VitaMedica : Jurnal Rumpun Kesehatan Umum
Journal Title : VitaMedica : Jurnal Rumpun Kesehatan Umum Initials : VitaMedica Frequency : Januari, April, Juli dan Oktober Print ISSN : 3030-900X Online ISSN : 3030-8992 Editor in Chief : Balqis Nurmauli Damanik, SKM., MKM DOI : 10.62027 Publisher : STIKES Columbia Asia Medan VitaMedica : Jurnal Rumpun Kesehatan Umum dengan e-ISSN : 3030-8992, p-ISSN : 3030-900X adalah jurnal yang ditujukan untuk publikasi artikel ilmiah yang diterbitkan oleh STIKES Columbia Asia Medan. Jurnal ini adalah VitaMedica : Jurnal Rumpun Kesehatan Umum yang bersifat peer-review dan terbuka. Bidang kajian dalam jurnal ini termasuk riset Ilmu Kesehatan Umum. VitaMedica : Jurnal Rumpun Kesehatan Umum menerima artikel dalam bahasa Inggris dan bahasa Indonesia dan diterbitkan 4 kali setahun : Januari, April, Juli dan Oktober. Jurnal ini terakreditasi SINTA 4 (SK Direktur Jenderal Pendidikan Tinggi, Riset, dan Teknologi Nomor 355/DST/D.D1/HM.01.01/2026 tanggal 24 Juli 2026, tentang Pemberitahuan Hasil Akreditasi Jurnal Ilmiah Periode 3 Tahun 2025), dimulai dari Volume 1 Nomor 4 Tahun 2023 sampai Volume 6 Nomor 3 Tahun 2028. Indexed by: Sponsorship and Partner:
Implementasi Artificial Intelligence Dalam Manajemen Rumah Sakit: Systematic Review Terhadap Efisiensi Operasional, Mutu Pelayanan, Dan Keselamatan Pasien
The development of Artificial Intelligence (AI) has driven significant transformation in hospital management, particularly in operational efficiency, service quality, and patient safety. This study aims to analyze the implementation of AI in hospital management based on recent scientific evidence from 2020 to 2026. The method used was a systematic review guided by the PRISMA 2020 framework. Literature was retrieved from PubMed, ScienceDirect, SpringerLink, Google Scholar, and ProQuest. From 360 identified articles, a stepwise selection process was conducted, resulting in 15 articles that met the inclusion criteria. The findings indicate that AI contributes to improved operational efficiency through patient flow optimization, operating room management, workforce scheduling, and electronic medical record management. AI also enhances service quality through predictive data analytics and supports patient safety through risk detection and early warning systems. In conclusion, AI has strong strategic potential to support modern hospital management. However, its implementation still faces several challenges, including human resource readiness, data security, algorithmic bias, system interoperability, and investment requirements. Therefore, AI implementation should be carried out in a planned, ethical manner and evaluated from a health economics perspective.
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Analisis Faktor Yang Mempengaruhi Kepuasan Pasien BPJS Terhadap Kualitas Pelayanan Rawat Jalan Di RSI Malahayati Medan
Patient satisfaction is a key indicator of health service quality in the National Health Insurance era. Outpatient services for BPJS members still face problems regarding waiting time, communication, and facilities. This study aimed to analyze factors affecting BPJS patient satisfaction with outpatient service quality at Malahayati Islamic Hospital Medan in 2026. A cross-sectional analytic design was applied to 150 respondents selected through consecutive sampling. Data were collected using a validated questionnaire (r>0.361; α=0.876) and analyzed by Chi-square and multiple logistic regression. Results showed that waiting time (p<0.001), staff competence (p<0.001), staff attitude (p<0.001), drug availability (p=0.032), facility comfort (p<0.001), administrative ease (p=0.003), and information clarity (p=0.008) were significantly associated with satisfaction. Multivariate analysis revealed waiting time as the most dominant factor (OR=5.42; 95% CI: 2.31–12.71), followed by staff competence (OR=4.18), facility comfort (OR=2.87), and staff attitude (OR=2.42), with Nagelkerke R²=0.512. Hospital management should optimize service flow and adopt digital queuing systems to enhance patient satisfaction.
Implementasi Program Cek Kesehatan Gratis Di Pelayanan Kesehatan Primer: Studi Literatur
The Free Health Check-up (CKG) is a government program designed to strengthen promotive and preventive health efforts through the early detection of risk factors, pre-disease conditions, and diseases across the community according to the life-cycle approach. As a relatively new initiative, the implementation of the CKG program in primary healthcare settings still requires further evaluation to assess implementation readiness, digital support systems, and community participation. This literature review aimed to examine the implementation of the Free Health Check-up Program in primary healthcare services. Relevant literature was retrieved from the Google Scholar database using the keyword "implementation of the free health check-up program" and was limited to open-access, full-text articles published between 2025 and 2026. The search identified eight eligible articles, which were extracted and analyzed in this review. The synthesis revealed three major themes in the implementation of the CKG program: (1) primary healthcare service readiness, (2) digitalization and reporting systems, and (3) community participation and communication strategies. Primary healthcare readiness includes the availability of human resources, infrastructure, medical equipment, consumable medical supplies, funding, service workflows, and cross-sectoral coordination. Digitalization through the SATUSEHATplatform and integrated reporting systems has the potential to improve service efficiency; however, challenges remain regarding digital literacy, internet connectivity, and the technical capacity of healthcare personnel. Community participation is influenced by knowledge, attitudes, the roles of community health volunteers, teachers, healthcare workers, and communication strategies tailored to the characteristics of the target population. The successful implementation of the CKG program requires strengthening primary healthcare systems, optimizing digital health platforms, and adopting community-based communication strategies to ensure the program is more effective, inclusive, and sustainable.
Pendekatan Manajemen Risiko dalam Penerapan Higiene Industri dan K3 pada Lingkungan Kerja
Industrial hygiene is a branch of public health research that aims to prevent illness and promote Industrial hygiene is an aspect of public health that prioritizes health protection measures for workers through the identification, evaluation, and control of various elements of the work environment that can cause health problems. The goal of implementing industrial hygiene is to prevent work-related illnesses and create a safe, healthy work environment that supports workers’ well-being. Industrial Safety and Health (IS&H) encompasses these various components, including risk identification, risk assessment, risk mitigation, and worker health monitoring, waste management, and emergency response planning. Workplace risks can include physical, chemical, biological, psychological, and ergonomic hazards. Hazard analysis is a crucial step in industrial hygiene as it helps identify and document potential health risks in the workplace. The hazard analysis process includes hazard identification, risk assessment, hazard prioritization, and risk control. The implementation of Occupational Safety and Health aims to ensure the protection of employees’ safety and health from potential hazards arising from work, while ensuring a safe and sustainable work environment. The implementation of OSH and environmental health also provides broad strategic benefits such as worker protection, cost efficiency, increased productivity, regulatory compliance, and enhanced corporate reputation.
Inovasi Manajemen Edukasi Kesehatan Berbasis Teknologi Dalam Meningkatkan Literasi Kesehatan Siswa Di Era Society 5.0
The Society 5.0 era demands increased student health literacy as an essential competency. However, previous research has tended to focus only on the health education aspect and has not comprehensively examined the integration of technology-based health education management. Therefore, this study aims to analyze the effectiveness of technology-based health education management innovations and identify key factors influencing their successful implementation. This study used a mixed methods approach with a sequential explanatory design. Quantitative data were collected through a survey of 200 students, while qualitative data were obtained through in-depth interviews with 10 teachers and the principal. Quantitative data were analyzed using descriptive and inferential statistics, while qualitative data were analyzed using a thematic approach to strengthen the interpretation of the results. The results indicate that technology-based health education management innovations have a significant impact on improving student health literacy. Furthermore, it was found that successful implementation is influenced by five main factors: school institutional support, availability of technological infrastructure, teacher training, student motivation, and parental involvement. The novelty of this research lies in the integration of managerial and technological approaches in health education, tested through a mixed methods approach. These findings confirm that successful health literacy improvement is determined not only by the use of technology, but also by organizational readiness and multi-stakeholder collaboration. The implications of this research provide theoretical contributions to the development of technology-based health education management models and practical recommendations for educational institutions facing the challenges of Society 5.0.
Evaluasi Kepatuhan Petugas Pendaftaran Rawat Jalan dalam Penerapan Kebijakan Privasi Rekam Medis Elektronik di RSD K.R.M.T. Wongsonegoro
RSD K.R.M.T Wongsonegoro has implemented Electronic Medical Records (EMR) in healthcare services. However, several issues related to data security are still encountered in its implementation, including the continued use of paper-based forms, staff practices that may compromise account confidentiality, errors in patient data entry, and system disruptions affecting data availability. This study aimed to evaluate the compliance of Outpatient Registration Officers with the Electronic Medical Record privacy policy based on three main aspects of information security: privacy, integrity, and availability. This study employed a qualitative method with a descriptive approach. Data were collected through in-depth interviews with Outpatient Registration Officers and direct field observations. Data analysis was conducted through data reduction, data presentation, and conclusion drawing using triangulation of interview and observation results. The results showed that, in terms of privacy, officers understood the importance of maintaining data confidentiality and used personal accounts; however, practices such as recording usernames were still found, which may pose security risks. Regarding integrity, officers generally followed data entry procedures and performed data verification, although accuracy was not always consistent during periods of high workload. In terms of availability, the EMR system supported healthcare services, but system disruptions still occurred and hindered access to patient data. It can be concluded that staff compliance with EMR data security policies was generally good but not yet optimal. Therefore, improvements in supervision, staff compliance, and system reliability are needed to enhance data security and service quality.
Gambaran Sarana Sanitasi Lingkungan Pada Rumah Tangga Balita Penderita Stunting Di Puskesmas Rawat Inap Daya Murni Kecamatan Tumijajar Kabupaten Tulang Bawang Barat Tahun 2026
Background: Stunting is a chronic nutritional problem that remains a public health concern in Indonesia. One of the factors contributing to stunting is inadequate household environmental sanitation. Poor sanitation can increase the risk of infectious diseases that hinder children’s growth and development. Objective: To describe environmental sanitation facilities in households with stunted children under five in the service area of the Daya Murni Inpatient Health Center, Tumijajar District, West Tulang Bawang Regency, in 2026. Methods: This descriptive study used a total sampling technique involving 19 households with stunted children under five. Data were collected through interviews and observations using a checklist and analyzed using univariate analysis. Results: Most environmental sanitation facilities did not meet health standards, including water supply facilities (73.7%), household latrines (57.9%), solid waste disposal facilities (89.5%), and wastewater disposal facilities (84.2%). Conclusion: Environmental sanitation conditions in households with stunted children under five remained inadequate. Therefore, improvements in basic sanitation facilities and increased community education are needed to support efforts to prevent stunting.
Gambaran Media Dan Bangunan Rumah Penderita Tuberkulosis Paru Di Wilayah Kerja Puskesmas Gedong Air Kota Bandar Lampung Tahun 2026
Pulmonary tuberculosis (TB) remains a communicable disease and a major public health problem in Indonesia. The media and building conditions of houses occupied by pulmonary tuberculosis patients play an important role in the transmission of this disease. This study aimed to describe the media and building conditions of houses occupied by pulmonary tuberculosis patients in the Working Area of Gedong Air Public Health Center, Bandar Lampung City, in 2026, covering occupancy density, bedroom lighting, bedroom humidity, bedroom temperature, and bedroom ventilation rate. This study employed a quantitative descriptive design with an observational approach. A total of 60 houses of pulmonary tuberculosis patients were selected using a simple random sampling technique. Data were collected through observation and interviews and were analyzed using univariate analysis. The results showed that most of the media and building conditions of houses occupied by pulmonary tuberculosis patients did not meet health requirements in terms of occupancy density, bedroom lighting, bedroom humidity, bedroom temperature, and bedroom ventilation rate. It can be concluded that the media and building conditions of houses occupied by pulmonary tuberculosis patients in the Working Area of Gedong Air Public Health Center, Bandar Lampung City, in 2026 were predominantly not in accordance with healthy housing requirements. Therefore, education for patients and their families regarding health-compliant media and building requirements, particularly related to occupancy density, bedroom lighting, bedroom humidity, bedroom temperature, and bedroom ventilation rate, is needed to help reduce the risk of pulmonary tuberculosis transmission.
Hubungan Kualitas Dashboard Manajemen Rumah Sakit Dengan Kecepatan Pengambilan Keputusan Manajerial Pada Rumah Sakit Islam Malahayati Medan Tahun 2026
The rapid digital transformation of Indonesian hospitals has positioned management dashboards as strategic instruments to support evidence-based managerial decision-making. However, the extent to which the quality of hospital management dashboards influences the speed of managerial decision-making has not been sufficiently examined in Indonesian tertiary hospitals. This study aimed to analyze the relationship between the quality of the hospital management dashboard and the speed of managerial decision-making at Malahayati Islamic Hospital Medan in 2026. A quantitative analytical study with a cross-sectional design was conducted on 70 managerial staff (heads of units, heads of installations, supervisors, head nurses, and managers) selected through simple random sampling from a population of 85. Data were collected using a validated Likert-scale questionnaire (1–5) covering six dimensions of dashboard quality and four dimensions of managerial decision-making speed. Univariate, bivariate (Spearman's rank correlation), and simple linear regression analyses were performed. The results showed that 68.6% of respondents perceived the dashboard quality as good and 71.4% reported fast managerial decision-making. A significant, strong, and positive correlation was found between dashboard quality and managerial decision-making speed (r = 0.782; p < 0.001), with an R² of 0.612. The study concludes that improving dashboard quality substantially accelerates managerial decisions, supporting the DeLone & McLean Information System Success Model in the Indonesian hospital context.
Pengaruh Implementasi Rekam Medis Elektronik Dan Literasi Digital Petugas Terhadap Efisiensi Pelayanan Rawat Jalan
Digital transformation of hospitals in Indonesia has accelerated following the Ministry of Health Regulation No. 24 of 2022 that mandates the adoption of Electronic Medical Records (EMR) in every healthcare facility. Nevertheless, the effectiveness of EMR in improving outpatient service efficiency remains inconsistent because it depends heavily on the digital literacy of health workers. This study aims to analyze the effect of EMR implementation and staff digital literacy on outpatient service efficiency at Mitra Sejati General Hospital. This research employed a quantitative analytical design with a cross-sectional approach. The population comprised 120 outpatient staff, and 92 respondents were selected through simple random sampling. Data were collected using a validated Likert-scale questionnaire (1–5) and analyzed through univariate, bivariate, and multiple linear regression tests supported by classical assumption testing. The results indicated that EMR implementation (β = 0.412; p = 0.000) and digital literacy (β = 0.368; p = 0.000) had a positive and significant effect on outpatient service efficiency, both partially and simultaneously (F = 58.734; p = 0.000), with an Adjusted R² of 0.559. The findings imply that strengthening EMR governance and continuous digital literacy training are strategic interventions for improving outpatient service efficiency in Indonesian hospitals.
Determinan Kepatuhan Follow-Up Pasca Skrining DNA HPV Terhadap Keterlambatan Diagnosis Kanker Serviks Di RSU Murni Teguh Medan Tahun 2026
Cervical cancer remains a leading cause of female cancer mortality despite the availability of highly sensitive HPV DNA primary screening. In line with the WHO 90-70-90 Cervical Cancer Elimination Strategy, screening coverage has increased, yet post-screening follow-up adherence has become the critical bottleneck causing diagnostic delay. This study aims to analyze determinants of follow-up adherence after HPV DNA screening and its effect on cervical cancer diagnostic delay at Murni Teguh General Hospital Medan in 2026. An analytical observational study with cross-sectional design was conducted on 208 women aged 30-65 years who underwent HPV DNA screening between January and June 2026, recruited by consecutive sampling. Data were collected using validated structured questionnaires and medical record extraction, then analyzed using Chi-square, Fisher Exact, and multiple logistic regression at 95% confidence level. Results showed that 57.2% of respondents adhered to follow-up, and among non-adherent participants 74.2% experienced diagnostic delay (>90 days). Multivariate analysis identified five dominant determinants of non-adherence: low knowledge (aOR=4.82; 95%CI 2.11-11.02), inadequate family support (aOR=3.94; 95%CI 1.78-8.72), long residential distance (aOR=3.27; 95%CI 1.55-6.89), poor health worker communication (aOR=2.98; 95%CI 1.42-6.25), and absent hospital reminder system (aOR=2.61; 95%CI 1.24-5.51). Non-adherent follow-up increased diagnostic delay risk 6.71-fold (95%CI 3.28-13.72; p<0.001). The Hosmer-Lemeshow test (p=0.612) and Nagelkerke R² (0.548) indicated a good model fit. Strengthening health literacy, family-based education, and hospital reminder systems is imperative for accelerating cervical cancer elimination.
General Anesthesia pada Tindakan Sirkumsisi Pasien Phimosis dengan Sindrom Nefrotik
Pathological phimosis is a condition characterized by the inability to retract the prepuce due to fibrotic narrowing, often presenting with dysuria, recurrent infections, or urinary obstruction, and requiring circumcision as definitive treatment. The presence of nephrotic syndrome as a comorbidity increases the complexity of perioperative anesthetic management because of potential hypoalbuminemia, altered pharmacokinetics of anesthetic agents, and the risk of perioperative complications. This case report describes a 12-year-old boy with pathological phimosis and nephrotic syndrome in remission who presented with difficulty retracting the foreskin, painful urination, and low-grade fever. Physical examination revealed a non-retractile prepuce without signs of paraphimosis or active infection. Laboratory investigations demonstrated mild leukocytosis, serum albumin of 2.8 g/dL, and proteinuria (2+), consistent with nephrotic syndrome in remission. The patient was classified as American Society of Anesthesiologists (ASA) physical status II and underwent elective circumcision under general anesthesia with endotracheal intubation. Anesthesia was induced with fentanyl and propofol and maintained with sevoflurane. The intraoperative and postoperative courses were uneventful, with stable hemodynamic parameters and satisfactory recovery. This case highlights that elective circumcision under general anesthesia can be performed safely in pediatric patients with nephrotic syndrome in remission through comprehensive preoperative assessment, appropriate anesthetic selection, careful perioperative fluid management, and multidisciplinary collaboration.
Determinan Keterlambatan Diagnosis Rinosinusitis Kronis Berdasarkan Karakteristik Pasien Dan Temuan CT-SCAN di RSU Mitra Medika Bandar Klippa Tahun 2026
Chronic rhinosinusitis (CRS) is a persistent inflammatory disease of the paranasal sinus mucosa lasting at least twelve weeks. Its non-specific presentation frequently causes diagnostic delay, worsens patient outcomes, and increases healthcare costs. This study aimed to analyse the association between patient characteristics and paranasal sinus CT scan findings with delayed diagnosis of CRS at Mitra Medika Bandar Klippa General Hospital in 2026. An observational analytic study with a cross-sectional design was conducted on 120 patients selected through consecutive sampling from January to December 2026. Data were obtained from medical records and paranasal sinus CT scan reports. Bivariate analysis employed Chi-Square and Fisher's Exact tests with a significance level of p<0.05, and Odds Ratios (OR) with 95% Confidence Intervals (CI) were calculated. Delayed diagnosis was identified in 56.7% of patients. Variables significantly associated with delayed diagnosis were age ≥40 years (OR=2.38; p=0.024), low educational level (OR=2.46; p=0.030), smoking status (OR=2.96; p=0.006), history of allergy (OR=2.39; p=0.022), duration of symptoms ≥12 weeks before consultation (OR=4.45; p<0.001), Lund-Mackay score ≥12 (OR=3.46; p=0.001), presence of nasal polyps (OR=4.20; p<0.001), and bilateral sinus involvement (OR=2.78; p=0.009). Duration of symptoms and nasal polyps demonstrated the strongest associations. Strengthening early detection, patient education, and timely referral pathways for CRS is recommended to reduce diagnostic delay
Transformasi Layanan Telinga Hidung Tenggorokan–Kepala Leher (THT-KL) Melalui Artificial Intelligence: Literature Review
The development of Artificial Intelligence (AI) has driven a significant transformation in medical services, including in the field of Otorhinolaryngology–Head and Neck Surgery (ENT-HNS). This literature review aims to comprehensively analyze the utilization of AI in ENT-HNS services, covering diagnosis, medical imaging interpretation, disease detection, clinical decision-making, and implementation challenges. The method used is a narrative review of articles indexed in PubMed, Google Scholar, ScienceDirect, SpringerLink, and Wiley Online Library published between 2021–2026, in English and Indonesian. A total of 32 articles that met the inclusion criteria were analyzed. The results show that AI, especially machine learning and deep learning, has been widely applied for detecting chronic rhinosinusitis, otitis media, hearing loss, head and neck cancer, laryngeal disorders, and obstructive sleep apnea. AI also improves the accuracy of CT-scan and MRI interpretation through image segmentation, polyp detection, and tumor identification, while serving as a Clinical Decision Support System integrated with Electronic Medical Records. The main challenges include data privacy, ethics, dataset limitations, infrastructure, and workforce readiness. AI has strong potential to transform ENT-HNS services, although sustainable regulation, human resources, and evaluation are still required.
Penerapan Teknik Slow Stroke Back Massage dalam Mengontrol Tekanan Darah pada Penderita Hipertensi
Hypertension is a chronic disease known as the “silent killer” because it may cause serious complications such as stroke, heart disease, and kidney failure. In addition to pharmacological treatment, non-pharmacological therapies such as slow stroke back massage (SSBM) can support hypertension management by providing relaxation, improving blood circulation, and helping reduce blood pressure. This study aims to analyze the application of evidence-based nursing care using the SSBM technique to reduce blood pressure in hypertensive patients. A case study was conducted involving three hypertensive patients at Bhayangkara Moh. Hasan Hospital, Palembang. Data were collected through interviews and physical examinations, while the SSBM intervention was implemented for three consecutive days. The results showed a decrease in blood pressure in all patients after receiving the intervention. The greatest reduction occurred in Mrs. K, from 140/85 mmHg to 120/70 mmHg, followed by Mrs. S, from 153/85 mmHg to 143/82 mmHg. The smallest reduction was observed in Mrs. R, from 201/125 mmHg to 196/128 mmHg. SSBM can be considered a complementary non-pharmacological therapy to support hypertension management.
Perilaku Wanita Usia Subur Terhadap Minat Dalam Pencegahan Kanker Serviks Di Puskesmas Kampung Baru
Cervical cancer is one of the leading causes of morbidity and mortality among women in Indonesia. Although it can be prevented through Human Papillomavirus (HPV) vaccination and early detection using IVA screening or Pap smears, screening coverage remains low due to a lack of knowledge, attitudes, and awareness among women of childbearing age. This study aims to analyze the behavior of women of reproductive age regarding their interest in cervical cancer prevention at the Kampung Baru Community Health Center. The study employed a quantitative analytical design with a cross-sectional approach. The sample consisted of 98 women of reproductive age selected using purposive sampling. Data were collected using a questionnaire that measured respondents’ behavior and interest in cervical cancer prevention. The results showed that the majority of respondents were aged 26–35 years (41.8%) and had a high school education (45.9%). The behavior of the respondents was classified as “good” for 56 individuals (57.1%), while 62 respondents (63.3%) expressed a high level of interest in cervical cancer prevention. The results of the study showed that the majority of respondents were aged 26–35 years (41.8%) and had a high school education (45.9%). The behavior of the respondents fell into the “good” category for 56 individuals (57.1%), while 62 respondents (63.3%) expressed a high level of interest in cervical cancer prevention. The results of the Chi-Square test analysis indicate a significant association between the health behaviors of women of reproductive age and their interest in cervical cancer prevention (p = 0.001). The educational activities provided also improved participants’ knowledge, attitudes, and motivation to undergo early detection through IVA screening and Pap smears. It is concluded that good health behaviors play a crucial role in increasing the interest of women of reproductive age in cervical cancer prevention. Therefore, ongoing health education must continue to be implemented to increase screening coverage and reduce the incidence of cervical cancer.
Administrasi Keperawatan Dalam Implementasi HPV DNA Self-Sampling: Literature Review Strategi Eliminasi Kanker Serviks Di Kota Medan Tahun 2026
Cervical cancer remains a major public health problem in Indonesia and constitutes the second most common cancer among women in North Sumatra. The World Health Organization has set the 90-70-90 cervical cancer elimination target by 2030, in which 70% of women aged 35 and 45 must undergo high-performance screening. HPV DNA testing using self-sampling has emerged as an innovative strategy to increase screening coverage, particularly in areas with limited access such as Medan. This literature review aims to synthesize scientific evidence regarding the effectiveness, acceptability, implementation barriers, and opportunities of HPV DNA self-sampling to strengthen cervical cancer screening programs in Medan. The review followed PRISMA 2020 guidelines using narrative synthesis. Literature searches were conducted across PubMed, Scopus, ScienceDirect, SpringerLink, Wiley, ProQuest, and Google Scholar for articles published between 2021 and 2026 using Boolean combinations of the keywords cervical cancer, HPV DNA, self-sampling, nursing, and screening. Of 1,248 articles identified, 32 met the inclusion criteria for narrative synthesis. The results demonstrate that HPV DNA self-sampling has diagnostic sensitivity comparable to clinician sampling (relative sensitivity 0.96-1.02), high acceptability (78-94%), and effectively increases screening participation among women who have never or rarely been screened. Nurses have a strategic role as educators, counselors, coordinators, and community health promoters in program implementation. The main barriers include limited health literacy, cultural stigma, distribution logistics, and integration with primary health services. This review concludes that HPV DNA self-sampling is a feasible and evidence-based strategy for accelerating cervical cancer elimination in Medan and provides substantial implications for strengthening community nursing practice.
Gambaran Pengetahuan dan Kepatuhan K3 terhadap Perilaku Tidak Aman Pekerja di PT. Bhumi Phala Perkasa
Occupational accidents remain a significant concern in the industrial sector, as most incidents are associated with unsafe work behavior (unsafe actions). Although companies have implemented Occupational Safety and Health (OSH) programs, unsafe behaviors continue to occur due to differences in workers' levels of knowledge and compliance with established safety procedures. This condition highlights the importance of understanding the role of OSH knowledge and OSH compliance in shaping workers' behavior. Therefore, this study aims to describe the influence of OSH knowledge and OSH compliance on unsafe work behavior among employees at PT. Bhumi Phala Perkasa. This study employed a qualitative approach using a descriptive research design. Informants were selected through purposive sampling, consisting of workers as the primary informants, while the Supervisor, Production Manager, and HSE Officer served as supporting informants. Data were collected through in-depth interviews, observations, and documentation. The collected data were analyzed using the stages of data reduction, data presentation, and conclusion drawing. Data trustworthiness was ensured through source triangulation, technique triangulation, and time triangulation. The findings revealed that most workers possessed a good level of knowledge regarding workplace hazards, the use of personal protective equipment (PPE), and OSH procedures implemented within the company. However, compliance with OSH practices was not consistently maintained, resulting in the continued occurrence of unsafe work behaviors. These behaviors included the incomplete use of PPE, failure to comply with established work procedures, and a tendency to take shortcuts to complete tasks more quickly. The study concludes that unsafe work behavior is influenced by workers' level of knowledge, compliance with OSH procedures, work habits, the effectiveness of supervision, and the prevailing safety culture within the organization. Therefore, future research is recommended to explore safety culture and safety leadership in greater depth by involving a broader range of informants to obtain a more comprehensive understanding.
Peran Bank Sampah terhadap Kesehatan Lingkungan di Nawala
Waste is a major environmental health issue in areas with rapid population growth, such as Perum Nawala, Bekasi. Poorly managed waste accumulation has the potential to pollute soil, water, and air, as well as trigger environmental-based diseases such as diarrhea, acute respiratory infections (ARI), and vector-borne diseases. This study aims to describe the role of waste banks as an alternative solution to improving environmental health through active community participation. The research method used was descriptive analytical with a qualitative phenomenological approach. Data were collected through observation, in-depth interviews, and documentation studies involving waste bank owners, employees, customers, and the local community. Data analysis was conducted through data reduction, data presentation, and conclusion drawing. The results show that Bank Sampah Nawala, established in 2021, implements the 3R principle (Reduce, Reuse, Recycle) through a community-based system organized at the neighborhood (RT) level. Management mechanisms include household collection and sorting of organic and inorganic waste at the RT level. In addition to providing economic benefits to customers, waste banks serve as educational platforms for Clean and Healthy Living Behaviors (PHBS) and minimize the potential for environmental pollution, thereby reducing the risk of disease. This program has been shown to increase public awareness of wise waste management and reduce the volume of waste transported to final disposal sites (TPA).
Dampak Krisis Kemanusiaan Yemen terhadap Kesehatan Mental Anak: Meta-analisis Multisitus
The humanitarian crisis in Yemen, which has persisted for more than a decade, has produced profound multidimensional consequences for children's psychosocial development. However, large-scale empirical syntheses examining its impact on child mental health remain limited. This study aimed to quantify the effects of the Yemeni humanitarian crisis on children's mental health through a random-effects meta-analysis of 47 studies involving a total of 12,487 child participants published between 2015 and 2024. The findings revealed a pooled prevalence of post-traumatic stress disorder (PTSD) of 68.3% (95% CI: 63.7–72.9%), depression of 54.2% (95% CI: 49.8–58.6%), and anxiety of 61.7% (95% CI: 57.3–66.1%), indicating an exceptionally high psychological burden among conflict-affected children. Moderator analyses demonstrated that age (β = 0.43, p < .001), duration of conflict exposure (β = 0.38, p < .001), and parental loss (β = 0.51, p < .001) were significant predictors of increased psychological symptom severity. Furthermore, meta-regression identified an average annual increase of 7.2% in the prevalence of mental health disorders since 2015. Compared with the findings of Alhariri et al. (2021) and Aljalei (2025), which reported prevalence rates ranging from 45% to 50%, the present study demonstrates a substantial escalation in mental health disorders among Yemeni children. The novelty of this study lies in its identification of longitudinal patterns, examination of previously unexplored conflict-specific moderators, and integration of multisite evidence representing the full geographical scope of the Yemeni conflict.
Faktor Risiko Keluhan Musculoskeletal Disorders Pada Penjahit Di Pasar Tradisional Kabanjahe
Musculoskeletal Disorders (MSDs) are a major occupational health issue among informal-sector tailors due to prolonged static postures and repetitive movements. This study aims to analyze risk factors associated with MSDs complaints among tailors at Kabanjahe Traditional Market. A quantitative cross-sectional design was applied with total sampling of 63 tailors, using the Nordic Body Map (NBM) questionnaire, Rapid Entire Body Assessment (REBA) worksheet, and a lux meter. Data were analyzed with the Chi-Square test (α = 0.05). The results showed that 63.5% of tailors experienced MSDs. Significant associations were found between MSDs and age (p = 0.020; OR = 4.359), years of service (p = 0.040; OR = 3.667), working duration (p = 0.005; OR = 6.417), and working posture (p = 0.005; OR = 6.417). Sex, lighting, and BMI showed no significant association (p > 0.05). Working duration and posture were the most dominant risk factors. Tailors are advised to improve posture, use supportive chairs, and perform regular stretching to prevent MSDs.
Penerapan Terapi Bermain Congklak terhadap Fisiologi Memori Jangka Pendek pada Lansia di Panti Werdha Dharma Bhakti Palembang
Abstract. The aging process in older adults triggers a decline in neurological function, particularly short-term memory, due to reduced dopamine secretion and nerve impulse transmission in the brain. A non-pharmacological intervention to stimulate cognitive function is Congklak play therapy. This study aimed to analyze the effectiveness of implementing comprehensive gerontic nursing care through modification of high-frequency congklak play therapy interventions on short-term memory function in the elderly. The research design was a descriptive case study conducted on three elderly participants (Mrs. A, Mr. R, and Mrs. S) with memory impairment at the Dharma Bhakti Nursing Home in Palembang. The intervention consisted of traditional high-intensity congklak play therapy modification (two 15-minute sessions per day for three consecutive days). Cognitive function was measured using the Mini-Mental State Examination (MMSE) before (pre-test) and after (post-test) the intervention. Final assessment results showed an increase in MMSE scores for all participants: Mrs. A's score increased from 20 to 25, Mr. R's score from 23 to 26, and Mrs. S's score from 11 to 15. The overall average MMSE score increased by 4.0 points. The application of high-frequency modification of congklak play therapy was proven effective in improving short-term memory capacity in elderly people with mild to moderate cognitive impairment.
Analisis Kandungan Merkuri (Hg) Pada Sedimen Dan Ikan Di Teluk Totok Kabupaten Minahasa Tenggara
Totok Bay is a coastal area affected by artisanal gold mining activities that have the potential to generate mercury (Hg) waste and contaminate the aquatic environment. Mercury can accumulate in sediments and aquatic organisms, posing potential health risks to humans through the food chain. This study aimed to determine mercury (Hg) concentrations in sediments and fish from Totok Bay, Southeast Minahasa Regency. A descriptive laboratory-based survey design was employed. The samples consisted of 16 sediment sampling points selected using purposive sampling and four commonly consumed fish species, namely cobia (Rachycentron canadum), bigeye trevally (Caranx sexfasciatus), Japanese threadfin bream (Nemipterus japonicus), and areolate grouper (Epinephelus areolatus). Mercury analysis was conducted at the Makassar Public Health Laboratory using the ICP-MS (Inductively Coupled Plasma-Mass Spectrometry) method. The results were compared with the marine sediment quality standard of 0.41 mg/kg and the fish mercury standard of 0.5 mg/kg. The findings showed that 15 out of 16 sediment samples exceeded the permissible limit, with the highest concentration recorded at 6.8159 mg/kg, the lowest at 0.1425 mg/kg, and an average concentration of 2.121 mg/kg. In contrast, all fish samples contained mercury levels below the regulatory threshold, namely cobia <0.00003 mg/kg, bigeye trevally 0.1501 mg/kg, Japanese threadfin bream 0.0626 mg/kg, and areolate grouper 0.0401 mg/kg. It can be concluded that the sediments in Totok Bay have experienced significant mercury contamination, while mercury concentrations in fish remain within safe limits. Nevertheless, the presence of mercury in all fish samples indicates that mercury contamination has entered the aquatic food chain of the Totok Bay ecosystem.
Gambaran Sanitasi Kapal Dan Keberadaan Kecoak Pada Kapal Kargo Di Pelabuhan Kota Bitung
Ships as a means of maritime transportation, carry the risk of becoming vectors for disease transmission, especially when sanitation conditions do not meet standards. The presence of vectors such as cockroaches on cargo ships can indicate poor sanitation and pose a potential health risk to the crew. Therefore, ship sanitation monitoring is a critical component of efforts to prevent infectious diseases and protect public health in port areas. This study aims to determine the sanitary conditions of cargo ships and the presence of cockroaches on ships docked at the Port of Bitung. This study uses a descriptive design with a cross-sectional approach. The research sample consisted of five cargo ships selected using purposive sampling. Data collection was conducted through observation using a sanitation inspection checklist and a BPP vector checklist attached to Minister of Health Regulation No. 40 of 2015. The results showed that 60% of the vessels included in the study met sanitation requirements. Non-compliance with sanitation standards was found in several areas, including liquid waste management, food preparation areas, storage areas, cargo holds, sleeping quarters, engine room conditions, and medical facilities. Signs of cockroach infestation were found on two of the five vessels (40%) in areas that did not meet sanitation requirements.
Good Corporate Governance (GCG) Dalam Kerjasama Perusahaan Penyalur Alat Kesehatan PT X Di Kota Manado
PT X, as a medical equipment distribution company, is a partner of several hospitals in Manado City. Good corporate governance (GCG) helps improve company productivity and the sustainability of cooperation. This includes the principles of transparency, accountability, responsibility, independence, and fairness. This study uses a qualitative method in the form of a case study with a descriptive approach. Informants in this study numbered 4 people, from the North Sulawesi Provincial Health Office and PT X's customers, namely government and private hospitals. The research instrument used interview guidelines, stationery, mobile phones, and laptops, and in-depth interview techniques. Data processing used the Miles and Huberman analysis model. The results of this study indicate that the implementation of Good Corporate Governance in PT X's cooperation with customers is influenced by compliance with laws and regulations as well as internal and external factors. The application of the principles of Good Corporate Governance includes information transparency in the type and mechanism of cooperation. This is influenced by the internal structure of PT X and the hospital. In addition, communication and negotiation assist in the provision and distribution. Obstacles to cooperation are payments from customers that are often delayed, which affects procurement at the hospital.
Analisis Kandungan Logam Berat Arsenik (As), Timbal (Pb), Dan Kadmium (Cd) Pada Daging Ikan Di Perairan Pelabuhan Perikanan Samudera Bitung
The Bitung Oceanic Fishing Port (PPS Bitung) is one of the largest fisheries centers in Eastern Indonesia, with intensive port activities that may contribute to heavy metal contamination in surrounding waters. This study aimed to analyze the concentrations of arsenic (As), lead (Pb), and cadmium (Cd) in fish meat collected from the waters of PPS Bitung and to evaluate their safety based on the Indonesian National Standard (SNI 7387:2009). A descriptive observational design with laboratory analysis was employed. Samples consisted of squirrelfish (Holocentridae), green jobfish (Aprion virescens), and red snapper (Lutjanus malabaricus), selected using purposive sampling. Heavy metal concentrations were determined using Atomic Absorption Spectrophotometry (AAS). The results showed that arsenic (As) concentrations in fish meat ranged from 0.83 to 1.43 mg/kg. Two out of three samples exceeded the maximum permissible limit established by SNI (1.0 mg/kg), while one sample remained within the acceptable range. Lead (Pb) concentrations ranged from 0.02 to 0.05 mg/kg, and cadmium (Cd) concentrations ranged from 0.008 to 0.01 mg/kg; all samples were below their respective maximum allowable limits. In conclusion, arsenic contamination detected in some fish samples from PPS Bitung may pose a potential health risk to consumers. Therefore, regular monitoring of water quality and seafood safety is recommended.
Analisis Kandungan Logam Berat Arsenik (As), Timbal (Pb), Dan Kadmium (Cd) Pada Kerang Di Perairan Pelabuhan Perikanan Samudera Bitung
The Bitung Ocean Fishing Port is one of the largest fisheries centers in Eastern Indonesia, with various port activities that have the potential to contribute to environmental pollution, including heavy metal contamination. The Pacific oyster (Crassostrea gigas), as a filter-feeding organism, has the ability to accumulate heavy metals and can therefore serve as a bioindicator of aquatic environmental quality. This study aimed to determine the concentrations of arsenic (As), lead (Pb), and cadmium (Cd) in oysters collected from the waters of PPS Bitung and to compare the results with the maximum permissible limits established by the Indonesian National Standard (SNI No. 7387:2009). This research employed descriptive observational design with laboratory analysis. Oyster samples were collected using purposive sampling method from three sampling points within the PPS Bitung area and analyzed using the Atomic Absorption Spectrophotometry (AAS) method. The results showed that arsenic (As) concentrations were 0.02 mg/kg at Point 1, 0.65 mg/kg at Point 2, and <0.02 mg/kg at Point 3. Lead (Pb) concentrations were 0.13 mg/kg, 0.14 mg/kg, and 0.15 mg/kg, respectively. Cadmium (Cd) concentrations were 0.02 mg/kg, 0.02 mg/kg, and 0.003 mg/kg, respectively. All measured concentrations were below the maximum allowable limits for heavy metal contamination according to SNI No. 7387:2009. In conclusion, the concentrations of arsenic, lead, and cadmium in oysters from the waters of PPS Bitung were within the acceptable safety limits and complied with national food safety standards.
Analisis Kandungan Logam Berat Arsenik (As), Timbal (Pb), Dan Kadmium (Cd) Pada Sedimen Di Perairan Pelabuhan Perikanan Samudera Bitung
Port activities, the fishing industry, and maritime transportation in the Bitung Ocean Fishing Port area have the potential to cause heavy metal pollution in the waters. Heavy metals such as arsenic (As), lead (Pb), and cadmium (Cd) can accumulate in sediments and endanger ecosystems and human health. This study aimed to determine the levels and distribution of heavy metals As, Pb, and Cd in sediments at the Bitung Ocean Fishing Port based on ANZECC standards. The study used a quantitative descriptive method with a laboratory analysis approach. Surface sediment samples were taken at three locations using purposive sampling and analyzed using an Atomic Absorption Spectrophotometer (AAS). The results showed As levels ranging from 3.55–4.79 mg/kg, Cd 0.005–0.2 mg/kg, and Pb 1.69–3.14 mg/kg. All results were below the ANZECC quality standards, indicating that the sediment conditions in the waters of the Bitung Ocean Fishing Port are still considered safe and do not show significant heavy metal pollution.
Analisis Kandungan Logam Berat Arsenik (As), Kadmium (Cd), Dan Timbal (Pb) Pada Cumi-Cumi Di Perairan Pelabuhan Perikanan Samudera Bitung
The Bitung Ocean Fishing Port (PPS Bitung) is a coastal area with high vessel activity, making it a potential source of heavy metal contamination in surrounding waters. Squid, as a widely consumed marine organism, is vulnerable to heavy metal accumulation through bioaccumulation and biomagnification processes. This study aimed to analyze the content of heavy metals arsenic (As), cadmium (Cd), and lead (Pb) in squid from the waters of PPS Bitung and compare the results with the maximum contamination limits set by BPOM Regulation No. 9 of 2022. This was an observational study with a cross-sectional design. Samples consisted of 3 squid specimens collected from 3 different points at Pier T of PPS Bitung, analyzed using Atomic Absorption Spectrophotometry (AAS) at BARISTAND Manado. Results showed arsenic (As) concentrations ranging from 1.14 to 2.08 mg/kg, with samples from point II (2.08 mg/kg) and point III (2.01 mg/kg) exceeding the BPOM maximum limit of 2.0 mg/kg. Cadmium (Cd) concentrations ranged from 0.02 to 0.08 mg/kg and lead (Pb) from 0.04 to 0.08 mg/kg, both below the maximum limit of 0.30 mg/kg. Squid from two sampling points did not meet food safety requirements based on the arsenic parameter, while cadmium and lead parameters across all samples remained within safe limits.
Hubungan Faktor Sosial Ekonomi Dengan Pertumbuhan Dan Perkembangan Bayi Di Wilayah Kerja UPTD Puskesmas Botombawo
Infant growth and development are important indicators in assessing child health status. Family socioeconomic factors play a significant role in fulfilling infants’ basic needs, which influence optimal growth and development. This study aimed to determine the relationship between socioeconomic factors and infant growth and development in the working area of UPTD Botombawo Public Health Center. This research employed a quantitative analytic design with a cross-sectional approach. The population consisted of all infants aged 0–12 months in the working area of UPTD Botombawo Public Health Center, totaling 55 infants, using a total sampling technique. Data were collected through a socioeconomic questionnaire, anthropometric measurements to assess infant growth, and developmental screening sheets to evaluate infant development. Data analysis was conducted using univariate and bivariate analysis with the Chi-Square test at a 95% confidence level. The results of this study are expected to provide evidence of the relationship between socioeconomic factors and infant growth and development as a basis for planning infant health improvement programs.
Hubungan Pekerjaan Dan Dukungan Suami Dengan Asi Eksklusif Di Wilayah Kerja UPTD Puskesmas Gido
Background: Complementary foods and beverages other than breast milk can be introduced starting at six months of age and continued alongside breastfeeding until the child reaches two years old, as breast milk contains various immunoglobulins that help protect infants from infectious diseases. Objective: To analyze the relationship between mothers' employment and husbands' support toward exclusive breastfeeding.. Method: A quantitative study with a cross-sectional design was conducted among 38 mothers with infants aged under six months. The sample was selected using a total sampling technique. Data were collected through structured interviews using a questionnaire and analyzed using the chi-square test to examine the relationship between variables. Results: Most mothers (81.6%) did not practice exclusive breastfeeding, despite 60.5% receiving spousal support, and statistical analysis showed no significant association between maternal employment (p = 1.000; OR = 0.735) or husbands’ support (p = 0.681; OR = 1.806) with exclusive breastfeeding. Conclusion: Husbands’ support and mothers’ employment were not associated with exclusive breastfeeding, highlighting the need for health workers to implement effective educational programs that involve both family and spouses in lactation counseling
Faktor-Faktor Yang Berhubungan Dengan Pemanfaatan Pelayanan Antenatal Oleh Ibu Hamil Di Puskesmas Siulak Gedang Tahun 2025
Physiological changes during pregnancy include the formation of a zygote that develops into a fetus until delivery. Antenatal care (ANC) is a professional health service for mothers during pregnancy, conducted according to established standards. This study aims to determine the factors related to the utilization of antenatal services by pregnant women at the Siulak Gedang Community Health Center in 2025. The research employed a descriptive analytical design with a cross-sectional approach and quantitative explanatory method. The population consisted of 135 pregnant women in the working area of the Siulak Gedang Health Center. Total sampling was applied, with the sample comprising all pregnant women who had not completed ANC visits according to the required schedule and number of visits. Data were collected through questionnaires and observation sheets, then analyzed using univariate and bivariate analysis with the Spearman non-parametric correlation test. The results indicate that factors significantly related to antenatal service utilization are: information sources (p=0.004), availability of ANC personnel (p=0.003), and socio-cultural factors (p=0.001). These findings highlight the need for improved health education and adequate staffing at health centers to increase ANC utilization among pregnant women.
Analisa Faktor Yang Mempengaruhi Perilaku Dan Sikap Ibu Terhadap Deteksi Dini Kanker Serviks (Pap Smear) Pada Wanita Usia Subur Di RS Islam Arafah Jambi Tahun 2025
Cervical cancer is still a women's health problem that continues to be widely discussed, one of which is early detection of cervical cancer (Pap Smear) that should be carried out routinely in women of childbearing age. This study aims to analyze the factors that influence mothers' behavior and attitudes towards early detection of cervical cancer (Pap Smear) in women of childbearing age at the Islam Arafah Hospital, Jambi. This is an analytical observational study with a cross-sectional design. The research was conducted at the Islam Arafah Hospital, Jambi. The population comprised all mothers classified as women of childbearing age at the Islam Arafah Hospital, Jambi. The research sample consisted of 160 mothers in the fertile period at the Islam Arafah Hospital in Jambi. Sampling used a total sampling technique. Data were processed through univariate and bivariate analysis. Bivariate analysis was tested using the Chi-Square correlation test. The results indicate that there is a relationship between behavior and early detection of cervical cancer (Pap Smear) in women of childbearing age with p = 0.003 < 0.05, and there is a relationship between attitude and early detection of cervical cancer (Pap Smear) in women of childbearing age with p = 0.002 < 0.05.
Hubungan Faktor Kebudayaan Terhadap Penerapan Perilaku Hidup Bersih Dan Sehat (PHBS) Di Puskesmas Koto Lolo Kota Sungai Penuh Jambi Tahun 2025
Clean and healthy living behavior is a group of behaviors that are practiced on the basis of awareness as learning outcomes that enable a person or family to help themselves and the health sector and play an active role in realizing public health. This type of research is analytical observational research with a cross-sectional design. This research aims to determine the relationship between cultural factors and the implementation of Clean and Healthy Living Behavior (PHBS) in society. The aim is to determine the relationship between cultural factors and the implementation of clean living behavior (PBHS) at the Koto Lolo Community Health Center, Sungai Banyak City, Jambi in 2025. This research will be carried out at the Koto Lolo Community Health Center, Sungai Banyak City, Jambi, which is located at Jalan Kesehatan Puskesmas, Koto Lolo, Kec. Pesisir Bukit, Sungai Banyak City, Jambi in November 2025. The research population is all 124 families (heads of families) who live in the work area of ​​the Koto Lolo Community Health Center, Sungai Full City. Sampling in this study used the Stratified Random Sampling technique, namely sampling by dividing the population into several strata based on certain characteristics, then samples were taken randomly from each stratum. Based on this technique, the number of samples in the study was 124 people. The data collection method through instruments in this research consists of a questionnaire consisting of cultural factors and a questionnaire about clean and healthy living behavior (PHBS). The analysis carried out on the research results was through univariate and bivariate analysis with the help of a computer to process the research data. The results of the research showed that there was a relationship between culture and the implementation of PHBS at the Koto Lolo Community Health Center, Sungai Banyak City, Jambi with a p value of 0.001>0.05
Hubungan Pelayanan Informasi Obat Dengan Tingkat Kepatuhan Pasien Hipertensi Di UPT Puskesmas Sei Semayang Kec. Sunggal, Deli Serdang
Hypertension is a chronic non-communicable disease requiring long-term pharmacological therapy, and medication adherence remains a critical determinant of treatment success. Drug Information Services (DIS) delivered by pharmaceutical personnel at primary healthcare facilities are expected to enhance patients' knowledge, motivation, and adherence to antihypertensive therapy. This study aimed to analyze the relationship between Drug Information Services and medication adherence among hypertensive patients at UPT Puskesmas Sei Semayang, Sunggal District, Deli Serdang Regency. The research applied an analytical observational design with a cross-sectional approach. The population consisted of 300 hypertensive patients, from which 30 respondents were selected using simple random sampling. Data were collected using a validated 16-item Drug Information Service questionnaire and the Morisky Medication Adherence Scale-8 (MMAS-8), and were analyzed with the Spearman Rank Correlation test at a 95% confidence level. The results showed that 76.7% of respondents perceived DIS as good and 23.3% as poor, while adherence was categorized as moderate (46.7%), low (33.3%), and high (20.0%). The Spearman correlation revealed r = 0.118 and p-value = 0.534 (p > 0.05), indicating no statistically significant relationship between DIS and medication adherence. The findings imply that adherence in primary care is influenced by multiple factors beyond DIS alone, underscoring the need for multifactorial and structured pharmaceutical care interventions.
Efektivitas Interprofessional Education Terhadap Pengembangan Kompetensi Kolaboratif Mahasiswa Kesehatan: Literature Review
Background: The increasing complexity of modern healthcare systems necessitates effective collaboration among healthcare professionals to ensure high-quality, safe, and patient-centered care. In this context, Interprofessional Education (IPE) has emerged as a strategic educational approach aimed at preparing healthcare students with the collaborative competencies required for interprofessional practice. Although numerous studies have reported the benefits of IPE implementation, a comprehensive review is needed to synthesize current evidence regarding its effectiveness in developing collaborative competencies among healthcare students. Objective: This literature review aimed to analyze and synthesize recent evidence on the effectiveness of Interprofessional Education in enhancing collaborative competencies among healthcare students. Methods: This study employed a descriptive literature review approach. Articles were retrieved from Google Scholar, PubMed, ScienceDirect, BMC, and JPKI databases using keywords related to Interprofessional Education, Interprofessional Collaboration, collaborative competence, interprofessional communication, teamwork, and patient-centered care. Article selection followed the PRISMA guidelines. Inclusion criteria included full-text articles published between 2021 and 2025 that examined the implementation of IPE or IPC among healthcare students or healthcare professionals. Of the 100 articles initially identified, 10 studies met the eligibility criteria and were included in the final analysis. Results: The findings demonstrated that the implementation of IPE significantly contributed to improving students’ readiness for interprofessional collaboration, interprofessional communication skills, teamwork effectiveness, understanding of professional roles and responsibilities, and overall collaborative competencies. Furthermore, IPE was found to enhance clinical skills and support the delivery of patient-centered care. However, the effectiveness of IPE implementation was influenced by several factors, including organizational culture, professional stereotypes, hierarchical structures, curriculum readiness, and institutional support within educational and healthcare settings. Conclusion: Interprofessional Education is an effective educational approach for fostering collaborative competencies among healthcare students. Therefore, the systematic, structured, and sustainable integration of IPE into healthcare education curricula is essential to prepare future healthcare professionals who can work collaboratively, improve healthcare quality, and contribute to safe, patient-centered care.
Peran Interprofesional Education Dalam Pengembangan Kompetensi Mahasiswa Keperawatan: Literature Review
Introduction: Interprofessional Education (IPE) is an important learning approach in nursing education because healthcare services require effective interprofessional collaboration. Nursing students need to be prepared during their education to communicate effectively, understand the roles of other professions, work in teams, and provide patient-centered care. This study aims to examine the role of IPE in developing collaborative competence among nursing students. Methods: This study used a systematic literature review method based on the PRISMA flow. Articles were searched through Google Scholar, PubMed, ScienceDirect, BMC, and Springer. The inclusion criteria were articles published from 2021 onward, available in full text, written in Indonesian or English, primary research articles, discussing IPE, involving nursing students or health students with nursing student participation, and having outcomes related to collaborative competence. Data were extracted using a matrix table and analyzed using a descriptive narrative approach to compare study characteristics, types of interventions, instruments, and main findings. Results: A total of 10 articles were analyzed, consisting of 5 Indonesian articles and 5 international articles. The findings showed that IPE had a positive role in improving interprofessional communication, teamwork, understanding of roles and responsibilities, conflict management, team functioning, readiness for interprofessional learning, and collaborative competence. Active learning methods such as interprofessional simulation, role play, case studies, cross-professional programs, and service-learning provided students with direct experiences to collaborate, reflect on professional roles, and make shared decisions in clinical learning situations. Conclusion: IPE plays an important role in developing collaborative competence among nursing students. The structured implementation of IPE in the nursing curriculum is needed to prepare students for clinical practice and to work effectively in complex, safe, and patient-centered interprofessional teams.
Pendidikan Keperawatan Dan Interprofessional Education Dalam Meningkatkan Kompetensi Kolaboratif Tenaga Kesehatan: Literatur Review
Background: Modern nursing education requires not only clinical competence but also interprofessional collaborative skills. A lack of collaboration among healthcare professionals can reduce the quality of healthcare services and compromise patient safety. Interprofessional Education (IPE) is implemented to develop teamwork skills and enhance understanding of professional roles during the educational process. Objective: This study aimed to analyze the effectiveness of Interprofessional Education (IPE)-based nursing education in improving the collaborative competencies of healthcare professionals. Methods: This study employed a systematic literature review using the PRISMA approach. Literature was obtained from Google Scholar, PubMed, and ScienceDirect databases published between 2020 and 2024 and selected based on relevance and quality criteria. Of the 50 identified articles, 10 articles were included and analyzed descriptively to assess the effectiveness of IPE in improving the collaborative competencies of healthcare professionals. Results: The findings showed that IPE effectively improves communication, teamwork, understanding of professional roles, and patient safety. Learning methods such as clinical simulation, blended learning, and interprofessional discussions support the development of collaborative competencies. However, its implementation is still challenged by curriculum limitations, institutional readiness, and the need for educator training. Conclusion: Interprofessional Education (IPE) is an effective and relevant strategy in nursing education for enhancing collaborative competencies and improving the quality of holistic healthcare services.
Literature Review Implementasi Interprofessional Education (IPE) Dan Interprofessional Collaboration (IPC) Di SMK Kesehatan: Peluang Dan Strategi Kolaborasi Interprofesi Dalam Lingkungan Pendidikan Kejuruan Kesehatan
Interprofessional Education (IPE) and Interprofessional Collaboration (IPC) are two major pillars of modern health workforce education reform recommended by the World Health Organization since 2010. Although their implementation has rapidly developed in higher health education institutions, the application of IPE and IPC in Indonesian Vocational High Schools of Health (SMK Kesehatan) remains limited. This literature review examines the concepts, theoretical foundations, empirical evidence, barriers, opportunities, and implementation strategies of IPE and IPC within the context of SMK Kesehatan. The method used was a narrative literature review by analyzing articles from PubMed, Cochrane, CINAHL, Springer, Google Scholar, and SINTA databases published between 2010 and 2024. The findings indicate that IPE has been proven to improve collaborative competencies, interprofessional communication, and students’ work readiness. SMK Kesehatan possesses significant strategic opportunities to integrate IPE through the diversity of health-related study programs within one institution, practice-oriented learning approaches, and partnerships with healthcare facilities. The major barriers include curriculum fragmentation, limited availability of IPE facilitators, and differences in professional identity. Recommended strategies include integrating IPE into the Merdeka Curriculum, establishing cross-disciplinary facilitator teams, and developing interprofessional simulation modules based on clinical contexts.
Analisis Hubungan Antara Kecelakaan Kerja Dengan Faktor-Faktor Yang Mempengaruhi Keselamatan Kerja Pada Perawat Di RS Robert Wolter Mongisidi Manado
Background: Occupational accidents among nurses are a serious concern, given the high exposure to biological, physical, and ergonomic hazards in hospital environments. Nurses face significant risks of needlestick injuries, musculoskeletal disorders, and work-related illnesses. Objective: This study aimed to analyze the prevalence and factors associated with occupational injuries and health problems among nurses at Robert Wolter Mongisidi Hospital, Manado. Methods: A cross-sectional study was conducted among 102 nurses using a census technique. Data were collected via an online questionnaire (Google Form). Statistical analyses included Chi-square tests, Mann-Whitney tests, and binary logistic regression. Results: The prevalence of occupational injuries was 16% (16/102) and occupational health problems was 19% (19/102). Among those injured, 44% did not report the incident. In multivariate analysis, work unit was the strongest predictor: nurses in outpatient units had odds ratio (OR) 12.37 (95% CI: 1.79–85.66; p = 0.011) and those in intensive/surgical units OR 5.81 (95% CI: 1.16–29.01; p = 0.032) for injuries compared to non-intensive inpatient units. Barriers to PPE use were significantly associated with occupational health problems (OR 3.84; 95% CI: 1.20–12.31; p = 0.024). Shorter work tenure increased the risk of occupational health problems (OR 0.83 per year; p = 0.041). Conclusion: High-risk work units, barriers to PPE use, and shorter work tenure are the main determinants of occupational injuries and health problems among nurses. Strengthening risk-based occupational health and safety programs, optimizing PPE availability and usage, and implementing K3 orientation programs for new nurses are recommended.
Penerapan Intradialytic Stretching Exercise dalam Mengurangi Kram Otot pada Pasien Chronic Kidney Disease yang Menjalani Hemodialisa di Kota Palembang
Chronic Kidney Disease (CKD) is a progressive condition characterized by a gradual decline in kidney function, often requiring hemodialysis therapy. One of the most common complications experienced during hemodialysis is muscle cramping, particularly in the lower extremities, which can reduce patient comfort and interfere with the effectiveness of treatment. Intradialytic Stretching Exercise is a non-pharmacological intervention that has been shown to help reduce muscle cramps in hemodialysis patients. To analyze the implementation of Intradialytic Stretching Exercise in reducing muscle cramps among patients with CKD undergoing hemodialysis. This case study used an Evidence-Based Practice (EBP) approach involving a CKD patient on hemodialysis who experienced muscle cramps. The intervention consisted of Intradialytic Stretching Exercise performed for 20 minutes, twice a week during hemodialysis sessions. Muscle cramp levels were assessed using the Cramp Questionnaire Chart before and after the intervention. The implementation of Intradialytic Stretching Exercise resulted in a reduction in muscle cramp severity. Previous studies supporting this EBP intervention demonstrated significant improvements in the frequency, duration, and intensity of muscle cramps following regular intradialytic stretching exercises. Intradialytic Stretching Exercise is an effective non-pharmacological intervention for reducing muscle cramps in patients with CKD undergoing hemodialysis. Hemodialysis nurses are encouraged to incorporate Intradialytic Stretching Exercise into routine nursing care and provide patient education to promote regular exercise participation, thereby preventing and reducing muscle cramps during hemodialysis.
Faktor-Faktor Yang Berhubungan Dengan Kualitas Tidur Pada Mahasiswa Fakultas Kesehatan Masyarakat Universitas Sam Ratulangi Manado
overlooked among university students. More than 60% of students consistently report poor sleep quality throughout their academic studies. A prior study at FKM Sam Ratulangi University (2020) identified stress as a factor related to sleep quality; however, simultaneous multivariate analysis of multiple determinants remains limited in the Manado region. Objective: To analyze factors associated with sleep quality among students of the Faculty of Public Health, Sam Ratulangi University (FKM UNSRAT), Manado. Method: A cross-sectional observational study was conducted among 256 active students of FKM UNSRAT Manado. Data were collected through an online structured questionnaire via Google Forms from September to December 2025. Statistical analysis using R version 4.5.3 included descriptive analysis, bivariate (Pearson) correlation, multivariate linear regression with stepwise forward selection, and network analysis (Gaussian Markov Random Field with graphical LASSO). Results: The median subjective sleep quality score was 5 out of 10, with an average sleep duration of 6 hours per night. The regression model identified four determinants of sleep quality: sleep duration (β=0.79; 95% CI 0.65–0.93; p<0.001), learning motivation (β=0.26; 95% CI 0.14–0.38; p<0.001), and physical activity (β=0.14; 95% CI 0.03–0.25; p=0.011) showed positive associations; while academic screen time (β=−0.07; p=0.005) showed a negative association. Conclusion: Students' sleep quality is influenced by the complex interaction of health behaviors, academic activities, learning motivation, and digital technology use. Preventive interventions should simultaneously target increased sleep duration, physical activity, learning motivation, and limitation of academic screen time.
Determinan Penyebab Terjadinya Diabetes Melitus: Studi Case Control Di Puskesmas Sei Agul Medan
Adaptasi Psikososial Pasien Hemodialisis Terhadap Perubahan Gaya Hidup : Literature Review Psychosocial Adaptation Of Hemodialysis Patients To Lifestyle Changes : Literature Review
Patients with end-stage chronic kidney disease undergoing hemodialysis experience complex lifestyle changes, including fluid and dietary restrictions, dependence on therapy, fatigue, changes in social roles, and psychological distress that affect psychosocial adaptation and quality of life. This literature review aimed to examine the factors influencing psychosocial adaptation among hemodialysis patients and their implications for nursing practice. The review was conducted using PubMed, Scopus, ScienceDirect, ProQuest, MDPI, and BMC databases with keywords related to hemodialysis and psychosocial adaptation. Inclusion criteria were full-text articles published between 2020–2025 in English or Indonesian that discussed psychosocial aspects of hemodialysis patients. Of 326 identified articles, 11 studies were analyzed using a narrative-thematic approach. The findings identified five major themes: illness acceptance, depression and anxiety, social support, burden of physical symptoms, and coping strategies and cultural values. Illness acceptance and social support positively contributed to psychosocial adaptation, whereas depression, anxiety, and physical symptom burden negatively affected patients’ quality of life. Overall, psychosocial adaptation in hemodialysis patients is influenced by psychological, social, physical, and cultural factors. Therefore, nurses should perform routine psychological screening, provide self-management education, strengthen family support, and facilitate adaptive coping strategies to improve patient outcomes.Top of Form
Efektivitas Pembelajaran Berbasis Virtual Reality Dibandingkan Pembelajaran Tatap Muka Dalam Meningkatkan Keterampilan Klinis Mahasiswa Keperawatan: Literatur Review
Introduction : The advancement of technology in the field of education has encouraged the utilization of Virtual Reality (VR) as an innovative learning method, particularly in nursing education. Objective: This study aims to analyze the effectiveness of VR-based learning compared to conventional methods in improving the clinical skills of nursing students. Methods: This study employed a literature review approach based on PRISMA guidelines, with article searches conducted through PubMed and SINTA databases within the publication period of 2021–2026. A total of 10 journals that met the inclusion criteria were analyzed in this study. Results: The findings indicate that the use of VR significantly improves clinical skills, knowledge, self-efficacy, and professional attitudes of nursing students. In addition, VR provides a more interactive and immersive learning experience, which enhances understanding and information retention compared to conventional learning methods. When compared to face-to-face learning, VR demonstrates equivalent or even superior effectiveness in certain aspects, such as reducing stress levels and increasing learning engagement. However, the combination of VR and conventional methods (blended learning) produces the most optimal outcomes. Conclusion: VR-based learning is an effective and innovative approach in nursing education with great potential to enhance students’ clinical competencies. Therefore, the integration of VR into the nursing education curriculum is highly recommended to support more modern and high-quality learning processes.
Efektivitas Pembelajaran E-Learning Berbasis Teknologi Digital Terhadap Peningkatan Kompetensi Mahasiswa Keperawatan: A Literature Review
Introduction: The rapid advancement of information and communication technology has driven a major transformation in global nursing education systems. E-learning represents a learning approach that opens new opportunities for teaching and learning processes across various educational sectors beyond the conventional classroom setting. Nursing education demands comprehensive competency acquisition, encompassing cognitive, psychomotor, and affective dimensions. The acceleration of e-learning adoption became particularly evident during the Covid-19 pandemic, which forced all educational institutions to shift massively to online learning. This study aims to identify and analyze the effectiveness of e-learning on improving the competencies of nursing students. Methods: This study employed a literature review design using a systematic approach guided by the PRISMA framework. Articles were searched from three primary databases, ScienceDirect, PubMed, and Google Scholar covering publications from 2022 to 2026. Based on predetermined inclusion criteria, 10 primary articles were selected for data extraction and synthesis. Results: The review findings indicate that various digital technology-based e-learning platforms have been widely utilized in nursing education, including mobile- and multimedia-based competency evaluation systems, virtual simulation, online learning, immersive virtual reality (VR), LMS-based mobile learning, online cooperative learning methods, and Online Peer Assisted Learning (OPAL). Conclusion: The findings of this literature review indicate that digital technology-based e-learning is effective in enhancing the cognitive competencies of nursing students through flexible and self-directed access to learning materials.
Efektivitas Edukasi Kesehatan Reproduksi Berbasis Evidence-Based Education Terhadap Peningkatan Pengetahuan Dan Sikap Remaja Tentang Risiko Kehamilan Dini: Studi Pre-Experimental Pada Siswa SMP Negeri 1 Unter Iwes, Kabupaten Sumbawa
Background: Adolescent pregnancy remains a persistent public health concern with adverse consequences on maternal-neonatal outcomes, educational attainment, and psychosocial well-being. Evidence-based education (EBE) has emerged as a promising strategy for improving reproductive health literacy, yet empirical data from junior high school settings in Eastern Indonesia remain limited. Objective: This study aimed to evaluate the effectiveness of an evidence-based education intervention on improving knowledge and attitudes regarding early-pregnancy risks among adolescents at SMP Negeri 1 Unter Iwes, Sumbawa Regency. Methods: A quantitative pre-experimental study with a one-group pretest–posttest design was conducted. Fifty seventh-grade students were recruited using purposive sampling based on predefined inclusion criteria. Knowledge and attitudes were measured using structured questionnaires before and after the intervention. Data were analyzed using univariate statistics and the Paired Sample t-test at α = 0.05, following a Shapiro-Wilk normality assessment. Results: The proportion of respondents with good knowledge rose from 16% to 70%, and positive attitudes increased from 38% to 82%. Mean knowledge scores improved from 63.20 (pretest) to 84.60 (posttest), while mean attitude scores rose from 64.40 to 79.80. The Paired Sample t-test yielded p = 0.000 (p < 0.05) for both variables, indicating statistically significant improvements. Conclusion: Evidence-based reproductive health education significantly improved adolescents' knowledge and attitudes toward early-pregnancy risks. Integrating evidence-based reproductive health modules into School Health Programs (UKS) is recommended as a scalable promotive-preventive strategy.
Analisis Faktor Risiko Penyakit Low Back Pain Pada Petani Sayur Di Desa Raya Kabupaten Karo
Low Back Pain (LBP) is one of the most common musculoskeletal disorders experienced by workers, including vegetable farmers in mountainous areas who repeatedly perform strenuous physical activities. Vegetable farmers in Desa Raya, Karo Regency face a high risk of LBP due to hilly working terrain, heavy lifting loads, non-ergonomic working positions, and long working hours. This study aimed to analyze the relationship between individual, ergonomic, and work environment risk factors and the incidence of LBP among vegetable farmers in Desa Raya, Karo Regency. This study used a quantitative approach with an analytical observational design and a cross-sectional approach. The sample consisted of 96 respondents determined using the Lemeshow formula and an accidental sampling technique. Data were collected through questionnaires and analyzed using the Chi-Square test (Continuity Correction/Fisher's Exact Test) at a 95% confidence level. The results showed that of the 96 respondents, 73 (76.0%) reported LBP complaints. Significant associations were found between age (p=0.008) and length of employment (p=0.043) with the incidence of LBP, while sex showed no significant association (p=0.657). Ergonomic risk factors, namely working position (p=0.242), lifting load (p=0.147), and working duration (p=1.000), as well as work environment conditions (p=1.000), showed no statistically significant associations. This study recommends ergonomic interventions and occupational health education for vegetable farmers to reduce the risk of LBP.
Gambaran Hope pada Dewasa Awal yang Mengalami Ketiadaan Peran Ayah (Fatherless) di Kota Medan
The phenomenon of fatherlessness due to the death of a father can cause psychological impacts that continue until early adulthood, such as sadness, loss of security, changes in economic conditions, and difficulties in dealing with developmental demands. Nevertheless, individuals still have the potential to develop hope as a psychological strength in facing life's challenges. This study aims to find out the picture of hope in early adult individuals who experience fatherlessness due to the death of their father in Medan City based on aspects of goals, pathways thinking, and agency thinking according to Snyder. The research method used is qualitative with a descriptive approach. The study subjects consisted of two early adults aged 18–30 years who were selected through purposive sampling. Data is collected through in-depth interviews, observations, and documentation, then analyzed through data reduction, data presentation, and verification. The results showed that both participants still had hope despite losing their father figure. The first participant cultivates hope through clear life goals, solutions to obstacles, and family support. The second participant built hope through complex adaptations due to economic change and negative interpersonal experiences, but was helped by social support and self-reflection. These findings confirm that hope is dynamic, developing according to life experiences, goals, achievement strategies, motivation, and social support obtained.
Hubungan Antara Durasi Dan Frekuensi Penyemprotan Pestisida Dengan Keluhan Iritasi Kulit Pada Petani Di Desa Raanan Baru Kecamatan Motoling Barat
Skin irritation is one of the most common health problems experienced by farmers due to pesticide exposure during spraying activities. This study aimed to analyze the relationship between the duration and frequency of pesticide spraying and skin irritation complaints among farmers in Raanan Baru Village, West Motoling District. This quantitative analytical study employed a cross-sectional design and was conducted from March to April 2026. A total of 55 respondents were selected from 286 active pesticide-using farmers using a purposive sampling technique. Data were collected through structured questionnaire-based interviews and analyzed using the Spearman's rank correlation test with a significance level of p < 0.05. The results showed that the average spraying duration was 2.35 hours per day, while the average spraying frequency was 2.38 times per week. There was a significant positive correlation between spraying duration and skin irritation complaints (r = 0.315; p = 0.019) and between spraying frequency and skin irritation complaints (r = 0.346; p = 0.010), with both correlations classified as weak. The findings indicate that longer spraying duration and higher spraying frequency are associated with increased skin irritation complaints among farmers.
Faktor-Faktor Yang Berhubungan Dengan Skrining Human Immunodeficiency Virus (HIV) Pada Ibu Hamil Di Puskesmas Kolongan Kabupaten Minahasa Utara
Background: Human Immunodeficiency Virus (HIV) remains a major public health problem affecting both mothers and children due to the risk of mother-to-child transmission during pregnancy, childbirth, and breastfeeding. HIV screening among pregnant women is an essential strategy to prevent vertical transmission. Objective: This study aimed to analyze the association between maternal knowledge, family support, and HIV screening among pregnant women at Kolongan Community Health Center, North Minahasa Regency. Methods: A quantitative study with a cross-sectional design was conducted from February to May 2026. Eighty pregnant women were selected through purposive sampling from a population of 473 pregnant women. Data were collected questionnaires and analyzed using univariate analysis and Spearman rho correlation test. Results: Most respondents had good knowledge (mean=3.69) and received good family support (mean=39.71). Bivariate analysis showed a significant association between maternal knowledge and HIV screening (p=0.030; r=0.242), as well as between family support and HIV screening (p<0.001; r=0.385). Conclusion: Maternal knowledge and family support were significantly associated with HIV screening among pregnant women. Suggestion: Strengthening health education and involving family members, particularly husbands, are recommended to improve HIV screening coverage among pregnant women.
Faktor-Faktor Yang Mempengaruhi Kejadian Carpal Tunnel Syndrome (CTS) Pada Petani Penyadap Karet: Studi Cross-Sectional Di Desa Tuindrao Satu, Kabupaten Nias Selatan
Background: Carpal Tunnel Syndrome (CTS) is a compression neuropathy of the median nerve at the wrist, commonly associated with repetitive occupational activities. Rubber farmers represent a high-risk group due to the continuous, repetitive hand motions involved in rubber tapping. Objective: To analyze factors associated with CTS among rubber farmers in Tuindrao Satu Village, South Nias Regency. Methods: A cross-sectional study was conducted in March 2026. The total population of 53 rubber farmers was recruited, yielding 38 respondents via total sampling. Data were collected through structured interviews, questionnaires, and anthropometric measurements. Bivariate analysis was performed using the Chi-Square test at a 95% confidence level (α = 0.05). Results: The prevalence of CTS history was 65.8% (n = 25). Repetitive motion was the sole factor significantly associated with CTS incidence (p = 0.044). Age (p = 0.222), body mass index (p = 0.362), awkward hand posture (p = 0.122), and ergonomic working position (p = 0.576) showed no significant associations. Conclusions: Repetitive motion during rubber tapping is the primary occupational risk factor for CTS in this population. Targeted ergonomic interventions, including scheduled rest breaks and stretching exercises, are recommended to mitigate CTS risk among informal agricultural workers.
Digital Health Promotion For Non-Communicable Disease Prevention Among Working-Age Adults: A Literature Review
Non-communicable diseases (NCDs) are the leading cause of global mortality, and behavioural risk factors including physical inactivity, unhealthy diet, tobacco use, and harmful alcohol consumption are highly prevalent among working-age adults. Digital health promotion has emerged as a scalable strategy to address these risks, but the evidence base is heterogeneous. This literature review aimed to synthesize evidence on digital health promotion strategies for the prevention of NCDs among working-age adults, including intervention approaches, behavioural and health outcomes, implementation characteristics, and research gaps. A structured search was conducted in PubMed, Scopus, Web of Science, and ScienceDirect, complemented by Google Scholar, focusing on peer-reviewed articles published between 2021 and 2026. Findings indicate that mobile health applications, wearable activity trackers, text-messaging platforms, social-media campaigns, and telehealth-supported programmes are the most frequently deployed modalities. Digital interventions produced small-to-moderate improvements in physical activity, dietary quality, weight, glycaemic control, and short-term smoking abstinence, particularly when they incorporated behaviour-change techniques such as goal setting, self-monitoring, feedback, and social support. Effectiveness was moderated by engagement, adherence, and digital health literacy, while sustainability and equity remained key concerns. Digital health promotion offers a promising complement to conventional strategies for NCD prevention among working-age adults, and future research should prioritize long-term outcomes, equity, and integration into workplace and primary-care settings.
Faktor Risiko Shoulder Sprain Terhadap Pemanen Kelapa Sawit Yang Berhubungan Dengan Ergnomis Di Desa Namu Ukur Kabupaten Langkat
Background: Shoulder sprain is a ligament injury of the shoulder joint resulting from repetitive work activities, non-ergonomic postures, and heavy lifting. Oil palm harvesters represent a high-risk group for this injury because harvesting is performed manually using long-handled tools with the hands raised above shoulder level repeatedly. Musculoskeletal disorder prevalence in the plantation sector continues to rise, and shoulder-specific injuries remain understudied. Objective: This study aimed to analyze the relationship between ergonomic factors (work posture, workload, length of employment, and work duration) and the incidence of shoulder sprain among oil palm harvesters in Namu Ukur Village, Langkat Regency, 2026. Methods: A quantitative cross-sectional study was conducted. The population comprised all 30 oil palm harvesters in the study village, selected via total sampling. Data were collected using REBA for posture assessment, observation sheets for workload, questionnaires for work duration and employment length, and the Nordic Body Map for shoulder sprain detection. Data were analyzed using Chi-Square test (α = 0.05). Results: Twenty respondents (66.7%) experienced shoulder sprain. Significant associations were found between work posture (p=0.017), workload (p=0.007), length of employment (p=0.045), and work duration (p=0.000) with shoulder sprain incidence. Conclusion: All examined ergonomic factors were significantly associated with shoulder sprain. Comprehensive ergonomic interventions including posture training, workload reduction, job rotation, and provision of more ergonomic harvesting tools are recommended to reduce shoulder injury prevalence among oil palm harvesters.
Hubungan Antara Kecerdasan Emosional dengan Self-Efficacy Akademik pada Mahasiswa FKIP di Universitas HKBP Nommensen Medan
This study aimed to determine the relationship between emotional intelligence and academic self-efficacy among students of the Faculty of Teacher Training and Education (FKIP), HKBP Nommensen University Medan. This research employed a quantitative approach with a correlational research design. The population consisted of 2,715 active FKIP students, and a sample of 310 students was selected using probability sampling through a random sampling technique. Data were collected using Likert scales, namely an emotional intelligence scale developed based on Goleman's theory and an academic self-efficacy scale based on Bandura's theory. The data were analyzed using Spearman's rho correlation test. The results revealed a positive and significant relationship between emotional intelligence and academic self-efficacy among FKIP students at HKBP Nommensen University Medan, with a correlation coefficient of ρ = 0.646 and a significance value of 0.000 (p < 0.05). The correlation coefficient indicates a strong relationship, suggesting that higher emotional intelligence is associated with higher academic self-efficacy. Furthermore, the overall levels of both emotional intelligence and academic self-efficacy were categorized as moderate. These findings indicate that emotional intelligence is one of the psychological factors associated with the development of students' academic self-efficacy. Therefore, enhancing emotional intelligence is expected to strengthen students' confidence in dealing with various academic demands and to support their academic success.
Hubungan Tingkat Stres Dengan Hipertensi Sebagai Dasar Upaya Promotif Dan Preventif Di Klinik Dandy Dinda Tembung
Hypertension is a non-communicable disease that poses a serious health problem in the community. This study aimed to analyze the relationship between stress levels, promotive efforts, and preventive efforts with the incidence of hypertension at Dandy Dinda Tembung Clinic. This study used a quantitative approach with a cross-sectional design. The population consisted of 107 people, with a sample of 84 respondents determined using the Slovin formula. Data were collected through questionnaires and secondary data, then analyzed using the Chi-Square test. The results showed that the majority of respondents had moderate stress levels (59.5%) and stage 1 hypertension (61.9%). Statistical test results showed significant relationships between stress levels and hypertension incidence (p=0.006), promotive efforts (p=0.024), and preventive efforts (p=0.009). The promotive efforts included health education and counseling on hypertension, hypertension risk factors, stress management, healthy lifestyles, and the provision of health information through health workers and mass media. Preventive efforts included adequate rest, stress management, regular physical activity and exercise, limiting salt and seasoning consumption, consuming nutritious food, avoiding alcohol, smoking, and coffee, as well as blood pressure checks and consultation with health workers. The study concludes that stress levels, promotive efforts, and preventive efforts are significantly associated with hypertension incidence.
Studi Komparatif Edukasi Diet Sehat Dengan Latihan Fisik Terhadap Monitoring Gula Darah Pada Penderita Diabetes Melitus Tipe 2 Di Wilayah Kerja Puskesmas Darussalam Medan
Type 2 diabetes mellitus (t2dm) is a chronic disease caused by insulin resistance and insufficient insulin production, resulting in elevated blood glucose levels. Proper blood glucose control can prevent both microvascular and macrovascular complications of diabetes. Effective management is therefore needed to monitor blood glucose levels through healthy lifestyle modifications, including a healthy diet and physical exercise. This study aimed to determine the difference between healthy diet education and physical exercise in monitoring blood glucose levels among patients with t2dm at darussalam public health center, medan. This quantitative study employed a quasi-experimental two-group pretest-posttest design. The population consisted of 294 patients with t2dm, from which 44 participants were selected using purposive sampling. Data were collected using an observation sheet to record blood glucose levels among patients with t2dm. The data were analyzed using paired t-test and independent t-test. The results showed a significant difference in blood glucose levels between the healthy diet education and physical exercise groups, with a p-value of 0.000 (p < 0.05). The healthy diet education intervention resulted in a decrease in blood glucose levels of 23.86 mg/dl, while the physical exercise intervention resulted in a mean decrease in blood glucose levels of 52.72 mg/dl. There was a difference of 28.86 mg/dl in the change in blood glucose levels between the healthy diet education and physical exercise groups, with a p-value of 0.000. It can be concluded that there was a significant difference between healthy diet education and physical exercise interventions in monitoring blood glucose levels. It is recommended that the public health center establish regular physical exercise programs and strengthen support for dietary management by developing a non-communicable disease prevention community through healthy lifestyle programs. Posbindu health cadres are expected to serve as facilitators in implementing these programs.
Prevalensi Dan Faktor Risiko Hipertensi Pada Sopir Truk Di Wilayah Pesisir Belawan Tahun 2026
Background: Hypertension is a global health problem often referred to as the "silent killer" because it generally does not cause symptoms until serious complications occur. Truck drivers in the coastal area of Belawan are exposed to significant occupational risk factors, including prolonged sitting, long working hours, and low physical activity. Objective: To analyze the prevalence of hypertension and factors associated with hypertension among truck drivers in the Belawan coastal area in 2026. Methods: A quantitative study with observational analytic cross-sectional design involving 150 active truck drivers at Jl. Baru Logistic, Bagan Deli, Medan Belawan. Data were collected through structured interviews and blood pressure measurement using a calibrated Omron digital sphygmomanometer. Data were analyzed by univariate, bivariate (Chi-Square), and multivariate (multiple logistic regression) methods. Results: The prevalence of hypertension was 50% (75 of 150 respondents) and prehypertension was 30% (45 respondents of 150 respondents). Bivariate analysis showed significant associations between hypertension and length of service (p=0.001), working duration (p=0.002), and physical activity (p=0.007). night shift work (p=0.068) Lifestyle (p=0.989), stress level (p=0.337), and JKN ownership (p=0.337) were not significantly associated. Multivariate analysis indicated that length of service (OR=2.207; p=0.008) and working duration (OR=0.2166; p=0.003) were significantly associated with hypertension. Conclusion: Hypertension has a very high prevalence among truck drivers in the Belawan coastal area (50%) prehypertension was 30%, with length of as the main risk factors. Targeted health promotion and preventive interventions for this occupational group are urgently needed.
Peran Edukasi Orang Tua Dalam Implementasi Baby Gym Terhadap Pertumbuhan Dan Perkembangan Bayi
Introduction: Infant growth and development are important aspects of early life that are Influenced by stimulation and the active role of parents. One effective form of stimulation in supporting infant development is baby gym, a structured movement exercise designed to stimulate motor skills, coordination, and sensory responses through enjoyable physical activities. This study aimed to evaluate the role of parental education in the implementation of baby gym and its impact on infant growth and development in Mrisi Hamlet, Bantul. Methods: This study employed a pre-test and post-test design with a control group. A total of 40 infants aged 6–12 months were randomly assigned into two groups: the intervention group receiving education about baby gym (n = 20) and the control group (n = 20). The educational intervention was conducted over six weeks and included baby gym techniques as well as guidelines for home implementation. Measurements included body weight, body length, and motor and cognitive development using the Developmental Pre-Screening Questionnaire (KPSP). Results: The analysis showed significant improvements in the intervention group compared to the control group. The average increase in body weight was 1.4 kg (p = 0.004; p < 0.05), and body length increased by 3.9 cm (p = 0.0002; p < 0.001). Motor development improved significantly (p = 0.0001; p < 0.001), while cognitive development increased by 8.3 points (p = 0.001; p < 0.01). Overall, the group receiving education demonstrated significant improvements in all aspects of infant growth and development (p < 0.01). Conclusion: Parental education regarding baby gym has been proven effective in improving infant growth and development, both physically and cognitively. These findings emphasize the importance of empowering parents through education to optimize the benefits of baby gym in supporting comprehensive infant growth and development.
Efektifitas Perlakuan Massage Kepala Dengan Herbal Hair Tonic Terhadap Perspektif Kesegaran Dan Kenyamanan Rambut Dan Kulit Pada Pengunjung Spa
Head massage services in the spa industry provide something that people need because many activities cause stress and tension, so this therapy not only functions for physical relaxation, but also contributes to improving mental health and overall well-being. This study aims to analyze the effectiveness of head massage treatment with herbal hair tonic on the perspective of freshness and comfort of hair and skin in spa visitors. Ex post facto research with a quantitative approach. A total of 34 spa visitor respondents were involved in this research as samples. Data was collected through a questionnaire with a 4 Likert scale questionnaire instrument. Data analysis was carried out using regression analysis and SEM analysis. The research results show that head massage treatment with herbal hair tonic has a significant effect on the freshness and comfort of the hair and skin of spa visitors and can increase blood circulation in the head area, which contributes to healthier hair growth and reduces scalp problems such as dandruff and irritation. In addition, the use of natural ingredients in hair tonic not only provides therapeutic benefits, but also creates a deeper relaxation experience for users, which ultimately can increase customer satisfaction and loyalty to spa services.
Perbandingan Efektivitas Senam Etnis Batak Toba Dan Senam Tai Chi Terhadap Penurunan Kadar Gula Darah Pada Penderita Dm Tipe 2 Di Puskesmas Kabanjahe
Background: The increasing prevalence of Type 2 Diabetes Mellitus (DM) imposes significant health and economicburdens, necessitating effective, low-cost, and culturally acceptable non-pharmacological management approaches. Objective: To compare the effectiveness of Batak Toba Ethnic Gymnastics and Tai Chi Gymnastics in reducing fasting blood glucose levels among Type 2 DM patients at Kabanjahe Public Health Center. Methods: A quantitative study with quasi-experimental Two Group Pretest-Posttest Design was conducted. The sample consisted of 24 female Type 2 DM patients meeting inclusion criteria, divided equally into two intervention groups (12 respondents each). The intervention was performed for two weeks, three sessions per week (6 total sessions). Data were analyzed using Paired Sample T-Test and Independent Sample T-Test. Results: The Batak Toba Ethnic Gymnastics group experienced a mean reduction in fasting blood glucose of 37.92 mg/dL (from 179.92 mg/dL to 142.00 mg/dL; p = 0.000). The Tai Chi Gymnastics group showed a smaller reduction of 4.25 mg/dL (from 183.92 mg/dL to 179.67 mg/dL; p = 0.005). The Independent Sample T-Test confirmed a significant difference in effectiveness between the two groups (p = 0.000). Conclusion: Batak Toba Ethnic Gymnastics is proven to be far more effective in reducing fasting blood glucose levels compared to Tai Chi Gymnastics among Type 2 DM patients at Kabanjahe Public Health Center, likely due to its more dynamic, active movements and its cultural alignment with the local community.
Platelet Membrane-Coated Nanoparticles Sebagai Sistem Penghantaran Aspirin Daninhibitor P2Y12 Pada Penatalaksanaan Infark Miokard Akut : A Literature Review
Background: Acute myocardial infarction (AMI) is a severe manifestation of coronary artery disease, commonly caused by atherosclerotic plaque rupture and thrombus formation. Dual antiplatelet therapy with aspirin and P2Y12 inhibitors is a cornerstone of AMI management but remains limited by bleeding risk and nonspecific drug distribution. Platelet membrane-coated nanoparticles (PM-NPs) are biomimetic drug delivery systems with potential for targeted therapy. Objective: To review the potential of PM-NPs for delivering aspirin and P2Y12 inhibitors in AMI management. Methods: A literature review was conducted using PubMed, ScienceDirect, and Google Scholar with the keywords “platelet membrane-coated nanoparticles,” “aspirin,” “P2Y12,” and “acute myocardial infarction.” Articles published within the last 10 years, available in full text, and written in English or Indonesian were selected according to predefined criteria. Twelve relevant articles were identified after screening. Results: PM-NPs demonstrated potential for targeting thrombi, atherosclerotic plaques, and injured myocardial tissue. They may improve drug stability, circulation time, and targeted delivery while reducing oxidative stress, inflammation, and ischemia-reperfusion injury. However, evidence regarding combined aspirin and P2Y12 inhibitor delivery remains limited and predominantly preclinical. Conclusion: PM-NPs represent a promising targeted antithrombotic platform for AMI. Further studies are required to establish the safety and efficacy of combined aspirin and P2Y12 inhibitor delivery.