e-ISSN: 2655-6812 HealthCare Nursing Journal is one of the electronic journals administered by the Muhammadiyah University of Tasikmalaya for Nursing Program since 2019. The journal has been accredited by the Ministry of Research, Technology, and Higher Education (SINTA). This journal accredited in SINTA-4 since 2022 to 2027 (No.0173/C3/DT/05.00/2025). This journal is published twice a year (January and July), and is a facility for academic civitas in the fields of health and nursing. The journal's scope areas include such as nursing in Medical-surgical, Emergency and disaster, Critical, Child, Maternity, Mental Health, Gerontological, Community, Management and leadership. HealthCare Nursing Journal offers the work of lecturers, students, and other health professionals as a means of scientific publication. Since January 2023 (Volume 5 Issue 2) the articles published were 30 articles with ±300 pages per issue. Articles published in this journal could be in the form of a research article and review article. gebelik hesaplama hamilelik belirtileri hafta hafta gebelik gebelik kadın hastalıkları kadın doğum uzmanı bakırköy jinekolog jinekolog kadın doğum doktoru hamilelik en iyi kadın doğum doktoru drgonulcimen.com
LP3M Universitas Muhammadiyah Tasikmalaya
Situation Awareness of Beach Tourism Managers in Emergency Conditions
Tourism activities at the beach often triggered emergency conditions, such as drifting or drowning, which required a quick response from beach tourism managers such as Balawista. Situation awareness in tourism managers could influence the decision-making process so that first aid could be given properly and minimize cases of more serious emergencies. However, there hasd been no research related to the description of situation awareness identified in tourism managers. Purpose To determine the situation awareness of tourism managers in emergency conditions that required first aid at Pangandaran Beach. Methods this study was a quantitative descriptive study. The population used in this study was the Pangandaran Regency Balawista Team of 52 people with sampling techniques using total sampling. This research instrument used a modified Situation Awareness Rating Technique (SART). The data analyzed is univariate which is presented using descriptive statistical tables. This study showed that the average value of situation awareness of tourism managers was 25.9 with an average demand dimension of 13.05, supply dimension of 22.17, and understanding dimension of 16.78. Conclusion: Situation awareness of tourism managers tended to be high with individual capacity and good understanding of the emergency conditions faced.
Copyright (c) 2025 The Author(s) https://creativecommons.org/licenses/by/4.0
Description of Knowledge and Self-Efficacy of Breastfeeding Mothers in Exclusive Breastfeeding in The Work Area of Parigi Community Health Center
In Indonesia in 2022, exclusive breastfeeding coverage was recorded at 67.96%. This figure is still far from the National breastfeeding coverage target of 80%. One of the causes of the low coverage of exclusive breastfeeding is the lack of knowledge of mothers regarding the good breastfeeding process and the selfefficacy of breastfeeding mothers. The purpose of this study was to determine the description of the knowledge and self-efficacy of breastfeeding mothers in providing exclusive breastfeeding in the Parigi Health Center work area. This study used a quantitative descriptive method with a cross-sectional approach. The population in this study were all breastfeeding mothers totaling 123 people for infants aged 0-6 months in the Parigi Health Center Work Area. The research sample was taken using a total sampling technique of 123 people. Data collection used a questionnaire on maternal breastfeeding knowledge and Breastfeeding Self Efficacy-Short Form (BSE-SF). Data were analyzed univariately using the mean/median formula and the data were presented in a frequency distribution table. The results showed that some mothers had a sufficient level of knowledge (61%) regarding exclusive breastfeeding. In addition, the level of self-efficacy of breastfeeding mothers is also in the high category (50.4%). It can be concluded that knowledge and self-efficacy can increase the success rate of exclusive breastfeeding. For nursing staff, especially community nurses and pediatric nurses, to be more proactive in providing structured education about the importance of exclusive breastfeeding.
Anxiety Scores Related To Facing Death Before And After SEFT Therapy Based on Dzikir and Prayer
Old age represents the final stage in the human life cycle, during which individuals experience various changes as they enter the aging phase. Degenerative processes bring about numerous transformations, including psychosocial changes such as anxiety. One prominent source of anxiety among the elderly is the fear of death. Addressing this anxiety requires integrating spiritual elements, such as SEFT (Spiritual Emotional Freedom Technique) therapy based ondhikrand prayer.This study aimed to determine the difference in anxiety scores related to facing death before and after SEFT therapy based ondhikrand prayer among the elderly in Cijati Village, Cimanggu District, Cilacap Regency. This quantitative study employed a pre-experimental design with a pre-test and post-test approach. The sample consisted of 32 individuals aged 6070 years, selected using judgment sampling. Data were analyzed using the paired sample t-test. The findings revealed a significant difference in anxiety scores related to facing death before and after the SEFT therapy intervention based ondhikrand prayer, with a p-value of 0.000. It is concluded that there was a significant difference in anxiety scores related to facing death before and after SEFT therapy based ondhikrand prayer among the elderly in Cijati Village, Cimanggu Sub-District, Cilacap Regency.
Analysis of Stress Levels in Adolescents at Ciamis Senior High School 2
Adolescents are an age group particularly vulnerable to stress due to academic, social, and emotional pressures. Unmanaged stress can negatively affect mental health and academic performance. This study aims to analyze stress levels among adolescents at Ciamis Senior High School 2 based on age and gender. A descriptive quantitative approach was used with purposive sampling. The research instrument was the DASS questionnaire, distributed to 861 respondents aged 14–18 years. Data were analyzed using descriptive statistical methods. The majority of respondents experienced moderate (33.57%), severe (22.42%), and extremely severe (16.61%) levels of stress. Adolescents aged 16–17 and females showed higher stress levels than other groups. The findings indicate that mid-adolescents and females are more prone to psychological pressure. This is consistent with Erikson's psychosocial development theory and the transactional stress model by Lazarus & Folkman. Most adolescents experience moderate to extremely severe stress, particularly those aged 16–17 and females. Contextual and gender-sensitive mental health interventions are needed in the school environment
Preventing Ventilator Associated Pneumonia (VAP) in the Neonatal Intensive Care Unit (NICU) and Pediatric Intensive Care Unit (PICU)
Ventilator-associated Pneumonia (VAP) is a lung infection that occurs in patients who use mechanical ventilation for breathing. Neonates and children with respiratory distress who require mechanical ventilation have a higher risk of developing VAP. Neonates and children using breathing apparatus in the Neonatal Intensive Care Unit (NICU) and Pediatric Intensive Care Unit (PICU) are prone to Ventilator Associated Pneumonia (VAP). Therefore, VAP prevention should be considered one of the most important issues in NICU and PICU care. This study aims to identify VAP prevention efforts in the NICU and PICU. The research design used in this study was descriptive qualitative. This study's sampling technique used the Focus Group Discussion (FGD) with six nurse participants who worked in the NICU and PICU of a regional public hospital in Bandung using a semi structured interview format. Data were analyzed using thematic analysis. Three main themes describe implementing VAP prevention efforts in the NICU and PICU. The first theme concerns VAP prevention efforts that are still not optimal. Some VAP prevention measures implemented include hand washing, gloves usage, sterile suctioning techniques, head up 30-45 degrees, and oral hygiene. At the same time, other actions have not been routinely carried out. The second theme is the existence of barriers to implementing VAP prevention, and the third theme is related to the need to increase the capacity of nurses and support facilities. Based on the study's results, nurses revealed that the implementation of the VAP prevention program in the NICU and PICU had not run optimally, one of which could be caused by limited infrastructure and nurses' competence. Thus, it is necessary to increase the knowledge and skills of nurses related to VAP and provide adequate infrastructure.
Factors Associated with Traffic Police Officers’ Knowledge in Providing First Aid to Accident Victims
First aid is an immediate and temporary intervention provided at the scene before advanced medical assistance becomes available. Traffic police, as trained lay responders, play a critical role in emergency situations, particularly in traffic accidents. This study aimed to identify factors associated with traffic police officers’ knowledge of providing first aid to accident victims. A quantitative method with a descriptive-analytic design and a cross-sectional approach was employed. The sample consisted of 50 traffic police officers from the Pekanbaru Police Department, selected through consecutive sampling. Data were collected using a structured questionnaire assessing knowledge and attitudes toward first aid. The results showed that the majority of respondents were aged 26–39 years (82.0%) and had higher education (52.0%). Most had not received additional training (78.0%), and 60.0% had provided assistance to accident victims in the past two years. A total of 58.0% of respondents demonstrated good knowledge. The most significant factors influencing knowledge were additional training (p=0.016; OR=10.526) and higher educational attainment (p=0.025; OR=3.800). These findings underscore the importance of supplemental training and the integration of first aid content into formal police education. Practice-based and simulation-based training programs are recommended as effective strategies to enhance practical skills and strengthen the role of police officers as lay first responders in emergency situations.
Relationship Between Knowledge And Genital Hygiene With The Incidence Of Fluor Albus
Fluor Albus (leucorrhea) is an abnormal vaginal secretion in women. Almost all women have experienced leucorrhea. In normal conditions, this is actually normal. This becomes a problem and is called "leucorrhea" if the condition is too much, itchy, smelly, and painful. Factors that influence leucorrhea include personal hygiene, stress levels and physical activity in adolescents. This study aims to determine the relationship between knowledge and genital hygiene with the incidence of fluor albus in class X female students of SMK Muhammadiyah 1 Sumedang. The type of research used is quantitative research which is descriptive analytical with a cross-sectional approach. The population in this study were 52 class X female students, with a sample size of 39 female students using the total sampling technique. The analysis used was univariate and bivariate analysis using the Chi-Square test. The results of the study showed that there was a relationship between knowledge and the occurrence of fluor albus with a ρ-value of 0.004, and there was a relationship between genital hygiene and the occurrence of fluor albus with a ρ-value of 0.003. Female students who have a good level of knowledge about genital hygiene behaviour are less likely to suffer from fluor albus. It is hoped that female students will gain a lot of knowledge from research on fluor albus, namely how to carry out genital hygiene care.
Relationship Between Spirituality and Quality of Life of Type II Diabetes Mellitus Patients
Type II diabetes mellitus (DM) is a chronic disease that causes changes in the quality of life of sufferers. To improve the quality of life, good spirituality is needed. The purpose of the study was to determine the relationship between spirituality and the quality of life of patients with type II diabetes mellitus. This type of research is correlational. The population was Type 2 DM II patients at UPTD Puskesmas Sukabumi with a sample of 104 respondents. The sampling technique used Proportional Random Sampling. Data collection techniques using questionnaires. The results of the spirituality questionnaire validity test 0.36-0.83 and quality of life 0.428-0.857. The reliability test results of the spirituality questionnaire with a Crombach's Alpha value of 0.97 and quality of life with a Crombach's Alpha value of 0.969. Data analysis using chi-square test. The results showed that most had high spirituality and most had high quality of life. The results of the chi-square test obtained a P-value of 0.000 which means p < 0.05 H0 is rejected, so there is a relationship between spirituality and the quality of life of patients with type II diabetes mellitus. The study concluded that there is a relationship between spirituality and the quality of life of patients with type II diabetes mellitus. It is expected that UPTD Puskesmas Sukabumi can conduct routine counselling related to DM management and can maintain the support system and encourage themselves to get closer to God.
Environmental Sanitation and Stunting Among Toddlers In Indramayu : A CrossSectional Study
Stunting is chronic malnutrition over a long period of time. One of the factors causing stunting in toddlers is environmental sanitation. Environmental sanitation is an effort to control all human physical environmental factors that may cause or may cause things that are detrimental to human physical development, health and survival. The aim of the study was to determine the relationship between environmental sanitation and stunting in toddlers in Indramayu. This research is quantitative research with cross-sectional study. The population in this study were mothers who had toddlers aged 12-59 months in the Lelea Health Center Service Area, Indramayu Regency. The sampling technique used was a purposive sampling of 46 respondents. The research instrument used a questionnaire and observation sheet, data analysis used univariate and bivariate analysis. The results of this study show that as many as 27 (58.7%) mothers had an unhealthy environment and as many as 28 (60.9%) toddlers were identified as having stunting. The results of the analysis showed that there was no relationship between environmental sanitation and stunting in Indramayu with a P-value = 0.566 (α = 0.05). The conclusion of this study is that there is no relationship between environmental sanitation and stunting in Indramayu.
Environmental Sanitation; Stunting; Toddlers
Fear Of Missing Out with Social Media Addiction and Sleep Quality in Adolescents at Tasikmalaya, West Java
Fear of Missing Out (FoMO) is the fear of missing out on precious moments of other individuals or groups where the individual cannot be present, so there is a desire to stay connected with what other people are doing on social media. Individuals who experience FoMO will continuously access social media especially at night, causing social media addiction and decreased sleep quality. The purpose of this study was to determine the relationship between Fear of Missing Out with social media addiction and sleep quality in adolescents at State Junior High School 1 Cikoneng. Quantitative research with a cross-sectional approach. The sample in this study was 95 respondents, with a sampling technique using random sampling. The research measuring instrument used the FoMO questionnaire, SMAS questionnaire, and PSQI questionnaire which had been tested for validity. Based on the Chi-Square Test in the FoMO category with social media addiction, the p-value is 0.000 and the FoMO category with sleep quality has a p-value of 0.000. There is a significant relationship between Fear of Missing Out and social media addiction, and there is a significant relationship between Fear of Missing Out and sleep quality in adolescents.
Fear of Missing Out (FoMO); Social Media Addiction; Sleep Quality; Adolescents
School Based Iron Supplementation to Reduce Anemia
Anemia is a common health issue affecting adolescent girls, particularly in countries with low to middle income. One of the leading causes is iron deficiency, often due to insufficient dietary intake and poor compliance with supplementation programs, even when national initiatives such as Weekly Iron Folic Acid Supplementation (WIFAS) are in place. This study aimed to assess the impact of a comprehensive intervention conducted in schools on improving hemoglobin levels, knowledge, and adherence to iron supplementation among teenage girls. A quasi-experimental study using a pre-post control group design was carried out over twelve weeks in two public senior high schools located in Bali Mandara, Buleleng, Indonesia. A total of 200 female students aged between 15 and 17 years were randomly assigned into intervention and control groups. The intervention strategy included weekly supervised intake of iron tablets, biweekly educational sessions on anemia, peer support mechanisms, and involvement of parents in the program. The evaluation focused on changes in hemoglobin levels, knowledge related to anemia, and records of supplementation adherence. The results revealed notable improvements in all three indicators among students in the intervention group. Specifically, the program contributed to better awareness, more consistent tablet consumption, and an overall reduction in anemia prevalence. These findings suggest that combining education, direct supervision, and family participation within a school-based framework can effectively support anemia prevention and improve adolescent health outcomes.
A Family Empowerment Model Based on Family-Centered Care (FCC) in Managing Type 2 Diabetes Mellitus in Rural Communities
Background: Type 2 diabetes mellitus (T2DM) poses a significant burden among older adults in rural communities due to limited health literacy, inadequate access to services, and deeply rooted cultural practices. Family involvement is often essential yet unsupported by structured interventions. Purpose: This study aimed to develop a culturally contextual Family Empowerment Model based on Family-Centered Care (FCC) to strengthen diabetes self-management among older adults with T2DM in rural settings. Methods: A descriptive qualitative design was employed, involving 21 participants (older adults, family caregivers, and health workers) from Sukamaju Village, Tasikmalaya, Indonesia. Data were collected through in-depth interviews and focus group discussions, and analyzed using Braun and Clarke’s thematic analysis framework. Results: Four main themes were identified: (1) Family as the first line of care, (2) Cultural and spiritual values in caregiving, (3) Need for empowerment and health literacy, and (4) Community health workers as bridging agents. These findings informed a structured empowerment model encompassing family roles, cultural alignment, health education, and community engagement. Conclusion: The FCC-based Family Empowerment Model offers a comprehensive, culturally appropriate approach to improve T2DM care in rural areas. It has the potential to enhance self-care capacity, reduce caregiver burden, and strengthen community-based health systems.
Effectiveness of Audiovisual Education Methods with Whatsapp Group Media for Knowledge Self Management in Hypertension
Audiovisual media is media that contains audio and visual elements which have the ability to be more interesting because they include sound and images. Whatsapp groups are usually used for learning together and can be used for discussions. Self-management refers to a person's activity of doing something as a whole in his life independently to improve and maintain his health. Knowledge is the result of human sensing or the result of a person's knowledge of an object through his or her five senses. The aim of this research is to determine the effectiveness of audiovisual education methods using WhatsApp group media in increasing knowledge and self- management in hypertension patients. This research uses a pre-experimental design with the form of a one group pretest-posttest design. The sample in this study was someone who experienced hypertension in the elderly in the Cihaurbeuti Community Health Center working area. The technique used was purposive sampling with a sample of 35 respondents. The results of the research showed that the level of self-management knowledge of respondents before being given the intervention was in the fair category (77.2%), the majority of respondents' level of self-management knowledge after being given the intervention was in the good category (65.7%). There was an effect of providing audiovisual video media using the WhatsApp group method after being given the intervention with an increase of 3.09. The results of statistical tests using the Independent T test obtained Sign. (2-tailed) 0.00<0.05 means there is a significant influence.
Influence Compress Cold For Lower Intensity Post- operative pain On Fracture Patients With Open Reduction and Internal Fixation (ORIF)
Cold compresses can help reduce swelling and inflammation, and help relieve pain. Pain is one of the signs and symptoms of fractures. Pain after surgery is one of the problems faced by patients. Damaged tissue due to surgical procedures that open the skin triggers pain impulses. The type of surgery Open Reduction Internal Fixation (ORIF) is one of the most widely performed treatments. Open Reduction Internal Fixation (ORIF) functions as a fixation tool or connector for broken bones to return them to their proper shape. The purpose of this study was to determine whether cold compresses could effectively reduce the severity of postoperative pain in fracture patients. This study used a quantitative research design with two groups undergoing experimental treatment (two groups pre-test and post-test). Pharmacological therapy in the control group was effective in reducing pain, the combination of pharmacological therapy and cold compresses in the experimental group provided a more optimal analgesic effect .
The Influence of Health Education with Video Media on ROMRegarding the Level of Knowledge in Families of Stroke Patients
The Ministry of Health of the Republic of Indonesia reported that in, individuals aged 75 years and older represented the largest age group affected by stroke, followed by those aged 65-74 years. However, individuals under 45 years old are still at risk for non-hemorrhagic strokes. In West Java Province, with a population of 131,846, the stroke incidence rate is 11.4%. According to the Ministry of Health, Sumedang District reported 12,584 stroke cases, particularly in the Puskesmas (Community Health Centers) of Tanjungsari, Cimanggung, and Buahdua, which had the highest number of stroke patients. Functional hand exercises using Range of Motion (ROM), which involve various joint movements to enhance muscle strength and flexibility, are crucial for stroke patients experiencing reduced joint mobility. This study uses a quantitative non-parametric approach with an observational research design. The study population consisted of 20 elderly individuals over 60 years old, all of whom were included in the sample. Data was collected through an observation sheet specifically designed to assess ROM. Statistical analysis was performed using univariate and bivariate tests, along with the Wilcoxon Signed Rank Test. The results showed a significant increase in knowledge after the intervention. In the video media group, the average knowledge score increased from 37.51 to 57.21 (p < 0.001). In the leaflet media group, the average score increased from 30.56 to 45.10 (p < 0.001). Video media proved to be more effective than leaflets, with a greater increase in knowledge and a more uniform distribution of scores. Both media positively influenced the knowledge of stroke patients' families regarding ROM, but video media had a greater statistical and practical impact.
Comparison of Knowledge and Attitudes of Faculty of Nursing and Non-Faculty of Nursing Students of Indonesian Adventist University Toward Human Monkeypox
Effective disease control, including monkeypox (mpox), relies heavily on community knowledge and adherence to preventive measures. To compare the knowledge and attitude of Faculty of Nursing and Non-Faculty of Nursing students of Universitas Advent Indonesia towards Human Monkeypox. This study is descriptive and uses quantitative methods with a cross-sectional approach. Data were collected using a validated Google Form questionnaire. The population of this study consisted of students from the Faculty of Nursing and Non-Faculty of Nursing at Adventist University of Indonesia. Sample: The sample consisted of 120 students, with each group (Faculty of Nursing and Nursing) totaling 60 people. The results of this study showed that Nursing students had better knowledge and attitude toward Human Monkeypox than Non Nursing students. A total of 47 people (78%) had high knowledge and 55% had a good attitude, while in Non-Nursing only 38 (63%) had the level of knowledge and 4 people (7%). There is a significant difference with (P < 0.001), Knowledge and attitude of Faculty of Nursing students towards Human Monkeypox are better than Non-Nursing students. Based on the results of this study, it is recommended that higher education institutions develop interdisciplinary education related to infectious diseases such as Human Monkeypox. Education can be carried out through seminars, training, curriculum integration, and optimization of digital media. Collaboration between faculties is also important to strengthen literacy and preventive attitudes towards infectious diseases.
Adapting Design Thinking for Medical IoT: A Scoping Review of Iterative Frameworks in Geriatric Healthcare
The aging global population, projected to reach 22% by 2050, necessitates innovative healthcare technologies tailored to elderly users. While Medical Internet of Things (IoT) systems offer promising solutions for geriatric care, their development faces significant challenges including usability limitations and cybersecurity vulnerabilities. This scoping review examines how Design Thinking (DT) frameworks can be adapted to address the unique requirements of elderly-centric embedded systems development. A systematic scoping review following Joanna Briggs Institute methodology was conducted using SCOPUS database searches. Boolean operators combined keywords related to Design Thinking, elderly and Internet of Things. Inclusion criteria encompassed peer-reviewed studies (2015-2025) and grey literature addressing iterative design modifications for elderly populations, excluding non-English publications and systems without embedded sensor components. From 106 initial records, 10 studies met inclusion criteria after systematic screening. Key modifications to traditional DT phases included deeper user involvement, slower pacing, real-world validation, inclusive engagement strategies, co-design methodologies, and enhanced ethical considerations throughout development processes. Modified DT frameworks for elderly IoT development require prioritizing inclusive, context-aware, and iterative processes. Co-design approaches, real-world validation, and ongoing stakeholder support are essential for creating accessible, accepted, and effective solutions that address the complex physiological, cognitive, and socio-technical challenges faced by aging populations
Aged; Design Thinking; geriatric care; Medical IoT; Internet of Things
Relationship Between Family Support and Self-Care Independence in Stroke Patients
Stroke is a sudden neurological condition that causes local or widespread disturbances in brain function. Its impact includes physical limitations, disabilities, and psychological issues such as stress and depression. These often lead to patients becoming dependent on others and needing continuous assistance. Family support plays a crucial role in the recovery process, especially for stroke survivors. Families can assist by providing motivation and guidance so that patients can gradually perform daily activities independently. This study aims to examine the relationship between family support and the level of independence in self-care among stroke patients. The research used a quantitative design with a cross-sectional approach. A total of 80 stroke patients were selected using the Accidental Sampling technique. The results showed that most patients (53.8%) received adequate family support. Meanwhile, 50% of the patients were in the category of moderate dependence in self-care activities. A Spearman correlation test showed a significant relationship between family support and self-care independence, with a correlation value of 0.640, indicating a strong positive relationship. Therefore, it is highly recommended that families provide continuous support and encouragement to help patients stay motivated, improve their independence in daily life, and optimize their recovery.
The Role of Cadres in Improving the Health of Pregnant Women Regarding Drinking Compliance Fe Tablets and Folic Acid
Pregnant women should consume Fe during pregnancy, in addition to consuming folic acid. The function of folic acid can increase the enzymes alanine aminotransferase (ALT), aspartate transaminase (AST), and glutamyl transpeptidase (GGT) which are important for metabolism in the liver. Design of the study used generic exploratory research design. This study investigated the role of cadres in improving the health of pregnant women regarding compliance with taking Fe and folic acid tablets Method Data collection techniques used in-depth interviews with freer questions than semi-structured interviews with in-depth interviews. Testing the validity of the interview guidelines using pilot interviews Results were focus of cadre activities during posyandu and Factors influencing cadres to play an active role. In Conclusion, the role of health cadres is less effective. This is due to factors that influence the role of cadres, namely the lack of knowledge of cadres regarding the benefits and impacts of taking FE tablets and folic acid for pregnant women, the cadres are still waiting for instructions from the midwife.
Effectiveness of Reminiscence Therapy on Elderly Depression
Depression is a common mental health issue among older adults, especially in rural areas where access to psychosocial support is limited. One promising non-pharmacological approach is reminiscence therapy (RT), which encourages emotional expression and social connection through structured memory-sharing. This study aimed to evaluate the effectiveness of community-based reminiscence therapy in reducing depressive symptoms among elderly individuals at the Kubutambahan I Public Health Center in Bali, Indonesia. A quasi-experimental pre-test–post-test control group design was used with 40 elderly participants divided evenly into intervention and control groups. Depression levels were assessed using the Geriatric Depression Scale (GDS-15). Demographic data were comparable between groups. Post-intervention results showed a significant decrease in mean GDS scores in the intervention group (from 9.1 to 5.4; p < 0.001), while the control group experienced no significant changes. Qualitative feedback highlighted improvements in emotional relief and social engagement. Reminiscence therapy significantly reduced depression in elderly participants in a short period. This intervention should be integrated into primary care services, particularly in rural settings, to enhance elderly mental health through scalable, community-based approaches.
The Effect of Turnover Media on Increasing Knowledge of Compliance in Consumption of FE Tablets in Pregnant Women with Anemia
Anemia in pregnant women is a health problem that still exists throughout the world and has a negative impact on both mother and baby. The success of the government's Fe tablet administration program to treat anemia is strongly influenced by the adherence of pregnant women to consuming Fe tablets, besides that it is also influenced by the knowledge of pregnant women about anemia. Providing education to pregnant women is needed to increase knowledge of adherence to consumption of Fe tablets. Research Objectives: to determine the effect of flipchart media on increasing knowledge of consumption of Fe tablets in anemic pregnant women at the Cigeureung Health Center. The method used is quantitative with a pre-experimental approach. The sample used was 32 respondents from a population of 215 anemic pregnant women, the sampling technique used was purposive sampling. The instrument used was a questionnaire on increasing knowledge of consumption of Fe tablets that had been tested for validity and flipchart media. The data analysis used is the Wilcoxon test. Research results showed that there was an effect of flipchart media on increasing knowledge of adherence to consumption of Fe tablets with a p-value of 0.000 (p <0.05). The knowledge of pregnant women before being given education is sufficient then after being given education it is good. There is an effect of flipchart media on increasing knowledge of adherence to consumption of Fe tablets in anemic pregnant women at the Cigeureung Health Center. It is hoped that after learning about adherence to consuming Fe tablets, pregnant women with anemia can consume Fe tablets regularly.
Factors Associated with Prolanis Participation at Payo Selincah Health Center
Payo Selincah Community Health Center is the Community Health Center with the lowest number of Prolanis participants in 2022. Based on data from the Jambi City Health Service, there are 923 hypertension sufferers and 157 diabetes mellitus sufferers at Payo Selincah Health Center. Researchers aim to look at factors related to the use of the Chronic Disease Management Program (Prolanis) at the Payo Selincah Community Health Center. This research uses a correlational quantitative method with a cross-sectional research approach. The number of samples was 92, using accidental sampling technique. The research was conducted by interviewing respondents to see the relationship between age, gender, employment, education, knowledge, family support, the role of health workers, accessibility, and the need for services on the use of Prolanis. There is a relationship between employment (p = 0.034), knowledge (p = 0.000), family support (p = 0.000), the role of health workers (p = 0.001), and the need for services (p = 0.023) with the use of Prolanis. There was no relationship between age (p = 0.069), gender (p = 0.297), education (p = 0.752), and accessibility (p = 0.371) with the use of Prolanis.
HIV Patients' Experiences In Undergoing Anti Retroviral Therapy At Clinic 277 Advent Hospital Bandung
Antiretroviral therapy (ARV) is an important step in improving the quality of life of HIV patients, but its implementation often presents various challenges. This study aims to understand the experiences of HIV patients undergoing ARV therapy at Clinic 277 Adventist Hospital Bandung. A qualitative approach with a descriptive phenomenological design was used to explore patient experiences in depth. Data were obtained through in-depth interviews, participant observation, and medical document analysis with the participation of six HIV patients who met the inclusion criteria. The results showed that most patients experienced deep shock and anxiety when receiving an HIV diagnosis, but social support from family, community, and health workers helped them accept the condition. During ARV therapy, the main challenges faced included physical side effects such as dizziness, nausea, and skin rashes, as well as psychological challenges in the form of social stigma. However, ARV therapy has a positive impact on physical health, psychological well-being, and social interactions of patients. Continuous education from health workers has proven important in increasing patient adherence to ARV therapy. This study recommends increasing educational programs, psychosocial support services, and public campaigns to reduce stigma against PLWHA. The implications of this research are expected to support improving the quality of health services for HIV patients in Indonesia, especially in supporting adherence to ARV therapy.
The Comparison of the Implementation of Primary and Modular Nursing Care Methods at Advent Hospital Bandung
The primary nursing method is a method of providing nursing care aimed at professional values, with adaptability and competitiveness, as well as an effective nursing care model that always considers quality standards and patient safety. Nurses are required to improve the quality of their performance, as evidenced by research results that patient safety attitudes are influenced by patient safety goals. One indication of the success of nursing care provided during patient treatment is the length of stay. Length of Stay (LOS) is the number of days a patient is treated in the hospital, from the day of admission to the day of discharge, and LOS is also used by hospitals as a service indicator. This research is analytical with a descriptive correlational approach. The sampling technique used was purposive sampling. Based on the overall data analysis results, it was found that the Sig. (2-tailed) value = 0.022, which means that there is a significant comparison between the quality of primary nursing care and the Modified Team nursing care on the length of stay of patients in the hospital inpatient room.
The Role of Family in Caring for Critically Ill Children in the Intensive Care Unit: A Narrative Review
Critically ill children admitted to intensive care units experience complex physical and emotional challenges, not only for themselves but also for their families. Family-centered care (FCC) has become a cornerstone in children's critical care, emphasizing collaboration, respect, and shared decision-making between healthcare teams and families. Despite growing recognition of its benefits, the practical roles of families in children's intensive care unit settings remain diverse and sometimes underutilized across different healthcare systems and cultural contexts. This research aims to identify the family's role in caring for critically ill children in the intensive care unit. This research method uses narrative review. Articles were collected from Pubmed, ScienceDirect, EBSCOhost, and Google Scholar. The keywords used were critically ill children OR children in PICU OR children in NICU AND family involvement OR role of family OR family participation OR family-centred care OR FCC AND intensive care unit OR critical care with boolean "OR" and "AND". Inclusion criteria were free full-text, years of publication between 2020-2025, and articles in Indonesian or English. The search results obtained 11.345 articles, and only 10 articles met the criteria, which were then analyzed. Across various studies, families, particularly parents, emerged as essential components in the care of critically ill children. Their roles extended beyond traditional caregiving and encompassed several interconnected domains: emotional support and security, physical and emotional presence, advocacy and care partnership, participation in daily care, communication and shared decision-making, creating a sense of home and normalcy, coping and post-discharge involvement. Families contribute not only emotional and physical support but also advocacy, caregiving participation, and partnership in decision-making, all of which enhance patient outcomes and support holistic care delivery. Nurses are pivotal in operationalizing family-centred care principles and ensuring meaningful family involvement in caring for critically ill children in the intensive care unit.
The Effect of Workload on Effective Education Delivery to Patients in the Cempaka II Inpatient Room, Bandung Adventist Hospital
Hospitals play a vital role in healthcare systems by delivering comprehensive medical services. Nurses, as essential healthcare personnel, are responsible for providing holistic nursing care, including health education. However, a high workload may compromise their ability to educate patients effectively.This study aimed to analyze the relationship between nurses’ workload and the effectiveness of patient education in the Cempaka II inpatient ward at Advent Hospital Bandung.A descriptive quantitative design was employed, utilizing univariate and bivariate analysis. Data were collected through structured questionnaires with from 16 nurses and analyzed using frequency distribution and correlation tests.The study revealed that 62.5% of nurses experienced a high workload. Despite this, 62.5% of respondents reported delivering effective patient education. Key workload factors included understaffing, patient dependency, documentation demands, and expectations from hospital leadership and patients’ families.While a majority of nurses provided education effectively, high workload indicators, such as staffing shortages and extensive responsibilities, remained a significant challenge, potentially affecting consistency and depth in patient education delivery.High nurse workload is prevalent and may hinder optimal patient education. Strategies to balance workload and maintain education quality are essential to support patient outcomes.
The Relationship Between Knowledge and the Menstrual Cycle withAnemia in Adolescent Girls at SMKN X Sumedang
The incidence of anemia in adolescent girls is still high at 32%. Teenage girls with anemia during the pregnancy period can result in the risk of infant and maternal mortality, as well as low birth weight babies. The study aims to determine the relationship between knowledge and menstrual cycles with the incidence of anemia in adolescent girls at SMKN X Sumedang. The type of study is correlational. The population is all female students who have anemia. The number of samples is 67 female students. Inclusion criteria include adolescent girls with anemia (Hb levels <12 g/dL), not on a diet, not menstruating, and grade X. The sampling technique is simple random sampling. The instrument uses a checklist, observation sheet, and Hb examination (quick check). Data analysis uses the Spearman rank test. The results of the study did not show a relationship between the level of knowledge and menstrual cycles with the incidence of anemia (p >0.05). Evidenced by the level of expertise of respondents included in the good category and experienced mild anemia (19.4%), moderate (32.8%), and severe (3%). Meanwhile, respondents with a low level of knowledge have experienced mild to moderate anemia (22.4%). Meanwhile, adolescent girls experienced normal menstrual cycles and mild anemia (31.3%), moderate (50.7%), and severe (1.5%). Meanwhile, respondents experienced irregular menstrual cycles and mild anemia (10.5%), moderate (4.5%), and severe (1.5%). Future researchers can investigate other factors that cause anemia.
The Effect of Health Promotion on Adolescents' Knowledge of Reproductive Health
Adolescence is a transition period between childhood and adulthood and has relatively not reached the stage of mental and social maturity so that they have to face conflicting emotional and social pressures.Reproductive health is a complete physical, mental, and social act. Health promotion is an effort made towards the community so that they are willing and able to maintain and improve their health. Knowledge is an important domain in the formation of open behavior. The purpose of the study was to determine the effect of health promotion on adolescents' knowledge about reproductive health at SMP 11 April Sumedang in 2024. This type of research is quantitative with Pre-Experimental designs research method, with the research design used One Group Pretest-Posttest. The sample collection technique used total sampling with a sample of 74 respondents. The measuring instrument used was a reproductive health knowledge questionnaire. The analysis used the Wilcoxon signed rank test. The results showed that there was an effect of health promotion on adolescents' knowledge about reproductive health at SMP 11 April Sumedang in 2024 with a p-value 0,000 (p < 0.05). Health promotion plays an important role in increasing adolescent knowledge about reproductive health.
Cold Compress to Reduce Pain During Invasive Procedures: Systematic Review
Pain is one of the common effects experienced by children during invasive procedures, such as infusion, injection, blood sampling, and others. Cold compresses are a non-pharmacological method believed to be effective in reducing pain in children prior to invasive procedures. The purpose this systematic review aims to evaluate the effectiveness of cold compresses in reducing pain in children during invasive procedures. The study adopts a systematic review approach following the PRISMA guidelines. The synthesized articles were selected based on Randomized Controlled Trials (RCT) designs and met the inclusion criteria, namely children aged 0–18 years undergoing invasive procedures. Articles were sourced from PubMed, Cochrane, and ProQuest. The collected data included population, intervention, comparison, and outcomes measured using the Visual Analog Scale (VAS) and FLACC. A review of three articles showed that cold compresses significantly reduced pain intensity in children before invasive procedures. Data analysis using a random-effects model of secondary trial data revealed a mean difference in pain intensity of 0.34 (95% confidence interval: [-0.76, -0.33]), assessed using VAS and FLACC scores. Cold compresses are proven effective in reducing pain intensity in children before invasive procedures. Further studies are needed to explore the influence of other variables, such as the type of procedure and the duration of application
Characteristics of Family Support for Tuberculosis Sufferers at the Tamansari Community Health Center, Tasikmalaya City
Tuberculosis (TB) remains a major health problem in Indonesia, which ranks third in the world for the highest number of TB cases. TB patients generally have characteristics such as being of productive age, elderly, working in environments with pollution exposure, and having positive BTA test results. This study aims to identify the characteristics of family support for TB patients at the Tamansari Community Health Center, Tasikmalaya City. The research used a quantitative method with a population of 55 TB patients in the Tamansari Health Center working area. Results showed that most respondents were over 32 years old (43.6%) and had a junior high school education (45.5%). Regarding family support, 38 respondents (69.1%) received positive support, while 17 respondents (30.9%) experienced negative support. The findings indicate that the majority of TB patients receive positive family support. Family support plays an important role in the recovery and adherence to treatment of TB patients. Therefore, involving families in TB management is essential to improve treatment outcomes.