Jurnal Kesehatan Kusuma Husada

THE RELATIONSHIP BETWEEN LUNG FUNCTION, DISEASE SEVERITY, AND MOTIVATION TO QUIT SMOKING AMONG CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) PATIENTS

Thu, 31 Jul 2025 09:06:48 +0000

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.

ANALYZING THE RELATIONSHIP BETWEEN KNOWLEDGE, ATTITUDE, AND BULLYING BEHAVIOR AMONG ADOLESCENTS AT SENIOR HIGH SCHOOL 5 SURAKARTA

Ika Sugiarti, Firdy Rama Permana Putra, Dzul Fahmi Afriyanto — Thu, 31 Jul 2025 00:00:00 +0000

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.

THE DIFFERENCE IN EFFECTIVENESS BETWEEN DEMONSTRATION AND STORYTELLING METHODS OF HANDWASHING KNOWLEDGE OF FIRST- GRADERS ELEMENTARY SCHOOL CHILDREN

Endang Lestiawati, Riris Puri Hapsari, Listyana Natalia Retnaningsih — Thu, 31 Jul 2025 00:00:00 +0000

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.

EFFECTIVENESS OF PEER-BASED HEALTH EDUCATION WITH AUDIO-VISUAL MEDIA IN ENHANCING EMERGENCY TRIAGE COMPETENCE

Ria Anggraini, Intan Munawaroh, Manggar Purwacaraka, Berlian Yuli Saputri — Thu, 31 Jul 2025 00:00:00 +0000

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.

OPTIMIZING BALANCE AND COORDINATION THROUGH INTEGRATED PHYSICAL EXERCISE IN PATIENTS FOLLOWING FRACTURE SURGERY

Rio Kristian Nugroho, Kholifah Hasnah — Thu, 31 Jul 2025 00:00:00 +0000

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.

THE EFFECT OF ANIMATED VIDEOS AS A MEDIUM FOR REDUCING PRE-OPERATIVE ANXIENTY WITH GENERAL ANESTHESIA

Anita Setyowati, Raden Sugeng Riyadi — Thu, 31 Jul 2025 00:00:00 +0000

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.

THE SIX-MINUTE WALKING TEST FOR MEASURING VITAL LUNG CAPACITY AND VO2 MAX IN TEENAGERS IN THE NURSING ANESTHESIOLOGY DEPARTMENT

Astika Nur Rohmah, Ratih Kusuma Dewi, Hajutri Prihatin — Thu, 31 Jul 2025 00:00:00 +0000

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.

ANALYSIS OF THE RELATIONSHIP BETWEEN AGE, GENDER, AND LENGTH OF EMPLOYMENT WITH WORK-RELATED STRESS AMONG NURSES

Restiana Kartika Mantasti Hapsari, Ihya Hazairin Noor, Mufatihatul Aziza Nisa — Thu, 31 Jul 2025 00:00:00 +0000

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.

EXPLORING THE RELATIONSHIP BETWEEN SELF-EFFICACY AND STRESS IN ELDERLY HYPERTENSION PATIENTS

Thu, 31 Jul 2025 00:00:00 +0000

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.

DESCRIPTION OF NURSE STIGMA TOWARDS PEOPLE WITH HIV/AIDS (PLWHA)

Ahmad Muslimin — Thu, 31 Jul 2025 00:00:00 +0000

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.

RELATIONSHIP BETWEEN MOTHERS' KNOWLEDGE AND ATTITUDES ABOUT FEEDING PATTERNS WITH THE NUTRITIONAL STATUS OF PRESCHOOL CHILDREN

Thu, 31 Jul 2025 00:00:00 +0000

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 EFFECT OF YOGA CHILD POSE IN OVERCOMING MENSTRUAL PAIN IN ADOLESCENT GIRLS

Meda Yuliani, Ina Sugiharti, Intan Yusita, Iceu Mulyati, Siska Nurul Agustiani — Thu, 31 Jul 2025 00:00:00 +0000

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.

THE RELATIONSHIP BETWEEN STRESS LEVEL, PICKY EATING BEHAVIOR, AND PHYSICAL ACTIVITY ON BODY MASS INDEX AMONG ADOLESCENT GIRLS

Dyah Ayu Fitriani, Linda Rofiasari, Asri Fitri Yati, Antri Ariani — Thu, 31 Jul 2025 00:00:00 +0000

Background: Adolescence is a critical developmental period marked by significant physical, psychological, and social changes. 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 behavior, and physical activity with Body Mass Index (BMI) among adolescent girls in Bandung Regency. 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 behavior (modified CEBQ), and physical activity (PAQ-A), along with direct anthropometric measurements to calculate BMI. Multivariate logistic regression analysis was used. Results: Stress level (p = 0.012; OR = 3.13), picky eating behavior (p = 0.003; OR = 5.42), and physical activity (p = 0.018; OR = 0.29) were significantly associated with BMI status. The findings highlight that a combination of stress, eating behavior, and physical activity plays a crucial role in influencing the nutritional status of adolescent girls. Conclusion: A comprehensive approach involving education, nutritional counseling, and promotion of active lifestyles is highly recommended within the school environment.

Keywords: Adolescents, Body Mass Index, Physical activity, Picky Eating, Stress level

THE INFLUENCE OF HEALTH EDUCATION WITH BOOKLET MEDIA AND DEMONSTRATION ON PREGNANT WOMEN’S KNOWLEDGE OF ANEMIA PREVENTION

Satiyem Satiyem, Luthfianingrum Nur Azizah, Istikhomah Istikhomah — Thu, 31 Jul 2025 00:00:00 +0000

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.

THE IMPACT ON INFANT WEIGHT OF USING THE BABY-LED WEANING METHOD TO INTRODUCE COMPLEMENTARY FOODS

Ai Nur Zannah, Alfi Fahrani, Sugijati Sugijati, Kiswati Kiswati — Thu, 31 Jul 2025 00:00:00 +0000

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.