INDOGENIUS

Identification of Dermatophyta Fungi in the Armpits of Stroke Patients in Kandeman Subdistrict, Batang Regency

Dela Stieka Apresia — 2026-02-01

Background & Objective: Skin fungus caused by Dermatopyta is called dermatophytosis. The causative fungi are Tricopyton, Microsporum, and Epidermophyton. Dermatophyta is a group of fungi that attach to keratinous tissue, such as the stratum corneum of the skin, nails, and human hair. These fungi can cause damage to living cells by activating the immune system. Stroke patients have difficulty fulfilling their daily needs, such as maintaining personal hygiene, which increases their risk of infection with Dermatophyta sp. fungi. This study aims to identify dermatophyte fungi in stroke patients in Kandeman subdistrict, Batang regency.

Method: This study used a descriptive design with a sample of 17 stroke patients in Kandeman subdistrict, Batang regency. Dermatophyte fungi were examined using a media culture method.

Result: The examination results showed that all samples were negative for Dermatophyta fungi. The factors supporting these negative results were that most patients still practiced good personal hygiene, such as showering twice a day, ensuring their bodies were completely dry, maintaining excessive dryness, and not experiencing itching on their bodies. This prevented the growth of Dermatophyta fungi in the armpits.

Conclusion: In conclusion, there was no Dermatophyta sp. fungal infection among stroke patients in Kandeman Subdistrict, Batang Regency.

Antibiotic Sensitivity Profile of Bacteria in Open Wound Infections in Orthopedic Patients at Kraton Regional General Hospital, Pekalongan Regency, February 2025

Aditya Firmansyah — 2026-02-01

Background & Objective: Open wound infections in orthopedic patients are infections caused by accidental wounds that have been contaminated with bacteria. Bacteria enter through abrasions or grazes caused by skin rubbing against rough surfaces such as asphalt. Based on medical records from Kraton Regional General Hospital in Pekalongan Regency in 2024, there were a total of 967 cases of patients due to accidents, and in February 2025, there were 5 patients. This study aims to determine the bacterial species and antibiotic sensitivity of bacterial isolates found in open wound infections in orthopedic patients at Kraton Regional General Hospital in Pekalongan Regency.

Method: This study used a descriptive research method to identify bacteria and test the antibiotic sensitivity of bacteria in open wound infections in orthopedic patients at Kraton Regional General Hospital, Pekalongan Regency.

Result: The results of the study showed that 40% of Escherichia coli and 40% of Staphylococcus aureus were found. Escherichia coli from sample one was resistant to Ampicillin and Ceftriaxone and intermediate to Cefotaxime. Escherichia coli from sample four was sensitive to Ampicillin, Ceftriaxone, and Cefotaxime. Staphylococcus aureus from samples three and four was resistant to Ampicillin and Ceftriaxone and sensitive to Cefotaxime.

Conclusion: There are bacteria causing open wound infections in orthopedic patients at Kraton Regional General Hospital, Pekalongan Regency, namely Escherichia coli 40% and Staphylococcus aureus 40%. The percentage of antibiotic sensitivity tests was Ampicillin 50%, Ceftriaxone 50%, and Cefotaxime 50%.

Overview of Hemoglobin and Hematocrit Levels in Pregnant Women in the First, Second, and Third Trimesters at Kraton Pekalongan Regional General Hospital

Subur Wibowo — 2026-02-01

Background & Objective: Pregnancy is the union of spermatozoa and ovum followed by implantation. Pregnancy with certain signs may indicate the occurrence of dangers that can occur during pregnancy, which if not reported or detected early can cause death to the mother and fetus. One way to keep mothers and babies healthy during pregnancy is by conducting pregnancy checkups. This study aims to determine the levels of hemoglobin and hematocrit in pregnant women in their first, second, and third trimesters at the Kraton Regional General Hospital in Pekalongan Regency.

Method: This study used a descriptive design with 30 samples taken using total sampling from pregnant women in their first, second, and third trimesters at the Kraton Regional General Hospital in Pekalongan Regency. Hemoglobin levels were measured using a spectrophotometer, and hematocrit levels were measured using a microhematocrit method.

Result: The results showed that pregnant women in the first trimester had hemoglobin levels of 9.18% and hematocrit levels of 31.4%, pregnant women in the second trimester had hemoglobin levels of 12.8% and hematocrit levels of 35.3%, and pregnant women in the third trimester had hemoglobin levels of 13.28% and hematocrit levels of 37.1%.

Conclusion: It can be concluded that in the first trimester, there is a decrease in HB and HT levels due to plasma volume increasing faster than the number of red blood cells, and in the second and third trimesters, there is a greater increase in plasma volume than in red blood cell volume.

Identification of Fungal Infections on the Fingernails of Warteg Employees in Pekalongan Regency

Laela Rizqi Fitriani — 2026-02-01

Background & Objective: Fungi are one of the microorganisms that cause disease in humans. Fungi are cosmopolitan organisms that grow anywhere, including in the air, soil, water, clothing, and even on the human body itself. Fungi can cause quite severe diseases in humans. Most skin and nail infections are the result of a group of homogeneous keratinophilic fungi known as dermatophytes. Dermatophytosis of the fingernails and toenails, unlike dermatophytosis in other parts of the body, is very difficult to treat with medical treatment. This study aims to determine the presence of Dermatophyta and Non-Dermatophyta fungi on the fingernails of warteg employees in Pekalongan Regency.

Method: This study is a descriptive study using total sampling with 30 respondents.

Result: Examination of 30 fingernail samples from food stall employees yielded positive results for Trichopyton sp. dermatophyte fungi in approximately 17% (5 samples), positive results for Candida sp. non-dermatophyte fungi in 87% (26 samples), and positive results for Aspergillus sp. fungi in 60% (18 samples).

Conclusion: Usually, some warteg sellers are found to lack hygiene in their fingernails while working. Risk factors that can cause fungal infections in fingernails in this study include several habits at work, such as frequent direct contact with water, causing the hands to become moist, not many people wearing gloves while working, and not maintaining fingernail hygiene, such as cutting nails more than once every two weeks.

Differences in Cholesterol Test Results Between POCT (Point of Care Testing) and Photometer Methods

Suparyati — 2026-02-01

Background & Objective: Cholesterol is one of the components of fat or lipids that is essential for the body, in addition to carbohydrates, proteins, vitamins, and minerals. Cholesterol testing in the laboratory can be performed using two types of methods, namely automatic technique testing (POCT) and simple technique testing (photometer). This study aims to determine the difference in cholesterol test results using the POCT method and the photometer method.

Method: This study is analytical in nature, using 30 venous blood samples from outpatients at Kraton Pekalongan Regional General Hospital. The examination was conducted using the POCT method with a photometer. The data were analyzed using normality tests and Wilcoxon tests using SPSS.

Result: The average cholesterol test result using the POCT method was 173.37 mg/dl, while the photometer method yielded a result of 127.77 mg/dl. The statistical test results showed (sig value = 0.000 < 0.05), indicating a significant difference between the two methods.

Conclusion: There is a significant difference between the cholesterol results obtained by the POCT method and the photometer.

Parental Relationships, Peer Interaction, and Ease of Access to Obtaining Cigarettes on Smoking Habits in Adolescents in the PGRI Cikampek Vocational School Environment in 2024

Nadya Rachmadayanti — 2026-02-01

Background & Objective: This study aims to analyze the factors that influence smoking habits among teenagers in Vocational High Schools (SMK). This research explores the relationship between variables such as parental relationships, peer interactions, and ease of access to cigarettes.

Method: This research is a quantitative descriptive analytic correlational research with a retrospective case control design using survey and questionnaire methods distributed to 86 respondents. The validity test results show that all items in the questionnaire are declared valid, with a calculated r value that is greater than r TABLE. Apart from that, the reliability test using Cronbach's Alpha produced a value above 0.60, which shows the questionnaire is reliable.

Result: Analysis of parental closeness, peer interaction, and ease of access to cigarettes have a significant role in shaping smoking habits among teenagers.

Conclusion: These findings highlight the importance of interventions that are more focused on vocational school adolescents, as well as the need for a holistic approach involving parents and the social environment to reduce the prevalence of smoking among adolescents. It is hoped that this research will provide insight for educators and policy makers in designing more effective prevention strategies.

Emergency Nursing Care for Patients with Acute Myocardial Infarction (AMI) with Acute Pain Nursing Problems

Mohammad Iqbal Gadafi — 2026-02-01

Background & Objective: Acute myocardial infarction (AMI) is one of the clinical manifestations of cardiovascular disease, which remains the leading cause of death worldwide. AMI, better known as a heart attack, occurs due to a blockage in blood flow to the heart muscle, causing the death of myocardial cells (cardiomyocytes). One of the most common clinical manifestations found in patients with AMI is chest pain. This study aims to analyze the results of nursing care for acute pain problems in patients with Acute Myocardial Infarction at Dr. Harjono Regional General Hospital, Ponorogo Regency.

Method: The type of research used is descriptive qualitative in the form of a case study with a documentation study approach. The subjects in this study were patients with acute pain nursing problems who were treated in the emergency room and ICVCU. Data collection was conducted through interviews, observations, and documentation studies. Nursing care was provided for three days, from May 10 to 12, 2025.

Result: The results of the study showed that patients experienced acute pain related to physiological injury agents.

Conclusion: After nursing intervention for 3 x 24 hours, the nursing problems were partially resolved, as evidenced by the achievement of five out of five outcome criteria, namely reduction in pain, grimacing, moaning, restlessness, and pain avoidance behavior.

The Relationship Between Feeding Patterns, Parental Knowledge, and Compliance with Visits to the Integrated Health Post (Posyandu) and the Nutritional Status of Toddlers at the Integrated Health Post (Posyandu) in Parungmulya Village in 2025

Rofiqoh — 2026-02-09

Background & Objective: Nutritional status issues can have serious impacts on children's growth and development, both physically and cognitively. This study aims to determine the relationship between feeding patterns, parental knowledge, and adherence to visits to the integrated health post (Posyandu) with the nutritional status of toddlers at the Integrated Health Post (Posyandu) in Parungmulya Village in 2025.

Method: This study used a cross-sectional approach. The sample size was 82 respondents. The research instruments were questionnaires and anthropometric measurements with BB/U indicators. Data analysis used Chi-Square.

Result: The results showed that most respondents had appropriate feeding patterns (70.7%), good parental knowledge (59.8%), adherence to visiting the integrated health post (52.4%), and toddler nutritional status in the normal weight category (74.4%).

Conclusion: There was a significant relationship between feeding patterns and toddler nutritional status with (p-value 0.000), between parental knowledge and toddler nutritional status with (p-value 0.000), and between attendance at integrated health post (Posyandu) visits with toddler nutritional status with (p-value 0.022). The results of this study are expected to be a reference for improving education and interventions to maintain optimal toddler nutritional status.

Nursing Care for Mr. M with a Diagnosis of Hypertension Using Innovative Finger Grip Relaxation Therapy at Ruwa Jurai Bhayangkara Hospital

Rismalia — 2026-02-01

Background & Objective: According to the WHO, hypertension remains a major problem, affecting 22% of the world's population. In Indonesia, an estimated 63,309,620 people suffer from hypertension, with a mortality rate of 427,218 deaths. The most common signs and symptoms experienced by people with hypertension when their blood pressure rises include headaches and pain in the back of the neck or nape. The purpose of this study was to provide nursing care to patients with hypertension using Finger Grip Relaxation Therapy as an intervention to reduce pain.

Method: This study used a nursing care approach that focused on nursing actions for individuals with hypertension who complained of pain at the Ruwa Jurai Bhayangkara Hospital. Data collection used physical examination tools, KMB assessment forms, numerical scales, and the Finger Grip Relaxation Therapy SOP.

Result: Based on the results of the intervention over 3 days, the pain scale decreased from 4 to 1.

Conclusion: This therapy was proven effective in reducing pain.

Adolescents' Perceptions of Early Marriage in Setupatok Village, Mundu District

Ani Nurhaeni — 2026-02-01

Background & Objective: Early marriage is a marriage carried out by individuals under the age of 19. This phenomenon is still a serious problem in Setupatok Village, Mundu District. Adolescent perceptions of early marriage are one of the factors that can influence the decision to marry at a young age. This study aims to determine the relationship between adolescent perceptions and the incidence of early marriage in Setupatok Village, Mundu District.

Method: The research method used is quantitative with a cross-sectional research design. The research sample was 82 respondents selected using the proportional random sampling technique. Data were collected through questionnaires and analyzed using the chi-square statistical test.

Result: The results showed that 67 adolescents (81.7%) had a good perception of early marriage, while 15 adolescents (18.3%) had a bad perception. The incidence of early marriage in Setupatok Village was recorded as 64 adolescents (78.0%) had married at an early age, while 18 adolescents (22.0%) were not married. Statistical tests showed a significant relationship between adolescent perceptions and the incidence of early marriage (p-value = 0.000; p <0.05).

Conclusion: The results of this study are expected to contribute to efforts to prevent early marriage by increasing adolescent awareness of the impact of marriage at a young age. Reproductive health education and counseling are strategic steps in changing adolescent perceptions of early marriage.

The Effect of Ginger Candy Administration on First Trimester Pregnant Women with Emesis Gravidarum in the Working Area of the Kedung Banteng Community Health Center, Tegal Regency, 2025

Annesya Atma Battya — 2026-02-01

Background & Objective: Emesis gravidarum is experienced by 50–80% of pregnant women in the first trimester and can develop into hyperemesis gravidarum if not treated properly. This condition carries the risk of dehydration, electrolyte imbalance, and fetal growth restriction. Ginger (Zingiber officinale) contains gingerol and shogaol, which have been proven to have antiemetic effects and are widely used as complementary therapy. To determine the effect of ginger candy on the degree of emesis gravidarum in pregnant women in their first trimester in the working area of the Kedung Banteng Community Health Center in Tegal Regency.

Method: A pre-experimental design with a one-group pretest–posttest. The sample consisted of 20 pregnant women in their first trimester who experienced nausea and vomiting. The instrument used was the PUQE-24. Data were analyzed using the Shapiro-Wilk test and paired t-test.

Result: Before the intervention, the average PUQE score was 9.20; after the intervention, it decreased to 7.00. The paired t-test results showed p=0.012, which means that there was a significant effect of ginger candy on the reduction of emesis gravidarum.

Conclusion: Ginger candy is effective in reducing the severity of emesis gravidarum in first trimester pregnant women.

Knowledge About Medical Equipment Attached to Their Children and Coping Strategies Among Mothers During Hospitalization in the NICU at Waled Regional General Hospital, Cirebon Regency

Terry Melani — 2026-02-01

Background & Objective: Transitional conditions and adaptation in neonatal and perinatal is a period that can cause physiological changes and even death. In this condition, the baby needs intensive care in a special room. BBL installed various medical devices during treatment at the NICU. The number of BBL treated at the NICU in January to December 2024 was 226 people and those who experienced deaths were 100 people. This has become a stressor and has changed coping especially for mothers as long as their children experience hospitalization. This study aims to determine the relationship between knowledge about medical devices installed on their children and coping strategies on mothers during hopitalization in Waled Hospital Cirebon District.

Method: The type of research used is descriptive correlational with prospective approaches. The sampling technique used a total sample of 19 respondents during May to June 2025 at the Waled Hospital in Cirebon. The statistical test used is Spearmen Rank.

Result: The results obtained r value of 0.686 and p value <∝ means that Ho is rejected, then there is a strong and positive relationship between knowledge of medical devices installed on their children and coping strategies on mothers during hopitalization in Waled Hospital Cirebon Regency (p value = 0.001, ∝ = 0.05 r = 0.686).

Conclusion: Knowledge of medical equipment installed in their children can be given continuously to mothers through health education and provision of counseling so that maternal coping strategies become adaptive during hospitalization of their children.

Dominant Factors Affecting Stress Levels Among Emergency Room Nurses at Waled Hospital

Hasril Desiathul Hamdani — 2026-02-01

Background & Objective: This study aims to identify the dominant factors influencing the stress levels of emergency room nurses at Waled Hospital.

Method: The research design used was quantitative with a descriptive correlational design and a cross-sectional approach. A total sampling technique was used, involving 55 respondents. The instrument utilized was a validated questionnaire, and data were analyzed using Spearman rank correlation.

Result: Results showed that the majority of nurses had high stress levels and that workload, fear of infection, and inadequate personal protective equipment were the dominant stress factors (p = 0.004; r = -0.289).

Conclusion: It is concluded that stress levels among ER nurses are significantly affected by these dominant factors. Comprehensive stress management strategies are recommended to reduce psychological burden and maintain quality of care.

Prevalence and Risk Factors of Type II Diabetes Mellitus in Indonesia

Siti Ghadira Inayah Taslim — 2026-02-01

Background & Objective: Type II diabetes mellitus is a metabolic disorder caused by impaired insulin secretion or function and has become a global health problem. The number of people with type II diabetes mellitus worldwide is estimated to reach 537 million and is projected to increase to 783 million by 2045. In Indonesia, the prevalence among people aged ≥15 years is around 3 percent, with the main risk factors being obesity, hypertension, low physical activity, and high sugar consumption. This literature review aims to describe the prevalence and risk factors of type II diabetes mellitus in Indonesia.

Method: This study is a literature review using Google Scholar and PubMed to search for publications from 2015 to 2025. The articles reviewed discuss the prevalence, risk factors, and distribution of type II diabetes mellitus based on sociodemographic characteristics.

Result: The results of the study show that the prevalence of type II diabetes mellitus increases with age, especially in the >55 age group, ranging from 6.3 to 12.5 percent. The prevalence in women (±9.6 percent) was higher than in men (±6.9 percent). The dominant risk factors included obesity (OR 2.3–2.7), hypertension (OR 1.9–2.0), low physical activity, advanced age, and high sugar consumption.

Conclusion: The prevalence of type II diabetes mellitus in Indonesia shows an increasing trend during the 2015–2025 period with relatively consistent risk factors. Prevention efforts need to focus on controlling risk factors through the promotion of a healthy lifestyle.

The Effect of Watermelon Juice and Cucumber Juice on Blood Pressure Reduction in Elderly People with Hypertension at the Bina Sejahtera Elderly Health Center in Palembang

Anggaraini Anggaraini — 2026-02-01

Background & Objective: Hypertension is a major degenerative disease, especially among the elderly, and is a leading risk factor for cardiovascular disease and stroke. The World Health Organization defines hypertension as systolic blood pressure ≥140 mmHg and/or diastolic ≥90 mmHg. This study aimed to analyze the effect of watermelon juice and cucumber juice on reducing blood pressure in patients with hypertension.

Method: This study used a quantitative quasi-experimental design with a two-group pretest–posttest approach. The research was conducted on January 6, 2025, involving 57 hypertensive patients. Respondents were divided into two intervention groups: watermelon juice and cucumber juice. Blood pressure was measured before and after the intervention. Data were analyzed using univariate and bivariate statistical tests.

Results: After watermelon juice administration, most respondents’ systolic blood pressure shifted from stage 2 hypertension to pre-hypertension (60.7%), and diastolic blood pressure also predominantly reached the pre-hypertension category (82.1%). After cucumber juice administration, systolic blood pressure mostly decreased to pre-hypertension (60.7%), and all respondents’ diastolic blood pressure reached the pre-hypertension category (100%). Watermelon juice significantly reduced systolic blood pressure (p = 0.000 < 0.05). Cucumber juice also significantly reduced systolic blood pressure (p = 0.000 < 0.05). There was a significant difference between watermelon and cucumber juice in reducing diastolic blood pressure (p = 0.014 < 0.05).

Conclusion: Both watermelon juice and cucumber juice effectively reduce blood pressure in hypertensive patients. However, there is a significant difference between the two interventions in reducing diastolic blood pressure.

Factors Associated With Work Fatigue Among Tank Truck Crew at Fuel Terminal Biak

Rahmi Apriani — 2026-02-01

Background & Objective: Work-related fatigue remains a significant concern in occupational health and safety, particularly in roles that demand high levels of physical exertion, such as fuel transportation. This study seeks to compare factors contributing to fatigue among fuel truck operators at Fuel Terminal Biak with findings from two prior investigations: one involving waste collectors in Kendari, and another examining lifting equipment operators at PT Pelindo IV Kendari Branch. The analysis focuses on three primary variables: workload, employment duration (tenure), and working hours or shift patterns.

Method: All three studies applied a quantitative method with a cross-sectional design and utilized chi-square tests for statistical analysis.

Result: The findings suggest that workload and job tenure consistently exhibit a significant correlation with fatigue across all occupational groups examined. In contrast, the impact of work hours appears inconsistent, with notable influence from contextual factors such as sleep quality and the implementation of night shifts.

Conclusion: These results highlight the need for customized work scheduling and comprehensive fatigue management. The study underscores the importance of targeted interventions by employers and policymakers through strategies such as balanced workload distribution, structured rest periods, and ergonomic support. Such efforts are particularly critical in physically demanding and high-risk industries like fuel distribution, where fatigue poses direct threats to safety and operational efficiency.

The Relationship Between Family Support, Health Worker Support, and Mothers' Attitudes Towards Exclusive Breastfeeding at the Telukjambe Community Health Center, Karawang Regency, in 2025

Hapipah Nur Auliah — 2026-02-01

Background & Objective: Exclusive breastfeeding is the provision of breast milk alone without any additional complementary food or drink from birth to 6 months of age. The success of exclusive breastfeeding is influenced by various factors, including family support, health worker support, and maternal attitudes. This study aims to determine the relationship between family support, health worker support, and maternal attitudes towards exclusive breastfeeding at the Telukjambe Health Center, Karawang Regency, in 2025.

Method: This study used an analytic design with a cross-sectional approach. The sample amounted to 91 respondents who were selected using purposive sampling technique. The statistical test used was Chi-Square along with the Odds Ratio (OR) at a significance level of p < 0.05.

Result: The results showed a significant relationship between family support (p = 0.000, OR = 49.038 CI = 10.267-234.234), health worker support (p = 0.000, OR = 8.944, CI = 3.104-25.774), and maternal attitude (p = 0.000, OR = 15.897, CI = 4.798-52.672) towards exclusive breastfeeding.

Conclusion: Mothers with less support or negative attitude were significantly more likely to not provide exclusive breastfeeding. Therefore, it is recommended to increase promotional and educational efforts regarding the importance of family support, the active role of health workers, and the formation of positive attitudes in mothers, in order to optimize exclusive breastfeeding coverage.

The Relationship Between Work Load, Working Length And Working Posture With Low Back Pain (LBP) Complaints In Convection Tailors In Karawang 2025

Jihan Azzahra Salsabila — 2026-02-01

Background & Objective: This study aims to analyze the relationship between workload, working duration, and work posture with low back pain (LBP) complaints in garment tailors in Karawang Regency in 2025.

Method: The method used is descriptive analytic with a cross-sectional design, involving 45 respondents. Data were collected through a questionnaire that measured the variables of workload, working duration, working posture, and LBP complaints.

Result: The results showed that 77.8% of respondents experienced severe LBP. Bivariate analysis with the Chi-Square test showed a significant relationship between workload (p = 0.029), working duration (p = 0.022), and working posture (p = 0.013) with the incidence of LBP. The odds ratio (OR) for heavy workload was 6.769, working duration >8 hours was 6.000, and very high working posture was 7.250

Conclusion: In conclusion, garment tailors with high workload, working duration more than 8 hours, and non-ergonomic working posture have a higher risk of experiencing LBP. This research is expected to provide insight for convection industry managers to take appropriate preventive measures.

The Nursing Care for Decreased Cardiac Output with Nursing Intervention: Measurement of Fluid Intake and Output in CHF Patients at Menggala Regional General Hospital

Serly Agustina — 2026-02-01

Background & Objective: Patients with congestive heart failure (CHF) commonly experience shortness of breath due to impaired myocardial contractility, which leads to reduced cardiac output and subsequently decreases systemic blood circulation. This condition can result in several complications such as dyspnea, orthopnea, exertional dyspnea, paroxysmal nocturnal dyspnea (PND), edema, ascites, cardiogenic shock, and decreased oxygen saturation. Patients who exhibit clinical signs and symptoms of heart failure often present with actual or potential nursing problems, which can affect basic human needs, such as decreased cardiac output. One of the appropriate nursing interventions for this issue is monitoring the patient’s daily fluid intake and output. The aim of this study is to determine the effectiveness of the nursing intervention of fluid intake and output monitoring in hospitalized CHF patients.

Method: This study employs a descriptive approach using a case study design. The respondents in this case were two patients diagnosed with CHF. The nursing intervention involved measuring the patients’ fluid intake and output over a 24-hour period and evaluating the outcomes by calculating fluid balance.

Result: The results of the nursing care showed that Patient 1 had a fluid balance of -300 ml and Patient 2 had a fluid balance of -580 ml.

Conclusion: These findings suggest that the intervention of fluid intake and output monitoring can be applied to CHF patients to improve their quality of life.

The Effect of Audio Therapy Using Qur'an Recitation on Stress Reduction in Elderly People at the Harapan Kita Social Welfare Institution for the Elderly in Palembang

Afdallah Afdallah — 2026-02-01

Background & Objective: An elderly person is someone who has reached the age of 60 or above. The WHO classifies the elderly into four categories: middle age between 45 and 59 years old, elderly between 60 and 74 years old, old between 75 and 90 years old, and very old above 90 years old. Living arrangements can cause stress for the elderly, as is the case for those in nursing homes. This study aims to determine the effect of audio therapy using recitations from the Qur'an on reducing stress levels among the elderly at the Harapan Kita Social Welfare Home for the Elderly in Palembang.

Method: This study used a pre-experimental design with a one-group pre-post-test design. In this study, the sample was given a pretest (initial observation) before the intervention, followed by the intervention, and then a posttest (final observation). The population in this study was all elderly people at the Harapan Kita Palembang Social Welfare Home for the Elderly in 2024, with a sample size of 35 respondents. Sampling was conducted using purposive sampling.

Result: The results of the study showed that there was an effect of audio murottal Qur'an therapy on reducing stress levels in the elderly (p.value = 0.001).

Conclusion: Audio murottal Qur'an therapy is effective in reducing stress levels in the elderly. It is hoped that this therapy can be applied as a non-pharmacological intervention in social institutions and nursing services.

The Relationship between Fast Food Consumption Patterns and Physical Activity with the Incidence of Primary Dysmenorrhea in Adolescent Girls in Classes X and XI at SMK Lab Business School Tangerang

Jeasyana Aprilia Zahri — 2026-02-01

Background: Adolescence is a crucial stage of growth marked by physical and hormonal changes, including the onset of menstruation. The consumption of fast food, which is high in fat and free radicals, can increase the production of prostaglandins—compounds that trigger menstrual pain. Meanwhile, a lack of physical activity may reduce blood flow to the uterus, worsening dysmenorrhea.

Objective: To determine the relationship between fast food consumption patterns and physical activity with the incidence of primary dysmenorrhea among female adolescents.

Methods: This is a quantitative study with a cross-sectional design. The sample consisted of 135 10th and 11th-grade female students selected using total sampling. Data were collected using questionnaires and analyzed using univariate and bivariate methods (Chi-square test).

Results: A total of 59.3% of respondents had a high frequency of fast food consumption, and 38.5% engaged in high-intensity physical activity. The Chi-square test showed a significant relationship between fast food consumption (p=0.002) and physical activity (p=0.001) with the incidence of primary dysmenorrhea.

Conclusion: There is a significant relationship between fast food consumption patterns and physical activity with the incidence of primary dysmenorrhea among 10th and 11th-grade female students at SMK Lab Business School Tangerang.

Overview of Stress Levels among Elderly Caregivers in Japan

Irma Amalia — 2026-02-01

Background & Objective: This study aimed to describe the stress levels experienced by Indonesian elderly caregivers (nurses) working in Japan, with a focus on their demographic characteristics and psychological well-being.

Method: A descriptive quantitative design was applied to portray stress without examining relationships among variables. The population comprised 51 Indonesian caregivers, all of whom were included as respondents using a total sampling technique. Data were collected online from July to August 2025 through a validated 12-item Zarit Burden Interview questionnaire and analyzed with descriptive statistics using SPSS. Demographic information such as gender and age was also obtained.

Result: Results revealed that most respondents were female (88.2%) and in the 26–35 age group (52.9%). Stress level analysis showed that 39.2% experienced low stress, 41.2% moderate stress, and 19.6% high stress. These findings indicate that while most caregivers manage caregiving demands adequately, a significant proportion experiences moderate to high stress that may affect health and job performance.

Conclusion: The study concludes that gender, age, and workplace conditions are key determinants of caregiver stress and recommends targeted mental health interventions, supportive workplace policies, and stress management training to reduce psychological burdens. Future research should incorporate longitudinal and mixed-method approaches to identify causal factors and coping mechanisms to better inform preventive strategies.

The Influence of Moist Wound Healing on the Condition of Wounds in Patients with Diabetic Ulcers

Alfian Alfian — 2026-02-01

Background & Objective: Diabetic ulcers are a serious complication of diabetes requiring appropriate wound management to accelerate healing and prevent further complications. This study aims to determine the effect of the moist wound healing method on wound conditions in patients with diabetic ulcers.

Method: A quasi-experimental design with a pretest-posttest one-group approach was used. Twelve diabetic ulcer patients were selected purposively. Wound conditions were observed directly on the first and seventh days after treatment using the moist wound healing method. Data were analyzed with a paired t-test to compare wound conditions before and after intervention.

Result: There was a significant decrease in wound size (mean from 15.5 ± 0.45 cm² to 10.2 ± 0.53 cm²), wound depth, amount of exudate, and type of necrotic tissue. Granulation tissue increased significantly (mean from 1.6 ± 0.07 to 3.4 ± 0.07), indicating improved wound healing.

Conclusion: The moist wound healing method significantly improves the wound condition in diabetic ulcer patients by accelerating healing, reducing wound size, exudate, and necrotic tissue, and promoting granulation tissue formation. This method is recommended as an effective therapy for managing diabetic ulcers.

Implementation Of Anticipatory Guidance On Mothers' Knowledge And Attitudes In Preventing Accidents In Preschool Children

Rika Maya Sari — 2026-02-01

Background & Objective: Preschool aged children will begin to be interested in speed and movement, with increased involvement in outdoor activities, children can strive to develop skills, perform gross motor activities carefully without fear, and experience the joy of trying new things., mobility leads on increasing independence. Activities outside the home can pose a risk of possible injury at this age, such as motor vehicle accidents, drowning, burns, poisoning, and personal injury. This study was conducted with the aim of determining the extent of the influence of anticipatory guidance on mothers' knowledge and attitudes in preventing accidents in preschool-aged children at BA Aisyiyah Ronowijayan, Siman, Ponorogo.

Method: The design used in this study was a pre-experiment with a one group pre-post test approach, with a total sample of 34 parents. of BA Aisyiyah Ronowijayan students, with purposive sampling.

Result: The research results are based on the Wilcoxon Sign Rank Test and the McNemar Sign Rank Test. The results of the study showed that there was an influence of anticipatory guidance based on video media on the level of knowledge of parents in preventing injuries to pre-school children (p=0.000). It was found that there was an influence of providing health education using video media in the form of anticipatory guidance on parents' attitudes in preventing injuries in preschool-aged children. (p=0.000).

Conclusion: Video media has proven effective in increasing parents' knowledge and attitudes. It is hoped that this video can be applied in everyday life.

Deep Vein Thrombosis Accompanied by Acute Bacterial Infection, Hypercholesterolemia and Grade I Obesity in a 20-Year-Old Man in a Hospital

Putri Unggun Az Zahra — 2026-02-01

Backgorund: Deep vein thrombosis (DVT) is a condition in which thrombus forms in the inner veins, especially the lower legs, which can cause serious complications in the form of pulmonary embolism. Risk factors for DVT can include immobilization, hemostasis disorders, metabolic disorders, and systemic diseases that affect vascularization.

Method: In certain cases, DVT can appear at the same time as other diseases that aggravate the clinical course. It was reported that a 20-year-old man with the main complaint was pain and swelling in the lower limbs since a few days before being admitted to the hospital. Patients also complain of high fever and bleeding gums. Physical examination found that the lower limbs were swollen, tender, and warm.

Results: The results of the supporting examination showed the presence of thrombus in the profunda vein through doppler ultrasound, so the diagnosis of DVT was established. Hematological examinations showed neutrophilia, thrombocytopenia, lipid profiles showed increased total cholesterol, while ECG examinations supported the presence of myocardial ischemia. Patients were managed with a multidisciplinary approach: antibiotics, anticoagulants, and risk factor control.

Conclusion: This case illustrates the complexity of treating DVT in young patients with high-risk comorbidities, as well as emphasizing the importance of early detection and individualized therapy to prevent further complications.

The Relationship Between Self-Efficacy and Anxiety Among Rehabilitants at the BNN Rehabilitation Center in Tanah Merah, East Kalimantan

Arief Budiman — 2026-02-01

Background & Objective: Narcotics are substances or drugs derived from plants or non-plants, either synthetic or semi-synthetic. Narcotics can cause decreased consciousness, drowsiness, loss of sensation, and may also reduce or eliminate pain. However, they can lead to dependence and are classified into several categories based on their properties and effects. The purpose of this study is to determine the relationship between self-efficacy and anxiety among rehabilitation patients.

Method: This research uses a quantitative design with a cross-sectional approach, the number of respondents in this study was 89 rehabilitant at the BNN Rehabilitation Center in Tanah Merah East Kalimantan . By distributing questionnaires which will later be filled in by respondents and data processing will beb carried out using the SPSS version 27 application to test correlation.

Result: The results obtained from the p-value of the relationship between self-efficacy and anxiety are 0.961 < 0.05. The conclusion is that there is no relationship between self-efficacy and anxiety in rehabilitation, as follows high self-efficacy 69.7% and no anxiety 50.6%.

Conclusion: This study concludes that there is no significant relationship between self-efficacy and anxiety among rehabilitation patients. Although most respondents demonstrated high self-efficacy (69.7%) and no anxiety (50.6%), the findings indicate that self-efficacy does not have a direct influence on the level of anxiety in this population. Other factors, such as environmental support, coping mechanisms, or duration of rehabilitation, may play a more substantial role in influencing anxiety levels. Further research is recommended to explore these contributing factors in greater depth.

The Correlation Between Knowledge and Self-Management Compliance in Type 2 Diabetes Mellitus Patients at The Regional Hospital Of Pringsewu

Nanda Okta Anggraini — 2026-02-01

Background & Objective: To determine “The Correlation Between Knowledge and Self-Management Compliance in Type 2 Diabetes Mellitus Patients At The Regional Hospital Of Pringsewu”.

Method: This study was a quantitative study with a cross-sectional design and purposive sampling technique. The population was all type 2 diabetes mellitus patients at the Internal Medicine Polyclinic of Pringsewu Regional Hospital, with a sample of 79 respondents who met the inclusion and exclusion criteria. The research instrument used the Diabetes Knowledge Questionnaire 24 (DKQ-24) for knowledge and the Diabetes Self-Management Questionnaire (DSMQ) for self-management compliance. Data analysis was performed using the Gamma test.

Result: The results obtained based on the gamma statistical test showed that there was a Correlation Between Knowledge and Self-Management Compliance in Type 2 Diabetes Mellitus Patients At The Regional Hospital Of Pringsewu with a p-value of 0.001.

Conclusion: It was concluded that knowledge can influence self-management compliance in type 2 diabetes mellitus patients.

Analysis of Early Detection of Growth and Development in Toddlers at Simpang Gambir Health Center, Mandailing District

Dewi Mega Br. Simbolon — 2026-02-01

Background & Objective: Toddlerhood is a golden period that significantly influences a child’s future growth and development. One key effort to detect developmental delays is through the Early Detection and Intervention for Growth and Development (SDIDTK) program. Low program coverage in certain areas, including the Simpang Gambir Community Health Center, calls for an evaluation of its implementation.

Method: This study used a quantitative approach with a descriptive-analytic design. A total of 30 toddlers registered at the Simpang Gambir Health Center were selected as samples. Data were analyzed using univariate and bivariate methods with the chi-square test to assess the relationship between birth weight, nutritional status, family income, and parental education with developmental status.

Result: Most toddlers (24 out of 30, or 80%) demonstrated development appropriate to their age. Bivariate analysis revealed no significant relationship between birth weight (p = 0.169), nutritional status (p = 0.169), or family income (p = 0.531) and developmental status. However, parental education showed a near-significant association (p = 0.059), indicating its likely impact on toddler development.

Conclusion: Most toddlers showed appropriate development. Although birth weight, nutrition, and income were not significantly related, parental education likely influences developmental outcomes and should be a focus of future interventions.

The Effect of Betel Leaf Decoction on Reducing Vaginal Discharge Symptoms in Adolescent Girls at Mts Madinatunnajah, Cirebon City

Laily Rachmawati — 2026-02-01

Background & Objectives: Vaginal discharge in adolescent girls is often considered a normal health issue. However, if not treated properly, it can interfere with health and comfort. One natural remedy used to treat vaginal discharge is boiled betel leaf water, which is known to have antifungal and antibacterial properties. The purpose of this study was to determine the effect of boiled betel leaf water on reducing vaginal discharge symptoms in adolescent girls at MTs Madinatunnajah in Cirebon City.

Methods: This study used a pre-experimental design with a pre-post test approach. The sampling technique used in this study was total sampling. The population in this study consisted of 17 female adolescents in the ninth grade at MTs. Paired test was used for data analysis.

Results: The results of this study showed a p-value of 0.000<0.05, which indicates that boiled betel leaf water has an effect on reducing vaginal discharge symptoms in adolescent girls at MTS Madinatunnajah in Cirebon City.

Conclusion: Giving boiled betel leaf water can reduce vaginal discharge because its antiseptic, antifungal, and antibacterial properties can help kill germs and bacteria that cause vaginal discharge.

The Effect of Verbal Stimulation Intervention and Al-Qur'an Murotal Therapy on Motor Response Changes in Patients with Decreased Consciousness

Mohri Mitra Arifin — 2026-02-01

Background & Objective: Decreased consciousness is one of the signs of cerebral perfusion disorders that we often find in patients with head injuries. Head injuries are traumatic disorders of brain function, accompanied by interstitial bleeding in the brain substance without disrupting brain continuity. According to the WHO, 69 million people worldwide experience head injuries each year. Africa and Southeast Asia have the highest number of cases at 56%, while North America has the lowest at 25%. In Indonesia, based on the Basic Health Research report, head injury ranks third among the most common injuries, with a percentage of 11.9%. The purpose of this study is to determine the motor response in patients with decreased consciousness following verbal stimulation and Quranic recitation interventions.

Method: A case study of patients with severe head injuries and decreased consciousness involving non-pharmacological interventions with verbal stimulation and Al-Qur'an murotal therapy on motor response changes conducted daily for 7 days of treatment with each session lasting 30 minutes per day.

Result: After verbal stimulation intervention by telling stories and listening to the recitation of Surah Al-Fatihah and Surah Yasin from the Qur'an for 30 minutes, there was a change in the motor response of patients with decreased consciousness, which was evaluated by assessing the GCS.

Conclusion: Verbal stimulation intervention through storytelling and recitation of the Qur'an has an effect on changes in motor responses in patients with decreased consciousness.

The Effectiveness of Dhikr Therapy as a Non-Pharmacological Intervention to Reduce Anxiety in the Elderly: Literature Review

Dwi Widyastuti — 2026-02-01

Background & Objective: Anxiety is one of the most common psychological problems experienced by the elderly, influenced by physical decline, chronic illness, and reduced social support. Spiritual interventions, such as dhikr therapy, are increasingly considered as complementary strategies to improve psychological well-being. This study aims to systematically review the effectiveness of dhikr therapy as a non-pharmacological intervention in reducing anxiety among the elderly.

Method: A systematic literature review was conducted using the PRISMA approach. Articles were searched through Google Scholar, PubMed, ScienceDirect, and Publish or Perish with the keywords “dzikir therapy,” “elderly,” and “anxiety reduction.” Inclusion criteria were journal articles in English or Indonesian, published in the last five years, with clear methodology. Fourteen studies were included in the analysis.

Result: Most studies employed quasi-experimental and pre–posttest designs with samples ranging from 10 to 50 elderly participants. The findings consistently demonstrated that dhikr therapy effectively reduced anxiety levels, improved psychological well-being, self-esteem, sleep quality, and overall quality of life. In addition, dhikr therapy contributed to better blood pressure control and reduced depression in elderly with comorbid conditions.

Conclusion: Dhikr therapy is an effective, simple, and low-cost non-pharmacological intervention to reduce anxiety and enhance mental health among the elderly. Further studies with larger sample sizes, randomized controlled designs, and physiological measurements are recommended to strengthen the evidence base.

Complementary Progressive Muscle Relaxation Therapy in Elderly People with Degenerative Diseases: Literature Review

Bachtiar Safarudin — 2026-02-01

Background & Objective: Older adults often experience various degenerative diseases such as hypertension, diabetes mellitus, and osteoarthritis, which impact physical function and quality of life. Non-pharmacological nursing interventions such as Progressive Muscle Relaxation (PMR) are increasingly being used to improve physical and psychological well-being. This study aims to systematically review the effectiveness of PMR therapy as a complementary nursing intervention.

Method: A systematic literature review was conducted using the PRISMA approach. Articles were obtained through searches on Google Scholar, PubMed, ScienceDirect, and Publish or Perish using the keywords “progressive muscle relaxation,” “elderly,” and “degenerative diseases.” Inclusion criteria included Indonesian or English journal articles published in the last five years, with full text and clear methodology. A total of 15 articles met the criteria and were analyzed.

Result: Most studies used a quasi-experimental or pre-posttest design with a sample size of between 20 and 100 elderly respondents. The results of the study showed that PMR was effective in reducing blood pressure, muscle tension, pain, and anxiety.

Conclusion: Progressive Muscle Relaxation is an effective, simple, and low-cost non-pharmacological nursing intervention to improve the physical and psychological health of elderly people with degenerative diseases.

Family Support as Caregivers for Independent Management of Hypertension Patients: Literature Review

Kartika Setia Purdani — 2026-02-01

Background & Objective: Hypertension is a significant global health problem, and family support as caregivers can play a role in the self-management of hypertensive patients. This review aims to evaluate the effectiveness of family support in helping hypertensive patients.

Method: This study used a literature review approach with descriptive analysis. Data were obtained from scientific articles published between 2022 and 2024 through the Google Scholar and PubMed databases. A total of 15 relevant articles were selected based on inclusion criteria.

Result: Family support has been shown to be effective in improving patient compliance with hypertension treatment, controlling blood pressure, and improving quality of life. Non-pharmacological interventions such as family education and relaxation therapy have shown significant positive effects.

Conclusion: Family support is an important factor in managing hypertension and should be integrated into health programs to improve hypertension management outcomes in the community.

The Application of Meditation/Mindfulness Therapy for Stress and Insomnia in the Elderly: A Literature Review

Bachtiar Safrudin — 2026-02-01

Background & Objective: Older adults often experience psychological and physiological changes that lead to stress and sleep disorders such as insomnia. Mindfulness and meditation therapy have been widely applied as non-pharmacological interventions to improve sleep quality and reduce anxiety among elderly populations. This literature review aims to analyze and synthesize evidence from Indonesian studies regarding the effectiveness of meditation and mindfulness therapy in reducing stress and insomnia in older adults.

Method: A literature review was conducted using Google Scholar, Garuda, and Neliti databases for Indonesian studies published from 2019–2025. Eighteen eligible articles were analyzed, including three local studies by Bachtiar Safrudin focusing on yoga, physical activity, and elderly exercise as relaxation interventions.

Result: Most studies demonstrated that meditation and mindfulness significantly reduce stress and improve sleep quality in the elderly. Local findings also supported these effects through yoga and relaxation exercises.

Conclusion: Meditation and mindfulness are effective, simple, and safe interventions that can be integrated into community-based nursing programs to enhance elderly mental health.

The Impact of Nursing Service Quality on Length of Hospital Stay in Children with Pneumonia: A Literature Review

Gloria Angelika Waruwu — 2026-02-01

Background & Objective: Pneumonia is one of the serious diseases that occurs in the lower respiratory tract. This disease is one of the causes of death among children, especially those under five years of age. This condition is of great concern to health workers, especially nurses, because proper treatment can help reduce mortality rates. Therefore, quality and comprehensive nursing care is needed so that the healing process runs optimally. This study aims to determine how the quality of nursing care can affect the length of hospital stay in children with pneumonia.

Method: This study used a literature review approach by searching Google Scholar for publications from 2020 to 2025. The keywords used were “children with pneumonia,” “nursing care,” “length of stay,” and synonyms such as “pneumonia in children,” “quality of nursing care for children,” and “duration of hospitalization.”

Result: Six articles that met the inclusion criteria were found. The analysis showed that 83.3% (n=5) of these articles proved that the quality of nursing care had an effect on reducing the length of hospital stay, while 16.7% (n=1) of the articles highlighted the importance of a non-pharmacological approach to reducing children's anxiety during treatment. Nurses play a central role in every stage of nursing care, from observation, education, and therapy to interprofessional collaboration.

Conclusion: These findings confirm that comprehensive nursing care focused on children's needs can accelerate the healing process and reduce the length of hospital stays. Therefore, the quality of nursing care needs to be continuously improved in order to have a positive impact on the quality of life and safety of pediatric patients in healthcare facilities.