Nursing Sciences Journal (NSJ) is a peer-reviewed journal devoted to publish research papers in nursing areas and related healthcare issues. NSJ is published 2 issues per years (April and October). Nursing Sciences Journal (NSJ), is a peer-reviewed journal devoted to publish research papers in nursing areas such as fundamental and basic nursing, adult or medical surgical nursing, neonatal and pediatric nursing, maternity nursing, mental health and psychiatric nursing, family and community health nursing, geriatric nursing, nursing administration and management, oncology nursing, transcultural nursing, HIV/AIDS and tropical diseases - and related healthcare issues such as health professional, health policy or healthcare system, women's health and education with focus on national or regional trend and issues. ISSN : 2598-8212 EISSN : 2598-8220 Published By : Universitas KADIRI
THE ROLE OF SOCIAL CAPITAL ON TREATMENT COMPLIANCE IN HIV-AIDS PATIENTS
Lack of medication adherence in HIV-AIDS patients results in serious complications and even death. A social network approach is needed to improve medication adherence behavior. The purpose of this study was to determine the relationship between social capital and medication adherence in HIV-AIDS patients in the Kediri area. Eighty respondents were obtained using a purposive sampling technique with the inclusion criteria of HIV-AIDS patients aged 10 to 750 years, cooperative and communicative, and able to read and write. The instrument used to measure social capital and medication adherence was a questionnaire with a reliability and validity of Cronbach's Alpha at 0.8. Data analysis used the Spearman rank test with a significance level of 0.05. The results showed a relationship between social capital and medication adherence in HIV-AIDS patients with a very strong correlation value (r = 0.811). Efforts are needed to increase social capital from various aspects of the social network to improve medication adherence in HIV-AIDS patients.
Copyright (c) 2026 Susmiati, Indah Jayani, Yeni Lufiana Novita Agnes, Devangga Darma Karingga, Kun Ika Nur Rahayu https://creativecommons.org/licenses/by-sa/4.0
THE EFFECT OF HEALTH EDUCATION ON KNOWLEDGE OF MORINGA LEAF UTILIZATION FOR STUNTING PREVENTION AMONG TODDLERS
Stunting remains a nutritional problem among toddlers, influenced by low parental knowledge regarding the utilization of nutritious local foods. Moringa leaves (Moringa oleifera) have a high nutritional content and potential to be used as an alternative for stunting prevention. This study aimed to determine the effect of health education on knowledge regarding the utilization of Moringa leaves as an effort to prevent stunting among toddlers. The study employed a pre-experimental method with a one-group pretest–posttest design. The study population consisted of 30 respondents selected using purposive sampling. Knowledge was measured before and after the provision of health education. Data analysis was conducted using the Wilcoxon test. The results showed that before health education, all respondents (100%) had poor knowledge. After the intervention, most respondents had good knowledge (28 respondents; 93.3%), while 2 respondents (6.67%) had sufficient knowledge. The Wilcoxon test results indicated a p-value of 0.000 (p < 0.05), demonstrating a significant difference in knowledge before and after the health education intervention. It can be concluded that health education has a significant effect on improving knowledge regarding the utilization of Moringa leaves as an effort to prevent stunting among toddlers.
Copyright (c) 2026 Dhita Kris Prasetyanti, Halimatus Saidah, Meirna Eka Fitriasnani, Sutrisni, Putri Wahyu Wigati, Oktafia Sukmawati https://creativecommons.org/licenses/by-sa/4.0
THE EFFECT OF BEET AND DATE JUICE ON CHANGES IN HEMOGLOBIN IN PREGNANT WOMEN WITH ANEMIA2025
Anemia in pregnant women contributes to an increased risk of pregnancy complications. Beetroot and dates are known to contain iron, folate, vitamin C, and antioxidants that can support hemoglobin formation. Providing a combination of beetroot and date juice can be an alternative non-pharmacological nutritional intervention to increase hemoglobin levels in pregnant women with anemia. The purpose of this study was to determine the effect of beetroot and date juice on changes in hemoglobin levels in pregnant women with anemia. This study used a pre-experimental design with a one-group pretest-posttest approach. The sample consisted of pregnant women with mild to moderate anemia selected using a purposive sampling technique. The intervention consisted of administering 250 ml of beetroot and date juice once daily for 7 days. Hemoglobin levels were measured before and after the intervention using a hematology analyzer. Data analysis used the Wilcoxon Signed Rank Test. There was an increase in hemoglobin levels after administering beetroot and date juice. The average Hb level of pregnant women after consuming the juice was 12.96 with a standard deviation of 0.9. There was an average increase in Hb levels after consuming beetroot and date juice of 1.29 g%. The results of the hypothesis test using a paired sample t-test showed a p-value of 0.000 with a 95% confidence level (α = 0.05). Beetroot and date juice administration is effective in increasing hemoglobin levels in pregnant women with anemia and can therefore be recommended as a complementary therapy for managing anemia during pregnancy.
Copyright (c) 2026 Sutrisni Sutrisni, Putri Wahyu Wigati, Galuh Pradian Yanuaringsih, Halimatus Saidah, Dhita Kris Prasetyanti https://creativecommons.org/licenses/by-sa/4.0
ROOT CAUSE ANALYSIS OF INCONSISTENT BACTERIAL CULTURE MEDIA QUALITY USING THE FISHBONE (ISHIKAWA) DIAGRAM: A CASE STUDY
Inconsistent bacterial culture media quality can compromise diagnostic accuracy and laboratory reliability in clinical microbiology. This study aimed to identify the root causes of bacterial culture media quality inconsistency using a Fishbone (Ishikawa) Diagram approach. A descriptive qualitative case study was conducted at the Microbiology and Biotechnology Laboratory, Faculty of Health Sciences, Universitas Anwar Medika, Indonesia, based on three laboratory quality complaints involving poor bacterial growth, contamination of prepared media, and inconsistent antimicrobial susceptibility test results. Data were collected through direct observation of media preparation processes, review of standard operating procedures, equipment calibration records, and structured discussions with laboratory personnel. Root cause analysis was performed using the 6M framework, including man, method, material, machine, measurement, and environment. The analysis revealed that method-related and measurement-related factors were the most dominant contributors, particularly non-standardized media preparation procedures, absence of routine growth promotion and sterility testing, and instability of sterilization and incubation equipment. Human-related and environmental factors acted as secondary contributors. These findings indicate that culture media quality inconsistency is primarily driven by systemic process weaknesses rather than isolated individual errors. Implementation of standardized procedures, strengthened quality control systems, and regular equipment monitoring is essential to improve laboratory performance and diagnostic reliability.
Copyright (c) 2026 Yulianto Ade Prasetya, Putri Setyawati, Sri Indah Kusumawati, Muhajiriansyah, Budi Hartono https://creativecommons.org/licenses/by-sa/4.0
BANDOTAN LEAF EXTRACT THERAPY ON IL 6 PROFILE IN WISTAR RATS WITH TYPE 2 DIABETES MELLITUS
Diabetes Mellitus (DM) is a non-communicable disease that has become a serious public health problem in Indonesia and the world. Indonesia ranks 7th in the world with 10.7 million diabetes sufferers in 2019 and this number is expected to increase to 13.7 million in 2030 and 16.6 million in 2045. Complications that occur in DM sufferers are due to cell damage and death caused by increased oxidative stress and the activity of inflammatory mediators including interleukin-6 (Il-6). Administration of oral hypoglycemic drugs to DM patients does not show improvement in oxidative stress. Additional therapy is needed for DM patients that can reduce oxidative stress and inflammatory mediators and support the work of endogenous antioxidants. Bandotan leaves are plants that contain antioxidants and are used as a traditional medicine for DM patients. The purpose of this study was to determine the profile of Il-6 as a marker of inflammation due to oxidative stress in DM patients after administration of bandotan leaf extract. The research revealed significant differences between the control, bandotan, and glimberclamide groups. The bandotan group had the lowest IL-6 levels at 1.63 pg/ml. Bandotan leaf extract caused the least inflammation compared to the control and glimberclamide groups.
Copyright (c) 2026 Putri Kurniasiwi, Hilari Rio Rosa Nastiti, Mochamad Rizal Maulana https://creativecommons.org/licenses/by-sa/4.0
GLOBAL TRENDS IN CARDIAC REHABILITATION AS SECONDARY PREVENTION FOR ACUTE CORONARY SYNDROME : ANALYSES BIBLIOMETRICS 2010-2025
Acute Coronary Syndrome (ACS) is a life-threatening cardiovascular disease which leads to high morbidity and mortality all over the world. Cardiac rehabilitation (CR) is considered a comprehensive approach that can improve functional ability and quality of life and reduce recurrent cardiovascular events in patients with ACS. However, no bibliometric approach has been published to comprehensively analyze the scientific achievements and worldwide research trends on CR as secondary prevention in ACS. This study was based on bibliometric analysis to explore the worldwide research trends, scientific progress and research hotspots of CR as a secondary prevention therapy for ACS. Methods conducted a bibliometric study of publications indexed in the Scopus database between 2010 and 2025. Appropriate articles were searched using pre-determined search strategies specific to CR and ACS. VOSviewer software was used to evaluate and visualize publication patterns, countries, journals, citations, co-authorship networks, and keyword co-occurrence. Totaly 552 publications were reviewed. The production of publications showed a steady increase, especially from 2021 onwards. The United States was also the top contributor in the number of publications and international collaborations. The most important study questions were exercise-based cardiac rehabilitation, reduction of mortality, enhancement of quality of life and secondary prevention in patients with coronary heart disease. Conclusion: Research on CR for secondary prevention of ACS has greatly expanded over the past decade, and is expected to increasingly focus on technology-based interventions, telemedicine and more accessible rehabilitation services worldwide
Copyright (c) 2026 Subhan Ulan, Azizah Khoiriyati https://creativecommons.org/licenses/by-sa/4.0
GROUP-BASED HEALTH EDUCATION IN IMPROVING HYPERTENSION CONTROL BEHAVIORS IN COMMUNITIES: A SYSTEMATIC REVIEW
Hypertension is a major risk factor for cardiovascular disease and remains one of the leading causes of death worldwide. Despite the availability of effective treatments, poor medication adherence and inadequate self-management continue to hinder optimal blood pressure control. These challenges highlight the need for innovative, community-based strategies to support patients in managing their condition. One such approach is group-based health education, which facilitates shared learning, peer support, and improved patient engagement. This study aimed to evaluate the effectiveness of group-based health education in improving hypertension control behaviors through a systematic review.This review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The PICO framework included adults with hypertension as the population, group-based health education as the intervention, standard care as the comparison, and hypertension control behaviors as the outcomes. These outcomes included reductions in systolic and diastolic blood pressure (SBP and DBP), medication adherence, self-care practices, and overall blood pressure control. Relevant articles were identified through PubMed, Scopus, and Google Scholar using keywords related to hypertension, group education, and community-based interventions. Studies meeting the inclusion criteria were analyzed descriptively. A total of twelve studies, primarily randomized controlled trials from various regions, were included. The findings consistently demonstrated that group-based education significantly improved blood pressure outcomes, adherence, and self-care behaviors. Overall, group-based health education is an effective and sustainable strategy that can be integrated into primary healthcare to enhance long-term hypertension management and patient outcomes.
Copyright (c) 2026 Nara Dikna Aditya, Djazuly Chalidyanto, Rika Ramadhani Makatita https://creativecommons.org/licenses/by-sa/4.0
EFFECTIVENESS OF GUIDED IMAGERY AND VIRTUAL REALITY ON PSYCHOLOGICAL COMFORT IN HEMODIALYSIS PATIENTS: A SYSTEMATIC REVIEW
Background: Hemodialysis patients often experience anxiety, stress, depression, and pain due to invasive and repetitive procedures, resulting in reduced psychological comfort and quality of life. Guided imagery and virtual reality are non-pharmacological interventions that have the potential to reduce psychological distress during therapy. This study aims to evaluate the effectiveness of the two interventions through systematic review. Methods: A systematic search was conducted in PubMed, Scopus, Science Direct, and Google Scholar for studies published between 2018 and 2025. Study selection followed PRISMA guidelines, and data were synthesized using a narrative approach. A total of 198 records were identified, and 10 studies met the inclusion criteria. The PICO framework includes Population = patients’ hemodialysis; Intervention = guided imagery and/or virtual reality; Comparison = standard care or pre-intervention conditions; and Outcome = psychological comfort which includes anxiety, stress, depression, pain, sleep quality, and psychological well-being. Article searches were carried out systematically through PubMed, Scopus, and Google Scholar databases using keywords relevant to guided imagery, virtual reality, hemodialysis, and psychological outcomes. Results: A total of 10 studies met the inclusion criteria, with the study design dominated by randomized controlled trials (RCTs). The study came from Iran, Indonesia, Egypt, Australia, Spain, and Poland. The results showed that guided imagery- virtual reality significantly reduced anxiety, stress, depression, and pain perception compared to standard treatments or pre-intervention conditions. Some studies have also reported improvements in sleep quality, patient satisfaction, and psychological well-being during hemodialysis.Conclusion: Guided imagery and virtual reality are effective in reducing anxiety, stress, depression, and pain, as well as improving sleep quality and psychological well-being in hemodialysis patients.
Copyright (c) 2026 Nurtati Anggraeni, Eko Winarto, M. Jamaluddin, Sabina Gero https://creativecommons.org/licenses/by-sa/4.0
THE EFFECTIVENESS OF GROUP-BASED PSYCHOEDUCATION IN REDUCING STRESS LEVELS IN PEOPLE WITH DIABETES MELLITUS TYPE 2 : A SYSTEMATIC REVIEW
Type 2 Diabetes Mellitus is often accompanied by diabetes distress, which can impair self-management and glycemic control. Group-based psychoeducation has been developed as a psychosocial intervention to address this issue. Objective: This study aims to analyze the effectiveness of group-based psychoeducation in reducing stress in patients with type 2 diabetes mellitus through a systematic review approach. This study used a systematic review design following of Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The PICO framework includes Population = type 2 diabetes mellitus patients; Intervention = group-based psychoeducation; Comparison = standard care or control conditions; Outcome = diabetes distress. Articles were systematically searched from PubMed, Scopus, Google Scholar, and ScienceDirect. Thirteen studies from various countries, predominantly randomized controlled trials and quasi-experiments, were included. The findings consistently showed that group-based psychoeducation significantly reduced diabetes distress compared to standard care or baseline conditions. Additional benefits included improved self-efficacy, better self-care behaviors, and improved glycemic control (HbA1c). Group-based psychoeducation is effective in reducing diabetes distress and supporting self-management in patients with Type 2 diabetes mellitus. It is recommended to integrate this intervention into routine nursing care through structured group programs and continuous evaluation to optimize patient outcomes.
Copyright (c) 2026 Agus Sriyono, Eko Winarto, Witri Hastuti, Sabina Gero https://creativecommons.org/licenses/by-sa/4.0
BRIDGING EVIDENCE AND PRACTICE: RECOMMENDED PHYSICAL ACTIVITY TYPES FOR OLDER ADULTS WITH HYPERTENSION
It is evident that physical activity has a significant impact on blood pressure levels in older adults diagnosed with hypertension. However, the type of physical activity among older adults with hypertension remains insufficiently studied. The objective of the present study was to investigate the proposed type of physical activity for older adults suffering from hypertension. The present study was a review, 1280 publications were identified through database searches conducted using ScienceDirect, PubMed, Google Scholar, EBSCO, and Springer Link. PRISMA guidelines were used to report this review. Ten articles met the inclusion criteria, including studies evaluating the effects of physical activity or exercise training on blood pressure; research involving participants diagnosed with hypertension; research reporting findings pertaining to blood pressure; investigations employing an experimental design, written in English, published between 2019-2024. The findings demonstrated that a combination of exercises (aerobic, resistance, and stretching exercises) yielded superior outcomes in comparison to other forms of physical activity in older adults. The findings of this study indicate that resistance training should be performed prior to aerobic exercise in order to achieve optimal results.
Copyright (c) 2026 Nurma Afiani, Neni Fidya Santi, Kurniawan Erman Wicaksono, Yuli Wahyuni, Sri Haryuni, Novita Ana Anggraini, Abdurahman Wahid https://creativecommons.org/licenses/by-sa/4.0
BRISK WALKING EXERCISE ON ANXIETY IN PATIENTS WITH TYPE 2 DIABETES MELLITUS: AN EXPERIMENTAL STUDY
Anxiety is a psychological problem commonly experienced by patients with type 2 diabetes mellitus (T2DM) and can worsen glycemic control and increase the risk of complications. Brisk walking exercise, as a simple form of aerobic physical activity, is known to have potential metabolic and psychological benefits. However, empirical evidence regarding its implementation in primary healthcare settings is still limited. This study aimed to analyze the role of brisk walking exercise on anxiety levels in patients with T2DM. This study employed a quantitative method with a quasi-experimental pretest-posttest with control group design. The sample was selected using a purposive sampling technique, consisting of 40 respondents, divided into an intervention group (n=20) and a control group (n=20). The sample size was determined based on sample size calculation for experimental design. The intervention group received a brisk walking exercise program three times per week for eight weeks. Anxiety levels were measured using the Depression Anxiety Stress Scale-42 (DASS-42) questionnaire. Data were analyzed using paired t-test and independent t-test. The results showed that brisk walking exercise was associated with a reduction in anxiety levels in patients with T2DM compared to the control group. Brisk walking exercise can be considered as an effective nursing intervention to reduce anxiety in patients with T2DM.
Copyright (c) 2026 Naura Almaghfira Asy'ghotillah, Upik Rahmi, Sehabudin Salasa https://creativecommons.org/licenses/by-sa/4.0
INTRADIALLYTIC EXERCISE-RANGE OF MOTION (IDE-ROM) AND CINNAMON AROMATHERAPY ON ANXIETY, FATIGUE AND SLEEP QUALITY IN HEMODIALYSIS PATIENTS: EXPERIMENT STUDY
Routine hemodialysis patients frequently experience anxiety, chronic fatigue, and sleep disturbances, necessitating a holistic non-pharmacological approach. This study aims to analyze the effect of combined Intradialytic Exercise–Range of Motion (IDE-ROM) and cinnamon aromatherapy on anxiety, fatigue, and sleep quality among patient at RSUD Syarifah Ambami Rato Ebu Bangkalan. This quantitative research employed a quasi-experimental design with a pretest-posttest control group approach. Seventy respondents were selected through purposive sampling and divided into a control group (n=35) and an intervention group (n=35). The intervention group received a combination of IDE-ROM and cinnamon aromatherapy inhalation across six sessions over one month. Data were collected using the Zung Self-Rating Anxiety Scale (SAS), the Functional Assessment of Chronic Illness Therapy (FACIT) fatigue scale, and the Pittsburgh Sleep Quality Index (PSQI). Data analysis was performed using Paired t-tests and MANOVA. The intervention significantly affected all three variables (p < 0.05). MANOVA results indicated the strongest effect on sleep quality (p < 0.001), while the variables of anxiety (p = 0.348) and fatigue (p = 0.121) showed lower significance levels compared to sleep quality. The combination of IDE-ROM and cinnamon aromatherapy is effective in improving the physical and psychological conditions of patients. This intervention provides the most dominant influence on enhancing the sleep quality of the respondents.
Copyright (c) 2026 Sri Sulistiyawati, Nur Hidaayah, Dyah Ika Krisnawati, Nursalam, Yanis Kartini, Chilyatiz Zahroh https://creativecommons.org/licenses/by-sa/4.0
STRUCTURED HEALTH EDUCATION ON SELF-CARE MANAGEMENT TOWARD SELF-EFFICACY, STRESS AND QUALITY OF LIFE IN HEMODIALYSIS PATIENTS: A QUASI-EXPERIMENTAL STUDY
Hemodialysis patients face complex issues, including decreased self-efficacy, high stress levels, and diminished quality of life. Comprehensive interventions are required to enhance patients' self-management capabilities. This study aims to analyze the effect of structured self-care management health education based on peer group support on the self-efficacy, stress, and quality of life of hemodialysis patients. This quasi-experimental study used a pre-post test control group design involving 70 respondents (35 intervention, 35 control) selected via consecutive sampling. The intervention group received four sessions of structured health education based on peer support. Research instruments included a self-efficacy questionnaire, the Depression Anxiety Stress Scales (DASS-42), and the KDQOL-SF 1.3. Data were analyzed using Paired T-Test and Mann-Whitney tests. There were significant increases in self-efficacy (p=0.006) and quality of life (p=0.000), as well as a significant decrease in stress levels (p=0.027) within the intervention group. In contrast, the control group showed no significant changes across the three variables (p > 0.05). Peer group support proved effective in facilitating the exchange of experiences and emotional support, which strengthened patients' self-belief in managing their condition. Structured self-care management health education based on peer group support is effective in improving self-efficacy and quality of life while reducing stress levels in hemodialysis patients. This intervention is recommended as an integral part of supportive nursing care in hemodialysis units.
Copyright (c) 2026 Netti Herawati, Khamida, Chilyatiz Zahro, Nursalam, Lono Wijayanti, Yurike Septianingrum https://creativecommons.org/licenses/by-sa/4.0
HEALTH WORKER SUPPORT TO IMPROVE SELF-MANAGEMENT OF HYPERTENSION PATIENTS: A CROSS-SECTIONAL STUDY
Background: Poor self-management, characterized by medication non-adherence and unhealthy lifestyles, significantly contributes to uncontrolled hypertension. Low self-efficacy in managing blood pressure remains a critical challenge in community health. Objective: This study evaluated the correlation between Health Worker Support and self-management practices among hypertensive patients. Methods: A quantitative cross-sectional study was conducted in December 2023 with 112 respondents selected via purposive sampling. Inclusion criteria included patients aged 19–65, diagnosed with uncomplicated hypertension, possessing a Glasgow Coma Scale (GCS) of 15 (E4V5M6), and being literate. Data were collected using healthcare support and self-management questionnaires, then analyzed using the Spearman Rank correlation test (alpha < 0.05).Results: Statistical analysis revealed a significant positive correlation between healthcare provider support and patient self-management (p= 0.003).Conclusion: Professional Health worker support is pivotal in enhancing self-management among hypertensive individuals. To optimize patient quality of life and prevent complications, healthcare providers should intensify proactive monitoring and educational interventions to foster better self-care autonomy.
Copyright (c) 2026 Tata Mahyuvi, Siti Mar'atul Munawaroh https://creativecommons.org/licenses/by-sa/4.0
SCREENING FOR MENTAL EMOTIONAL DISORDERS: DEPRESSION, ANXIETY, AND STRESS AMONG FIRST-YEAR NURSING STUDENTS
Background: Mental emotional disorders such as depression, anxiety, and stress are common among university students, especially during the transition from high school to higher education. Early detection is important to prevent more severe psychological problems. Objective: This study aimed to describe the prevalence of depression, anxiety, and stress among first-year students. Methods: This study used a descriptive design with a cross-sectional approach. The research was conducted at STIKES Serulingmas Cilacap. A total of 150 first-year students were included using total sampling. Mental emotional disorders were measured using the Depression Anxiety Stress Scale (DASS-42). Data were analyzed using descriptive statistics. Results: The results showed that 30% of students experienced depression (18% mild, 9% moderate, and 3% severe). Anxiety was experienced by 67% of students (18% mild and 34% moderate). Meanwhile, 20% of students experienced stress (13% mild and 4% moderate). Conclusion: A considerable proportion of first-year students experienced mental emotional disorders. Early screening programs and psychological support services are recommended to improve students’ mental health.
Copyright (c) 2026 Fida Dyah Puspasari, Destianti Indah Mayasari https://creativecommons.org/licenses/by-sa/4.0
SOCIAL SUPPORT AND COPING STRATEGIES AMONG NURSES: A COMPARATIVE STUDY
Social support and coping strategies are vital components for nurses navigating the various challenges and stressors inherent in their profession. In fact, the level of social support received and the specific coping mechanisms employed significantly influence the overall quality of nursing performance. On that account, this research aimed to evaluate and compare the social support levels and coping strategies used by nurses at Tadulako Hospital and Sis Al Jufri Palu General Hospital. This quantitative study utilized a comparative design with a total sampling technique. The participants included 28 nurses from Tadulako Hospital and 27 nurses from Sis Al Jufri Palu General Hospital. Upon investigation, data analysis conducted via the Mann-Whitney test revealed specific patterns in both facilities. Most nurses at Tadulako Hospital relied on support from significant others. By comparison, those at Sis Al Jufri Palu General Hospital primarily received support from significant others and family members. Regarding coping mechanisms, the majority of nurses at both hospitals utilized problem-focused coping to manage their professional demands. As far as the statistical results are concerned, no significant difference was found in the social support levels between the two groups (p = 0.374). Nevertheless, a significant difference was observed in the specific coping strategies applied by nurses at Tadulako Hospital compared to those at Sis Al Jufri Palu General Hospital (p = 0.033). Ultimately, social support remains an essential factor for healthcare providers, as high levels of support foster the use of adaptive coping strategies necessary to meet the rigors of the job.
Copyright (c) 2026 Ziven Khansa Apta Muamar, Muthia Aryuni, Miranti, Jane Mariem Moneva https://creativecommons.org/licenses/by-sa/4.0
EFFECTIVENESS OF THE STROKE-EASE PROGRAM USING ABDOMINAL STIMULATION AND EXERCISE TO MANAGE CONSTIPATION IN POST-THROMBOLYSIS STROKE PATIENTS
Constipation is a frequent complication among post stroke patients and is often worsened by immobility, medication effects, dietary limitations, and neurological impairments. Effective bowel management is essential to improve comfort, prevent additional complications, and support recovery. Aims to evaluate the effectiveness of the STROKE EASE intervention in reducing constipation severity among post stroke patients who received thrombolysis. A quasi experimental pretest posttest study was conducted involving thirty post stroke patients in a private hospital in East Jakarta. Demographic and clinical data were collected, including age, sex, functional independence, diet type, comorbidities, muscle strength, and National Institutes of Health Stroke Scale score. Constipation severity was measured using the Constipation Assessment Scale before and after the intervention. Changes in scores were analyzed using paired samples t tests. The mean age of participants was 64.03 years with almost equal distribution between men and women. Most patients required partial assistance with daily activities and consumed a soft diet. Nearly all had comorbid hypertension or diabetes. The mean National Institutes of Health Stroke Scale score was 6.50. Constipation Assessment Scale scores decreased significantly from 11.00 before the intervention to 2.53 after the intervention with p less than 0.001. STROKE EASE intervention significantly reduced constipation severity in post thrombolysis stroke patients. This evidence based nursing approach offers a practical method to improve bowel function and patient comfort. Further studies with larger samples are recommended.
Copyright (c) 2026 Ade Asrianti, Dhea Natashia, Irna Nursanti, Rohman Azzam https://creativecommons.org/licenses/by-sa/4.0
MORINGA LEAVES AND BANANA BLOSSOM ON BREAST MILK PRODUCTION IN POSTPARTUM MOTHERS : AN EXPERIMENTAL STUDY
Inadequate breast milk production remains a common problem among postpartum mothers and may affect exclusive breastfeeding practices. Although moringa leaves and banana blossom have been traditionally used as natural galactagogues, evidence regarding their combined effect on breast milk production remains limited. This study aimed to analyze the effect of moringa oleifera leaves and banana blossom consumption on breast milk production among postpartum mothers in the working area of Ngasem Public Health Center, Kediri Regency, Indonesia. A pre-experimental one-group pretest–posttest design was conducted involving 15 postpartum mothers selected using purposive sampling. Breast milk production was assessed before and after the intervention using an observation checklist. Data were analyzed using the Wilcoxon Signed Rank Test with a significance level of 0.05. The findings showed that breast milk production improved after the intervention, with 86.7% of respondents demonstrating adequate milk production. Statistical analysis indicated a significant difference before and after intervention (p=0.003). Consumption of moringa leaves and banana blossom may improve breast milk production among postpartum mothers and could be considered a low-cost complementary nutritional intervention to support breastfeeding programs.
Copyright (c) 2026 Putri Wahyu Wigati, Dhita Kris Prasetyanti, Sutrisni, Halimatus Saidah; Galuh Pradian Yanuaringsih https://creativecommons.org/licenses/by-sa/4.0
THE RELATIONSHIP BETWEEN KNOWLEDGE, ATTITUDES, AND PERCEIVED RISKS RELATED TO DIABETES MELLITUS IN ADOLESCENTS
Diabetes Mellitus is a chronic metabolic disease characterized by prolonged elevated blood glucose levels that can lead to organ damage. Many adolescents have a diet high in sugar, fast food, and sugary drinks, as well as a lack of physical activity due to gadget use and a sedentary lifestyle. These habits can lead to obesity and insulin resistance, which are major factors in the development of diabetes. The problem is worsened by limited adolescent knowledge regarding the definition, risk factors, symptoms, and prevention of diabetes mellitus. Attitudes and perceived risks related to diabetes, including the importance of physical activity, treatment, prevention of complications, and risk control, also remain low. Therefore, assessing adolescents’ knowledge and attitudes about diabetes mellitus is essential. This study aims to determine the relationship between knowledge and attitudes and perceived risks related to diabetes mellitus among adolescents. The study used a quantitative method with a cross-sectional design. The population consisted of adolescents at SMAN 4 Kota Pangkalpinang, with a sample of 277 respondents selected through simple random sampling. The instruments used were a knowledge questionnaire and an attitudes and perceived risk questionnaire. Data were analyzed using the Spearman Rho test. The results showed a significant relationship between knowledge and attitudes and perceived risks related to diabetes mellitus (p value 0.00, r 0,405). The study recommends providing health education for adolescents to improve their understanding of diabetes mellitus.
Copyright (c) 2026 Christine Handayani Siburian, Sammy Lazuardi Ginanjar, Tajudin, Ashar Abilowo, Abdul Kadir Hasan, Nurhayati https://creativecommons.org/licenses/by-sa/4.0
SI-BENING: SIMULATION-BASED FIRST AID TRAINING INNOVATION TO IMPROVE COMMUNITY KNOWLEDGE IN EARLY DETECTION AND FIRST AID FOR HYPOGLYCEMIA
Hypoglycemia is an emergency condition that requires fast and appropriate treatment. Currently, public knowledge in conducting early detection and first aid is very limited. Training with educational methods is less effective in increasing public knowledge, because it does not involve the community in real life. Therefore, simulation-based training is believed to be more effective in increasing public knowledge. The purpose of this study is to analyze the effectiveness of Si-Bening (Simulation-Based First Aid Training) on ​​public knowledge in conducting early detection and first aid for hypoglycemia emergency conditions. The research method is quasi-experimental with one group pre-post test without control and the research sample was 105 teachers in Banda Aceh City using convenience sampling technique. Data were analyzed using the Wilcoxon Signed-Rank test. Result showed that the majority of respondents had sufficient first aid knowledge (57.1%) and early detection was lacking (42.9%). After the intervention, the majority had high first aid knowledge (95.2%) and high early detection (94.3%). Significant improvements were seen in both early detection knowledge (Z = –8.710; p < 0.05) and first aid (Z = –8.556; p < 0.05). Training using the Si-Bening method effectively improved community skills related to early detection and first aid for hypoglycemia. It is recommended that further research utilize the Si-Bening method.
Copyright (c) 2026 Rahmalia Amni, Fikriyanti Fikriyanti, Abul A'la Tarigan https://creativecommons.org/licenses/by-sa/4.0
USABILITY ANALYSIS OF THE LASIRAH “LANCAR ASI SEHAT IBU RIANG ANAK DAN HAPPY“ APPLICATION WITH THE USE QUESTIONNAIRE
Introduction: The postpartum period is a crucial phase for mothers in maintaining exclusive breastfeeding. Low self-efficacy and postpartum depression are major barriers to breastfeeding success. Advances in digital technology offer opportunities to enhance maternal independence through innovations. Aims: This study aimed to analyze the usability level of the LASIRAH (Lancar ASI Sehat Ibu Riang Anak dan Happy). Method: The study used a quantitative descriptive design with a cross-sectional method. The subjects were 30 postpartum mothers who used the LASIRAH application for 7 days, selected using a purposive sampling technique. Usability was measured using the USE Questionnaire, which covers the dimensions of usefulness, ease of use, ease of learning, and satisfaction. Data were collected using a 1–4 Likert scale questionnaire and analyzed descriptively as part of a formative usability evaluation. Result: The overall usability score was 84.54%, categorized as very feasible. Specifically, the usefulness dimension scored 86%, ease of use 84.5%, ease of learning 83.5%, and satisfaction 84.15%. These results indicate that LASIRAH is highly useful, easy to use and learn, and provides high user satisfaction. Conclusions and Suggestions: LASIRAH shows strong potential for broader implementation to enhance breastfeeding self-efficacy and prevent postpartum depression through a user-centered digital health approach.
Copyright (c) 2026 Siti Rochana, Septi Tri Aksari https://creativecommons.org/licenses/by-sa/4.0
THE EFFECTIVENESS OF ISOMETRIC HANDGRIP AND WALKING EXERCISES ON BLOOD PRESSURE IN ELDERLY PATIENTS WITH HYPERTENSION
Hypertension in the elderly is one of the global health challenges with a high prevalence. This study aims to evaluate the effectiveness of isometric handgrip exercise and walking exercise in reducing blood pressure in the elderly with hypertension. The research method used a quasi-experimental design with three intervention groups: (1) isometric handgrip exercise, (2) walking exercise, and (3) a combination of both. A total of 36 elderly were randomly selected and equally divided into the three groups. The intervention was conducted for eight weeks with analysis using Shapiro Wilk test, One Way Anova and Wilcoxon Test The results showed that the isometric handgrip and combination exercise groups had a significant decrease in systolic and diastolic blood pressure (p<0.05). Meanwhile, walking exercise also had a positive effect, although not significant in all weeks of evaluation. The combination of both interventions showed the most optimal results, especially at weeks 5 and 8. This study concludes that isometric handgrip exercise and its combination with walking exercise are effective for lowering blood pressure in elderly with hypertension. It is recommended that this intervention be applied as a non-pharmacological therapy in elderly health services, with assistance by health workers to improve compliance and effectiveness of the program.
Copyright (c) 2025 Erni Rahmawati, Lily Herlinah, Nurhayati, Dhea Natashia, Syamsul Anwar https://creativecommons.org/licenses/by-sa/4.0
THE RELATIONSHIP BETWEEN MENTAL STATUS AND QUALITY OF LIFE AMONG THE ELDERLY
Mental status is an psychological condition in terms of thinking, behavior, and adaptation to life pressures. Quality of life is a level of well-being in terms of physical, psychological, social, and environmental aspects. Older adults are vulnerable to mental disorders due to physical and social changes and the loss of a spouse, which can lead to a decline in quality of life. This study is important given the increasing number of elderly people and the high risk of mental health problems. The purpose of this study was to determine the relationship between mental status and quality of life among elderly people in the working area of the Mengwi I Badung Community Health Center. The study used a cross-sectional design with 215 respondents. The research instruments used were the SRQ and WHOQOL-BREF. The Spearman Rho test results showed a significant relationship between mental status and quality of life (p = 0.001; r = -0.864). The worse the mental status, the lower the quality of life of the elderly. The results of this study provide an important basis for efforts to improve psychosocial support and mental health for the elderly.
Copyright (c) 2026 I Putu gde yudara sandra putra, I Gede Putu Yoga Darmayura, Ida Ayu Putri Wulandari https://creativecommons.org/licenses/by-sa/4.0
THE EFFECTIVENESS OF BOOKLET MEDIA IN EFFORTS IO IMPROVE KNOWLEDGE AND ATTITUDE TO PREVENT CHRONIC ENERGY DEFICIENCY IN PREGNANT WOMEN IN TULUNGAGUNG
The prevalence of Chronic Energy Deficiency (CED) among pregnant women globally reaches 35–75% (WHO, 2017), and around 40% of maternal deaths in developing countries are associated with this condition. In Indonesia, studies conducted in 2017–2018 reported a CED prevalence of 17.3% and anemia in 48.9% of pregnant women. The 2021 National Health Survey (Riskesdas) reported that the risk of CED in East Java was 29.8%, higher than the national rate of 28%. This study aimed to determine the knowledge and attitudes of pregnant women regarding CED before and after the intervention, as well as to analyze the effect of the “Prevent CED” booklet on first-trimester pregnant women at Kedungwaru Public Health Center in 2024. The study used a pre-experimental One Group Pre-Test Post-Test design with total sampling, involving 25 respondents—second-trimester pregnant women who were registered, received services at the health center, and provided informed consent. Data were analyzed using the Wilcoxon Signed Rank test. The results showed a p-value of 0.003 (<0.05), indicating a significant effect of the booklet on improving the knowledge and attitudes of pregnant women regarding CED prevention. It is recommended that first-trimester pregnant women read the booklet to enhance understanding and prevent CED during pregnancy.
Copyright (c) 2025 Indah D.K, Ely isnaeni, Dewi Rokhanawati, Farida Kartini https://creativecommons.org/licenses/by-sa/4.0
THE EXPERIENCE OF THE DAYAK PEOPLE IN HEALING ILLNESSES THROUGH THE TRADITIONAL RITUALS OF THE DAYAK NGAJU: A PHENOMENOLOGICAL STUDY
Background: The Dayak Ngaju community in Palangka Raya, continues to practice traditional healing rituals despite the availability of modern healthcare services. Preferences for rituals such as Sangiang, Nyadiri, and Balian reflect the community's strong cultural identity and belief in supernatural healing. Objective: This study aims to explore the subjective experiences of the Dayak Ngaju people in undergoing healing processes through traditional rituals. Methods: This research employed a qualitative approach with an phenomenological design. A total of 10 participants were selected using purposive sampling. Data were collected through in-depth interviews, observation, and field notes. Thematic analysis using Colaizzi’s method was applied, involving seven stages. Results: Thematic analysis revealed nine key themes: (1) cultural background and connection, (2) factors influencing the choice of ritual, (3) personal experiences with ritual healing, (4) traditional healing practices of Dayak Ngaju, (5) meaning and beliefs about rituals, (6) interaction with modern healthcare systems, (7) sociocultural influences, (8) hopes for the future of the tradition, and (9) expectations and utilization. The findings underscore the importance of integrating transcultural perspectives into nursing practice and highlight the need for culturally sensitive care, improved cultural competence among healthcare providers, and collaborative approaches between traditional healers and medical professionals within inclusive healthcare systems
Copyright (c) 2025 Erlina Cahayani, Achir Yani, Muhammad Syafwani https://creativecommons.org/licenses/by-sa/4.0
THE RELATIONSHIP BETWEEN ANXIETY AND SLEEP QUALITY IN MEDICAL STUDENTS WRITING THEIR THESIS AT THE FACULTY OF MEDICINE ISLAMIC UNIVERSITY OF MALANG
Kecemasan tidak hanya berasal dari tuntutan akademik yang besar, tetapi juga dari ekspektasi diri yang tinggi dan ketidakpastian tentang masa depan profesional. Akumulasi dari faktor-faktor ini dapat menyebabkan gangguan tidur yang signifikan, seperti kesulitan untuk tidur, sering terbangun di malam hari, dan merasa tidak segar setelah bangun tidur. Tujuan penelitian ini untuk menganalisa kecemasan dengan Kualitas Tidur terhadap Mahasiswa Kedokteran di Fakultas Kedokteran UNISMA yang sedang menyusun Skripsi”. Desain penelitian ini menggunakan pendekatan kuantitatif dengan jenis penelitian observasional analitik dan desain cross-sectional.. Populasi adalah mahasiswa kedokteran tingkat akhir yang sedang menyusun skripsi sebanyak 40 orang. Teknik sampling menggunakan probability sampling.Pengumpulan data dilakukan secara simultan dalam satu waktu tertentu untuk mengukur kedua variable, dengan menggunakan kuesioner. Analisa data diatas didapatkan nilai Spearman’s Rho sebesar 0,558 yang berarti hubungan moderat positif dengan Sig. (2-tailed) sebesar 0.000. Kecemasan yang semakin meningkat akan berdampak terhadap kualitas tidur pada mahasiswa kedokteran yang sedang menyusun skripsi di Fakultas Kedokteran Universitas Islam Malang.
Copyright (c) 2025 Lingga Kusuma Wardani, Nurkhanila Agustin, Hengky Kurniawan, Dhita Kurnia, Reni Nurhidayah, Nuryeny H https://creativecommons.org/licenses/by-sa/4.0
THE EFFECTIVENESS OF POSITIVE DEVIANCE (HEARTH) TO REDUCE MALNUTRITION IN UNDER FIVE CHILDREN
Positive deviance (pos gizi) merupakan program gizi yang berbasis keluarga dan masyrakat bagi balita yang mengalami gizi kurang. Tujuan penelitian yakni menganalisis keefektivan intervensi positive deviance (pos gizi) sebagai penatalaksanaan gizi kurang pada balita. Jenis penelitian yang digunakan yakni quasi experimental dengan menggunakan rancangan one group pre post test design. Intervensi positive deviance (pos gizi) diberikan selama 2 minggu (12 hari). Jumlah perhitungan subjek dengan G-power didapatkan minimal 10 responden, responden diambil secara total sampling, dan didapatkan 12 balita yang mengalami gizi kurang dengan BB/TB pada rentang Z score = -2 s/d =-3. Data pengetahuan, sikap, dan perilaku orang tua dikumpulkan dengan kuesioner dan dianalisis dengan uji T dependen. Sedangkan data berat badan dan tinggi badan diukur sebelum dan setelah intervensi dengan analisis GLM-RM. Hasil penelitian adalah terdapat peningkatan berat badan dan tinggi badan sebelum dan setelah intervensi positive deviance (pos gizi) karena makanan yang diberikan kandungan gizinya disesuaikan kebutuhan nutrisi balita. Selain itu terjadi peningkatan pengetahuan, sikap dan perilaku ibu sehingga praktik dalam memberikan makanan untuk balita menjadi lebih baik. Kesimpulannya bahwa positive deviance (pos gizi) sebagai salah satu intervensi komprehensif yang dapat diterapkan untuk mengatasi gizi kurang pada balita di masyarakat.
Copyright (c) 2025 Fresty Africia, Lily Herlinah, Nurhayati, Dhea Natashia, Syamsul Anwar https://creativecommons.org/licenses/by-sa/4.0
TEPID WATER SPONGE AND ALOE VERA COMPRESSES FOR REDUCING BODY TEMPERATURE IN TODDLERS: A COMPARATIVE STUDY
Infants often experience fever, which if left untreated can cause seizures. Febrile seizures can cause brain abnormalities. Non-pharmacological methods such as compresses are used to reduce fever, including tepid water sponges and aloe vera compresses, but further research is needed on which compress method is more effective in reducing fever. The purpose of this study was to analyze the effectiveness of tepid water sponges and aloe vera compresses in reducing body temperature in toddlers with febrile seizures. This study adopted a true experiment using a pretest-posttest design with two control groups, using purposive sampling. A sample of 30 people was taken from the population of toddlers treated at Dr. Doris Sylvanus Regional General Hospital. The instruments used were observation sheets, thermometers, aloe vera gel, SOP for tepid water sponges, and SOP for aloe vera compresses, which were analyzed using the Wilcoxon Rank and Mann Whitney tests. The results showed that there was a significant decrease in body temperature with the tepid water sponge intervention and the aloe vera compress intervention. Based on the mean rank for aloe vera compresses > than the mean rank for tepid water sponges, it means that aloe vera compresses are more effective than tepid water sponges, so they can be recommended as a safe and easy-to-apply non-pharmacological method. Healthcare workers and families are advised to use aloe vera compresses as a practical alternative for treating fever in toddlers at home and in healthcare facilities, and to integrate them into education and guidelines for caring for children with fever.
Copyright (c) 2025 Oktaviona, Hamzah, Muthmainnah https://creativecommons.org/licenses/by-sa/4.0
IMPROVING QUALITY OF LIFE WITH NON-PHARMACOLOGICAL APPROACH FOR ADULT WITH HEMOPHILIA: A SYSTEMATIC REVIEW
Factor VIII/IX deficiency in hemophilia make patients susceptible to joint bleeding (hemarthrosis), especially in the knee, elbow and ankle joint. Repeated bleeding episodes trigger chronic joint damage (arthropathy) and pain, thus disrupting functional status, limiting social life which ultimately reduces quality of life. In Indonesia, factor VIII/IX replacement concentrate is the main treatment for hemophilia which is given on-demand. Its is because the price is still relativelt expensive and the stock is unevenly distributed in all regions. This systematic review aims to explore various non-pharmacological approaches that are eddective in improving the quality of life of adult with hemophilia. The method used in this research is article searches. Data obtained from 8 databases such as PubMed, ScienceDirect, Scopus, Wiley, ClinicalKey Nursing, Taylor & Francis, Proquest and Springer Nature Link by filtering articles based on year of publication, title, abstract and full text. The result obtained 10 articles that match with inclusion and exclusion criteria. There were three aspects of quality of life in hemophilia, five articles focused on addressing problems in the physiological aspect, five anothers discussed problems in the psychological aspect, and only one study intervened social aspect. Intervensions were carried out with various method such as education, watching virtual reality videos, counseling, hypnosis, use of knee support and physical exercise. Non-pharmacological approaches have been shown to improve quality of life with various intervention, but all interventions were given when there was no acute bleeding episodes (hemarthrosis).
Copyright (c) 2025 Alfi Kurnia Adha, Sri Yona, Riri Maria https://creativecommons.org/licenses/by-sa/4.0
ANALYSIS OF THE LEVEL OF NICOTINE DEPENDENCE AMONG TEENAGE SMOKERS IN SERANG CITY BANTEN PROVINCE
Smoking is a serious public health problem with a high prevalence among adolescents, including in Serang City, where it reaches 18.17% among adolescents aged 15–24. The purpose of this study was to analyze the level of nicotine dependence among adolescent smokers and the factors influencing it in Serang City, Banten Province. This quantitative study used a cross-sectional study design to analyze the level of nicotine dependence and its influencing factors. The population was estimated at 3,698 active adolescent smokers in Serang City. The sample size was calculated using the Krejcie and Morgan method. The sample size was 351 individuals. The sampling technique used was consecutive sampling. The research instrument was the Fagerström Test for Nicotine Dependence (FTND). Analysis used the Chi-Square statistical test with a significance level of α = 5%. The results showed a significant relationship between age at smoking initiation, duration of smoking, and number of cigarettes consumed per day with the level of nicotine dependence. Early intervention through education, smoking cessation counseling, and restricting cigarette access for adolescents is essential to prevent long-term addiction. Keywords: Nicotine Dependence, Adolescents, Cigarettes
Copyright (c) 2025 Jajang Ganjar Waluya, Lisnawati Yupartini, Soleh, Belvana Ainul Fitriyani https://creativecommons.org/licenses/by-sa/4.0