Interest: Jurnal Ilmu Kesehatan (E-ISSN : 2579-6135; P-ISSN : 2252-5432), with Digital Object Identifier (DOI) prefix 10.37341 known as Interest, is a journal published by Health Polytechnic of Surakarta Ministry twice a year in May and November. Interest has decided to change the Indonesian language to accept with English starting from May 2021. This journal provides a forum for exchanging ideas about theory, methodology and fundamental issues related to the world of health which include nursing, midwifery, physiotherapy, acupuncture, herbal medicine (herbal), occupational therapy, prosthetic orthotics, speech therapy, public health, medicine, and health education. The submission process is open throughout the year. All texts submitted will be through multiple peer reviews and editorial reviews before being accepted for publication. In 2012, the magazine published online with the name of Jurnal Ilmu Kesehatan Interest, starting with Vol.1 No.1 with the printed version of ISSN 2252-5432 and the online version from 2579-6135 in accordance with LIPI policy. Starting in June 2019, Jurnal Ilmu Kesehatan Interest uses an Open Journal System that requires all authors to register before they are allowed to upload the manuscript they write online. After that, editors, peer reviewers, and writers can monitor the processing of the manuscript. Publisher of Jurnal Ilmu Kesehatan is Poltekkes Kemenkes Surakarta incorporate with the organization of profesions : Perhimpunan Akupuntur Terapis Indonesia (HAKTI). ACCREDITATION: RE-ACCREDITATION RESULT Start from June 2020, Based on Excerpts and Decrees of the Minister of Research and Technology / Head of the National Research and Innovation Agency, with Number: B / 1796 / E5.2 / KI.02.00/ 2020, Interest: Jurnal Ilmu Kesehatan has accredited SINTA 3 (3rd Grade Journal). The Accreditation is valid until 2024. EDITORIAL: ENGLISH LANGUAGE Since Vol. 6 No. 1 March 2021, Interest: Jurnal Ilmu Kesehatan only receives full-text manuscript in ENGLISH. Thank you.
Exploring the Impact of Exclusive Breastfeeding and Complementary Feeding on Pediatric Feeding and Swallowing
Background: A child’s eating and swallowing abilities depend on physiological readiness, environmental stimulation, and early feeding experiences. Lack of exclusive breastfeeding or inappropriate complementary feeding can hinder oromotor development, leading to difficulties in chewing, swallowing, or self-feeding during the preschool years. This study examines the relationship between exclusive breastfeeding history, complementary feeding practices, and toddlers’ eating and swallowing abilities. Methods: This cross-sectional study was conducted in Surakarta, Central Java, from April to August 2025, involving 50 randomly selected participants. The dependent variables were children’s swallowing and eating abilities, while the independent variables included exclusive breastfeeding history and complementary feeding practices. Data were gathered using a structured questionnaire and analyzed through path analysis using Stata version 13. Results: Optimal eating ability was significantly influenced by a history of exclusive breastfeeding (b = 2.05; p = 0.048), appropriate complementary feeding (b = 2.50; p = 0.022), and adequate swallowing ability (b = 2.36; p = 0.030). Exclusive breastfeeding and proper complementary feeding also indirectly improved eating ability through their positive effects on swallowing ability. Conclusion: This study highlights the need for maternal education on exclusive breastfeeding and appropriate complementary feeding to promote optimal eating and swallowing development in toddlers, thereby minimizing the risk of related disorders and their potential impact on nutrition and growth.
Copyright (c) 2025 Interest : Jurnal Ilmu Kesehatan
Appropriate Complementary Feeding and Parenting Practices to Prevent Stunting in Children
Background: Stunting is a major public health problem caused by chronic malnutrition and recurrent infections, especially during the First 1000 Days of Life. Banjar Regency recorded the highest stunting prevalence in South Kalimantan, reaching 44.4% in 2022. Parenting practices such as early initiation of breastfeeding (IMD), exclusive breastfeeding, appropriate complementary feeding (MP-ASI), vitamin A supplementation, and handwashing with soap (CTPS) play an essential role in stunting prevention. This study aimed to analyze the association between parenting practices and stunting incidence in Banjar Regency. Methods: An observational study with a cross-sectional design was conducted among mothers with children aged 12–24 months. Samples were selected using multistage random sampling. Data were collected through anthropometric measurements and structured questionnaires assessing parenting practices. Data were analyzed using the chi-square test with a significance level of p<0.05 and odds ratio (OR) estimation. Results: Most mothers practiced IMD (90%), provided MP-ASI (80%), and administered vitamin A supplementation (80%), but more than half did not exclusively breastfeed (43.3%). The prevalence of stunting was 40%. Statistical analysis showed a significant association between MP-ASI practices and stunting incidence (p-value = 0.026; OR = 0.082). However, IMD, exclusive breastfeeding, vitamin A supplementation, and CTPS were not significantly associated with stunting. Conclusion: Complementary feeding practices have a strong protective effect against stunting. Therefore, strengthening maternal knowledge and community-based education on optimal complementary feeding practices should be prioritized in stunting prevention strategies.
Association Between Stress Levels, BMI, and Menstrual Cycle Regularity Among Female University Students
Background: The menstrual cycle functions through a coordinated balance of reproductive hormones. An imbalance in these reproductive hormones can disrupt the menstrual cycle. Aspects that can impact the menstrual cycle include stress and BMI. This study aimed to assess the association between stress levels and BMI on the menstrual cycle among female university students Methods: This research used a cross-sectional study conducted at Dhyana Pura University from April 2025 to May 2025. A total of 40 respondents participated in this study with purposive sampling. Data collection of stress level using the PSS-10 questionnaire, BMI using Staturemeter and digital scales, and menstrual cycle with tracking application (FLO). Pearson correlation test for stress and menstrual cycle variables, Spearman’s Rho for BMI and menstrual cycle variables, and multiple linear regression test. A Significance level of p<0.05 was used. Results: The association between stress levels and menstrual cycle showed a p-value of 0.13 (p < 0.05). The relationship between BMI and menstrual cycle showed a p-value of 0.411 (p>0.05). The relationship between stress level and BMI on menstrual cycle showed a p-value of 0.44 (p < 0.05) with an R-squared value of 0.395. This indicates a weak-to-moderate correlation between stress level and BMI on the menstrual cycle. Conclusion: This demonstrates a relationship between stress level and BMI on the menstrual cycle, with a weak-to-moderate strength. Based on these findings, students are encouraged to manage their stress levels and maintain a healthy BMI to support regular menstrual cycles.
I Gusti Ayu Komang Esti Purnami Hambarsika
Identification of Innovation Needs for Fetal Well-Being Monitoring: A Phenomenological Research
Background: Counting fetal movements is a vital assessment to determine the well-being of the fetus that can be carried out independently by pregnant women. Pregnant women need to be provided with tools that are easy, practical, safe and economical so they can get accurate results. Objective: To develop a fetal movement counting tool that can be used independently by pregnant women. Methods: Qualitative phenomenological research, carried out 1 June-31 Juli 2024. Research using a focus group discussion approach on 8 participants, pregnant women's health workers at Bantul Regional Health Centers, Yogyakarta, Indonesia. Sample criteria: willing to be a participant, actively serving in the maternal health unit, working at a Community Health Center with the highest Infant Mortality Rate. The sample was selected using purposive sampling, analysis techniques using compression, presentation and drawing conclusions NVivo 12 Pro International software. Results: A total of 246 codes were generated, 7 categories, 4 themes, namely: (1) previous behavioral experience; (2) perception of the benefits of calculating fetal movements; (3) experience of techniques for calculating fetal movements; and (4) expectations of the tools needed. There was main topic is need for monitoring fetal movementsaya Conclusion: The themes obtained are the basis for formulating a design to develop a fetal movement monitoring tool that can be carried out independently by pregnant women. The themes obtained imply that health workers need to encourage the use of simple and easy-to-operate foetal movement monitors that can be used independently to improve pregnancy monitoring based on maternal empowerment.
Early Detection of Mental Health in Hypertensive Elderly: Analyzing Depression, Anxiety, and Stress Levels
Background: Elderly with hypertension are highly susceptible to psychological disorders, such as depression and anxiety, due to complex physiological and psychosocial changes. However, comprehensive studies examining the interplay of stress, anxiety, and depression within this population remain limited. The purpose of this study is to analyze mental health problems: Depression, Anxiety, Stress in the elderly with hypertension in the Mojosongo Region of Surakarta. Methods: This research method utilised a descriptive analytical survey design with a cross-sectional approach. The sampling technique used purposive sampling with a sample size of 39 elderly people who met the inclusion criteria, namely (1) elderly and (2) having systolic blood pressure ≥140 mmHg. The research instrument used the Depression Anxiety Stress Scale (DASS-21), and data analysis was performed using Pearson's correlation test. Results: Mild depression was dominated by mild hypertension (63.6%), and moderate (76.9%) p=0.571. Mild anxiety was dominated by mild hypertension (54.5%), moderate (76.9%), and severe (75%) p=0.899, mild stress was dominant in mild hypertension (68.2%), moderate (69.2%), and severe (50%) p=0.719. Conclusion: This study found no significant association between the levels of depression, anxiety, or stress and the severity of hypertension. However, given the high prevalence of psychological distress observed in the descriptive findings, healthcare professionals should prioritize mental health screening in elderly patients. Managing these psychological conditions remains crucial for improving overall quality of life, even if it does not directly correlate with blood pressure reduction.
Compliance with National Speech Therapy Standards: A Comparative Assessment of Two Government Hospitals in Central Java
Background: Standardisation of speech therapy services ensures consistent quality and reduces performance gaps between facilities within the Indonesian healthcare system. However, compliance remains inconsistently implemented across government hospitals, creating variations in service quality and patient outcomes. This study aimed to measure the compliance level of speech therapy services in two government hospitals with Minister of Health Regulation No. 81/2014. Methods: Descriptive quantitative study was conducted at two government hospitals in Central Java. Purposive sampling was used to select five speech therapists as informants. Data were collected through structured checklists aligned with 41 parameters from the regulation. Compliance was scored numerically (1-5 per parameter) and converted into percentages. Total scores were categorized into ratings (A=164-205; B=123-163; C=82-122; D=41-81; E=0-40). Results: Hospital A scored 146/205 (71.21%, Rating B), with deficiencies in screening tools (score: 2/5), documentation validation (2/5), and staff development programs (2/5). Hospital B scored 185/205 (90.24%, Rating A), demonstrating full compliance in interdisciplinary collaboration (5/5) and documentation (5/5). Conclusion: Compliance with national standards varies significantly between hospitals. Standardization of resources and staff training is essential to improve service quality.
A Path Analysis of Environmental and Social Factors Affecting Feeding and Swallowing Abilities in Preschool Children
Background: Environmental and social factors influence the feeding and swallowing abilities of preschool children. However, understanding of how these factors interact to form eating and swallowing abilities is still limited. This study assesses the influence of environmental and social factors on children's feeding and swallowing abilities using various environmental and social indicators. Methods: A cross-sectional study was conducted in Surakarta, Central Java (April–August 2025), with 81 purposively selected children. Feeding and swallowing ability was the dependent variable, while family, school, economic, social, and parenting factors served as predictors. Data were collected through interviews, observations, questionnaires, and the Dysphagia Disorder Survey, and analyzed using path analysis in Stata 13. Results: Children’s feeding and swallowing abilities were significantly associated with economic conditions and food availability (b = 2.09; 95% CI: 0.08–2.58; p = 0.037), parental support and social factors (b = 3.16; 95% CI: 0.79–3.41; p = 0.002), as well as feeding practices (b = 3.27; 95% CI: 0.82–3.27; p = 0.001). Indirectly, children’s abilities were also influenced by social factors, parental support, appropriate feeding practices, school and peer environment, and social support. Conclusion: Economic conditions, parental support, and feeding practices have a direct influence on children’s feeding and swallowing abilities. In contrast, social factors, parenting styles, educational environments, and social support exert indirect effects. The main implication for health practices is the need for integrated interventions involving family economic support, parental education, social systems, and learning environments to support the development of feeding and swallowing abilities in preschool children.
Assessment of “Proning” Nursing Intervention to Increase ROX Index in COVID-19 Patients: A Literature Review
Background: COVID-19 has become a global crisis that has created public health problems. The impact of COVID-19 infection primarily affects the respiratory tract. The most prominent impairments in COVID-19 infection include difficulty breathing and decreased blood oxygen saturation. This review aims to identify available literature related to the effects of proning techniques on improving respiratory rate and oxygenation (ROX) indices, namely SPO2 and PaO2/FiO2 fractions, in patients with acute respiratory distress syndrome (ARDS) due to COVID-19. Methods: A literature review design was employed. An online search strategy was conducted using major electronic databases, including Scopus, PubMed, Science Direct, ProQuest, and Google Scholar. This review design used the Preferred Reporting Items for Systemic Review and Meta-Analysis (PRISMA) Guidelines. The literature sources reviewed ranged from 2020 to 2025. Ten articles met the criteria and were reviewed. Results: A total of 387 articles met the screening criteria: 159 articles were identified after screening for duplication, 25 articles met the criteria for full-text review and eligibility, and 15 articles were excluded due to study design and irrelevant results. Ten articles met the criteria and were reviewed. Conclusion: Proning is the use of a prone position that can improve the body's oxygenation adequacy index, both ROX with the SpO₂ indicator and the PaO₂/FiO₂ ratio, and these findings highlight the health practice that healthcare professionals play a key role in assessing oxygenation status, safely applying prone positioning, and closely monitoring patient responses to optimize respiratory outcomes.
Brain Gym PACE (Positive, Active, Clear, Energetic) as a Cognitive Intervention to Improve Concentration in Elementary School Children
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.
Relationship Between Satisfaction and Waiting Time in Polowijen Primary Health Care Malang
Background: Patient satisfaction depends on the quality of service, service waiting time, and the efforts made by officers to fulfill patient desires with the services provided. Waiting time that is too long will cause dissatisfaction with the patient. This study aims to analyze the relationship between waiting time and patient satisfaction in the outpatient registration section of the Polowijen Primary Health Care (PHC). Methods: This study used an analytic survey with a crosssectional approach. The population in this study were patients during August-October 6,214 people. The sample was calculated using the slovin formula of 100 people. The sampling technique uses quota sampling. Data analysis used the Chi-Square test. The waiting time at the Polowijen PHC registration section was > 10 minutes (not ideal) for 90 respondents (90%) and waiting time ≤ 10 minutes (ideal) for 10 respondents (10%). The level of patient satisfaction as many as 66 respondents (66%) felt very satisfied and 34 respondents (34%) felt satisfied. Results: There is no relationship between waiting time and patient satisfaction at outpatient registration at the Polowijen PHC (p Value > 0.05). Conclusion: As conclusion The waiting time obtained by patients > 10 minutes does not affect patient satisfaction. This happens because the Polowijen Health Center is the only health facility of choice for the patient, so waiting times that are not ideal do not affect patient satisfaction.
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Taizé Meditation as an Intervention to Reduce Anxiety in First-Year Nursing Students
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
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.
The Relationship between Therapeutic Communication and Patient Satisfaction with Nursing Care
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.
The Effect of Combined Benson Relaxation and Warm Compress Therapy on Reducing Dysmenorrhea Pain Among Adolescents
Background: Dysmenorrhoea is pain felt before or during menstruation, characterised by abdominal cramps that can radiate to the back. Nonpharmacological interventions such as Benson relaxation and warm compresses are effective first aid to reduce dysmenorrhoea pain. This study aims to analyse the effect of a combination of Benson relaxation and warm compresses on reducing dysmenorrhoea pain in adolescents. Methods: This study used a quasi-experimental design with a pre-posttest control group design. A total of 60 adolescents were selected through purposive sampling technique and divided into two groups: intervention group (n=30) who received combination therapy of Benson relaxation and warm compress, and control group (n=30) who only received warm compress. Pain levels were measured using the Numeric Rating Scale (NRS), and data were analysed using the Wilcoxon test. Results: There was a decrease in pain levels in both groups after the intervention, with a more noticeable decrease in the intervention group (mean difference = 0.8) compared to the control group (mean difference = 0.4). However, the Wilcoxon test results showed a p value = 0.542 which means there was no statistically significant difference between the two groups. Conclusions: Warm compress therapy or a combination of warm compress with Benson relaxation is equally effective in reducing dysmenorrhoea pain in adolescents. Both interventions can be applied as non-pharmacological interventions in the school environment as part of promotive and preventive efforts against dysmenorrhoea pain in adolescents.
Procrastination and Parental Support as Determinants of Academic Stress in Nursing Students
Background: The Covid-19 pandemic has resulted in changes in learning methods from face-to-face to online, which has an impact on increasing the academic stress of nursing students. Academic stress is the pressure experienced in the academic environment and is influenced by internal and external factors. This study aims to identify factors associated with nursing students' academic stress levels during online lectures in the Covid-19 pandemic. Methods: The research approach was quantitative with correlational analytic design and cross-sectional method. The research sample was selected by random sampling, involving 256 respondents. Data were collected using a Likert scale-based questionnaire and analysed with Chi-Square and Kendall's Tau statistical tests. Results: Gender has no relationship to the level of academic stress of nursing students (p = 0.164); while procrastination is related to the level of academic stress with a moderate correlation and positive relationship direction (p = <0.001; r = 0.285). In addition, parental social support also affects the level of academic stress with a moderate correlation and negative relationship direction (p = <0.001; r = 0.329). Conclusion: Factors associated with academic stress levels of nursing students are procrastination and parental social support. It is recommended that educational institutions implement targeted interventions to minimize academic procrastination and strengthen parental support systems as strategic efforts to manage academic stress among nursing students.
Parental Stress in Supporting Online Learning of Elementary School Children During the COVID-19 Pandemic: A Cross-Sectional Study
Background: The implementation of online primary school level learning during the covid 19 pandemic has caused stress levels for parents. This is related to the process of assisting online learning there are obstacles or burdens experienced by parents. The study analysed the relationship between online learning assistance and stress levels of parents of elementary school children in grades 1-4 during the Covid 19 pandemic. Methods: Quantitative research design with a cross-sectional approach. The study was conducted on 52 students using random sampling techniques. Data analysis using Kendall's tau-b test. Results: Statistical tests showed there was a significant relationship between online learning assistance and stress level (p value <0.001). The strength of the relationship is in the strong category (r = 0.653) with predominantly moderate online learning assistance (67.3%) and moderate stress level (63.5%). Conclusion: There is a significant relationship between online learning assistance and stress level. The study underscores the importance of structured support programs to help parents manage stress during elementary online learning, emphasizing digital literacy, time management, and emotional support to enhance parental involvement.
Correlation Between Parental Verbal Violence and Adolescents’ Self-Confidence in Junior High School Students
Background: Parents should provide the best upbringing for their children, but sometimes the majority of parents educate their children with violence. Verbal violence is insulting, yelling, and saying inappropriate words. This study analyses the relationship between parental verbal violence and adolescents' self-confidence. Methods: Quantitative design with an approach to 264 respondents with simple random sampling technique, using a questionnaire measuring instrument. Results: The results of the Kendall's tau-b correlation test obtained a p value of 0.002 with a correlation coefficient of 0.133 in the very low category. Children who experience mild verbal violence (72%) and moderate self-confidence (65.2%). Conclusion: There is a significant relationship between parental verbal violence and adolescents' self-confidence. Parents should be provided with parenting education programs that emphasize positive communication strategies to prevent verbal violence and support the development of adolescent self-confidence.
How Knowledge Shapes Public Perception of the Covid-19 Vaccine
Background: In 2021, Covid-19 cases in Indonesia decreased by 82% following the implementation of a mass vaccination program. The Covid-19 vaccine, which uses a weakened virus, helps prevent transmission, reduce morbidity and mortality, and increase immunity to the virus. This study analyzes the relationship between the level of knowledge and public perception of the Covid-19 vaccine. Methods: This quantitative study employed a cross-sectional design. A purposive sampling technique was used, resulting in 154 respondents. Data were collected via an online questionnaire, and analyzed using the Spearman Rank correlation test. Results: The Spearman Rank test revealed a significant relationship between the level of knowledge and public perception of the Covid-19 vaccine, with a p-value of 0.025 (p < 0.05). Conclusion: Higher levels of public knowledge about Covid-19 are associated with more positive perceptions of the vaccine. Public education through reliable sources is essential to enhance understanding and encourage effective Covid-19 prevention practices.
Effectiveness of Early Breastfeeding Initiation (IMD) as an Effort to Preventive Hypothermia in Neonatal: A Literature Study
Background: Hypothermia is a leading cause of morbidity and mortality in neonates, contributing to complications such as hypoglycemia, metabolic acidosis, hypoxia, growth disturbances, bleeding, shock, and apnea. One effective prevention method is Early Initiation of Breastfeeding (IMD). This study analyzes the effectiveness of IMD in preventing hypothermia in neonates. Methods: This literature review used the PICO (Population, Intervention, Comparison, Outcome) approach. Eleven journals from Elsevier, Google Scholar, ResearchGate, PubMed, and Wiley Online Library, published between 2019 and 2023, were reviewed. Results: The analysis showed that IMD was effective in increasing neonatal body temperature with an average increase of 0.55°C. All journals reviewed concluded that IMD plays a significant role in maintaining the stability of infant body temperature and preventing hypothermia with a p value <0.05. Conclusion: IMD is effective in preventing hypothermia, enhancing breast milk production, promoting bonding between mother and baby, and strengthening the baby’s immune system. IMD should be initiated as soon as possible after birth, with a minimum duration of 60 minutes, to prevent hypothermia.
Sleep Quality and Stress Levels Among Second-Year Nursing Students
Background: Nursing students experience stress in various forms and levels, which can negatively affect their well-being if not managed properly. The accumulation of stress can lead to significant consequences if unresolved. This study analyzes the relationship between stress levels and sleep quality among second-year nursing students. Methods: This cross-sectional study used simple random sampling to select 59 nursing students. Stress levels were assessed using the Depression Anxiety and Stress Scale (DASS), while sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI). Data ware analyzed using the Kendall tau_b correlation test. Results: Stress level is associated with sleep quality in second year nursing students (p value 0.005). The strength of the relationship in the category is quite strong (r = 0.344). The lighter the stress level, the better the sleep quality of second-year nursing students. Conclusion: Stress levels are significantly related to sleep quality in second-year nursing students. Preventive measures and stress management strategies, such as counseling, are recommended to improve sleep quality.
Association Between Covid-19 Knowledge and Anxiety Among Late-Term Pregnant Women
Background: Pregnant women are vulnerable to infections, including Covid-19, and the lack of effective health services can contribute to psychological distress, particularly anxiety. This anxiety is often due to misinformation and insufficient knowledge about Covid-19 prevention. To examine the relationship between Covid-19 prevention knowledge and anxiety levels in pregnant women during the 3rd trimester. Method: This correlational study used a cross-sectional design. A total of 43 pregnant women were selected using total sampling. Data were collected using the Covid-19 knowledge questionnaire and the modified Perinatal Anxiety Screening Scale, specifically designed for the Covid-19 pandemic. Results: A significant relationship was found between Covid-19 prevention knowledge and anxiety levels in the 3rd trimester (p-value = 0.017). Conclusion: Higher knowledge of Covid-19 prevention is associated with lower anxiety levels in pregnant women during the 3rd trimester. Nurses play a key role in providing accurate information to reduce anxiety.
Improving Sleep Quality and Blood Pressure Through Warm Foot Soak in the Elderly
Background: Hypertension can lead to decreased sleep quality in the elderly. Nursing interventions are needed to overcome sleep disorders in the elderly. This study analyses the effect of warm water foot bath therapy on reducing blood pressure and improving sleep quality in elderly people with hypertension who experience sleep disorders. Methods: Pre-experimental research with one group pre-post test design method. The purposive sampling technique was 37 respondents. Research instrument questionnaire sheet. Friedman statistical test. Results: Friedman test results p value < 0.001. Sleep quality before warm water soaking results in moderate PSQI scores (37.8%) and respondents with poor PSQI scores (62.2%). After the warm water soak, the PSQI score was good (8.1%), respondents with mild PSQI scores (18.9%) and respondents with moderate PSQI scores (73%). Friedman test p value <0.001. Conclusion: Warm water foot baths can reduce blood pressure and improve sleep quality in the elderly. This therapy can be used as a nursing intervention in the elderly who experience hypertension and sleep disorders.
Adolescents’ Reproductive Health Knowledge and Risky Sexual Behavior: A Correlational Study
Background: Many teenagers engage in underage dating involving sexual activity, as well as unhealthy behaviors such as smoking, alcohol consumption, and drug use. Early prevention through counseling and education on reproductive health and risky sexual behavior is essential. To identify the relationship between reproductive health knowledge and risky sexual behavior among adolescents. Methods: Analytical observational method with a crosssectional approach. The sampling technique used, namely purposive sampling of 69 respondents. This research instrument uses a questionnaire sheet. Statistical tests using the Spearman Rank test. Results: The Spearman Rank correlation coefficient was 0.307, indicating a positive relationship between reproductive health knowledge and risky sexual behavior. Conclusion: There is a positive correlation between reproductive health knowledge and risky sexual behavior in adolescents. Educational programs are recommended to improve awareness and reduce risky behavior.
Family Support on Blood Pressure in Elderly Hypertension: A Literature Review
Background: Hypertension is a non-communicable disease that mostly occurs in the elderly and can cause serious complications such as stroke and heart disease. One factor that can help manage hypertension in the elderly is family support. This support plays a role in improving adherence to medication, maintaining a healthy diet, and reducing stress that can affect blood pressure. This study aims to examine the relationship between family support and blood pressure management in hypertensive elderly based on a literature review. Methods: This study used the literature review method with guidelines from Grove and Gray EBP. Articles were searched through Google Scholar, Ebsco, and Elsevier databases with the keywords "family support," "hypertension," and "elderly." Articles were screened using the PICOS Framework to ensure relevance to the research topic. Results: Analysing 10 articles that met the selection criteria, we found that good family support contributed to improved medication adherence, hypertension diet adherence, and improved quality of life for the elderly. The most influential forms of support include emotional, social, instrumental, and financial support. Conclusion: Family support plays a significant role in the management of blood pressure in hypertensive elderly. Elderly people who get emotional, social, instrumental, and financial support from their families show better blood pressure control and higher quality of life. Families can provide optimal support for the elderly with hypertension by offering emotional, informational, instrumental, and appreciation support to improve adherence to medication and maintain a healthy lifestyle.
Strategy and Role of Health Promotion in Stunting Prevention: Literature Review
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).
Telehealth Model Strategy to Improve Maternal Feeding Practices in Children with Stunting: Randomized Control Trial
Background: The eating behaviour of the stunted children is the high risk for their growth and development. Given the urgency of all the impacts caused and its high prevalence, handling stunting through changes in feeding patterns requires serious attention from the government, society, and individuals as a whole. This study utilises telehealth as an innovative solution to overcome the challenges in feeding children with stunting. The aim of this study is to improve maternal feeding practices for children with stunting using telehealth. Methods: This study uses the single-blind randomised controlled trial method. The sampling method in this study was by using purposive sampling. The participants of this study are 41 mothers who have a child with stunting. Results: There was a significant effect (p=0.169) of the Telehealth Model Strategy to Improve Maternal Feeding Practices in Children with Stunting. Conclusion: We found that the telehealth model can be used to improve maternal feeding practices for children with stunting using telehealth.
The Influence Of Spiritual Emotional Freedom Technique On Cortisol Levels in Ischaemic Stroke Patients
Background: Ischaemic stroke patients experience an increase in cortisol of 38% over 90 days. The spiritual emotional freedom technique (SEFT) provides manual stimulation of acupuncture points, which makes the muscles feel relaxed so that they can control cortisol. This study set out to assess how SEFT affected the cortisol levels in patients who had suffered an ischaemic stroke. Methods: A control group and pre- and post-test measures were part of the quasi-experimental research design. There were seventy-one patients in the research population of the study. The sample was measured using the Slovin formula, and the sampling strategy used was purposeful sampling. Over the course of three months, the intervention group had 12 sessions of SEFT once a week, whereas the control group received regular spiritual treatment from RSUD Dr. Moewardi Surakarta, an outpatient nurse. The ELISA method was used to measure cortisol levels. The Kolmogorov-Smirnov test was used to assess normality, and the Levene test was used to test for homogeneity in bivariate data. The Mann-Whitney method was used to analyze the data. Results: The mean cortisol before intervention was 119.63, and the mean cortisol after intervention was 99.23. SEFT affects cortisol levels in patients who have had an ischaemic stroke, according to a statistically significant (p<0.05) p-value of zero. Conclusion: Patients with ischaemic stroke experienced a significant drop in cortisol levels after using the SEFT. Furthermore, it is necessary to study the dominant factors that influence the cortisol hormone and the need for a multi-religious approach in an effort to develop spiritual-based interventions.
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Neo Automatic Code to Improve Quality of Cardiopulmonary Resuscitation (CPR) in Society
Background: The quality of cardiopulmonary resuscitation (CPR) in Indonesian society is poor. One solution is to give society a metronome called the Neo Automatic Code (NAC) to guide CPR when cardiac arrest patients are present. This study aims to analyze the effect of NAC on the compression depth and compression rate during CPR. Methods: A quick experimental study with a control group design, where the population is chosen by simple random sampling to distinguish between odd and even. The population is health cadres and youth with an age range of 16-56 years. The intervention group gets training 2 times to do CPR with Neo Automatic Code, and the control group gets training in CPR using standard procedure. We use a CPR manikin to measure variables. Data analyzed used Mann Whitney. Results: The Mann-Whitney test shows p = 0.001, concluding that there is a difference in the accuracy of depth and compression speed in CPR between the intervention and control groups. This means the NAC metronome can improve CPR performance in compression depth and compression rate. CPR uses a neo-automatic code metronome to ensure the user breathes regularly and helps the rescuer to constantly give compression. Conclusion: Neo automatic code can improve the quality of CPR in Indonesian society. A study about how many times training must be given to society, considering age, level of education, and kinds of jobs, is needed.
Parental Support in Psychological Rehabilitation of Child Victims of Sexual Violence: A Qualitative Study
Background: Sexual violence was the most common, Data from the Regional Technical Services Unit for the Protection of Women and Children (UPTD PPA) of Jember Regency showed that there were 75 cases of sexual violence against children in 2022 and 73 cases of sexual violence against children in 2023. This research aimed to analyse aspects of parental social support in the psychological rehabilitation of child victims of sexual violence in the Jember Regency. Methods: This research was qualitative research with a case study approach. Data were collected through in-depth interviews with 3 main informants, which are parents of child victims of sexual violence with the age criteria of 7-18 years, 2 additional informants, which are family members or closest people from the victim's parents and 1 key informant, which the Regional Technical Services Unit for the Protection of Women and Children (UPTD PPA) of Jember Regency. Informants of this research are based on the willingness of informants to be interviewed in accordance with an ethical review of the confidentiality of informant information. Results: The results showed that parents had provided emotional support to child victims of sexual violence by reporting to the police; providing affection, instrumental support by fulfilling daily needs, informative support by giving advice to children, and providing appreciation support by accepting the child's condition, providing support to children to undergo rehabilitation so as not to experience prolonged trauma. Conclusion: Providing aspects of parental social support has been given to their children who are victims of sexual violence.
Liquid Hand Soap Formulation of Java Citronella (Cymbopogon winterianus) Oil Using Surfactant Combination as Foaming Agent
Background: Unhygienic hands can cause microorganism infection. Citronella oil contains citronellal, citronellol, and geraniol, which have antibacterial activity. Liquid hand soap removes the dirt and microorganisms; however, it commonly uses sodium lauryl sulphate (SLS) as a foaming agent that may irritate the skin. Lauryl glucoside is a non-ionic, non-irritating surfactant. This study aimed to formulate and characterise liquid hand soaps from citronella oil using a combination of SLS and lauryl glucoside as surfactants. Methods: The research was conducted using an experimental laboratory method. Three liquid hand soap formulas were developed from 15% citronella oil with different weight ratios of SLS and lauryl glucoside: F1 (1:2), F2 (1:1), and F3 (2:1). Then, all liquid hand soaps were evaluated for organoleptic properties, homogeneity, viscosity, pH, and foam height. Then the foam stability test was conducted after the formed foam was left for 5 minutes. Results: The results showed that all liquid hand soaps were homogeneously distributed, clear viscous liquids having a distinctive odour of citronella oil. The liquid hand soap preparations had a viscosity range of 549.7–565.8 cps, a pH in the range of 7.39–7.89, a foam height of 74–85 mm, and a stability foam of 63.52–68.91%. All formulas complied with SNI 2588:2017 criteria for liquid hand soap. Conclusion: This study presented that citronella oil could be formulated into liquid hand soap using a combination of SLS and lauryl glucoside. The optimal formula was F1 with a 1:2 ratio of SLS and lauryl glucoside. F1 had the most stable foam due to the higher concentration of lauryl glucoside, which enhances foam stability.