Genius Journal

Education of Cardiac Resuscitation through Audiovisual Media on Basic Life Assistance Knowledge in Patients with A History of Cardiovascular System Disorders

Satriani, Abdul Herman Syah Thalib — Sun, 23 Nov 2025 00:00:00 +0700

Introduction: Cardiovascular disease is the main cause of global mortality in the world, especially in cases of heart failure. Heart failure is a condition when the heart suddenly stops working, whether in people who are already known to have heart disease or in people who have not yet been diagnosed.

Objective: Knowing the level of basic life support knowledge before and after being given the implementation of cardiopulmonary resuscitation education using audiovisual media.

Method: The design applied in this writing is a case study, in carrying out a descriptive exploration of the main idea of the discussion, namely the Implementation of Cardiopulmonary Resuscitation (CPR) Education with Audiovisual Media on Basic Life Support Knowledge in Patients with a History of Cardiovascular System Disorders.

Result: Before implementing Cardiopulmonary Resuscitation (CPR) Education with Audiovisual Media on Basic Life Support in Patients with a History of Cardiovascular System Disorders for 3 days, the level of knowledge of the respondent, Mrs. R 25% (less) and Mrs. E 35% (less) and after implementing Cardiopulmonary Resuscitation (CPR) Education with Audiovisual Media on Basic Life Support in Patients with a History of Cardiovascular System Disorders for 3 days, the respondent's level of knowledge increased, Mrs. R increased 75% (enough) and Mrs. E increased 75% (enough).

Conclusion: Implementation of Cardiopulmonary Resuscitation (CPR) Education with Audiovisual Media on Basic Life Support for Patients with a History of Cardiovascular System Disorders can increase a person's knowledge.

The Use of the Picture Exchange Communication System to Improve Expressive Language Skills in Non-Verbal Children with Autism: A Systematic Literature Review

Sun, 23 Nov 2025 00:00:00 +0700

Introduction: Children with non-verbal autism often experience barriers in developing expressive language skills, which impact their ability to communicate and engage in social interactions. The Picture Exchange Communication System (PECS) has been developed as an alternative intervention strategy aimed at enhancing functional communication in individuals with verbal limitations, including children with autism.

Objective: Children with non-verbal autism often experience barriers in developing expressive language skills, which impact their ability to communicate and engage in social interactions. The PECS has been developed as an alternative intervention strategy aimed at enhancing functional communication in individuals with verbal limitations, including children with autism.

Method: This study is a systematic review that explored seven journal databases, PubMed, ProQuest, JSTOR, Garuda, ScienceDirect, CNKI, and Wiley, from 2010 to 2024, with a population of non-verbal children with autism aged 3–12 years who received PECS intervention. The measured parameters included the number of spoken words, picture exchange ability, and functional communication. Three independent reviewers conducted screening using the PRISMA flowchart, quality assessment with the CASP Checklist, and data extraction based on author, intervention, facilitator, setting, sessions, methods, and research topics.

Result: Based on 12 articles involving 158 participants, PECS was found to be effective in enhancing expressive communication in children with non-verbal autism and contributed to improvements in the use of short phrases, comprehension of instructions, as well as the reduction of non-adaptive and aggressive behaviors. PECS therapy with a duration of 30–60 minutes across 129 sessions over 23 weeks proved to be optimal, supported by RCT studies demonstrating its effectiveness in improving individuals’ expressive language abilities.

Conclusion: PECS is an effective intervention for improving expressive language skills in children with non-verbal autism. This study emphasizes the importance of assessing a child’s developmental progress prior to implementing PECS, in order to tailor the intervention to individual needs. Furthermore, the active involvement of parents and educators is essential to ensure that PECS is implemented consistently and effectively across various settings.

The Effect of Parenting Style on Family Emotional Regulation

Sun, 23 Nov 2025 00:00:00 +0700

Introduction: Parenting styles significantly influence emotional regulation and psychological well-being within families. Supportive parenting enhances emotional skills, whereas unresponsive parenting may lead to tension in family relationships.

Objective: This review aims to analyze the impact of parenting styles on emotional regulation within families and its implications for the emotional well-being of family members.

Method: This review employed a structured search strategy across four databases, PubMed, ProQuest, Garuda, and JSTOR to identify studies on the influence of parenting styles on emotional regulation in families from 2015 to 2024. The population included parents and children, with parenting styles measured using the PSDQ and emotional regulation using the ERC. Three independent reviewers conducted the selection process following the PRISMA Flow Chart, and article quality was assessed using the CASP Checklist. Extracted data included authors, intervention types, settings, session frequency and duration, as well as the methods and media used.

Result: Based on 11 studies with 6,835 participants from Indonesia, Australia, Iran, China, Nigeria, Romania, Palestine, and India, parenting styles significantly influenced emotional regulation and well-being. The authoritative style had positive effects, while permissive and authoritarian styles had negative impacts. Parental emotional regulation, education, and cultural values were moderating factors. Interactive interventions over 6-12 sessions within 4-12 weeks were most effective.

Conclusion: Authoritative parenting fosters children's emotional regulation and pro-social behavior, whereas authoritarian and permissive styles are associated with negative outcomes. Therefore, parenting education and family therapy are essential to promoting authoritative parenting styles to support children's emotional well-being.

Effectiveness of Parenting styles on Psychosocial among Adolescents: A Systematic Literature Review

Thu, 04 Dec 2025 00:00:00 +0700

Introduction: Parenting styles play a crucial role in adolescents’ psychosocial development, including emotional health, social relationships, and cognitive growth. The manner in which parents nurture their children can influence adolescents’ levels of anxiety and depression. Parenting that is authoritative tends to promote better mental health, while an authoritarian style is commonly related to an increased risk of psychological problems.

Objective: This systematic review seeks to investigate the impact of various parenting styles authoritative, authoritarian, permissive, and neglectful on the psychosocial well-being of adolescents.

Method: The literature review included studies published from January 1, 2012, to December 31, 2024, which were sourced from four different databases: PubMed, ProQuest, JSTOR, and Garuda. The target population was adolescents aged 11 to 19 years. Parenting styles were evaluated using the Parental Authority Questionnaire (PAQ), while mental health outcomes were assessed through various instruments, This included measures such as the Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), General Health Questionnaire-28 (GHQ-28), Multidimensional Psychological Flexibility Inventory (MPFI), Hamilton Depression Rating Scale (HAM-D), and the Massachusetts Youth Screening Instrument, Version 2 (MAYSI-2), and the Mental Health Continuum-Short Form (MHC-SF). Three reviewers independently carried out article screening, data extraction, and quality assessment, following the PRISMA framework. Study quality was further appraised using the CASP checklist. The extracted information included author details, type of intervention, facilitator, research setting, number and length of sessions, as well as the methods or media employed.

Result: A total of nine articles involving 2,036 participants were included. The results indicate that parenting styles have a notable influence on adolescents’ psychosocial well-being. Adolescents with authoritative parents showed higher psychological flexibility, whereas those with authoritarian parents experienced increased anxiety, depression, and socio-emotional challenges.

Conclusion: The review concludes that authoritative parenting is the most effective approach for promoting adolescents’ psychosocial well-being. It enhances self-esteem and psychological flexibility while lowering anxiety and depression. Parenting education and targeted interventions should therefore be encouraged in clinical practice to foster authoritative parenting and promote adolescents’ mental well-being.

Holistic Care for Reducing Pain Intensity among Individual with Rheumatoid Arthritis: A Systematic Literature Review

Thu, 04 Dec 2025 00:00:00 +0700

Introduction: Rheumatoid arthritis (RA) is a chronic autoimmune disorder marked by persistent joint inflammation that causes pain, stiffness, and impaired mobility. While pharmacological treatment helps manage symptoms, some patients experience side effects or inadequate pain control. Therefore, holistic approaches involving psychological, lifestyle, and physical therapies are increasingly considered to support overall well-being and complement medical management.

Objective: This systematic review aims to assess the effectiveness of holistic interventions in reducing pain intensity among individuals with RA.

Method: A systematic search of six databases PubMed, ProQuest, Garuda, JSTOR, ScienceDirect, and Wiley was conducted for studies published between 2020 and 2024. Eligible studies included RA patients whose pain intensity was measured using validated tools such as the Numerical Rating Scale (NRS), Visual Analog Scale (VAS), or McGill Pain Questionnaire (MPQ). Two independent reviewers performed study selection and data extraction, while quality assessment followed PRISMA guidelines and the CASP Checklist.

Results: Eleven studies comprising 607 participants met the inclusion criteria. The findings showed that holistic interventions including warm ginger compresses, Swedish massage, hand and foot massage, lavender aromatherapy, eucalyptus inhalation, Reiki therapy, and combined ginger compress with rheumatic exercise, were effective in reducing pain intensity in RA patients. Most studies reported significant improvements, with warm ginger compress being the most consistently effective method across various settings.

Conclusion: Holistic approaches demonstrate meaningful benefits in reducing pain and supporting comfort in individuals with RA, particularly among older adults. Consistent application and appropriate duration of therapy enhance effectiveness. Overall, holistic care serves as a valuable complementary strategy that promotes patient-centered pain management and improves quality of life.

The Impact of Calcium Alginate Dressings on Wound Healing in Patients with Diabetic Ulcers

Thu, 04 Dec 2025 00:00:00 +0700

Introduction: Diabetic foot ulcers often occur due to a combination of neuropathy (sensory, motor, autonomic) and ischemia. This condition is further exacerbated by infection which generally requires proper care for wound healing. Calcium Alginate Dressing is a group of exudate and odor-absorbent dressings that aim to accelerate the healing process of diabetic mellitus wounds, this support material is made from seaweed with hemostatic properties.

Objective: To determine the effect of using calcium alginate dressings in the healing process of diabetic ulcer wounds.

Method: This study used a literature review method by searching for articles in the Google Scholar, PubMed, and Research Gate databases with a publication range of 2015-2025. Of the 18 articles found, 8 articles met the inclusion criteria.

Result: The use of calcium alginate has been shown to have an effect on diabetic wound healing by creating a moist and protected wound environment, which reduces the risk of infection and improves patient comfort.

Conclusion: Calcium alginate creates a moist wound environment, facilitates keratinocyte proliferation and epithelial cell migration, which supports the epithelialization process. The use of calcium alginate as a wound dressing in diabetic wounds provides significant results in accelerating the healing process.

Factors Associated with Nurses’ Performance at Mitra Medika General Hospital Pangkalpinang

Nurmiati, Maryana, Nurwijaya Fitri — Thu, 04 Dec 2025 00:00:00 +0700

Introduction: Hospitals are complex healthcare organizations where leadership and work motivation play crucial roles in influencing nurse performance and the overall quality of healthcare services.

Objective: Nurses' performance is one of the key indicators in determining the quality of health services in hospitals. Optimal performance is influenced by several factors, including leadership style, work motivation, and work environment. This study aims to determine the relationship between leadership style, work motivation, and work environment with nurses’ performance at Mitra Medika General Hospital Pangkalpinang in 2025.

Method: This research used an analytical quantitative approach with a cross-sectional design. The sample consisted of 50 respondents selected using total sampling technique. The research instrument was a questionnaire, and data were analyzed using the Chi-Square test.

Result: The results of the study indicate that there is no significant relationship between leadership style, work motivation, and work environment with nurses' performance at Mitra Medika General Hospital Pangkalpinang in 2025. The significance values for each variable are p = 0.603 for both leadership style, p = 0,323 for work motivation, and p = 0.953 for work environment, all of which exceed the 0.05 threshold. The conclusion of this study is that leadership style, work motivation, and work environment do not have a significant relationship with nurses' performance.

Conclusion: The results of this study are expected to serve as a consideration for future researchers to develop further studies with broader variables and a qualitative approach, for educational institutions to utilize the findings as applied learning material, and for healthcare institutions to pay attention to leadership style, work motivation, and work environment in order to support the improvement of nurses' performance.

The Effect of Benson Relaxation Technique on Fatigue among Chronic Disease Patients: A Systematic Literature Review

Deranito Langlang Paresa Albianto, Demita Nurpadilah, Deni Firmansyah — Thu, 04 Dec 2025 00:00:00 +0700

Introduction: Fatigue often afflicts patients with chronic illnesses, adversely affecting their quality of life and limiting their ability to execute daily activities. The Benson relaxation technique, a non-pharmacological method, seeks to reduce weariness by stimulating the body's inherent relaxation response. Evidence suggests that this therapy is a viable, safe, and effective method for mitigating fatigue in those with chronic illnesses

Objective: This study aims to assess the efficacy of the Benson relaxation technique in mitigating fatigue among individuals with chronic illnesses.

Method: A systematic review was conducted across four databases (PubMed, ProQuest, JSTOR, and Garuda) to identify studies published between 2020 and 2024 examining the application of the Benson relaxation technique among adults aged 18 to 65 with chronic illnesses. Fatigue reduction served as the primary outcome, assessed using validated instruments such as the FSS, MFIS, RPFS, FACIT Fatigue, and CFS. Three independent reviewers performed the search, screening, and quality appraisal following PRISMA guidelines and the CASP Checklist.

Result: An analysis of 14 clinical trials with 813 participants demonstrated that the Benson relaxation technique significantly alleviates fatigue in persons suffering from chronic conditions, including coronary heart disease, cancer, multiple sclerosis, and renal failure. The intervention boosts sleep quality, reduces anxiety, and improves general well-being. Enhanced efficacy was noted with extended durations (1–12 weeks) and when conducted bi-daily for 10–60 minutes, particularly when integrated with aromatherapy, music therapy, or deep breathing techniques.

Conclusion: The Benson relaxation technique has demonstrated efficacy in alleviating fatigue in persons with chronic illnesses. Consequently, nurses can include this method into non-pharmacological tiredness management strategies to enhance patients' overall quality of life.

Effectiveness of the Paleo Diet on Weight-Loss among Individuals with Obesity: A Systematic Literature Review

Nina Maryana, Elma Nanda, Miftah Fadilah — Thu, 04 Dec 2025 00:00:00 +0700

Introduction: Obesity has become a significant global public health issue. A variety of intervention strategies have been implemented, encompassing dietary modifications, physical activity, pharmacological treatments, and surgical procedures. Among these, the Paleolithic (Paleo) diet modeled after the presumed dietary patterns of humans during the Paleolithic era has attracted increasing scholarly attention as a potential nutritional approach for obesity management.

Objective: This study aims to systematically review and evaluate the effectiveness of the Paleolithic (Paleo) diet in reducing body weight among individuals with obesity. Through an analysis of existing research, this review seeks to identify the benefits, limitations, and long-term sustainability of the Paleo diet as a weight management strategy.

Method: This study aims to systematically review and evaluate the effectiveness of the Paleolithic (Paleo) diet in reducing body weight among individuals with obesity. Through an analysis of existing research, this review seeks to identify the benefits, limitations, and long-term sustainability of the Paleo diet as a weight management strategy.

Results: A total of 880 participants were included across the seven reviewed studies. The findings revealed that the Paleo diet was effective in promoting weight loss among individuals with obesity. Participants who adhered to the Paleo diet for eight weeks experienced an average reduction of 5.3 kilograms in body weight.

Conclusion: The Paleolithic diet (PD) is effective in reducing body weight, fat mass, and cardiometabolic risk factors compared with conventional diets, particularly in the short term. However, low adherence poses a major challenge, leading to diminished differences in benefits over the long term. Compared with the Mediterranean diet and intermittent fasting, adherence to PD is lower, and thus its long-term effectiveness requires further investigation.

Factors Associated with the Nutritional Status of Chronic Kidney Disease Patients at Depati Hamzah Hospital

Havizah, Hendra Kusumajaya, Hermain — Fri, 05 Dec 2025 00:00:00 +0700

Introduction: Chronic Kidney Disease (CKD) sering menyebabkan gangguan status gizi akibat penurunan fungsi ginjal dan efek samping hemodialisis seperti anoreksia dan keluhan gastrointestinal. Berbagai faktor, termasuk usia, jenis kelamin, pendidikan, pekerjaan, dan lama hemodialisis diduga berperan dalam perubahan status gizi pasien.

Objective: Impaired nutritional status is a side effect of long-term hemodialysis, as it can cause physiological disturbances, including gastrointestinal problems, that can lead to malnutrition. Several risk factors, such as age, gender, education, occupation, and duration of hemodialysis, are thought to contribute to this nutritional status. This study aims to determine the factors associated with the nutritional status of Chronic Kidney Disease (CKD) patients at Depati Hamzah Pangkalpinang Regional General Hospital in 2025

Method: The research method used is quantitative with a cross-sectional approach. The number of samples is 105 patients selected using quota sampling techniques. Data obtained through questionnaires and medical records, then analyzed univariately and bivariately using the Chi-square test with a confidence level of 95% (α = 0.05).

Result: The results of the study showed that there was a significant relationship between age (p = 0.006) having a POR value of 3.307, gender (p = 0.011) having a POR value of 3.025, education (p = 0.005) having a POR value of 3.446, occupation (p = 0.016) having a POR value of 2.896, and duration of hemodialysis (p = 0.001) having a POR value of 3.951 with nutritional status

Conclusion: The suggestion from this study is the need for early detection and management of related risk factors, such as regular nutritional status checks, controlling food intake, consulting with nutritionists, and health controls to monitor kidney conditions and detect complications early.

Relationship between Father Involvement in Parenting and Adolescent Mental Health

Fri, 05 Dec 2025 00:00:00 +0700

Introduction: Adolescence is a critical developmental stage that is vulnerable to mental health problems. Globally, about 14% of adolescents experience mental health issues, and in Indonesia, the prevalence reaches 34.9%. A study in Makassar City also revealed that 47.9% of adolescents aged 15–18 years suffer from mental health problems. Family factors, particularly father involvement in parenting, play an important role in maintaining adolescent mental health.

Objective: To analyze the relationship between father involvement in parenting and adolescent mental health.

Method: This quantitative study employed a descriptive analytic design with a cross-sectional approach. The sample consisted of 78 tenth-grade students at SMA Negeri 3 Makassar. Data were collected using questionnaires on father involvement and adolescent mental health, and analyzed using the Chi-square test.

Result: Most respondents were female (65.4%) and aged 15 years (61.5%). Adolescent mental health levels were categorized as very good (26.9%), good (59%), and poor (14.1%). Father involvement was mostly at the moderate level (70.5%), followed by high (17.9%) and low (11.5%). The Chi-square test showed a p-value of 0.000, indicating a significant relationship between father involvement in parenting and adolescent mental health.

Conclusion: Father involvement in parenting has a significant impact on adolescent mental health. Higher father involvement is associated with better adolescent mental well-being. Strengthening the role of fathers, both emotionally and physically, is essential to support adolescents’ psychological well-being.

The Relationship between Coping Strategies and Stress Levels among Undergraduate Nursing Students

Risman Barkah, Nazwa Siti Syiddaturrohmah — Fri, 26 Dec 2025 00:00:00 +0700

Introduction: Nursing students commonly experience high levels of stress during clinical practice in hospital settings. This stress is often caused by academic pressures, complex clinical tasks, time constraints, and the need to adapt to professional responsibilities in real healthcare environments. Coping strategies are considered an important factor that may influence how nursing students respond to stressful situations during clinical practice.

Objective: This study aimed to determine the relationship between coping strategies and stress levels among undergraduate nursing students during clinical practice in hospitals.

Method: This study employed a descriptive correlational design with a cross-sectional approach. The sample consisted of 33 sixth-semester undergraduate nursing students selected using a total sampling technique. Data were collected using validated questionnaires to measure coping strategies and stress levels. Bivariate analysis was conducted using the chi-square test with a significance level of 0.05.

Result: The findings showed that the majority of respondents were female (57.6%) and above the average age (63.6%), with all participants enrolled in the sixth semester. Among students with poor coping strategies, 15 respondents (60%) experienced mild stress, while 5 respondents (71.43%) experienced moderate stress. Statistical analysis using the chi-square test revealed a p-value of 0.581, indicating that there was no statistically significant relationship between coping strategies and stress levels among nursing students during clinical practice (p > 0.05).

Conclusion: This study concluded that there is no significant relationship between coping strategies and stress levels among undergraduate nursing students during clinical practice in hospitals. These results suggest that stress experienced by nursing students may be influenced by various factors beyond individual coping strategies. Therefore, a holistic approach involving academic support, effective clinical supervision, and psychological interventions is recommended to help nursing students manage stress more effectively.

Factors Associated with Diabetic Ulcer Prevention Behavior in Patients with Type 2 Diabetes Mellitus

Yoan Permata Sari, Nova Nurwinda Sari, Anggie Stiexs — Fri, 26 Dec 2025 00:00:00 +0700

Introduction: Diabetes mellitus is a major non-communicable disease with a rapidly increasing prevalence and is associated with serious complications, including diabetic foot ulcers that contribute to disability and mortality. Preventive behaviors, particularly proper foot care, play a crucial role in reducing the risk of diabetic ulcers; however, these behaviors are influenced by various individual and contextual factors that require further investigation.

Objective: Type 2 diabetes mellitus often causes macrovascular and microvascular complications, Macrovascular complications are more caused by hyperglycemia, hypoglycemia, diabetic nephropathy, diabetic neuropathy, and diabetic ulcers. The appearance of diabetic foot wounds is characterized by the presence of open wounds on the surface of the skin so that it results in infection due to the entry of germs or bacteria to the surface of the wound if not treated immediately, the infection will expand to the lower skin tissue, tendons, muscles, and even bones. This study aims to determine the factors related to diabetic ulcer prevention behavior in type 2 diabetes mellitus patients at the Kedaton Health Center Bandar Lampung.

Method: The type of quantitative research with a cross sectional, sampling technique purposive research design with population 109 a sample of 86 respondents. The data analysis used was univariate and bivariate analysis using the chi square test.

Result: The results of this study found that there was a relationship between knowledge and ulcer prevention behavior with a p-value of 0.000 (p-value < 0.05); there was a relationship between attitude and diabetic ulcer prevention behavior with a p-value of 0.000 (p-value < 0.05); and there was a long-standing relationship between suffering from DM and diabetic ulcer prevention behavior with a p-value of 0.022 (p-value < 0.05) at the Kedaton Health Center Bandar Lampung.

Conclusion: People with diabetes mellitus should know and practice diabetic ulcer such as good and proper foot care prevention behaviors in order to prevent complications, especially diabetic wounds.

The Relationship Between Iron-Rich Food Consumption and Iron Supplement Adherence with the Incidence of Anemia among Adolescent

Nisa Khoirunnisa, Adhi Nurhartanto, Dewi Woro Astuti — Fri, 26 Dec 2025 00:00:00 +0700

Introduction: Anemia remains a significant public health problem among adolescents, particularly female students, and is commonly associated with inadequate iron intake and low hemoglobin levels, which can negatively affect physical performance and cognitive function. Patterns of iron-rich food consumption and adherence to iron supplement intake are considered key factors influencing the occurrence of anemia among students, yet these behaviors are often suboptimal and require further investigation.

Objective: Anemia is the result of examining hemoglobin (Hb) levels in the blood that are lower than normal and this condition can be caused by a lower number of red blood cells. The purpose of this study was to determine the relationship between food consumption patterns of iron sources and compliance with the consumption of blood supplement tablets with the incidence of anemia in grade XI students at MAN 1 Lampung Utara.

Method: This type of research is quantitative, employing an analytic research design, specifically a cross-sectional design. The population in this study were all grade XI students at MAN 1 Lampung Utara with a total of 149 students. The sampling technique used a proportionate stratified random sampling method with a total sample of 65 respondents.

Result: The results of this study are the relationship between the pattern of consumption of iron-source foods with anemia characterized by the results of a p-value of 0.001 and the relationship between compliance with consumption of blood supplement tablets with anemia characterized by the results of a p-value of 0.022.

Conclusion: It is hoped that female students can change the frequency of food consumption patterns, especially those containing iron, and routinely consume blood supplement tablets according to their recommendations in order to fulfill and increase iron reserve storage in the body in order to prevent anemia.

Factors Associated with an Increased Incidence of Complications in Patients with Hypertension

Marlizah, Kgs. M. Faizal, Nurwijaya Fitri — Fri, 26 Dec 2025 00:00:00 +0700

Introduction: Hypertension is a major global health problem and a leading cause of cardiovascular morbidity and premature mortality worldwide. The prevalence of hypertension continues to increase and is frequently associated with serious complications such as heart failure, stroke, kidney damage, and visual impairment. Several factors, including age, physical inactivity, and smoking habits, contribute to the development of hypertension-related complications. Understanding these associated factors is essential to strengthen preventive and promotive strategies in managing hypertension complications.

Objective: Hypertension or high blood pressure is a serious medical condition that significantly increases the risk of heart disease, stroke, kidney disorders, and visual impairments. Data from 2024 show an increase in complications, with 70 cases related to heart failure and stroke, and 17 cases involving kidney damage and vision loss.

Method: This study aims to identify the factors associated with the increased incidence of complications in hypertensive patients at Sejiran Setason Regional Public Hospital, West Bangka, in 2025. This research employs a quantitative method with a correlational analytic design and a cross-sectional approach, where independent and dependent variables are measured at a single point in time.

Result: The results indicate a significant relationship between age, physical activity, and smoking habits with the occurrence of complications in hypertensive patients. Older individuals have a higher risk of hypertension-related complications. Additionally, a lack of physical activity and smoking habits further increase this risk.

Conclusion: Based on these findings, preventive efforts are recommended through health lifestyle education and regular screening for high-risk groups. Further research is needed to evaluate the long-term effects of these factors on the progression of hypertension complications.

Strengthening the Role of Nurses in Managing Respiratory Problems in Infants with Bronchiolitis: A Literature Review

Kezia Octavina Siagian , Angelica Juliani, Permaida, Meylona Verawati Zendrato — Fri, 26 Dec 2025 00:00:00 +0700

Introduction: Bronchiolitis is a major cause of hospitalization in infants and remains a leading respiratory challenge in paediatric care worldwide. Triggered mainly by the Respiratory Syncytial Virus (RSV), this condition causes airway inflammation, mucus obstruction, and respiratory distress that can rapidly progress to oxygenation failure. While most cases are self-limiting, inadequate nursing interventions often lead to prolonged illness and complications. Therefore, implementing evidence-based nursing strategies, including observation, education, therapeutic, and collaborative approaches, is essential to ensure comprehensive respiratory management and faster recovery in affected infants.

Objective: This study aims to analyse the implementation of nursing care strategies through observation, education, therapeutic, and collaborative approaches to optimize respiratory management and recovery in infants with bronchiolitis.

Method: This study used a literature review design by analysing six relevant articles published between 2021 and 2025 obtained from Google Scholar. The literature selection followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, focusing on the implementation of nursing strategies in managing respiratory problems in bronchiolitis.

Result: The review found that observation was the most frequently applied nursing intervention, serving as the foundation for assessing physiological responses. Therapeutic and collaborative actions, such as chest physiotherapy, semi-fowler, positioning, nebulization, and oxygen therapy, were effective in improving oxygen saturation and reducing respiratory effort. Educational interventions, although less common, significantly strengthened family involvement and awareness of home care practices. The integration of these four strategies enhanced recovery, improved comfort, and demonstrated measurable clinical benefits for infants with bronchiolitis.

Conclusion: The balanced and evidence-based application of observation, education, therapeutic, and collaborative strategies strengthens nursing care quality, accelerates respiratory recovery, and reinforces the nurse’s essential role in holistic management of bronchiolitis

Differences in Dysmenorrhea Levels among Female Adolescent Users of Conventional and Electronic Cigarettes

Vynna Leyra Pertiwi, Emi Lindayanti, Ida Nurhidayah — Fri, 26 Dec 2025 00:00:00 +0700

Introduction: Dysmenorrhea is a common reproductive health problem among adolescent females and is often associated with various lifestyle factors, including smoking behavior. The increasing use of conventional cigarettes and electronic cigarettes among young women raises concerns regarding their potential impact on menstrual pain.

Objective: This study aimed to compare the level of dysmenorrhea between adolescent females who use conventional cigarettes and those who use electronic cigarettes.

Method: This research employed a quantitative approach with a cross-sectional design and involved 70 respondents aged 15–24 years in Sumedang Regency, consisting of 35 conventional cigarette users and 35 electronic cigarette users. Data were collected using an online and offline questionnaire that included demographic characteristics, smoking behavior adapted from the Global Youth Tobacco Survey (GYTS), and menstrual pain measured using the Numeric Rating Scale (NRS). The data were analyzed using the Mann–Whitney test with a significance level of 0.05.

Result: The results showed that most respondents in both groups experienced severe dysmenorrhea, with mean pain scores of 7.114 for conventional cigarette users and 7.200 for electronic cigarette users. Statistical analysis indicated no significant difference between the two groups (p = 0.833).

Conclusion: These findings suggest that both types of smoking may have similar biological impacts on menstrual pain due to the presence of nicotine. Further studies are recommended to assess additional confounding factors and measure nicotine exposure more precisely.

The Effect of Video-Based Education on Pregnant Women’s Knowledge Regarding Triple Elimination Screening

Ahmad Mumtaz Tauba, Yusfina Modesta Rua, Maria Paula Marla Nahak — Fri, 26 Dec 2025 00:00:00 +0700

Introduction: Maternal to child transmission of infectious diseases such as HIV, syphilis, and hepatitis B remains a major global health concern. The “Triple Elimination” program integrates early detection and prevention strategies for these infections within maternal health services. However, limited maternal knowledge and awareness impede optimal screening participation, especially in developing regions. Educational interventions using audiovisual media such as videos have shown promise in improving maternal understanding and promoting health-seeking behavior.

Objective: To determine the effect of video-based education on the knowledge of pregnant women regarding triple elimination screening at RSUD Mgr. Gabriel Manek, SVD., Atambua, Belu.

Method: A quasi-experimental study with a one-group pretest-posttest design was conducted among 32 pregnant women attending antenatal care (ANC) during October–November 2025. Participants received an educational intervention using a health education video about triple elimination. Data on knowledge were collected using a validated questionnaire, and statistical analysis was performed using the Wilcoxon signed-rank test with a significance level of p < 0.05.

Result: The median knowledge score before the intervention was 13 (minimum 5; maximum 15), while after the intervention it increased to 16 (minimum 13; maximum 16). Statistical analysis revealed a significant difference in pretest and posttest scores (p < 0.001), indicating that video-based education effectively improved maternal knowledge.

Conclusion: Video-based education significantly enhances pregnant women’s knowledge regarding triple elimination screening. The use of audiovisual media in maternal health education should be integrated into antenatal services to strengthen awareness and early detection of HIV, syphilis, and hepatitis B.

The Relationship between Attitudes, Workload, and Work Environment and Midwives’ Performance in Early Detection of High-Risk Pregnancy

Bilqis Ar-Rohman, Annisa Devi Permata, Titi Purwitasari Handayani — Fri, 26 Dec 2025 00:00:00 +0700

Introduction: The high rates of maternal and neonatal mortality remain a major global health challenge, with non-obstetric complications and hypertensive disorders being the dominant causes of death. Although the Maternal and Child Health (MCH) Handbook is used as a monitoring instrument, incomplete data recording by healthcare providers continues to hinder the early detection of high-risk conditions.

Objective: The purpose of this study is to determine the relationship between attitudes, workloads, and work environment to the performance of midwives in filling out the KIA book in the early detection of high-risk pregnant women in the Tarogong Kidul sub-district area in 2024.

Method: The research method is quantitative research, with a descriptive analytical method with a Cross Sectional design. The sample of this research is a midwife in the working area of Tarogong Kidul Garut District with a sampling technique using total sampling. The data analysis used used the Chi square statistical test.

Results: The study showed that workload and work environment can affect the work performance of midwives with a sig value (p=<0.05) in filling out the KIA book in the early detection of high-risk pregnant women.

Conclusion: this study shows that workload and work environment are significantly related to midwife's performance in filling out the KIA book.

The Impact of Nutrition Education on Knowledge and Nutrition Label Comprehension in Adolescents

Puspita Suci, Aila Karyus, Hidayatusy Syukrina Puteri — Wed, 31 Dec 2025 00:00:00 +0700

Introduction: Adolescence is a critical period of growth and development in which nutritional status and health behaviors play an important role in determining future health outcomes. Rapid lifestyle changes and increased consumption of packaged foods have contributed to rising nutritional problems among adolescents, including obesity and other non-communicable diseases. Understanding nutrition information on food labels is therefore essential to support healthy food choices and improve adolescents’ nutritional knowledge.

Objective: Adolescents tend to consume packaged foods high in salt, sugar, and fat. One of the contributing factor is their low comprehension of the display of nutrition facts on the packaging and the habit of not reading them. Data from the Lampung Health Office show that the prevalence of obesity among school-aged children increased from 27% to 37% in 2021 and 2023. Reading nutrition facts is part of the Balanced Nutrition Guidelines. This study aims to analyze the effect of nutrition education using animated video media on knowledge and reading comprehension of nutrition facts on packaged foods among eight-grade adolescents at SMPN 2 Bukit Kemuning, Lampung Utara.

Method: The study used a quantitative pre-experimental with a one-group pretest- posttest design. Nutrition education was delivered through animated video media, followed by measurement of knowledge and comprehension with a 14-days interval between the pretest and posttest. The study population consisted of 104 eight-grade students. Using a simple random sampling method, 84 samples were selected. However,the intervention was given to entire population to avoid sample loss, resulting in 85 samples collected. Data were analyzed using the Paired Sample T- Test.

Result: The results showed a significant increase in the average score knowledge score from 64.05 to 89.07. And in reading comprehension from 59.34 to 85.53. Statitical tests showed a p-value <0.05 for both variables, indicating that nutrition education using animated video media had significant effect on improving adolescents knowledge and comprehension of reading nutrition facts.

The Relationship Between Food Acceptability and Intake on Morning Meal Leftovers in Pediatric Patients

Yuliana Trihandayani, Adhi Nurhartanto, Asep Jalaludin — Wed, 31 Dec 2025 00:00:00 +0700

Introduction: Childhood malnutrition remains a significant public health concern, and adequate nutritional intake during hospitalization is essential to support recovery and growth in pediatric patients. Hospital food services are required to provide nutritionally adequate and acceptable meals; however, food waste among hospitalized children, particularly during breakfast, remains a persistent problem. High levels of leftover food may indicate low food acceptability and inadequate food intake, which can hinder the fulfillment of children’s nutritional needs. Food acceptability, influenced by sensory characteristics and eating habits, plays an important role in determining food consumption among pediatric patients. Therefore, evaluating the relationship between food acceptability, food intake, and breakfast food waste is crucial to improve the effectiveness of hospital nutrition services for children.

Objective: Child nutrition issues, such as wasting and stunting, remain a serious challenge, especially in developing countries. Optimal nutrition in hospitals is important to support children's growth and recovery. This study aims to analyze the relationship between acceptability and food intake to morning food waste in pediatric patients at Santa Anna Hospital.

Method: This study used a descriptive quantitative method with a cross-sectional approach. A sample of 30 inpatient pediatric patients was taken purposively. Acceptability was measured using an organoleptic assessment form, while food intake was measured using the Semi Quantitative Food Frequency Questionnaire (SQ-FFQ). Data were analyzed univariately and bivariately using the chi-square test.

Result: The results showed that 86.7% of children liked the morning meal menu, 96.6% had sufficient to good intake, but 53.3% still left food in large quantities. There was a significant relationship between acceptability and food waste (p = 0.009), and between food intake and food waste (p = 0.001). Conclusion: The higher the acceptability and food intake, the less food leftovers left by pediatric patients..

Conclusion: The results of this study emphasize the importance of improving the quality of nutrition services, including menu improvement, presentation, and patient companion education to reduce food waste and support optimal recovery of pediatric patients.

The Relationship Between Coping and Quality of Life in Breast Cancer Patients

Ratu Syahdatul Roslima SNA, Sri Maryuni, Prayetni — Wed, 31 Dec 2025 00:00:00 +0700

Introduction: Breast cancer is the most common cancer among women and continues to increase globally, including in Indonesia. Patients undergoing chemotherapy often experience physical and psychological distress that may affect their quality of life. Coping mechanisms play an important role in helping patients adapt to these challenges, making it necessary to examine their relationship with quality of life in breast cancer patients.

Objective: The aim of this study was to determine the relationship between coping mechanisms and the quality of life of breast cancer patients at RSUD Dr. H. Abdul Moeloek Lampung Province in 2024.

Method: This research method uses a cross sectional design using the chi square sampling technique, totaling 82 respondents. This research instrument uses a questionnaire sheet on coping mechanisms and the quality of life of breast cancer patients

Result: The research results showed that of the 82 respondents, 56 respondents (68.3%) had adaptive coping mechanisms and 26 respondents (31.7%) had maladaptive coping mechanisms. Meanwhile, of the 82 respondents who had a good quality of life, 55 respondents (67.1%), and 27 respondents (32.9%) had a poor quality of life.

Conclusion: Based on the results of statistical tests, a p-value of 0.025 (p-value ≤ 0.005) was obtained, which means there is a relationship between coping mechanisms and the quality of life of breast cancer patients at RSUD Dr. H. Abdul Moeloek Lampung Province. It is hoped that the family will motivate and provide family support to the patient in healing and improving the patient's quality of life.

Implementation of Buerger Allen Exercises on Foot Sensitivity in Patients with Diabetes Mellitus

Susiana, Kgs. M Faizal, Nurwijaya Fitri — Wed, 31 Dec 2025 00:00:00 +0700

Introduction: Diabetes mellitus is a chronic metabolic disease with a rapidly increasing global prevalence and is commonly associated with peripheral complications, including decreased foot sensitivity. Impaired peripheral circulation in patients with type 2 diabetes mellitus increases the risk of foot ulcers and other serious complications. Buerger Allen exercise is a non-pharmacological intervention that may improve peripheral blood flow and foot sensitivity through postural changes and muscle contractions. Therefore, this study aims to examine the effect of Buerger Allen exercise on foot sensitivity in patients with diabetes mellitus.

Objective: This study aimed to evaluate the effectiveness of Buerger Allen Exercise in improving foot sensitivity among patients with Diabetes Mellitus at Sejiran Setason Regional Public Hospital, West Bangka, in 2025.

Method: The study used a quantitative design with a quasi-experimental method, employing a pretest-posttest control group design with a total sample of 36 participants. The research involved two groups: an intervention group and a control group. Foot sensitivity was measured using the monofilament test before and after the intervention. The Buerger Allen Exercise therapy was carried out for five consecutive days, twice daily in the morning and afternoon.

Result: The results showed a significant difference in foot sensitivity levels after the intervention in the treatment group (p-value = 0.00; p < 0.05). This indicates that Buerger Allen Exercise is effective in improving foot sensitivity in Diabetes Mellitus patients.

Conclusion: It is recommended that this therapy be included as one of the nursing interventions in the management of Diabetes Mellitus at Sejiran Setason Regional Public Hospital, West Bangka.

The Relationship Between Nutritional Status, Dietary Patterns, and Premenstrual Syndrome in Adolescent Girls

Evi Sheilla, Armen Patria, Hidayatusy Syukrina Puteri — Thu, 08 Jan 2026 00:00:00 +0700

Introduction: Premenstrual syndrome (PMS) is a common condition among adolescent girls that causes physical and psychological discomfort and may interfere with daily activities. Nutritional status and dietary habits, particularly the consumption of fast food and junk food, are considered important factors associated with the occurrence of PMS. Changes in adolescents’ eating patterns toward high-calorie, high-fat, and low-fiber foods may increase the risk of nutritional imbalance and PMS symptoms. Therefore, this study aims to examine the relationship between nutritional status, fast food and junk food consumption, and premenstrual syndrome among adolescent girls.

Objective: Nutritional status is a state of balance between nutrient intake and needs, expressed using a Z-score value based on BMI/Age. The purpose of this study was to determine the relationship between overweight status of fast food and junk food with premenstrual syndrome (PMS) in female adolescents at SMA Negeri 1 Sukoharjo in 2025.

Method: The method used in this study was quantitative with a cross sectional approach which was carried out in May 2025 with a total of 87 female adolescent students, taken through purposive sampling, the research sample was taken according to the inclusion and exclusion criteria. The research instrument used the SPAF questionnaire consisting of 10 questions.

Result: Data analysis using univariate analysis with frequency distribution and bivariate analysis with spearman’s rank correlation analysis the results of the study showed that the sig value was 0,021 < p-value 0,05, which means that there is a significant relationship between nutritional status and the incidence of premenstrual syndrome (PMS) in female adolescents at SMA Negeri 1 Sukoharjo in 2025. Based on the results 0f the study, it was found that the sig value was 0,034 < p-value 0,05, which means that there is a significant relationship between junk food and the incidence of premenstrual syndrome (PMS) in female adolescents at SMA Negeri 1 Sukoharjo in 2025.

Conclusion: , it was found that the sig value was 0,010 < p-value 0,05, which means that there is a significant relationship between fast food and the incidence of premenstrual syndrome (PMS) in female adolescents at SMA Negeri 1 Sukoharjo in 2025.

Impact of Audio-Visual Education on Knowledge of Diabetes Patients

Ranti Puspita, Rima Berti Anggraini, Maryana — Thu, 08 Jan 2026 00:00:00 +0700

Introduction: Diabetes mellitus is a chronic metabolic disease with a rapidly increasing prevalence worldwide and remains a major public health challenge due to its long-term complications and management demands. Effective diabetes self-management education, particularly through audio-visual approaches, is essential to improve patients’ knowledge and support optimal disease control.

Objective: Diabetes Mellitus (DM) is a metabolic disease characterized by elevated blood glucose levels, caused by damage to insulin secretion, insulin function, or both. The purpose of this study was to determine the effect of audiovisual education on Diabetes Self-Management Education (DSME) on improving the knowledge of diabetes mellitus patients at Junjung Besaoh Regional Hospital, South Bangka in 2025.

Method: This study used a pre-experimental study with a one-group pretest-posttest design. The sampling technique used purposive sampling with 18 respondents. Data collection used the 24-question DKQ 24 (Diabetes Knowledge Questionnaire). Data analysis used the Wilcoxon test

Result: The results of this study demonstrate that the mean knowledge score of respondents before receiving DSME education through audiovisuals was 43.02 (SD=7.569). After the education, the mean knowledge score of respondents increased to 82.13 (SD=5.425), with a difference of -39.117 (SD=7.847) between the pre- and post-education levels. There was an effect of Audiovisual Diabetes Self-Management Education (DSME) on improving the knowledge of diabetes mellitus patients at Junjung Besaoh Regional Hospital, South Bangka in 2025 (p<0.05).

Conclusion: The results of this study suggest that healthcare services can adopt DSME audiovisual media as a primary strategy in diabetes education, especially for complex materials such as DSME. This media has proven effective in improving respondents' understanding and can be applied in various healthcare services.

The Effect of Foot Massage Therapy on Blood Pressure among Elderly with Hypertension

Laila Abidah, Tubagus Erwin Nurdiansyah, Aulia Rahman — Thu, 08 Jan 2026 00:00:00 +0700

Introduction: Hypertension is a major public health problem and a leading cause of cardiovascular morbidity and mortality worldwide. Uncontrolled hypertension can lead to serious complications affecting the heart, brain, kidneys, and vision. In addition to pharmacological treatment, non-pharmacological interventions such as foot massage therapy have been proposed as complementary approaches to help reduce blood pressure.

Objective: Therefore, this study aims to examine the effect of foot massage therapy on blood pressure among elderly patients with hypertension.

Method: This study was a quasi-experimental research method with a one-group pretest-posttest design. The samples in this study were 20 elderly people aged 60 - 73 years who experienced hypertension

Result: The results of this case study found that the application of foot massage therapy performed directly by the author to the subject can have an effect on changes in systolic and diastolic blood pressure values which are carried out routinely 5 consecutive days and show the average systolic blood pressure value before foot massage therapy is 170mmHg and diastolic blood pressure value of 100mmHg and has been done foot massage therapy, namely systolic blood pressure 130mmHg and diastolic blood pressure value 80mmHg

Conclusion: Researchers analyzed using the sample paired test test and obtained a significance value of sig = 0.00 or sig<0.005 which can be concluded that there is an effect of giving foot massage therapy on lowering blood pressure in the elderly with hypertension at the Iringmulyo Health Center, Metro City in 2024.

The Effect of Benson Relaxation on Insomnia among Elderly

Agusti, Rima Berti Anggraini, Ardiansya — Thu, 08 Jan 2026 00:00:00 +0700

Introduction: Insomnia is a common sleep disorder among elderly and is associated with physical, psychological, and functional decline. The prevalence of insomnia increases with aging and may negatively affect quality of life if left untreated. Non-pharmacological interventions are recommended as safe and effective strategies to improve sleep quality in the elderly. One such intervention is the Benson Relaxation Technique, which promotes relaxation through controlled breathing and mental focus. This study aims to examine the effect of Benson Relaxation Therapy on insomnia in elderly.

Objective: This study aimed to determine the effect of Benson relaxation therapy on insomnia in the elderly at the Simpang Rusa Community Health Center, Belitung.

Method: The study design used a pre-experimental study with a pre-test and post-test in one group. A total of 10 elderly individuals received Benson relaxation therapy for one week. Insomnia levels were measured using the Toward Optimized Practice (TOP) screening questionnaire and analyzed using the Wilcoxon test.

Result: The results showed a significant decrease in insomnia levels after the intervention. The Z-value was -2.814 with a significance value of p = 0.005 (<0.05), indicating that Benson relaxation therapy significantly reduced insomnia in the elderly.

Conclusion: From these results, it can be concluded that Benson relaxation therapy is effective in improving sleep quality in the elderly with insomnia. It is recommended that the elderly practice Benson relaxation independently and regularly. Community health centers (Puskesmas) consider this therapy as a non-pharmacological intervention in elderly healthcare. Further research is recommended to combine Benson relaxation with aromatherapy for optimal results.

Factors Associated with the Increasing Incidence of Congestive Heart Failure

Nabilah Ambarsari, H. Hendra Kusumajaya, Kgs M. Faizal — Thu, 08 Jan 2026 00:00:00 +0700

Introduction: Congestive heart failure (CHF) is a serious cardiovascular condition characterized by the heart’s inability to pump sufficient blood to meet the body’s metabolic demands and remains a leading cause of morbidity and mortality worldwide. The prevalence of CHF continues to increase globally and in Indonesia, including Pangkalpinang City, with risk factors such as advancing age, gender, hypertension, and smoking contributing significantly to disease progression. The rising number of CHF cases at Depati Hamzah General Hospital highlights the need to identify factors associated with the increase in CHF incidence.

Objective: This study aims to determine the factors associated with the increase in CHF at Depati Hamzah General Hospital, Pangkalpinang, in 2025.

Method: The research method used was quantitative with a cross-sectional approach. A sample of 169 patients was selected using quota sampling. Data were obtained through questionnaires and medical records, then analyzed using the Chi-square test with a significance level of α = 0.05.

Result: The results showed a significant association between age (p = 0.006), gender (p = 0.007), hypertension (p = 0.000), and smoking (p = 0.005).

Conclusion: The conclusion of this study is that education about the factors of CHF plays a crucial role in preventing CHF from an early age. This includes consuming a healthy diet, exercising frequently/engaging in physical activity, quitting smoking, and regularly checking with the nearest health facility.

Intraoperative Hemodynamic Profile: Evaluation of Mean Arterial Pressure in Patients Undergoing General Anesthesia

Suyanti, Yuli Widyastuti, Indah Nur Aisyah — Thu, 08 Jan 2026 00:00:00 +0700

Introduction: Intraoperative hemodynamic fluctuations during general anesthesia are clinically important because reduced Mean Arterial Pressure (MAP) may compromise organ perfusion and contribute to postoperative complications. Despite growing awareness of the need for hemodynamic control, variations in MAP across different patient characteristics and surgical types remain insufficiently documented in clinical practice.

Objective: This study aimed to evaluate intraoperative MAP patterns in patients undergoing general anesthesia and to identify variations based on demographic and clinical factors.

Method: A descriptive observational design was applied to 61 elective surgical patients with ASA physical status I–II at RSI Sultan Agung Semarang. Intraoperative MAP measurements were recorded using standardized patient monitoring systems. Data were analyzed using descriptive statistics, including frequency, percentage, mean, and standard deviation.

Result: The mean intraoperative MAP was 69.49 ± 4.32 mmHg. Although most respondents maintained normotensive values, 8.2% experienced hypotension below the 65 mmHg threshold. Higher MAP values were observed in patients aged 41–50 years, those with ASA II status, and those undergoing lower abdominal surgery. Lower MAP values were more common in urology procedures and among ASA I patients.

Conclusion: Although the overall MAP level remained within the acceptable clinical range, the presence of intraoperative hypotension in a subset of patients underscores the importance of proactive, individualized hemodynamic monitoring. Variations in MAP across demographic and surgical factors highlight the need for patient-specific hemodynamic targets to ensure optimal intraoperative safety.

Analysis of the Use of the SOFA Score in Predicting Mortality among Critically III Patients

Reyshar Pratama Putra, Andi Subandi, Putri Irwanti Sari, Nurhusna, Yosi Oktarina — Thu, 08 Jan 2026 00:00:00 +0700

Introduction: Sepsis is one of the main causes of morbidity and mortality in critical patients in the Intensive Care Unit (ICU). Delays in identifying organ dysfunction are an important factor that increases the risk of death. The Sequential Organ Failure Assessment (SOFA) Score is an assessment tool that is widely used to measure the extent of organ damage and predict mortality in sepsis patients.

Objective: To know the output results of sepsis and sepsis shock patients and which indicators of the SOFA Score affect the patient's output.

Methods: Quantitative research with a retrospective cohort design with a total population of 102 patients with a sample of 53 patients assisted by scoring assessment using the MDCalc application.

Results: overall output experienced mortality with the indicators that affected the SOFA Score score, namely; MAP, FiO2, Ventilator Use, Billirubin, and GCS. Other indicators that affect output include; RR, Glucose, and Leukocytes.

Conclusion: This study confirms that SOFA Score can be used as an effective prediction tool to assess the prognosis of sepsis patients, as well as sepsis shock so that it can assist health workers in clinical decision-making and therapy planning more appropriately.