Journal Title: Jurnal Kesehatan Amanah Initials: JKA Frequency: Mei dan Oktober Print ISSN: 2580-4189 Online ISSN: 2962-6366 Editor in Chief: Ns. Bayu Dwi Setyo. S.Kep.,M.Kep DOI: 10.57214 Publisher: LPPM Universitas Muhammadiyah Manado Jurnal Kesehatan Amanah ISSN: 2580-4189 (cetak), ISSN: 2962-6366 (online) merupakan kumpulan artikel-artikel ilmiah baik penelitian maupun non penelitian mengenai bidang ilmu kesehatan pada umumnya, jurnal ini terbit dua kali dalam satu tahun yaitu Mei dan Oktober. Selain menerbitkan artikel artikel yang di tulis oleh dosen Universitas Muhammadiyah Manado sendiri, kami juga menerima Submission artikel-artikel yang di tulis oleh dosen di luar Universitas Muhammadiyah Manado Indexed by : Journal Sponsors and Partners :
Determinan Penerapan Perilaku Hidup Bersih dan Sehat (PHBS) di Masyarakat Pedesaan Kabupaten Batu Bara
The implementation of Clean and Healthy Living Behavior (PHBS) in Hamlet II, Kuala Tanjung Village, is still relatively low, where 62% of the community has not implemented PHBS properly, which has the potential to increase the risk of infectious diseases. This study aims to analyze the factors that affect the implementation of PHBS in the region. This type of research is quantitative with a cross sectional study design that will be carried out from October 2024 to August 2025. The research sample amounted to 84 respondents which were determined through random sampling techniques. Data analysis used logistic regression. Multivariate analysis showed that the variable of infrastructure facilities was the most dominant factor influencing the implementation of PHBS in Kuala Tanjung Dusun II Village. In conclusion, the implementation of PHBS is influenced by factors of knowledge, attitudes, infrastructure, and social support of the community. It is recommended that the village government and health workers improve the availability and quality of infrastructure facilities such as handwashing stations and healthy latrines, especially in areas that still lack basic facilities, in order to support clean and healthy living behaviors in a sustainable manner.
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Pengaruh Promosi Kesehatan Metode Brain Storming terhadap Pengetahuan Kader Tentang Kelas Ibu Hamil
The cadres play an important role in the success of the implementation of maternity classes, so their knowledge about the classes needs to be improved. At Puskesmas Bunut, KIA officers have conducted counseling using the lecture method, but the pre-survey results on 10 cadres show that 80% of them have insufficient knowledge. This study aims to determine the effect of health promotion (promkes) using the brainstorming method on the knowledge of cadres about maternity classes at UPTD Puskesmas Bunut in 2025. The brainstorming method was chosen because it can stimulate creative thinking, broaden perspectives, and enhance understanding. This research uses a quantitative design with a pre-experimental type, involving 78 cadres as samples using total sampling technique. Data was collected through pre-test, intervention using the brainstorming method, and post-test. Data analysis was done using dependent T-test. The results showed an increase in cadres' knowledge from an average of 44.23 before the intervention to 70.32 after the intervention. The dependent T-test showed a significant effect (p-value = 0.000 < 0.05). It is expected that the coordinator midwife at Puskesmas Bunut will regularly improve cadres' knowledge using the brainstorming method and conduct periodic evaluations.
Copyright (c) 2026 Jurnal Kesehatan Amanah https://creativecommons.org/licenses/by-sa/4.0
Analisis Hubungan Pengetahuan Ibu Tentang Gizi dengan Pertumbuhan Anak Balita di Gampong Manyang Kecamatan Meurah Mulia Kabupaten Aceh Utara
The growth of children under five is an important indicator in assessing children’s health and nutritional status. One of the factors influencing the growth of under-five children is maternal knowledge of nutrition. Adequate maternal knowledge is expected to support the optimal fulfillment of children’s nutritional needs. This study aimed to analyze the relationship between maternal nutritional knowledge and the growth of under-five children in Gampong Manyang, Meurah Mulia Subdistrict, North Aceh Regency. This study employed an analytical design with a cross-sectional approach. The population consisted of all mothers with under-five children in Gampong Manyang, with a total sample of 30 respondents selected using total sampling/purposive sampling techniques. Maternal knowledge data were collected using a questionnaire, while data on children’s growth were obtained through measurements of body weight and height based on anthropometric indicators. Data analysis was conducted using the Chi-Square test. The results showed that the majority of mothers had good nutritional knowledge, totaling 15 respondents (50%), and most under-five children had normal growth, with 12 children (40%). Statistical analysis revealed a p-value of 0.018 (p < 0.05), indicating a significant relationship between maternal nutritional knowledge and the growth of under-five children. In conclusion, there is a significant relationship between maternal nutritional knowledge and the growth of under-five children in Gampong Manyang, Meurah Mulia Subdistrict, North Aceh Regency. It is recommended that health workers enhance nutrition education for mothers of under-five children to support optimal child growth.
Korelasi Nilai SPF dan Aktivitas Antioksidan Fraksi Etil Asetat Daun Bandotan (Ageratum conyzoides L.)
Indonesia, as a tropical country, has high ultraviolet (UV) radiation intensity, which increases the risk of skin damage due to oxidative stress. This study aimed to determine the correlation between Sun Protection Factor (SPF) values and antioxidant capacity of the ethyl acetate fraction from bandotan leaves (Ageratum conyzoides L.). The study involved extraction by maceration using 96% ethanol, liquid-liquid fractionation, phytochemical screening, antioxidant activity testing using the ABTS method, and SPF value determination by UV-Vis spectrophotometry. The results showed that the ethyl acetate fraction exhibited the highest antioxidant activity with an IC₅₀ value of 21.726 ppm (very strong category) and the highest SPF value of 23.28 (ultra protection category). Statistical analysis indicated a significant positive correlation between antioxidant capacity and SPF values, with a correlation coefficient (R) of 0.647 and a coefficient of determination (R²) of 0.418 (p < 0.05). This study demonstrates that the ethyl acetate fraction of bandotan leaves has potential to be developed as a natural sunscreen ingredient with high antioxidant activity.
Karakterisasi Aktivitas Antioksidan dan Antikolesterol Ekstrak Daun Beringin (Ficus benjamina L.)
This study aimed to characterize the antioxidant and anticholesterol activities of ethanol extract of banyan leaves (Ficus benjamina L.) in vitro. Hypercholesterolemia is closely associated with oxidative stress, particularly LDL oxidation, which contributes to atherosclerosis. Ethanol extraction was performed using maceration method with 96% ethanol. Antioxidant activity was evaluated using the ABTS radical scavenging method, while anticholesterol activity was determined using the Liebermann–Burchard method measured by UV-Vis spectrophotometry. The ethanol extract demonstrated strong antioxidant activity based on IC₅₀ value and showed significant cholesterol reduction activity in a concentration-dependent manner. The findings indicate that the ethanol extract of Ficus benjamina L. leaves possesses promising bioactivity as a natural antioxidant and anticholesterol agent. These activities are likely associated with the presence of phenolic and flavonoid compounds. The study supports the potential development of standardized herbal preparations from banyan leaf extract.
Gambaran Coping Stress Orang Tua yang Memiliki Anak Disabilitas Rungu Wicara dalam Mengahadapi Stigma Masyarakat
Parents who have children with hearing and speech disabilities often face social stigma from their surroundings. This stigma not only affects social relationships, but also influences the psychological condition of parents and the parenting patterns they apply. This study aims to describe the coping strategies used by parents who have children with hearing and speech disabilities in facing social stigma. This study uses a descriptive qualitative approach with semi-structured interviews. This study uses a purpose sampling technique with 6 participants in Kupang City and the data is analyzed using thematic analysis to identify patterns of experience and coping strategies used by participants. The results show that the stigma experienced by parents gives rise to negative emotions, parental concerns, and obstacles in parenting. In dealing with stigma, parents used two forms of stress coping, namely problem-focused coping and emotion-focused coping, although there were differences in coping strategies between mothers and fathers. However, overall, stress coping strategies played an important role in helping parents deal with social stigma, maintain emotional balance, and maintain their role in caring for children with hearing and speech disabilities.
Hubungan Ukuran Lingkar Pinggang terhadap Kekuatan Genggaman Tangan pada Pria dengan Pekerjaan Aktivitas Fisik Tinggi
Background: Hand grip strength is an essential indicator of physical capacity and nutritional status that can identify obesity risk. Adipose tissue accumulation in central obesity contributes to decreased hand grip strength quality through impaired muscle force transmission. Previous studies showed inconsistent results regarding the relationship between waist circumference and hand grip strength, especially in populations with high physical activity. Objective: To analyze the relationship between waist circumference and hand grip strength in male construction workers with high physical activity in Medan City. Methods: This descriptive-analytic study with cross-sectional design involved 100 male construction workers aged 30-39 years selected using purposive sampling technique. Waist circumference was measured using measuring tape, while hand grip strength was measured using handgrip dynamometer. Data analysis used Chi-Square test with significance level α=0.05. Results: The majority of respondents had normal waist circumference (64%) with mode 70 cm and normal grip strength category (53%) with mode 41.7 kg. Chi-Square test showed significant relationship between waist circumference and hand grip strength (p=0.039). Conclusion: There is a significant relationship between waist circumference and hand grip strength in construction workers. High physical activity does not completely prevent central obesity, therefore nutritional management and health education programs are needed for optimization of body composition and muscle functional capacity.
Faktor Faktor Keteraturan Minum Obat pada Penderita Tuberkulosis di Indonesia (Analisis Data SKI 2023)
Tuberculosis (TB) remains one of the leading infectious causes of death worldwide and continues to pose a major public health challenge. The disease is caused by Mycobacterium tuberculosis and is transmitted through airborne droplets when infected individuals cough or speak. Without treatment, TB has a mortality rate of approximately 50%; however, about 85% of patients can be successfully treated with anti-tuberculosis drugs administered for 4–6 months according to standard guidelines. Indonesia is among the eight countries contributing the highest number of TB cases globally, yet national treatment adherence remains suboptimal. This study aimed to analyze factors associated with medication regularity among pulmonary TB patients in Indonesia using data from the 2023 Indonesian Health Survey. A cross-sectional design was applied using secondary data from respondents aged ≥15 years who had been diagnosed with TB and received treatment, with a weighted sample of 667,421 individuals. Data were analyzed using univariate, bivariate (Rao-Scott Chi-Square), and multivariate logistic regression with backward elimination. The prevalence of regular medication intake was 72.21%. Education level, residence, presence of a treatment supervisor (PMO), type of therapy, and comorbidities were significantly associated with medication regularity. Multivariate analysis identified the presence of a PMO as the most dominant factor, followed by higher education and absence of comorbidities. Strengthening treatment supervision and implementing Health Belief Model–based health education are essential to support the 2030 TB elimination target in Indonesia.
Studi In Vitro Aktivitas Antioksidan dan Antikolesterol Fraksi Etil Asetat Buah Pedada (Sonneratia casiolaris)
Pedada fruit (Sonneratia caseolaris) is a mangrove species recognized for its rich content of bioactive compounds that may provide various health benefits. This study aimed to evaluate the in vitro antioxidant and anticholesterol activities of the ethyl acetate fraction of pedada fruit and to analyze the correlation between these two biological activities. The extraction process was conducted using ethanol maceration followed by solvent–solvent fractionation to obtain the ethyl acetate fraction. Antioxidant activity was measured using the ABTS radical scavenging method, while anticholesterol activity was assessed through an in vitro cholesterol inhibition assay. The effectiveness of both activities was expressed in IC₅₀ values. The results demonstrated that the ethyl acetate fraction exhibited strong antioxidant and anticholesterol properties, with IC₅₀ values of 20.555 ppm and 9.636 ppm, respectively. Furthermore, Pearson correlation analysis showed a positive and statistically significant relationship between antioxidant and anticholesterol activities (r = 0.601; p = 0.005), indicating promising potential as a natural therapeutic agent.
Studi In-Vitro Antikolesterol dari Fraksi Etil Asetat Daun Buni Antidesma bunius L. Spreng
Hypercholesterolemia, defined as elevated levels of cholesterol in the bloodstream, is widely recognized as a major risk factor for cardiovascular diseases, including atherosclerosis and coronary heart disease. Antioxidants play an important role in preventing oxidative damage by neutralizing free radicals through electron donation, thereby helping to reduce lipid peroxidation associated with high cholesterol levels. This study aims to evaluate the cholesterol-lowering activity of the ethyl acetate fraction of buni leaves (Antidesma bunius) through laboratory experimentation. The leaves were extracted using the maceration method with 96% ethanol, followed by fractionation with ethyl acetate to obtain the targeted fraction. The in vitro anticholesterol activity was determined using the Liebermann–Burchard method and measured by UV-Vis spectrophotometry. Data analysis was performed using linear regression to calculate the IC₅₀ value. The results demonstrated that the ethyl acetate fraction exhibited very strong cholesterol-lowering activity, with an IC₅₀ value of 1,659 ppm/µg/mL, indicating promising potential as a natural antihypercholesterolemic agent.
Hubungan Tingkat Pengetahuan Penjual terhadap Penggunaan Pengawet Natrium Benzoate pada Es Teh Jumbo di Kelurahan Kedungmundu dan Sendangmulyo Kota Semarang
Indonesia faces various metabolic health problems that are often associated with food and beverage consumption, including chronic kidney disease. One contributing factor is the excessive use of food preservatives such as sodium benzoate, which may cause gastrointestinal disturbances, oxidative stress, inflammation, chronic kidney failure, and carcinogenic effects. This study aimed to determine the relationship between sellers’ knowledge level and the use of sodium benzoate preservative in jumbo iced tea sold in Kedungmundu and Sendangmulyo Subdistricts, Semarang City. The study employed an analytic quantitative method with a cross-sectional design. A total of 40 jumbo iced tea sellers were selected using simple random sampling. Sodium benzoate testing was conducted using UV-Visible spectrophotometry, and data were analyzed using Spearman’s rho correlation test. The results showed that 70% of respondents had a high level of knowledge, while 5% of samples were positive for sodium benzoate. Statistical analysis revealed a significant inverse relationship between sellers’ knowledge level and the use of sodium benzoate (p = 0.011; r = -0.397). This indicates that higher knowledge levels are associated with a lower likelihood of sodium benzoate use. In conclusion, there is a significant negative correlation between sellers’ knowledge and the use of sodium benzoate in jumbo iced tea.
Efektivitas dan Keamanan Nifedipin dibandingkan dengan Labetalol pada Hipertensi dalam Kehamilan
Hypertensive disorders of pregnancy remain a leading cause of maternal and perinatal morbidity and mortality worldwide. Nifedipine and labetalol are commonly recommended as first-line antihypertensive agents during pregnancy; however, evidence regarding their comparative effectiveness and safety is still evolving. This systematic review aimed to evaluate and compare the effectiveness and safety of nifedipine versus labetalol in the management of gestational hypertension, chronic hypertension, and preeclampsia. The review was conducted according to PRISMA 2020 guidelines. A comprehensive literature search was performed in PubMed, ScienceDirect, and Google Scholar for randomized controlled trials published between 2016 and December 2025. Studies comparing nifedipine monotherapy with labetalol monotherapy and reporting systolic and/or diastolic blood pressure outcomes were included. Six RCTs involving 2,806 pregnant women met the inclusion criteria. Both drugs were effective in reducing blood pressure. Nifedipine demonstrated a faster onset of blood pressure reduction, particularly in acute hypertensive emergencies, with mean differences ranging from 12 to 17 minutes compared with labetalol. No significant differences were observed in long-term blood pressure control or neonatal outcomes. Maternal adverse effects were generally mild and comparable. Overall, both agents exhibit similar efficacy and safety profiles, with nifedipine offering advantages in rapid blood pressure control in acute settings.
Pengaruh Senam Tai Chi terhadap Nyeri Lutut Lansia dengan Osteoarthritis (OA) dalam Perspektif Keperawatan Komunitas
Knee osteoarthritis (OA) is a degenerative joint disorder frequently affecting older adults, characterized by symptoms such as pain, stiffness, and reduced physical capability. These symptoms can lead to decreased independence and a lower quality of life among the elderly. Tai Chi exercise is recognized as one of the recommended non-pharmacological approaches for managing osteoarthritis. This paper aims to explore the effects of Tai Chi exercise on alleviating knee pain in older adults with osteoarthritis. The methods applied include a literature review, a Pre-test Post-test design, and theoretical nursing care analysis using a community nursing framework. Pain intensity was measured using the Numeric Rating Scale (NRS). The Tai Chi program was conducted three times per week, with each session lasting 20–30 minutes. Findings show that Tai Chi exercise helps reduce knee pain intensity, enhances joint range of motion, strengthens muscles, and improves balance and physical mobility in the elderly. Furthermore, Tai Chi promotes relaxation, which aids in pain management by decreasing stress responses and increasing endorphin release. Overall, the study concludes that Tai Chi exercise is an effective non-pharmacological nursing intervention for managing knee pain in older adults with osteoarthritis and holds potential for incorporation into elderly healthcare programs.
Pengaruh Terapi Rendam Kaki dengan Air Hangat dan Garam terhadap Tekanan Darah pada Penderita Hipertensi di Desa Jompo Kulon Kecamatan Sokaraja
Hypertension is a public health problem whose prevalence continues to increase and carries the risk of causing various serious complications if not properly managed. In addition to pharmacological therapy, non-pharmacological therapy is needed as a supporting effort in controlling blood pressure, one of which is foot soak therapy with warm water and salt. This study aims to determine the effect of foot soak therapy with warm water and salt on blood pressure in hypertension sufferers in Jompo Kulon Village, Sokaraja District. This research method is Pre-experimental with a one-group pretest posttest design. The sampling technique used Purposive sampling of 82 respondents with hypertension. Data was collected by measuring blood pressure before and after foot soak therapy with warm water and salt. The results showed that hypertension sufferers were experienced by respondents aged over 61 years as many as 53 people (64.6%), female as many as 65 people (79.3%). With an average blood pressure before giving foot soak therapy with warm water and salt of 151/88 mmHg, after giving therapy respondents had an average blood pressure of 136/81 mmHg. The results of the Wilcoxon statistical test showed that there was a decrease in blood pressure in the form of systolic blood pressure in 81 respondents and diastolic blood pressure in 68 respondents with a p-value of 0.000 <0.05, which means that there was an effect of providing foot soak therapy with warm water and salt.
Pengaruh Tindakan Foot Massager terhadap Pencapaian Bromage Score pada Pasien Pasca Operasi Sectio Caesarea di Rumah Sakit Islam Purwokerto
The rate of Caesarean Section (CS) deliveries continues to increase, reaching 25.9% in Indonesia in 2023, with 24.9% in Central Java. Motor recovery after spinal anesthesia is evaluated using the Bromage Score, where a score ≤ 2 indicates the patient is ready to be transferredFoot massage, as a non-pharmacological intervention, is known to be effective in improving blood circulation, reducing muscle tension, and inducing relaxation, thus potentially accelerating recovery. This study aims to assess the effect of foot massage on achieving the Bromage Score in post-CS patients. This quantitative research method uses a quasi-experimental Posttest Only Control Group Design. Thirty respondents after CS surgery at Purwokerto Islamic Hospital were divided into two groups (15 intervention groups, 15 control groups) through total sampling. The results showed that the majority of the intervention group (80.0%) experienced an increase in the Bromage Score, in contrast to the control group (80.0% experienced no increase). The Mann Whitney test yielded a p-value of 0.000 (p < 0.05), indicating a significant effect of foot massage on achieving the Bromage Score. It was concluded that foot massage effectively accelerated motor recovery after CS surgery by increasing blood circulation, stimulating the parasympathetic nervous system, and accelerating neuromotor recovery.
Hubungan Lama Terapi ARV Dengan Kadar Viral Load pada Pasien ODHA
HIV (Human Immunodeficiency Virus) is a virus that attacks the immune system. Viral load is a key indicator in monitoring HIV, where higher viral load indicates a worsening condition in the patient and can lead to the progression of the disease to AIDS (Acquired Immunodeficiency Syndrome). Viral load can also predict the likelihood of opportunistic infections, which are the leading causes of morbidity and mortality in individuals with HIV and AIDS. Objective: To analyze the relationship between the duration of ARV therapy and viral load in PLWHA at RSUP Dr. Kariadi Semarang in 2025. Results: The Spearman correlation test (rₛ = -0.405; p = 0.002) shows a significant negative correlation between the duration of ARV therapy and viral load in PLWHA. The longer the patient undergoes ARV therapy, the lower the viral load. Among patients who have undergone therapy for more than 12 months, 80.43% had an undetectable viral load, while in the 6–12 month therapy group, only 33.33% had an undetectable viral load. Conclusion: There is a significant relationship between the duration of ARV therapy and viral load. Longer ARV therapy tends to lower viral load in PLWHA. Further research is needed to understand the factors that influence viral load and the effectiveness of ARV therapy.
Studi in Silico Seskuiterpen Hidrokarbon dari Resin Daemonorops Draco sebagai Kandidat Agen Antikanker
Daemonorops draco is a rattan plant that produces resin traditionally used as medicine and is known to contain various bioactive compounds. Previous GC–MS analysis identified 42 active compounds in the resin of Daemonorops draco, including a group of sesquiterpene hydrocarbons suspected to contribute to its biological activities. This study aimed to evaluate the potential of six sesquiterpene hydrocarbons, namely α-cubebene, α-copaene, α-amorphene, δ-cadinene, aromadendrene, and viridiflorene, as anticancer candidates using an in silico approach. PASS Online prediction indicated that all compounds exhibit antineoplastic and apoptosis agonist activities with relatively high probability of activity (Pa) values and low probability of inactivity (Pi) values, particularly α-copaene, α-amorphene, and α-cubebene. Toxicity evaluation using ProTox 3.0 classified all compounds into Toxicity Class V with high LD₅₀ values, indicating low acute toxicity. ADMET analysis using pkCSM demonstrated favorable pharmacokinetic and safety profiles without major toxicity indications. Overall, sesquiterpene hydrocarbons from Daemonorops draco show potential as anticancer agents based on computational predictions.
Analisis Faktor Risiko Terjadinya Keluhan Muskuloskletal pada Pengajar SMP dan MTs di Kabupaten Musi Rawas Tahun 2025
Complaints related to the musculoskeletal system are a common health threat faced by workers. The causes of MSDs include internal/individual factors (age, gender, BMI, length of service, lifestyle), occupational factors (length of service, work position, workload, frequency), and environmental factors (vibration, temperature). This study aims to analyze the relationship between individual factors (age, gender, body mass index, and physical activity) and occupational factors (length of service and work posture) on musculoskeletal disorders in junior high school (SMP) and Islamic junior high school (MTS) teachers in Musi Rawas Regency. This study used a quantitative cross-sectional approach. The study was conducted from February to April 2025. The population in this study were all 142 junior high school teachers in Muara Kelingi District, Musi Rawas Regency, with a sample size of 65 taken using simple random sampling. The research instrument used a questionnaire. Univariate analysis results indicate that the percentage of each dependent and independent variable is good. The Chi-square statistical test results in the bivariate analysis indicate a relationship between individual factors (age, gender, body mass index, and physical activity) and occupational factors (length of service and work posture) and musculoskeletal disorders in junior high school teachers in Musi Rawas Regency, with a p-value <0.05. Multivariate analysis results indicate that the most dominant factor contributing to musculoskeletal disorders in junior high school and Islamic junior high school teachers in Musi Rawas Regency is work posture.
Analisis Usia Kehamilan, Pola Makan dan Dukungan Sosial terhadap Keluhan Emesis gravidarum pada Ibu Hamil
Emesis gravidarum is a common condition during the first trimester of pregnancy that may affect maternal physical well-being, nutritional status, and quality of life. This condition is multifactorial, involving biological, behavioral, and psychosocial factors. This study aimed to analyze the association between gestational age, dietary patterns, and social support with emesis gravidarum complaints. A quantitative analytic observational study with a cross-sectional design was conducted at Bangetayu Primary Health Center, Semarang, in October 2025. A total of 34 first-trimester pregnant women were recruited using total sampling. Data were collected using the PUQE-24 questionnaire to assess symptom severity, a Food Frequency Questionnaire (FFQ) to evaluate dietary patterns, and the Multidimensional Scale of Perceived Social Support (MSPSS) to measure social support. Spearman’s rank correlation test was applied with a significance level of p<0.05. The mean emesis gravidarum score was 7.38±1.923, with a mean gestational age of 9.32 weeks. Gestational age (p=0.004) and dietary patterns (p=0.019) were significantly associated with emesis gravidarum, whereas social support showed no significant association (p=0.231). Early gestation was linked to more severe symptoms, while better dietary patterns were associated with milder complaints. Early pregnancy monitoring and dietary education are recommended to reduce symptom severity.
Pengaruh Slow Deep Breathing Terhadap Penurunan Nyeri Punggung Menjelang Persalinan
Labor pain begins in the first stage, which includes the latent phase (cervical dilation up to 3 cm) and the active phase (cervical dilation from 4 cm to 10 cm). The active phase sees an increase in the intensity and frequency of contractions, leading to peak pain. Research on 2,700 delivering mothers found that 15% experienced mild pain, 35% moderate pain, 30% severe pain, and 20% very severe pain. To reduce maternal mortality (AKI), minimizing labor pain is crucial. Labor pain can be controlled through pharmacological and non-pharmacological methods. Non-pharmacological methods include counter pressure, hypnobirthing, endorphin massage, effleurage massage, relaxation techniques, warm compresses, Mozart music, murottal therapy, acupressure, and aromatherapy. Distraction and pain management techniques are vital for healthcare providers to help reduce pain, especially during the first stage of labor. One effective method is deep breathing relaxation, where regulating the breathing pattern can reduce pain caused by cervical dilation. Slow deep breathing, a conscious relaxation technique, has several benefits, such as reducing stress and anxiety, improving focus, lowering blood pressure, enhancing sleep quality, and improving digestion. Objective: To determine the effect of slow deep breathing on labor pain reduction. Results: Wilcoxon statistical test showed a significance value of ρ = 0.023 (ρ<0.05), indicating a significant difference in labor pain levels before and after applying slow deep breathing. Conclusion: Slow deep breathing reduces labor pain levels.
Pengaruh Penyuluhan Menggunakan Video (VINEMA) terhadap Tingkat Pengetahuan Ibu Hamil dengan Anemia
Background: Anemia among expectant mothers persists as a critical public health concern, posing significant risks to both maternal and fetal well-being. National data indicates a prevalence of 48.9% in Indonesia; notably, Central Java remains a focal point for this issue, recording some of the highest statistics in the country. Effective education is essential to prevent anemia, and animated video media is considered more engaging and easier for pregnant women to understand. Objective: To determine the effect of counseling using educational videos on the knowledge of pregnant women with anemia. Methods: This study used a a quasi-experimental pretest–posttest design involving 44 pregnant women diagnosed with anemia, who were assigned to either an experimental or a control group. Statistical analysis was conducted using the Mann–Whitney test. Findings revealed an improvement in the average knowledge score from 8.91 at baseline to 9.23 following the intervention, with a significant mean difference of 1.18 recorded in the post-intervention phase. However, counseling using video did not significantly affect knowledge (p>0.05). Conclusion: Counseling using video media (VINEMA) did not yield a statistically significant improvement in the knowledge levels of pregnant women suffering from anemia. Nevertheless, this medium shows potential as a supplementary educational resource for fostering favorable attitudes regarding the prevention of anemia.
Hubungan Tingkat Pengetahuan dengan Kepatuhan Hand Hygiene di Puskesmas Ciparay DTP
Nosocomial infections, or Healthcare-Associated Infections (HAIs), are infections acquired by patients during treatment in hospitals or other healthcare facilities. Hand hygiene is an important effort in preventing nosocomial infections, but its practice remains low. Many factors influence hand hygiene compliance among healthcare workers, one of which is knowledge level. This study aims to analyze the relationship between knowledge level and hand hygiene compliance among workers at the Ciparay DTP Public Health Center. The instruments used in this study were a knowledge level questionnaire and a hand hygiene compliance questionnaire. The research method used was quantitative with a cross-sectional approach. The sample used in this study was 71 people. Data analysis was performed using the Fisher's Exact test. The results showed that the majority of respondents were male (62%), aged 36.6% between 31 and 40 years, and had a maximum length of service of <5 years (39.4%). The majority of respondents (93%) were compliant with hand hygiene practices, and the majority (84.5%) had good knowledge. Bivariate analysis showed a significant relationship between knowledge level and hand hygiene compliance among workers at the Ciparay DTP Public Health Center, with a p-value of <0.005. Knowledge level is a crucial factor in the implementation of hand hygiene in Public Health Center. Continuous education for Public Health Center workers can be an effort to encourage hand hygiene compliance in Public Health Center, thereby preventing nosocomial infections in Public Health Center.
Faktor Risiko Diabetes Melitus Tipe II pada Wanita Kelompok Umur ≥15 Tahun di Indonesia Analisis Data Survei Kesehatan Indonesia 2023
Type 2 Diabetes Mellitus (T2DM) is a public health problem with a continuously increasing prevalence, and it is higher in women than in men. This study aimed to analyze the risk factors for T2DM in women aged ≥15 years in Indonesia based on data from the 2023 Indonesian Health Survey. This study was a secondary data analysis with a cross-sectional design involving 346,760 women who met the inclusion criteria. Univariate and bivariate analyses were performed using the Chi-Square test with calculation of the Prevalence Odds Ratio (POR) at a 95% confidence level. The results showed the prevalence of T2DM was 1.3%. Factors significantly associated included age ≥40 years (POR=22.4), low education level (POR=1.34), unemployed status (POR=1.18), urban residence (POR=1.91), mild physical activity (POR=1.15), obesity (POR=1.27), and overweight (POR=1.27). Protective factors included vigorous physical activity (POR=0.77) and underweight BMI (POR=0.65), while marital status was not significantly associated (p=0.135). T2DM in women is a multifactorial disease influenced by the interaction of biological, social, behavioral, and environmental factors, thus requiring risk-based promotive and preventive interventions.
Analisis Determinan Kejadian Anemia Ibu Hamil di Wilayah Kerja Kabupaten Ogan Komering Ilir Tahun 2025
Globally, anemia among pregnant women remains a major public health problem, with a prevalence of 41.8% in 2024 according to WHO data. In Indonesia, the incidence of anemia in pregnancy continues to increase, affecting both maternal and fetal health. Therefore, further analysis of the determinants influencing anemia among pregnant women is necessary. This study aimed to analyze risk factors associated with anemia and identify the dominant factor among pregnant women in the Working Area of Ogan Komering Ilir Regency in 2025. This research employed an analytical observational design with a cross-sectional approach, involving 110 pregnant women attending Muara Burnai, Kutaraya, and Rantau Durian Community Health Centers from July to August 2025, using Accidental Sampling technique. The results showed that most respondents were aged 20 years, had higher education, poor knowledge, income below the regional minimum wage, low family support, poor compliance with iron tablet consumption, and suboptimal ANC visit achievement. Significant associations were found between age, education, knowledge, family support, pregnancy interval, iron tablet adherence, and ANC visit achievement with anemia incidence, while occupation, income, and healthcare workers’ roles were not significantly related. The most dominant factor influencing anemia was ANC visit achievement. Improving ANC compliance and nutrition education should be prioritized to reduce the incidence of anemia among pregnant women.
Identifikasi Hiperbilirubinemia pada Neonatus Menggunakan Metode Jendrassik-Grof di RS Nyi Ageng Serang Yogyakarta
Hyperbilirubinemia is a normal condition that occurs in newborns during the first week of birth. This condition is important to note because too high bilirubin levels can lead to complications that can attack the brain such as the incidence of encephalopathy and the incidence of cerebral palsy in infants if left unchecked. This study aims to identify the incidence rate of hyperbilirubinemia in Nyi Ageng Serang Hospital Yogyakarta. This research method uses quantitative research with a cross sectional approach, which uses secondary data, namely data obtained from other parties or agencies. This study used total sampling because all data in this study were used during the 2021 period. The data obtained were analyzed using the SPSS 25.0 program using univariate, bivariate, Chi-Square and Odds Ratio tests. The results of this study showed that the proportion of neonates experiencing hyperbilirubinemia was 30.1% of a total of 558 subjects, while 69.9% did not experience hyperbilirubinemia, with the majority being delivered through normal birth. The Chi-Square test obtained a p-value of 0.582, indicating that there was no significant association between Caesarean delivery and the incidence of hyperbilirubinemia at Nyi Ageng Serang Hospital Yogyakarta in 2021. This is because the number of patients with less months neonates who were treated was less than the number of patients with full months neonates.
Penerapan Praktik Keperawatan Keluarga melalui Intervensi Foot Massage dan Rendam Kaki Air Hangat Jahe dengan Pendekatan Family Empowerment pada Lansia Hipertensi di Wilayah Kerja Puskesmas Air Putih Samarinda
Hypertension is one of the major health problems among the elderly and poses a significant risk of serious complications if not properly managed. In addition to pharmacological therapy, safe, simple, and independent non-pharmacological approaches involving family participation are needed. This study aimed to analyze family nursing practice through a family empowerment approach using innovative interventions of foot massage and warm ginger foot soak to reduce blood pressure among elderly families with hypertension in the working area of Air Putih Public Health Center, Samarinda. The method used was a family nursing case study applying the nursing process approach. The interventions were conducted over three visits, including family education, foot massage training, and warm ginger foot soak therapy. The results showed a decrease in both systolic and diastolic blood pressure after the interventions, as well as an improvement in family knowledge and independence in caring for family members with hypertension. It can be concluded that the combination of foot massage and warm ginger foot soak based on family empowerment is effective as a complementary non-pharmacological therapy in controlling blood pressure among elderly patients with hypertension.
Karakteristik Roti Manis dengan Penambahan Tepung Jagung (Zea Corn L.) sebagai Makanan Sumber Serat
Sweet bread is one of the bakery products that is popular among consumers, but is generally low in dietary fiber. The addition of fiber in bread can improve the health benefits and nutritional quality of the product. High-fiber sweet bread with the addition of corn flour has been formulated and characterized to increase its fiber content. This study aims to determine the sensory characteristics and dietary fiber content of sweet bread products with the addition of corn flour. In this study, using a completely randomized design (CRD) research method, bread was made with several formulations containing a ratio of corn flour and wheat flour, namely (1) 0: 100; (2) 20: 80; (3) 30: 70; (4) 40: 60; (5) 50: 50 (%) with 3 repetitions. The results of the color sensory test on sweet corn flour bread ranged from 1.57-3.29 (brownish yellow) with a P value = 0.000. The taste of sweet corn flour bread ranged from 3.14-3.69 (very sweet) with a P value = 0.037. The aroma of sweet corn flour bread ranges from 2.23-2.17 (fragrant) with a P value of 0.175. The texture of sweet corn flour bread ranges from 2.40-3.06 (soft) with a P value of 0.014. The dietary fiber content of sweet corn flour bread ranges from 19.26%-53.68% with a P value of 0.021. The proportion of corn flour and wheat flour does not affect the aroma of sweet bread. The proportion of corn flour and wheat flour significantly affects the color, taste, texture, and dietary fiber content.