Detail Journal Information: Journal Title in ISSN: Jurnal Keperawatan Profesional (KEPO) ROAD ISSN | LIPI ISSN DOI: prefix 10.36590 Editor-in-chief: Dr. Rahmawati, S.Gz, M.Si Language: Indonesian or English Frequency: Two issues per year | Mei and November Publisher: Sarana Ilmu Indonesia (salnesia) Accreditation: SINTA 4
Knowledge and Family Support with Personal Hygiene Independence in Children with Intellectual Disabilities
Children with intellectual disabilities possess below-average intelligence, which impacts their growth and ability to perform personal hygiene independently. The family is the primary environment that shapes a child's independence. This study aimed to analyze the relationship between family knowledge and support and personal hygiene independence among children with intellectual disabilities in Bogor City. A quantitative cross-sectional design was used, involving 73 subjects through total sampling at State Special Schools in Bogor City between December 2024 and February 2025. Data were collected using validated questionnaires and analyzed using univariate distribution and the chi-square test (with Fisher's Exact Test as an alternative when assumptions were violated). The majority of parents had insufficient knowledge and the majority of children were in the dependent category. Among the four dimensions of family support examined, only emotional support showed a statistically meaningful association with the child's personal hygiene independence. It was concluded that, among the variables studied, emotional support from the family is the dominant factor associated with personal hygiene independence in children with intellectual disabilities. It is recommended that families strengthen emotional support, in the form of affection, encouragement, and consistent training at home, to foster personal hygiene independence in children with intellectual disabilities.
Copyright (c) 2026 Jurnal Keperawatan Profesional (KEPO)
Perception and Health Workers' Attitudes with the Provision of Palliative Care Services for Terminal Patients
Palliative care aims to alleviate the suffering of patients with serious, complex, and terminal illnesses. However, the availability of palliative care services in Indonesia is still limited, and healthcare professionals' understanding is unequal. Although most healthcare professionals demonstrate positive attitudes toward palliative care, gaps in understanding remain that can impact the quality of care provided to terminally ill patients. This study aimed to analyze the relationship between healthcare professionals' perceptions and their attitudes toward providing palliative care to terminally ill patients at Dr. M. Thomsen Regional General Hospital, Nias. The study used a quantitative approach with an observational analytical design and cross-sectional methods. Data were analyzed using a correlation test to determine the relationship between the two variables. The results showed a correlation coefficient (r) of 0.438 with a significance value (p) of 0.001. This indicates a positive and significant relationship between healthcare professionals' perceptions and their attitudes toward providing palliative care. It was concluded that better perceptions are associated with more positive attitudes toward providing palliative care. Therefore, strengthening palliative care education and training is needed to improve healthcare professionals' competence in providing care to terminally ill patients.
Application of Scheduled Drawing Therapy to Reduce Signs and Symptoms of Auditory Hallucinations
Auditory hallucinations are a common problem in individuals with severe mental disorders that affect cognitive, emotional, and behavioral functioning and reduce quality of life. This study aimed to determine the effect of scheduled drawing therapy on reducing the signs and symptoms of auditory hallucinations. The method used was a case study with a nursing care approach involving three patients. The intervention was conducted for five consecutive days using structured drawing activities. The results showed a decrease in signs and symptoms in all patients, indicated by reduced self-talking behavior, fear, and improved focus and self-control. It is concluded that scheduled drawing therapy is effective in reducing auditory hallucination symptoms and is recommended as a supportive intervention in mental health nursing practice.
Stress Levels Among Older Adults Before and After Empowerment-Based Group Activity Therapy (Gardening and Creative Activities)
Elderly people in social care often experience limited interaction, leading to loneliness, social isolation, and stress, while previous studies generally only tested one type of therapy. This quasi-experimental study aimed to test the effectiveness of a combination of gardening and creative therapy in reducing stress levels in the elderly using a purposive sampling technique. The intervention was conducted over two days in April 2026, with data collected through the GDS-15 questionnaire the day before and after the activity, then analyzed using a paired sample t-test. The results showed a significant effect on reducing stress levels in the elderly after the intervention (significance value .0001 < 0.05), so Ha was accepted. This combination of therapies has been proven to foster a sense of responsibility and happiness that effectively divert feelings of low self-esteem, loneliness, and boredom; therefore, future researchers are expected to combine this action with other, more relevant therapies.
Skills of Posyandu Cadres in the Use of Standardized Anthropometric Instruments in Gorontalo Regency
Stunting remained a major public health problem in Indonesia, requiring accurate growth monitoring at integrated health service posts (Posyandu). Posyandu cadres played a vital role in performing anthropometric measurements to determine children’s nutritional status; however, measurement accuracy was often affected by limited technical competence. This study aimed to assess the knowledge and skills of Posyandu cadres in using standardized anthropometric tools in Gorontalo Regency. A mixed methods study was conducted using focus group discussions and a cross-sectional design. A total of 56 cadres were selected through proportionate stratified random sampling. Data were collected using structured questionnaires, observation checklists, and comparison with gold standard measurements. The results showed that 71% of cadres had good knowledge, but only 27% demonstrated adequate skills, and 21% correctly followed standard measurement procedures. The mean differences between cadre measurements and the gold standard were +0.03 kg for body weight and −0.21 cm for height/length. Limited training and lack of calibrated equipment were identified as key barriers. Improving regular training and ensuring the availability of standardized tools are essential to enhance measurement accuracy and support effective stunting prevention programs in primary healthcare settings.
Factors Associated with the Utilization of Queue Services through the National Health Insurance Mobile Application
Mobile National Health Insurance (Mobile NHI) is an application that facilitates users in registering, updating, and accessing membership data, obtaining services from primary and referral health facilities, and submitting feedback. This study aimed to analyze the factors associated with the utilization of queue services through the application in the working area of Rappang Public Health Center. This research employed a quantitative method with a cross-sectional approach. The study population consisted of 14,829 visits of National Health Insurance participants, with a sample of 99 subjects determined using the Slovin formula and simple random sampling technique. Data were collected through observation, documentation, and questionnaires that had been tested for validity and reliability. Data analysis was conducted using univariate and bivariate analysis with the Chi-Square test at a significance level of p < 0.05. The results showed that digital literacy, socialization, education level, and age were significantly associated with the utilization of queue services through the Mobile JKN application. It was concluded that the utilization of this service was still not optimal due to limited technological understanding and insufficient dissemination of information. The implications of this study highlighted the need to improve digital literacy, enhance interactive socialization strategies, and develop a more user-friendly application system to optimize the use of digital health services.
Factors Associated with Medication Adherence among Patients in the Back-Referral Program (PRB)
Medication adherence among patients with chronic diseases remains a global health problem, characterized by low adherence rates that contribute to increased complications and healthcare costs. In Indonesia, the Referral Back Program (Program Rujuk Balik/PRB) as a chronic disease management strategy was not optimally implemented, including at the UPT Puskesmas Rappang, where adherence levels were still below the target. This study aimed to analyze factors associated with medication adherence among PRB patients at UPT Puskesmas Rappang, Sidenreng Rappang Regency. A quantitative study with a cross-sectional design was conducted. The population consisted of 156 patients, with 112 subjects selected using simple random sampling. Data were collected through questionnaires and analyzed using the Chi-square test with a significance level of p < 0.05. The results showed that knowledge, access to information, and family support were significantly associated with medication adherence among PRB patients, indicating that these factors play an important role in shaping patient adherence behavior. In conclusion, knowledge, access to information, and family support are significantly related to medication adherence among PRB patients. Therefore, it is recommended that health centers improve continuous health education, expand accessible health information, and actively involve families in supporting patient adherence to long-term treatment.
Maternal Triglyceride Levels in the Third Trimester and Infant Birth Weight: A Prospective Cohort Study
Infants born with non-optimal birth weight, either low or excessive, are at risk of experiencing growth and developmental disorders as well as long-term health problems. Maternal triglyceride levels during the third trimester play a role in lipid metabolism and are presumed to influence fetal growth. This study aimed to analyze the relationship between third-trimester maternal triglyceride levels and infant birth weight. This study employed a prospective cohort design involving 30 third-trimester pregnant women selected through consecutive sampling at an independent midwifery practice in Palembang. The study variables included maternal triglyceride levels and infant birth weight, measured using laboratory examination with the GDO-PAP method and a digital infant scale. Data were analyzed descriptively and using Pearson correlation test after logarithmic transformation of triglyceride data. The results showed that the median maternal triglyceride level was 358.3 mg/dL, while the mean infant birth weight was 3031.8 g. Pearson correlation analysis demonstrated no significant relationship between third-trimester triglyceride levels and infant birth weight (r = −0.079; p = 0.676). Third-trimester maternal triglyceride levels were not significantly associated with infant birth weight. The findings indicate that maternal triglyceride levels during the third trimester were not a determining factor of infant birth weight in this study sample.
Group Activity Therapy-Based Tai Chi Exercises on Improving Muscle Strength in Older Adults
Older adults experience a decline in muscle strength due to the aging process, which leads to limitations in physical activity and an increased risk of dependency. Among the interventions that can be implemented is Tai Chi exercise based on Group Activity Therapy (GAT), which involves physical exercises with slow, controlled movements performed in a group setting to improve physical function and motivation in older adults. This study aimed to determine the effectiveness of Group Activity Therapy (GAT)-based Tai Chi exercises on improving muscle strength in older adults before and after the intervention. This study employed a One-Group Pre-Post Test Design involving 10 older adults at the Tresna Werdha Budi Luhur Social Service Center in Yogyakarta. Muscle strength assessments were conducted before and after the intervention using a manual muscle strength test. The data were analyzed using the Wilcoxon Signed-Rank Test, and the results showed a p-value of 0.003, which is less than 0.05 (p = 0.003 < 0.05). The results indicated a significant difference in muscle strength before and after the intervention, suggesting that group activity therapy-based Tai Chi exercises had a significant effect on improving muscle strength in older adults. Therefore, this intervention may serve as an effective non-pharmacological therapy to support independence and improve muscle strength in older adults.
The Use of Slow Deep Breathing and Healing touch for Pain Management Following Laparoscopic Cholecystectomy: Case Report
Pain following laparoscopic cholecystectomy can interfere with a patient’s comfort and recovery process. Complementary therapies can be used to supplement pharmacological therapy in pain management. This case report aimed to describe the application of a combination of slow deep breathing and healing touch in a patient following laparoscopic cholecystectomy. This case report employs a single-case study design involving a 46-year-old male diagnosed with cholelithiasis following laparoscopic cholecystectomy. The intervention, consisting of a combination of slow deep breathing and healing touch, was administered for three consecutive days, three times daily. Pain levels were measured using the Numerical Rating Scale (NRS) before and after the intervention. The participant’s initial pain score was in the NRS range of 7–8. After three days of intervention, the pain score gradually decreased to an NRS of 1. Participants also reported improvements in comfort, sleep quality, and mobility. The application of the combination of slow deep breathing and healing touch in this case was followed by a reduction in pain intensity and an increase in comfort during the recovery period. This intervention has the potential to serve as a complementary therapy in holistic nursing practice.
Application of Foot Massage to Hemodynamic Stability in Ventilator-Adjusted Patients
Critically ill patients undergoing medical care in the ICU experience disruption of the body's physiological regulatory mechanisms, which can lead to hemodynamic instability. Efforts to maintain hemodynamic stability can be managed through pharmacological and non-pharmacological therapy. One form of non-pharmacological intervention that has the potential to affect hemodynamic status in patients treated in the ICU is foot massage. This study was conducted to analyze hemodynamic changes in patients using ventilators after being given a foot massage. This case study was conducted using a descriptive plan. The research subjects consisted of 4 patients using ventilators in the ICU. Foot massage was given for 40 minutes every day for two days, where before the foot massage was given an average systolic blood pressure of 154.0 mmHg. Diastolic 82.38 mmHg, MAP 105.75 mmHg, RR 23.5 beats/min, pulse rate 95.13 beats/min and SpO2 98%. The results of the study after foot massage for 2 days showed an improvement in hemodynamic status after foot massage, which was indicated by an average Systolic 147.38 mmHg, Diastolic 82.25 mmHg, MAP 103.75 mmHg, RR 21.63 beats/min, Pulse 89.88 beats/min, and SpO2 99%. This case study concludes that foot massage provides positive changes in the hemodynamic status of critical patients using ventilators in the ICU.
Warm Water Foot Soaking Therapy in Improving Ankle Brachial Index (ABI) in Patients with Type 2 Diabetes Mellitus: A Case Study
Type 2 Diabetes Mellitus (DM) could lead to peripheral vascular complications, one of which was Peripheral Arterial Disease (PAD), which could be assessed using the Ankle Brachial Index (ABI). A decrease in ABI increased the risk of diabetic foot ulcers and amputation. The aim of this study was to evaluate changes in ABI values after the intervention of warm water foot soaking therapy in patients with type 2 DM. The study design used a descriptive case study conducted on two patients with type 2 DM. ABI was measured before and after routine warm water foot soaking therapy was administered. Both patients showed an increase in ABI values of 0.2, from the category of moderate circulation impairment to normal, indicating an improvement in peripheral perfusion. Warm water foot soaking therapy was shown to have the potential to increase ABI in patients with type 2 DM as a simple and safe non-pharmacological intervention. Further studies with larger sample sizes are needed to confirm the effectiveness and generalizability of the results.
Between Parenting Styles and Difficult Eating Behavior
Feeding difficulties among preschool children can interfere with nutritional intake and negatively impact their growth and development. Parenting style plays a crucial role in shaping children’s eating behaviors because parents determined food choices, feeding practices and the eating environment experienced by the child. This study aimed to identify the relationship between parenting style and feeding difficulties among preschool children in the working area of Bambu Apus Community Health Center in South Tangerang City. A quantitative approach with a cross-sectional design was used, involving 186 respondents selected through purposive sampling. Data were collected using structured questionnaire on parenting style and feeding behavior. Data were analyzed using univariate and bivariate methods with Spearman Rank correlation testing. The results demonstrated a significant relationship between parenting style and feeding difficulties among preschool children. In conclusion, parenting styles are related to children’s feeding difficulties behavior. It was recommended that parents apply supportive parenting practices to build healthy eating habits and that health workers enhance education regarding appropriate feeding practices for preschool children.
Hydrocolloid Dressing on Wound Healing in Patients with Diabetes Mellitus
Diabetes Mellitus (DM) was a chronic disease whose prevalence continues to increase globally, including in Indonesia. In West Java Province, based on data from the Health Office, the number of DM sufferers has increased significantly in recent years. DM patients in West Java experience complications ranging from 15% to 20%. In 2019, Sukabumi Regency recorded 148,447 DM sufferers, while Bandung Regency recorded 45,412 people. The purpose of this study was to determine the effectiveness of Hydrocolloid administration on wound healing. The method used was pre-experimental with pretest-posttest without a control group. The research subjects were DM patients with wounds who visited the nursing home. The sampling technique used was purposive sampling with inclusion and exclusion criteria. The instrument used was the Bates Jensen Wound Assessment Tools (BWAT) which was measured 4 times over 2 weeks. Wound healing data was analyzed using a statistical test: t-test to see the effectiveness of Hydrocolloid dressing wound healing. Results: p-value < 0.05 showed that the administration of Hydrocolloid was proven to be effective in healing wounds in Diabetes Mellitus patients. Suggestion: Seeing the effectiveness of Hydrocolloid dressing in Diabetes Mellitus patients, it was recommended for wound nurses to provide Hydrocolloid as a dressing on wounds to accelerate wound healing.
Combined Foot Care and Motivational Interviewing in Preventing Diabetic Foot Ulcers
Type II diabetes mellitus is a chronic metabolic disease with increasing prevalence and a high risk of Diabetic Foot Ulcers, leading to morbidity, amputation, and reduced quality of life. Prevention requires proper foot care and continuous education, yet low patient knowledge and motivation remain major barriers. Motivational Interviewing may improve patient motivation and adherence to self-care. This study aimed to evaluate the effectiveness of combining foot care education and Motivational Interviewing in patients with type II diabetes mellitus. A quasi-experimental pretest-posttest design without a control group was conducted among 15 participants of the Chronic Disease Management Program at Riung Bandung Community Health Center for three months. Interventions included face-to-face education, foot care practice, and motivational counseling. Outcomes were assessed using Diabetic Foot Ulcer risk scores, knowledge, and adherence instruments. The results demonstrated a significant improvement in patient knowledge, but no significant changes in adherence or Diabetic Foot Ulcer risk. The intervention enhanced patients’ understanding of diabetes complication prevention; however, behavioral and clinical outcomes remained unchanged. Future studies should apply longer interventions, involve family support, and include larger samples with control groups.
Academic Stress and Insomnia in Adolescents
Academic stress is one of the psychological problems that teenagers often experience and can affect sleep quality to cause insomnia. This study aimed to determine the relationship between academic stress and insomnia in adolescents at SMA Muhammadiyah Kudus. The study used a quantitative analytical design with a cross-sectional approach. The research sample was 170 subjects from grades 10 and 11 who were selected using purposive sampling techniques. Data collection used the Educational Stress Scale for Adolescents (ESSA) questionnaire to measure academic stress and the Insomnia Severity Index (ISI) to measure insomnia levels. Data analysis was carried out using the Spearman Rank test. The results showed that the majority of subjects were 16 years old, female, and from grade 10. Most of the subjects experienced severe category insomnia as many as 118 subjects (69.4%). The academic stress level of subjects was mostly in the medium category as many as 86 subjects (50.6%), while the high category was 79 subjects (46.5%). The results of the Spearman Rank test showed a significant relationship between academic stress and insomnia in adolescents with a value of p = 0.001 (p-value < 0.05) and a correlation coefficient of r = 0.368 which showed a positive association with moderate strength. The results of the regression analysis showed a determination coefficient value (R²) of 13.5%, which meant that academic stress contributed 13.5% to the incidence of insomnia in adolescents.
Perception of Diabetic Patients Toward the Risk of Diabetic Foot Ulcers
The increasing prevalence of Diabetes Mellitus in Indonesia raises concerns about long-term complications such as diabetic foot ulcers, which can lead to amputation, disability, and reduced productivity and quality of life. Despite the availability of health education and promotive-preventive services, 79.1% of Diabetes Mellitus patients have poor foot care practices. Therefore, this study aimed to analyze Diabetes Mellitus patients' perceptions of the risk of diabetic foot ulcers. The method used was descriptive phenomenological, through in-depth interviews and focus group discussions. The sampling technique used purposive sampling until data saturation was achieved. The sample size was 15 DM patients, and the research locations were Riung Bandung Community Health Center and Bandung City Hospital. Data were analyzed using the Colaizzi method. The results showed a negative emotional response at the initial diagnosis that developed into acceptance through family and spiritual support. The perception of diabetic foot ulcers was the most frightening, affecting independence. Preventive behavior was influenced by knowledge, experience, fear of amputation, and access to education. In conclusion, patients perceive diabetic foot ulcers as dangerous, difficult to heal, at risk of infection, and even leading to amputation. Patients' recommendations call for concrete, empathetic, interactive, and ongoing education from healthcare professionals.
Sleep Hygiene and Emotional Intelligence of School Students
Remaja rentan mengalami gangguan tidur akibat kebiasaan tidur yang buruk, seperti penggunaan gawai sebelum tidur dan waktu tidur yang tidak teratur, sehingga memengaruhi kestabilan emosi. Penelitian ini bertujuan untuk mengetahui hubungan higiene tidur dengan kecerdasan emosional pada siswa SMPN 1 Jatinangor, menggunakan pendekatan kuantitatif survei potong lintang dengan jumlah siswa 276 orang yang dipilih melalui cluster random sampling. Instrumen yang digunakan adalah Indeks Higiene Tidur dan Skala Kecerdasan Emosional Wong and Law versi Bahasa Indonesia, dianalisis dengan uji korelasi Spearman. Hasil penelitian menunjukkan sebagian besar siswa memiliki higiene tidur yang buruk 51,8 persen dan kecerdasan emosional yang tinggi 54,7 persen dan tidak terdapat hubungan yang signifikan antara keduanya. Simpulannya, kebiasaan tidur yang buruk tidak selalu memengaruhi kecerdasan emosional secara langsung karena dipengaruhi oleh faktor lain seperti dukungan sosial, tekanan akademis, dan lingkungan keluarga. Disarankan kepada siswa, sekolah, dan orang tua untuk meningkatkan kesadaran akan pentingnya pola tidur yang sehat dan mengelola emosi melalui edukasi dan kebiasaan positif di sekolah dan rumah.
Toxic Parenting and Mental Health Among Adolescents
Adolescence is a transitional period that is vulnerable to various emotional and psychological changes, requiring a healthy family environment. One factor influencing adolescents’ mental health is parental parenting style. Toxic parenting is a negative parenting practice that can adversely affect adolescents' psychological well-being. This study aimed to examine the relationship between toxic parenting and mental health among adolescents at SMP Negeri 1 Limboto. The research used a quantitative approach with a cross sectional design and involved 82 subjects selected through proportional random sampling techniques. The characteristics of subjects include age, gender, class, parents' marital status, parents' education, parents' occupation, parents' income, and history of bullying. The research instruments included a toxic parenting questionnaire and the Strengths and Difficulties Questionnaire (SDQ). The results showed that most teenagers experienced moderate levels of toxic parenting (65.9%) and had mental health in the borderline category (48.8%). The results of the Chi-square test showed that there was a significant relationship between toxic parenting and adolescent mental health at SMP Negeri 1 Limboto with a Pearson Chi-Square value of 12.551 and a p-value of 0.002 (<0.05). In conclusion, toxic parenting was associated with adolescent mental health, and parents should adopt positive parenting and open communication.
Age and Parity with Baby Blues Syndrome in Postpartum Mothers at the Teling Community Health Center, Manado City
The first week for postpartum mothers is a period of adjustment to the role and responsibilities of mothers after giving birth. Mothers who are unable to adapt well during the postpartum period are susceptible to experiencing psychological disorders, one of which is baby blues syndrome. This study aimed to determine the relationship between age and parity with baby blues syndrome at the Teling Atas Community Health Center in Manado. The research method was observational analytic, with a cross-sectional approach. Samples were taken by accidental sampling of a sample of 60 postnatal mothers who met the inclusion criteria. Data were collected using the Edinburgh Postnatal Depression Scale/EPDS questionnaire and data analysis using Chi-square statistical tests. The results of the study showed that the majority of mothers were 20-35 years old, as many as 55 (91,7%), the highest parity was primipara, as many as 38 people (63,3%). There was a relationship between age (p-value<0,005 and parity (p-value<0,001) with baby blues syndrome at the Teling Atas Manado Health Center. It is recommended that health workers be more active in increasing counseling for pregnant women in preparation for becoming mothers so that they can adapt well after giving birth.
Copyright (c) 2025 Jurnal Keperawatan Profesional (KEPO)
Knowledge Level and ARI Prevention Efforts: A Study at Tarumajaya Public Health Center
Acute Respiratory Infection (ARI) was one of the main health problems in Indonesia and remained a significant cause of morbidity and mortality, especially among vulnerable groups. Various risk factors such as age, gender, environmental conditions, and level of public knowledge were known to influence the prevalence of this disease. This study aimed to analyze the relationship between the level of community knowledge and ARI prevention efforts in the working area of Tarumajaya Public Health Center, Bekasi Regency. This study used a quantitative approach with a cross-sectional design. A total of 85 subjects were selected using a purposive sampling method. The research instrument was a questionnaire whose validity and reliability had been tested. Data were analyzed using the Chi-square test. The results showed a significant relationship between knowledge level and ARI prevention efforts (p-value < 0,0001). Subjects with higher levels of knowledge tended to perform better preventive behaviors. These findings indicated that strategic efforts from health workers were needed to improve public awareness and knowledge through sustainable promotive and preventive programs. In conclusion, knowledge was associated with ARI preventive behavior; therefore, educational interventions played a key role in controlling this disease, especially in high-incidence areas such as the Tarumajaya Public Health Center.
Inhibiting Factors in the Implementation of Pre and Post Nursing Conferences
The professionalism of nurses was reflected from how nurses communicate with each other. One form of communication carried out by nurses is the nursing conference. This aimed to discuss the patient's condition, which can produce effective strategies and hone critical thinking skills to plan activities in subsequent nursing services for sustainability. In reality, the implementation of nursing conferences is not carried out well. This was due to a lack of direction, lack of nurse knowledge and high workload. The purpose of this study was to analyze the relationship between factors affecting nursing conferences in providing nursing care. The research method used a descriptive correlation with cross-sectional approach. 102 nurses were sampled. Data analysis used the chi-square test. The results obtained were a relationship between nurses' knowledge (p-value < 0.001) and directing function (p-value < 0.001) with obstacles to the implementation nursing conferences. There was no relationship between nurses' workload and obstacles to the implementation of pre- and post-nursing conferences (p-value = 0.185). It can be concluded that there is a relationship between nurses' knowledge and directive function and barriers to implementing nursing conferences. There is no relationship between nurses' workload and barriers to implementing nursing conferences.
Optimizing Health E-Leaflet Education Media to Increase Knowledge of Hypertension Patients at the Pancoran Community Health Center
Hypertension was a health problem frequently encountered in society and was known as a “silent killer” because it showed no symptoms but could lead to serious complications such as stroke, kidney failure, and heart disease. One important effort in controlling hypertension was increasing patient knowledge. However, health education delivered without attractive media was often less effective. This study aimed to determine the effect of optimizing health e-leaflet educational media on increasing the knowledge of hypertension patients at the Pancoran Community Health Center. The research method was quantitative with a quasi-experimental design using a pretest–posttest with a non-equivalent control group approach. A total of 116 subjects were involved and divided into two groups: an experimental group that received education using health e-leaflets and a control group that did not receive educational media. Data were collected using a questionnaire and analyzed univariately and bivariately using the Mann–Whitney U test. The results showed a significant difference in knowledge between the experimental and control groups with a p-value < 0,001. It was concluded that health e-leaflet educational media had a significant effect on increasing the knowledge of hypertension patients at the Pancoran Community Health Center. Health e-leaflet media could be used as an alternative approach for health education in the digital era.
Increasing the Motivation for Women of Fertile Age Reproductive Health in Early Cervical Cancer Detection IVA Method with Audiovisual Media
Cervical cancer is the leading cause of death that most often occurs in women. This is due to lack of information and late treatment, so in this case providing health education regarding the importance of early detection of cervical cancer with the visual inspection with acetic acid (VIA) which is considered the fastest and cheapest method is very important to do. Using audiovisual media that is interesting and easy to understand so that women can be motivated to do early detection of cervical cancer as soon as possible to reduce mortality and morbidity due to cervical cancer. This type of quantitative research with a quasi-experimental design of a single group pre-test-treatment-post-test, to 38 subjects of fertile women who were taken by accidental sampling, using the Wilcoxon signed rank test. The results of the study showed an increase in motivation to do early detection of cervical cancer with the visual inspection with acetic acid (VIA) after receiving health education through audiovisual media (p-value < 0,05). It was concluded that audiovisual media were very effective for health education in increasing motivation for women to do early detection of cervical cancer with the acetic acid inspection method.
Knowledge and Compliance with a Hypertension Diet Among Elderly Patients
Hypertension remains a global health concern, with high prevalence rates in Indonesia, particularly among the elderly aged 60 and above. The high incidence of hypertension in Pajang, Surakarta, is believed to stem from limited awareness regarding the importance of a hypertension diet as a non-pharmacological treatment. This study is a quantitative study with a correlational design. The sample consisted of 100 elderly subjects with hypertension in the working area of the Pajang Community Health Center, selected using simple random sampling. This study was conducted in 2025. As the data were not normally distributed, the Spearman rank correlation test was used for analysis. The findings showed that 79% of subjects had good knowledge, and 82% demonstrated good dietary compliance. A strong positive correlation was found between knowledge and compliance (r = 0,589, p-value <0,001), confirming a significant relationship between the two among elderly patients in the Pajang Community Health Center, Surakarta. Elderly patients was encouraged to continue enhancing their understanding of dietary management for hypertension, whether through health professionals or reliable information sources. With greater knowledge, patients are expected to be more consistent in maintaining a healthy diet, which in turn can help control blood pressure and prevent complications.
Development of 'NutriFit Teen' Mobile Application on Adolescent Knowledge of Chronic Energy Deficiency (CED) Risk
Chronic Energy Deficiency (CED) in adolescent girls has long-term effects on growth, reproductive health, and future productivity. Low knowledge of CED among adolescents is one of the main causes of this condition. The use of digital technology, particularly mobile applications, offers great potential for effectively improving adolescent nutrition literacy. This study aimed to develop and evaluate the effectiveness of the educational application "NutriFit Teen" in increasing adolescents' knowledge about the risks of CED. The design used was a quasi-experiment with a pretest and posttest approach with a control group. A total of 40 female adolescents aged 15–18 years were divided into two groups: intervention (n=20) and control (n=20). The instrument used was a questionnaire on KEK knowledge that had been tested for validity and reliability. The application was developed participatively and contains interactive information and daily reminders. Data analysis was performed using the Wilcoxon test. The results showed a significant increase in knowledge scores in the intervention group after using the application (p-value < 0.001). This study concluded that the “NutriFit Teen” application is effective in increasing adolescents' knowledge about the risks of KEK.
Sleep Quality and Self-Harm Tendencies among Final-Year Students
Poor sleep quality cloud disrupt the sleep-wake rhythm, particularly affecting brain function and potentially leading to various health problems. The impact of inadequate sleep encompasses both physiological and psychological disturbances, including fatigue, physical weakness, reduced physical activity, and weakened immune function. This study aimed to raise awareness among students, particularly in academic settings, about the importance of maintaining high-quality sleep in support of their mental health. The research employed a descriptive quantitative design using a questionnaire-based survey, with a random sampling technique. The frequency distribution results showed that 21,5% of subjects exhibited healthy sleep patterns, while the remaining 78,5% were categorized as having suboptimal sleep patterns. Self-harm tendencies were divided into three categories: no self-harm (92,5%), mild self-harm (5,4%), and severe self-harm (2,2%). Correlation analysis using the Spearman rank test indicated a significant positive relationship between sleep quality and self-harm tendencies (r = 0,353; p-value = 0,001). Therefore, final-year students working on their theses are advised to manage their time more effectively and pay attention to both the duration and quality of their sleep as a preventive measure against sleep disturbances. An imbalanced sleep pattern can trigger negative emotional responses and reduce an individual’s ability to regulate emotions.
Facial Expression and Oral Motoric Exercises to Support Communication in Stroke and Aphasia Patients: A Case Study
Stroke often causes aphasia, a language disorder that hinders verbal and nonverbal communication and reduces the quality of life of patients. This study aims to evaluate the effectiveness of face expression exercises and oral motor exercises in improving face symmetry and communication skills in patients with aphasia stroke. A case study was conducted on two non-hemorrhagic stroke patients with aphasia at Dr. Soehadi Prijonegoro General Hospital in Sragen. The intervention was carried out for three consecutive days, twice a day, in the form of a combination of face expression and oral motor exercises using a mirror. The evaluation was conducted using the Sunnybrook Face Grading System and observation of oral motor function. The results showed an increase in the Sunnybrook score from 40 (grade IV, moderate to severe impairment) to 55 (grade III, mild to moderate) in the first subject, and from 47 (grade III, mild-moderate) to 65 (grade II, near normal) in the second subject. Both experienced an increase in face symmetry, tongue and lip muscle strength, and the ability to pronounce simple words. Face expression exercises and oral motor exercises proved to be effective as a simple, safe, and low-cost intervention to support communication recovery in stroke patients with aphasia.
Explosion box Based on Scientific approach to Improve Knowledge and Compliance in Consuming Iron Supplements
One educational tool that can be used to convey health information is the “explosion box”, an interactive learning tool in the form of a layered box that presents material in a visually engaging way. Low adherence to iron supplement intake is often caused by a lack of understanding regarding the importance of preventing anemia. An explosion box based on a scientific approach has the potential to be an effective educational tool because it combines elements of surprise and interactivity to enhance adolescent girls’ knowledge regarding anemia prevention and foster critical thinking. This study aimed to measure the effectiveness of this medium on knowledge and adherence to iron supplement intake among adolescent girls. The method used was a pre-experimental study with a one-group pretest-posttest design. The study subjects consisted of 37 adolescent girls, selected using total sampling. The results showed a significant increase in knowledge (p-value <0.001) and adherence (p-value 0.003) following the intervention using the explosion box based on a scientific approach. Thus, this medium proved effective in improving knowledge and adherence to iron supplement consumption among adolescent girls. An “explosion box” based on a scientific approach was expected to serve as an educational resource in efforts to prevent anemia among adolescent girls.
Surgical Procedures and Team Compliance with the Surgical Safety Checklist
Patient safety is a critical component of surgical procedures, with the Surgical Safety Checklist (SSC) playing a key role in minimizing medical errors. However, its implementation in healthcare settings continues to face challenges in medical team compliance. This study aimed to examine the relationship between the type of surgical procedure and the level of compliance of medical teams in implementing SSC. An analytic survey with a cross-sectional approach was conducted at a maternal and child specialty hospital in urban Yogyakarta. Data were collected through observation of 65 surgical procedures using a checklist based on the three SSC phases (sign-in, time-out, sign-out), and analyzed using the chi-square test. Results showed elective surgeries were more dominant (55,4%), with the majority of patients undergoing cesarean section (84,6%). A significant association was found between surgery type and compliance during the time-out (p-value = 0,004) and sign-out (p-value = 0,011) phases, but not during the sign-in phase (p-value = 0,195). Overall, only 27,7% of surgeries were performed with full SSC compliance. These findings indicate that surgical procedure type significantly influences SSC compliance, particularly in the time-out and sign-out phases, and underline the need for targeted system strengthening through structured training, standardized workflow integration, and continuous compliance monitoring to improve patient safety outcomes.