Interest : Jurnal Ilmu Kesehatan

Combination of Core Activation and Curl-Up Exercise on Reducing Diastasis Rectus Abdominis (DRA) in Multiparous Women

Yuniatri Woli — 2025-06-12

Background: Pregnancy and childbirth cause physical changes in women, including pelvic floor muscle weakness and abdominal wall enlargement leading to the condition of Diastasis Recti Abdominis (DRA). Multiparous women are at higher risk of experiencing DRA due to repeated stretching of the abdominal wall. This study aimed to evaluate the effectiveness of combining core activation with curl-up exercises in reducing the degree of DRA in multiparous women.

Methods: This study was conducted in Desa Homba Rande using a pretest-post test control group design. A total of 24 multiparous women were selected through purposive sampling and divided into two groups: intervention (n=12) and control (n=12). The intervention group received core activation and curl-up exercises three times a week for 12 weeks. Inter-recti distance was measured using a digital caliper before and after the intervention period. Data were analyzed using the Paired T-Test and Independent T-Test.

Results: All research samples were multiparous women aged 20-45 years, with controlled BMI, type of delivery, number of pregnancies, number of births, and physical activity score (IPAQ-SF). The paired t-test showed a p-value of 0.001 (p<0.05), indicating a significant improvement after intervention. The independent t-test showed a p-value of 0.002 (p<0.05), indicating a significant difference in post-test data between groups.

Conclusion: Core activation combined with curl-up exercises is effective in reducing DRA in multiparous women. These exercises are recommended as part of routine postpartum rehabilitation to improve core strength and function.

The Relationship between Therapeutic Communication and Patient Satisfaction with Nursing Care

Romita L Gaol — 2025-06-12

Background: Therapeutic communication is an essential approach to establishing mutual trust between nurses and patients while delivering accurate information. It is expected to enhance patients’ understanding of their illness and contribute to positive changes in their condition. Patient satisfaction reflects their evaluation of the healthcare services received, based on a comparison between expectations and actual experiences. This study aims to investigate the connection between therapeutic communication and patient satisfaction with nursing care.

Methods: This study employed a descriptive correlational design with a cross-sectional approach. The population consisted of 150 individuals, from which 66 participants were selected using purposive sampling. Data were collected using a therapeutic communication questionnaire and a patient satisfaction questionnaire. Data analysis was conducted using the Spearman Rank test.

Results: The results of the study showed that most patients in the Lidwina-Yosep Room perceived the nurses' therapeutic communication as good, and the majority expressed satisfaction with the nursing services received. Statistical analysis yielded a p-value of 0.015 (p < 0.05) and a correlation coefficient (r) of 0.298, indicating a significant and positive correlation between therapeutic communication and patient satisfaction.

Conclusion: The study found that nurses’ therapeutic communication in the Lidwina-Yosep Room at Santa Elisabeth Hospital Medan was generally effective, as perceived by most patients. It is recommended that nurses continue to develop and strengthen their therapeutic communication skills to further improve patient satisfaction.

Strategy and Role of Health Promotion in Stunting Prevention: Literature Review

Katmini Katmini — 2025-06-12

Background: Currently, Indonesia is facing health problems suffered by children under five due to malnutrition or malnutrition which causes stunting. Based on data from the Indonesian Nutrition Status Survey (SSGI), it shows that the prevalence of stunting in Indonesia in 2023 will reach 21.5%. Health Promotion is considered a collaboration of educational and environmental support to create healthy living behavior for the entire community. The purpose of this literature review is to determine the Strategy and Role of Health Promotion in Stunting Prevention.

Methods: In writing this literature review article, literature searches were conducted systematically using various scientific databases such as PubMed, ScienceDirect, and Google Scholar. The keywords used were adjusted to the research topic, including stunting, health promotion, and prevention. Inclusion criteria included articles published within the last five years (2019-2024), written in English or Indonesian, and directly addressing the topic under review. At the beginning of the article search, the authors found 65 articles, then selected according to the criteria to 24 articles, then narrowed down to 5 articles.

Results: Based on the results of several articles analyzed, show that preventive and promotive efforts are the right efforts to prevent stunting from 1000 HPK (First Day of Life). The health promotion strategy itself is divided into 3 aspects, including advocacy, social support, and community empowerment.

Conclusion: Thus, it is hoped that preventive and promotive efforts will be intensified to reduce the prevalence of stunting in Indonesia. The government supports this by launching the Healthy Indonesia Program which consists of 3 pillars, the healthy paradigm, strengthening health services, and National Health Insurance (JKN).

Taizé Meditation as an Intervention to Reduce Anxiety in First-Year Nursing Students

Mestiana Br. Karo — 2025-06-26

Background: Taizé meditation is a form of meditative worship that fosters inner peace through repetitive chants and musical prayers. This practice is particularly beneficial for individuals experiencing anxiety. Anxiety itself is characterized by distressing and uncomfortable emotions that can disrupt a person's sense of equilibrium, manifesting as tension, restlessness, fear, nervousness, sweating, and related symptoms. The objective of this study is to examine the impact of Taizé meditation on anxiety levels.

Methods: This study utilized a pre-experimental design with a one-group pre-test and post-test approach. The population consisted of 99 individuals, and 33 participants were selected through purposive sampling. The instrument used was the Depression Anxiety Stress Scales (DASS)-42, specifically the 14-item anxiety subscale. Data were analyzed using the Paired T-Test.

Results: The average anxiety score prior to Taizé meditation was 3.73, which decreased to 1.76 after the intervention. Statistical analysis using the Paired T-test revealed a p-value of <0.001 (p < 0.05), indicating a significant difference.

Conclusion: These findings suggest that Taizé meditation has a significant effect on reducing anxiety levels. Students are encouraged to practice Taizé meditation independently as a strategy to manage anxiety.

The Relationship Between Computer Vision Syndrome and Sleep Quality of Undergraduate Nursing Students

Lindawati Farida Tampubolon — 2025-06-26

Background: Complex vision problems experienced when using digital devices are called Computer Vision Syndrome (CVS). The use of digital devices at night affects the delay of the circadian phase and the suppression of melatonin as a sleep facilitator which causes changes in sleep quality and optimizes cognitive abilities. This study aims to determine the relationship between computer vision syndrome and student sleep quality.

Methods: This research uses a correlational design with a cross-sectional approach. Sampling used proportionate stratified random sampling technique with a total of 198 respondents. The incidence of CVS was measured by the Computer Vision Syndrome-Questionnaire (CVS-Q) and sleep quality by the PSQI (Pitssburgh Sleep Quality Index) questionnaire. Bivariate analysis was conducted with CVS as the independent variable and sleep quality as the dependent variable, using the continuity correction test.

Results: The research results show that 80.8% of respondents experienced CVS-Positive and 80.8% of respondents experienced poor sleep quality. The statistical test results obtained p-value = <0.001 (< α 0.05) with an OR value of 71.25.

Conclusion: Thus, it can be concluded that computer vision syndrome is related to student sleep quality, where positive computer vision syndrome has the potential to cause disruption to student sleep quality 71.25 compared to students who have negative CVS. Nursing students are advised to limit excessive use of digital devices and to adopt healthy habits in screen usage to prevent CVS, which can affect sleep quality.

Brain Gym PACE (Positive, Active, Clear, Energetic) as a Cognitive Intervention to Improve Concentration in Elementary School Children

Amelia Zaha Berliana — 2025-06-26

Background: Concentration is an important aspect in a child's learning process. A child's ability to focus on a task or lesson material optimally will greatly influence the understanding and learning outcomes achieved. The purpose of this study was to analyze the effect of Brain Gym PACE on the concentration of children in grades V-VI.

Methods: The research design was used a pre-experimental method using one group pre-test and post-test design. The population of this study were students of grades V-VI of SD Muhammadiyah 1 Babat with inclusion and exclusion criteria. The sample was selected using stratified random sampling with a sample size of 76 children. The instruments used were the Army Alpha Intelligence Test questionnaire and SOP Brain Gym PACE. The intervention was given for 10 minutes a day, 3 times for 3 days. Data were analyzed using the Wilcoxon Sign Rank Test.

Results: Based on the results of the Wilcoxon statistics, a significance value of p = <0.001 (p < 0.05) was obtained, which means that there is an influence of Brain Gym on learning concentration.

Conclusion: These findings suggest that Brain Gym PACE has a positive effect on improving children’s learning concentration. Educators are advised to implement Brain Gym PACE activities as part of their daily learning routine to support children’s focus and optimize the learning process. Further research is recommended to explore the wider application of Brain Gym across educational contexts and age groups.