Jurnal kesehatan komunitas (Journal of community health)
Journal Kesehatan Komunitas (p-ISSN:2088-7612, e-ISSN: 2548-8538) is scientific, peer-reviewed and open access journal managed and published by Universitas Hang Tuah Pekanbaru on March, July and November. Jurnal Kesehatan Komunitas publishes original research and/or library analysis on Health Community focuses on epidemiology, environmental health, promoting health, reproductive health, occupational health and safety, health policy and administration, community nursing, community midwifery. Since Volume 6 No. 3, 2020, Jurnal Kesehatan Komunitas (Journal of Community Health) has been accredited SINTA 3
Analysis of Risk Factors for Needlestick Injury Among Healthcare Workers at UPTD RSUD Depati Bahama, Pangkalpinang City, 2026: A Cross-Sectional Study
Needlestick injury is a percutaneous occupational injury caused by penetration of the skin by a needle contaminated with blood, tissue, or patient bodily fluids and may result in exposure to infectious diseases. The incidence of needlestick injuries at UPTD RSUD Depati Hamzah, Pangkalpinang City, increased from 3 cases in 2024 to 7 cases in 2025. This study aimed to analyze risk factors associated with needlestick injuries among healthcare workers at UPTD RSUD Depati Hamzah, Pangkalpinang City. This was an observational analytic study with a cross-sectional design. The study population consisted of 210 healthcare workers, with a sample of 152 respondents selected using quota sampling with proportional allocation by professional group. Data were collected through questionnaires and interviews and analyzed using univariate analysis, bivariate analysis with the Chi-square test at α=0.05, and multivariate analysis using logistic regression. The results showed that 17 respondents (11.2%) experienced needlestick injuries. Bivariate analysis showed significant associations between age (p=0.000), safe injection training (p=0.000), and SOP implementation (p=0.003) and needlestick injuries, whereas length of employment (p=0.225) and safe injection practices (p=0.764) were not significantly associated. Multivariate logistic regression analysis showed that age (POR=12.222; 95% CI: 3.228–46.269; p=0.000), safe injection training (POR=20.857; 95% CI: 2.478–175.531; p=0.005), and SOP implementation (POR=4.219; 95% CI: 1.075–16.551; p=0.039) were significantly associated with needlestick injuries. Safe injection training was the most dominant factor because it had the highest POR, at 20.857. Preventive measures should include regular safe injection training, education on the risk of infectious diseases, provision of procedure carts in each unit, and strengthened monitoring by the Infection Prevention and Control (IPC) team and supervision of SOP compliance.
Copyright (c) 2026 Jurnal kesehatan komunitas (Journal of community health) https://creativecommons.org/licenses/by-nc-sa/4.0
Factors Influence Farmers' Behavior in Pesticide Use and the Role of Stakeholders in Its Management in Solok Regency West Sumatra
The unsafe and unhealthy use of pesticides by farmers is still a public health problem in agricultural areas, but comprehensive studies that reveal farmer behavior factors and the role of stakeholders in pesticide management are still limited, especially in horticultural centers such as Solok Regency. This study aims to explore the factors that influence farmers' behavior in pesticide use and analyze the role of stakeholders in its management, so that strategic recommendations for pesticide use can be formulated. The study uses a qualitative design with a case study approach in Solok Regency, West Sumatra, from March to July 2025. Informants in this study were selected using purposive sampling, consisting of nine independent farmers and eleven group farmers as key informants, as well as nine stakeholders as supporting informants. Data were collected through FGDs and in-depth interviews, analyzed using content analysis, and validated using source and method triangulation. The results showed that farmers' behavior in pesticide use was influenced by their perception of pesticides as a guarantee of successful harvests, concerns about yield decline, and economic constraints. In addition, weak supervision and cross-sector coordination by the Fertilizer and Pesticide Supervisory Commission (KPPP), the limited role of extension workers and health workers, and suboptimal access to personal protective equipment weaken the cues to action for farmers. This study concludes that changing behavior towards safe and healthy pesticide use requires comprehensive interventions that integrate a behavior change approach based on the Health Belief Model with the strengthening of supervision systems, extension services, and collaboration among relevant stakeholders. Keywords : pesticide use, farmers’ behavior, stakeholders
Analysis of the Relationship between Service Quality, Hospital Image, and Patient Loyalty, Mediated by Patient Satisfaction, at the Outpatient Clinic of Depati Hamzah Regional General Hospital (RSUD), Pangkalpinang
Patient loyalty is a crucial indicator of hospital service performance, particularly in an era of increasing competition and rising patient expectations for service quality. RSUD Depati Hamzah Pangkalpinang, as a major referral hospital, faces challenges related to service complaints and institutional image, which may influence patient satisfaction and loyalty. This study aimed to analyze the relationships between service quality, hospital image, and patient loyalty, as well as to examine the mediating role of patient satisfaction. This study employed an observational analytic design with a cross-sectional approach. A total of 385 respondents were recruited using quota sampling. Data were analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM), with one-tailed hypothesis testing at a 5% significance level. The results showed that service quality was positively and significantly associated with patient satisfaction (p < 0.05), whereas its direct relationship with patient loyalty was not statistically significant. Hospital image was positively and significantly associated with both patient satisfaction and patient loyalty (p < 0.05). Patient satisfaction was also positively and significantly associated with patient loyalty (p < 0.05). Furthermore, the mediation analysis demonstrated that patient satisfaction significantly mediated the relationships between service quality and patient loyalty, as well as between hospital image and patient loyalty. These findings highlight the important role of patient satisfaction in strengthening patient loyalty. Therefore, improving service quality and enhancing the hospital's institutional image, particularly through strategies that increase patient satisfaction, may contribute to building sustainable patient loyalty.
The Relationship Between Consumer Perception Regarding Quality, Price and Sanitation Hygiene Towards Food Purchase Decisions in the Kambang Iwak Area of Palembang City
Consumer perception plays an important role in determining food purchasing decisions, especially in assessing the quality, price, and hygiene aspects of food sanitation. These factors can affect the level of consumer trust and interest in choosing and consuming food in a place. The purpose of this study was to analyze the relationship between consumer perceptions regarding quality, price, and food hygiene sanitation to food purchasing decisions in the Kambang Iwak area of ​​Palembang City. This study aims to analyze the relationship between consumer perceptions regarding quality, price, and food hygiene sanitation with food purchasing decisions in the Kambang Iwak area of ​​Palembang City. This study used an analytical method with a cross-sectional design and involved 95 respondents selected through a purposive sampling technique. Data collection was carried out through interviews using questionnaires, while data analysis included univariate and bivariate analysis with the Spearman Rank correlation test using a statistical program. The results showed a significant relationship between quality (p = 0.025), price (p = 0.001), and perceptions of food hygiene sanitation (p = 0.000) to food purchasing decisions. The conclusion of this study reveals that there is a very strong correlation (ρ=-0.780) but in the opposite direction between the perception of food hygiene sanitation and food purchasing decisions. In other words, the more positive the consumer's perception of food hygiene and sanitation, the lower their tendency to make repeat purchases, even potentially not buying again. The suggestion of this study is that consumers should pay more attention to the aspects of food hygiene and sanitation before making a purchase.
Analysis of Standards and Performance of Physical Facilities According to User Perceptions of the Emergency Department of ‘Aisyiyah Pariaman Hospital in 2022
standard is regulated in Permenkes No. 24 of 2016 concerning Technical Requirements for Hospital Buildings and Infrastructure. Evaluation of the facilities used is known as Post Occupancy Evaluation (EPH). This study aims to describe the condition of the Emergency Department (ED) facilities by comparing field conditions and established standards. The research method uses a mixed approach (mix method) with *explanatory sequential* design. The population consisted of external and internal users, with sampling using consecutive sampling (external) and simple random sampling (internal). The quantitative approach was carried out through descriptive and observational methods, followed by a qualitative approach through observation, in-depth interviews, and document review. The results showed that the fulfilment of the emergency room standards of ‘Aisyiyah Pariaman Hospital had only reached 50%, and the fulfilment of the type of room was only 29%, still far from the established standards. Assessment of emergency department performance from external and internal users showed unsatisfactory results. The lowest aspect according to external users is safety (score 2.087), while according to internal users is convenience (score 2.000). There is a significant relationship between the fulfilment of standards and physical aspects of IGD. Therefore, it is necessary to revitalise the IGD according to regulations and improve aspects of security and ease of service.
Community Behavior Related to Environmental Sanitation in Wetland Areas on the Siak Riverbank
Environmental sanitation is an effort to optimize environmental conditions to prevent the spread of disease and improve public health. Inadequate implementation of environmental sanitation, including access to clean water and use of unsanitary toilets, contributes to an increase in environmentally based infectious diseases. This research aims to explore community behavior related to environmental sanitation in the wetland area along the Siak River. This study used a descriptive qualitative approach through semi-structured interviews with six informants, selected by purposive sampling, and analyzed using thematic analysis. Some practices reported by the informants align with environmental health standards, such as disposing of waste at designated landfills, managing drinking water, and maintaining household environments. However, there are still practices that do not align with health standards, such as disposing of feces into rivers and using river water for household needs. Poor sanitation practices, if carried out over a long period of time, will endanger health, quality of life, and the environment. These practices are attributed to poor community habits and economic constraints that hinder informants from constructing adequate sanitation facilities. The role of relevant institutions is needed in empowering and improving sanitation infrastructure so that environmental sanitation practices that meet health standards can be implemented.
Sleep Hygiene was Associated with Academic Performance in Senior High School Students
Academic performance is an important indicator of students’ success at school and maybe influenced by several factors, including sleep quantity and sleep hygiene. Insufficient sleep duration and poor sleep hygiene may reduce student’s concentration,impair memory and negatively affect cognitive function, which may ultimately impact academic achievement. This study aimed to assess the association between sleep hygiene, sleep quantity and academic performance among high school students. An analytical observational study with a cross-sectional design was conducted among 151 tenth-grade students of SMAN 78 Jakarta, selected through random sampling in February 2024. Sleep hygiene was assessed using the Sleep Hygiene Index (SHI), while academic performance was measured using the Achievement Index (IP) scores from the mid-semester report of the 2023/2024 academic year. Sleep duration was obtained through student’s self-reports. Data were analyzed using the Chi-square test with a 95% confidence level (p<0.05). The results showed that 65.6% of students had moderate sleep hygiene, while 73.5% experienced poor sleep quantity. More than half of the students (51.7%) demonstrated adequate academic performance. Statistical analysis revealed significant associations between sleep hygiene and academic performace (p=0.003), as well as between sleep quantity and academic performance (p=0.000). In conclusion, sleep hygiene and sleep quantity were significantly associated with academic performace among students of SMAN 78 Jakarta.
An Overview of Nurses’ and Midwives’ Knowledge, Attitudes, and Motivation in Patient Identification in Inpatient Ward at Sulianti Saroso Infectious Disease Hospital: Descriptive Study Cross Sectional
Patient identification is part of patient safety standards that must be implemented by healthcare workers in providing care in hospitals. Nurses and midwives are healthcare professionals who observe and deliver services 24 hours a day. Knowledge, attitude, and motivation influence patient identification practices. This study aims to describe knowledge, attitudes, motivation, and patient identification practices in the inpatient wards of RSPI Sulianti Saroso during the period of October–November 2024. This was a descriptive study with a cross-sectional design involving 150 nurses, midwives, and head nurses using purposive sampling. The instrument used was a valid and reliable research questionnaire X. Descriptive statistical analysis was presented in frequencies (n) and proportions (%). Most nurses and midwives had good knowledge, attitudes, and motivation, and head nurses stated that all nurses/midwives performed well in patient identification. However, many still showed misconceptions in shift-to-shift communication, hand hygiene, fall risk assessment, and family education. The study recommends that hospitals improve patient safety through reporting technology and educational media.
Analysis of Personal Hygiene Behavior and Stress Levels with the Incidence of Pathological Vaginal Discharge in Adolescent Girls at SMK N 6 Padang
According to the Indonesian Adolescent Reproductive Health Survey (SKKRI), the incidence of vaginal discharge among Indonesian women has continued to increase from 2019 to 2021. Vaginal discharge can be caused by poor personal hygiene and stress which can affect hormonal function in women. This study aims to analyze the relationship between personal hygiene behaviors and stress levels to the incidence of vaginal discharge. This study used a cross-sectional approach. The study was conducted at SMK N 6 Padang from March to September 2025. A sample of this study is 278 adolescent girls was selected using a proportional stratified sampling technique. Data processing was analyzed using chi-square test. The results showed that the majority of respondents had good personal hygiene practices (50,0%), moderate stress levels (83,5%) and experienced pathological vaginal discharge (24,8%). Statistical test showed a relationship between personal hygiene behavior with incidence of vaginal discharge in adolescent girls (p=0,001) and stress levels (p=0,005). The conclusion of this study is there’s a relationship between personal hygiene behavior and stress levels with incidence of vaginal discharge in adolescent girls at SMK N 6 Padang. It is recommended that adolescent girls maintain good personal hygiene practices, maintain personal hygiene and manage stress effectively.
An Analysis of the Performance of Dental Health Professionals on Dental and Oral Health Services at a Private Hospital Dental Clinic in Medan
Oral and dental health issues remain a major issue in efforts to improve public health in Indonesia. The importance of dental health workers in providing quality services is demonstrated by the high prevalence of dental disease and low public awareness of the importance of maintaining dental and oral hygiene. The purpose of this study was to evaluate how dental health workers provide oral health services at the Dental Polyclinic of a Private Hospital in Medan. This study was conducted qualitatively with ten informants dental specialists, general dentists, and patients. Data were collected through in-depth interviews, observations, and documentation studies, then analyzed using thematic analysis by Braun & Clarke (2006). The results of the study indicate that the performance of dental health workers generally meets professional standards, particularly in compliance with operational procedures and clinical skills. However, there are still obstacles such as limited radiology facilities, high workloads, and inefficient administrative systems. Factors that influence performance include individual factors (experience, motivation), environmental factors (facilities, infrastructure, management), and psychological factors (satisfaction and appreciation). Good performance has been shown to contribute to patient satisfaction and service quality. This study recommends improving supporting facilities, optimizing management systems, providing effective communication training, and providing awards for medical personnel to improve the quality of dental services at Dental Polyclinics at Private Hospitals in Medan.
Correlation Between Body Image, Depression, Anxiety, Stress, Quality of Life and Nutritional Status
Adolescence is a period of identity formation, and the social environment plays a significant role in shaping perceptions of body image. Negative body image perceptions can reduce quality of life and mental well‑being, which in turn may affect the nutritional status of high school students. This study was carried out at five public senior high schools in Pontianak City, involving 284 students, in September 2024. Data were collected through BMI measurements and the administration of three instruments: the BSQ‑34 questionnaire, the WHOQOL‑Brief scale, and the DASS test. Relationships between variables were analyzed using the Pearson Chi‑Square test. The results showed that students generally held positive body image perceptions and had normal nutritional status. Quality of life was rated highest in the physical health and environmental domains. Nutritional status was significantly associated with body image (p = 0.000). Body image was significantly related to depression (p = 0.000) and anxiety (p = 0.000), as well as to the physical health (p = 0.006) and psychological health (p = 0.008) domains of quality of life. Implementing physical activity programs and providing cognitive‑behavioral support can help improve positive body image perceptions, which in turn benefit mental health and quality of life, and ultimately support better nutritional status among high school students.
The The Impact of Safety Talk Educational Videos on Changes in Knowledge, Attitudes, and Behavior Among PT MMP Mining Workers
This study examines the impact of safety talk educational videos on improving knowledge, attitudes, and safety communication behavior among workers in the mining sector. Mining activities carry high risks, making clear communication essential to prevent incidents. Verbal delivery is often less effective, especially for workers with diverse educational backgrounds. To address this, the study employed video-based safety talks that present safety messages in a simpler and more comprehensible way. The research design used was a quasi-experimental one-group pretest–posttest involving 100 workers at PT Mitra Muda Prima. Data on knowledge, attitudes, and communication behavior were collected through structured questionnaires and analyzed with the Kolmogorov–Smirnov test and paired t-test. Results showed improvements across all variables, with knowledge experiencing the greatest increase. Attitudes and communication behavior also showed positive changes. Statistical analysis confirmed significant differences between pretest and posttest scores (p <0.001). These findings demonstrate that video-based safety talks are effective in strengthening safety communication in high-risk workplaces.
The Influence of Parents' Perceptions of Children's Dental and Oral Health on the Rate of Dentist Visits at Aba Al-Hikmah Kindergarten, Donotirto Village
Background: Oral health in preschool children is an important aspect of growth and development, yet it is often overlooked. Parents’ perceptions play a crucial role in shaping children's oral health behaviors, including decisions to seek dental care. Objective: To determine the influence of parents’ perceptions regarding their children’s oral health on the frequency of dental visits among preschoolers at Kindergarten ABA AL-Hikmah, Donotirto Village. Methods: This analytic observational study used a cross-sectional design. A total of 141 parents/guardians were included through total sampling. Data were collected using a questionnaire assessing parental perceptions and the frequency of dental visits. Data analysis was conducted using the Chi-Square test with a significance level of 0.05. Results: There was a significant association between parents’ perceptions and children’s dental visit frequency, with a p-value of 0.001 (p<0.05). Conclusion: Parents’ perceptions significantly influence children’s dental visits. Parents with positive perceptions are more likely to bring their children for routine dental check-ups. Keywords: parental perception, child oral health, dental visits, preschool children.
The Effect of Finger-Holding Therapy and Deep Breathing on Blood Pressure Reduction in Older Adults with Hypertension in Klaten Regency
Introduction: Hypertension is one of the non-communicable diseases commonly found in the elderly. The high prevalence of hypertension among older adults is influenced by factors such as age, lifestyle, and stress levels, thereby encouraging the development of non-pharmacological interventions, including finger-holding therapy and deep breathing exercises. Objective: To determine the effect of finger-holding therapy and deep breathing on blood pressure among elderly individuals in Dusun II Suko, Cawas District, Klaten Regency, Central Jawa. Methods: This study used a quasi-experimental design with a pretest-posttest control group involving 72 respondents (36 in the intervention group and 36 in the control group), selected using purposive sampling based on inclusion and exclusion criteria. The intervention group received therapy for 16 days (6 sessions), while the control group received standard therapy. Data were collected using questionnaires, blood pressure measurements, and observations (pretest-posttest), and analyzed using non-parametric tests due to non-normal data distribution (Shapiro-Wilk p < 0.05), with the Wilcoxon test used to assess the effect. Results: Finger-holding therapy and deep breathing were effective in reducing blood pressure, as indicated by a decrease in the intervention group (138.72 to 89.44 mmHg) and an increase in the control group (87.37 to 158.03 mmHg). For systolic pressure, the mean rank ranged from 31.46 to 35.82 with p = 0.000 (significant), while for diastolic pressure, the mean rank ranged from 34.33 to 26.13 with p = 0.175 (not significant). Conclusion: Finger-holding therapy and deep breathing are effective in reducing blood pressure in the elderly, particularly systolic pressure, through relaxation of the autonomic nervous system. These interventions have the potential to be widely applied as a basis for developing non-pharmacological therapies for hypertension.
Healthy Snack: Nutritious Crispy Crackers with Anchovies for Children Aged 2–5 Years
Stunting remains a major nutritional issue in Indonesia, partly due to insufficient calcium intake, which is essential for children’s height growth. Food interventions are needed to improve calcium consumption. This study develops a healthy, high-calcium rice anchovy snack (peyek) and assesses panelist acceptance through organoleptic testing—color, aroma, taste, and texture. The snack was well accepted, with hedonic scores ranging from 3.73 to 4.47 on a 5-point scale. Attributes such as color, aroma, texture, and overall acceptability were rated very highly. Anchovy rice crackers show promise as a high-calcium local food snack. Further flavor optimization is needed to create new product variants.
Sustainable Strategy for Hazardous Waste Management in Hospital X, Batam City
Ineffective medical waste management can pose serious risks to the environment and public health. With the increasing number of healthcare facilities in Batam City, efficient and safe management of solid medical waste has become a key priority in ensuring environmental sustainability and community well-being. This study aims to identify current practices of solid medical waste management in hospitals and to formulate strategies that align with regulations and local conditions to improve the quality of waste management. The research employed a qualitative design with a case study approach, conducted at one hospital in Batam City. Data were collected through field observations, in-depth interviews, document analysis, and Focus Group Discussions. Data analysis was performed using triangulation techniques, and the results served as the basis for strategy formulation through SWOT analysis. The findings show that most hospitals have complied with the Minister of Environment and Forestry Regulation (PerMenLHK) No. P.56/2015, although technical constraints and limited human resources remain challenges. The attitude of healthcare workers was found to significantly influence waste management practices. The SWOT analysis positioned Hospital X in Quadrant I (aggressive strategy), indicating favorable conditions for improvement. The hospital needs to enhance human resource capacity and implement policies based on the 5R principles (reuse, reduce, recycle, recovery, repair).
Copyright (c) 2025 Jurnal kesehatan komunitas (Journal of community health) http://creativecommons.org/licenses/by-nc-sa/4.0
The Relationship Between the Use of Electronic Medical Records (EMR) and Health Worker Satisfaction at Imelda Pekerja Indonesia Hospital
The level of feeling experienced by patients as a result of the performance of the health services they receive after comparing it with their expectations is known as patient satisfaction. The purpose of this study was to illuminate how the satisfaction of health workers with the use of Electronic Medical Records (EMR) is poured into the dimensions of content, chimney, format, ease of use, and timeliness at RSU Imelda Buruh Indonesia Medan. Based on the criteria that have been set, this study uses a descriptive method with a quantitative approach. A total sample of 62 people was taken from the population. Observation sheets and questionnaires are research tools. This study found that the use of EMR on the variables of content, precision, ease of use, and timeliness is met with the satisfaction of health workers at RSU Imelda Buruh Indonesia. However, the variable format does not satisfy satisfaction, There is no relationship between the use of EMR in the format variable and the satisfaction of health workers at RSU Imelda Buruh Indonesia. It It is recommended that there are more detailed regulations regarding the use of RME so that the use of RME at the Imelda Buruh Indonesia Hospital can be maximized and that there is a need to re-socialize the regulations on the accuracy of filling in RM so that RM recording by PPA is more complete and accurate so that the quality of reports as RME output can be improved.
The Effectiveness of Policies on the Use of Eco-Friendly Shopping Bags in Reducing Plastic Waste in Jakarta: A Literature Review
Ignoring plastic waste management systems can threaten the sustainability of the environment and living creatures in the universe. The alarming amount of plastic waste shows the failure of waste management systems and demands serious control through the use of environmentally friendly materials that can reduce ecological impacts and encourage sustainable changes in consumer behavior. In an effort to control and reduce the generation of single-use plastic waste in Jakarta, Provincial Government issued “DKI Jakarta Provincial Governor Regulation Number 142 of 2019 concerning the Obligation to Use Environmentally Friendly Shopping Bags in Shopping Centers, Supermarkets and People's Markets”. This paper aims to analyze the effectiveness of single-use plastic waste control after the enactment of the regulation and compare similar policies in several countries. The method used is through literature review by reviewing various literature sourced from scientific journals and relevant research reports. The results of the study state that the implementation of the policy on the use of eco-friendly shopping bags has been able to reduce the amount of plastic waste generation and increase the use of Environmentally Friendly Shopping Bags in Jakarta Province and several countries that implement similar policies. The government must create an ecosystem that supports policy implementation through massive and sustained public campaigns and education to build understanding and change public behavior so that people are more prudent in reducing their use of single-use plastic bags.
Effects of PAKEM-Based Anemia Education on Knowledge and Iron Tablet Consumption Compliance among Adolescent Girls at SMK Negeri 2 Padang
Anemia is a global health problem with significant impacts on adolescent girls. The prevalence of anemia among women aged ≥15 years worldwide remains stagnant at 29.9%. Compliance with iron tablet consumption remains low, partly due to inadequate knowledge. The Participatory, Active, Creative, Effective, and Fun (PAKEM) education model is considered a potential approach to improve knowledge and promote compliance with iron tablet consumption. This study aimed to analyze the effect of PAKEM-based anemia education on knowledge levels and compliance with iron tablet consumption among adolescent girls at SMK Negeri 2 Padang. This study employed a quasi-experimental design with a pretest–posttest control group approach. The research was conducted from May to October 2025, involving 74 adolescent girls, who were divided into intervention and control groups using simple random sampling. Data were collected using a knowledge questionnaire and the Morisky Medication Adherence Scale (MMAS-8). Univariate data were presented as frequency distributions, while bivariate analysis was performed using the chi-square test with a significance level of p<0.05. The results showed an increase in knowledge in the intervention group, from predominantly moderate (48.6%) to good (73.0%). Compliance with iron tablet consumption improved from predominantly low (64.9%) to moderate (43.2%) after receiving PAKEM-based education. The chi-square test showed significant differences in knowledge (p=0.001) and compliance with iron tablet consumption (p=0.008) between the intervention and control groups after receiving PAKEM-based anemia education.). In conclusion, PAKEM-based anemia education is effective in improving knowledge and compliance with iron tablet consumption among adolescent girls. This model can be recommended as an innovative strategy to enhance anemia prevention programs in schools.
The Relationship Between the Provision of Reproductive Health Education and Maternal and Child Health and the Knowledge of Health Cadres in Tugu Subdistrict
Maternal and Child Health is one of the indicators that determines the level of public health in a country. Discussions surrounding reproductive health and maternal and child health are closely related to the daily lives of community health cadres, who often interact with mothers and families. This study conducted in 2022 aims to determine differences in cadres’ knowledge of reproductive health and maternal and child health before and after counseling was conducted in Depok. There were respondents in this study, using a one-group pre-test–post-test design, with univariate analysis and bivariate analysis using the Wilcoxon test. The majority of respondents (86.60%) were adults, and 76.64% of them had a secondary level of education. After the intervention, there was an increase in knowledge of 69.37%. The results of the Wilcoxon test showed a p-value of 0.000 (< 0.05) and a difference between pre-test and post-test scores, indicating that the provision of reproductive health and maternal and child health education had an effect on cadres’ knowledge of reproductive health and MCH in Tugu Subdistrict. With the increase in cadres’ knowledge of reproductive health and MCH, it is expected that they can disseminate this educational information to the community in their respective areas.
The Effect of Ergonomic Gymnastic on Reducing Dysmenorrhea Pain in Adolescents Girls
Adolescence is a transitional period marked by physical and hormonal changes, including the maturation of the reproductive system. One of the health problems frequently experienced by adolescent girls is dysmenorrhea, which can disrupt learning activities and quality of life. This study aims to analyze the effect of ergonomic exercises on reducing dysmenorrhea pain in adolescent girls at SMPN 11 Samarinda. The study used a quasi-experimental pretest–posttest design. The sample consisted of 30 adolescent girls aged 12–15 years who experienced dysmenorrhea, divided into control and intervention groups. The intervention group received ergonomic and dysmenorrhea exercises, while the control group received only dysmenorrhea exercises. Pain was measured using a Visual Analog Scale before and after the intervention. Data analysis used the Mann-Whitney U Test and the Wilcoxon Signed Rank Test. The results showed a significant reduction in dysmenorrhea pain in both groups, with p < 0.05, and a greater reduction in pain in the intervention group. The study concludes that ergonomic exercises reduce dysmenorrhea pain.
The Effect of a Combination of Batimung Therapy and Lavender Aromatherapy on Improving Sleep Quality in Postpartum Mothers
Sleep disruptions after postpartum might impair mother recovery owing to hormonal changes, exhaustion, and psychological stress. Batimung and lavender aromatherapy will be tested for their effects on postpartum moms' sleep. This quasi-experimental research separated 30 postpartum moms into intervention and control groups using purposive selection and a pretest–posttest control group technique. The intervention group got batimung treatment and lavender aromatherapy for six days, whereas the control group received simply lavender. Pittsburgh Sleep Quality Index (PSQI) and Wilcoxon Signed Rank and Mann-Whitney tests examined sleep quality. Both groups saw substantial improvements in sleep quality (p < 0.001), with the intervention group having a considerably lower PSQI score (p = 0.003). Batimung and lavender aromatherapy improve postpartum moms' sleep quality more effectively and might be used as a non-pharmacological intervention in obstetric care.
Analysis Of Risk Factors Affecting Cholesterol: Cross-sectional Study
The increasing incidence of hypercholesterolemia among employees may affect cardiovascular health and workplace productivity. In Indonesia, the Basic Health Research (Riskesdas) 2018 reported that 35,9% of adults have elevated cholesterol levels. This study aimed to analyze the risk factors associated with total cholesterol levels among employees and to determine the most dominant influencing factor. This study employed a quantitative approach with a cross-sectional design. Data were obtained from company medical check-up records and physical activity questionnaires using the International Physical Activity Questionnaire. The independent variables included age, blood pressure, smoking habits, obesity, exercise routine, and gender, while the dependent variable was total cholesterol level. Data were analyzed using chi-square test and binary logistic regression. The results showed that high blood pressure (PR = 16.5; p < 0.001), obesity (PR = 3.646; p = 0.035), and irregular exercise (PR = 5.633; p = 0.013) were significantly associated with elevated total cholesterol levels. Multivariate analysis indicated that high blood pressure was the most dominant risk factor influencing total cholesterol levels (PR 15.569; p < 0.001). Maintaining normal blood pressure, regular physical activity and weight management are essential strategies to workplace health improvement.
The Influence of Health Education and Husband's Support on The Prevention of Postpartum Blues in Postpartum Mothers
If left untreated, postpartum blues can lead to depression in the first two weeks after delivery. In Indonesia, postpartum blues is still common, and family-based prevention efforts are still incomplete. This study examines how Communication, Information, and Education (IEC) and partner support can reduce postpartum blues in postpartum women. This study used a quantitative pretest-posttest design with a control group. The sample consisted of 30 postpartum women in the intervention and control groups. The intervention group received IEC and husband support, while the control group received standard care. This study was conducted at PMB Puji Handayani, Sungai Kunjang District, Samarinda City, East Kalimantan Province. Measurements were conducted using the Edinburgh Postnatal Depression Scale (EPDS) questionnaire. The results showed a greater reduction in postpartum blues scores in the intervention group. IEC accompanied by husband support is effective in reducing postpartum blues symptoms. Emotional, instrumental (housework/baby care assistance), and informational support from partners increase maternal coping capacity, reduce care stress, and accelerate psychological recovery. It is recommended that this be implemented in obstetric services.
The Effect of Anxiety First Aid on Reducing Anxiety in Adolescent Girls
Anxiety is a common mental health problem among adolescents, particularly during periods of academic pressure. If not properly managed, anxiety can negatively affect academic performance and psychological well-being. This study aimed to examine the effect of Anxiety First Aid (AFA) in reducing anxiety levels in adolescent girls. research pre-experimental one group pretest–posttest design was used involving 52 final-year students of the D-III Midwifery Study Program at STIKES Mutiara Mahakam Samarinda. The AFA intervention was conducted for seven consecutive days and included deep breathing relaxation, five-finger hypnosis, and music therapy. Anxiety levels were measured using the Hamilton Anxiety Rating Scale (HARS) before and after the intervention. The research showed a significant reduction in anxiety scores after the intervention (p < 0.001), with a mean decrease of 11.192 points. The effect size analysis indicated a large effect (Cohen’s d = 1.138). In conclusion, Anxiety First Aid is effective in reducing anxiety among adolescent girls and may be recommended as a practical and non-invasive psychosocial approach for early anxiety management. Therefore, it is recommended that Anxiety First Aid can be implemented as a simple and safe effort to help teenagers manage anxiety.
The Effectiveness of Educational Videos in Improving Personal Hygiene Knowledge and Attitudes of Adolescent Girls
Adolescence is a transitional phase that makes young women vulnerable to health problems, especially personal hygiene during menstruation. Lack of knowledge and attitudes about personal hygiene can increase the risk of infection. The aims of this research is to ascertain how well instructional videos can enhance young women's attitudes and understanding around personal hygiene. Thirty female students from SMP Negeri 11 Samarinda were chosen by purposive sampling and split into groups for educational videos and PowerPoint presentations and also the study used a quasi-experimental design with a two-group pretest–posttest. Data were collected through questionnaires before and after the intervention and analyzed using the Wilcoxon Signed Rank and Mann-Whitney U tests. The findings showed a significant increase in knowledge and attitudes in the educational video group (p < 0.001). Educational videos are more effective and are recommended as a learning medium for adolescent reproductive health.
Effleurage Massage as a Non-Pharmacological Intervention to Reduce Back Pain in Third Trimester Pregnant Women: A Literature Review
Lower back pain is a common complaint experienced by pregnant women in the third trimester due to biomechanical changes during pregnancy and can interfere with daily activities. This research aims to assess the effectiveness of effleurage massage in reducing lower back pain in pregnant women in the third trimester. The research method used a literature review of four articles from international and national journals published between 2021 and 2025. Article searches were conducted through Wiley Online Library, Google Scholar, and Sage Journals using the keywords "Effleurage Massage," "Back Pain," and "Pregnant." Of the 2,322 articles found, four relevant articles were selected based on exclusion and inclusion criteria. The analysis was conducted descriptively. The results indicate that effleurage massage is effective, safe, and easy to implement in reducing lower back pain in pregnant women in the third trimester. Therefore, effleurage massage is recommended as a non-pharmacological intervention in antenatal care services by midwives.
Warm Compress for Back Pain in Pregnant Women in the Third Trimester : A Literatur Review
Warm compresses are a non-pharmacological intervention that has been widely recognized as effective in reducing discomfort during pregnancy, particularly lower back pain commonly experienced by women in the third trimester. When not properly managed, lower back pain can worsen and interfere with daily activities such as standing, sitting, and moving, especially when the pain spreads to the pelvic and lumbar areas. Warm compress therapy helps relieve pain by promoting muscle relaxation and improving blood circulation, making it a safe and practical option during pregnancy. The purpose of this study was to determine whether warm compresses could help third-trimester pregnant women with their lower back pain. A literature review method was used by analyzing four selected national and international journal articles published between 2021 and 2025. The articles were obtained from ResearchGate, Crossref, and Google Scholar using the keywords “warm compress,” “low back pain,” and “pregnant.” The initial search identified 20,464 articles, which were then filtered according to exclusion and inclusion criteria. The results show that third-trimester pregnant women's lower back pain can be effectively reduced with warm compress therapy. Therefore, warm compresses can be recommended as a non-pharmacological intervention in antenatal care to help reduce pregnancy-related discomfort.
Classical Music Therapy in Reducing Anxiety in Pregnant Women: A Litratur Review
Music therapy is a non-pharmacological intervention that is increasingly recognized as effective in reducing anxiety and discomfort during pregnancy. It is a structured and purposeful approach conducted by trained professionals to support physical and psychological well-being. Music therapy can be applied actively, such as singing or playing instruments, or passively by listening to music, including classical music. This literature review used three databases: PubMed, Google Scholar, and ScienceDirect. Articles published between 2021 and 2025 were selected and accessed from May 10 to May 28, 2025. The search used the keywords “Classical Music,” “Anxiety,” and “Pregnancy.” From an initial 1,108 articles, four research met the exclusion and inclusion criteria and were reviewed. The results indicate that classical music therapy is effective in reducing anxiety and stress levels in pregnant women. Overall, music therapy provides significant physical and psychological benefits, helping to improve comfort and emotional well-being during pregnancy. Therefore, classical music therapy is recommended as a safe, holistic, and non-pharmacological approach in prenatal care to support maternal well-being.
The Role of Transformational Nursing Leadership in Implementing a Patient Safety Culture
Patient safety culture in hospitals is strongly influenced by the quality of nursing leadership, yet empirical evidence from infectious disease referral hospitals in Indonesia remains limited, particularly regarding the role of transformational head nurse leadership. This study aimed to analyze the relationship between the transformational leadership style of head nurses and the implementation of patient safety culture at Sulianti Saroso Infectious Diseases Hospital, Jakarta. This quantitative research employed a descriptive correlational design with a cross-sectional approach. Respondents were staff nurses in inpatient units selected using simple random sampling, with inclusion criteria of actively working nurses willing to participate and exclusion criteria of nurses on leave (maternity, sick, study), internship nurses, the researcher, and head nurses, resulting in 48 respondents. Data were collected using the Hospital Survey on Patient Safety Culture (HSOPS) Version 2 and a validated transformational leadership questionnaire, then analyzed using univariate and bivariate analyses with the chi-square test. Most respondents perceived the transformational leadership of head nurses as good (64.6%) and the patient safety culture as good (54.2%). There was a significant relationship between transformational leadership and patient safety culture (p = 0.004), with a Prevalence Odds Ratio (POR) of 7.944 (95% CI: 2.033–31.041), indicating that nurses who perceived transformational leadership as good had nearly eight times higher odds of reporting a good patient safety culture. These findings highlight the importance of strengthening transformational leadership development programs for ward managers as a strategy to improve patient safety culture and service quality in infectious disease referral hospitals.​