Citra Delima Scientific journal of Citra Internasional Institute
Citra Delima Scientific journal of Citra Internasional Institute is a national-scale journal that covers science studies in various health fields (Nursing, Midwifery, and Health Profesional). Citra Delima Scientific journal of Citra Internasional Institute is a scientific journal as a forum for academics and practitioners to put forth the results of scientific work, both quantitative and qualitative. Citra Delima Journal published by Institut Citra International.Citra Delima Scientific journal of Citra Internasional Institutewas first published in July 2018 with two publications in a year, which is January and July. The editor receives empirical research articles and studies in the fields of Nursing, Midwifery, and Health Profession. The consistency and quality of scientific work are expected to be able to improve the quality of education in the future. Objectives of Citra Delima Scientific journal of Citra Internasional Institute : Support the Development and Enhancement of Health Degrees in theory and practice in Indonesia with integrated and critical research results. Citra Delima Scientific journal of Citra Internasional Institute is registered by the Indonesian Institute of Sciences: Center for Scientific Information and Documentation with e-ISSN: 2655-0792 / p-ISSN: 2087-2240, DOI Prefix: 10.33862.
The The Effectiveness of the Karamunting Genzi Parenting Monitoring Card Model for Undernourished Children Receiving Local-Based Supplementary Feeding
The reduction in wasting prevalence in Pangkalpinang City from 5.1% in 2021 to 4.9% in 2022 was statistically insignificant, reflecting a marginal decline of only 0.2%, still near the threshold.Pangkal Balam Health Center allocated the highest budget to serve 59 undernourished children under five. This study aimed to evaluate the implementation of a nutrition education model using the "Karamunting Genzi" Parenting Monitoring Card, an educational and self-assessment tool designed to support mothers and caregivers in planning and evaluating age-appropriate feeding practices. This study uses a quasi-experimental design with a cross-sectional approach. Respondents consist of 44 mothers/caregivers of U-5 children undernourished and receiving locally based supplementary feeding (PMT). The interventions consisted of cadre training, home visits, and using the Karamunting Genzi Monitoring Card as a monitoring tool. Data was collected using structured questionnaires and analyzed using Spearman's rank tests. The intervention engaged 10 community health (Posyandu) cadres to support 44 participating mothers across five urban villages, focusing on improving feeding knowledge and practices. Post-intervention assessments showed significant improvements in maternal knowledge (mean score increased from 65.9 to 67.6) and feeding practices (94.1 to 96.2). Spearman's rank test showed a strong relationship between pre- and post-intervention knowledge scores (rs = 0.775) and parenting practices (rs = 0.766). This study recommends replicating intervention in other areas, conducting long-term behavioral monitoring, developing more interactive educational media, and integrating the tool into broader nutrition programs through collaboration with the government and relevant stakeholders to address childhood malnutrition effectively.
Copyright (c) 2025 Zenderi Wardani, Ori Pertami Enardi, Ratmawati https://creativecommons.org/licenses/by-sa/4.0
Scoping Review: Analysis of Occupational Stress Levels and Their Associated Factors Among Firefighters
Firefighting is a high-stress occupation due to exposure to situations involving extinguishing fires, saving lives, and protecting the property of people affected by fire incidents. The aim of this study was to identify stress-related factors and association in firefighters. A systematic review following the PRISMA 2020 V1 statement was carried out in the Science Direct and Google Scholar databases. The literature search was conducted in April 2025. A total of 12 studies were included in this review. Based on the result and discussion, burnout in firefighters happens because of a mix of different factors such as mental pressure, personal background, behavior, and workplace conditions. When firefighters face heavy workloads, frequent emergencies, poor sleep, and lack healthy ways to handle stress, it can lead to serious mental health problems. A bad work environment only makes things worse. These issues not only affect their personal well-being but also reduce their job performance and put safety at risk. Therefore, it is recommended that fire departments and related institutions implement comprehensive strategies to address these risks. In addition, interventions such as stress management training, regular health screenings, and improvements in the work environment should be prioritized to reduce burnout and enhance the quality of life and performance among firefighters.
Copyright (c) 2025 Febyona Jolest Puteri; Dadan Erwandi https://creativecommons.org/licenses/by-sa/4.0
Development Of Nursing Care Instruments Based On The 3s Framework (Sdki, Slki, Siki) For Inpatient Settings
Standardized nursing documentation is essential for ensuring consistency, accountability, and quality in patient care. In Indonesia, the 3S framework—comprising the Standar Diagnosa Keperawatan Indonesia (SDKI), Standar Luaran Keperawatan Indonesia (SLKI), and Standar Intervensi Keperawatan Indonesia (SIKI) serves as a national standard. However, its application in inpatient settings remains inconsistent due to the lack of integrated, user-friendly tools. This study aimed to develop and validate a nursing care documentation instrument based on the 3S framework to improve documentation accuracy, support clinical decision-making, and promote standardization in inpatient wards. A Research and Development (R&D) approach was employed, using a modified Borg and Gall model across five stages: preliminary study, planning, product development, expert validation, and limited field testing. Data were gathered through literature reviews, chart audits, clinical interviews, and focus group discussions with nurses. The instrument was designed to address the 12 most frequently encountered nursing diagnoses in general medical-surgical wards, which were systematically mapped to appropriate SLKI outcomes and SIKI interventions. The final tool features structured diagnosis formats (PES, PR, PS), outcome targets with timelines, and categorized interventions (observation, treatment, education, collaboration), implemented in a shift-based checklist format. Validation by five expert nurses yielded strong content validity (I-CVI range: 0.833–1.000), and field testing with 15 clinical nurses demonstrated acceptable internal consistency (KR-20: 0.790–0.845). Additionally, 87% of nurses reported improvements in documentation quality and workflow efficiency. In conclusion, the 3S-based nursing care instrument is valid, reliable, and practical for clinical use, and its adoption is recommended to enhance nursing documentation standards and the quality of care in hospital settings.
Copyright (c) 2025 Aris Citra Wisuda, Citra Suraya, Miming Oxyandi, Isrizal https://creativecommons.org/licenses/by-sa/4.0
Supportive Educative System Intervention Based On The Integration Of Self Care And Family Centered Nursing Model On Family Support In Improving The Nutritional Status Of Tuberculosis Patients
Malnutrition and tuberculosis (TB) are interconnected or interconnected problems. Malnutrition in TB patients is one of them influenced by lack of family support for TB patients, both in emotional, appreciative, instrumental, and informational support. The purpose of this study is to evaluate the influence of supportive educational system interventions in improving family support. This research method is quantitative with a quasi experimental design, in two health centers, namely Kandang Mas and Betungan, consisting of 48 respondents who were divided into 2 groups, namely the control group, given the standard intervention of the health center (n=24) and the treatment group, given the standard intervention of the health center and the supportive educative system (n=24). The data were analyzed using the two-way anova test. The results showed that the family development stage and the interaction between the family development stage and the intervention group did not affect family support (p > 0.05). Meanwhile, the supportive educative system intervention had a negative effect on family support in improving the nutritional status of TB patients (p = 0.015, mean = 76.52), however, the supportive educative system intervention had a positive effect on instrumental support in the treatment group (p = 0.029, mean = 81.19). Conclusion of this study is that the supportive educative system intervention is not more effective than the standard intervention of the health center, this can occur due to the influence of sample characteristics, research time, and control of variables and other factors that also affect the results of the study.
Copyright (c) 2025 weti, Fatsiwi Nunik Andari, Liza Fitri Lina, Bintang Agustina Pratiwi https://creativecommons.org/licenses/by-sa/4.0
Storytelling-Based Nursing Communication During Hospitalization: Its Impact On Anxiety And Influencing Factors In Preschool Children: A Systematic Review
Hospitalization often triggers anxiety in preschool children due to unfamiliar environments, parental separation, and invasive procedures. Storytelling-based nursing communication has shown promise as an effective intervention to reduce this anxiety. This systematic review explores the effectiveness and influencing factors of hospitalization anxiety in children aged 3–6 years. Literature was searched from PubMed, Scopus, ScienceDirect, and Google Scholar for studies published between 2020 and 2025. Nine experimental or quasi-experimental studies from Indonesia, Iran, Brazil, Italy, and Turkey met the inclusion criteria, all involving nurse-led storytelling interventions. Most studies reported significant reductions in anxiety. Key influencing factors included age, length of stay, hospitalization history, parental presence, and storytelling methods. The intervention consistently enhanced emotional comfort, reduced fear, and strengthened nurse-child interaction. In conclusion, storytelling is an effective non-pharmacological strategy to reduce hospitalization anxiety in preschool children and supports child-centered nursing care when tailored to the child’s developmental stage, experiences, parental involvement, and cultural context.
Copyright (c) 2025 Citra Suraya, Aris Citra Wisuda, Tukimin bin Sansuwito, Regidor III Dioso, Dian Emiliasari https://creativecommons.org/licenses/by-sa/4.0
The Effect of Warm Blankets on Body Temperature in Hypothermic Post-Caesarean Patients
Hypothermia is one of the disorders that often occurs in post-operative patients, hypothermia is a condition when body temperature drops to below 36.5oC. One type of surgery that often experiences hypothermia is a cesarean section (CS) which is caused by the use of anesthetic drugs that can suppress the rate of oxidative metabolism, thereby reducing metabolic heat production. One method that can be given to overcome hypothermia is by providing a regular blanket, but with the development of technology, non-pharmacological methods that can be developed are by providing a blanket warmers. The purpose of this study aims to determine the effect of giving blanket warmers on increasing body temperature in post caesarean section (CS) patients. This study was a quasi-experimental design with one group pretest-posttest. The research subjects included hypothermic post caesarean section (CS) patients with SAB anesthesia at Hospital Dr. Mohamad Soewandhi Surabaya. Sample selection was carried out using the total sampling technique with a sample size of 33 respondents. The results demonstrate that a 30-minute application of a blanket warmer significantly increased body temperature in postoperative patients under spinal anesthesia (p = 0.000). This supports the effectiveness of external warming in managing hypothermia, a common complication of spinal anesthesia, and highlights its clinical relevance in improving postoperative thermal stability.
Copyright (c) 2025 Kaslinda Nur Umifa Umifa, Abdur Rahim, Merisdawati MR https://creativecommons.org/licenses/by-sa/4.0
Relationship of Husband's Assistance to the Level of Mother's Anxiety in the Active Phase of the First Stage of Normal Labor Process
Spontaneous labor that is low-risk during the early phase often remains so throughout the process. Anxiety, defined as an unclear fear not based on the situation, commonly affects mothers during childbirth. Support from a husband can significantly reduce this anxiety, helping mothers feel more at ease. This study aimed to determine the relationship between husband’s assistance and maternal anxiety levels during the active phase of the first stage of normal labor at Makassar City Hospital. This research used an observational analytic design with a cross-sectional approach. The sample consisted of 60 mothers who had normal deliveries at Makassar City Hospital in December, selected through accidental sampling. Data was collected using questionnaires and analyzed with the chi-square test. The results showed that husband or family assistance with moderate maternal anxiety was reported by 53 respondents (88.3%). Good assistance was associated with severe anxiety in only 2 respondents (3.3%), while adequate assistance with moderate anxiety was seen in 3 respondents (5.0%). Limited assistance with moderate anxiety was reported by 2 respondents (3.3%).The p-value obtained was 0.003, indicating statistical significance (p < 0.05), which leads to the conclusion that there is a significant relationship between husband’s assistance and maternal anxiety levels in the active phase of the first stage of labor.Thus, it can be concluded that the presence and support of a husband during labor can play a crucial role in reducing maternal anxiety during childbirth at Makassar City Hospital.
Copyright (c) 2025 Moh Wafri Matorang, Nurwahita https://creativecommons.org/licenses/by-sa/4.0
The Benefits Of Mental Health Promotion In School Environments On Improving Emotional Well-Being In Adolescents
Adolescents are an age group that experiences puberty which is marked by physical and psychological changes. The demands of facing challenges during this period can affect the emotional well-being of adolescents. Improving emotional well-being in adolescents can involve the role of schools because in general adolescents will spend more time at school with their peers. Schools are considered to be the right place to promote mental health. This study aims to see the benefits of mental health promotion in the school environment on improving emotional well-being in adolescents. This study is a quasi-experimental study with a control group pre-posttest design. The sampling technique used Stratified Random Sampling with a total sample of 70 adolescents aged 15-18 years from one of the Senior High Schools (SMA) in East Kolaka Regency, Southeast Sulawesi. Assessments related to emotional well-being were assessed using the Strengths and Difficulties Questionnaire (SDQ). There was a significant difference between the pre-test and post-test after mental health promotion in the school environment on improving emotional well-being by showing a p-value <0.005. The results of the study indicate that mental health promotion in the school environment has a significant effect on improving emotional well-being in adolescents. Due to the great benefits of mental health promotion, it is highly recommended for schools to integrate mental health promotion into school activities to improve emotional well-being in adolescents.
Copyright (c) 2025 Bergita Dumar, Nur Fitriah Jumatrin, Sri Yulian Hunowu, Ida Wahyuni, Dedi Krismiadi https://creativecommons.org/licenses/by-sa/4.0
Education On Providing Balanced Nutrition Towards the Level of Knowledge Of Mothers Of Stunting Toddlers
Providing balanced nutrition for stunted toddlers. Mothers' knowledge about balanced nutrition is very much needed. Obtaining data from 116 stunted toddlers in February 2024, the health center has implemented a series of government programs. It has decreased from before but is still trying to reduce the number of stunting in the Rajeg Health Center area, and there is still a lack of knowledge of mothers about handling balanced nutrition. The purpose of this study was to determine whether or not there was an effect of balanced nutrition education on the level of knowledge of mothers of stunted toddlers. The research design used a quantitative research type with the Pre-Experimental Designs method using the One group pretest posttest design, and statistical analysis using the Wilcoxon test. Sampling technique: Using a non-probability sampling technique with a purposive sampling method, the number of samples was 54 respondents calculated using the Slovin formula. The results in this study were obtained in the Pre-test level of mother's knowledge with good knowledge 6 (11.1%), sufficient knowledge 11 (20.4%), and poor knowledge 37 (68.5%). While the post-test good knowledge 47 (87.0%), sufficient knowledge and 7 (13.0%) poor knowledge. Conclusion: there is a significant influence between balanced nutrition education and the level of knowledge of mothers of stunted toddlers.
Copyright (c) 2025 ria setia sari, Nur Haliza https://creativecommons.org/licenses/by-sa/4.0
Diabetes Self-Care Management Among the Elderly in Rural Areas
Diabetes mellitus is susceptible to being experienced by the elderly because of physiological changes caused by the aging process. Diabetes mellitus will accompany the sufferer for life, so the elderly must be able to carry out diabetes self-care management to optimize metabolic control and prevent diabetes complications. In implementing diabetes self-care, this management will certainly be influenced by the characteristics of the sufferer. This study aims to explore the characteristics of elderly with diabetes mellitus in managing their diabetes self-care management in rural areas. The quantitative descriptive research method, with a cross-sectional approach, was carried out among 100 elderly with diabetes mellitus utilizing the purposive sampling method. This research instrument uses The Summary of Diabetes Mellitus Activities. Univariate analysis was performed using frequency distribution. The results of this study show that 57% of the elderly in rural areas had poor diabetes self-care management. Ususally related to the characteristics of the elderly with diabetes mellitus which can influence treatment in managing the disease.This study concludes that there are still elderly people who do not carry out diabetes self-care management independently in their daily lives. This research emphasizes the need for knowledge and awareness to be provided in rural areas regarding Diabetes self-care management. Structured programs need to be designed to improve the behavior of the elderly to promote better adherence to diet, exercise, medication adherence, and proper foot care.
Copyright (c) 2025 Trisna Vitaliati, Irwina Angelia Silvanasari, Nurul Maurida, Achmad Ali Basri, Achmad Ali Basri https://creativecommons.org/licenses/by-sa/4.0
Hubungan Antara Activity Of Daily Living Dengan Kejadian Depresi Pada Lanjut Usia
Elderly individuals undergo an aging process characterized by the accumulation of complex changes, particularly physical changes, which can affect their ability to perform activities of daily living (ADL). A decline in ADL abilities among the elderly can contribute to the onset of depression. This study aims to determine the relationship between ADL and the incidence of depression among elderly individuals in Sumber Village. This research employs a non-experimental quantitative design with a correlational approach using a cross-sectional method. The study involved a sample of 63 elderly individuals residing in Sumber Village, selected through simple random sampling. Data were collected using the Barthel Index questionnaire and the Geriatric Depression Scale (GDS), both of which had been validated and proven reliable. Data analysis was conducted using the chi-square test with a significance level of < 0.05. The results showed a significance value of 0.000 (0.000 < 0.05), indicating that the null hypothesis (Ho) was rejected. This finding suggests a significant relationship between ADL and the incidence of depression among the elderly in Sumber Village. Strengthening family support and motivation is essential to help optimize the elderly's abilities, minimize their dependency on others, and maintain their independence in performing activities of daily living.
Copyright (c) 2025 Aliyah, Leya Indah Permatasari, Rizaluddin Akbar https://creativecommons.org/licenses/by-sa/4.0
Efektivitas Video Pembelajaran Peduli Stunting Terhadap Tingkat Pengetahuan dan Keterampilan pada Kader Kesehatan
The incidence of stunting can be influenced by several factors, namely low levels of knowledge and inadequate attitudes or practices regarding the care of children with stunting. Health cadres must acquire basic information technology-based skills to help people obtain health care. This research aims to examine the effectiveness of the "Peduli Stunting" learning video on the level of knowledge and skills of cadres in the Kapuas River suburb of Pontianak City. This research method is a quantitative quasi-experiment with a pre-test and post-test approach without a control group with 50 respondents using Total Sampling and the intervensions used use learning video “peduli stunting”. The analysis results found differences in the level of knowledge and skills of cadres before and after the intervention with a significant value of 0.000 (p < 0.05). This research concludes that the learning video "Care for Stunting" increases the knowledge and skills of cadres in the Kapuas River area in the early detection of stunting. Education with the learning video "Peduli Stunting" can be applied to increase knowledge in the early detection of stunting.
Copyright (c) 2024 Masmuri, Nurul Hidayah, Dodik Limansyah https://creativecommons.org/licenses/by-sa/4.0
Application of Health Education and Pappasang to Optimize the Psychosocial Development of Adolescents Engaged in Online Gaming
Excessive online gaming among adolescents can lead to the development of addiction, which is often compounded by psychosocial problems such as depression and anxiety. To address these concerns, interventions aimed at improving psychosocial development especially in areas related to behavior, peer groups, and extracurricular activities can be implemented through health education and the pappasang approach. The purpose of this study is to examine the impact of health education and pappasang in improving the psychosocial development of adolescents, to prevent online gaming addiction. This research employed a quasi-experimental design with a pre-post test and a control group. The sample for this study consisted of 57 respondents. The sample for this study was determined using total sampling. The instrument used to assess psychosocial development was the Strength And Difficulties Questionnaire (SDQ). The results of the study indicated that the implementation of health education and pappasang was effective in improving adolescent peer group dynamics within the intervention group, with a p-value of 0.001, which is less than the 0.05 significance threshold. Additionally, the intervention was effective in addressing hyperactivity, it was effective after therapy, with a p-value of 0.014, which is also less than 0.05. Furthermore, the intervention effectively improved the behavioral aspect after treatment, with a p-value of 0.014, again meeting the significance criteria. In conclusion, the application of health education and pappasang was found to be effective in improving the psychosocial development of adolescents who engage in online games.
Copyright (c) 2025 Boby Nurmagandi, Risna Damayanti https://creativecommons.org/licenses/by-sa/4.0
Pengaruh Terapi Aktivitas Kelompok Terhadap Penurunan Frekuensi Halusinasi Pasien Skizofrenia
Mental disorders are still a hot and serious topic of discussion globally. The number of people suffering from mental disorders increases every year in various parts of the world. One form of mental disorder is schizophrenia. The purpose of this study was to determine the effect of group activity therapy on reducing the frequency of hallucinations in schizophrenia patients. This study is a quantitative study with a quasi experiment using a one group pre-test post-test approach. The sample in this study was 19 patients who were taken through a purposive sampling technique. Data collection was carried out using a questionnaire observation sheet and using the T-test. The results of the study showed that the average score of the frequency of hallucinations before being given group activity therapy was 6.42, while after being given group activity therapy the average score was 5.37. Then from the results of the statistical data analysis showed a p-value of 0.000 <0.05 (?) which means there is a significant difference in the average score before and after being given group activity therapy on reducing the frequency of hallucinations in schizophrenia patients at the dr. Mental Hospital. Samsi Jacobalis Bangka Belitung Islands Province in 2023. The conclusion of this study is that there is an effect of group activity therapy on reducing the frequency of hallucinations in schizophrenia patients. The researcher's suggestion for the form of group activity therapy can be modified according to the situation and conditions at the Hospital.
Copyright (c) 2024 Nova Mardiana, Nurwijaya Fitri https://creativecommons.org/licenses/by-sa/4.0
The Effectiveness Of Ball Grip Therapy In Stroke Patients: Literature Review
The damage resulting from a stroke is due to the blood vessels of the brain getting afflicted. Stroke ranks second in terms of disability and death globally, only preceded by cardiovascular diseases. In 87% of the countries affected by stroke, Indonesia included, it is estimated that stroke is the leading cause for death and disability. This study aims to analyze whether ball grip therapy is effective in stroke patients. This study is descriptive and analytical in nature focusing on the benefits that stroke patients can gain from ball grip therapy. This study used a quantitative approach which stemmed from research based on an electronic literature review. A wealth of research supports that consistent and repetitive use of a rubber ball grip improves muscle strength effectively. This also proves that the treatment in fact has the potential to improve muscle strength as well as speed up blood circulation. Rubber ball grip exercise therapy is recommended as a nursing intervention for managing muscle strength with non-hemorrhagic stroke clients.
Copyright (c) 2025 Leya Indah Permatasari, Tania Tiara, Khoirun Ni’am, Delya Aulina https://creativecommons.org/licenses/by-sa/4.0
Pengetahuan dan Perilaku Ibu dalam Pencegahan Stunting pada Balita
Stunting is a problem of malnutrition that is still experienced by toddlers in Indonesia. According to the 2022 Indonesian Nutritional Status Study (SSGI), the prevalence of stunting in Bangka Belitung Province is highest in South Bangka Regency, which is 23%. One of the causes is the lack of knowledge and behavior of mothers in preventing stunting. The purpose of this study is to describe the knowledge and behavior of mothers in preventing stunting in toddlers in Serdang Village, South Bangka Regency. This research method uses a quantitative method with a descriptive research design which was carried out in April 2024 in the Serdang Village Area. This study involved 35 mothers who have toddlers aged 3-5 years who were selected using simple random sampling. The results of the study showed that the average age of toddlers aged 4 years was 66.9% with the most gender being female. Mothers of toddlers aged 21-64 years were 97.1% with a good knowledge category of 97.1%. All mothers have good knowledge regarding the characteristics of stunting in children with a percentage of 100%, but 40% of mothers do not know the category of healthy children assessed from their height with their age. As many as 88.6% of mothers have good behavior in preventing stunting by getting used to washing their hands before feeding their children. However, 31.4% of mothers never seek information about stunting. The conclusion of the study is that mothers' knowledge and behavior in preventing stunting are in the good category.
Copyright (c) 2024 Ade Devriany, Irma Azzah Rika Niara, Ori Pertami Enardi https://creativecommons.org/licenses/by-sa/4.0
Optimalisasi Pengetahuan Ibu Tentang Stunting Melalui Edukasi Kesehatan Berbasis Booklet
Lack of maternal knowledge can be one of the factors that can influence the incidence of stunting in children. One thing that can increase knowledge is by providing health education with booklet media. Booklet media is a small book size designed to provide education for readers in the form of strategies and tips for solving problems. The purpose of this study was to analyze the effectiveness of booklet media in increasing maternal knowledge about stunting in Tallu Banua village. The research method used in this study was a quasi-experimental design with a one group pretest-posttest design. The study population was mothers who had stunted children with a sample size of 32 people. The sampling technique used consecutive sampling. The analysis was carried out using the Marginal Homogeneity test. The results of the study showed that booklet media had an influence on increasing maternal knowledge where there was an increase in knowledge before and after being given education with booklet media with a p-Value of 0.000 (p <0.05). The conclusion in this study is that health education with booklet media is effective in increasing maternal knowledge about stunting.
Copyright (c) 2024 Erviana, Muhammad Taufik Page, Haryuni, Masniati, Irna Megawati https://creativecommons.org/licenses/by-sa/4.0
Analisis Perilaku Hidup Bersih dan Sehat Siswa Madrasah Aliyah Babul Ulum Mariana
Schools are one of the settings that need to implement PHBS. The impacts that will arise if PHBS is not implemented in schools can be a decrease in achievement and enthusiasm for learning, a decrease in the image of the school, and an unconducive learning atmosphere due to a dirty environment and classroom conditions, unhealthy snacks, and unorganized waste disposal. These conditions will also cause various diseases. The purpose of this study was to analyze the clean and healthy living behavior of students at Madrasah Aliyah Babul Ulum. The research design used cross-sectional analysis. The population in this study were all students at Madrasah Aliyah Babul Ulum, totaling 82 people. The sample size in this study was the total population, namely 82 respondents. Bivariate analysis was carried out using the Pearson Correlation test, a confidence level of 95% and a significance limit with an ? value of 0.05. The results of the data analysis showed that CTPS had a p value of 0.018 on students' PHBS. Consuming healthy snacks in the school canteen p-value 0.147, free from cigarette smoke p-value 0.614, and disposing of garbage in its place p-value 0.199 on students' PHBS. The conclusion in the study showed a significant influence between the CTPS variable and Students' PHBS, but there was no influence between the variables of consuming healthy snacks in the school canteen, free from cigarette smoke, and disposing of garbage in its place with students' PHBS.
Copyright (c) 2024 Dewi Sayati, Atma Deviliawati, Nani Sari Murni https://creativecommons.org/licenses/by-sa/4.0
Edukasi Kesehatan Reproduksi Dengan Menggunakan Media EMIVO
Adolescents today often make mistakes that can lead to deviant sexual behavior due to lack of knowledge about reproductive health. This study aims to determine the effect of reproductive health education with EMIVO (Video Media Education) on the level of reproductive health knowledge of adolescents aged 10-12 years at SDN Karang Sentosa 02. This study used quantitative methods with a Pre-Experimental Pretest-Post Test Only One Group Design research design using purposive sampling technique, with a population of 158 students and a sample of 61 students. Based on the results of the data obtained by researchers, it shows that of the 61 respondents, the most 26 people (42.6%), aged 12 years with female gender as many as 35 people (57.4%), a total of 61 respondents, 41 people (67.2%) of students at SDN Karang Sentosa 02 had good knowledge before being given reproductive health education through EMIVO (Education Media Video) and, as many as 61 people (100%) had good knowledge after being given reproductive health education through EMIVO (Education Media Video). The results showed that reproductive health education with video has a positive effect on adolescent reproductive health knowledge at SDN Karang Sentosa 02. With a 95% confidence level p value of 0.014 <0.05.
Copyright (c) 2024 Putri Al Zahra, Muhammad Imadudin Akbar, Beatrix Elizabeth https://creativecommons.org/licenses/by-sa/4.0
Pengaruh Balance Exercise Terhadap Tingkat Keseimbangan pada Lansia
As the elderly age, many declines affect the ability of the elderly to perform daily activities, increase the risk of falling, and the difficulty of the elderly to maintain their center of gravity when standing upright. Uncontrolled body balance can increase the risk of falls in the elderly due to balance problems. One of the non-pharmacological methods developed to reduce the risk of falls in the elderly is balance training, one of which is Balance Exercise. The purpose of this study was to determine the effect of Balance Exercise on the level of balance in the elderly. This study used a quantitative research method with pre-experimental using one group pre and post design. The sampling technique was purposive sampling with a population of 55 respondents and the number of samples that met the criteria was 15 respondents at the Harapan Kita Social Home in Palembang. Data analysis used the paired T-test. The results of the study obtained a mean value before the Balance Exercise intervention of 38.47 and after the Balance Exercise intervention of 46.07 with a p value of 0.000 <0.05. The conclusion in this study is that there is an effect of Balance Exercise on the level of balance in the elderly before and after the intervention.
Copyright (c) 2024 syarifatul azizah, Yudi Abdul Majid, Septi Ardiyanti https://creativecommons.org/licenses/by-sa/4.0
Efektivitas Pemberian Jahe Merah (Zingiber Officinale Var Rubrum Rhizoma) Dan Teh Rosella (Hibiscus Sabdariffa) Terhadap Kegawatan Dismenore
Teenagers start to experience menstruation is one form of adolescence with biological development. Abdominal pain which is often called dysmenorrhea pain is often experienced by teenagers who are menstruating. The use of red ginger and rosella tea is one form of non-pharmacological treatment to reduce dysmenorrhea pain. The purpose of this study was to determine the effectiveness of red ginger and rosella tea in reducing dysmenorrhea in adolescent girls. The research method used a Quasy Experiment with a nonrandomized pretest - posttest approach, in this study design using 3 (three) groups, namely the group with the treatment of red ginger decoction, the group with the treatment of rosella tea and the control group. The sample in this study was the red ginger intervention group, the rosella tea intervention group and the control group with 30 respondents each. The results of the study were obtained using the Mann Whitney alternative test, a p value of 0.000 was obtained, meaning that statistically red ginger provided effectiveness on the dysmenorrhea pain scale in the intervention group. The conclusion statistically red ginger provided significant effectiveness on the pain scale in the intervention group with a p value of 0.000 (<0.05).
Copyright (c) 2024 Puji Setya Rini Puji Setya Rini, Diah Agustina, Tiwi Pramesti https://creativecommons.org/licenses/by-sa/4.0
Pengaruh Pendidikan Kesehatan Dengan Media Booklet Terhadap Kecemasan
Anxiety is a condition where someone feels uncomfortable accompanied by shadows of fear, alienation, accompanied by a sense of insecurity. Conditions of fear and uncertainty can convey a response to a situation where someone can predict a threatening situation so that someone can prepare themselves to face the situation. The purpose of this study was to determine the effect of health education using booklet media on client anxiety at the Muratara Palembang Shelter. The research design in this study was Pre-Experimental Pretest-Post Test Only One Group Design with a sample of 35 respondents. Results From the study it was found that health education using "booklet" media had an effect on anxiety in patients at the Muratara Palembang Shelter with a value of 0.00. With an average value of the client's anxiety level before being given health education with booklet media of 31.943. And the average value of the client's anxiety level after being given health education with booklet media was 23.029. It can be concluded that there is a decrease in the level of anxiety before being given health education using Booklet media with after being given health education using Booklet media taken from the p value of 0.000.
Copyright (c) 2024 dian_therezah_yadi dian, Suzanna, Ayu Dekawaty https://creativecommons.org/licenses/by-sa/4.0
Skrining Kesehatan Jiwa pada Ibu Hamil sudahkah diimplementasikan?
Midwifery care for pregnant women is carried out based on standards set by the government in Minister of Health Regulation no. 21 of 2021, as one of the strategies for reducing maternal mortality. Standards for antenatal care include 10 Ts, namely measurement of weight and height, measurement of blood pressure, measurement of upper arm circumference, measurement of the uterine fundus, fetal presentation and determination of fetal heart rate, examination and administration of tetanus vaccination, administration of blood supplement tablets, laboratory tests, management and interviews as well as mental health assessments. Objective: Analyze the implementation of the ANC 10 T standard in Bangka Belitung province.Method: Qualitative research, data collection was carried out by conducting interviews with 10 respondents and filling out questionnaires with 124 pregnant women and 41 midwifes. The research was conducted in July – October 2023.Results: Of the 124 respondents, 57.3% of people stated that ANC services were according to standards, 10.5% were quite suitable and 32.3% were very suitable. Of the 41 midwifes, 48.8% said ANC services were very suitable, 34.1% said they were good and 14.6% said they were moderate, and 2.4% felt they were not appropriate in carrying out ANC. Conclusion: The 10 T ANC service standard has been implemented in all primary health services (Puskesmas) however technical instructions/screening regarding ANC services related to mental health have not been optimally implemented. Cross-sector coordination is needed to improve the quality of 10 T services.
Copyright (c) 2024 ayi diah damayani, Harindra, Auronita Puspa Pertiwi, Akhiat, Intaglia Harsanti https://creativecommons.org/licenses/by-sa/4.0
Penerapan Terapi Storytelling Digital Mengatasi Kecemasan Pada Anak Usia Pra Sekolah
Children who are hospitalized are most likely to feel anxious. They often experience anxiety, such as crying and being afraid of new people, which can hinder their growth. The hospital environment can also cause anxiety and stress. Playing is an activity that children can do with the aim of stimulating the child's growth and development and playing for children in the hospital is a way for children to express their feelings, relax and divert feelings that are difficult to express. Storytelling connects a story to multiple viewers or listeners through sound and clues, also known as a story. The aim of this research is to determine the effect of digital storytelling play therapy on anxiety levels in preschool children in hospitals. The research was conducted with a quasi-experimental design. Sample selection was carried out using the Total Sampling technique, totaling 55 respondents. Data analysis using the PreTest–PostTest test resulted in a P value of 0.00, which means that the conclusion of this research is that there is a significant influence between providing digital storytelling play therapy on anxiety levels. It is hoped that the results of this research will become a reference source for nurses in providing interventions for hospitalized children who experience anxiety.
Copyright (c) 2024 ria setia sari, Ranan Salsabila https://creativecommons.org/licenses/by-sa/4.0
Hubungan Gula Darah Dan Indeks Massa Tubuh (IMT) Terhadap Kejadian Gangguan Siklus Menstruasi Pada Mahasiswi
Increased blood sugar and BMI are factors that can affect the incidence of menstrual cycle disorders. The purpose of this study was to determine the relationship between blood sugar levels and BMI on the incidence of menstrual cycle disorders in nursing students of FIKes-UMS. This research design is quantitative analytic with cross sectional design. The population in this study were all nursing students of UMS as many as 66 respondents, with total sampling technique. Data collection with a questionnaire contains the value of Timed Blood Glucose and BMI. Chi-Square statistical analysis test obtained p-value <0.05 which means there is a significant relationship between blood sugar levels and BMI on the incidence of menstrual cycle disorders. The conclusion is that there is a relationship between blood sugar and BMI on the incidence of menstrual cycle disorders in female FIKes-UMS students. Suggestions are expected that research can be developed again for further researchers by adding variables, the number of respondents and research methods.
Copyright (c) 2024 Citra Delima Scientific journal of Citra Internasional Institute https://creativecommons.org/licenses/by-sa/4.0
The Corralation between Knowledge and Satisfaction Level with the High Referral of Patients Participating in the National Health Insurance (NHI) at First Level Health Facilities (FLHF)
A health service that regulates the delegation of duties and responsibilities for health services that cannot be implemented at the basic (primary) service level due to limited infrastructure, medical personnel and the presence of anamnesis that requires patients to receive further health services such as specialist services. The still high number of patient referrals shows that community health centers are not yet able to provide optimal health services as gatekeepers of health services in the community. The aim of the research is to analyze factors related to patient referrals for National Health Insurance (JKN) participants at First Level Health Facilities (FKTP). The research design used was analytical survey research with a cross sectional approach. The sample was 109 patients participating in National Health Insurance (JKN) who received services at the Gerunggang Community Health Center, Pangkalpinang City. The research results show a relationship between Knowledge and Referrals from JKN Participant Patients, namely p value = 0.000 < ? = 0.05 and there is a relationship between Satisfaction Level and Referrals from JKN Participant Patients, namely p value = 0.018 < ? = 0.05. The research conclusion is that there is a relationship between knowledge and the level of patient satisfaction with patient referrals for JKN participants at the Gerunggang Community Health Center. It is hoped that health workers at Community Health Centers, both medical and non-medical personnel, will always improve services and prioritize patient needs, especially in providing referral information to patients.
Copyright (c) 2024 Andi Werdana, Rendita Dwibarto, Siswanto https://creativecommons.org/licenses/by-sa/4.0
Analisis Faktor Kejadian Stunting Pada Balita : Berbasis Transcultural Nursing
Nutritional problems in the toddler period with or without repeated illness will have an impact on the physical condition of the child's body (stunting). Malnutrition in toddlers can occur due to cultural, habitual and social factors of society. The community in the operational area of Puskesmas Betungan is known as a patriarchal community that highly values culture as one of the determinants of behavior, especially health behavior related to food. The purpose of this study was to analyze the incidence of stunting factors in toddlers based on Transcultural Nursing. This study used a quantitative design with a cross-sectional approach. The population in this study was all mothers who had toddlers, samples were taken by simple random sampling technique. The collected data were analyzed univariately and bivariately. Results: There was an association between the incidence of stunting in toddlers with technology variables (p = 0.045), family and social support factors (p = 0.048), cultural and lifestyle values (p = 0.013), and economic factors (p = 0.034). Conclusion: Although there is no correlation between the characteristics of education and the occurrence of stunting, the level of education possessed by a woman is one of the fundamental components that contribute to nutritional problems, especially stunting.
Copyright (c) 2024 weti weti weti, Fatsiwi Nunik Andari, Emi Kosvianti, Henni Febriawati https://creativecommons.org/licenses/by-sa/4.0
Hubungan Pola Asuh Orang Tua Dalam Pemberian Makan Dengan Kejadian Stunting Pada Anak Usia 24-59 Bulan
Stunting is a long-term nutritional problem in toddlers, characterized by a shorter height than other children of the same age. This study aims to determine the relationship between parenting styles in feeding and the incidence of stunting in children aged 24-59 months in North Bonde Village. This study uses a cross-sectional approach, a study that collects data on several research variables simultaneously. The sample in this study were 125 respondents. This research was conducted in North Bonde Village. The research instrument used was a questionnaire with 24 question items. The statistical test used is the mann-whitney test. The results of this study found that there was a relationship between parenting styles in feeding and the incidence of stunting in children aged 24-59 months in North Bonde village as evidenced by the value of ? (0.011) < ? (0.05). The conclusion of this study is that there is a relationship between parenting style in feeding and the incidence of stunting in children aged 24-59 months in Bonde Utara village, the type of parenting style in providing feeding and the incidence of stunting in children aged 24-59 months in North Bonde Village.
Hubungan Depresi Dengan Kelelahan Pada Pasien Yang Menjalani Hemodialisa
The body's digestive products are distributed and excreted by the kidneys. Reduced kidney function will disrupt the body's balance, causing a buildup of waste products, especially urea (which causes uremia), fluid balance disorders, and excess fluid and electrolytes. Patients undergoing hemodialysis therapy can experience psychological and physical side effects. The aim of the study was to determine the relationship between depression and fatigue in patients undergoing hemodialysis. In this cross-sectional study, 43 participants were randomly selected. The questionnaire to measure the level of fatigue uses the Fatigue Severity Scale (FSS) and Beck Depression Inventory (BDI) to assess depressive symptoms. This research uses a non-parametric test with Spearman Rank. The results of the study explained that 14 respondents who underwent hemodialysis experienced mild depression and fatigue. From these results, a significance value of 0.005 was obtained and a sperm correlation value of 0.422. In conclusion, the data shows a positive correlation of moderate strength between the level of fatigue and depression experienced by hemodialysis patients. This shows that the more tired patients undergoing hemodialysis are, the more likely they are to experience depression. The results of this study are used as evidence-based in conducting interventions in treating patients with chronic kidney failure who experience fatigue and depression while undergoing hemodialysis.
Hubungan Pengetahuan, Sikap Dan Status Ekonomi Dengan Kejadian Anemia Pada Ibu Hamil
Anemia is condition with hemoglobin, hematocrit and red blood cell levels that are lower than normal values of < 11 g / dl in pregnant women. Anemia is more common during pregnancy because in pregnancy the need for food substances increases which causes changes in the blood and bone marrow. The purpose of this study is to determine the relationship between knowledge, attitudes and economic status with the incidence of anemia in pregnant women in the working area of the Sungai Selan Health Center, Central Bangka Regency in 2023. This research design is a quantitative research using cross-sectional methods. The samples in this study are pregnant women who carried out pregnancy checks in the Sungai Selan Health Center Work area, Central Bangka Regency in 2023. Data from this study was analyzed using Chi Square Test. The results showed a relationship between p value knowledge (0.037) and p value economic status (0.002) with the incidence of anemia in pregnant women. An unrelated factor is the p value attitude (0.822) with the incidence of anemia in pregnant women. Suggestions from this study are expected by health workers to increase their role as educators and motivators to increase knowledge of pregnant women with the incidence of anemia during pregnancy.
Copyright (c) 2024 Agustin Agustin, Nanda Indira, Rezka Nurvinanda, Rizky Meilando https://creativecommons.org/licenses/by-sa/4.0