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
Renal and Metabolic Biomarker Alterations in Women with Breast Cancer: A Case–Control Study from Karbala, Iraq
Kidney dysfunction has gained increasing clinical importance as a comorbidity in patients with malignant disease, especially those suffering from solid tumors like breast cancer. The present work was designed to assess renal and metabolic biomarker dysregulations among women patients diagnosed with breast cancer compared with healthy subjects of Karbala city/Iraq. A hospital-based case–control study was performed from December 2018 to March 2019 in the Oncology Center of the Maternity and Children’s Hospital, Karbala. Seventy breast cancer women diagnosed with proven histology and 30 normal age-and sex-matched controls were included. Standardized biochemical assays were used to estimate concentrations of urea, creatinine, uric acid, glucose and total cholesterol in the serum. Data were analyzed statistically using the suitable parametric tests and significance was assumed as p < 0.05. The serum levels of urea, glucose and total cholesterol in breast cancer patients were significantly higher than those in normal controls (p < 0.05). On the other hand, serum creatinine and uric acid levels were lower in patients (p < 0.05). 45–55 years were the most affected group, accounting for the largest number of diagnosed patients. Breast cancer is characterized by marked perturbations in renal and metabolic biomarkers indicating subclinical renal damage and systemic metabolic irregularities. Regular follow-up monitoring of the kidney function-related variables should become part of breast cancer management to minimize renal effects and enhance therapeutic benefits.
Copyright (c) 2026 The Author(s) https://creativecommons.org/licenses/by/4.0
The Role of Mead's Symbolic Interactionism in Understanding the Dynamics of Individual Health Beliefs and Collective Healthy Behavior in Jatinangor
Healthy behavior is a key foundation in achieving the Healthy Indonesia 2030 agenda and must be developed at both individual and collective levels. This effort is supported by the availability of health services across all levels to promote prevention, early detection, and disease management. This study explores health belief factors that shape healthy behavior among the Jatinangor community using George Herbert Mead’s Symbolic Interactionism Theory. This perspective emphasizes that the meaning of healthy behavior is formed through social interaction, interpretation of social expectations (the generalized other), and symbolic communication processes. A qualitative approach was applied using in-depth interviews, observations, and focus group discussions (FGDs). The findings reveal that most participants possessed strong health beliefs, indicated by a high perception of health risks and a strong belief in the benefits of preventive actions. In addition, supportive community environments, ongoing health promotion, and mutual respect among individuals were identified as important contributors to psychological well-being. These factors reflect the role of symbolic interaction in shaping individual and collective health behavior. In conclusion, health beliefs, motivation, self-regulation, social support, and mindset formed through continuous social interaction—play a crucial role in achieving physical and emotional well-being. Therefore, strengthening community participation and peer support networks is recommended to enhance sustainable healthy behavior in the Jatinangor District.
Effectiveness of Giving Turmeric Tamarind on The Intensity Of Dysmenorrhea Pain in Adolescents At Al-Ikhwan High School, Tasikmalaya City
Dysmenorrhea is a health problem that is often experienced by adolescent girls and can interfere with daily activities. This condition is characterized by pain in the lower abdomen during menstruation that can last for several hours to days, reducing productivity and quality of life. One non-pharmacological method that can be used to relieve dysmenorrhea pain is consuming turmeric and tamarind. Turmeric and tamarind are believed to have anti-inflammatory and anti-pain properties that help reduce muscle tension and inflammation in the abdominal area, as well as increase comfort during menstruation. This study aims to determine the effectiveness of giving turmeric and tamarind on the intensity of dysmenorrhea pain in adolescents at Al-Ikhwan Integrated Vocational School, Cibeureum District, Tasikmalaya City. The study sample consisted of 18 respondents selected using purposive sampling techniques. Before the intervention, the average pain intensity experienced by respondents was 7.06 (severe pain category), while after the intervention it decreased to 3.78 (moderate pain category). The Paired T-Test was used to analyze the data. The Paired T-Test showed a p value = 0.001, which means there was a significant difference between before and after giving turmeric and tamarind. These results indicate that the administration of turmeric and tamarind is effective in reducing the intensity of dysmenorrhea pain in adolescents. The active compounds in turmeric and tamarind are thought to contribute to decreased inflammation and muscle tension, resulting in reduced pain during menstruation. It is hoped that this study can be a reference for adolescent girls as a natural alternative in overcoming dysmenorrhea. Health workers and educators are also expected to provide education on the use of turmeric and tamarind as a safe and affordable therapy option.
Implementation of Clean and Healthy Living Behaviors among Households in the Service Area of Pattalassang Health Center, Gowa District
This research aims to analyze the implementation of Clean and Healthy Living Behavior (PHBS) in households in the work area of the Patalassang Community Health Center, Gowa Regency. This research aimed to examine the encouraging and inhibiting factors for household PHBS implementation. The research was carried out using in-depth interviews and observations of informants who manage PHBS at the community health center level, as well as housewives and community leaders and assisted with data analysis software called MAXQDA which was used to explore the factors driving and inhibiting the implementation of PHBS through in-depth interviews, focus group discussions, and observation. The research results showed that adequate knowledge about PHBS, social support, both from family, community health centers and the government, as well as educational programs run by community health centers are the main driving factors. On the other hand, lack of knowledge, low personal awareness, and limited facilities such as sanitation, clean water and proper toilets are significant obstacles in implementing PHBS. The conclusions of this research emphasize the importance of increasing health education, strengthening social support, providing adequate sanitation facilities, and increasing individual awareness and motivation to achieve optimal PHBS implementation. With an integrated and collaborative approach, it is hoped that the implementation of PHBS in households in the Patalassang Community Health Center working area can continue to be improved, thus contributing to improving the overall quality of community health.
Clean and Healthy Living Behavior (PHBS): household, encouraging factors; inhibiting factors
The Influence of Booklet Media on Anemia Prevention on The Knowledge of Pregnant Women in The Cigeureung Tasikmalaya Community Health Center
Anemia in pregnant women is a health problem that remains high in Indonesia and can negatively impact the health of both the mother and the fetus. One effort to prevent anemia is through health education. This study aims to determine the effect of booklets on anemia prevention on the knowledge of pregnant women in the Cigeureung Tasikmalaya Community Health Center area. The study used a quantitative method with a One Group Pretest-Posttest design. The sample consisted of 32 pregnant women selected using a purposive sampling technique. The research instrument was a questionnaire consisting of 20 questions about knowledge of anemia prevention. Data analysis used the Wilcoxon test. The results showed that before being given education, most respondents had poor knowledge (53.1%), while after education with booklets, the majority had good knowledge (93.8%). The Wilcoxon test showed a p-value = 0.000 (<0.05), which means there is a significant effect of using booklets on increasing pregnant women's knowledge about anemia prevention. Booklets have proven effective as an educational tool because they can be read repeatedly, are easy to understand, and are visually appealing. It is recommended that health workers utilize booklets as an alternative educational medium in an effort to increase knowledge and encourage anemia prevention behavior in pregnant women.
The Role of Supervision and Nurses’ Job Satisfaction in Implementing Patient Safety Goals
The implementation of patient safety goals is essential to ensure safe nursing care and to prevent patient safety incidents. This study aimed to examine the relationship between nurses’ perceptions of supervision and job satisfaction and the implementation of patient safety goals at Hospital X in Bandung. A correlational analytic study with a cross-sectional design was conducted. Total sampling was applied, involving 89 staff nurses from all eligible units. Data were collected using a questionnaire distributed via Google Forms and analyzed using frequency distribution for univariate analysis and Kendall’s tau test for bivariate analysis. The results showed that 44.9% of respondents perceived supervision as good, 79.8% reported moderate job satisfaction, and 61.8% demonstrated good implementation of patient safety goals. There was a significant, moderately strong, and positive relationship between supervision and the implementation of patient safety goals (p=0.001; r=0.385). In contrast, job satisfaction showed a significant but weak negative relationship with the implementation of patient safety goals (p=0.037; r=−0.218). These findings indicate that supervision and nurses’ job satisfaction are associated with the implementation of patient safety goals. Therefore, hospital management should conduct regular evaluations of supervision, job satisfaction, and patient safety goal implementation and strengthen continuous engagement through safety talks or safety briefings.
Effectiveness of SKATA Aplication on Women’s Intention of Childbearing Age in Family Planning Services
Family Planning services during the pandemic are important to modify services and consultations from face-to-face to online services using the Skata Application. Hopefully, Family planning services will run to increase the amount of family planning services to reduce the number of births and impact of baby booms. The aim of this study was to see the effectiveness of the Skata Application on the intention of women of childbearing age in the use of family planning in Indramayu Regency. This study uses an instrument developed by the researchers themselves, namely from the idea Planned Behavior instrument by Icak Ajzen in 2019. The research method is a quasi-experimental sort of posttest control group design, the population is women of childbearing age in Indramayu Regency which has been selected by simple random sampling technique totaling to 83 women of childbearing age who were divided into 2 experimental groups (n=42) and control groups (n=41). The results showed that the results of the Mann Whitney statistical test obtained a p-value of 0.00≤0.05 which indicated that Ho was rejected. Thus there's a difference within the intention of women of childbearing age in the use of Family Planning between the experimental group and the control group. So that nurses and the people can use the Skata Application as an education's alternative and consultation on family planning and contraceptive methods in women of childbearing age.
Family planning; Intention; SKATA Application;women of childbearing age
The Relationship Between Fast Food Consumpition and Blood Glucose Instability in Type 2 Diabetes Melitus Prolanis Patients at Purbaratu Public Health Center
Diabetes Mellitus (DM) is a chronic disease characterized by increased blood glucose levels due to metabolic disorders. One of the factors that may affect blood glucose instability in patients with type 2 DM is dietary patterns, particularly the consumption of fast food, which is generally high in fat, sugar, and salt. This study aims to determine the relationship between fast food consumption and blood glucose instability among patients with type 2 DM enrolled in the Prolanis program at Purbaratu Public Health Center. This research employed an observational analytic design with a cross-sectional approach. The study population consisted of all type 2 DM Prolanis patients, with a total of 57 respondents selected using purposive sampling. The research instruments included a questionnaire on fast food consumption patterns and blood glucose test results. The findings revealed a significant relationship between fast food consumption and blood glucose instability in type 2 DM Prolanis patients at Purbaratu Public Health Center (p-value = 0.000 < α = 0.05). In conclusion, a higher level of fast food consumption is associated with a higher risk of blood glucose instability among patients with type 2 DM. This study is expected to serve as a reference for healthcare providers in delivering nutritional education and encouraging type 2 DM patients to reduce fast food consumption.
Type 2 Diabetes Mellitus; Fast Food; Blood Glucose Level; Prolanis
Family Experiences with Patient Care Using Ventilators in the ICU
Family members of patients receiving mechanical ventilation in the Intensive Care Unit (ICU) often experience significant emotional and psychological distress. The highly technological environment, limited patient access, and uncertainty regarding prognosis can profoundly affect family experiences and coping processes. This study aimed to explore family experiences during ICU care for patients receiving ventilator support. A qualitative descriptive study was conducted using Focus Group Discussions (FGDs) involving six family members of mechanically ventilated patients in the ICU of Welas Asih Regional General Hospital. Participants were selected using purposive sampling. Data were analyzed using thematic analysis to identify recurring patterns and meanings in family experiences. Five major themes emerged: (1) emotional shock at the initiation of ventilator use, characterized by fear, anxiety, sadness, and trauma; (2) uncertainty and psychological burden related to unclear diagnosis, limited patient interaction, and lack of regular information; (3) generally positive communication with healthcare professionals, though families desired more structured and routine updates; (4) firm hopes for patient recovery, rapid clinical response, and humane care; and (5) the need for comprehensive support, including emotional, informational, spiritual, social, and financial support. Family experiences during ventilator-assisted ICU care are complex and multidimensional. Implementing a comprehensive family-centred care approach, particularly through structured communication and holistic family support, is essential to improve family well-being and the quality of critical care services.
Analysis of Factors Building Self-Efficacy and Adherence to ARV Medication in HIV/AIDS Patientsof Adolescent and Early Adult Age at Umar Wir
Human Immunodeficiency Virus (HIV) remains a health problem, with low adherence to antiretroviral (ARV) therapy in adolescents and young adults. One important factor influencing adherence is self-efficacy, or an individual's belief in their ability to consistently consume ARVs. This study aims to explore the factors that build self-efficacy that influence ARV adherence in HIV/AIDS patients aged 10–34 years at Umar Wirahadikusumah Regional General Hospital, Sumedang. The method used was a qualitative approach with a phenomenological approach and purposive sampling technique on three respondents. The research instrument consisted of questions posed through interviews. The results identified six main themes: medication adherence, enactive mastery experience, vicarious experience, verbal persuasion, emotional arousal, and the source of self-efficacy that most influenced medication adherence. Verbal and emotional support from family and partners emerged as the most dominant source of self-efficacy in maintaining ARV medication adherence. The study concluded that strengthening self-efficacy, particularly through family support and psychosocial support, plays a crucial role in improving ARV medication adherence in adolescents and young adults living with HIV/AIDS. These findings have important implications for nursing practice, particularly in the role of nurses as counselors and companions for HIV/AIDS patients.
Prevalence of Dual Use Smoking and Nicotine Dependence Levels Among Adolescents and Adults in Community SettingsPrevalence of Dual Use Smoking and Nicotine Dependence Levels Among Adolescents and Adults in Community Settings
Dual smoking behavior, the concurrent use of conventional cigarettes and e-cigarettes, is an increasing public health concern, especially among adolescents and adults in Indonesia. This study aimed to explore the prevalence of dual smoking behavior and nicotine dependence levels among community-dwelling adolescents and adults. This descriptive quantitative study involved 100 respondents selected through purposive sampling in RW 01 Cisaranten Kidul and RW 03 Ujung Berung. Data were collected using a demographic questionnaire, the Fagerström Test for Nicotine Dependence (FTND) for conventional cigarettes, and the Electronic Cigarette Dependence Index (ECDI) for dual users. Analysis utilized descriptive statistics. The results showed Most respondents were adults (90%). A total of 76% used only conventional cigarettes, while 24% were dual users. Nicotine dependence levels for conventional smoking were: low (26%), moderate (58%), and high (16%). Among dual users, 70.8% had no dependence on e-cigarettes, and 29.2% were mildly dependent. Dual use was present among community smokers, with most respondents demonstrating moderate dependence on nicotine from conventional cigarettes. Strengthened health promotion and early prevention strategies are needed to reduce addiction risk and dual-use patterns.
Dual smoking; Nicotine dependence; cigarettes; community health
The Effect of Health Promotion Through the YouTube Digital Platform on Adolescents’ Knowledge About Premenstrual Syndrome
Premenstrual syndrome (PMS) is a common condition characterized by physical and emotional symptoms experienced by about adolescent girls before menstruation. Limited knowledge PMS may lead to inadequate awareness and poor management of symptoms. Digital platforms such as YouTube offer accessible and engaging media for health education among adolescents. This study aimed to determine the effect of health promotion delivered through the YouTube digital platform on adolescents’ knowledge about premenstrual syndrome (PMS) among students at MTS Al-Falaahiyyah, Ganeas District, Sumedang Regency, in 2025. This quantitative study employed a pre-experimental design with a one-group pre-test post-test approach. A total of 93 respondents were selected using total sampling. Data were collected using a structured knowledge questionnaire and analyzed using the Wilcoxon signed-rank test due to non-normal data distribution. The findings showed a significant increase in knowledge scores after the intervention. The mean pre-test score was 56.45, increasing to 88.01 in the post-test. Statistical analysis revealed a significant effect of YouTube-based health promotion on PMS knowledge (p-value = 0.000 < 0.05). Health promotion through the YouTube digital platform effectively increases adolescents’ knowledge about PMS. YouTube can serve as a recommended medium for reproductive health education in school settings.
Thirst Management Using Ice Cubes in Hemodialysis Patients: A Pre-Experimental Study
Introduction: Chronic kidney disease causes problems with fluid regulation, requiring hemodialysis patients to adhere to strict fluid intake restrictions. However, excessive thirst is often the main complaint that contributes to non-adherence to fluid restriction and increases interdialytic weight gain. Therefore, effective, safe, and easily applicable non-pharmacological interventions are needed to help reduce thirst. This study aimed to determine the effect of administering ice cubes on thirst levels in chronic kidney disease patients undergoing hemodialysis. Methods: The study employed a quasi-experimental design with one group pretest–posttest, involving 60 respondents selected through consecutive sampling. Thirst levels were measured using the Visual Analog Scale (VAS) before and after the intervention of sucking 10 ml of ice cubes for one hour. Data were analyzed using the Paired T-Test. Results: The findings showed a significant decrease in thirst levels, from a mean of 4.45 (moderate–high category) to 1.01 (very low category) after the intervention, with a p-value of 0.00 (p < 0.05). These results indicate that ice cubes are effective in reducing thirst both clinically and statistically. Conclusion: Ice-cube therapy is an effective non-pharmacological intervention to reduce thirst levels in hemodialysis patients. Recommendation: Health professionals are encouraged to apply this intervention as part of fluid management and patient comfort strategies, and to develop standardized SOPs to ensure safe and effective implementation.
Effect of Digital Media Education on Knowledge to Prevent Adolescent Pregnancy
Teenage pregnancy is a reproductive health issue that has serious medical, psychological, social, and economic consequences. According to data from the Sumedang District Health Office (2024), Wado Subdistrict recorded the highest prevalence with 54 cases of pregnancy among women aged ≤ 20 years. The low level of knowledge among teenagers about reproductive health is the main factor contributing to this problem. This study aims to analyze the effect of e-booklet and webtoon-based health education on the knowledge of female students at SMKS Yaspri Wado in preventing teenage pregnancy. This study used a pre-experimental one-group pretest–posttest design involving 60 respondents. The instrument used was a multiple-choice questionnaire, and the data were analyzed using the Wilcoxon test due to non-normal distribution. The results revealed an increase in the average knowledge score from 68,58 to 93,00 (p < 0,001), indicating a significant effect of digital health education. In conclusion, combining e-booklet and webtoon media proved effective and interactive in enhancing adolescents’ knowledge about reproductive health and in preventing teenage pregnancy.
Adolescent Pregnancy; E-Booklet; Webtoon
The Effectiveness of Emo Demo Method in Toddler Massage Training on Mothers' Motivation in Supporting Toddler Growth and Development: Pre-Experimental Study
Stunting, speech delay, social emotional, cognitive and motoric disorders, are some signs that children's growth and development is not optimal. Mothers can do this by providing massage stimulation during the child's golden period. This research aimed to provide massage training for toddlers used the emo demo method to motivate mothers in optimized children's growth and development. This study used a pre-experimental approach, one group pre-post-test design. The population of the study was 60 mothers of toddlers and the sample size used total sampling. Data collection used a questionnaire that had been modified through previous validity and reliability tests regarding toddler massage training with the emo demo method and maternal motivation. The research data applied the Wilcoxon sign ranks test. The results showed that there was a significant difference in maternal motivation before and after being given toddler massage training with the emo demo method with a significance value of 0.0001, Mother’s motivation increased from 62% to 76.5%. The conclusion of this study that there is an effect of toddler massage training with the emo demo on the motivation of mothers to provide massage in order to optimize child growth and development.
Unhealthy Food and Beverage Consumption and The Menstrual Cycle Among Female Adolescents
Menstrual cycle disorders are among the most common reproductive health issues experienced by adolescent girls and may affect future fertility. One factor influencing menstrual cycle regularity is the consumption of unhealthy foods and beverages, including foods high in fat, sugar, and salt, and sugary, carbonated, and caffeinated drinks. These dietary habits can disrupt hormonal balance through metabolic and endocrine mechanisms. This study aimed to determine the relationship between unhealthy food and beverage consumption and the menstrual cycle among female adolescents at SMAN Tanjungsari. A quantitative approach with a cross-sectional design was used. The sample consisted of 272 respondents selected through proportional random sampling. Research instruments included a Food Frequency Questionnaire (FFQ) and a menstrual cycle questionnaire. Data were analyzed using univariate and bivariate techniques with the Spearman Rho test. The results showed significant relationship between unhealthy food consumption and the menstrual cycle (p < 0.001), with strong positive rho value of 0.715. In addition, significant relationship was found between unhealthy beverage consumption and the menstrual cycle (p < 0.001), with a moderate positive rho value of 0.612. Therefore, the higher the frequency of consuming unhealthy foods and beverages, the greater the likelihood adolescents will experience menstrual cycle disorders.
Sociodemographic Factors and Happiness as Determinants of Students' Academic Achievement
Students' GPA is frequently linked to a variety of internal and external factors, including sociodemographic characteristics such as gender and area of residence, as well as psychological variables such as happiness levels. However, the association between happiness and academic achievement has not been clearly established in prior study. The purpose of this study is to examine the association between gender, place of residence, and happiness levels in relation to students' Grade Point Average (GPA). The study followed a descriptive correlational strategy. Data was obtained from 62 students using a questionnaire that included factors like gender, place of residence, happiness level, GPA, and the Indonesian version of the Oxford Happiness Questionnaire (OHQI). The research was conducted using the Chi-Square test for categorical correlations, the independent t-test for comparing mean GPAs between groups, and one-way ANOVA to assess the impact of happiness level on GPA. The findings revealed no statistically significant associations were found between gender and happiness level (p=0.481), gender and GPA (p=0.111), place of residence and happiness level (p=0.537), place of residence and GPA (p=0.090), or happiness level and GPA (p=0.401). Nevertheless, students who live with their parents tend to have higher GPAs than students who reside in dorms. The results indicate that no statistically significant associations were observed between gender, place of residence, happiness level, and students’ GPA. Descriptively, students living with their parents tended to have higher GPAs than those residing in dormitories, although this difference was not statistically significant. These findings suggest that sociodemographic characteristics alone may not sufficiently explain variations in academic performance within this sample.
Understanding Anxiety in Chronic Kidney Disease: The Role of Haemodialysis Duration and Family Support – A Correlational Study
Chronic kidney disease (CKD) is a progressive and irreversible decline in renal function, often necessitating long-term hemodialysis. Anxiety is a prevalent psychological concern among CKD patients, potentially influenced by treatment duration and the level of family support. This study aimed to examine the correlation between hemodialysis duration, family support, and anxiety levels among patients with CKD at Dr. Kariadi General Hospital, Semarang, Indonesia. A cross-sectional correlational study was conducted involving 89 hemodialysis patients, selected through a non-probability sampling method from total of 165 CKD patients with hemodialysis. Data collection occurred between July 2023 and March 2024, utilizing three instruments: a demographic questionnaire, the Hamilton Rating Scale for Anxiety (HRS-A), and the Family Support Scale (FSS). Data were analyzed using univariate and bivariate approaches, including Spearman’s rank correlation test. A significant negative correlation was found between the duration of hemodialysis and anxiety levels, indicating that patients undergoing hemodialysis for a longer period tended to experience lower anxiety. Similarly, higher levels of family support were significantly associated with lower anxiety scores (p<0.001). Both longer hemodialysis duration and stronger family support are associated with reduced anxiety in CKD patients. Enhancing family involvement and providing consistent education about hemodialysis care may contribute to better psychological well-being in this population.
The Relationship Between The Use of The HOT Fit Model on e-Puskesmas With The Reliability Dimension
The rapid development of technology is driving the government to improve healthcare services thru digitalization, including e-Puskesmas. The e-Puskesmas application is one of the web-based puskesmas management information systems used to manage patient data from registration, examination, to treatment. However, the problems that arise in the implementation of e-Puskesmas will impact the decline in the quality of services provided by health centers. This study aims to determine the relationship between the use of the Human Organization Technology Net Benefit (HOT Fit) model in e-Puskesmas with the reliability dimension at Cisitu Health Center, Sumedang Regency. The type of research used is quantitative with a descriptive analytic research method and a cross-sectional research design. The sampling technique used is total sampling. The sample in this study consisted of 56 officers using e-Puskesmas. Data was collected using a questionnaire and then analyzed using a chi-square test. The research results show a relationship between human usage of e-Puskesmas with the reliability dimension (p-value 0.001) and no relationship between organizational usage of e-Puskesmas with the reliability dimension (p-value 0.696). It is hoped that the health center will improve its internet network and conduct regular evaluations to monitor the performance of e-Puskesmas at the Cisitu Health Center.
e-Puskesmas; Information System; Service Quality; HOT Fit; Reliability
Effect of Peer Coaching on Resilience and work Readiness among Final-Year Health Students
Final-year health students frequently experience high psychological and social stress, as well as limited integration of soft skill within the curriculum, which may undermine their resilience, work readiness, and competitiveness in the labor market. Health education program often prioritizes technical competencies, resulting in suboptimal preparation for career transitions. Peer coaching has been proposed as an effective collaborative learning strategy on enhance resilience, work readiness, and self-confidence among health students. Purposed: To examine the effect of peer coaching on resilience and work readiness among final-year health student in preparing for their professional careers. This study used mix method (qualitative design and quantitative) a quasi-experimental single group pre-post design without a control group was employed. The sample consisted of 30 final-year health students. Quantitative data were collected using resilience questionnaires and the Career Adapt-Abilities Scale (CAAS) and analyzed with Paired t-test or Wilcoxon test. Results: The mean resilience score increased from 58.2 ± 6.1 to 71.5 ± 5.4 after the intervention (t(29)= −7.132, p < 0.001). The mean work readiness score increased from 60.7 ± 7.0 to 78.3 ± 6.2 (Z=-4.603, p < 0.001). These findings indicate that peer coaching significantly enhances students’ adaptability and preparedness for professional careers. Conclusion: Peer coaching is an effective strategy to strengthen adaptive abilities, perceived social support, soft skills, and self-confidence, thereby enhancing the work readiness of final-year health students as they transition into the healthcare workforce.
The Effectiveness of Flipping Book Media on Adolescents’ Knowledge and Attitudes Towards Premarital Sex
Sexual education remains a sensitive topic in Indonesian society despite the increasing rates of unwanted pregnancies and sexually transmitted infections among adolescents. In 2024, the Ministry of Health Indonesia recorded 35,415 new HIV cases and 12,481 new AIDS cases. According to WHO (2025), unintended pregnancies among girls aged 15–19 often result in unsafe abortions, especially in low- and middle-income countries. This study aimed to determine the effect of sexual education using flipping book media on adolescents’ knowledge and attitudes toward premarital sex at SMK Muhammadiyah Larangan. A quantitative pre-experimental one-group pretest-posttest design was employed involving 90 students selected through stratified random sampling. Data were analyzed using the Wilcoxon signed-rank test due to non-normal distribution. The results showed significant differences in both knowledge (p = 0.01) and attitude (p = 0.01) before and after the intervention, indicating that sexual education using flipping book media effectively improves adolescents’ knowledge and attitudes regarding premarital sex.
The Effect of Walking 100 Meters on Blood Pressure Changes in Hypertensive Patients in the Plesungan Area, Karanganyar, Central Java
Hypertension is a major risk factor for cardiovascular disease and remains highly prevalent in Indonesia. Simple physical activity such as walking can help reduce blood pressure. This study aimed to determine the effect of walking 100 meters on systolic and diastolic blood pressure among middle-aged hypertensive patients in Plesungan, Karanganyar. A quantitative pre-experimental design with a pretest–posttest approach was used involving 39 respondents selected by total sampling. Blood pressure was measured before and after a 100-meter walking intervention and analyzed with a paired t-test. The mean systolic blood pressure decreased from 165.53 mmHg to 154.02 mmHg (−11.51 mmHg), while diastolic blood pressure decreased from 99.51 mmHg to 89.31 mmHg (−10.20 mmHg). The paired t-test showed p < 0.001 for both parameters. Walking 100 meters significantly lowers systolic and diastolic blood pressure and can be recommended as a simple, non-pharmacological intervention for hypertension management.
Mobile Learning-Based Clinical Education Management Information System (Cemis) And Its Effectiveness In Impro
The quality of clinical Education is greatly influenced by students' success in clinical practice areas in achieving learning outcomes, most of which are still conventional and not yet integrated. This study aims to evaluate the effectiveness of mobile learning as a medium to assess clinical learning in nursing students. This study uses Randomized Controlled Trial design. Place and Duration of Study in IKesT Muhammadiyah Palembang. From Sept 2022 to May 2023. The sample for this research consisted of nursing students from Group Experimental (n=40) and control group (n=40). The types of analysis used were the Wilcoxon Sign Rank Test and N-Gain Score Test. The use of mobile learning-based CEMIS is proven to be significant and effective in improving the learning outcomes of clinical learning of nursing students with the results of the Wilcoxon Sign Rank Test in the experimental group and the control group, namely cognitive ability (Sysmp Sig 0.002 vs 0.057), Ability Psychomotor (Sysmp Sig 0.002 VS 0.057), ability Affective (Sysmp Sig 0.002 VS 0.057). Whereas the results of the N-Gain Score Test show ability cognitive 80% (Effective), ability Psychomotor 78% (Effective), ability Affective 78% (Effective). CEMIS-based nursing clinical learning has been proven effective in improving student learning outcomes, making it a potential alternative to support clinical. learning in nursing education.
Clinical Learning; Learning Outcomes; Mobile Learning; Nursing Students
The Effect Of Complementary Guide Imagery Therapy In Reducing Pain Levels And Increasing Self-Efficacy Of Patients After Joint Arthroplasty Replacement Surgery
The number of patients undergoing joint replacement arthroplasty surgery worldwide is increasing by approximately 71-85% per year, with unpleasant side effects such as pain and a feared decrease in self-efficacy. Currently, treatment still focuses on pharmacological therapy, with variations in non-pharmacological therapy, guided imagery. This study aimed to determine the effect of complementary guided imagery therapy on pain levels and self-efficacy in patients after joint replacement arthroplasty surgery at Pelamonia Class II Hospital, Makassar. This study was a quasi-experimental study with a pre-experimental design, a one-group pretest-posttest only design. The sample consisted of 30 patients after joint replacement arthroplasty surgery. The study instruments used standard operating procedures for guided imagery therapy, a numerical rating scale, and a general self-efficacy scale. Analysis included univariate analysis using frequency distribution calculations and bivariate analysis using the Wilcoxon signed-rank test. The results of the study proved that there was an effect (p-value 0,000) of complementary guided imagery therapy on reducing pain levels and increasing self-efficacy in patients after joint replacement arthroplasty surgery. It is recommended that guided imagery therapy as a non-pharmacological therapy can be used to reduce pain and increase self-efficacy in patients after joint replacement arthroplasty surgery.
Determinants of Adolescent Mental Health in Drought-Affected Sragen: A Cross-Sectional Study
Traumatic experiences and life stress experienced by adolescents in areas affected by drought disasters can lead to various complaints, particularly concerning mental health, and even reducing their quality of life. This study aims to identify risk factors for mental health disorders in adolescents in drought-affected areas. Method: This research method is an analytical survey with a cross-sectional design. The sample of this study was 70, according to the inclusion criteria. Data collection used a questionnaire. Univariate data analysis to determine the frequency of each variable and bivariate analysis using chi-square to determine the relationship between variables. Mental health is the independent variable, while the dependent variables are age, self-concept, parenting, peer support, and bullying victims. Result: The results of the study: there is a relationship between gender (p value: 0.000), self-concept (p value: 0.001), peer support, (p value: 0.000), authoritarian parenting (0.012) and bullying (p value: 0.002). Conclusion: factors that influence adolescent mental health are gender, self-concept, peer support, authoritarian parenting styles and bullying victims with gender having the strongest relationship.
The Relationship Between Smartphone Addiction and Daytime Sleepiness in Adolescents At Senior High School
Smartphone addiction is a behavioral dependency due to excessive use that can cause negative impacts, one of which is daytime sleepiness. This condition occurs when someone feels sleepy in a situation that should not cause drowsiness. Lack of sleep contributes to this problem, especially in students who sleep less than 7 hours each night, so they are at higher risk of experiencing drowsiness and difficulty focusing while studying. The Purposive was determine the relationship between smartphone addiction and daytime sleepiness in students of SMAN 1 Sukaresmi. This Methode was quantitative study with a cross-sectional design involved 94 respondents. The instruments used were the Internet Addiction Test (IAT) questionnaire to measure smartphone addiction and the Epworth Sleepiness Scale (ESS) to measure daytime sleepiness. The Results showed Bivariate analysis using the Chi-Square test showed a significance value of 0.013 (p <0.05) H0 was rejected and H1 was accepted indicating that there is a relationship between smartphone addiction and daytime sleepiness in adolescents at SMAN 1 Sukaresmi, Cianjur Regency. There is a significant relationship between smartphone addiction and daytime sleepiness in adolescents at Senior High School in Cianjur Regency
Daytime Sleepiness; Smartphone Addiction; Adolescents
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.
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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.
The Role of Physical Health and Emotional Factors in Mind-Body Balance: A Comprehensive Literature Review
Emotion is an internal condition within individuals that is invisible, complex, and difficult to measure, yet it holds a vital role in human life. Emotions are unique and cannot be programmed, as every person has different innate temperaments, resulting in diverse feelings of pleasure and displeasure. Emotions are closely linked to physical health, especially regarding how they are managed and controlled. Both positive emotions and negative emotions require proper regulation to maintain mental stability and overall well-being. Physical health is not only influenced by nutrition or food intake but also by emotional factors, which affect human cognition in determining actions or behaviors. Positive mental states tend to drive individuals toward healthy activities such as exercising, while negative states like anger, stress, or laziness can lead to harmful habits. Anger, in particular, has both direct and indirect effects on the body, including elevated blood pressure and increased risk of illness. Since cognition and emotion are essential driving forces behind behavior, achieving a harmonious mind-body balance involves both emotional stability and physical care. Effective emotional regulation is therefore crucial, as it can determine one’s ability to engage in positive, health-promoting behaviors. Understanding this connection highlights the importance of integrating mental and physical wellness strategies to improve overall quality of life.
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.