Journal Title : Jurnal Siti Rufaidah Initials : JASIRA Frequency : Februari, Mei, Agustus dan November Print ISSN : 3032-1336 Online ISSN : 3032-1344 Editor in Chief : - DOI : 10.57214 Publisher : PPNI UNIMMAN Jurnal Siti Rufaidah, dengan e-ISSN : 3032-1344, p-ISSN : 3032-1336 adalah jurnal yang ditujukan untuk publikasi artikel ilmiah yang diterbitkan oleh PPNI UNIMMAN. Jurnal ini adalah Jurnal Siti Rufaidah yang bersifat peer-review dan terbuka. Bidang kajian dalam jurnal ini termasuk sub rumpun Ilmu Kesehatan Umum, Ilmu Keperawatan dan Kebidanan, Ilmu Psikolog dan Ilmu Farmasi. Jurnal Siti Rufaidah menerima artikel dalam bahasa Inggris dan bahasa Indonesia. Jurnal ini terbit 1 tahun 4 kali (Februari, Mei, Agustus dan November) Indexed by : Journal Sponsors and Partners :
Literatur Review: Analisis Faktor yang Mempengaruhi Kualitas Tidur pada Lansia
Sleep quality is a crucial component of health and overall well-being among older adults, as the aging process is commonly associated with various physiological, psychological, and environmental changes that may significantly disrupt normal sleep patterns. Declining bodily functions, increased health problems, and changes in daily routines often contribute to sleep disturbances in later life. This literature review aims to analyze the factors influencing sleep quality in the elderly by synthesizing findings from relevant national and international studies published in recent years. Various factors were identified, including physiological conditions such as chronic diseases, pain, and hormonal changes; psychological factors such as anxiety, depression, stress, and cognitive decline; lifestyle-related factors such as levels of physical activity, dietary habits, medication use, and caffeine consumption; and environmental aspects including noise exposure, lighting conditions, temperature, and overall bedroom comfort. The reviewed literature consistently indicates that poor sleep quality is strongly associated with impaired physical health, reduced cognitive function, increased fatigue, and decreased emotional well-being in older adults. This review highlights the importance of comprehensive, multidisciplinary interventions that address both intrinsic and extrinsic determinants of sleep to effectively improve overall sleep quality among elderly populations.
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Gambaran Pengetahuan, Sikap, dan Perilaku Mahasiswa Kedokteran Universitas Tarumanagara terhadap Pemberian Insulin pada Diabetes Melitus Tipe 2
Type 2 diabetes mellitus is a chronic metabolic disease that requires comprehensive management, including insulin therapy; therefore, the knowledge, attitudes, and practices of medical students as future physicians play an important role in therapeutic success. This study aimed to describe the level of knowledge, attitudes, and practices of medical students of the Faculty of Medicine, Universitas Tarumanagara, Class of 2022, regarding insulin administration in patients with type 2 diabetes mellitus. This study employed a quantitative descriptive design with a cross-sectional approach involving 93 respondents. Data were collected using questionnaires assessing knowledge, attitudes, and practices related to insulin administration and analyzed descriptively. The respondents had a mean age of 21.08 years (median 21; range 20–26 years) and were predominantly female (69 respondents; 75.5%). The results showed a mean knowledge score of 8.5 ± 1.47, with 56.1% of respondents categorized as having good knowledge. Attitudes toward insulin administration had a mean score of 7.67 ± 1.25, with 56.1% classified as good, while insulin administration practices were categorized as very good, with a mean score of 9.99 ± 0.74 and 95.7% of respondents in the good category. This study indicates that medical students of Universitas Tarumanagara Class of 2022 possess good levels of knowledge, attitudes, and practices regarding insulin administration in patients with type 2 diabetes mellitus.
Hambatan dan Kebutuhan Layanan Kesehatan bagi Lansia di Masa Kini
The increasing elderly population in Indonesia necessitates the development of more comprehensive health services, yet various obstacles continue to hinder the fulfillment of these needs. This study aims to identify the main barriers experienced by older adults in accessing contemporary healthcare services and to outline the essential health service needs relevant to this age group. A literature study method was employed by analyzing scientific publications related to elderly health across physical, social, economic, and healthcare system dimensions. The findings indicate that older adults encounter limitations such as reduced mobility, low health literacy, insufficient elderly-friendly facilities, high healthcare costs, and a shortage of healthcare professionals trained in geriatrics. Meanwhile, their primary health service needs include continuous promotive and preventive care, easily accessible healthcare facilities, family support in managing health routines, and user-friendly health technologies. These results highlight the importance of developing more inclusive, affordable, and sustainable health services to improve the quality of life of the elderly in Indonesia.
Pengaruh Metode Kasa Steril terhadap Lamanya Pelepasan Tali Pusat pada Bayi Baru Lahir di Wilayah Kerja Puskesmas Alai
Umbilical cord infection is one of the leading causes of neonatal mortality in Indonesia. Appropriate umbilical cord care is essential to accelerate separation and prevent infection. In the working area of UPT Puskesmas Alai, variations in cord care practices and delayed separation cases were still found. This study aimed to analyze the effect of umbilical cord care using sterile gauze method on cord separation duration at UPT Puskesmas Alai. The study employed quasi-experimental design with one-group pre-test post-test approach on 32 respondents selected through purposive sampling. Pretest data were obtained from medical records, while posttest data through direct observation. Analysis used Wilcoxon Signed Rank Test (α=0.05). Results showed mean cord separation time in pretest group was 9.2 days (SD=1.08) and posttest group 6.0 days (SD=0.84). Wilcoxon test showed Z=-4.94 with p-value=0.000, indicating significant difference. Umbilical cord care using sterile gauze method effectively accelerates separation time compared to conventional methods. Healthcare workers are recommended to implement this method as standard care.
Penerapan Hypnobrithing terhadap Penurunan Kecemasan pada Ibu Post Partum Spontan di RS Permata Medika Semarang
The postpartum period is a phase of physical and psychological adaptation that often causes anxiety in mothers after childbirth. Untreated anxiety can affect the recovery process, breast milk production, and mother–infant bonding. This study aimed to determine the effectiveness of hypnobirthing in reducing anxiety levels among mothers with spontaneous postpartum. The method used was a case study with a nursing care approach involving five spontaneous postpartum mothers who experienced anxiety related to situational crises. Anxiety levels were measured using the Hospital Anxiety and Depression Scale (HADS) questionnaire before and after the intervention. The nursing intervention in the form of hypnobirthing was administered once daily for 15 minutes over three consecutive days. The results showed a decrease in the average anxiety score from 18 (severe anxiety) before the intervention to 10 (mild anxiety) after three days of hypnobirthing. All patients experienced a reduction in anxiety levels, with most achieving a final category of mild anxiety. In conclusion, hypnobirthing is effective in reducing anxiety levels in spontaneous postpartum mothers and can be used as a non-pharmacological nursing intervention to support maternal psychological recovery after childbirth.
Profil Penderita Kanker Kolorektal yang Menjalani Pemeriksaan Histologi di RSUD Jusuf SK Periode 2023-2025
Colorectal cancer is a malignancy that arises from the epithelial tissue of the large intestine. The large intestine is part of the digestive tract consisting of the colon, rectum, and anal canal. Colorectal cancer is the third most common type of cancer in the world. Its incidence in China is 23.7 per 100,000 people. In Indonesia, colorectal cancer currently ranks third as the most common cancer diagnosis. Research on the profile of colorectal cancer patients in North Kalimantan. This study aims to determine the profile of colorectal cancer patients at RSUD Jusuf SK. All patients at RSUD Jusuf SK diagnosed with colorectal cancer in the period 2023-2025 were the sample of this study. The results showed that the number of colorectal cancer patients from 2023-2025 was 55 patients. The largest age group of colorectal cancer patients was over 50 years old at 87.27%. The majority of the subjects in this study were male at 70.91%. The most common location for colorectal cancer is the rectum, at 67.27%. Stage II is the most common stage of colorectal cancer, at 56.36%. Adenocarcinoma is the most common histopathological type, at 92.7%.
Faktor -Faktor Yang Mempengaruhi Cakupan Imunisasi MR (Measles Rubella) di Wilayah Kerja Puskesmas Pekanbaru Kota Tahun 2025
Measles Rubella (MR) immunization coverage in Indonesia remains below the national target of 95%, with coverage in 2024 reaching only 82.3% and showing a decline compared to the previous year. A lower coverage was observed in the working area of Pekanbaru Kota Public Health Center, where only238 out of 547 eligible children (41.3%) received MR immunization. Low immunization coverage may reduce herd immunity and increase the risk of measles and rubella outbreaks. This study aimed to analyze factors influencing MR immunization uptake among children under five in the working area of Pekanbaru Kota Public Health Center in 2025. This quantitative study employed a cross-sectional design involving 40 mothers of children aged 9–60 months selected through accidental sampling. Data were collected using structured questionnaires assessing maternal knowledge, attitudes, family support, support from health workers, and travel time to health facilities. Univariate and bivariate analyses were performed using the Chi-Square test at a 95% confidence level (α = 0.05). The results showed that 67.5% of respondents had provided MR immunization to their children. Significant associations were found between maternal knowledge (p = 0.033), maternal attitudes (p = 0.037), family support (p = 0.002), and health worker support (p = 0.015) with MR immunization uptake, while travel time to health facilities was not significantly associated (p = 0.053). In conclusion, maternal knowledge and attitudes, family support, and health worker support are significant factors influencing MR immunization uptake, highlighting the need to strengthen health education and family involvement to improve MR immunization coverage.
Intervensi Nutrisi pada Kualitas Hidup Lansia Penderita Diabetes Melitus 2
Type 2 diabetes mellitus in the elderly significantly impacts quality of life (QoL) due to physiological changes in aging, comorbidities,and the risk of chronic complications. Nutritional management is considered a key intervention to improve glycemic control and functional status in the elderly.Objective: To review the current evidence regarding the effect of nutritional interventions on the quality of life in elderly with type 2 diabetes mellitus through a Literature Review approach.Methods: The Literature Review was conducted by identifying articles from the Scopus database published in 2020–2025. The review process included screening based on inclusion-exclusion criteria, eligibility assessment, and narrative synthesis of relevant studies,including controlled trials,quasi-experimental studies, observational studies, and systematic observations.Results: From the selected studies, interventions with a low glycemic index diet and a balanced diet have been shown to reduce HbA1c levels and the risk of complications; a multicomponent program combining diet and exercise produces synergistic effects on glucose control, physical function,and quality of life.Structured nutrition education (DSME) and family involvement improve satisfaction and metabolic outcomes.The use of technology (mobile apps) shows potential in monitoring intake and glucose,although digital literacy challenges and limited sample size and study design are often limitations.Conclusion: Targeted nutrition interventions, especially when combined with exercise, education,family support,and age-friendly technology,have the potential to improve metabolic control and quality of life in older adults with T2DM.Recommendation: Large-scale RCTs and more robust longitudinal studies are needed to establish the long-term effectiveness and cost-effectiveness of multicomponent nutrition interventions and technology adaptations for older adults with multimorbidity.
Pengaruh Kombinasi Pursed Lip Breathing Exercise dan Posisi High Fowler 90° terhadap Pertukaran Gas pada Pasien Tuberkulosis Paru
Pulmonary tuberculosis is a chronic infectious disease that can cause impaired gas exchange due to lung tissue damage, increased mucus production, and decreased lung elasticity. This condition may lead to shortness of breath, decreased oxygen saturation, and ineffective breathing patterns. Non-pharmacological nursing interventions such as pursed lip breathing exercise and body positioning are needed to improve respiratory function. The combination of pursed lip breathing exercise and the high Fowler position is expected to enhance alveolar ventilation and improve oxygenation in patients with pulmonary tuberculosis.Method: This study is a quantitative research with a pre-experimental/quasi-experimental design using a pre-test and post-test approach. The sample consists of pulmonary tuberculosis patients who experience impaired gas exchange and meet the inclusion criteria. The intervention provided is a combination of pursed lip breathing exercise and the high Fowler position. Gas exchange is measured by assessing oxygen saturation and respiratory rate before and after the intervention. Data will be analyzed using appropriate statistical tests to determine the effect of the intervention.Results: The expected results of this study are an increase in oxygen saturation and improvement in respiratory rate after the application of the combination of pursed lip breathing exercise and the high Fowler position in patients with pulmonary tuberculosis.Conclusion: The combination of pursed lip breathing exercise and the high Fowler position is expected to have a positive effect on improving gas exchange in patients with pulmonary tuberculosis and can be applied as an independent nursing intervention in clinical practice.
Pengaruh Kompres Dingin terhadap Nyeri Pasca Tindakan Radiofrequency Ablation (RFA)
RFA treatments, pain is a frequent issue that might interfere with comfort and postpone recovery. Pharmacological treatment continues to be the mainstay of pain management after RFA, whereas non-pharmacological nursing treatments like cold compress therapy are not regularly used. The purpose of this research was to investigate how cold compress therapy affects pain severity in individuals following radiofrequency ablation. At the central general hospital in central Java, a quantitative quasi-experimental design was used, employing a one-group pre-test and post-test methodology. Twenty-eight participants were chosen using purposive sampling. The NRS was used to assess the intensity of pain both before and after applying a cold compress for 15–20 minutes. The Wilcoxon Signed Rank Test was used to examine the data. Following the intervention, the median pain scores fell from 5 (moderate pain) to 2 (mild pain), which was a statistically significant change (p = 0.001). These results suggest that cold compress therapy can be advised as a non-pharmacological nursing intervention in post-procedural treatment since it helps lessen post-RFA pain
Resilience of Palestinian Children in the West Bank: A Systematic Review of School-Based Programs
This study systematically analyzes the effectiveness of school-based resilience programs designed for Palestinian children in the West Bank through a systematic review of 47 programs implemented over the period 2010–2023. The meta-analysis encompasses 12,847 participants aged 6–18 years from 89 schools and demonstrates a significant increase in resilience scores with a large effect size (d = 0.76, p < .001), accompanied by a substantial reduction in psychological trauma symptoms (r = -0.64, p < .001) and marked improvements in academic functioning (β = 0.58, p < .01). Programs integrating mindfulness approaches and psychosocial support exhibited the strongest effects (η² = 0.42), followed by expressive arts interventions (η² = 0.38) and play therapy (η² = 0.35), collectively underscoring the critical importance of non-conventional approaches in contexts of protracted conflict. Multilevel regression analysis revealed that a minimum program duration of 12 weeks and the level of family engagement contributed significantly to enhanced intervention effectiveness (R² = 0.67, p < .001). These findings extend the results of Qouta (2020) and Jabr et al. (2013) on child resilience in conflict zones, while offering an original contribution through the identification of specific program components most responsive to the Palestinian context. In particular, the integration of local cultural elements and the strengthening of collective identity were shown to increase program effectiveness by up to 43% compared with universal approaches, a pattern that has not been systematically documented in the previous literature.
Psychological Impact of the Gaza Blockade: A Mental Health Analysis 2007–2024
This meta-analysis systematically examines the psychological effects of the Gaza blockade on the mental health of affected populations, synthesizing data from 47 studies with 31,842 participants published between 2007 and 2024. The results show a significant increase in mental health disorders, with a pooled effect size of r = 0.73 (95% CI [0.68, 0.78]). PTSD was the most prevalent at 73.2%, followed by depression at 68.7%, and anxiety at 65.4%, highlighting the severe psychological impact. Hierarchical regression analysis revealed a strong correlation between the duration of the blockade and the severity of psychological symptoms (β = 0.68, p < .001). Children and adolescents were particularly vulnerable, with an odds ratio of 2.84 for developing complex trauma. Structural equation modeling indicated that limited access to mental health services significantly worsened psychological conditions, with model fit indices (χ2/df = 2.34, CFI = 0.96, RMSEA = 0.058). This study also identified a higher prevalence of disorders compared to previous studies and uncovered a new pattern of intergenerational trauma (d = 0.82). This meta-analysis enhances the understanding of how prolonged blockades affect mental health and provides a foundation for evidence-based psychosocial interventions.
Hubungan Kepatuhan Perawat dalam Melakukan Monitoring Formulir Early Warning Scoring System (EWSS) dengan Kejadian Code Blue di Ruangan Perawatan Umum
Early Warning Score (EWS) is early detection instrument for predicting severity or worsening of a patient's condition. Therefore, nurses' compliance with the assessment is crucial. The goal is to reduce the incidence of code blues in general care units. Code blue is a procedure code used for conditions where a victim is found to be at risk of cardiac arrest or respiratory arrest. Methods: This study is a quantitative analytical survey, a form of research that examines the effects and risk factors. The study design was cross-sectional, examining the dynamics of correlation between dependent and independent variables. The number of respondents in this study was 150, drawn from a total sampling of the nurse population in general care units. The data obtained were subjected to statistical analysis using a non-parametric Chi-Square test. Results: Respondents, based on their level of compliance with the EWSS monitoring form, were mostly in the compliant category (94%), and most had an impact on the absence of code blues (94%) in the emergency risk group. Conclusion: There is a significant relationship between nurses' compliance in monitoring the completion of the EWSS and the occurrence of code blue in inpatient rooms (P-Value <0.05).
Pengaruh Teknik Relaksasi Autogenik terhadap Intensitas Kecemasan dan Nyeri pada Pasien Post Operasi di Ruang Perawatan Umum
Anxiety and pain are common problems experienced by postoperative patients and may negatively affect physiological and psyhological conditions as well as the recovery process. Management of anxiety and pain can be carried out throught pharmacological and non-pharmacological approaches, one of which is the autogenic relaxation technique. This technique is safe, simple easy to learn and does not cause side effects so it can be applied by healthcare professionals and performed independently by patients. This study aimed to determine the effect of autogenic relaxation on anxiety levels and pain intensity in postoperative patients in the general ward. This study employed a pre-experimental design with a pretest-posttest without control approach. The sample consisted of 31 respondents selected using a purposive sampling technique. Data were collected using the Hamilton Rating Scale for Anxiety (HRS-A) to measure anxiety levels and the Numeric Rating Scale (NRS) to assess pain intensity. The result of the Paired Sample T-test showed a p-value of 0,0001 (< 0,05), indicating a significant decrease in the mean anxiety level from moderate to mild after the intevention. The wilcoxon test also showed a p-value of 0,0001 (< 0,05), demonstrating a significant difference in pain intensity before and after the intervention, from moderate pain to mild pain. It can be cocluded that the autogenic relaxation technique has a significant effect on reducing anxiety levels and pain intensity in postoperative patients. This technique is recommended as a non-pharmacological intervention that can be applied by healthcare professionals to enhance patient comfort and support the postoperative recovery process.
Hubungan Pola Makan dengan Kadar Gula Darah Pasien DM Tipe 2 di Rumah Sakit Sari Asih Karawaci
Type 2 Diabetes Mellitus is a chronic metabolic disease characterized by elevated blood glucose levels due to impaired insulin action. Blood glucose control is influenced by various factors, one of which is dietary patterns. Diets that do not adhere to balanced nutrition principles can lead to poor glycemic control and increase the risk of complications. This study employed a quantitative design with a cross-sectional approach. The research sample consisted of 95 patients with Type 2 Diabetes Mellitus at Sari Asih Karawaci Hospital in 2025, selected using purposive sampling techniques. Dietary pattern data were collected using a questionnaire, while blood glucose level data were obtained from medical examination results. Data analysis was conducted using univariate and bivariate analysis with the Contingency Coefficient test. The results showed that most respondents had good dietary patterns (58.9%), and blood glucose levels within the normal category (51.6%). Bivariate analysis using the Contingency Coefficient test indicated a p-value of 0.005, demonstrating a significant relationship between dietary patterns and blood glucose levels in patients with Type 2 Diabetes Mellitus. There is a significant relationship between dietary patterns and blood glucose levels in patients with Type 2 Diabetes Mellitus. Proper dietary management is an important factor in controlling blood glucose levels and should be a primary focus in nursing care and health education for patients with Type 2 Diabetes Mellitus.
Penerapan Kompres Aloevera untuk Menurunkan Suhu Tubuh pada Pasien Anak dengan Demam Tifoid
Typhoid fever is an infectious disease caused by Salmonella typhi. Transmission can occur through air or food contaminated with the urine and feces of typhoid sufferers, such as air used for drinking, cooking, and washing food. Symptoms of typhoid fever include a prolonged high fever, defined as an elevated body temperature of >37.5°C. Other symptoms can include fatigue, nausea, abdominal pain, constipation or diarrhea, and headache. This study aimed to treat children with typhoid fever. The method used was a case study of a five-year-old child with typhoid fever who was hospitalized for four days. The results showed that the child had fever, obesity, and decreased appetite. The child's problem was hypothermia, while cooling interventions were used to manage hypothermia, and one of the cooling procedures performed was the application of aloe vera compresses. The evaluation results showed that the hyperthermia resolved after four days of hospitalization. Based on this study, it is hoped that patients and their families can independently apply aloe vera compresses to treat hypothermia in children.
Analisis Perilaku Seksual Pranikah pada Remaja di SMA Pattimura Jakarta
Adolescence is a crucial transition phase from childhood to adulthood, characterized by significant development of the reproductive system and psychosocial changes. In this phase, adolescents are prone to deviant behavior, including premarital sexual behavior, especially if environmental factors and self-control are not properly managed. This study aims to identify the picture of premarital sexual behavior in adolescents through a case study at Pattimura High School Jakarta. The research method uses a quantitative approach with random sampling techniques based on Lemenshow calculations. Data analysis was carried out descriptively to obtain an overview of respondents' behavior. The results showed that there were 22 students (32.35%) who had risky premarital sexual behavior. These findings indicate an urgent need for comprehensive interventions. Preventive efforts can be carried out through reproductive health education, strengthening moral values, and improving communication between parents and children. Meanwhile, repressive efforts are needed to enforce school rules and provide educational sanctions. This research emphasizes the importance of collaboration between schools, families, and communities in tackling adolescents' premarital sexual behavior, so as to minimize risks that have an impact on their physical, psychological, and social health.
Mendekatkan yang Jauh, Menjauhkan yang Dekat
The phenomenon of phubbing and extreme digital content consumption has become a new challenge in public health, especially for Generation Z, who spend up to 10 hours a day on the internet. This study aims to analyze how phubbing behavior and dependency on endurance streaming distort the quality of face-to-face social interaction and its implications for mental health determinants. The research method employed is a literature review with a critical-narrative approach. Data were collected through systematic searching of reputable scientific databases (such as Google Scholar, SINTA, and GARUDA) focusing on publications from 2021 to 2026. The analysis was conducted by synthesizing literature findings integrated with preliminary field observations to validate the phenomenon's relevance in the local context. The results reveal that snubbing others in favor of gadgets is a mechanism to escape the reciprocal emotional burden of real-life communication. Digital spaces are perceived as safer because they offer intimacy without risk, yet they systematically trigger a chronic erosion of social attention and executive dysfunction. From a public health perspective, this condition threatens social capital and community resilience. This study concludes the importance of sociopsychological interventions to restore human connection to prevent chronic emotional isolation in the future.
Efektivitas Pijat Oksitosin terhadap Produksi ASI pada Ibu Postpartum: Study Literatur
Background: Suboptimal breast milk production during the postpartum period remains a major barrier to successful exclusive breastfeeding. Various non-pharmacological interventions have been developed to address this issue, including oxytocin massage, which is believed to stimulate the release of the oxytocin hormone and facilitate milk ejection. However, findings regarding its effectiveness remain varied, highlighting the need for a comprehensive synthesis of scientific evidence. Objective: This study aims to review and synthesize evidence on the effectiveness of oxytocin massage in increasing breast milk production among postpartum mothers. Methods: A literature review with a narrative review approach was conducted using articles from Google Scholar, PubMed, and Garuda databases published between 2021 and 2025. Keywords included oxytocin massage, breast milk production, and postpartum mothers. Inclusion criteria were original research articles involving postpartum mothers receiving oxytocin massage interventions with full-text access. Article selection followed the PRISMA flow, resulting in 12 eligible studies analyzed narratively. Results: Most studies reported that oxytocin massage improves breast milk production and milk flow, indicated by increased milk volume, improved let-down reflex, higher breastfeeding frequency, and adequate infant intake. The effect is associated with parasympathetic stimulation that promotes oxytocin release and maternal relaxation. Conclusion: Oxytocin massage is a safe and practical complementary intervention to support breast milk production, although further studies with stronger experimental designs are needed.
Hubungan Beban Kerja dengan Penerapan Patient Safety pada Perawat Diruang Rawat Jalan
Patient safety is one of the key elements in providing quality health services. Patient safety is a top priority because it has become a global issue in hospital health services. This study aims to determine the relationship between workload and the implementation of patient safety among nurses in the Outpatient Room of Grha Permata Ibu Hospital in 2025. This study is a quantitative, analytical study. This quantitative research uses a cross-sectional design. The population in this study consisted of 40 nurses in the Outpatient Room of Grha Permata Ibu Hospital. Therefore, the sample in this study consisted of 40 respondents using a total sample technique. The instrument used in this study was a questionnaire. Data analysis was performed using univariate and bivariate analysis with the chi-square test. Based on the statistical test results, the p-value was 0.023, meaning that p-value < α (0.05). Therefore, it can be concluded that there is a relationship between workload and the implementation of patient safety among nurses in the Outpatient Ward of Grha Permata Ibu Hospital in 2025. The hospital is advised to ensure fair task distribution, provide facilities, and offer training and psychological support to manage stress.
Asuhan Kebidanan Komprehensif pada Ny.R Umur 39 Tahun dengan Resiko Tinggi Umur di TPBM Ny.S Wilayah Kerja Puskesmas Kaliwadas Tahun 2025
Maternal mortality remains a major global health concern and an important indicator of health system performance. The World Health Organization reported in 2023 that approximately 290,000 maternal deaths occurred worldwide, highlighting persistent challenges in maternal health services. In the ASEAN region, the maternal mortality rate in 2023 was recorded at 16.85 per 1,000 live births. In Indonesia, the Maternal Mortality Rate in 2023 reached 189 per 100,000 live births according to the Ministry of Health of the Republic of Indonesia. Significant progress has been observed in Central Java Province, where the rate decreased from the United Nations Sustainable Development Goals target of 226 per 100,000 live births to 88.11 per 100,000 live births in 2023. At the district level, Brebes Regency recorded 54 cases per 100,000 live births in 2023 and reported 54 maternal deaths in 2024. Meanwhile, the Kaliwadas Community Health Center reported no maternal deaths during 2023 and 2024, indicating relatively effective maternal health services at the local level.
Asuhan Kebidanan Komprehensif pada Ny. S Umur 25 Tahun dengan Kekurangan Energi Kronis (KEK) di Wilayah Puskesmas Bumiayu Kabupaten Brebes Tahun 2025
The highest mortality cases during pregnancy until the postpartum period are caused by several factors such as hypertension, infection, bleeding, anemia and KEK. Data obtained from pregnant women at the Bumiayu Community Health Center in 2023 were 30 cases, in 2024 there was an increase of 183 cases and in 2025 from January to February there were 30 KEK cases (Bumiayu Community Health Center profile, 2025). The purpose of the study was to provide comprehensive midwifery care to pregnant women, childbirth, newborns, postpartum and family planning (KB) using the Varney and SOAP management approaches. The method used in this study is a qualitative descriptive method with a comprehensive case study approach. The results of the study of comprehensive midwifery care to Mrs. S found problems in pregnancy with KEK have been given management according to the mother's needs. In labor, newborns, postpartum to KB Mrs. S there were no complications. Conclusion Comprehensive midwifery care to Mrs. S with KEK has been carried out in accordance with Standard Operating Procedures with the condition of the mother and baby being good.
Evaluation of the Use of Postpartum Family Planning Methods for Postpartum Mothers at the Buntalo Community Health Center, Lolak District
Background: Contraception is an effective method for controlling fertility and reducing the risk of unintended pregnancies. However, the utilization of long-term contraceptive methods remains relatively low. Several factors such as education level, parity, and age are believed to influence women’s decisions in choosing Contraception. Objective: This study aimed to analyze the influence of education, parity, and age on the use of Contraception. Methods: This study employed an analytical observational design with a cross-sectional approach. The sample consisted of 30 women of reproductive age selected using a total sampling technique. Data were collected through structured questionnaires and analyzed using the Chi-square test to determine the association between education, parity, age, and the use of Contraception. Results: The results showed a significant relationship between education level, parity, and age with the use of Contraception. Statistical analysis using the Chi-square test obtained a p-value of 0.003 (p < 0.05), indicating that education, parity, and age significantly influenced the use of long-term contraceptive methods. Conclusion: Education level, parity, and age have a significant influence on the use of Contraception. Improving health education and counseling regarding long-term contraceptive methods is essential to increase their utilization among women of reproductive age.
The Effect of Moringa Leaf Administration on Hb Levels in 3rd Semester Pregnant Women
Anemia during pregnancy is a major public health issue, especially in developing countries like Indonesia, contributing to maternal morbidity and adverse pregnancy outcomes. The second trimester, marked by increased iron needs due to plasma volume expansion and fetal growth, is critical for preventing anemia. Moringa leaves (Moringa oleifera), rich in micronutrients, may serve as an effective nutritional intervention to enhance hemoglobin levels in pregnant women. This study aimed to assess the impact of moringa leaf supplementation on hemoglobin levels in second-trimester pregnant women. Using a one-group pretest-posttest quasi-experimental design, the study was conducted at the Tadoy Community Health Center in Bolaang Mongondow Regency from October to November 2025, involving 25 pregnant women selected via purposive sampling. Hemoglobin levels were measured before and after the supplementation. Data analysis, including the Shapiro-Wilk test and Wilcoxon Signed Rank Test, indicated significant changes in hemoglobin levels (p = 0.000). The results showed a notable increase in hemoglobin levels post-supplementation, supporting the potential of moringa leaves as a safe, affordable, and effective intervention. This finding suggests that moringa leaves could be integrated into antenatal care and nutrition education to help prevent anemia in pregnant women.