Interest : Jurnal Ilmu Kesehatan

Playing Puzzles Improves School-Age Children's Handwashing Knowledge and Skills

Yuliana Yuliana — 2024-11-07

Background: Handwashing refers to the practice of using soap and water to clean one's hands, both externally and between the fingers. Avoiding the spread of diarrhea, an infectious disease, requires regular handwashing. The goal of this research is to examine how SDN 009 Loa Janan Ilir students' handwashing knowledge and skills changed after receiving health education in the form of puzzles.

Methods: A non-random control group design was used in this quasi-experimental study. The treatment group was SDN 009 Loa Janan Ilir, and the comparison group was SDN 007 Loa Janan Ilir. Each school used a sample size of 53 students. Media with a puzzle theme was provided to the treatment group, while media with a PowerPoint theme was provided to the comparison group. The data was analyzed using Wilcoxon and Mann-Whitney tests.

Results: A bivariate analysis demonstrated that both participants' knowledge and skills improved after being exposed to health education content presented in puzzle form. After receiving health education, there was a statistically significant difference in both the knowledge and competence levels of handwashing between the treatment and comparison groups (ρ-values of knowledge ρ=0.032 and ρ-values of skill ρ=0.000).

Conclusion: Students at SDN 009 Loa Janan Ilir learned new information and improved their handwashing skills after obtaining health education via puzzle media, according to the results of this study.

Neo Automatic Code to Improve Quality of Cardiopulmonary Resuscitation (CPR) in Society

Rendi Editya Darmawan — 2024-11-11

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.

The Impact of Sticking Pictures to Promote Dengue Fever Prevention on Fifth-Graders’ Knowledge and Attitude

Della Pangestu Wibowo — 2024-11-13

Background: Dengue fever is an acute mosquito-borne infection caused by the dengue viruses and has become a growing public health concern globally. One of the causes is the lack of knowledge about the 3M Plus campaign, especially among children in the school-age group. The objective of this research is to identify the impact of sticking pictures as health promotion media to prevent dengue fever on elementary school fifth-graders’ knowledge and attitude.

Methods: This research uses a pre-experimental type with a one-group pre-test and post-test design. The population of this research consisted of all fifth-grade students, followed by 39 persons chosen utilizing proportional random sampling and simple random sampling techniques. The primary data for this research were collected through the distribution and completion of close-ended questionnaires. The data analysis method was carried out using the Wilcoxon signed-ranks test.

Results: The results show that there is a significant impact of the use of sticking pictures as health promotion media on elementary school fifth-graders’ knowledge (p = 0.01) and attitude (p = 0.01) towards dengue fever prevention after they were given sticking pictures.

Conclusion: The use of health promotion media with sticking pictures affects elementary school fifth-graders’ increasing knowledge and attitude about DHF. The implication of this finding is that educators should consider integrating sticking pictures as health promotion media into their teaching methods to enhance students’ knowledge and attitude towards dengue fever prevention.

Effectiveness of Oral Herbal in Postpartum and Breastfeeding

Nutrisia Aquariushinta Sayuti — 2024-12-02

Background: Health care during the postpartum and breastfeeding periods fulfils the needs of the mother and baby. 'Jamu', or herbal medicine, is often used for this purpose, but there needs to be more evidence of its effectiveness. The public's insufficient understanding of herbal medicine necessitates a systematic review to assess its contents, benefits, and side effects. The systematic review aimed to examine oral herbal medicines during puerperium or breastfeeding, using the RCT method to provide evidence of IB levels in EBM.

Methods: Inclusion criteria were articles in randomised controlled trials (RCTs) to investigate the effectiveness of oral herbs during the puerperium and lactation. The methodological quality of articles was tested with the Jadad Score.

Results: The five (5) selected articles have good quality (the Jadad Score was 5–8). The study tested five herbs, including fenugreek, honey, bitter fennel, Brazilian propolis, barley malt, and Thai herbal tea "Wang Nam Yean" (a mixture of sappan wood (secang), bael (maja) fruit, licorice, ginger, and tuba (Derris scandens)). Comparators included placebo and other herbs or Domperidone. Most clinical outcomes involved successful breastfeeding, but complications, infant weight gain, and side effects were also observed.

Conclusion: Herbs can aid in healthy breastfeeding, but they should be taken cautiously and in conjunction with the assessment, counselling, and support of healthcare professionals. No herbal medicine has the best evidence-based practices because the evidence has not been applied to clinical practice, so changes in clinical practice results have yet to be documented.

The Influence Of Spiritual Emotional Freedom Technique On Cortisol Levels in Ischaemic Stroke Patients

Aria Nurahman Hendra Kusuma — 2024-12-03

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.

Parental Support in Psychological Rehabilitation of Child Victims of Sexual Violence: A Qualitative Study

Regita Eka Ayu Syahfitri — 2024-12-06

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.

Media Audio Barcode Monitoring Book (Dicotobook) Effectively Improves Detection of Stunting Risk

Maharani Mirabella Hasmanita — 2025-02-28

Background: Stunting is the growth retardation that occurs in children as a result of chronic malnutrition, recurrent infections, and persistent psychological and social stress. 88 toddlers in Bengkulu City experienced stunting with a prevalence of 0.86%. This study aims to determine the effectiveness of the Audio Barcode Monitoring Book (Dicotobook) media on maternal behavior in the early detection of stunting.

Methods: This study used a quasi-experiment design with a pretest-posttest design with a control group. The sample in this study was breastfeeding mothers, totalling 30 people in the intervention group and 30 in the control group using a purposive sampling technique. Data analysis in this study used the Wilcoxon signed rank test, the Mann-Whitney test, and the Analysis of Covariance test.

Results: The statistical test results showed differences in mothers' average knowledge, attitudes, and actions before and after education using Dicotobook media (intervention group) (p-value 0.001) and leaflet (control group) (p-value 0.001). Education with Dicotobook media is more effective in increasing knowledge (p-value 0.004), attitudes (p-value 0.009), and actions (p-value 0.016) in the early detection of stunting risk after controlling for factors such as maternal education, maternal occupation, and distance to health facilities.

Conclusion: Dicotobook media is a very suitable educational media that can motivate improvement in knowledge, attitudes, and actions in the early detection of stunting risk. This Dicotobook media can be used as an alternative to provide education to the public.

Telehealth Model Strategy to Improve Maternal Feeding Practices in Children with Stunting: Randomized Control Trial

Henny Yolanda — 2025-03-24

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.

Liquid Hand Soap Formulation of Java Citronella (Cymbopogon winterianus) Oil Using Surfactant Combination as Foaming Agent

Nooryza Martihandini — 2025-04-10

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.

The Effect of Combined Benson Relaxation and Warm Compress Therapy on Reducing Dysmenorrhea Pain Among Adolescents

Dwi Utami — 2025-04-26

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.