Journal title : Journal Of Nursing Practice Initials : JNP Frequency : 4 issues per year (April, July, October and January) DOI : Prefix 10.30994 Print ISSN : 2614-3488 Online ISSN : 2614-3496 Editor-in-chief : Fajar Rinawati Publisher : Universitas STRADA Indonesia in collaboration with PPNI Journal Of Nursing Practice is an international open access journal (e-journal) which publishes the scientific works for nurse practitioners and researchers. The focus and scopes of the journal include Pediatric Nursing, Maternity Nursing, Adult Nursing, Emergency Nursing, Community Nursing, Mental Health Nursing, Management in Nursing, Basic of Nursing and Education in Nursing. The JNP Editorial team welcome and invite researchers from around the world to submit their papers (original research article, systematic review, and case study) for publication in this journal. Submitted papers must be written in English for initial review stage by editors and further review process by minimum two reviewers. Finally, accepted and published papers will be freely accessed in this website and the following abstracting & indexing databases: Directory of Open Access Journals (DOAJ) SINTA GARUDA: Garba Rujukan Digital Google Scholar Dimensions Crossref Search Index Copernicus International (ICI) OCLC Worldcat Indonesia One Search BASE Bielefeld search engine The journal has been listed in LOCKSS Archieving system ROAD ISSN Sherpa/Romeo Policy OAI Address Journal Of Nursing Practice has OAI address : https://thejnp.org/index.php/jnp/oai Before submission, You have to make sure that your paper is prepared using the JNP paper TEMPLATE, has been carefully proofread and polished, and conformed to the Author guidelines. Online Submissions Already have a Username/Password for Journal Of Nursing Practice Informatics? GO TO LOGIN Need a Username/Password? GO TO REGISTRATION Forget your password? Please contact us Registration and login are required to submit items online and to check the status of current submissions.
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Analysis of Factors Associated with Acute Myocardial Infarction (AMI)
Background: The high mortality and morbidity rates for AMI are caused by delays in treatment efforts, accuracy and speed of diagnosis, and treatment by doctors. There are risk factors that may increase the risk of experiencing an acute myocardial infarction such as age, gender, race, genetics, overweight or obesity, smoking, hyperlipidemia, history of hypertension, diabetes mellitus, stress, and lack of physical activity. Purpose: The purpose of this study was to analyze what factors were associated with the incidence of acute myocardial infarction (AMI) at the Heart Polyclinic at Bhakti Dharma Husada Hospital, Surabaya. Methods: Analytical research design with cross-sectional approach. The population of this study were patients at the cardiac specialist polyclinic with a diagnosis of AMI with as many as 50 respondents. Sampling technique Non-probability sampling and the technique used is Consecutive sampling. Variables in the Independent Variable (Independent Variable) study were age, gender, hypertension, smoking, cholesterol, diabetes, obesity, physical activity. The dependent variable in this study was the incidence of acute myocardial infarction. Results: The results of the study used the Chi Squared tests (α = 0.05) to obtain a ρ-value Age = 0.004, Gender = 0.001, HT = 0.004, Cholesterol = 0.000, Smoking = 0.001, DM = 0.035, BMI = 0.018, Activities = 0.265. This means that there is a relationship between Age, Gender, Cholesterol, Smoking, DM, BMI with the incidence of AMI, and there is no relationship between Activity and the occurrence of AMI. Conclusion: Factors such as age, gender, hypertension, cholesterol, smoking habits, diabetes mellitus, and obesity have been shown to be significantly associated with the incidence of acute myocardial infarction, so that identification and control of these factors are important for the prevention and management of cases in the community. If left for a long time and education is not carried out as early as possible, it will impact the health of the community, which is at risk of more incidents than people who are not exposed to this education.
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Peak of Covid-19 Case Increase: Factors Related to Acceptance of the Covid-19 Booster Among Adolescents
Background: The acceleration of booster vaccination targets a minimum of 50 percent people aged 18 years and above while still prioritizing high-risk groups, such as the elderly. This is crucial to extend the protection of the Covid-19 vaccine and ensure that there is no surge in cases in the future. Purpose: This study aimed to analyze the determinant factors of Covid-19 booster acceptance among adolescents aged 18-24 years. Methods: The present study adopted an analytic observation method with a cross-sectional approach. It took place in East Java and involved 1415 adolescents selected through a simple random sampling. The dependent variable was Covid-19 booster acceptance among these adolescents. The independent variables were age, education, gender, and family income. The data were obtained through a questionnaire. They processed using bivariate analysis to investigate the relationship between the dependent and independent variables. To determine the acceptance of adolescents towards Covid-19 booster, it used multivariate logistic regression. Results: Age (OR= 1.71, CI 95% = 1.25 to 2.3, p= 0.001), education (OR= 1.56, CI 95% = 1.18 to 2.08, p= 0.002), gender (OR= 1.51, CI 95% = 0.14 to 1.99, p= 0.004), and family income (OR= 1.36, CI 95% = 0.10 to 1.85, p= 0.052) hold a statistically significant relationship with Covid-19 booster acceptance among adolescents. Conclusion: Age, education, gender, and family income are factors affecting Covid-19 booster acceptance among adolescents. Government and other relevant stakeholders are expected to take comprehensive measures to increase Covid-19 booster vaccination among adolescents aged 18-24 years.
The Relationship between Exploring New Meanings of Caregiving and Family's Ability to Care Schizophrenia
Background: Families who care for patients with schizophrenia are still considered negative experiences. Families are less able to find new, positive meaning when caring for patients with schizophrenia. This condition increases the family's and patient's burden as well as the inability of families to care for patients with schizophrenia. Purpose: This research aims to identify relationships between exploring the new meaning of caregiving with the family's ability to take care of patients with schizophrenia. Methods: This research is a quantitative descriptive study with a cross-sectional approach. A sample of 135 families who were caregivers of patients with schizophrenia was selected using purposive sampling techniques. The questionnaire exploring the new meaning of caregiving was developed from the concept of integrative empowerment and the family's ability to care for schizophrenia from the Barthel Index questionnaire and the Caregiving Tasks in Caring for an Adult with Mental Illness Scale (CTiCAMIS). Data analysis used Spearman rank correlation with alpha 5%. Results: This study's result is that the family's ability to explore new meanings of care is still in the sufficient category, both in the family aspect of having responsibility, the ability to assess positive aspects, acceptance of caring situations, and the family being part of the healer. Meanwhile, families' ability to care for patients with schizophrenia is still lacking to help with social interaction and productive skills. Conclusion: There is a relatively strong and unidirectional relationship between exploring new meanings of caregiving and the family's ability to care for schizophrenia (p-value=0.000; rho=0.311). Nurses must train family skills to explore new meanings through family empowerment programs.
Effectiveness of Self-Management Related to Physical Activity with Life Quality in Hypertension
Background: Hypertension is a major cause of disability and death worldwide. Efforts to reduce blood pressure and disease complications can be made by changing lifestyle, controlling the disease, and monitoring blood pressure regularly. Blood pressure management and improved quality of life can be achieved through effective self-management, particularly through physical activity. Purpose: The purpose of this literature review is to identify the effectiveness of self-management in physical activity in improving the quality of life of patients with hypertension. Methods: In this study, three international databases, i.e., Dimensions, Scopus, and ScienceDirect, were included. There were initial 605 articles from the last 5 years (2020 to 2024). The inclusion criteria used included English articles, original articles, and full text. Then, after screening using the Prisma guide, 18 articles met the criteria. Results: The literature review showed that quality of life, physical activity and self-management in patients with hypertension can be improved with digital interventions, support from various parties (family and society, multidisciplinary health workers), and self-management training. There is evidence that exercise such as walking, aerobic exercise, and light strength training can lower blood pressure and improve health status. Social and psychological support are also critical in supporting self-management. Conclusion: A comprehensive approach, which includes a combination of technology-based interventions, multidisciplinary support and self-management training in physical activity, is needed to improve the quality of life of patients with hypertension. Continuous intervention and support programs can encourage patients to adopt a healthy lifestyle and be motivated to control the disease.
The Relationship between Psychological Capital and Subjective Well-Being among Boarding School Adolescents
Background: Psychological capital (Psycap), encapsulates positive mental attributes such as hope, resilience, optimism, and one’s ability to positively reframe a situation, all of which shape an individual’s responses to and management of challenges. The adolescence period is crucial to the development of Psychological capital (Psycap), and the extent to which it is cultivated will determine levels of happiness in one’s future. Its role within the unique socio-educational environment, however, is still unresolved in the context of Islamic boarding schools. Purpose: The objective of this research was to analyze the correlation of Psychological Capital (PsyCap) with the Subjective Well-Being (SWB) of youth in Indonesian Islamic boarding schools. Methods: Information was obtained through a cross-sectional survey distributed to 208 adolescents. The Psychological Capital Questionnaire was administered to gauge the PsyCap. The Satisfaction With Life Scale (SWLS), in conjunction with the Positive and Negative Affect Schedule (PANAS), was employed to measure subjective well-being (SWB). For data analysis, descriptive statistics and Pearson correlation were used. Results: This investigation determined that mean scores for all PsyCap components and SWB besides observed the clearly connected data that as PsyCap increased, SWB also appeared to elevate. Among components, hope demonstrated the strongest correlation (r = 0.444, p<0.001), followed by optimism (r = 0.407, p<0.001), efficacy (r = 0.364, p<0.001), and resilience (r = 0.363, p<0.001). Conclusion: All PsyCap components positively correlated with subjective well-being and with hope being the strongest predictor. This underscores the significance of hope-augmentation PsyCap interventions within the context of a boarding school to aid in the development and well-being of adolescents.
Benson Relaxation Intervention to Reduce Anxiety in Chronic Kidney Disease Patients at RSUD Kanjuruhan
Background: Chronic kidney disease (CKD) is a significant global health issue affecting individuals across all age groups. A prevalent concern among CKD patients is anxiety, which can disrupt daily activities and overall quality of life. Methods: This study employs a qualitative case study approach to explore the nursing care process for patients with CKD experiencing anxiety. The research involved purposeful sampling and was conducted through three structured client meetings. Results: The findings demonstrate that the Benson relaxation technique significantly reduced anxiety levels in CKD patients. Observations indicated notable improvements in the client's emotional states from the beginning to the conclusion of the study. Conclusion: This research underscores the importance of implementing non-pharmacological interventions, such as Benson relaxation, alongside traditional pharmacological treatments. It is recommended that this relaxation technique be incorporated into daily routines for patients when experiencing anxiety.
Imogene King's Theory-Based Telenursing to Improve Medication Compliance in Tuberculosis Patients
Background: Tuberculosis (TB) is an infectious disease with a high health burden that requires patient compliance in taking anti-tuberculosis (ATD) medications. Non-compliance remains a barrier to successful therapy. Telenursing, an information technology-based service innovation, can be utilized to improve patient satisfaction, especially when developed based on Imogene King's nursing theory. Objective: Can telenursing based on Imogene King's theory improve medication adherence in TB patients? Methods: The study used a quasi-experimental design, with an intervention group receiving telenursing services based on Imogene King's theory and a control group receiving health promotion. Data on medication adherence were collected through observation and a medication adherence questionnaire. Data were analyzed using the Wilcoxon Signed Rank test. Results: The study showed that in the intervention group, the majority of respondents (66.6%) or 10 patients had high medication adherence. Conversely, in the control group, the majority of respondents (66.6%) or 10 patients had only moderate medication adherence. This indicates that telenursing based on Imogene King's theory is more effective than conventional health promotion in improving ATD adherence. Conclusion: Telenursing based on Imogene King's theory can improve medication adherence in TB patients through reciprocal interaction, therapeutic communication, and the achievement of shared goals between nurses and patients using the SETIA-TB application. The implementation of telenursing based on abortion theory is recommended to support the success of TB therapy and can serve as an innovative service model in the community.
The Effect of Pursed Lip Breathing and Diaphragmatic Breathing on Increasing Oxygen Saturation in COPD Patients
Background: Chronic Obstructive Pulmonary Disease (COPD) is a progressive respiratory condition marked by continuous airflow limitation, often resulting in hypoxemia and hypercapnia. The WHO (1) projects that by 2030, COPD will rank as the third leading cause of death globally. In Indonesia, the prevalence of COPD reached 2.4% in 2018. One of the key clinical manifestations of COPD is a decline in oxygen saturation. Non-pharmacological breathing techniques such as Pursed Lip Breathing (PLB) and Diaphragmatic Breathing (DB) have been shown to improve ventilation and oxygenation. Purpose: This study aimed to determine the effectiveness of PLB and DB in improving oxygen saturation among COPD patients. Methods: A quasi-experimental one-group pre-post test design was used, involving 30 purposively selected COPD patients from a population of 35 treated. Each participant performed PLB and DB for 5-10 minutes per session, three times daily, for four weeks-initially during hospitalization and later at home under supervision. Inclusion criteria were COPD patients with oxygen saturation levels of 88–90% who had not previously received PLB or DB therapy. Exclusion criteria included those with prior experience of PLB/DB, anxiety, anti-anxiety treatment, as anxiety can alter breathing patterns and reduce therapy effectiveness. Data were collected using observation sheets and pulse oximeters and analyzed with Wilcoxon Signed Rank Test. Results: Mean oxygen saturation increased from 89.40% (SD = 2.15) to 92.10% (SD = 1.98) with a significant p-value (0.000 < 0.05). Conclusion: PLB and DB effectively enhance oxygen saturation in COPD patients and have important implications for evidence-based nursing practice and education.
The Role of Nurses in Ensuring Legal Protection of Patients in Nursing Clinics: Nursing Practice and Management Perspectives
Background: Nurses play a very crucial role in protecting patient rights. Nurses don't just provide clinical services. They are also required to understand patient rights and the legal and ethical aspects that accompany them. Due to new regulations and a complex health system, nurses need to be equipped with legal knowledge. This is important so that they can carry out their duties professionally and protect patients effectively. Purpose: This research aims to examine the role of nurses in protecting patient rights, identify challenges faced in practice, and provide recommendations for strengthening patient legal protection through management support and legal training. Methods: A descriptive qualitative approach within the constructivist paradigm was used to explore nurses’ perceptions of their role in ensuring patients’ legal protection. Ten participants were purposively selected from three clinics in East Java. Data were collected through semi-structured interviews, transcribed verbatim, and analyzed using inductive thematic analysis to identify emerging themes. Results: This research identified three main themes: nurses’ legal protection measures, understanding of law and ethical responsibilities, and challenges in implementing these roles. These themes, derived through systematic coding and categorization, illustrate how nurses apply legal and ethical principles in daily clinical practice within the Indonesian healthcare context. Conclusion: Nurses play an important role in advocating for patient rights, but still face obstacles such as workload and lack of management support. Legal training and supporting policies are needed to strengthen the legal protection of patients in nursing clinics.
The Effect of Video-Based Diabetes Self-Management Education (DSME) Telenursing on Level of Knowledge in Diabetes Mellitus Patients
Background: Diabetes mellitus remains a major health problem, characterized by high prevalence and complications due to low patient knowledge about self-management. Effective education is needed to enable patients to manage their diabetes independently. The use of innovative educational media, such as telenursing-based videos, is considered to increase the effectiveness of knowledge and skills transfer, thus supporting improved knowledge levels among diabetes patients. Video-based Telenursing Diabetes Self-Management Education (DSME) can facilitate increased knowledge so that the self-care behavior of DM sufferers can increase. Purpose: The aim of the research was to analyze the effect of video-based telenursing diabetes self-management education (DSME) on the level of knowledge of Diabetes Mellitus patients. Methods: This research design was quasi-experimental with a pretest posttest approach with control group design. The population is all DM patients. The sampling method was accidental sampling of 60 respondents who were divided into 30 intervention groups and 30 control groups. The video-based DSME telenursing intervention was applied 2 times a week for 2 weeks to the intervention group, while the control group only carried out their usual routine. The instrument used was the DKQ-24 (Diabetes Knowledge Questionnaire) questionnaire. Data analysis used Wilcoxon Signed Rank with a significance value of α = 0.05. Results: The results of the research on the knowledge variable showed that the p value was 0.000 < 0.05, meaning that there was an influence of video-based DSME telenursing on the level of knowledge of DM patients in the intervention group. Conclusion: The application of video-based telenursing diabetes self-management education (DSME) affects the level of knowledge of Diabetes Mellitus patients. Nurses are expected to be able to implement video-based DSME telenursing so that patient self-care increases and can prevent complications.
Correlation between Stress Levels and Self-Harm Behavior among College Students in Surabaya: Cross-Sectional
Background: Nursing students experience high stress levels because of the high demands, expectations and activities during their study. Therefore some students struggle to adapt to their college life, eventually resorting to dangerous behaviors such as self-harm, which they perceive as a coping mechanism to relieve stress. Purpose: This study aims to analyze the relationship between stress levels and self-harm incidents among active students at Universitas Nahdlatul Ulama Surabaya. Methods: This research design uses descriptive correlational with cross-sectional approach. This study involved 293 students from Universitas Nahdlatul Ulama Surabaya, with purposive sampling technique. The dependent variable in this study is self-harm behavior, while the independent variable is the level of stress. The instrument tools used are the Perceived Stress Scale (PSS) questionnaire and DSHI (Deliberate Self Harm Inventory). Results: A total of 293 students were sampled in this study. The majority of stress levels were experienced by women, with 135 respondents experiencing moderate stress levels and 118 students having engaged in mild self-harm behavior. The results of the Spearman’s rank statistical test showed a significant correlation between stress levels and self-harm behavior (p-value = 0.004), indicating that higher levels of perceived stress are associated with a greater tendency toward self-harm Conclusion: This study concluded that the majority of students were under stress, with most perceiving themselves to be experiencing moderate stress. There is an urgent need to identify the underlying causes and implement effective management and preventive measures to mitigate the long-term negative effects of stress on students’ careers and well-being.
Spiritual Therapy for Patients and Communities Reducing Anxiety during the COVID-19 Pandemic: A Literature Review
Background: COVID-19 poses high challenges for society and has a considerable impact. One of the impacts of COVID-19 on patients and society is the emergence of anxiety, so efforts are needed to reduce this anxiety. Spiritual therapy is an alternative that can be used by patients and communities affected by COVID-19. Purpose: Find specifically about spiritual therapy to reduce anxiety in COVID-19 patients and communities affected by the COVID-19 pandemic. Methods: Literature review of international literature using Google Scholar, Proquest, and Taylor & Francis databases. A total of 1,544 articles were identified, of which 995 were duplicates, leaving 549 articles. After screening, 539 articles were excluded due to the lack of full-text availability. The remaining 10 articles were further reviewed, resulting in 5 articles that met the criteria and were included in this study. Results: Five articles meeting the inclusion criteria. One true experiment article, 2 pre-experiment articles, 1 RCT article, and 1 qualitative article. All articles analyzed are articles published in the range of 2019-2021. Spiritual therapies that can be used to reduce anxiety include Spiritual Emotional Freedom Technique (SEFT), Benson therapy, psychoreligious therapy, mindfulness meditation, and spiritual psychotherapy with an Islamic religious education approach. Conclusion: COVID-19 has profoundly impacted daily life and created significant challenges for society. However, spirituality serves as an important coping resource to help individuals manage anxiety. Various spiritual therapies such as the SEFT, benson relaxation, psychoreligious therapy, mindfulness meditation, and spiritual psychotherapy based on Islamic teachings have been shown to effectively reduce anxiety and promote mental well-being during the pandemic.
Factors Associated with Autism Early Detection to Minimize the Need for Long-Term Care in Children: A Cross-Sectional Study
Background: Autism is characterized by a total withdrawal from the outside world and a complete lack of interaction with the outside world. It is a complex developmental disorder affecting behavior, resulting in deficits in communication skills, social relationships, and emotional relationships with others. Symptoms are evident before the child is three years old. Autism has been increasingly reported in recent years. However, in Indonesia, some children are still diagnosed with autism late.Purpose: This study aimed to determine factors influencing the early detection of autism.Methods: This study used a cross-sectional correlation study. The study population was parents of children with autism registered at the Bali Province Special Needs School (SLB), with a sample size of 81. Data analysis used univariate analysis (percentages and frequencies) and bivariate analysis (Chi-square test). Results: The study showed that the majority of respondents had primary/secondary education (66.7%), the majority were unemployed (55.6%), the majority had conducted regular and proper child development monitoring (82.7%), and the majority of children had received early detection for autism (53.1%). The correlation test results showed a relationship between parental education (p = 0.028), parental occupation (p = 0.028), and the number of children (p = 0.011) with early detection of autism in children.Conclusion: ore than half of the children had received early detection for autism. Early detection needs to be further enhanced through effective education about the importance of early detection for children.
Effect of A Booklet Media on Increasing the Knowledge of Complementary Feeding among Mothers in South Tangerang, Indonesia
Background: Nutritional issues among toddlers remain a serious problem in Indonesia. The age of 6–24 months is a critical period in the growth and development of toddlers. Furthermore, children aged 12–23 months were more likely to meet complementary foods (e.g., minimum dietary diversity and minimum acceptable diet) than those younger, indicating that the older the child is, the greater the possibility of them meeting minimum complementary foods. Therefore, understanding complementary foods among mothers is essential for meeting the nutritional needs of children aged 6–11 months. Purpose: To compare mothers' knowledge about complementary foods for children aged 6–11 months in the intervention and control groups in South Tangerang. Methods: This research utilized a quasi-experimental design with a pretest-posttest control group design, carried out between August to September 2022. Participants (n=40) were selected through simple random sampling and then divided into intervention group (n=20) or the control group (n=20). To assess differences in knowledge changes between the two groups, the Wilcoxon signed-rank test was applied in the analysis. Results: The mean scores in the intervention group before and after receiving the booklet were 50.5 and 75.5, respectively. This implies a significant difference between complementary food knowledge mothers in the pre-test and post-test (p-value £0.05). On the other hand, the control group's mean value did not change significantly (pre-test 51.5 and post-test 50.5; p-value >0.05). Conclusion: The present study suggests that the booklet intervention had an impact on increasing mothers' understanding of complementary foods. Thus, health education through booklets is useful in changing knowledge and might be used in posyandu.
Evaluation of Patient-Centered Care (PCC) Implementation at A Type C Private Hospital
Background: Patient-centered care, or PCC, has been recognized as a crucial pillar supporting both patient safety and healthcare quality. PCC must be monitored and evaluated, and reporting or documentation must be used as a communication mechanism. To determine the effectiveness of health care implementation, an assessment system is put in place. Purpose: To evaluate the implementation of PCC at a type C private hospital. Methods: A descriptive analytical design was applied in this study with a population of 385 inpatients. In this study, 97 respondents or 25% of the population participated as samples, chosen through purposive sampling. The instrument used was a questionnaire containing eight PCC indicators, namely patient choice, communication of information and education, coordination of services, moral support, physical comfort, involvement of family and loved ones, continuity and transition, and access to services. Percentage formulas was used in this study. This research has been declared ethically approved with document number 1117.1/RSPWDC/LP/KEPK/VIII/2023. Results: The dimensions of choice appreciation, moral support, physical comfort, continuity and transition, coordination, and integrated patients included in the good category as many as 97 respondents (100%), dimensions of family involvement and the closest people to patients included in the good category as many as 94 respondents (96.9%), and the dimensions of communication, information, and patient education included in the good category as many as 72 respondents (74.2%). Conclusion: The evaluation of the implementation of PCC implementation at a type C private hospital is in the good category.
Virtual Simulation as a Teaching Strategy for Basic Life Support in Nursing Education: A Systematic Review
Background: Certain training programs, like Basic Life Support training, must change to comply with the new social and physical distancing policies. Health care workers, including nursing students, may benefit from Virtual Simulation, instruction, in order to help them meet the Basic Life Suppport competencies. Therefore, innovation in learning methods through virtual simulation is needed to provide interactive and realistic learning experiences, as well as to enhance students’ knowledge, clinical skills, critical thinking, and self-confidence before entering clinical practice." Objectives: To examine the effectiveness of virtual simulation as a learning approach for Basic Life Support among nursing students. Methods: The literature search was conducted across several databases, including Google Scholar, databases including ScienceDirect, Web of Science, and PubMed, covering studies published between 2019 and 2023. A total of 4,725 articles were initially identified. After title screening (N = 2,310) and abstract evaluation (n = 703), 75 full-text articles were reviewed. Finally, 15 studies that met the inclusion criteria were analyzed. Both English and Indonesian language publications were considered, following the PRISMA guidelines. Results: Demonstrates the emergence of a new virtual simulation learning model that is combined with video-based instruction. During the course of the eight-hour intervention up to two weeks, several indicators of improvement were noted, including resiliency, self-efficacy, understanding, attitudes, skills, and ability to perform resuscitation. In addition, three articles with statistically significant results indicate that the mixed model is more effective when combined with e-learning websites and computer-based simulations. Three articles discuss that, out of the four blended learning models, the most effective parameter is the understanding capacity. Conclusion: This indicates that BLS training should utilise a virtual simulation learning model that takes infrastructure, facilities and training modules into consideration.
Comparative Effects of Safe Steps and Life Cycle Games on Adolescent Reproductive Literacy and Mental Health
Background: Adolescents often experience low reproductive literacy and poor mental health, which can lead to risky behaviors, early sexual debut, unintended pregnancy, and psychological problems such as anxiety and depression. Innovative approaches are needed to provide engaging and effective health education. Purpose: This study aimed to compare the effects of two educational games, SafeSteps (mobile) and LifeCycle (board game), on adolescents’ reproductive health literacy and mental health. Methods: A quasi-experimental design was applied with 266 participants divided into the two intervention groups (n=133 per group). Data on reproductive literacy and mental health (SDQ) were collected using validated questionnaires before and after the intervention. Paired t-tests and Analysis of Covariance (ANCOVA) were conducted to measure within- and between-group differences. Results: Both SafeSteps and LifeCycle significantly improved adolescents’ reproductive literacy, attitudes toward sexual violence, and mental health (p < .001). The SafeSteps group showed a significantly greater increase in reproductive literacy (mean D=17.3) compared to the LifeCycle group (mean D=13.4; F=13.84, p < .001). SafeSteps also yielded stronger gains in attitudes toward sexual violence (p < .001). Crucially, improvements in mental health were comparable between the two groups (F=1.46, p=0.228). Conclusion: SafeSteps (mobile) yielded stronger gains in cognitive and attitudinal outcomes, while both game modalities equally improved mental health. These findings recommend that policymakers and educators should integrate a hybrid approach combining scalable digital games with collaborative board-based sessions into school-based programs to ensure comprehensive and effective adolescent health promotion.
Training Preschool Teachers in Early Detection of Emotional-Behavioral Problems and ADHD using Audiovisual and Booklet Media
Background: Early identification of emotional and behavioral problems, including attention-deficit/hyperactivity disorder (ADHD), is essential for optimizing preschool children’s development. In Indonesia, many preschool teachers lack sufficient competence due to limited structured training. Evidence comparing audiovisual and booklet-based instructional media is scarce. This study addresses this gap, providing insights to enhance teacher preparedness in early detection. Purpose: This study compared the effectiveness of audiovisual and booklet-based training programs in improving preschool teachers’ knowledge and skills in the early detection of emotional behavior problems and ADHD. Methods: A quasi-experimental study with a non-equivalent group design was conducted among 58 preschool teachers selected through purposive sampling. Preschools were assigned to two formats that delivered identical training content through either audiovisual or booklet-based media. Participants’ knowledge was assessed using a questionnaire, and practical skills were evaluated with a checklist, both of which were validated and reliable. Data were analyzed using independent t-tests and Mann–Whitney U tests. Results: Audiovisual training produced significantly greater improvements in participants’ knowledge (p < 0.001) and skills in early detection of emotional behavior problems (p < 0.001) and ADHD (p = 0.009) compared with booklet training. The audiovisual group achieved higher post-test scores and demonstrated better knowledge retention. Conclusion: Audiovisual-based training was more effective than booklet-based training in enhancing preschool teachers’ knowledge and skills for identifying early emotional and behavioral problems in children. These findings highlight the importance of integrating audiovisual learning into teacher development programs to strengthen early childhood mental health surveillance.
Optimizing Officer and Cadre Satisfaction with the Family Posyandu Reporting System with (Si Lina Gesit) Google Spreadsheet Online Information System at the Klampis Health Center
Background: Posyandu is a form of Community-Resourced health effort that is managed, by and for the community to empower it and make it easier for the community to obtain health services, especially in the reporting system carried out by village midwives and cadres. Purpose: Analyzing the satisfaction of officers and cadres with the Family Posyandu Reporting System using (Si Lina Gesit) Google Spreadsheet online information system at the Klampis Community Health Center. Methods: Type of experimental research: pre-post test One Group Design, sampling technique with purposive sampling, sample size of 44 officers and cadres analyzed statistically using the Wilcoxon test. Results: There are differences in the Tangible, Reliability, Responsiveness, Assurance and Empathy indicators between before and after the intervention was given, apart from that, based on the Wilcoxon Test analysis on satisfaction, the P value was (0.000) < α (0.05). Conclusion: There is a difference in satisfaction between before and after the intervention was given to cadres at the Klampis Community Health Center.
Factors Affecting the Length of Stay for Covid-19 Sufferers with Cormobid Hypertension
Background: Cormobid, one of the aggravating factors for COVID-19 sufferers, is hypertension. Therefore, cormobid COVID-19 sufferers can have a longer length of stay. Purpose: Thus, the researcher did a study at Soedarso Hospital in Pontianak City to find out what makes COVID-19 sufferers with hypertension cormobid stay in the hospital longer. Methods: The study used a retrospective design with a total sampling method of 204 data (15 March 2021 - 30 April 2022). Data analysis using Spearman test and ETA Correlation. Results: The Spearman test showed that there was a relationship between age (P-value 0.000, r 0.255), leukocytes (P-value 0.000, r=0.513), symptoms of COVID-19 (P-value 0.000, r=0.592), cormobid (P-value 0.002, r= 0.300) with length of hospitalization. The ETA test showed a relationship between sex (F table > F result, 3.89 > 8.14) and length of stay. Symptoms of covid-19 are the most related to the standard coefficient of beta 2,559. Conclusion: Factors affecting the length of stay for Covid-19 sufferers are age, gender, leukocytes, symptoms, and cormobid. However, the dominant factor for Covid-19 sufferers is the symptoms of Covid-19.
Evaluation of Iron Tablet Supplementation Program of Female Adolescent in Surakarta
Background: The 2021 Indonesian Nutritional Status Survey (SGI) found that the prevalence of stunting in Indonesia was 24.4%, exceeding the global prevalence of 22.2%. The prevalence of stunting in Central Java Province in 2022 was 20.9%. The percentage of stunted toddlers in Surakarta City in 2022 was 1.87%, an increase compared to 1.39% in 2021. Based on 2018 data from the Surakarta Health Office, the highest incidence of stunting was found at the Sangkrah Community Health Center (Puskesmas), at 3.35%. Stunting in children is often caused by inadequate nutritional intake for preconception adolescents during the first 8,000 days of life. One sign of inadequate nutrition is anemia in adolescents. Anemia can be prevented by regularly taking iron supplements (TTD) from adolescence. Purpose: To evaluate iron supplement administration among adolescent girls in Surakarta City. Methods: This study used a mixed-methods design. The study population was junior high and high school students in the Sangkrah Community Health Center (Puskesmas) area. Participants were 150 female students selected using cluster sampling. The first stage involved hemoglobin (Hb) testing and measuring the girls' knowledge and adherence to iron supplement administration using a questionnaire. The second stage involved focus group discussions (FGDs) with health workers from the Surakarta City Health Office, teachers, and junior high and high school students. Quantitative data were analyzed using product-moment correlation, while qualitative data were analyzed using thematic analysis. Results: The human resources involved in the iron supplement administration program at this school complied with the Anemia Prevention and Control Guidelines. The iron supplement distribution program has been implemented by the Surakarta City Health Office since 2022. Iron supplement distribution is carried out by 2-4 individuals. Most respondents in this study were compliant with iron supplement administration (73.3%). There was a significant relationship between iron supplement adherence and hemoglobin levels, with a p-value of 0.0001. Conclusion: The iron supplement program for adolescent girls has been running well. Monitoring is conducted by the Sangkrah Community Health Center every three months, and the majority of girls are compliant with iron supplement consumption.
Teenage Pregnancies in Indonesia: Does Socio-Economic Matter?
Bacground: Teenage pregnancies is a crucial health problem in developing countries, including in Indonesia, which may cause various physical, psychological, emotional, and social problem including death for both mother and baby. Purpose: This current research aimed to analyze the socio-economic relationship with the occurrence of teenage pregnancies in Indonesia. Methods: This study uses secondary data for the 2017 IDHS with cross-sectional design. The dependent variable in this study is the prevalence of pregnant adolescents, while the independent variable is the socioeconomic status, the number of samples in this study was 3350 in women aged 20-24 years. The sampling technique uses simple random sampling. Analysis using binary logistic regression. Results: The results showed that the poorer women had 0.804 times the probability of having teenage pregnancies (AOR 0.804; 95% CI 0.655-0.986). The women with middle socio-economic have 0.640 times more chance than the most impoverished women to have teenage pregnancies (AOR 0.640; 95% CI 0.514-0.797). The wealthier women have 0.804 times the probability of having teenage pregnancies compared to the poorest women (AOR 0.804; 95% CI 0.655-0.986). Moreover, the wealthiest women are 0.607 times more likely than the poorest women to have teenage pregnancies (AOR 0.607; 95% CI 0.447-0.823). Conclusion: The study concluded that socio-economic proved to be related to the occurrence of teenage pregnancies in Indonesia. Also, there are 3 other variables which are also significant predictors of teenage pregnancy. The three variables are age, education level, and employment status.
Preventing and Managing Radial Artery Bleeding following Transradial Procedures: Strategies and Considerations
Background: Cardiac catheterization is an invasive diagnostic procedure using one or more catheters inserted into the heart and certain blood vessels to determine the degree of narrowing in the coronary arteries. Catheterization access through the radial artery shows better results that are not free from complications of bleeding and hematoma. Purpose: To determine whether there is a relationship between the duration of mechanical compression of the radial artery and the incidence of bleeding. Methods: Quantitative cross Sectional . The sample size was 40 patients, divided into 2 groups, namely 20 respondents who in aff mechanical compression at three hours and 20 respondents at four hours. Results: Observations were made every 15 minutes in the first hour, every 30 minutes in the second hour, and every 1 hour in the following hours. Research results: The chi-square test obtained p = 0.038¸ p value ≤ α (0.05) then H0 was rejected, which is statistically interpreted as a relationship, so it can be concluded that there is a significant relationship between the duration of aff mechanical compression on the radial artery and bleeding in post-operative corangiography patient. Conclusion: There is a significant relationship between the duration of aff mechanical compression of the radial artery and bleeding in post corangiography standby PCI patients. Optimal compression duration is essential to minimize bleeding complications and improve the safety of the procedure.
The Effectiveness of Education about Healthy Food on Mother's Motivation and Knowledge of Mothers in Preventing the Risk of Stunting
Background: Stunting is a health problem caused by chronic malnutrition in children, which affects cognitive and motor growth and development. The role of mothers is very important in preventing stunting, especially through a good understanding of nutritional intake. The issue of stunting in Indonesia is a significant chronic nutritional problem caused by inadequate nutritional intake and various other factors, including maternal Motivation and knowledge about healthy food. Purpose: This study aims to evaluate the effectiveness of nutrition education through animated videos and booklets in improving maternal Motivation and knowledge to prevent the risk of stunting. Methods: This study used a Quasi-Experimental design with a pre-test and post-test with control group design. The sample consisted of 60 mothers who had toddlers at the Kelapa Gading Sehat Posyandu (animation video group) and the Amalia Posyandu (booklet group), each consisting of 30 people. Data were collected using a questionnaire and analyzed using a paired t-test and an independent t-test to see the effectiveness of the educational intervention. Results: he results showed a significant increase in mothers' motivation and Knowledge after being given education. In the animated video group, the average motivation score increased from 35.8 to 48.9, while in the booklet group it increased from 36.4 to 49.8 (p-value = 0.000). The results showed that the average maternal knowledge scores significantly increased after the intervention, with a p-value < 0.05. Conclusion: This study concludes that nutrition education based on animated video media and booklets can be an effective method in increasing mothers' motivation and Knowledge in efforts to prevent stunting.
Moringa Leaf Extract as a Natural Intervention to Increase Hemoglobin Levels in Postpartum Anemia
Background: Postpartum anemia is a significant health problem that contributes to maternal morbidity and mortality. It is estimated that 50–80% of women experience anemia within 48 hours after childbirth. In Indonesia, postpartum anemia is among the leading causes of maternal mortality. Effective and affordable interventions are urgently needed to improve maternal outcomes. Moringa (Moringa oleifera) leaves are rich in iron and essential nutrients that may support hemoglobin synthesis. Purpose: This study aimed to evaluate the effect of Moringa leaf extract on hemoglobin levels in postpartum women with anemia. Methods: A quasi-experimental study was conducted among postpartum women diagnosed with anemia. Participants were divided into an intervention group receiving Moringa leaf extract and a control group receiving standard care. Hemoglobin levels were measured before and after the intervention. Data were analyzed using paired and independent statistical tests with a significance level of p<0.05. Results: The intervention significantly improved hemoglobin levels, with the mean rising from 8.65 g/dL pre-test to 10.93 g/dL post-test (p < 0.05). The average increase of 2.27 g/dL was accompanied by a more uniform distribution, indicating effective enhancement of maternal hemoglobin status after intervention. Conclusion: Moringa leaf extract is effective in increasing hemoglobin levels among anemic postpartum women. This low-cost, natural intervention can be considered as a complementary strategy in the management of postpartum anemia, particularly in low- and middle-income settings. Further large-scale randomized controlled trials are recommended to confirm these findings.