Jurnal Pustaka Keperawatan (Pusat Akses kajian Keperawatan)

Aplikasi Tindakan ROM pada Lansia di Panti Werdha : Systematic Literature Review

2025-07-02T02:37:23+00:00

Older adults residing in nursing homes are at high risk of joint contractures, functional decline, and decreased quality of life due to limited mobility. Range of motion (ROM) exercises have been identified as a key intervention to mitigate these challenges. This systematic literature review aims to synthesize recent empirical evidence on the application of ROM exercises for institutionalized older adults, highlighting their effectiveness, barriers to implementation, and recommendations for future practice. Following PRISMA guidelines, a structured search was conducted in Scopus for publications from 2022 to 2024. Inclusion criteria targeted peer-reviewed studies addressing ROM interventions in nursing homes or long-term care settings. After screening and full-text assessment, 10 studies met the eligibility criteria and were included for synthesis. The review found that structured ROM programs improve joint flexibility, enhance functional capacity, reduce the risk of pressure ulcers, and promote mental well-being among nursing home residents. Active ROM demonstrated superior benefits compared to passive ROM interventions. However, barriers such as limited staffing resources, lack of caregiver training, and resident motivation challenges were noted. Facility-based ROM interventions under structured supervision were generally more effective than home-based programs. ROM exercises represent a practical, low-risk, and evidence-supported strategy to preserve mobility and functional independence among institutionalized older adults. Future research should explore culturally adapted, technology-assisted, and sustainable ROM interventions with long-term follow-up to maximize benefits in diverse geriatric populations

Efektivitas Hipnoterapi Sebagai Terapi Komplementer Untuk Menurunkan Tingkat Kecemasan: Literatur Review

2025-08-03T11:17:45+00:00

Anxiety is defined as a significant mental disorder that affects millions of people around the world, including Indonesia, with an impact on physical and psychological health. This study aims to examine the effectiveness of hypnotherapy as a complementary therapy in reducing anxiety levels through a literature review approach. The research method used is a literature review that analyzes scientific articles from indexed journal databases, namely 4 PubMed articles and 4 Google Scholar articles with publication limitations in the last 5 years. The results of the study show that hypnotherapy is effective in reducing anxiety in various age groups. Hypnotherapy utilizes hypnotic conditions through the induction of relaxation (trance) that increases the acceptance of healing suggestions in the subconscious mind, reduces motor tension, and promotes emotional calm. The success factor is determined by the client's ability to achieve a state of relaxation (trance), which makes the subconscious mind more open to healing suggestions. Hypnotherapy has been proven to be safe, well-tolerated, and beneficial, as well as effective in lowering anxiety levels

Studi Kasus : Penerapan Resistance Exersice untuk Meningkatkan Sirkulasi Perifer pada Pasien Diabetes Mellitus Tipe II

2025-09-20T04:45:51+00:00

Type 2 Diabetes Mellitus (T2DM) is one of the most common chronic metabolic diseases found in the community and can lead to microvascular complications such as peripheral circulation disorders. This study aimed to describe nursing care for patients with type 2 diabetes mellitus through the application of Resistance exercise as a non-pharmacological intervention to improve peripheral circulation. This study used a case study design with a descriptive approach. The research was conducted from May to June 2025 in the working area of Putri Ayu Public Health Center, Jambi City. The intervention was given to two patients who experienced sensory symptoms such as tingling and foot pain, along with an Ankle Brachial Index (ABI) value of less than 1. Resistance exercises were performed for three consecutive days using a theraband, with five movements in each session. Each session lasted approximately 10–15 minutes per day. Evaluation results showed improvements in peripheral circulation, indicated by increased ABI values and a reduction in sensory complaints. Resistance exercise can be used as one of the nursing care approaches to help prevent peripheral complications in patients with type 2 diabetes mellitus.

Hubungan Dukungan Keluarga Sebagai Pengawas Minum Obat (PMO) Terhadap Keberhasilan Pengobatan TBC di Puskesmas Sawah Besar

2025-08-08T05:37:45+00:00

Tuberculosis (TB) remains a serious public health issue in Indonesia, which ranks second in the world for TB cases. One of the key factors in ensuring the success of TB treatment is patient adherence, which can be supported through the presence of a family member acting as a treatment supervisor, or Pengawas Minum Obat (PMO). This study aimed to determine the relationship between family support as PMO and the success of TB treatment in patients at Puskesmas Sawah Besar.This quantitative study used a cross-sectional design and descriptive analytic methods with a total sample of 39 respondents selected through total sampling. Data were collected using questionnaires and analyzed using univariate and bivariate analysis with Chi-Square tests. The results showed that most respondents received strong family support, and a significant number of them achieved successful treatment outcomes.The statistical analysis revealed a significant relationship between family support as PMO and the success of TB treatment (p < 0.05). The findings suggest that family involvement plays a vital role in supporting patients throughout their treatment, improving adherence, and increasing the likelihood of treatment success. Therefore, enhancing family education and engagement in TB programs is essential to reducing treatment failure and TB incidence.

Efektivitas Video Animasi Sebagai Upaya Peningkatan Pengetahuan Dasar Pasien Diabetes Melitus

2025-08-09T07:01:34+00:00

Diabetes mellitus is a chronic disease that requires a comprehensive understanding from patients to prevent complications. However, conventional health education often proves to be less effective in increasing patient knowledge. This study aims to determine the effectiveness of using animated videos as an educational medium to improve the basic knowledge of diabetes mellitus patients at the Sawah Besar Community Health Center. The research employed a true experimental design with a post-test only control group approach involving 116 respondents divided into two groups: intervention and non-intervention. The instrument used was the DKQ-24 questionnaire, with data analysis using the Mann-Whitney test. The results showed that the majority of respondents in the intervention group (72.4%) had good knowledge, while in the non-intervention group, most (91.4%) fell into the low knowledge category. The statistical test revealed a significant difference between the two groups (p = 0.000). In conclusion, animated videos are effectively used as an educational medium to enhance the basic knowledge of patients with diabetes mellitus because they can convey information in an engaging, easily understandable manner, and reach various backgrounds of respondents.

Perubahan Literasi Bahaya Merokok pada Siswa SMPN 4 Sumbawa

2025-08-11T03:00:38+00:00

Smoking among adolescents is a public health problem that increases the risk of non-communicable diseases. Low literacy regarding the dangers of smoking among junior high school students contributes to the high rate of early smoking initiation. This study aimed to determine changes in smoking danger literacy among students of SMPN 4 Sumbawa after interactive counseling. This research employed a pre-experimental design with a one-group pre-test and post-test approach. A total of 60 students were selected using purposive sampling. The intervention was conducted through interactive counseling using presentations, group discussions, question-and-answer sessions, and educational video screenings. The instrument used was a smoking danger literacy questionnaire covering knowledge, attitudes, and risk awareness. Data were analyzed using the Wilcoxon Signed Rank Test with a significance level of 0.05. The results showed a significant improvement in smoking danger literacy scores after the intervention (p < 0.05). Interactive counseling effectively improved smoking danger literacy among school adolescents and can be recommended as a health promotion strategy in schools

Hubungan Tingkat Pengetahuan pada Pasien Diabetes Melitus dengan Perilaku Pencegahan Katarak

2025-08-11T06:57:11+00:00

Diabetes mellitus is a chronic disease commonly found in the community and is often referred to as a “silent killer” because it frequently shows no symptoms in its early stages. Nevertheless, diabetes can lead to various serious complications, including eye disorders such as cataracts. Cataracts are a common ocular complication in individuals with diabetes and can potentially lead to permanent blindness if not treated promptly.Efforts to prevent complications from diabetes largely depend on the patient’s understanding of how to manage the disease. This includes controlling blood sugar levels, blood pressure, cholesterol, adopting a healthy lifestyle, adherence to medication, and undergoing regular eye examinations. A good level of knowledge helps shape a positive mindset, which in turn influences preventive behavior, including the prevention of cataracts. In other words, the higher a person’s knowledge about their disease, the better their preventive behavior tends to be.This study aims to determine the relationship between the level of knowledge among diabetes mellitus patients and their behavior in preventing cataracts at Hospital X, Jakarta. The study employs a quantitative approach with a cross-sectional design and involves 105 respondents who were selected through the distribution of questionnaires. Data analysis was conducted using the Spearman test and showed a significance value of 0.345 (p < 0.01). This result indicates a relationship between the level of knowledge and cataract prevention behavior, although with a weak correlation. These findings suggest that increasing patients’ knowledge still plays a role in shaping better preventive behavior

Hubungan Koping dan Kecemasan dengan Nyeri Post-ORIF Ekstremitas Bawah di RS Ortopedi Surakarta

2025-08-14T00:23:48+00:00

Lower extremity fractures are a significant musculoskeletal problem with a steadily increasing incidence globally and nationally. The standard treatment for fractures is ORIF. ORIF procedures cause postoperative pain, which is greatly influenced by psychological factors such as anxiety levels and the patient's coping mechanisms. Poorly managed post-ORIF pain can negatively impact physiological responses, emotional status, and slow down the patient's healing process. While pharmacological pain management remains a priority, there is still a need to integrate more optimal non-pharmacological interventions to address anxiety and pain at Prof. Dr. R. Soeharso Orthopedic Hospital in Surakarta, making an understanding of the relationships between these variables essential. This is a quantitative study with a descriptive correlational design and a cross-sectional approach. The study population includes all patients who have undergone lower extremity ORIF, with a sample of 35 respondents selected using purposive sampling techniques that meet the inclusion criteria. Data collection was conducted using standardized questionnaire instruments: the Jalowiec Coping Scale (JCS) to measure coping mechanisms, the Hamilton Anxiety Rating Scale (HARS) to assess anxiety levels, and the Numeric Rating Scale (NRS) to measure pain intensity. Data analysis utilized the Spearman Rank correlation test to test the hypothesis. The results of bivariate statistical analysis showed a significant relationship between coping mechanisms and pain intensity (p-value 0.002, r= -0.509) and between anxiety levels and pain intensity (p-value 0.000, r= 0.797) in patients who had undergone lower extremity ORIF. Conclusion: There is a relationship between coping mechanisms and anxiety levels with pain intensity in patients who have undergone lower extremity ORIF at Prof. Dr. R. Soeharso Orthopedic Hospital in Surakarta.

Hubungan Durasi Penggunaan Gadget dengan Kualitas Tidur Anak pada Siang dan Malam Hari

2025-08-15T16:59:46+00:00

The development of digital technology has led to an increase in gadget use among children, including elementary school students. Excessive gadget use poses a risk of disrupting children’s sleep quality, both during the day and at night. This study aimed to analyze the relationship between gadget use duration and children’s sleep quality during day and night at SD Muhammadiyah 1 Banjarmasin. This research employed a quantitative approach with an analytical observational design and a cross-sectional study. The sample consisted of 47 students from grades IV–VI, selected using the total sampling technique. The instruments used were the American Academy of Pediatrics (AAP) questionnaire to measure gadget use duration and the Pittsburgh Sleep Quality Index (PSQI) to assess sleep quality. Data were analyzed using the Spearman Rank test. The results showed a significant relationship between gadget use duration and children’s sleep quality (p = 0.001; r = 0.479). The longer children use gadgets, the poorer their sleep quality tends to be. Parental supervision of children’s gadget use duration is necessary to prevent negative impacts on sleep quality. Education on healthy gadget use is also essential to be implemented in both family and school environments.

Hubungan Tingkat Aktivitas Fisik Dengan Kekambuhan Rheumatoid Arthritis di RSUD Sawah Besar Jakarta Pusat

2025-08-16T14:15:18+00:00

Rheumatoid arthritis (RA) is a chronic autoimmune disease that causes inflammation in the body, particularly in the joints. According to data from the Global Burden of Diseases, Injuries, and Risk Factors Study in 2020, approximately 17.6 million people worldwide live with RA. In the service area of Sawah Besar General Hospital, there were 21 cases of RA in 2025. This is attributed to factors such as genetics, hormones, neuroendocrine conditions, and comorbidities that can trigger RA. Preliminary studies indicate that most patients continue to engage in heavy physical activities, which may contribute to RA flare-ups. This study aims to investigate the relationship between physical activity levels and RA flare-ups at RSUD Sawah Besar in Central Jakarta in 2025. This study used a quantitative method with a cross-sectional design, and the sample consisted of 21 respondents selected through non-probability sampling using the total sampling method. The research instruments used were questionnaires on physical activity levels (GPAQ) and RA relapses. Data were analyzed using univariate and bivariate methods with the Spearman rho test. The results of this study indicate that the majority of respondents had a high level of physical activity (76.19%) and frequent RA recurrence (52.4%). The Spearman's rho test results showed a very strong and significant correlation between the two variables

Hubungan Resiliensi Keluarga Berfokus Pada Sistem Kepercayaan dan Pola Komunikasi dengan Kesejahteraan Fisiologis Pada Pasien dengan Penyakit Kronis

2025-08-16T16:41:24+00:00

Chronic diseases require continuous management and often impact patients’ physiological well-being. Family resilience, especially in belief systems and communication patterns, has an important role in supporting adaptation and recovery. This study aimed to examine the relationship between family resilience and physiological well-being in patients with chronic diseases. A quantitative study with a cross-sectional design was conducted on 86 patients at Dr. H. Moch Ansari Saleh General Hospital, Banjarmasin, selected through purposive sampling. Data were collected using the Family Resilience Questionnaire focusing on belief systems and communication patterns, and a physiological well-being instrument. Data analysis was performed using Spearman’s Rho correlation. The findings showed that most respondents had moderate levels of family resilience and physiological well-being. The statistical test results revealed a significant positive correlation between family resilience and physiological well-being (p = 0.000; r = 0.701). These results indicate that the stronger the family’s belief system and communication patterns, the better the physiological health outcomes experienced by patients with chronic diseases. This study highlights the importance of involving families in patient care, especially through interventions that strengthen resilience and communication, to improve treatment adherence and overall health outcomes. Healthcare providers are encouraged to adopt family-centered strategies in chronic disease management

Pengaruh Terapi Dzikir Terhadap Kecemasan Kematian Pada Lansia di Panti Perlindungan Rehabilitasi Sosial Lanjut Usia Budi Sejahtera

2025-08-16T19:06:18+00:00

The elderly are a vulnerable group that easily experiences anxiety about death due to a decline in physical, psychological, and social functions. This anxiety negatively impacts spiritual well-being and overall quality of life. Dhikr therapy, which is a spiritual practice of repeatedly remembering Allah SWT, is believed to provide inner peace and reduce psychological pressure. This study aims to analysis the effect of dhikr therapy on death anxiety in the elderly residing at the Budi Sejahtera Social Rehabilitation. This study uses a quasi-experimental design with a pretest-posttest control group approach. The sample consisted of 85 elderly individuals divided into intervention and control groups using purposive sampling technique. The intervention group was given dhikr therapy for three consecutive days, each session lasting 15 minutes. The instrument used was the Death Anxiety Scale (DAS). The results of the Wilcoxon Signed Rank Test showed a significant reduction in anxiety (p = 0.000), with the average score decreasing from 45.8 to 32.6. The Mann-Whitney test indicated a significant difference between groups (p = 0.004). This study uses a simple, inexpensive, and easily applicable culturally-based spiritual approach. Dhikr therapy is recommended as a spiritual nursing intervention to improve emotional well-being and acceptance of end-of-life among the elderly

Gambaran Deteksi Dini Masalah Kesehatan Jiwa Menggunakan Edinburgh Postnatal Depression Scale (Epds) Pada Ibu Hamil

2025-08-17T16:50:13+00:00

Mental health problems in pregnant women are 12.6% higher than mental health problems in postpartum women, which is only 10.1%. Therefore, government policy, as stipulated in Minister of Health Regulation No. 21 of 2021, explains that pregnant women are included in cluster 2 and must receive primary health care services, including early detection of mental health. Early detection of mental health is carried out using the EPDS instrument Edinburgh Postnatal Depression Scale(EPDS) which has been shown to be an effective screening tool for identifying pregnant women who may be at risk for depression.Describes the picture of early detection of mental health problems usingEdinburgh Postnatal Depression Scale(EPDS) in pregnant women in the Cimanggu II Health Center Working Area. Method:This research is a quantitative descriptive study. The population was 229 pregnant women. The sampling technique used wassimple random sampling and obtained 151 respondents who met the inclusion and exclusion criteria. The instrument in this study used the EPDS questionnaire. Data analysis was performed using univariate tests. Symptoms of depressive disorders in pregnant women in the Cimanggu II Community Health Center Working Area amounted to 18.5% of respondents. There were 28 out of 151 respondents who experienced symptoms of depressive disorders in pregnant women in the Cimanggu II Health Center Working Area.

Hubungan Usia, Jenis Kelamin, Dan Faktor Pendidikan Terhadap Kualitas Hidup Anak Penderita Kanker Yang Menjalani Kemoterapi

2025-09-20T06:08:56+00:00

Cancer is one of the non-communicable diseases that is still a serious health problem and a cause of death in the world. The prevalence of cancer in children in Indonesia is 4%, this is one of the major problems of children's health in Indonesia. Chemotherapy treatment has a physiological and psychological impact which can later cause problems that can have an impact on the quality of life of children. This study aims to determine the relationship between age, gender, and education factors on the quality of life of children with cancer during chemotherapy at Dr. Moewardi Hospital Surakarta. This study used a descriptive method with a cross sectional design. The sample in the study was a child with cancer who underwent chemotherapy. Sampling was done using the consecutive sampling method with a total of 50 respondents. The measuring tool uses the PedsQL 4.0 quality of life questionnaire.The results of the research that have been conducted by statistical tests obtained a sig value of 0.036 (p<0.05) and a positive correlation test of 0.298 between age and quality of life, gender is not related to quality of life, education level is not related to quality of life. It can be concluded that there is a weak relationship between age and the quality of life of children with cancer during chemotherapy.

Pengaruh Slow Deep Breathing Terhadap Kelelahan Pada Pasien Gagal Ginjal Di Ruang Hemodialisis Di Rumah Sakit Murni Teguh Tuban Bali

2025-08-18T15:42:40+00:00

The hemodialysis therapy process which takes 4-5 hours, will generally cause fatigue. Overcoming this impact can be given slow deep breathing where relaxation is realized to regulate breathing deeply and slowly and one of the therapies that has proven its effectiveness to overcome fatigue. To determine the Effect of Slow Deep Breathing on Fatigue in Kidney Failure Patients in the Hemodialysis Room of the Murni Teguh Tuban Bali Hospital. This study used a pre-experimental design with a pre-test and post-test one group design. The sampling technique used total sampling of 16 respondents. Data were collected with FACIT questionnaire. Data were analyzed with Wilcoxon test. The results showed fatigue in patients with kidney failure before being given slow deep breathing the majority experienced overwhelm as many as 10 people (62.5%) and there was a change in fatigue after being given slow deep breathing to the majority not overwhelmed as many as 12 people (75%). Analysis of the Effect of Slow Deep Breathing on Fatigue in Renal Failure Patients in the Hemodialysis Room of the Pure Teguh Tuban Bali Hospital based on the Wilxocon test obtained a p-value of 0.014. The conclusion of this study is that there is an effect of slow deep breathing on fatigue in patients with kidney failure in the Hemodialysis Room of the Pure Teguh Tuban Bali Hospital.

Hubungan Perilaku Merokok Dengan Kejadian Hipertensi Pada Anggota Polri di Polda Bali

2025-08-19T05:36:35+00:00

Hypertension is one of the major risk factors for cardiovascular disease and remains a global health problem. Smoking is known to increase blood pressure through mechanisms of vasoconstriction and endothelial damage. Police officers, who are exposed to high physical and mental work stress, are at risk of developing hypertension, particularly if they engage in smoking behavior. This study aimed to analyze the relationship between smoking behavior and the incidence of hypertension among police officers at the Bali Regional Police (Polda Bali). A quantitative cross-sectional design was employed, involving 90 police officers selected through stratified random sampling. Data on smoking behavior were collected using a questionnaire based on Smet’s theory (1994), while blood pressure was measured using a digital sphygmomanometer. Data were analyzed descriptively and inferentially using the Chi-Square test. The results showed that 51.1% of respondents had hypertension. Based on smoking categories, 32.2% were moderate smokers, 25.6% light smokers, 12.2% heavy smokers, and 30.0% non-smokers. The Chi-Square test indicated a significant association between smoking behavior and hypertension (p<0.001), with 91.0% of heavy smokers experiencing hypertension compared to only 11.1% among non-smokers. In conclusion, smoking behavior is significantly associated with the incidence of hypertension among police officers in Polda Bali. Health education and smoking cessation programs are essential interventions to reduce the risk of hypertension in this group.

Health Literacy Orang Tua dan Self-Efficacy Anak dalam Pemilihan Makanan Sehat

2025-08-20T08:53:17+00:00

A healthy diet plays an important role in supporting children’s optimal growth and development. Parents play a crucial role in shaping their children’s eating habits, which is closely related to their level of health literacy. In addition, children’s self-efficacy also influences their ability to independently choose healthy foods. The aim of this study was to analyze the relationship between parents’ health literacy and elementary school children’s self-efficacy in choosing healthy foods. This study employed a quantitative approach with a cross-sectional design, involving 50 parents and fifth-grade students at SDN 01 Pasar Manggis, South Jakarta. Parents’ health literacy was measured using the HLS-EU-Q16 questionnaire, which was adapted to focus on aspects related to children’s healthy eating patterns. Data were analyzed using the Spearman test. The results showed that the majority of parents (70%) had high health literacy, while most children (74%) had moderate self-efficacy. The Spearman test results indicated no significant relationship between parents’ health literacy regarding healthy eating and children’s self-efficacy in choosing healthy foods (p < 0.05). Therefore, additional approaches are needed, involving schools, the social environment, and active family engagement in shaping healthy eating behaviors among children.

Literatur Review: Efektifitas Metode Moist Wound Healing Dan Metode Konvensional Terhadap Penyembuhan Ulkus Diabetikum

2025-08-23T06:07:47+00:00

Diabetes mellitus is a chronic metabolic disease with an increasing incidence rate, and one of its most frequent complications is diabetic ulcers, which significantly impact morbidity, mortality, and amputation risk. Wound care plays a crucial role in managing diabetic ulcers, with the Moist Wound Healing (MWH) method and conventional methods still widely applied. This literature review aims to examine the comparative effectiveness of MWH and conventional methods in diabetic ulcer healing. Article searches were conducted through PubMed, ScienceDirect, and Google Scholar databases with a publication range of 2015–2025. From 51 identified articles, 10 studies met the inclusion criteria and were analyzed using a narrative synthesis approach. The findings indicate that MWH is more effective than conventional methods in accelerating diabetic ulcer healing, as evidenced by increased granulation tissue formation, faster epithelialization, reduced exudate, and decreased risk of infection and pain. Although the initial cost of modern dressings is relatively higher, MWH is more economical overall due to shorter healing duration and reduced length of care. In conclusion, MWH has been proven superior to conventional methods and can be recommended as the standard approach for diabetic ulcer wound care, while still considering patient clinical conditions, dressing availability, and healthcare resources

Hubungan Indeks Massa Tubuh dengan Kejadian Diabetes Melitus Tipe 2 pada Wanita Menopause di Desa Medan Estate

2025-08-28T02:02:43+00:00

Type 2 Diabetes Mellitus is a metabolic disease caused by insulin resistance and dysfunction of pancreatic beta cells. The dominant lifestyle factors contributing to Type 2 Diabetes Mellitus are dietary patterns and physical activity. This study aimed to determine the relationship between body mass index (BMI) and the incidence of Type 2 Diabetes Mellitus among menopausal women in Medan Estate Village. This study used a cross-sectional research design. The sampling technique was total sampling, in which the entire population was included as the research sample. Data analysis was conducted using the Pearson correlation test. The research instrument used an observation sheet. The results showed that there was a relationship between body mass index and the incidence of Type 2 Diabetes Mellitus among menopausal women, with a p-value of 0.001 (p < 0.05). This indicates a significant relationship between Body Mass Index and the incidence of Type 2 Diabetes Mellitus in menopausal women. It is expected that maintaining a healthy lifestyle is important, including controlling body weight to remain within a normal or ideal range, engaging in regular physical activity, and managing dietary patterns to prevent the occurrence of Type 2 Diabetes Mellitus.

Pengalaman Hidup Penderita Gout Arthritis pada Lansia di Puskesmas Sentosa Baru Kecamatan Medan Perjuangan

2025-08-28T02:12:59+00:00

Gout arthritis is an inflammation of the joints as a result of metabolic diseases that cannot be excreted through the kidneys in urine excretion so that there is a buildup of Monosodium Urate crystals that cause Hyperuricemia. To find out the life experience of gout arthritis patients in the elderly at the Sentosa Baru Health Center, Medan Perjuangan District. This study uses a qualitative method with a phenomenological method approach using in-depth interviews at the Sentosa Baru Health Center, Medan Perjuangan District, Medan City from August to December 2024. The sample selected by purposive sampling technique was 10 people. The data analysis technique used in this study is the Miles and Huberman (2014) model with four stages. The participants in this study are 7 (seven) people. The results of this study obtained five themes about the life experiences of gout arthritis patients in the elderly, namely: (1) Physical complaints felt by gout arthritis patients, (2) Experiencing changes in diet and emotions, (3) Undergoing traditional treatment, (4) The importance of family support for treatment motivation and (5) Complications arising from gout arthritis.

Hubungan Self-Efficacy Dan Self-Esteem Dengan Kemampuan Interaksi Sosial Siswa-Siswi SMK Garuda

2025-08-29T15:14:53+00:00

Social interaction is a mutual relationship between individuals and groups that affect each other in daily life, that occurs at school shows that there are still students who lack confidence, have low self-esteem and have difficulty communicating with peers, so that their social interaction skills are not optimal. To find out the relationship between self-efficacy and self-esteem and the ability of social interaction between students of SMK Garuda. Sampling technique using total sampling. The sample totaled 127 respondents. Data analysis using the Chi Square correlation test. Based on the results of the study, it was found that the majority of respondents had high self-efficacy as many as 63 respondents (49.6%), the majority of respondents also had high self-esteem as many as 78 respondents (61.4%) and the majority of respondents also had sufficient social interaction skills as many as 57 respondents (44.9%). The results of the Chi Square correlation test obtained a significant Likelihood Ratio value between self-efficacy and social interaction ability of 0.028<0.05, so it was said that Ho was rejected and it can be said that there is a relationship between self-efficacy and social interaction ability and a significant value between self-esteem was also obtained with a social interaction ability of 0.002<0.05, Ho was rejected and it can be said that there is a relationship between self-esteem and social interaction ability

Hubungan Konsep Diri dan Konformitas dengan Perilaku Merokok pada Anak di SD “X” Kab. Tangerang

2025-08-31T09:35:09+00:00

Smoking behavior among elementary school-aged children is a concerning phenomenon as it can have negative impacts on physical health and psychosocial development. Self-concept and conformity are two psychological factors believed to play a role in promoting smoking behavior among children. Children with negative self-concepts and high levels of conformity are more susceptible to social pressure, including invitations to smoke. This study aims to investigate the relationship between self-concept and conformity with smoking behavior among children at SD “X” in Tangerang Regency. This study used a quantitative design with a cross-sectional approach. The sample consisted of 104 fourth and fifth-grade students who had smoked, selected using total sampling technique. The instruments used were questionnaires on self-concept, conformity, and smoking behavior. Data analysis was conducted using univariate and bivariate analysis with the Pearson Chi-Square test. Most respondents had a positive self-concept (51.0%) and moderate conformity (70.2%). The Pearson Chi-Square test results showed a significant relationship between self-concept and smoking behavior (p = 0.000), as well as a significant relationship between conformity and smoking behavior (p = 0.000). This study shows that self-concept and conformity are related to smoking behavior among children at SD “X” in Tangerang Regency, where a negative self-concept and high conformity increase the likelihood of smoking. Therefore, active involvement from schools and parents is needed to foster a positive self-concept and prevent negative peer influence from an early age

Pengaruh Mobilisasi Dini ROM Pasif terhadap Waktu Pulih Sadar pada Pasien Lansia Pasca General Anestesi di RSD Gunung Jati Kota Cirebon

2025-09-01T03:42:52+00:00

As people age, physiological changes significantly impact the cardiovascular, respiratory, renal, and central nervous systems, as well as drug elimination processes. These changes make elderly individuals more vulnerable to the side effects of general anesthesia, potentially prolonging recovery time and increasing the risk of postoperative complications. This study aims to assess the effect of early passive Range of Motion (ROM) mobilization on the recovery time of consciousness in elderly patients post-general anesthesia at RSD Gunung Jati, Cirebon. The study used a quasi-experimental design with a posttest-only non-equivalent control group. A total of 42 elderly patients participated, divided into two groups: 21 patients in the intervention group who received 10 minutes of passive ROM mobilization, and 21 patients in the control group who received standard postoperative care. Recovery of consciousness was assessed using the Modified Aldrete Score, monitored every 5 minutes until a score of ?9 was achieved. Data were analyzed using the Shapiro-Wilk test for normality and the Mann-Whitney test to examine the effect of ROM mobilization on recovery time. The results showed the intervention group had a mean recovery time of 22.86 minutes (SD 2.28), compared to 27.14 minutes (SD 6.90) in the control group. Statistical analysis revealed a significant effect (p < 0.000). These findings support the claim that early passive ROM mobilization effectively accelerates recovery of consciousness in elderly patients after general anesthesia and should be considered as an adjunct strategy in the Post Anesthesia Care Unit (PACU).

Hubungan Konsumsi Makanan dan Minuman Manis dengan Risiko Attention Deficit Hyperactivity Disorder (ADHD)

2025-09-07T08:01:23+00:00

Mental health is a person's ability to adjust to his or her environment and demonstrate stable and well-behaved personality integration. ADHD is a developmental disorder characterized by an inability to maintain attention, hyperactivity, and impulsive behavior that is not appropriate for the child's developmental stage. The global prevalence of ADHD in children aged 3–12 years is 7.6%. One of the main dietary factors contributing that cause ADHD is sugar and addictive substances. To determine the relationship between the consumption of sugary foods and drinks and the risk of Attention Deficit Hyperactivity Disorder (ADHD) in students of SD Negeri Periuk 6. Using quantitative methods with correlational descriptive using a cross sectional approach. Sampling technique: This study used startified random sampling. Number of samples: A total of 119 students of SD Negeri Periuk 6. Data analysis: Using the Chi-Square test. The results showed that there was a relationship between the consumption of sugary foods and drinks and the risk of Attention Deficit Hyperactivity Disorder (ADHD) (p-value 0.002). This study shows a relationship between the consumption of sweet foods and beverages and the risk of Attention Deficit Hyperactivity Disorder (ADHD), where higher sugar intake is associated with an increased risk of ADHD. Therefore, regulating the intake of sweet foods and beverages and promoting a balanced diet are important preventive measures from an early age

The Aktivitas Literasi Terhadap Sikap Belajar Anak Usia Sekolah

2025-09-29T03:35:21+00:00

Instilling a culture of literacy in today's digital era begins with children's interest in learning. One of them is through reading and writing literacy. However, rapidly developing technological capabilities and an increasingly sophisticated era create new problems for children due to low interest in literacy. The low level of literacy in children is an alarm in the development of human resources to determine the future of the nation, so this is the background for conducting education related to children's literacy activities on the learning attitudes of school-age children. The form of education is carried out through hybrid community service (PkM) through Zoom and at the locations of TBA Arumba 91 and Yayasan SD Masehi GBKP Kabanjahe, North Sumatra, with participants being elementary school students consisting of grades 4-6 SD. The implementation method is pre-test, post-test, material presentation, and discussion. The topic explained at this seminar is education about literacy activities that can be done in schoolchildren, especially health literacy and healthy living education in school-age children. This activity was attended by 127 participants, and all of them participated from the beginning to the end of the activity. The results of the activity obtained an increase in understanding from the participants based on the average value of the pre-test (before given the material = 62.70) and post-test (after given the material = 74.20) with a p-value = 0.001. Literacy activities enhance children’s interest, concentration, and critical thinking; parents and teachers should regularly involve them in enjoyable literacy activities.

Pengaruh Perilaku Masyarakat dan Container Indeks Terhadap Kejadian DBD di Puskesmas Sumbawa Unit II

2025-10-22T13:18:12+00:00

Dengue Hemorrhagic Fever (DHF) remains a major public health problem in Indonesia, especially in tropical regions such as Sumbawa District. This study aims to determine the influence of community behavior and Container Index (CI) on the incidence of DHF in the working area of Sumbawa Unit II Health Center. This quantitative research employed an analytic observational design with a cross-sectional approach. A total of 132 households were selected using purposive sampling. Data were collected through questionnaires and field observations, and analyzed using multiple linear regression with IBM SPSS version 29.0. The results showed that community behavior related to 4M Plus activities (p<0.05), clothes-hanging habits (p<0.05), and Container Index (p<0.05) significantly affected the incidence of DHF. It can be concluded that community behavior and environmental conditions play an important role in the transmission of DHF. Strengthening health education, regular vector monitoring, and environmental management are recommended to reduce DHF incidence in endemic areas

Hubungan Stres dan Pola Makan dengan Kejadian Gastritis pada Remaja di SMA Swasta Bina Siswa

2025-10-24T04:14:11+00:00

Stress and poor diet can affect the occurrence of gastritis. Adolescence is a crucial period in physical and psychological development, so it can trigger stress and irregular eating patterns that cause gastritis. Objective To determine whether there is a relationship between stress and eating patterns with the occurrence of gastritis in adolescents at Bina Siswa Private High School. Method This type of research is quantitative with descriptive correlation design using a Cross-sectional approach. The research sample involved 58 students selected using total sampling. Data were collected through a questionnaire perceived stress scale (PSS), a questionnaire diet, Gastritis questionnaire. Statistical tests using statistical tests using Spearman's rho to analyze the relationship between the two variables. The results showed that stress is the most influential variable on the incidence of Gastritis in SMASwasta Bina Siswa. The value of Exp (B) = 4.667 indicates that students who experience stress have a 4.667 times greater risk of experiencing Gastritis compared to students who do not experience stress. This is supported by a significance value that meets the requirements (p <0.05). Conclusion there is a significant relationship between stress levels and diet with the incidence of gastritis in adolescents at SMA Swasta Bina Siswa. Therefore, it is recommended that schools need to integrate educational programs on stress management and healthy eating patterns into the curriculum, seminars, and extracurricular activities that support students' mental and physical health.

Hubungan IPK dan Nilai Pretest Terhadap Hasil OSCE Mahasiswa pada Mata Kuliah Praktikum Farmakologi

2025-11-05T16:19:19+00:00

Undergraduate nursing education requires graduates to be competent both theoretically and practically, particularly in pharmacology practicums. Although students may have strong theoretical knowledge, their practical skills as measured by the Objective Structured Clinical Examination (OSCE) often differ. This study aimed to evaluate the relationship between Cumulative Grade Point Average (GPA) and pretest scores with OSCE results among pharmacology practicum students. A cross-sectional design was conducted involving 146 second-semester students at the Faculty of Nursing, Syiah Kuala University. Data collected included GPA, pretest scores, and OSCE scores. Descriptive analysis and Spearman correlation were used to examine the relationships between variables. The majority of students were female (93.8%) and 19 years old (53.4%). The mean GPA was 3.64 ± 0.14, pretest score 86.95 ± 4.89, and OSCE score 67.31 ± 4.27. There was a significant positive correlation between GPA and OSCE (r = 0.165, p = 0.047) and between pretest and OSCE (r = 0.836, p < 0.01). The correlation between pretest and OSCE was stronger than that of GPA, indicating that prior knowledge plays a dominant role in achieving practical skills. Mastery of theoretical knowledge through pretests significantly influences students’ practical skills. Pharmacology practicum learning strategies should emphasize the integration of theory and practice, including pretest reinforcement, simulation, and structured clinical training, to enhance students’ competence in OSCE.

Hubungan Kebiasaan Mencuci Tangan Menggunakan Air Bersih dan Sabun dengan Kejadian Demam Typoid

2025-12-06T05:36:27+00:00

Typhoid fever is a systemic infectious disease that continues to pose a public health challenge in Indonesia, including Jember Regency. Its transmission is strongly linked to individual hygiene practices, particularly the habit of washing hands with clean water and soap. Although effective handwashing has been proven to reduce the risk of fecal-oral disease transmission, this practice has not been fully adopted as a routine behavior within the community. This study aimed to determine the relationship between handwashing habits using clean water and soap and the incidence of typhoid fever. An observational analytical study with a cross-sectional design was conducted involving 30 respondents selected through purposive sampling based on predefined inclusion criteria. The independent variable was handwashing habits, while the dependent variable was the incidence of typhoid fever obtained from medical records. Univariate analysis was used to describe the frequency distribution, and bivariate analysis was performed using the Chi-Square test with a significance level of 0.05. The results showed that most respondents with poor or moderate handwashing habits experienced typhoid fever (85.7%), whereas those with good habits mostly did not (85.7%). The Chi-Square test indicated a significant relationship between handwashing habits and typhoid fever incidence. The study concludes that proper handwashing using clean water and soap is significantly associated with a lower incidence of typhoid fever. Strengthening health education and promoting clean and healthy living behaviors (PHBS) are essential to reducing the burden of typhoid fever.

Hubungan Social Comparison dengan Dietary Behavior pada Mahasiswa Keperawatan Universitas Pendidikan Indonesia Kampus Sumedang

2025-12-11T04:49:20+00:00

Social comparison is a social phenomenon in individuals with a tendency to compare themselves to others, especially in terms of physique. Social comparison is a factor influencing individuals to internalize the thin body shapes seen on social media, leading them to engage in dietary behaviors. This study aims to determine the relationship between social comparison and dietary behavior in nursing students. As for the method of this research, it uses a descriptive quantitative approach with a correlational method. The sample was determined using the cluster random sampling method, with a sample size of 215 students. The measuring instruments used for the research were the Social Comparison Instrument, adapted from The Upward and Downward Appearance Comparison Scale (UDACS) to measure social comparison, and the Dutch Eating Behavior Questionnaire (DEBQ) to measure dietary behavior. The results obtained thru analysis and Pearson product-moment correlation test are P value = 0.003 and R value (Pearson's r) = 0.200. There is a significant positive relationship between social comparison and dietary behavior, but it is weak. The more an individual engages in social comparison, the more likely they are to engage in dietary behaviors. This research is expected to enable nursing students at the Sumedang Campus of the Indonesian Education University) to manage social comparison and dietary behavior. Students can apply self-control and self-acceptance.

Hubungan Health Literacy dengan Kepatuhan Minum Obat pada Pasien Hipertensi di Puskesmas Simpang IV Sipin

2025-12-12T05:58:52+00:00

Hypertension is classified as a non-communicable disease that necessitates prolonged therapeutic management. Adherence to antihypertensive medication is a key determinant in achieving controlled blood pressure levels and preventing potential complications. Health literacy likewise plays a critical role in shaping an individual’s capacity to comprehend medical information and make informed decisions related to treatment. This study was conducted to examine the association between health literacy and medication adherence among individuals with hypertension in the operational area of Puskesmas Simpang IV Sipin. This research employed a quantitative approach with a cross-sectional design. A total of 150 participants were recruited using a purposive sampling technique. Data collection utilized the HLS-EU-Q16 and MMAS-8 instruments, while data analysis was performed using Pearson correlation. The findings revealed that the average health literacy score was 10.61, and the average medication adherence score was 5.86. Pearson correlation testing showed a significant relationship between health literacy and medication adherence (p < 0.001) with a correlation coefficient (r = 0.65). These results indicate that higher levels of health literacy are associated with better adherence to antihypertensive therapy. Enhancing patients’ health literacy may therefore serve as an effective strategy to improve adherence to antihypertensive treatment.

Analisis Proses Manajemen Kaderisasi Intra Kampus dalam Pembentukan Karakter Kepemimpinan Mahasiswa Keperawatan

2025-12-13T13:39:46+00:00

The formation of leadership character with integrity and competence is a primary demand in nursing education. The intra-campus cadreization process managed through POAC functions (Planning, Organizing, Actuating, Controlling) is expected to be an effective vehicle for shaping such character. However, academic constraints and execution inconsistencies often pose challenges. This study aims to analyze the relationship between the intra-campus cadreization management process and the formation of nursing student leadership character. This study employed a descriptive correlational design with a cross-sectional approach. The sample consisted of 120 nursing students from the class of 2024, selected using total sampling technique. The instruments used were valid and reliable questionnaires on cadreization management and leadership character. Data analysis was performed using univariate and bivariate Spearman Rank tests. The results showed that the cadreization management process was perceived as effective by the majority of respondents (61.7%), and student leadership character was in the strong category (61.7%), with Moral Feeling as the highest aspect. Statistical tests revealed a significant positive relationship between cadreization management and leadership character (p-value = 0.001), although the correlation strength was weak (r = 0.394). Dimensional analysis indicated that Organizing had the strongest relationship, while Controlling had the weakest. In conclusion, cadreization management contributes positively to leadership character formation but is not the sole determinant factor. It is recommended that student organizations prioritize empowering organizing approaches over strict controlling to optimize character building.

Penerapan Active Cycle of Breathing Technique pada Pasien dengan Hemoptisis Post Tuberculosis: Studi Kasus

2025-12-14T05:31:39+00:00

Background: Hemoptysis is coughing up blood originating from the lungs or tracheobronchial tract, which can be found in patients with active or inactive tuberculosis (TB) infection. Untreated hemoptysis can lead to hypovolemic shock, atelectasis, asphyxia, anemia, and even death due to sputum retention, which causes airway obstruction and impairs airway patency. One intervention that can be given to keep the patient's airway patent is the active cycle of breathing technique (ACBT). ACBT is an airway clearance technique with the ultimate goal of increasing lung expansion and sputum removal, thus reducing airway obstruction. Objective: to determine the effect of applying the active cycle of breathing technique (ACBT) on the removal of retained secretions and increased lung expansion. Method: The method used in this study was a case study of one patient with haemoptysis and a history of post-TB who was treated in the ward. Monitoring was conducted before and after intervention for three days using the following instruments: vital signs (respiratory rate, oxygen saturation), coughing ability and sputum production, airway patency, breath sounds, and patient complaints. The results: After the intervention, coughing decreased, sputum output increased, physiological parameters such as respiratory rate and oxygen saturation improved, and patient comfort increased. Discussion: ACBT is effective as an intervention in maintaining airway clearance in patients with haemoptysis who are treated in the inpatient ward.

Efektivitas Pelatihan Penanganan Tersedak pada Anak Terhadap Pengetahuan, Sikap, dan Keterampilan Ibu

2025-12-17T10:27:52+00:00

Choking is a common emergency in children and infants. Failure to respond quickly can lead to death. Mothers play a crucial role as first responders, yet many mothers are underprepared. Choking management training programs are crucial to help mothers respond quickly and appropriately at home. The purpose of this study was to determine the effect of choking management training on mothers' knowledge, attitudes, and skills. This study used a quasi-experimental design with a single-group pre and post-test. A total of 49 mothers participated in the study. The training program consisted of education about the risks of choking, recognizing the signs and symptoms, and demonstrating choking management techniques. Knowledge, attitudes, and skills were measured using questionnaires before and after the intervention and analyzed using a paired t-test. The results showed a significant increase in knowledge and skills with a p-value of 0.000 (p<0.05). However, no significant difference in attitudes before and after the training (p-value: 0.214 (p>0.05)). Training programs that include education and demonstrations effectively increase knowledge and skills regarding choking response, but are insufficient to rapidly change attitudes. Improved knowledge and skills are driven by demonstrations that provide direct sensory experience and facilitate the absorption of technical information. On the other hand, the lack of significant change in attitudes may be due to the influence of psychological factors and internal beliefs. Changes in these factors require more time and repeated experience. Furthermore, ongoing support is crucial to strengthen mothers' psychological preparedness and attitudes in emergencies.

Analisis Skor APACHE II dalam Memprediksi Lama Rawat pada Pasien Kritis

2025-12-18T03:44:45+00:00

Critically ill patients treated in the Intensive Care Unit (ICU) and Intensive Cardiac Care Unit (ICCU) present varying levels of disease severity, which may influence length of stay. The APACHE II score is a widely used scoring system to assess the severity of illness in critically ill patients; however, data describing its association with length of stay at RSUD Raden Mattaher Jambi remain limited. This study aimed to analyze APACHE II scores and length of stay among critically ill patients in the ICU and ICCU. A descriptive quantitative study with a retrospective approach was conducted involving 83 adult critically ill patients treated between January and December 2023. Data were obtained from medical records, and APACHE II scores were calculated using the MDCalc application based on physiological parameters recorded within the first 24 hours of admission. Data analysis was performed using descriptive statistics. The results showed a mean APACHE II score of 16.37±6.68, with a range of 4–31, while the mean length of stay was 3.55±3.29 days, ranging from 1 to 20 days. The longest average length of stay was observed in patients with APACHE II scores of 11 and 12, and no consistent increase in length of stay was found with higher APACHE II scores. Variations in length of stay were also observed across individual physiological parameters of the APACHE II score. In conclusion, APACHE II scores among critically ill patients were predominantly in the moderate to severe category with relatively short lengths of stay, and APACHE II cannot be used as a single predictor of length of stay without considering other clinical factors.

Pengaruh Program Tutor Sebaya Melalui Home Visit Terhadap Kepatuhan Berobat pada Pasien Diabetes Mellitus

2025-12-22T17:32:45+00:00

Diabetes mellitus is a metabolic condition marked by increased blood glucose levels resulting from a gradual reduction in insulin production. This research seeks to assess the impact of a peer tutoring program conducted via home visits on medication adherence and blood glucose levels in diabetes mellitus patients in the hamlet of Bube, Suwawa district. This research used a one-group pretest-posttest pre-experimental design including 30 diabetes patients who were purposively chosen due to their prior non-adherence to treatment. Blood glucose levels were quantified using a glucometer, and patient adherence was evaluated by pre- and post-test questionnaires. Data were analyzed using the McNemar test for adherence and paired t-test for blood glucose. Results showed a significant increase in adherence, from 13 (43.3%) to 27 (90%), and a decrease in mean blood glucose from 244.03 mg/dL to 220.97 mg/dL (t = 2.77; df = 29; p < 0.05) after the intervention. These findings indicate that the peer tutor home visit program effectively improves adherence and reduces blood glucose, providing a feasible community-based strategy for diabetes management.

Hubungan Jenis Kanker dan Lama Pengobatan dengan Kualitas Hidup Anak Penderita Kanker di RSUD Dr. Moewardi Surakarta

2025-09-08T08:05:29+00:00

Childhood cancer is the second leading cause of death after accidents among children aged 0–18 years and significantly impacts children’s quality of life, both physically, psychologically, socially, and spiritually. The type of cancer and duration of chemotherapy treatment are known to influence various aspects of children’s quality of life, including physical, emotional, social, and school functioning. In a previous study, 107 children (97%) were classified as having poor quality of life, while only 29 children (21%) had good quality of life.The purpose of this study is to analyze the relationship between the type of cancer and the duration of treatment with quality of life in children with cancer undergoing chemotherapy at Dr. Moewardi General Hospital in Surakarta. The research method used a quantitative approach with a cross-sectional design. The sample was selected using consecutive sampling among children with cancer undergoing chemotherapy. Data were collected using the PedsQL 4.0 cancer module questionnaire and analyzed using the bivariate Chi-Square statistical test. Results: The study results showed a significant relationship between cancer type and quality of life in children with cancer (p=0.028), as well as a significant relationship between treatment duration and quality of life in children with cancer (p=0.043). Children with solid cancers and those undergoing treatment for more than 6 months tended to have lower quality of life. Cancer type and duration of treatment significantly influence the quality of life of children with cancer. Therefore, special attention is needed in nursing approaches that consider both factors to improve the quality of life of children during chemotherapy.

Pengaruh Ling Tien Kung Terhadap Tekanan Darah Lansia Penderita Hipertensi di Desa Cemani

2025-09-04T03:04:19+00:00

Hypertension is one of the most common degenerative diseases experienced by the elderly. If not properly managed or controlled, it can lead to various complications. Ling Tien Kung exercise is a complementary therapy believed to help reduce blood pressure through simple movements that stimulate blood circulation and the body's energy balance. This study aims to determine the effect of Ling Tien Kung exercise on blood pressure in elderly individuals with hypertension in Cemani Village. This study employed a pre-experimental design with a one-group pretest-posttest approach. The sample consisted of 34 elderly individuals with hypertension, selected using purposive sampling. Blood pressure was measured before and after the intervention of Ling Tien Kung exercise, which was performed regularly twice a week for one month. The data were analyzed using the Wilcoxon Signed Rank Test. The results showed that the average systolic and diastolic blood pressure before the Ling Tien Kung exercise was 157.88 mmHg and 94.29 mmHg, respectively, while after the intervention it decreased to 125.74 mmHg and 80.44 mmHg. There was a significant reduction in both systolic and diastolic blood pressure following the Ling Tien Kung exercise. Regular implementation of Ling Tien Kung exercise is effective in lowering blood pressure among elderly individuals with hypertension. Statistical analysis showed a significance value of 0.000 (p < 0.05).

Literature Review: Pengaruh Aloe Vera Terhadap Penyembuhan Luka Diabetik Pada Pasien Diabetes Melitus

2025-08-21T01:13:04+00:00

Diabetes mellitus is a chronic disease that often leads to complications in the form of diabetic wounds, which are difficult to heal. One of the widely studied nonpharmacological approaches is the use of Aloe vera, which is known to have anti-inflammatory, antibacterial, and tissue-regenerating properties. This study aims to review the effectiveness of Aloe vera in diabetic wound healing based on recent literature. The method used was a literature review by searching articles in PubMed, ScienceDirect, and Google Scholar databases. Inclusion criteria were studies published between 2019 and 2025 with clinical trial, quasi-experimental, or case study designs involving patients with diabetic wounds and using Aloe vera as the main intervention. Data were analyzed using a narrative synthesis by comparing findings across studies. A review of eight articles showed that Aloe vera promoted granulation tissue formation, accelerated epithelialization, and reduced wound exudate. Several studies demonstrated significant improvements compared to control groups, while others emphasized that effectiveness depended on treatment duration, wound condition, and additional techniques such as debridement. Innovations identified included combining Aloe vera with other natural agents and the development of dressings based on Aloe vera extract to enhance healing outcomes. In conclusion, Aloe vera has the potential to serve as a safe, affordable, and supportive complementary therapy for diabetic wound management, particularly when applied in synergy with standard care.

Pengaruh Rebusan Air Daun Salam Terhadap Penurunan Tekanan Darah Penderita Hipertensi Pada Lansia di Desa Sampali

2025-08-28T12:03:56+00:00

As the number of elderly population increases, it has a complex impact. Various challenges caused by aging affect almost every aspect of life, including a decrease in the quality of life of the elderly. In addition, changes that occur in the elderly are changes in the body system that cause decreased function, making the elderly more susceptible to disease, especially degenerative diseases, one of which is hypertension. Objective to determine the effect of bay leaf boiled water on lowering blood pressure. Quantitative research method with pre-experimental design and using the one group pretest-posttest design method. The sampling technique used purposive sampling with 33 respondents. The analysis used was the Pairedt-test. The difference in blood pressure before (141/90) and after (129/84). The results of the study with the Paired t test on blood pressure before p value 0.001 (<0.005) and blood pressure after p value 0.001 (<0.005) indicate that there is an effect of boiled bay leaf water on reducing blood pressure in the elderly in Sampali Village, Deli Serdang Regency. There is a significant effect of boiled bay leaf water on reducing blood pressure in the elderly. For further researchers, it is recommended to be able to increase knowledge and additional information about giving boiled bay leaf water to lower blood pressure in hypertension sufferers.

Literature Review : Efektivitas Perawatan Luka dengan Madu pada Luka Ulkus Diabetikum

2025-08-23T05:38:08+00:00

Diabetes mellitus, commonly known as diabetes, is a metabolic disorder caused by the pancreas not producing enough insulin or the body being unable to use the insulin produced effectively, leading to hyperglycemia beyond normal limits. Various complications can arise from diabetes mellitus, one of which is diabetic ulcers. One therapy for treating diabetic ulcers is honey, which has been proven to have many benefits, including anti- inflammatory and antibacterial properties, as well as accelerating the granulation and epithelialization processes. This study aims to assess the effectiveness of honey in treating diabetic ulcers through a journal review. The research method used was a literature review, with journal searches conducted in the PubMed, Research Gate, and Google Scholar databases. Inclusion criteria were studies published between 2015 and 2025, in either Indonesian or English. Data were analyzed using a narrative synthesis approach, comparing results across studies. A review of 10 articles showed that honey contains antimicrobial and anti-inflammatory properties, acts as a moisturizer at the wound base, has an osmotic effect, reduces edema in wound cells, accelerates angiogenesis and granulation in wounds, accelerates collagenase and epithelialization in wounds, enhances lymphocyte and phagocyte activity, and accelerates debridement of necrotic tissue. Some studies compared the use of dry dressings with the use of honey. Additionally, research indicated factors influencing healing time, such as wound condition, treatment duration, and respondent age. Honey contains numerous beneficial compounds proven effective in accelerating the healing of diabetic ulcers

Sedentary Lifestyle dengan Risiko DM Tipe 2 pada Remaja di SMPN 27 Banjarmasin

2025-08-29T13:20:49+00:00

Diabetes Mellitus Type 2 is a metabolic disease characterized by an increase in blood glucose levels and can cause serious complications. In teenagers, one of the main triggering factors is a sedentary lifestyle, which is the habit of moving less and sitting more for a long time, such as playing gadgets, watching television, or using a computer. This condition lowers energy burning, increases fat accumulation, and triggers insulin resistance which plays a role in the occurrence of Diabetes Mellitus Type 2. This research aims to identify sedentary lifestyle with the risk of DM Type 2 in teenagers at SMPN 27 Banjarmasin. The research design uses quantitative descriptive with a cross-sectional approach, involving 44 selected respondents through purposive sampling. The instruments used are Adolescent Sedentary Activity Questionnaire and Finnish Diabetes Risk Score. The results of this study are that the majority of teenagers at SMPN 27 Banjarmasin have a high sedentary lifestyle (84.1%) and a moderate risk of DM Type 2 (72,7%), especially at the age of 15, with the main trigger factors of inactive lifestyle, excessive gadget use, unhealthy diet, and family history, so early prevention is required

Hubungan Pengetahuan dan Dukungan Keluarga dengan Kesiapan Menghadapi Menarche pada Usia Pubertas di SD Bina Mandiri Rajeg Kabupaten Tangerang

2025-08-31T10:35:14+00:00

Puberty often poses challenges for adolescent girls, especially when facing menarche. Menarche as the first menstruation is generally in the middle of puberty before entering the reproductive period. Readiness to face menarche reflects the ability of adolescents to accept change, while unpreparedness can have an impact on physical and mental health. This study aims to analyze the relationship between knowledge and family support with readiness to face menarche at puberty age at Bina Mandiri Rajeg Elementary School, Tangerang Regency. The study used a cross-sectional design with quantitative analysis. The number of samples in this study was 127 female students who had not experienced menarche through total sampling. The majority of respondents had insufficient knowledge as many as 60 (47.20), had insufficient family support as many as 55 (43.3) and the majority of respondents were in a state of unpreparedness as many as 67 (52.8). The study showed no relationship between knowledge and readiness p value 0.382>0.05, which indicates that knowledge does not always reflect emotional, mental, or social readiness. On the other hand, there is a significant relationship between family support and readiness to face menarche p value 0.000<0.05, where the greater the support received, the higher the readiness of adolescents to face these physical, psychological and social changes

Efektivitas Terapi Spiritual Emotional Freedom Technique (Seft) Terhadap Penurunan Tekanan Darah Pada Lansia dengan Penderita Hipertensi

2025-08-22T06:45:14+00:00

Hypertension is a health problem with a high prevalence in the elderly and is at risk of causing serious complications. The management is not only pharmacological, but also non-pharmacological, one of which is the Spiritual Emotional Freedom Technique (SEFT), which is a mind-body therapy-based complementary therapy that combines acupressure point stimulation with prayer for relaxation, stress reduction, and stabilization of blood pressure. This study uses the literature review method by searching articles through Google Scholar, Garuda, Science Direct, and Semantic Scholar databases, with a publication range of 2019-2025. Of the 505 articles found, 8 met the inclusion criteria for analysis. The study showed that the application of SEFT therapy was proven to be effective in lowering systolic and diastolic blood pressure in hypertensive elderly people. This effect is obtained through a reduction in emotional stress, increased calmness, as well as the stimulation of endorphins hormones that help relax blood vessels. SEFT therapy has been shown to be effective as a nonpharmacological intervention in helping to lower blood pressure in elderly people with hypertension. This therapy can be used as a supportive alternative to pharmacological therapy, and has the potential to improve the quality of life of the elderly.