari dalam 30 hari terakhir. Sebagian besar pasien mendapatkan informasi tentang obat tradisional tersebut dari kebiasaan setempat yang dipercaya turun menurun. Penelitian ini menunjukkan sebagian besar pasien hipertensi derajat 2 menggunakan obat tradisional terutama tanaman buah/sayur dan jamu. Tenaga kesehatan perlu menggali riwayat penggunaan dan persepsi pasien mengenai obat tradisional untuk mendukung manajemen hipertensi yang adekuat dan mengurangi risiko komplikasi kardiovaskular,
Copyright (c) 2025 Halim Iswanaji Akbar (Author) https://creativecommons.org/licenses/by/4.0
Penerapan Sistem Manajemen K3 pada Unit Hemodialisis RSUD Kecamatan Mandau: Sebuah Studi Evaluatif
Angka kunjungan pasien di Unit Hemodialisis RSUD Kecamatan Mandau setiap tahun mengalami peningkatan. Semakin banyak tindakan hemodialisis, semakin meningkat pula risiko petugas terhadap ancaman keselamatan. Tujuan penelitian untuk mengevaluasi penerapan K3 di Unit Hemodialisis RSUD Kecamatan Mandau. Jenis penelitian adalah deskriptif kualitatif dengan pendekatan fenomologi. Pengumpulan data melalui wawancara mendalam, observasi lapangan dan telaah dokumen. Pengambilan sampel dengan purposive sampling. Informan penelitian yaitu 7 orang. Hasil penelitian diketahui pimpinan dan manajemen sudah menjalankan K3RS namun pelaksanaan program belum berjalan baik, pelayanan kesehatan kerja, pengelolaan B3, manajemen pencegahan dan pengendalian kebakaran, manajemen kesiapsiagaan menghadapi kondisi darurat bencana, pemantauan evaluasi kinerja K3RS, SPO pelayanan medis dan SPO khusus K3 belum lengkap dan belum berjalan baik. Disimpulkan bahwa penerapan K3 di unit HD RSUD Mandau belum optimal. Diharapkan kepada Instalasi K3 untuk melakukan penambahan SDM dan sarana prasarana, menyusun program kerja, melakukan sosialisasi kerja, penganggaran khusus K3, dan melakukan pengawasan dan evaluasi K3.
Copyright (c) 2025 Amirul Hakim (Author) https://creativecommons.org/licenses/by/4.0
Optimalisasi Kinerja Perawat dalam Meningkatkan Mutu Layanan Keperawatan di RSUD Tengku Sulung
Perawat adalah tenaga yang paling sering kontak langsung dengan pasien dan keluarga, sehingga peranannya sangat menentukan mutu serta citra rumah sakit. Pelayanan keperawatan menentukan nilai suatu pelayanan kesehatan sehingga perawat adalah salah satu unsur vital dalam rumah sakit. Tujuan dari Penelitian ini adalah untuk mengetahui Kinerja Perawat di Unit Rawat Inap Keperawatan RSUD Tengku Sulung Pulau Kijang serta membuat alternatif pemecahan masalah dan membuat rencana intervensi (POA) untuk pengoptimalisasian kinerja Perawat tersebut. Metode penelitian digunakan adalah penelitian kualitatif yang bersifat deskriptif eksploratif menggunakan desain residensi fenomonologi dalam mendapatkan informasi, dan menggunakan metode wawancara mendalam (indepth interview). Jumlah Informan ada 3 orang dengan pengumpulan data dengan wawancara, observasi, dan penelusuran dokumen. Hasil penelitian yaitu masalah adalah belum optimalnya pelaksanaan kinerja perawat yang sesuai dengan Standar Prosedur Operasional Rumah Sakit (SPO) sehingga perlu disusun rencana ntervensi untuk mengatasi masalah tersebut. Kesimpulan dari hasil penelitian ini adalah berdasarkan hasil wawacara dan observasi belum optimalnya pelaksanaan kinerja perawat yang sesuai dengan Standar Prosedur Operasional Rumah Sakit (SPO) disebabkan oleh beberapa hal salah satunya adalah masih kurangnya SDM serta belum dlakukannya evaluasi kinerja perawat secara berkesinambungan.
Copyright (c) 2025 Laila Nur Hayati (Author) https://creativecommons.org/licenses/by/4.0
Constraint Induced Movement Therapy (CIMT) untuk Meningkatkan Kemampuan Motorik Ekstremitas Atas pada Pasien Stroke Non Hemoragik: Studi Kasus di RS Swasta Temanggung
Salah satu intervensi rehabilitasi yang terbukti efektif dalam meningkatkan fungsi motorik adalah Constraint Induced Movement Therapy (CIMT), yaitu metode terapi yang mendorong penggunaan anggota tubuh yang terkena dengan cara membatasi gerakan anggota tubuh yang sehat. Studi kasus ini bertujuan untuk mengevaluasi pengaruh penerapan CIMT terhadap peningkatan kemampuan motorik ekstremitas atas pada pasien stroke non hemoragik. Penelitian ini merupakan studi kasus pada seorang pasien laki-laki berusia 59 tahun yang mengalami hemiparesis sisi kanan akibat stroke non hemoragik. Intervensi CIMT dilakukan selama 10 hari dengan durasi 3 jam per hari. Evaluasi kemampuan motorik dilakukan menggunakan Fugl-Meyer Assessment (FMA) bagian ekstremitas atas sebelum dan sesudah intervensi, Hasil penelitian menunjukkan bahwa setelah intervensi selama 10 hari, skor FMA ekstremitas atas meningkat dari 32 menjadi 45, menunjukkan adanya perbaikan signifikan dalam fungsi motorik seperti gerakan bahu, siku, pergelangan tangan, dan tangan. Pasien juga menunjukkan peningkatan kemampuan melakukan aktivitas fungsional ringan seperti meraih objek dan menggenggam. Constraint Induced Movement Therapy (CIMT) terbukti efektif dalam meningkatkan kemampuan motorik ekstremitas atas pada pasien stroke non hemoragik. Terapi ini dapat menjadi pilihan intervensi dalam program rehabilitasi pasien pasca stroke untuk mempercepat pemulihan fungsi dan meningkatkan kemandirian.
Copyright (c) 2025 Muhlis Ainur Rahim (Author) https://creativecommons.org/licenses/by/4.0
Foot Massage sebagai Terapi Pendukung untuk Mengurangi Nyeri dan Tekanan Darah pada Pasien Hipertensi: Studi Kasus di Purwodadi
Hipertensi merupakan salah satu penyakit kronis dengan prevalensi tinggi yang berisiko menimbulkan komplikasi serius. Nyeri akut dan peningkatan tekanan darah sering terjadi bersamaan, sehingga diperlukan penanganan yang efektif dan minim efek samping. Salah satu pendekatan non-farmakologis yang dapat digunakan adalah terapi pijat kaki (foot massage), yang diyakini mampu merelaksasi sistem saraf dan menurunkan tekanan darah. Laporan kasus ini bertujuan untuk mengevaluasi efektivitas intervensi foot massage dalam mengurangi nyeri akut dan menurunkan tekanan darah pada pasien hipertensi. Penelitian ini merupakan studi kasus pada seorang pasien hipertensi yang dirawat di salah satu rumah sakit swasta di Purwodadi. Intervensi berupa pijat kaki dilakukan selama 15 menit sebanyak dua kali sehari selama tiga hari berturut-turut. Evaluasi nyeri dilakukan menggunakan skala nyeri numerik (NRS), sedangkan tekanan darah diukur menggunakan alat tensimeter digital. Setelah dilakukan intervensi foot massage, terjadi penurunan signifikan pada intensitas nyeri dari skor 6 menjadi 3 pada hari ketiga. Selain itu, tekanan darah pasien menurun dari 160/100 mmHg menjadi 140/90 mmHg. Hasil penelitian menunjukkan bahwa intervensi foot massage terbukti efektif sebagai terapi pendukung dalam mengurangi nyeri akut dan menurunkan tekanan darah pada pasien hipertensi. Terapi ini dapat dijadikan alternatif non-obat yang aman dan mudah diterapkan di fasilitas pelayanan kesehatan.
Copyright (c) 2025 Ninda Salma Arianti (Author) https://creativecommons.org/licenses/by/4.0