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. Indexed by: Sponsorship and Partner:
Gambaran Epidemiologi dan Evaluasi Sistem Surveilans Kesehatan Jiwa di Puskesmas Cilembang Kota Tasikmalaya Tahun 2024
Mental health is an important indicator of the overall public health status. Mental health surveillance through screening serves as a strategy for early detection of mental disorders and continuous case monitoring. In Indonesia, approximately 630,827 individuals or about 2.0% of the population aged >15 years are reported to have mental health problems based on provincial data. This study was conducted at Cilembang Public Health Center, Tasikmalaya City, using a mixed-method approach that combines quantitative and qualitative methods. The quantitative sample was selected using total sampling, involving 35 new cases of people with mental disorders (ODGJ) recorded in 2024. Meanwhile, qualitative subjects were selected through purposive sampling, involving surveillance officers engaged in the mental health program. The qualitative findings cover the input, process, and output components of the surveillance implementation. Results show that the mental health surveillance program at Cilembang PHC is supported by various health personnel, funding from the BOK program, and the SIMKESWA digital system integrated with the Ministry of Health. Active surveillance is carried out through community and school screenings using the SDQ and SRQ-20 instruments, followed by diagnosis, counseling, and initial management. The program exceeded the target for identifying severe ODGJ cases. However, screening among individuals aged ≥15 years has not been optimally implemented due to competing program priorities.
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Pengetahuan Ibu dengan Kesiapan Memilih Alat Kontrasepsi Pasca Persalinan pada Ibu Hamil Trimester III
Postpartum contraception is a contraceptive method given to coupery within les of child bearing age after deliv 42 days. The purpose of postpartum contraception is to space pregnancies, by ending fertility, avoiding unwanted pregnancies. The purpose of this study was to find mid the correlation between the level of maternal knowledge with the readiness to choose postpartum contraception in pregnant women in the third trimester at the 3rd grade hospital of Bhayangkara, Manado. The study was conducted using a correlation analytical method with a Cross Sectional design. The sample of respondents was 34 people. Using the Purposive Sampling technique. Data collection using a questionnaire. Analyzed with the Nonparametric Chi Square statistical test. The research results obtained show that the p-value= 0.001 is less than a = 0.05, Which means there is a correlation between knowledge with readiness to choose postpartum contraception in pregnant women in the third trimester.
Studi Kasus Balita Usia 23 Bulan dengan Berat Badan Kurang di Desa Ulee Nyeu Puskesmas Banda Baro Tahun 2025
Undernutrition is a severe nutritional deficiency condition caused by inadequate daily intake of energy and protein, which occurs over a considerable period of time. Malnutrition generally affects children under five years old and is influenced by various factors. According to the National Basic Health Research Report (Riskesdas) in 2018, the national proportion of children aged 6–24 months with undernutrition and severe malnutrition was recorded at 17.7%. This study is a case report of a 23-month-old boy living in a village in 2025. The case was observed over a three-week period using a home visit approach. The diagnosis of undernutrition was established based on national guidelines, specifically the Regulation of the Indonesian Minister of Health No. 2 of 2020 concerning child anthropometric standards. Anthropometric measurements showed the child had a height of 81 cm and a weight of 8.12 kg. The child’s nutritional status was classified as underweight based on the Weight-for-Age (W/A) Z-score. Following diagnosis, the patient received nutritional education, supplementary food, appetite-stimulating vitamins, and growth monitoring. The study concluded that several determinants contributed to the underweight condition in this 23-month-old patient, including behavioral factors, incomplete immunization, and recurrent infections.
Acute glomerulonephritis (AGN) is a sudden inflammation of the glomeruli in the kidneys, commonly triggered by an immunologic reaction to bacterial or viral infections, especially group A beta-hemolytic Streptococcus. AGN is most frequently found in children aged 2–10 years, with a higher prevalence in males. One of the most typical forms is post-streptococcal glomerulonephritis (PSGN), which appears approximately 1–2 weeks after a pharyngeal or skin infection. The pathogenesis of PSGN involves immune complex formation and complement activation, leading to glomerular injury characterized by hematuria, proteinuria, edema, and hypertension. Diagnosis is based on clinical symptoms, laboratory findings such as elevated ASO titers and decreased C3 levels, and occasionally renal biopsy. Management of PSGN is primarily supportive, including fluid restriction, diuretics, and antihypertensive therapy. In severe cases, corticosteroids, dialysis, or antibiotics may be necessary. The prognosis is generally favorable with proper treatment, although complications such as hypertensive encephalopathy and acute kidney injury may occur. Therefore, early detection and adequate management are crucial to prevent disease progression.
Pengaruh Terapi Rendam Kaki Air Hangat Campuran Garam Himalaya terhadap Penurunan Tekanan Darah pada Lansia Hipertensi Tahun 2024
One of the complementary therapy treatments that can be used for independent and natural interventions is foot hydrotherapy (warm water foot soak). Warm water foot soak therapy plus a mixture of salt is useful for blood pressure lowering therapy in hypertension. The purpose of this study was to determine the effect of warm water foot soak therapy with a mixture of salt on lowering blood pressure in elderly hypertensive patients. The type of research is Quasy-experiment using one group pretest posttest design. The number of samples was 16 respondents taken using the Purposive Sampling technique. The results of the study showed that the average blood pressure before the warm water foot soak therapy with a mixture of salt was systolic 169.62 mmHg and diastolic 102.25 mmHg. The average blood pressure after the warm water foot soak therapy with a mixture of salt was systolic 143.12 mmHg and diastolic 91.88 mmHg. The results of the statistical test showed that there was an effect of warm water foot soak therapy mixed with salt on reducing blood pressure in elderly hypertensive patients in the Siulak Mukai Health Center Work Area in 2024 (p-value = 0.001).
Hubungan Disiplin Kerja Dengan Kinerja Pegawai di Puskesmas Pintukota Kota Bitung
Work discipline is a behavior that must be instilled in every individual inside and outside the organization. Employee performance is influenced by several factors, including work discipline. The purpose of this research is to identify the relationship between work discipline and employee performance at Puskesmas Pintukota Kota Bitung.This research uses quantitative research with a cross sectional study design. Data analysis using Chi-Square with a level of significance (a < 0.05). The population in this study were all employees. With a sample size of 42 respondents obtained by total sampling technique.The statistical test obtained a value of <p=0.012 & 0.001 (a<O.002) on the work discipline variable. This means that Ha is accepted or there is a significant relationship between work discipline and employee performance. The conclusion of this research is that there is a relationship between work discipline and employee performance. The results of this research are expected that Puskesmas employees can maintain and improve work discipline so as to get good performance results in achieving each program that is arranged.
Hubungan Ketersediaan Fasilitas Dan Sumber Daya Manusia Dengan Waktu Tunggu Pasien
The emergency department (ED) is the frontline of the hospital that provides health care tp patients the hospital that provides health care to patients who experience emergency conditions. The principle of service in the emergency room is fast and timely, but the increase in the the number of patients visiting the emergency room and the availability of inadequate resources can result in patient waiting time. This study is known to know the relationship between the availability of facilities and human resources with patient waiting time in the emergency department installation. This study is an observational analytic study with a cross sectional study research design. Data collection using SAP and questionnaire sheets. For the analysis test using chi-square with a level of significance (a <0.05). The chi-square statistical test obtained a value ≤ p +(a <0.005). From this study, there is a relationship between the availability of facilities and human resources with patient waiting time in the emergency room.
Hubungan Kecemasan Dengan Kualitas Tidur Pada Tahanan Kejaksaan Negeri Bitung
Every individual who experiences a change in role in social responsibility including being a prisoner mostly experiences psychological problems, one of which is stress and the effect of stress shown is anxiety, as a result of anxiety that cannot be handled, it has an impact on disturbing individual sleep patterns. The purpose of this study was to determine the relationship between anxiety and the quality of sleep of detainees at the Bitung District Attorney's Office. This research method is observational analytic research with a Cross Sectional study design. The sample taken amounted to 45 respondents using Purposive sampling. Data collection using a questionnaire sheet. The collected data were processed using the IBM SPSS Version 23 computer. For the analysis test using Spearman Rho with a level of significance (α < 0.05). Spearman Rho statistical test obtained a value ≤ ρ = 0.001 (α <0.005). This means that Ha is accepted or there is a significant relationship between the relationship between anxiety and the quality of sleep of detainees at the Bitung District Attorney's Office. This study found a relationship between anxiety and the quality of sleep of detainees at the Bitung District Attorney's Office. Suggestions for the results of this study to all respondents to be able to control the anxiety experienced by increasing spiritual activities so that anxiety does not become a contributing factor to sleep disorders.
Tinjauan Sistem Keamanan Rekam Medis Elektronik di Rumah Sakit Al Dr. Mintohardjo Jakarta
Medical records are important documents that capture the entire medical history of patients, including identification, diagnosis, treatment, and recovery. With advancements in information technology, electronic medical records (EMR) have emerged as a solution to enhance the efficiency and accuracy of patient data management. However, despite the many benefits of EMR, its implementation at AL dr. Mintohardjo Hospital remains hybrid, combining manual and electronic methods. This indicates challenges in transitioning to a fully digital system. This study aims to identify and analyze issues related to the security of EMR at AL dr. Mintohardjo Hospital. Several issues identified include a lack of training for medical record staff regarding cybersecurity practices and data input errors. The research employs a qualitative approach, with data obtained from observations and interviews with hospital stakeholders. The informants in this study include IT staff, medical staff, and administrative staff. The findings regarding the security of electronic medical records (EMR) at AL dr. Mintohardjo Hospital indicate that, although there are established Standard Operating Procedures (SOP) for EMR security, their implementation is still not fully compliant. In terms of confidentiality, integrity, and availability of data, the study found that AL dr. Mintohardjo Hospital has implemented several security measures, such as user authentication and access management. However, weaknesses remain, such as a lack of user awareness regarding regular password changes and excessive access by administrative staff. Additionally, frequent data input errors can lead to serious consequences for patients, and threats to data confidentiality, integrity, and availability. Although the hospital has implemented measures such as firewalls and audit trail systems to protect data, challenges such as unstable internet connections and reliance on a single resource remain concerns. Overall, while the existing security measures are fairly adequate, this study emphasizes the need for improved staff training and strengthened procedures to minimize risks to the security of electronic medical record data.
Pengaruh Pelatihan Kesehatan Dan Keselamatan Kerja Terhadap Kinerja Pekerja Konstruksi
The construction sector is one of the industries with the highest risk of workplace accidents in Indonesia, contributing approximately 32% of the total national incidents. This study aims to analyze the effect of Occupational Health and Safety (OHS) training on worker performance in the construction sector. A literature review method was employed by collecting seven national research articles published between 2019 and 2025 through the Google Scholar database. The findings indicate that OHS training has a significant and positive impact on enhancing the performance of construction workers. It not only improves technical knowledge and skills but also fosters a stronger safety-oriented attitude, increases workers' sense of responsibility, and reduces the risk of workplace accidents. Structured and consistent training helps create a safer and more efficient work environment, ultimately contributing to improved work effectiveness and the overall sustainability of construction projects. This study underscores the importance of implementing OHS training programs as a key strategy to improve worker performance in the construction industry.
Pengaruh Fitokimia Resveratrol terhadap Penurunan Kadar HbA1c pada Pasien Diabetes Melitus Tipe 2 (DMT2): Tinjauan Literatur
Type 2 diabetes mellitus is a degenerative disease characterized by increased blood sugar levels due to insulin resistance. Many studies have examined the synergistic effect of nutraceutical supplementation to increase the effectiveness of drug therapy, one of which is resveratrol. However, studies that identify the effect of resveratrol on reducing HbA1c levels in patients with type 2 diabetes mellitus still have many inconsistencies in the reported results. The significance of these effects is based on the dose and timing of the particular intervention. Therefore, a literature review of several studies was carried out to assess the impact of resveratrol in treating type 2 diabetes mellitus through the HbA1c parameter and to explain the appropriate dose and duration of intervention. Articles included in the inclusion criteria are available in English and published within the last 10 years (2014-2024) in electronic databases such as PubMed-Medline, ScienceDirect, and SpringerLink. A literature review was conducted on experimental studies with type 2 diabetes patient subjects. The results of the literature review show that the recommended dose and duration that have the greatest significance in reducing HbA1c are at a dose of 200–500 mg/day for 6 months or >500 mg/day within 3 months. These results provide evidence that the adjusted dose and duration of resveratrol supplementation are very beneficial for the management of patients with type 2 diabetes mellitus.
Nutritional problems such as obesity warrant serious attention, due to their potential to contribute to various other health complications. One modifiable factor associated with obesity that can be targeted through intervention is dietary pattern, including adoption of vegetarian diet. Several previous studies have suggested that vegetarian diets may be effective in promoting weight loss. This study aims to examine the potential role of vegetarian diets in the management of obesity. The method employed in a literature review of relevant studies published within the last ten years. The findings indicate that vegetarian diets are effective in reducing body weight, insulin resistance, blood glucose levels, trimethylamin N-oxide (TMAO), low-density lipoprotein (LDL), triglycerides (TG), and total cholesterol levels. Additionally, they are associated with increased high-density lipoprotein (HDL) levels and improvements in lipid profiles, as well as kidney and liver function. Nevertheless, the implementation of vegetarian diets among individuals with obesity should be carefully supervised and planned by qualified professionals to minimize the risk of nutritional deficiencies.
Literature Review: Potensi Daun Sembung (Blumea balsamifera) sebagai Imunomodulator pada Hewan Percobaan
One chemical substance that can enhance the function and activity of the immune system is an immunomodulator. Immunomodulators can be found in various plants, including sembung leaves (Blumea balsamifera). This study aims to evaluate the potential of sembung leaf extract as an immunomodulator in experimental animals using a systematic literature review method. Articles were collected based on the keywords “immunomodulatory,” “sembung leaves,” and “body immunity” from the Google Scholar, Science Direct, and PubMed databases. The results of animal studies indicate that the administration of ethanol extracts of Sembung leaves at various doses has potential as an immunomodulator with anti-inflammatory, antipyretic, diuretic, and antidiarrheal effects. Additionally, Sembung leaf extracts have been shown to effectively inhibit bacterial growth and act as anti-inflammatory, diuretic, antipyretic agents, and anti-diarrheal.
Hubungan Antara Kekuatan Otot Lengan Dengan Kemampuan Servis Panjang Dalam Permainan Bulu Tangkis Pada Peserta Didik SMP Negeri 2 Tondano
This study aims to determine the relationship between arm muscle strength and long service ability in badminton among students of SMP Negeri 2 Tondano. Long service is one of the essential basic techniques to master in badminton, particularly in singles play. Arm muscle strength is suspected to be one of the determining factors for the success of the long service technique. This study uses a quantitative approach with a correlational method. The sample consisted of 20 students selected through a selection technique based on specific criteria such as body height and basic long service skills. The instruments used were a 30-second push-up test to measure arm muscle strength and a badminton long service accuracy test to assess long service ability. The correlation analysis showed a correlation coefficient value of r = 0.22, which falls into the low category, with a contribution of 4.84% to long service ability. The t-test result showed a t-count of 0.95, which is smaller than the t-table value of 2.101, indicating no significant relationship between arm muscle strength and long service ability. Therefore, other components such as wrist flexibility, stroke technique, and accuracy are considered dominant factors in achieving an effective long service.
Efek Pemberian Intervensi Fisioterapi pada Kasus Cervical Root Syndrome : A Case Report
Background: Cervical Root Syndrome (CRS), Cervical Radiculopathy, or Irritating Compression Brought on by the Invertebral Discnue Can All Induce Sensory or Motor Loss. In the instance of cervical root syndrome, this study attendes to ascertain the benefits of myofacial release, free active exercise, neck calliet exercise, stretching, and transcutaneous electrical nerve stimulation (tens). Method: Patients with Cervical Root Syndrome at Dr. Hospital Sardjito Yogyakarta are the subjects of this case study. Pain, Muscle Weakness, Restricted Range of Motion, and diminished functional activity are the issues that patients face. Findings: Assessment of visual pain Analog scale (VAS) reveals that pain in the NECK region of silent pain decreases from 6 to 4 pain Decreased pressure from 7 to 5, pain decreases from 8 to 6 and in the shoulder region there is a change in pain decreases from 6 to 4 pain decreases from 7 to 6, pain movement decreases from 8 to 6. extension, lateral flexion (D), lateral flexion (s), rotation (D), rotation (s) muscle strength there is no change with the value of MMT 3+ and in the shoulder region there are changes in each movement (extension flexion, adduction, abduction, internal rotation of external rotation rotation) NECK extension-flexion movement, which changes from S: 35 ° -0-20 ° to S: 45 ° -0-25 °, and rotation movement (D)-Rotation (s), where R: 70 ° -0-60 ° to R: 80 ° -0-70 °, in the Shoulder region extension-flexion, which changes from S: 25 ° -0-80 ° 45 ° -0-130 °, and abduction-adduction movement, where f: 90 ° -0-70 ° to F: 160 ° -0-50 ° Functional activity measured by the NECK Disability Index (NDI) shows an increase from the value of 40% decreased to 38%. Conclusion.
Pengaruh Video Edukasi terhadap Pengetahuan Remaja Putri tentang Kehamilan Tidak Diinginkan Di Kelas IX SMP Negeri 1 Sliyeg Tahun 2025
Unwanted pregnancy (UP) among adolescents is a reproductive health problem that affects physical, psychological, social, and economic aspects. Adolescents often lack knowledge about pregnancy and reproductive health. Therefore, effective educational methods, such as video media, are needed to increase adolescent girls’ understanding of UP. This study used a quantitative pretest-posttest design without a control group. Forty-eight ninth-grade students at SMPN 1 Sliyeg were the respondents. Data was collected using a questionnaire before and after intervention using educational video. Data were analyzed using Wilcoxon test to see the difference in knowledge levels. The pretest results showed that 66.7% of respondents had poor knowledge, and none had good knowledge. After the intervention, all respondents (100%) had good knowledge. The Wilcoxon test showed a p-value of 0.000 (<0.05), indicating a significant difference. Therefore, educational video is effective in increasing knowledge of adolescent girls regarding unwanted pregnancy.
Studi Literatur Uji Stabilitas Fisik Berbagai Sediaan Berbasis Ekstrak Daun Kencur (Kaempferia galanga L.)
Galangal (Kaempferia galanga L.) is a herbal plant known to have anti-inflammatory, antibacterial, and antioxidant activities. The use of galangal extract in topical pharmaceutical preparations such as ointments, gels, and creams requires attention to the physical stability of the preparation to ensure the effectiveness and safety of the product. This study aims to examine the physical stability of various forms of galangal extract-based preparations through literature studies from three relevant journals. The method used is a descriptive literature study by analyzing the results of physical stability tests (organoleptic, pH, homogeneity, spreadability, adhesion, and viscosity) of ointments, gels, and creams. The results of the study showed that the gel form with a carbopol base provided the best overall physical stability, followed by an ointment with a water-washed base. Meanwhile, sunscreen cream made from galangal and seaweed showed quite good stability, although its spreadability and adhesion still need to be improved. This study provides an overview that the form and composition of the preparation greatly affect the physical stability of galangal extract, as well as the importance of choosing the right base in the formulation.
Policy Gaps in Mental Health within Conflict-Affected Middle Eastern Countries : A Regional Synthesis
This study conducts an in-depth examination of the structural gaps in mental health policies within conflict-affected countries in the Middle East region, employing a systematic meta-synthesis approach to analyze 87 primary studies published between 2015 and 2024. Findings reveal that only 23.4% of these countries possess mental health policies that can be classified as comprehensive. In comparison, the average budget allocation for this sector accounts for merely 2.1% of total national health expenditures. In terms of affected populations, the prevalence of mental disorders is alarmingly high, recorded at 41.3% among refugees and 37.8% among residents living amidst protracted conflict. Through logistic regression analysis, a highly significant correlational relationship was identified between conflict intensity and the severity of mental disorders (r = 0.78; p < 0.001), underscoring the systemic link between structural violence and collective psychosocial vulnerability. Furthermore, meta-regression successfully identified the five most dominant policy gaps: deficits in service infrastructure (76.5%), shortages of the professional workforce (68.2%), dysfunctions in referral systems (64.7%), limitations in funding (59.3%), and lack of intersectoral service integration (52.8%). This research not only extends the conceptual framework and empirical findings previously advanced by Sihombing et al. (2025) and Akhtar et al. (2021) concerning the mental health impacts of conflict but also innovatively articulates region-specific patterns and identifies contextual moderator variables that influence policy implementation effectiveness. Thus, this study's methodological and conceptual novelty lies in formulating an evaluative framework grounded in empirical evidence, which integratively combines socio-political indicators with clinical mental health parameters, offering a comprehensive approach to assess and reform public policy in conflict-affected areas of the Middle East.
Hubungan Anemia pada Ibu Hamil dengan Kejadian Berat Bayi Lahir Rendah (BBLR) di Wilayah Kerja Puskesmas Cimerak Kabupaten Pangandaran
Low birth weight (LBW) is a major concern in Indonesia due to its impact on neonatal health and growth. One of the contributing factors is maternal anemia during pregnancy, which limits oxygen and nutrient supply to the fetus. This study aimed to determine the relationship between maternal anemia and the incidence of LBW in the working area of the Cimerak Health Center, Pangandaran Regency. This research used a retrospective case-control design involving 124 mothers, divided into 62 cases and 62 controls. The results of the chi-square test showed a significant relationship between maternal anemia and the incidence of LBW (p = 0.000). It is concluded that maternal anemia is associated with a higher risk of LBW, thus emphasizing the need for improved maternal care and anemia prevention strategies.
Ablasio Retina Rhematogen pada Pria Usia Lanjut dengan Riwayat Katarak : Laporan Kasus
Rhegmatogenous retinal detachment is a condition in which the sensory retina separates from the retinal pigment epithelium due to a retinal tear that allows vitreous fluid to accumulate in the subretinal space. It is an ophthalmologic emergency that may result in permanent blindness if not managed promptly and appropriately. This case report aims to describe the clinical course, diagnosis, and management of a 62-year-old male patient who presented with sudden blurred vision in the right eye, accompanied by floaters, photopsia, and discomfort. The patient had a history of bilateral cataracts and underwent vitrectomy. Data were collected from medical records and supporting examinations, confirming the diagnosis of rhegmatogenous retinal detachment. Management included topical therapy, systemic medication, bed rest, and surgical intervention. Clinical improvement was observed postoperatively. This report highlights the importance of early detection and timely treatment to preserve visual function.
Tinjauan Penerapan Rekam Medis Elektronik di Pendaftaran Rawat Jalan RSUD Balaraja
The implementation of Electronic Medical Records (EMR) is a digitalization innovation in medical data storage which aims to increase the efficiency of health services. At Balaraja Regional Hospital, the EMR system is implemented using the Hospital Information Management application (MIRSA). This study aims to evaluate the implementation of EMR in outpatient registration, identify the obstacles faced, and provide recommendations for improvement. The scope of the research includes an outpatient registration system that uses EMR. Descriptive research method with qualitative analysis, by means of observation and interviews with the main informant, the head of medical records and other informants, registration officers. The research results show that the implementation of EMR has increased service efficiency by speeding up the registration process and reducing manual recording errors. However, analysis using the Human, Organization, Technology, Net-Benefit (HOT-Fit) method revealed obstacles such as technological aspects and organizational support, as well as slow network constraints. The conclusion of this research is that although EMR provides benefits in increasing service efficiency, improvements are still needed in technological and management aspects. It is recommended that Balaraja Regional Hospital develop special SOPs for MIRSA, improve system maintenance, and provide regular training officers to improve the quality of health services.
Posterior Capsule Opacification (PCO), also known as secondary cataract, is the most common complication following cataract surgery, particularly extracapsular cataract extraction (ECCE). PCO results from the proliferation, migration, and differentiation of residual lens epithelial cells within the posterior capsule, leading to the formation of structures such as Elsching pearls and Soemmering rings. The incidence of PCO is notably high among pediatric patients due to the increased mitotic activity of lens epithelial cells. Major risk factors include younger age, certain ocular conditions such as glaucoma and age-related macular degeneration, as well as the design and material of the implanted intraocular lens (IOL). Diagnosis is established through slit-lamp and ophthalmoscopic examinations, with decreased visual acuity being the primary clinical symptom. The current mainstay of treatment is Nd:YAG laser capsulotomy, which is effective and minimally invasive but may be associated with complications such as cystoid macular edema and retinal detachment. Preventive strategies focus on improved surgical techniques and appropriate IOL selection. With proper intervention, the incidence of PCO can be reduced, thereby improving postoperative visual outcomes.
Peran Tenaga Kesehatan dalam Menjamin Layanan Obstetri-Ginekologi di Tengah Krisis Bencana
Natural and non-natural disasters significantly disrupt healthcare systems, particularly obstetric and gynecological services, which are highly vulnerable to service interruptions and quality decline. Pregnant women, postpartum mothers, and newborns face an increased risk of complications and mortality without adequate medical care. Health professionals play a crucial role in ensuring the continuity of reproductive health services through the implementation of the Minimum Initial Service Package (MISP), emergency management, health education, and intersectoral coordination. However, challenges such as limited resources, psychological pressure, and lack of specialized training hinder optimal performance. Therefore, strengthening the capacity of healthcare workers, enhancing disaster preparedness, providing adequate logistics, and enacting supportive governmental policies are essential to maintain effective obstetric-gynecological care during crises. This literature review comprehensively discusses the role of health workers in ensuring reproductive health services in disaster settings as a strategy to improve access and service quality during emergencies.
Literature Review Peran Perawat Dalam Edukasi Dan Skrining Kanker Serviks Di Indonesia
Cervical cancer remains a significant public health concern for women in Indonesia, especially due to low awareness and limited early detection practices. Nurses play a strategic role in cervical cancer prevention efforts, particularly in providing health education and implementing early screening methods such as the Visual Inspection with Acetic Acid (VIA) test. This literature review aims to examine the involvement of nurses in cervical cancer education and screening across various regions in Indonesia from 2020 to 2025. A total of 18 studies were selected through the PRISMA method and analyzed thematically. The findings indicate that nurses serve not only as health educators but also as frontline practitioners in community-based screening initiatives. Despite their critical roles, nurses face challenges such as lack of training, policy support, and community stigma. This review underscores the need for strengthening the nursing capacity and policy support to optimize their contribution to cervical cancer elimination. The results also provide evidence-based insights for developing future nursing interventions and public health strategies targeting cervical cancer in Indonesia.
Peran Perawat Dalam Edukasi Dan Skrining Kanker Payudara Di Indonesia
Breast cancer remains a major cause of cancer-related mortality among women in Indonesia, with late detection being a major contributing factor. Nurses play a critical role in promoting early detection through education and clinical screening. This literature review aims to examine the role of nurses in breast cancer education and screening in Indonesia. A total of 25 relevant articles published between 2019 and 2024 were reviewed from national and international journals. The results show that nurse-led education significantly improves knowledge and practice of breast self-examination (BSE), while nurse involvement in clinical breast examination (CBE) contributes to early detection. However, barriers such as limited training, lack of resources, and insufficient institutional support hinder optimal implementation. The study highlights the importance of strengthening nurse capacity and integrating community-based education models to improve early breast cancer detection in Indonesia. This review provides a theoretical and practical foundation for strengthening the role of nurses in national cancer control strategies.
Gambaran Pengetahuan Ibu Mengenai Status Gizi Balita di Desa Telaga Sari Tahun 2024
Nutritional status is a measure of success in fulfilling nutritional needs in children which is shown through the achievement of body weight for age. The nutritional status of toddlers is very significant as a starting point for physical capacity in adulthood. This descriptive study uses primary data, namely data obtained from direct field observations using a questionnaire that has been designed previously to determine maternal knowledge about nutritional status in toddlers in Telaga Sari Village, Sunggal District, Deli Serdang Regency, as many as 30 people in this study. Based on research from 30 people who became respondents, the Description of Mother's Knowledge about nutritional status in toddlers in Telaga Sari Village, Sunggal District, Deli Serdang Regency, the majority of 14 people (47%) have sufficient knowledge and a minority of 6 mothers who have less knowledge (20%). Based on age, the majority were 20-35 years old (23%), and the minority were 1 person (3%) aged <20 years old. Based on education, the majority were high school (27%), and the minority were elementary school (3%). Based on occupation, the majority were employed (27%), and the minority were unemployed (7%). This study is expected to encourage village midwives to provide more information through counseling and increase mothers' knowledge about the nutritional status of toddlers to prevent malnutrition.
Transformasi Respons Kegawatdaruratan Berbasis Komunitas: Tinjauan Literatur Terhadap Inovasi Teknologi, Kesiapsiagaan Sosial, Dan Model Intervensi Terkini Di Era Digital
This literature review aims to explore the transformation of community-based emergency response systems in the digital era, with a focus on technological innovation, social preparedness, and adaptive intervention models. Using a systematic review approach, 38 articles published between 2019 and 2024 were analyzed from databases such as Scopus, PubMed, and ScienceDirect. The findings indicate that digital applications, AI-based early warning systems, and virtual reality-based emergency training have significantly enhanced community responsiveness. Moreover, social factors such as local leadership, solidarity, and participatory simulation play a vital role in strengthening adaptive capacity. This review proposes an integrative socio-technical model that combines digital tools with community participation to improve preparedness and resilience. The implications suggest the need for inclusive and sustainable community disaster response frameworks supported by policy and cross-sectoral collaboration.
Hubungan Paparan Media Sosial Tentang Pendidikan Gizi terhadap Tingkat Awareness Remaja pada Produk Makanan dengan Klaim Gizi
Adolescence is a crucial phase in shaping behavior and knowledge, including regarding nutritious food selection. The increased use of social media among adolescents provides opportunities for delivering nutrition education, but also carries risks associated with exposure to misleading information, including inaccurate nutrition claims. This study aims to analyze the relationship between exposure to nutrition education on social media and adolescents' awareness of food products with nutrition claims. The method used in this study was quantitative with an associative study design. The study sample consisted of 302 respondents, students from the Faculty of Public Health and the Faculty of Economics and Business, Airlangga University, class of 2022. Data collection was conducted online through a Google Form questionnaire, which included respondent characteristics and measured perceptions in shaping behavior related to exposure to nutrition education on social media and awareness of nutrition claims on food products. Data analysis was performed using Kendall's tau-b test to measure the relationship between variables. The results showed that TikTok was the most widely used social media platform by respondents, and there was a significant relationship between exposure to nutrition education on social media and adolescents' awareness of food products with nutrition claims (p < 0.01). Respondents who were more frequently exposed to educational content tended to have a better understanding and were able to respond more critically to nutrition claims. These findings emphasize the importance of utilizing social media as an effective nutrition intervention tool, particularly for adolescents who are active social media users, to increase their awareness of the importance of choosing nutritious foods. These results indicate the importance of optimizing social media as an effective nutrition intervention tool, especially for adolescents as a group of active social media users.
Pemanfaatan Perasan Kulit Nanas (Ananas Comosus L.) dalam Formulasi Sediaan Hand Sanitizer untuk Menghambat Pertumbuhan Escherichia Coli
The low level of public awareness regarding hand hygiene has become a contributing factor to the spread of infectious diseases transmitted through contact. This condition has sparked innovation in the development of hand sanitizer products made from natural ingredients, which are not only effective in killing germs but also safe and environmentally friendly. One promising natural ingredient is pineapple peel (Ananas comosus L.), which is generally considered organic waste. Pineapple peel contains bioactive compounds such as flavonoids, tannins, and the enzyme bromelain, all of which possess antibacterial properties. This study aims to evaluate the antibacterial effectiveness of pineapple peel extract against the growth of Escherichia coli and assess its feasibility as an active ingredient in spray hand sanitizer formulations. The research method involved preparing spray hand sanitizer with varying concentrations of pineapple peel extract: 50%, 60%, 70%, 80%, and 90%. Antibacterial activity was tested using the disk diffusion method to measure the inhibition zone against E. coli. Additional evaluations included physical quality tests such as pH, spreadability, homogeneity, organoleptic properties, skin irritation test, storage stability, and consumer preference. The results showed that the 90% concentration formulation had the highest antibacterial effectiveness, with an inhibition zone of 22 mm. This formulation was also the most preferred by respondents due to its strong and fresh aroma, appealing color, and pleasant texture on the skin. All formulations had pH values within the safe range (5.5–7), did not cause skin irritation, and demonstrated stability during storage. In conclusion, pineapple peel extract is effective as a natural active ingredient in spray hand sanitizer formulations. This product not only exhibits strong antibacterial activity against E. coli but is also safe, stable, and presents an environmentally friendly alternative to support improved public hand hygiene.
Gambaran Pengetahuan Ibu Hamil Tentang Senam Hamil Di Klinik Alisah Medan Periode Maret-Mei 2025
Prenatal exercise is a program designed specifically for pregnant women, featuring movements tailored to their condition, aimed at reducing discomforts during pregnancy and preparing them both physically and mentally for childbirth. The lack of awareness among pregnant women regarding prenatal exercise is likely a contributing factor to their limited participation. This study aims to explore the level of knowledge pregnant women have about prenatal exercise at Alisah Clinic, Medan, during the period of March to May 2025. The research employed primary data collection using a total sampling technique, with questionnaires as the instrument, involving 30 pregnant women as subjects. Data analysis was conducted using frequency distribution in percentages. The results showed that the majority of respondents with knowledge about prenatal exercise were aged 20–35 years, accounting for 19 individuals (63.4%), while the minority were aged over 35 years, totaling 3 individuals (10%). Based on education level, most respondents had completed high school (14 individuals or 46.6%), and the fewest had completed elementary school (3 individuals or 10%). Regarding occupation, the majority were housewives (17 individuals or 26.6%), and the minority were private employees (3 individuals or 3.3%). It is recommended that Alisah Clinic, Medan, use this scientific paper as a reference and input for midwifery practice, particularly in providing health education to pregnant women. Future researchers are advised to conduct broader studies with more comprehensive methods and variables to improve and refine this research.
Potensi Bawang Merah (Allium Cepa L. Var. Aggregatum) sebagai Imunomodulator dan Agen Antikanker
Shallot (Allium cepa L. var. aggregatum) is a horticultural plant that holds significant economic value and therapeutic potential. This study aims to examine the potential of shallots as an immunomodulatory and anticancer agent based on a literature review of various experimental studies. The main bioactive compounds in shallots, such as quercetin, flavonoids, saponins, and sulfur-containing compounds, have been shown to modulate the immune system and inhibit cancer cell growth. As an immunomodulator, shallot extracts have been found to enhance phagocytic activity, stimulate immune cell proliferation, and balance the Th1/Th2 immune response. On the other hand, its anticancer activity is realized through cell cycle inhibition, apoptosis induction, and cytotoxic effects on various cancer cell types, including breast, colorectal, and prostate cancer. This review was conducted by analyzing experimental in vitro and in vivo studies published between 2014 and 2024. The synthesis results indicate that shallots hold strong potential as a supportive therapy for immune-related diseases and cancer. However, further clinical trials and toxicological studies are needed to confirm their efficacy and safety as a natural-based therapeutic agent.
Pengaruh Pemberian Sari Kacang Hijau Terhadap Produksi Asi Pada Ibu Nifas: Studi Eksperimen Di Pmb Bidan Sri, Kecamatan Selesai
Breast milk (ASI) is the most perfect source of nutrition for infants, especially during the first six months of life. However, many postpartum mothers experience obstacles in producing breast milk optimally. One non-pharmacological alternative to increase breast milk production is the consumption of mung bean extract, which contains lactagogues and B-complex vitamins. This study aims to determine the effect of mung bean extract on breast milk production in postpartum mothers. The method used was a quasi-experimental design with a one-group pretest-posttest approach involving 10 postpartum mothers at PMB Bidan SRI, Selesai Subdistrict, Langkat Regency. The intervention was carried out for seven consecutive days, and data were analyzed using the Wilcoxon Signed-Rank test. The results showed a significant increase in the average breast milk production score from 1.20 to 2.90 after the intervention, with a p-value of 0.004. This indicates that mung bean extract has a positive effect on increasing breast milk production. These findings are expected to serve as a basis for healthcare providers to recommend mung bean consumption in lactation management for postpartum mothers.
Financial Management In Public Health Systems: A Review Of Literature On Funding, Budgeting, And Resource Allocation
This study examines the financial management practices in public health systems, focusing on funding, budgeting, and resource allocation. The objective is to explore the relationship between financial management strategies and healthcare service quality, particularly in low- and middle-income countries. A literature review methodology was used to analyze various studies published between 2010 and 2023. The findings indicate that stable funding, transparent budgeting, and efficient resource allocation significantly enhance healthcare outcomes. These practices ensure that critical services, such as maternal and child health care, are prioritized, thereby improving access to essential services. The study highlights the importance of adopting comprehensive financial strategies to address challenges in public health systems. The implications of this research emphasize the need for policy reforms to improve financial management practices, particularly in resource-limited settings. Future research should investigate the specific financial strategies that can be applied to enhance healthcare delivery in diverse healthcare environments.
Hubungan Lama Penggunaan KB Suntik Depo Medroxy Progesterone Acetat Dengan Gangguan Menstruasi Di BPM Rosalina Munthe Tahun 2025
Injectable contraception is a type of hormonal contraceptive which is divided into two types, namely combined injection contraceptives and progestin injection contraceptives. One of the frequently used injectable contraceptives is the 3-month injectable contraceptive containing Depo-Provera (Depo Medroxy Progesterone Acetate). This contraceptive has good effectiveness, but has some side effects, such as menstrual disorders, weight gain, nausea, headaches, breast pain, and so on. Menstrual disorders that occur in the form of amenorrhea, hypermenorrhea, and spotting. Side effects that arise are the biggest cause of acceptors to stop using injectable contraceptives. A number of women complained that the use of contraceptive methods caused menstrual problems. However, it is hormonal in nature and not everyone experiences the same complaints. To find out " There is a long-standing relationship between the use of Depo Medroxy Progesterone Acetate KB injections and menstrual disorders at BPM Rosalina Munthe, in 2025. This type of research uses a cross sectional research design with chi square with a sampling technique that is total sampling. The results showed that the p-value of the relationship between DMPA injection duration and menstrual disorders was 0.03 <0.05. There is a long-standing relationship between the use of Depo Medroxy Progesterone Acetate KB Injections and Menstrual Disorders at BPM Rosalina Munthe, in 2025.
Faktor-Faktor Yang Berhubungan Dengan Kejadian Berat Bayi Lahir Rendah (BBLR) Di Klink Rosalina Munthe Tahun 2025
Low Birth Weight (LBW) is a condition in which a newborn weighs less than 2.5 kg, generally caused by premature birth (<37 weeks) or intrauterine growth restriction. LBW increases the risk of health problems such as growth delays, cognitive impairments, infections, respiratory disorders, cardiovascular issues, gastrointestinal problems, kidney disorders, and higher rates of infant morbidity and mortality. This study aimed to identify factors associated with LBW in the working area of Rosalina Munthe Clinic. The study used an analytical design with a cross-sectional approach, and data were analyzed using univariate and bivariate methods with SPSS. Results showed that 33.3% of respondents had LBW infants. Mothers with unsafe age were 39.7%, those with unsafe pregnancy intervals were 61.9%, low socioeconomic status was found in 66.7%, and low educational level in 81%. Analysis revealed a significant association between maternal age and LBW incidence. However, pregnancy interval, anemia, and socioeconomic status showed no significant association with LBW. This study highlights that maternal age plays a key role in LBW occurrence, while other factors require further investigation to understand their contribution to the risk of delivering low birth weight infants.
Hubungan Komunikasi Efektif SBAR Dengan Keselamatan Pasien Dan Penatalaksanaan Lanjut Untuk Meningkatkan Pelayanan Di RSU Mitra Sejati Tahun 2025
Effective communication is an important indicator of patient safety, and the Situation, Background, Assessment, Recommendation (SBAR) method has been proven to enhance the accuracy and efficiency of information exchange among healthcare professionals. This study aims to determine the relationship between effective SBAR communication and patient safety as well as follow-up management at RSU Mitra Sejati in 2025. This research employed a cross-sectional design with a population of all nurses (180 respondents) selected through total sampling, and data were analyzed using the chi-square test at α=0.05. The results showed that 59.4% of respondents demonstrated good SBAR communication and 58.3% complied with patient safety standards, with statistical tests indicating a significant relationship between SBAR communication and patient safety (p=0.000). These findings confirm that proper implementation of SBAR communication contributes to improving patient safety; therefore, continuous training and consistent application of SBAR are recommended to strengthen the culture of patient safety in hospitals.
Hubungan Stigma Keluarga Dengan Penerimaan Keluarga Terhadap Orang Dengan Gangguan Jiwa Di Wilayah Kerja Puskesmas Ladang Tuha Kecamatan Pasie Raja Aceh Selatan
Mental disorders are health problems that affect individuals, families, and communities, where the negative stigma given by families to members with mental disorders can influence the acceptance and support they receive. This study aimed to determine the relationship between family stigma and family acceptance toward people with mental disorders (PWMD) in the working area of Ladang Tuha Public Health Center, Pasie Raja Subdistrict, South Aceh. The research employed a descriptive-analytic design with a cross-sectional approach, involving 65 families selected using the total sampling technique. The instruments used were the Internalized Stigma of Mental Illness (ISMI) questionnaire and a family acceptance questionnaire, analyzed using the Chi-Square test with a significance level of 0.05. The results showed that the majority of respondents had low stigma (67.7%) and poor acceptance (61.5%), with a p-value = 0.000, indicating a significant relationship between family stigma and family acceptance toward PWMD. The study concluded that the lower the family stigma, the better the acceptance toward PWMD; thus, educational efforts and family empowerment are needed to reduce stigma and improve acceptance.
Literature Review Transformasi Digital Dalam Administrasi Kesehatan Masyarakat: Inovasi Sistemik Untuk Meningkatkan Efektivitas Layanan Publik Di Tahun 2025
This study aims to analyze the systemic impact of digital transformation on public health administration in Indonesia through a systematic literature review approach. The research was conducted by synthesizing 24 peer-reviewed articles published between 2019 and 2025, using the PRISMA method for structured selection and data synthesis. The findings reveal four dominant thematic focuses: adoption of health information systems, human resource readiness, system interoperability, and digital governance policies. While digitalization has improved administrative efficiency and data quality, challenges such as system fragmentation and limited digital literacy persist. The study concludes that successful digital transformation in health administration depends not only on technological innovation but also on institutional integration, policy coherence, and capacity development. The implications suggest the need for coordinated digital policies and capacity-building programs to ensure inclusive and sustainable digital health governance.
Hubungan Tingkat Pengetahuan Suami Tentang Pemberian Asi Eksklusif Terhadap Motivasi Ibu Dalam Menyusui Di Desa Ie Masen Kayee Adang Kecamatan Syiah Kuala Kota Banda Aceh
Exclusive breastfeeding is a key strategy to improve child health and nutrition, yet its practice in Indonesia remains suboptimal. This study aimed to analyze the relationship between husbands’ knowledge about exclusive breastfeeding and mothers’ motivation to breastfeed in Ie Masen Kayee Adang Village, Syiah Kuala District, Banda Aceh City. Using a cross-sectional design, data were collected from 50 husbands whose wives were breastfeeding infants aged 0–12 months through questionnaires distributed directly and via Google Form. The instrument’s validity and reliability were tested and met the required standards. Data were analyzed using the Chi-Square test. The results showed that most husbands had a high level of knowledge (68%), and most mothers demonstrated high motivation to breastfeed (64%). The Chi-Square analysis indicated a significant relationship between husbands’ knowledge and mothers’ motivation (p = 0.039). These findings suggest that involving husbands as active partners in health promotion and breastfeeding education programs can increase maternal motivation and improve exclusive breastfeeding practices. This study highlights the importance of family-centered interventions to strengthen breastfeeding support and enhance maternal and child health outcomes.
Literature Review Hambatan Perilaku Kepatuhan Dalam Konsumsi Tablet Besi Pada Ibu Hamil
Anemia during pregnancy remains a significant public health challenge, with iron supplementation recommended as the primary preventive strategy. However, compliance with iron tablet consumption among pregnant women continues to be low in many settings. This study aims to review existing literature to identify barriers that hinder adherence to iron supplementation. A systematic literature review was conducted by screening publications from 2015 to 2025, retrieved from major databases such as PubMed, Scopus, and ScienceDirect. Thematic synthesis was applied to analyze findings across selected studies. Results revealed three major categories of barriers: internal factors such as limited knowledge, perceived low risk of anemia, and side effects; social factors including lack of family support, cultural norms, and insufficient counseling from health providers; and systemic factors such as limited supplement availability and inadequate quality of antenatal services. These findings highlight that compliance is not merely an individual issue but also shaped by social and structural contexts. Implications suggest the need for multidimensional interventions, involving health education, family engagement, and strengthened health system support to improve maternal adherence to iron supplementation.
Asuhan Keperawatan Pada Ny. K Keluarga Tn. S Dengan Gangguan Sistem Kardiovaskular : Hipertensi Di Desa Purwodadi RT 03 RW 02 Kecamatan Tonjong Kabupaten Brebes
Hypertension is one of the most prevalent non-communicable diseases and a major contributor to cardiovascular complications among the elderly. This study aimed to provide a comprehensive nursing care intervention for Mrs. K, a hypertensive patient living with her family in Purwodadi Village, Tonjong District, Brebes Regency. The method employed was a case study with a family-centered nursing approach involving assessment, diagnosis, planning, implementation, and evaluation. Data were collected through interviews, observation, documentation, and literature review. The results showed improvements in the patient's blood pressure, increased knowledge and awareness in the family, and positive changes in health-related behaviors. These findings suggest that family-based nursing interventions can significantly enhance hypertension management outcomes. The study implies that nurses should integrate family involvement as a critical component in the care of chronic illness to promote sustainable health improvements.
Asuhan Keperawatan Pada Tn. T Keluarga Tn. T Dengan Gangguan Sistem Muskuloskeletal : Rheumatoid Arthritis Di Desa Purwodadi Kecamatan Tonjong Kabupaten Brebes
Rheumatoid arthritis (RA) is a chronic autoimmune disease that primarily affects the musculoskeletal system and often causes severe pain and functional limitations, especially among the elderly. This study aimed to provide a comprehensive overview of nursing care for a patient diagnosed with RA through a family-based approach. The research employed a descriptive qualitative method with a case study design conducted in a rural village in Brebes, Central Java. Data were collected through in-depth interviews, observation, and documentation. The results showed that the integration of non-pharmacological interventions, including warm compresses using ginger and lemongrass, and deep breathing techniques, significantly reduced pain intensity. Additionally, increased family involvement in caregiving, facilitated by structured health education, enhanced the patient's quality of life. This study confirms the importance of applying Dorothea Orem’s Self-Care Deficit Theory to support the independence and well-being of RA patients within their home environments. The findings suggest that community nurses should prioritize family empowerment in chronic disease management, particularly in areas with limited health access.
Asuhan Keperawatan Pada Ny. U Dengan Post Sectio Caesarea Indikasi Ketuban Pecah Dini (KPD) Di Ruang Nusa Indah Rsud Dr. Soeselo Kabupaten Tegal
Post-cesarean section (SC) patients with premature rupture of membranes (PROM) require comprehensive nursing care due to their high risk of pain, infection, and limited mobility. This case study aims to describe the nursing care process applied to a 39-year-old woman post-SC with PROM indication. The study was conducted over five days in Nusa Indah Room at RSUD dr. Soeselo, Tegal. Data collection included interviews, observation, physical examination, and medical record review. The nursing interventions were guided by the Indonesian Nursing Diagnosis Standards (SDKI), Interventions (SIKI), and Outcomes (SLKI). Results showed a reduction in pain scale from 6 to 2, improved mobility, and wound healing without signs of infection or bleeding. These findings indicate that structured and holistic nursing care, combined with patient education and family involvement, can significantly enhance recovery outcomes. The implications suggest the need for clinical protocols in managing post-SC patients with PROM to ensure consistent, evidence-based nursing practice.
Asuhan Keperawatan Pada Ny. S Keluarga Tn. N Dengan Gangguan Sistem Kardiovaskuler : Hipertensi Di Desa Purwodadi RT 04 RW 04 Kecamatan Tonjong Kabupaten Brebes
Asuhan Keperawatan Keluarga Pada Tn. M Keluarga Tn. M Dengan Gangguan Sistem Persyarafan : Stroke Hemoragik Di Desa Purwodadi RT 02 RW 04 Kecamatan Tonjong Kabupaten Brebes
Stroke is a neurological disorder that often causes severe complications, including physical and cognitive impairments. Family involvement is essential in the recovery process, especially in home-based care. This case study aims to describe the application of family nursing care to a patient with hemorrhagic stroke in Purwodadi Village, Tonjong District, Brebes Regency. Data collection methods included interviews, observations, physical examinations, and nursing documentation using the SOAP format. The intervention focused on family support in mobilization, Range of Motion (ROM) exercises, and health education. The results showed an increase in family knowledge and participation, and improvements in the patient's mobility and self-care abilities. This study confirms that family-centered nursing care is effective in improving the quality of recovery and should be integrated into community nursing practice.
Asuhan Keperawatan Jiwa Pada Ny. S Dengan Masalah Utama Risiko Perilaku Kekerasan Akibat Skizofrenia Paranoid Di Ruang Arimbi RSJD Dr. Amino Gondohutomo Provinsi Jawa Tengah
Schizophrenia is a chronic mental disorder characterized by cognitive, emotional, and behavioral disturbances that may lead to aggressive behavior. Violent behavior risk is one of the most common nursing diagnoses in paranoid schizophrenia patients, which can endanger themselves, others, and the environment. This study aimed to describe psychiatric nursing care for a patient with the main problem of violent behavior risk due to paranoid schizophrenia at Arimbi Ward, RSJD dr. Amino Gondohutomo, Central Java Province. A descriptive case study design was applied, involving data collection through interviews, observation, documentation review, and literature study. The nursing process included assessment, nursing diagnosis, planning, implementation, and evaluation. The results showed that the patient exhibited symptoms of verbal aggression, tension, and refusal to take medication. Nursing interventions provided included pharmacological therapy, family psychoeducation, and group activity therapy. After the interventions, the patient showed decreased frequency of anger, improved cooperation with nurses, and willingness to participate in group activities. These findings highlight the importance of comprehensive psychiatric nursing care that integrates medical treatment and psychosocial interventions to reduce violent behavior risk in schizophrenic patients and to promote recovery and reintegration into the community.
Asuhan Keperawatan Pada Ny. D Dengan Gangguan Sistem Reproduksi : Kista Ovarium Di Ruang Nusa Indah RSUD Dr. Soeselo Kabupaten Tegal
Ovarian cyst is one of the most common reproductive system disorders among women of reproductive age, often asymptomatic and discovered only during advanced stages. This study aimed to describe the nursing care process for a patient diagnosed with ovarian cyst using a comprehensive nursing approach. A descriptive case study was conducted on a patient named Mrs. D, hospitalized at Nusa Indah Ward of RSUD dr. Soeselo, Tegal. Data were collected through interviews, observation, physical examination, and documentation. The identified nursing diagnoses included acute pain, anxiety, knowledge deficit, risk of infection, and nutritional risk. Interventions were implemented according to the Indonesian Nursing Intervention Standards (SIKI), including non-pharmacological pain management and patient education. The evaluation showed improvement in pain levels, anxiety, and patient understanding of the disease. This study confirms the importance of comprehensive and holistic nursing care in managing ovarian cyst patients, especially through effective communication and collaboration with multidisciplinary teams.
Asuhan Keperawatan Pada Ny. D Dengan Anemia Pada Kehamilan: Laporan Kasus Di Ruang Nusa Indah RSUD Dr. Soeselo, Kabupaten Tegal
Anemia in pregnancy is a major health problem that increases maternal and fetal morbidity and mortality, thus requiring prompt and appropriate management. This study aimed to describe nursing care for Mrs. D, a 19-year-old primigravida with anemia in the Nusa Indah Ward of RSUD dr. Soeselo, Tegal Regency. The method used was a case report with data collected through interviews, direct observation, and medical record review during hospitalization from January 13–15, 2025. Assessment results showed a hemoglobin level of 6.5 g/dL with clinical signs of pallor, cold extremities, tachycardia, and complaints of dizziness and weakness. The nursing diagnoses established were ineffective peripheral perfusion and risk for nutritional deficit. Interventions included monitoring vital signs, providing nutritional education, administering iron and folic acid supplements, and collaborating on blood transfusion. Evaluation indicated both subjective and objective improvement, and the nursing problems were resolved. In conclusion, comprehensive and collaborative nursing care contributed to the improvement of the patient’s condition with pregnancy-related anemia.