Jurnal Kesehatan Kusuma Husada is a scientific journal published by Universitas Kusuma Husada Surakarta containing scientific writings that focus on the health sector including nursing, midwifery, biomedical, acupunture, learning model, and public health. Jurnal Kesehatan Kusuma Husada is published twice a year (January and July). Please visit our Google Scholar profile to see how high the citation rate is in our journal. The copyright for published articles belongs to Jurnal Kesehatan Kusuma Husada.
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THE IMPACT ON INFANT WEIGHT OF USING THE BABY-LED WEANING METHOD TO INTRODUCE COMPLEMENTARY FOODS
Background: During early childhood, a period of rapid growth, malnutrition remained a major concern, with millions of infants worldwide affected by underweight, and stunting. Unresolved, this condition led to poor growth, weakened immunity, and delayed cognitive development. Baby-Led Weaning (BLW), a method where infants aged six months and older self-fed solid foods, offered a potential solution by encouraging food exploration, chewing skills, and appetite. Therefore, this study aimed to evaluate the impact of BLW-based complementary feeding on infant weight gain. Methods: This study employed a quasi-experimental design with a one-group pretest-posttest approach. An accidental sampling technique was used to select 15 infants aged 9 to 24 months. The intervention period lasted for 14 consecutive days, during which the BLW method was implemented at the participants' homes under the guidance of the researcher. Data were collected through observations of infant weight measurements and analyzed using a paired t-test. Results: The study found that the average infant weight increased from 9.53 kg before the BLW intervention to 10.05 kg afterward. A paired t-test revealed a statistically significant difference, with a p-value of 0.000 (p < 0.05). Conclusion: These findings indicate that complementary feeding using the BLW method effectively increased infant weight. Therefore, the BLW approach is recommended for mothers introducing complementary foods, as it may support optimal growth and development in infants.
Baby-Led Weaning (BLW), complementary feeding, infant weight
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THE INFLUENCE OF HEALTH EDUCATION WITH BOOKLET MEDIA AND DEMONSTRATION ON PREGNANT WOMEN'S KNOWLEDGE OF ANEMIA PREVENTION
Background: Pregnant women in Indonesia often experience anaemia. Health education about anaemia and its prevention is essential for increasing the awareness of pregnant women, which helps improve the health of both the mother and the fetus. This study aims to determine the influence of health education about anaemia using booklets and demonstrations on the knowledge of pregnant women in Serenan Village, Juwiring District Methods: Pre-experimental research was used in this study. This study used the one-group pretest-posttest method. Total sampling was used to select 22 pregnant women from Serenan Village, Juwiring District. This study used questionnaires and booklets. This research uses the Wilcoxon test. Results: Based on univariate analysis, 19 respondents or 86.4% of the sample, were aged between 20 and 35 years. A total of 16 respondents, or 72.7% were primiparas based on parity. The majority of respondents, 16 (72.7%), had completed high school. Regarding the understanding of pregnant women before receiving health education, 14 respondents (63.6%) had sufficient knowledge, eight respondents (36.4%) had inadequate information, and none had good knowledge. After their health education, 20 respondents (90.9%) reported having high knowledge, 2 (9.1%) reported having sufficient understanding, and none reported having poor knowledge. There was an effect of health education using booklets and demonstrations on pregnant women's knowledge about anaemia prevention, with a p-value of 0.000. Conclusion: The implication of this study is that the combination of booklets and demonstrations can be a good method for increasing pregnant women's knowledge.
anaemia, booklet, demonstration, knowledge, prevention
THE RELATIONSHIP BETWEEN STRESS LEVEL, PICKY EATING BEHAVIOR, AND PHYSICAL ACTIVITY ON BODY MASS INDEX AMONG ADOLESCENT GIRLS
Background: Adolescence is a critical period where energy balance affects nutritional status. An imbalance between energy intake and expenditure during this stage can lead to nutritional disorders, including underweight and overweight conditions. This study aimed to analyze the relationship between stress levels, picky eating behaviour, and physical activity with Body Mass Index (BMI) among adolescent girls. Methods: This quantitative study employed a cross-sectional design involving 106 randomly selected high school female students. Data were collected using standardized questionnaires to assess stress levels (DASS-42), picky eating behaviour (modified CEBQ), and physical activity (PAQ-A), along with direct anthropometric measurements to calculate BMI. Multivariate logistic regression analysis was used. Results: Most respondents were aged 18–21 years (67.9%), with high stress levels (73.5%), picky eating behaviour (83%), and physical inactivity (65.1%). Bivariate analysis found significant associations between stress levels (p = 0.012) and picky eating (p = 0.003) with BMI, where both increased the risk of BMI imbalance. Physical activity showed no significant relationship (p = 0.118). Multivariate analysis confirmed significant associations between stress (OR = 3.13, p = 0.012) and picky eating (OR = 5.42, p = 0.003) with BMI, with physical activity serving as a protective factor (OR = 0.29, p = 0.018). Conclusion: This study concludes that stress levels, picky eating behaviour, and physical activity significantly influence the Body Mass Index (BMI) of adolescent girls. High stress levels and picky eating increase the risk of BMI imbalance, while adequate physical activity serves as a protective factor.
adolescents, body mass index, physical activity, picky eating, stress level
EFFECTIVENESS OF YOGA CHILD POSE ON ALLEVIATING MENSTRUAL PAININ FEMALE ADOLESCENTS
Background: Menstrual pain, or dysmenorrhea, arises from heightened prostaglandin production, leading to uterine cramps. This discomfort can interfere with daily activities. One recommended non-pharmacological approach to relieve this condition is practising the child's pose in yoga. This study aims to assess the effectiveness of this pose in reducing menstrual discomfort among students. Methods: The research was conducted at SMPN 2 Pamulihan during the period of July through August. This study employed a pre-experimental design with a one-group pretest-posttest approach. The participants were 7th and 8th grade junior high school students experiencing primary dysmenorrhea who met the inclusion and exclusion criteria. Pain assessment was conducted using the Numeric Rating Scale (NRS), a validated and widely accepted instrument for evaluating pain levels. The yoga intervention was implemented based on established Standard Operating Procedures (SOP) to ensure consistency and adherence to protocol. Data were analysed using univariate and bivariate analyses, with the Wilcoxon test applied to assess the differences between pretest and posttest results. Results: Prior to the intervention, 25 participants (69.4%) experienced mild pain. Following the yoga sessions, 26 students (72.2%) reported mild pain. Statistical analysis revealed a significant difference before and after the intervention (p = 0.000 < 0.05), indicating the potential of child's pose yoga as a non-pharmacological method for easing dysmenorrhea. Conclusion: The child's pose yoga technique shows promise in managing menstrual discomfort among adolescents, serving as a viable non-pharmacological alternative.
child pose, dysmenorrhea, female adolescents, yoga
RELATIONSHIP BETWEEN MOTHERS' KNOWLEDGE AND ATTITUDES ABOUT FEEDING PATTERNS WITH THE NUTRITIONAL STATUS OF PRESCHOOL CHILDREN
Background: Nutrition problems in children remain a serious challenge to health development, including in preschool-aged children. One important factor that influences children's nutritional status is the role of mothers as primary caregivers. Mothers' knowledge and attitudes toward nutrition play a crucial role in decision-making to meet their children's nutritional needs. However, many preschool-aged children still experience malnutrition despite their mothers having sufficient knowledge. This prompted research to examine the relationship between mothers' knowledge and attitudes toward feeding patterns and the nutritional status of preschool-aged children. Methods: The method used in this study is a quantitative approach with a cross-sectional design using non-probability sampling. The study population consisted of 260 mothers with preschool children, with a sample size of 158 participants. The sampling technique used was random sampling. This study used a questionnaire assessing mothers' knowledge and attitudes toward the nutrition of preschool-aged children, which had been adopted and modified. Results: The results of the chi-square test showed most respondents had poor knowledge (49.4%), and their attitudes were in the good category (53.8%). Most respondents had good nutritional status (60.1%). The relationship between knowledge about dietary patterns and nutritional status (p-value= 0.777), but attitudes and nutritional status (p-value= 0.003). Conclusion: There was no relationship between knowledge about dietary patterns and the nutritional status of preschool children. However, there was a relationship between attitudes toward dietary patterns and the nutritional status of preschool children. These results emphasise that cognitive aspects need to be expanded with an affective approach.
THE RELATIONSHIP BETWEEN SELF-EFFICACY AND STRESS IN ELDERLY HYPERTENSION PATIENTS
Background: Elderly individuals with hypertension often face high stress levels, which can worsen their physical and psychological health. Self-efficacy, the belief in one's ability to manage challenges, plays a crucial role in coping with chronic illness. Research suggests that higher self-efficacy is linked to better stress management and improved health outcomes. In hypertensive elderly, strong self-efficacy may help reduce stress by promoting confidence in handling daily tasks and medical routines. Understanding this relationship is essential for developing effective interventions to support elderly patients and enhance their quality of life. The purpose of this study was to determine the relationship between self-efficacy and stress levels in elderly people with hypertension. Methods: This research design is correlational analytic using a cross-sectional approach; the instruments in this study were the Self-efficacy to Manage Hypertension-Five Item Scale and the Perceived Stress Scale (PSS). The sample in this study consists of 65 respondents, all of whom are elderly individuals diagnosed with hypertension Results: 12 (18,5%) elderly experienced low self-efficacy, and 5 (7,7%) elderly had severe stress. There is a negative relationship between self-efficacy and stress in the elderly, with a p value <0.000 (<0.05), with a correlation of -.580**. Conclusion: This means that the higher the self-efficacy possessed by the elderly, the lower the stress that arises. Self-efficacy plays an important role in reducing stress in the elderly, especially those who suffer from hypertension. The elderly are recommended to increase their self-efficacy through several complementary therapies.
elderly, hypertension, self-efficacy, stress
DESCRIPTION OF NURSE STIGMA TOWARDS PEOPLE WITH HIV/AIDS (PLWHA)
Background: Stigma against people living with HIV/AIDS (PLWHA) is a serious problem due to negative perceptions. The stigma experienced causes psychological, emotional, spiritual, and social isolation, and access to health services. Nurses perpetrate one form of stigma in the healthcare environment due to a lack of knowledge, fear of HIV transmission, and misconceptions about its transmission. This study aims to investigate the perception of stigma among nurses toward people living with HIV/AIDS (PLWHA) at Tidar Hospital in Magelang City. Methods: This is a qualitative study using a case study approach. Participants were selected using purposive sampling, and the results were determined using the HIV-KQ-18 knowledge pre-test. The sample consisted of 12 informants, including nurses, PLWHA patients, ward supervisors, infection control committee members, and nursing managers. Data collection was conducted through interviews and observations from June to August 2024, and data analysis was performed using Open Code software version 4.03. Results: Stigma among nurses arises from fear and concern during patient care due to an insufficient understanding of HIV transmission and prevention. Despite exhibiting stigmatising behaviour, nurses continue to fulfil their roles and duties as caregivers. Conclusion: Stigma among nurses toward HIV/AIDS patients arises from insufficient knowledge about HIV transmission and prevention. HIV/AIDS training programs should be implemented to enhance HIV knowledge and foster positive attitudes toward HIV/AIDS patients.
ANALYSIS OF THE RELATIONSHIP BETWEEN AGE, GENDER, AND LENGTH OF EMPLOYMENT WITHWORK-RELATED STRESS AMONG NURSES
Background: Work-related stress is a common issue among nurses and can affect their performance, quality of care, and psychological well-being. This study aimed to analyze the relationship between age, gender, and length of service with work-related stress levels among nurses at a hospital in Banjarbaru City. Methods: A quantitative approach with a cross-sectional design was used. The sample consisted of 120 nurses at a hospital in Banjarbaru City selected through proportional stratified random sampling. Data were collected using a demographic questionnaire and the Perceived Stress Scale (PSS), which has been validated in previous studies with a Cronbach's alpha of 0.82. Data were analysed using the Chi-Square test with a significance level of 0.05. Results: The results showed no significant relationship between age (p=0.298), gender (p=0.397), and length of service (p=0.581) and the level of work-related stress. However, descriptive results indicated a higher proportion of stress among nurses who were female, younger, and had longer work experience. Conclusion: It is recommended that hospital management focus more on workload, work environment, and psychosocial support rather than individual demographic factors in managing work stress.
age, gender, length of service, nurses, work stress
THE SIX-MINUTE WALKING TEST FOR MEASURING VITAL LUNG CAPACITY AND VO2 MAX IN TEENAGERS IN THE NURSING ANESTHESIOLOGY DEPARTMENT
Background: Technological advances are making activities easier. The convenience gained hurts daily life, such as laziness in exercise and reluctance to gather and communicate actively, especially among teenagers. Physical fitness is essential in improving cardiovascular health, including heart and blood vessel endurance and vital lung capacity. Maximum oxygen volume (VO2 max) can be used to assess a person's cardiorespiratory endurance. This study aimed to use a 6-minute walk test to measure VO2 max and the lungs' vital capacity. Methods: The method used a pre-experiment with total sampling, namely 118 student respondents. These tools include emergency equipment, a stopwatch to calculate running time, colourful markers to indicate the path, and traffic cones for additional markers, using the Borg Breathing Difficulty Scale to check how difficult it is for respondents to breathe. Analysis used the Wilcoxon test because the normality assumption is not met. Results: The results showed that the relationship between the distance of the 6-minute walk test and vital lung capacity was indicated by a p-value of 0.000 (P<0.05), and the relationship between the distance of the 6-minute walk test and VO2 max was marked by a p-value of 0.000 (P<0.05). Physical fitness is essential in improving cardiovascular health, including heart and blood vessel endurance and lung vital capacity. Conclusion: This study concludes that there is a relationship between the 6-minute walk test and vital lung capacity and VO2 max.
the six-minute walking test, vital capacity, VO2 max
THE RELATIONSHIP BETWEEN LUNG FUNCTION, DISEASE SEVERITY, AND MOTIVATION TO QUIT SMOKING AMONG CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) PATIENTS
Background: Smoking cessation is an important management for Chronic Obstructive Pulmonary Disease (COPD), but many patients continue to smoke due to low motivation. Therefore, further studies exploring the motivation to quit smoking are needed. This study examines the relationship between lung function, disease severity, and motivation to quit in COPD patients. Methods: A correlational cross-sectional study was conducted at a pulmonary hospital in Yogyakarta, Indonesia, in February 2024. One hundred adults with COPD who were current smokers were chosen through random sampling. We used the Richmond Test to measure motivation to quit smoking, the COPD Assessment Test (CAT) questionnaire to assess the severity of COPD, and Peak flow meters to assess lung function by measuring peak expiratory flow (PEF). Descriptive statistics were provided to summarise the characteristics of the participants, and Spearman's rank correlation was used to analyse the relationships between the variables. Results: The average age of the participants was 65 years, the length of time they had been smoking was 23 years, and the number of cigarettes smoked each day was 23. Most respondents showed moderate motivation to quit smoking (70%) and had a diagnosis of severe (60%) COPD. There is a significant correlation between peak expiratory flow and the motivation to quit smoking (p = 0.03) and between the severity of the disease and the motivation to quit smoking (p = 0.04). Conclusion: These findings emphasise the importance of communicating PEF assessment results and disease severity to enhance COPD patients' motivation to quit smoking.
COPD, factor, motivation, smoking cessation
THE EFFECT OF ANIMATED VIDEOS AS A MEDIUM FOR REDUCING PRE-OPERATIVE ANXIENTY WITH GENERAL ANESTHESIA
Background: Preoperative anxiety is a common emotional response in patients undergoing surgical procedures, including laparotomy with general anaesthesia. Effective preoperative education can be one strategy to reduce anxiety. Animated videos about the anaesthesia procedure can improve patients' understanding and reduce their anxiety about medical procedures. This study aimed to determine the effect of animated videos as an educational medium in reducing preoperative anxiety in laparotomy with general anaesthesia. Methods: This study used a quasi-experimental design with a pre-test and post-test approach with a control group. The sample consisted of 30 patients scheduled for laparotomy at PKU Muhammadiyah Gamping Hospital, divided into 2 groups. Anxiety was measured using the Amsterdam Preoperative Anxiety and Information Scale (APAIS). Data was analyzed using the Mann-Whitney U Test. Results: This study shows that in the intervention group, the majority of respondents before watching the animated video had moderate anxiety levels, with 8 respondents (53.3%). After being given the animated video, the majority of respondents showed mild anxiety levels, with 6 respondents (40.0%). In the control group, the majority of respondents had moderate anxiety levels, with 8 respondents (53.3%). After being given nursing care from the hospital without being given the animated video, the majority of respondents showed mild anxiety levels, with 9 respondents (60.0%). Data analysis showed a significant decrease in anxiety scores in the intervention group compared to the control group (p < 0.05). Conclusion: The use of animated educational media is recommended as part of standard preoperative preparation in hospitals.
animated video, anxiety, general anaesthesia, laparotomy
EFFECTIVENESS OF PEER-BASED HEALTH EDUCATION WITH AUDIO-VISUAL MEDIA IN ENHANCING EMERGENCY TRIAGE COMPETENCE
Background: Emergency conditions necessitate prompt and appropriate management to mitigate the risks of disability and mortality. A fundamental component of emergency care is triage, which serves to prioritise patient treatment based on the severity of their condition and guide the necessary clinical interventions. This study aimed to assess the effectiveness of peer-led health education supported by audio-visual media in improving students' comprehension of emergency triage procedures. Methods: A quasi-experimental study with a non-equivalent control group pretest-posttest design was implemented. The research population comprised second-semester nursing students from STIKES Hutama Abdi Husada Tulungagung. A purposive sampling method was used to select 41 participants. The educational intervention was delivered through peer-led sessions and supplemented with audio-visual media. Data were gathered using a validated structured questionnaire and analysed employing the Wilcoxon signed-rank test and the Mann-Whitney U test. Results: Analysis using the Wilcoxon signed-rank test yielded a statistically significant result (p = 0.000) in both intervention groups, demonstrating that the health education provided had a meaningful impact on students' understanding of emergency triage. Furthermore, the Mann-Whitney U test indicated a mean rank of 35.43 for participants in the peer education group and 47.57 for those in the audio-visual group, with a significance level of p = 0.019. Conclusion: The findings confirm that both peer-led and audio-visual-based health education methods are effective in increasing nursing students' knowledge of emergency triage. Nevertheless, the audio-visual approach demonstrated superior outcomes and is, therefore, recommended as the preferred strategy for enhancing triage competency in educational settings.
audiovisual, emergency triage, health education, peer education
OPTIMIZING BALANCE AND COORDINATION THROUGH INTEGRATED PHYSICAL EXERCISE IN PATIENTS FOLLOWING FRACTURE SURGERY
Background: The high incidence of traffic accidents has led to a significant increase in fractures, particularly of the lower extremities, many of which require treatment through Open Reduction and Internal Fixation (ORIF) procedures. Post-ORIF patients commonly experience pain and fear in performing daily activities, including impaired balance and coordination. To address this condition, a structured and progressive integrated physical exercise intervention is necessary. This study aims to evaluate the impact of an integrated intervention that combines physical activity, pain management, and enhancement of fall efficacy on the functional status of patients recovering from lower extremity fracture surgery using the Open Reduction and Internal Fixation (ORIF) procedure. Methods: The study was conducted using a pre-experimental design with a single-group pretest-posttest approach to 53 post-ORIF patients with lower extremity fractures treated in the inpatient ward of Sragen Regional General Hospital, Surakarta. Instruments used included the Barthel Index to assess functional status, the Fall Efficacy Scale, and a clinical observation sheet to evaluate physical ability. Data were analysed using the Wilcoxon test. Results: Data showed an improvement in balance function, coordination, and overall functional status in post-ORIF patients with lower extremity fractures after receiving the integrated activity training intervention. The Wilcoxon test showed a p-value of 0.001, indicating a statistically significant effect. Conclusion: The study demonstrates that an integrated physical exercise program combined with pain management and fall efficacy enhancement has a significant impact on improving balance, coordination, and functional status in patients recovering from fractures.
fall efficacy, fracture, functional status, pain management
THE DIFFERENCE IN EFFECTIVENESS BETWEEN DEMONSTRATION AND STORYTELLING METHODS OF HANDWASHING KNOWLEDGE OF FIRST- GRADERS ELEMENTARY SCHOOL CHILDREN
Background: School-age children are vulnerable to infectious diseases that can potentially lead to death. Proper handwashing is one of the effective measures for prevention. Preventive actions become more effective when health education is delivered using demonstration and storytelling methods. This study aimed to determine the effectiveness of health education using demonstration and storytelling methods on the level of handwashing knowledge among first-grade elementary school students in Krogowanan Village, Sawangan, Magelang. Methods: The research was a quasi-experimental study using a pre-test and post-test design without a control group. A total sampling technique was employed, involving 42 respondents who were divided into two groups based on the method used: demonstration and storytelling. A questionnaire was used as the research instrument. Data were analysed using the Paired T-Test and the Independent T-Test. Results: The results of the Independent T-Test revealed a statistically significant difference (p = 0.000 < 0.05) in handwashing knowledge between the groups that received demonstration and storytelling interventions. The mean increase was higher in the storytelling group (2.1429) than in the demonstration group (1.8571). Conclusions: It indicates that the storytelling method was more effective in improving handwashing skills in first-grade elementary school children.
demonstration, handwashing, knowledge, storytelling
ANALYZING THE RELATIONSHIP BETWEEN KNOWLEDGE, ATTITUDE, AND BULLYING BEHAVIOR AMONG ADOLESCENTS AT SENIOR HIGH SCHOOL 5 SURAKARTA
Background: According to data from the Central Bureau of Statistics (BPS), a total of 1,427 cases of violence against children under the age of 18 occurred. One of the most common forms of violence in the school environment is bullying, particularly in the form of verbal teasing, with a prevalence of up to 75% among students. However, only 45% of victims are willing to report such incidents. Bullying behaviour is influenced by factors such as knowledge and attitude. The research objective is to identify the correlation between knowledge and attitudes toward bullying behaviour among SMA Negeri 5 Surakarta students. Methods: A correlational quantitative approach was used in this research. The population consisted of all 128 tenth-grade students, and 97 respondents were selected using simple random sampling based on the Slovin formula. The independent variables were knowledge and attitude, while the dependent variable was bullying behaviour. Data were collected using questionnaires and analysed using the Chi-square statistical test. Results: The analysis showed no significant correlation between the level of knowledge and bullying behaviour (p-value = 0.983), and no significant correlation between attitude and bullying behaviour (p-value = 0.363). Conclusion: Furthermore, most students reported never engaging in bullying, totalling 93 respondents (95.9%). There was no significant relationship between knowledge and bullying behaviour, with a p-value of 0.569 > 0.05. Similarly, there was no significant relationship between attitudes and bullying behaviour, with a p-value of 0.827 > 0.05.
adolescents, bullying attitude, bullying behaviour, bullying knowledge.
SUPPORT FAMILY RELATIONSHIP WITH QUALITY LIFE OF A DIABETIC MELLITUS PATIENT AT ESHMUN HOSPITAL
This study examines how family support and the quality of life of patients with diabetes at Eshmun Hospital are related. Diabetes melitus is chronic disase that reqires longtem management, where family support has an important role in imprving the patint's quality of life. This study uses a quanttative method with a crosectional research design. The research sample is a diabetic mellitus patient who visited Eshmun Hospital, with a purposive sampling techniq. Data were collected using a structured questionaire that included aspects of family support and the patient's quality of life, then analyz using a chi-square statistical test. The results showed a signficant relationship betwen family support and quality of life in patients with diabetes melitus (p-value < 0.05). in Eshmun Hospital. Good family support, such as emotional, instrumental, evaluative, and informational support, has ben shown to have a positive effect on the patient's quality of life. With the support of family, patients feel more motivated to undergo treatment and maintain a healthy lifestyle. This is study recommends the importance of the role of the family in supporting diabetic mellitus patients to improve their quality of life
THE RELATIONSHIP OF MATERNAL COMPLEMENTARY FEEDING KNOWNLEDGE, ATTITUDE ON CHILD WEIGHT AT JEMBER REGENCY
Malnutrition is still one of the problems in Indonesia. Good feeding is one of the important indicators in preventing children from experiencing malnutrition. Nutritional problems in children can cause long-term problems such as growth disorders, non-optimal brain development. Feeding problems can be leveled from the provision of complementary breastfeeding. The purpose of this study is to assess the mother's knowledge and attitudes related to complementary breastfeeding and its relationship with children's weight. The method used in this study is purposive sampling with a total sample of 130 mothers conducted in Jember district. It was found that mothers who have knowledge and positive attitudes have children with ideal weights according to the age of the child.
THE EFFECT OF BENSON'S RELAXATION TECHNIQUE ON PATTERNS SLEEP OF DIABETES MELLITUS PATIENTS
Health problems such as metabolic disorders, which cause osmotic diuresis and dehydration, are experienced by diabetes mellitus patients, with manifestations of nocturia, as well as stress and anxiety disorders that result in reduced sleep quality. This can influence the management of diabetes mellitus treatment to be less than optimal. The aim of this study was to determine the effect of Benson relaxation on sleep patterns in diabetes mellitus patients. The type of research used is a quasi experiment with a pre and post test design without control group, which means that this research design does not have a comparison group. The population in this study were 74 patients diagnosed with diabetes mellitus which resulted in sleep pattern disturbances at RSU Royal Prima Medan during the last month. The sample in this study was 62 people using purposive sampling. Data collection in research uses instruments in the form of observation sheets. Research data analysis was univariate and bivariate analysis using the Wilcoxon rank test. The results of the study explaining the sleep patterns of diabetes mellitus patients before using the Benson relaxation technique showed that the majority of respondents' sleep patterns were poor, 43 people (69.4%), the sleep patterns of diabetes mellitus patients after using the Benson relaxation technique, it was found that the majority of respondents' sleep patterns were good, 32 people. (51.6%), and there was an influence of the Benson relaxation technique on improving sleep patterns in diabetes mellitus patients (p= 0.048). The conclusion of this research is that there is an influence of the Benson relaxation technique on improving the sleep patterns of diabetes mellitus patients at RSU Royal Prima Medan.
THE MATURITY OF MARRIAGE AGE AS A STRATEGY TO PREVENT PREMARITAL SEXUAL BEHAVIOR AMONG ADOLESCENTS IN SAMARINDA
Premarital sexual behavior has become a significant social issue among adolescents in Indonesia, particularly concerning the high rates of child marriage and unintended pregnancies. Despite efforts to promote Marriage Maturity to reduce these rates, its effectiveness requires further investigation, especially in the context of adolescent motivation to avoid risky sexual behavior. This study aims to explore adolescent motivation to avoid premarital sexual behavior by applying the Protection Motivation Theory (PMT), which involves threat appraisal and coping appraisal in adolescent decision-making to delay early marriage. This research employs a qualitative method with a phenomenological approach. Informant consisted of adolescents aged 15-19 years in Samarinda City who had received information about marriage maturity. Data was collected through in-depth interviews with six purposively selected Informant using intensity sampling techniques. Data validity was ensured through source triangulation and documentation. Collected data were analyzed using QSR NVIVO 12 Pro. The findings reveal that adolescents’ understanding of marriage maturityis still limited, and the threat of premarital sexual behavior is perceived as low by most Informant. Factors such as perceptions of severity adolescents are quite good because they have seen firsthand the impacts of premarital sex. For response efficacy and self-efficacy in delaying the age of marriage, these are relatively high among adolescents exposed to PUP. This is because they have parental and peer support providing information related to PUP. Additionally, social environment, media exposure, and education levels shape adolescents' responses to marriage maturityas a protective measure.
THE RELATIONSHIP BETWEEN PREFERRED ANATOMY LEARNING MEDIA (ANATOMAGE AND CADAVER) AND STUDENTS' PRACTICAL SCORES
Anatomical knowledge is essential for science and clinical skills. Learning outcomes can be influenced by the choice of learning media, such as the computer-based Anatomage and Cadaver-based methods. This study examines the relationship between students' preferred anatomy learning media and their practical exam scores. A correlative analytic method with a retrospective cohort approach was used, involving 372 medical students from the Faculty of Medicine, Muslim University of Indonesia, selected through purposive sampling. Inclusion criteria included students who had completed anatomy courses and participated in practical exams. Bivariate analysis using the Chi-Square test showed a significant relationship between preferred media and exam scores (p-value < 0.05). Students with a strong preference for Anatomage achieved a higher pass rate (95%) and demonstrated better comprehension of anatomical structures compared to those favoring cadaver-based learning. These findings emphasize the effectiveness of Anatomage as a learning tool in enhancing anatomy education. In conclusion, the choice of learning media significantly impacts practical exam performance, with Anatomage proving to be a highly effective medium.
DOMINANT FACTORS INFLUENCING THE LEVEL OF COMPLIANCE WITH THE USE OF PPE (AMONG CONSTRUCTION WORKERS IN REHABILITATION AND MAINTENANCE OF COMMUNITY HEALTH CENTER IN TUBAN DISTRICT)
Compliance to always wear personal protective equipment is one of the important factors in reducing the number of work accidents. Factors that become the basis for compliance behavior in wearing personal protective equipment are very diverse, one of which is company regulations, supervision, worker knowledge, availability of personal protective equipment, rewards and punishments, and worker attitudes. Research at the Tuban Regency Health Center aims to analyze the dominant factors that influence the level of compliance with the use of PPE in rehabilitation and maintenance construction workers. Quantitative research using observational methods and cross-sectional design. The study population involved rehabilitation and maintenance construction workers of Puskesmas in Tuban Regency, with a sample of 53 workers selected using probability sampling technique with simple random sampling. The level of compliance with the use of PPE as the dependent variable while knowledge, attitude, peer encouragement, HSE inspection, reward, and punishment as independent variables. The instrument used a questionnaire. Data analysis using Multiple Logistic Regression statistical test with SPSS. The test results obtained ap value <0.05, with the attitude variable having the highest Exp(B) value (14.423) compared to other variables, meaning that there is an influence of knowledge, attitude, peer encouragement, reward and punishment on the level of compliance with the use of PPE, and attitude is the most dominant factor. The suggestion for improvement is for the workforce to be more open to the concept of safety culture in the workplace.
THE RELATIONSHIP BETWEEN SOCIAL SUPPORT AND ANXIETY IN FACING THE OBJECTIVE STRUCTURED CLINICAL ASSESSMENT (OSCA) EXAM IN UNDERGRADUATE NURSING STUDENTS
Objective Structured Clinical Assessment (OSCA) is one of the evaluation methods used in nursing education to assess students' clinical competence. However, the OSCA exam often causes significant anxiety for nursing students due to high academic and professional demands. Anxiety is a common emotional response experienced by individuals in the face of stressful or challenging situations. One way to reduce anxiety is with good social support. Social support is the opinion of others who tell that individuals need affection, attention, valued, respected, and involved. The purpose of this study was to examine the relationship between social support and the level of anxiety experienced by undergraduate nursing students in facing the OSCA exam. The type of research is quantitative with a cross-sectional approach. The study population was nursing students totalling 572 respondents. This research uses the spearman test, and this research was conducted from August to Septembe. Researchers used non-probability sampling with purposive sampling method, the research sample above showed 90 people to become respondents with inclusion criteria (1. Active students of semester II, IV, IV of the Nursing Study Program at Universitas Muhammadiyah Surakarta who took the OSCA exam, 2. Students take the OSCA exam directly on the appointed day, 3. Willing to fill out the research questionnaire). Measurement of social support using the MSPSS (Multidimensional Scale of Perceived Social Support) questionnaire and the HARS (Hamilton Anxiety Rating Scale) questionnaire for anxiety levels. The results showed that the majority of respondents had moderate social support with 35 respondents (38.9%) and severe anxiety 27 respondents (30%). Data analysis using Spearman Test. Spearmen correlation test results obtained a p-value significance of 0.001 <0.05 and a correlation coefficient value of 0.767. The conclusion of the study is that there is a relationship between social support and anxiety levels in nursing undergraduate students when facing OSCA exams.
THE RELATIONSHIP OF EARLY BREASTFEEDING INITIATION (IMD) TO POST PARTUM UTERINE INVOLUTION IN THE INDEPENDENT PRACTICE OF MIDWIVES (PMB) MARIYAH ULFAH EAST JAKARTA
Early breastfeeding initiation (IMD) is one of the factors that influence uterine involution. IMD can stimulate and release hormones, including the hormone oxytocin, which functions in addition to stimulating contraction of breast smooth muscles, also causes contraction and retraction of uterine muscles. This will compress the blood vessels resulting in reduced blood supply to the uterus. In women who choose to breastfeed their babies, the baby's suction will stimulate the release of oxytocin and help the uterus return to its normal shape. This study aims to determine the relationship of Early Breastfeeding Initiation (IMD) to uterine involution in post partum at PMB Mariyah Ulfah East Jakarta which was conducted in May-August 2024. The type of research used in this study is quantitative research. This study used a Cross Sectional approach. The sample technique used in this study was total sampling of 30 people. The research instruments used were metline and observation sheet. The results of this study identified that there was a difference in TFU reduction in mothers who did , Early initiation of breastfeeding (IMD) and those who did not do IMD, so there was a relationship between Early Breastfeeding Initiation (IMD) to Uterine Involution during the nifaas period at PMB Mariyah Ulfah East Jakarta, where the p-value = 0.006 (0.006 <0.05)
THE RELATIONSHIP BETWEEN OCCUPATIONAL SAFETY AND HEALTH BEHAVIOR AND WORKPLACE ACCIDENTS IN MICRO, SMALL AND MEDIUM RATTAN BUSINESSES IN GRESIK DISTRICT
Work accidents are caused by events in the work environment which are certain to harm various parties and even lead to disability and even the most fatal event, namely death. Work accidents in Gresik Regency Rattan MSME's that appear to dominate are due to a lack of knowledge, attitudes, compliance and Personal Protective Equipment. The aim is to find out how the relationship between Occupational Safety and Health behavior and the incidence of work accidents in Rattan Micro, Small, and Medium Enterprises in Gresik Regency. The study was conducted cross-sectionally and classified as quantitative. The total population involved is 278 workers who worked in 16 semi-finished rattan MSME's. The selected participants were randomized (simple random sampling) and Slovin's formula, resulting in a total of 165 workers as respondents. Data collection was conducted through three main methods, namely direct observation, interviews, and questionnaires. The variables used are OHS behavior which includes OHS knowledge, OHS attitude, OHS compliance and the use of personal protective equipment (independent), while the incidence of work accidents (dependent). Data analysis used 2 statistical test methods, both Chi-square and Fisher's exact test. The results of the study concluded several statements, there is a relationship between knowledge and work accidents (p = 0.008), there is a relationship between attitude, compliance with work accidents (p = 0.000), there is a relationship between Personal Protective Equipment and work accidents (p = 0.004). The dominant factor influencing work accidents is the factor of compliance with work instructions (OR 13.993). Suggestions for improvement are that it is hoped that Gresik Regency Rattan MSME 's will impose regular training on work safety procedures to workers in order to increase workers awareness as well as to ensure that PPE is available and used.
THE RELATIONSHIP BETWEEN YOGA EXERCISE AND MOTHER'S WEIGHT GAIN DURING PREGNANCY AT PMB RUFINA SURAKARTA
Pregnant women are people who really need attention, where this attention is needed to look after small creatures who are a gift from Allah SWT. During this period, pregnant women experience many changes. Physical and psychological changes. Physical changes include the increase in body composition of pregnant women due to the presence of the fetus and hormonal changes, so the mother's weight also increases during pregnancy. This activity aims to provide community service to empower pregnant women to reduce anxiety levels through yoga. . The method used is Participatory Action Research where community service aims to provide learning in overcoming problems. This is done by practicing together with pregnant women and detecting the anxiety level of pregnant women through questionnaires. Community service implementation was carried out in Grogol Village in April-May 2024 for 28 pregnant women with a decrease in anxiety in pregnant women after giving Yoga. The results of community service by providing yoga to pregnant women showed an anxiety score from an average of 32.68 to 12.07
Effect Of Pre-Earthquake Disaster TrainingEarth About Wrapsing Splains Against Student/Student Knowledge Level At Sma Negeri 1 Pundong Bantul
Earthquakes are one of the natural disasters which in reality cause quite a large impact, especially the number of victims caused. One location that has a fatal risk is school. In fact, school safety needs to be a global priority to face the threat of earthquake disasters. This negative impact is caused by a lack of knowledge and preparedness to anticipate an earthquake disaster. There is a need to increase preparedness to reduce the bad risks that may occur. Therefore, the aim of this research is to determine the effect of pre-earthquake disaster training regarding splint dressing on the level of knowledge of students at SMA N 1 Pundong. The method used in this research was pre-experiment. The research design used was a one-group pretest-posttest design. The research results showed that there was an Asymp.sig value. (2-tailed) 0.000, because the value of 0.000 is smaller than <0.05, it can be concluded that "Ha is accepted" which means there is a difference between the pretest and posttest results, so it can be concluded that there is an influence from the Pre-Earthquake Disaster Training on Wraps Bidai on Knowledge in Students and Students of SMA Negeri 1 Pundong.
WORK MOTIVATION AND WORKLOAD ON NURSES’ CARING BEHAVIOR IN EMERGENCY ROOM
Indonesia has a high accumulation of patient visits to the Emergency Room (ER), thus caring in the ER requires more attention to produce better quality nursing services. This study aims to see the effect of nurses' motivation and workload on caring behavior in the ER. The research method used is quantitative, with a correlation analytic research design and a cross-sectional approach. The sample consisted of 37 nurse and patient respondents using accidental sampling techniques. The instrument used was the Gadar Caring Scale (GCS-46) questionnaire with frequency distribution data analysis and the Spearman Rank statistical test. The results showed that more than half of the nurses' motivation (56,76%) was in a good category and almost half of the nurses' workload was in the heavy category (40.54%). On the other hand, the level of nurses' caring was almost entirely in the moderate category (94.59%). In addition, there was a correlation between nurse’s motivation and caring as indicated by the correlation coefficient (r) and p-value of 0.55 and 0.0237, respectively. Meanwhile, the results of the analysis between nurses' workload and caring gave r and p-values of 0.11 and 0.5121, respectively, indicating that there was no relationship between nurses' workload and nurses' caring in the ER.
USE OF PERSONAL PROTECTIVE EQUIPMENT (PPE) AND EVENTS PHLEBITIS
There are still many incidents of infection phlebitis during the home care process. Sick to patients and staff p This describes quality service. House less pain. Incident phlebitis is caused by one of the reasons for not using PPE by the standard. Research purposes: To analyze the level of compliance with the use of PPE in nurses who have had incidents of phlebitis in the Hospital. Types of research This analytic design uses a cross-sectional method. Population in the study: There were 108 nurses in the Hospital and 52 samples. The sampling technique uses simple random sampling. Data collection methods are interviews and observations. The cross-tabulation results showed that respondents who complied with the use of PPE were 20 (38.5%), and respondents who did not adhere to the use of PPE were 8 (15.4%). Obtained P value = 0.001, there is a connection between compliance with the use of PPE in nurses and incident Phlebitis in the Hospital. Expected Hospitals carry out socialization about the routine use of PPE and monitor evaluations once a month regarding the implementation of compliance with the use of PPE; health workers should be obedient in using PPE and carry out work per existing standard operational procedures.
The Influence of Eating Habits on the Incidence of Anemia in Young Women in Jogosetran Village Kalikotes-Klaten
Anemia is more common in young women. Menstruation, low nutritional intake and hemolytics are risk factors for anemia in adolescent girls. The research aims to determine the effect of consuming eggs and lime on hemoglobin levels in young women. The research was conducted in August 2024. The sample in this study was 21 young women. Non-probability sampling and determining samples using inclusion and exclusion criteria. Research Place This research was conducted in Jogosetran Village, Kalikotes Klaten. Quasi-experimental research method. Giving eating habits (lime and eggs) as an independent variable and anemia status in adolescent girls as a dependent variable. The Wilcoxon T-test was used as a two-variable analysis test. Early Adolescent Stage 19 (95%) was the age of the most respondents. Before treatment the average Hb level was 10,21 gr/dL and the most moderate anemia was 17 (81%) while after treatment the average Hb level was 12,89 gr/dL namely not anemic 17 (81%). There is a significant influence of eating habits (lime and eggs) on increasing Hb levels in adolescent girls in Jogosetran Village Kalikotes Klaten with a z score of -4,016 and a p-value 0.00.
THE EFFECT OF REMINISCENCE THERAPY ON IMPROVING THE COGNITIVE VALUES OF THE ELDERLY AT RISK OF DEMENTIA
Elderly is a process that a person goes through in which gradual physical and psychological decline occurs, one of which is a decline in cognitive function. Cognitive decline will cause problems in fulfilling basic needs in the elderly. One non-pharmacological intervention that can be given to elderly people with cognitive impairment is reminiscence therapy. The aim of this research is to determine the increase in the cognitive value of the elderly after being given reminiscence therapy. The method used in this research was quasi-experimental with one group pretest and posttest design. The number of subjects in this study were 25 elderly people who would be given reminiscence therapy and their cognitive scores would be measured using the Mini Mental State Examination questionnaire before and after being given the intervention. The results of the analysis showed that there was an increase in the cognitive scores of 16 samples (64%) from 0-17 (severe cognitive impairment category) to 18 - 23 (mild cognitive impairment category) and 12 samples (36%) with an increase in the average total cognitive score - average 2 (still category of severe cognitive impairment). The difference in average score is 2.9 in the pre-test and post-test scores. Conclusion: Reminiscence therapy can improve cognitive values in the elderly. It is suggested that there is a need for comparative interventions to assess the effectiveness of therapy for elderly people with dementia.