Media Penelitian dan Pengembangan Kesehatan

UNIVERSAL HEALTH COVERAGE (UHC): TURNING EQUITABLE AND QUALITY HEALTH CARE ACCESS FOR ALL

Tesisiana Dwi Lestari — 2025-05-28

Universal Health Coverage (UHC) merupakan sistem pembiayaan kesehatan yang memastikan setiap warga negara dapat mengakses layanan kesehatan yang adil dan berkualitas. Penelitian ini menganalisis literatur ilmiah tentang UHC dan Jaminan Kesehatan Nasional (JKN) dengan menggunakan analisis bibliometrik terhadap artikel 2019-2023 yang terindeks di Scopus, dengan alat VOS viewer. Temuan menunjukkan adanya 419 artikel, dengan tren publikasi yang meningkat dan sitasi terbanyak pada tahun 2019 (1.432) serta h-index tertinggi 23. Negara dengan kontribusi terbesar adalah Amerika Serikat (104 artikel). Peneliti teratas berasal dari negara Swiss. Kontribusi jurnal terbesar adalah Jurnal BMC Health Services Research denga 7,64% dari total publikasi. Sumber pendanaan utama adalah Bill and Melinda Gates Foundation (30 artikel), WHO (25 artikel), dan Komisi Eropa (20 artikel). Dengan pendanaan utama ini, negara-negara berpendapatan rendah dan menengah dapat memanfaatkan peluang ini untuk mendanai penelitian yang relevan dengan tantangan kesehatan spesifik mereka, seperti implementasi Universal Health Coverage (UHC) dan Jaminan Kesehatan Nasional (JKN). Negara berpendapatan rendah perlu memperkuat kapasitas penelitian lokal, memanfaatkan pendanaan global, dan berkolaborasi untuk mendukung kebijakan kesehatan berbasis bukti dan reformasi sistem yang adil. Keterbatasan penelitian ini mencakup penggunaan hanya artikel yang terindeks di Scopus, periode analisis terbatas pada 2019-2023, dan fokus pada artikel akademik, yang mengabaikan data sektor non-akademik atau kebijakan praktis.

INTERVENSI LEAN-MED BERBASIS DATA EPIDEMIOLOGIS LOKAL DALAM MENURUNKAN WAKTU TUNGGU PASIEN RAWAT JALAN DI RUMAH SAKIT RUJUKAN SAMARINDA

M. Ardan — 2025-05-28

Outpatient waiting time remains a persistent challenge in hospital management, especially amid rising service demands and patient expectations. This study applied a Lean Management for Healthcare Delivery (Lean-Med) intervention based on epidemiological findings, including peak visit times, patient distribution per clinic, and staff workload imbalances. A quasi-experimental pre–post design was used involving 120 respondents (60 pre- and 60 post-intervention) selected via purposive sampling across three priority clinics: internal medicine, neurology, and pulmonology. The intervention included digital queue systems, physician schedule adjustments, and pharmacy service optimization.Paired t-test analysis showed a significant reduction in total waiting time from 129 to 69 minutes (46% decrease, p < 0.001). All service components, from registration to medication retrieval, saw statistically significant reductions. Patient satisfaction improved from 3.3 to 4.2 (p < 0.001), especially regarding information clarity, waiting time, and service accuracy. Healthcare staff workload was more evenly distributed (p = 0.012), notably in pulmonology after the addition of personnel, reducing clinical load from 37.8 to 28.3 patients per provider. These findings affirm that Lean-Med, when aligned with epidemiological insights, offers a transformational strategy for improving hospital service delivery and responsiveness under high patient volume conditions.

BIGDATA ANALYSIS THE IMPORTANCE OF TRACKING PHACOEMULSIFICATION SURGERY COSTS

Hurin Aruni Medina Rukanta — 2025-05-29

Katarak adalah penyebab utama kebutaan yang dapat dicegah secara global, dengan proporsi kasus yang signifikan terjadi di negara berpenghasilan rendah akibat keterbatasan akses terhadap solusi bedah yang terjangkau. Phacoemulsifikasi telah menjadi standar emas untuk operasi katarak karena hasilnya yang superior dan efisiensinya. Namun, biaya tinggi yang terkait dengan prosedur menjadi hambatan signifikan bagi aksesibilitas, terutama di lingkungan dengan sumber daya terbatas. Penelitian ini menganalisis tren global dalam studi terkait biaya phacoemulsifikasi, mengidentifikasi kontributor utama, mengevaluasi fokus tematik, dan menyoroti kesenjangan penelitian. Tujuannya untuk memberikan informasi strategi optimalisasi biaya dan akses yang adil terhadap operasi katarak. Pendekatan bibliometrik dan deskriptif kuantitatif digunakan dalam penelitian ini. Data dikumpulkan dari publikasi yang terindeks di Scopus (2018–2024) menggunakan kata kunci "phacoemulsification" dan "cost". Artikel berbahasa Inggris yang telah ditinjau sejawat dimasukkan, dan data dianalisis menggunakan alat Scopus dan VOSviewer untuk analisis tema dan tren. Penelitian ini menganalisis 208 publikasi, mengungkapkan peningkatan penelitian terkait biaya phacoemulsifikasi, dengan puncaknya pada tahun 2021 sebanyak 38 artikel. Jurnal berdampak tinggi, seperti Journal of Cataract and Refractive Surgery, mendominasi lanskap publikasi. Tema utama yang diidentifikasi meliputi efektivitas biaya, akses layanan kesehatan, dan hasil bedah, dengan kesenjangan signifikan pada strategi pengurangan biaya dan adaptasi untuk lingkungan dengan sumber daya terbatas. Institusi dari negara berpenghasilan tinggi memimpin kontribusi, sementara upaya penelitian dari negara berpenghasilan menengah berfokus pada keterjangkauan dan aksesibilitas.Temuan ini menekankan perlunya penelitian terfokus pada pengurangan biaya, kolaborasi multidisiplin, dan kerangka kebijakan untuk meningkatkan aksesibilitas. Mengatasi kesenjangan ini dapat mengurangi disparitas dan mendukung Cakupan Kesehatan Semesta (Universal Health Coverage/UHC).

PHYTOCHEMICAL AND NUTRIENT ANALYSIS OF ETHANOL EXTRACT SALAK PONDOH (Sallaca edulis Reinw) PEEL FOR DEVELOPMENT OF ANTI-OBESITY

Puri Dwi Andina — 2025-06-02

Insiden obesitas meningkat di seluruh dunia selama beberapa tahun terakhir. Diet dan aktivitas fisik saja pada penderita obesitas kurang memberikan hasil yang optimal, sedangkan penggunaan obat anti obesitas dalam jangka panjang dapat menyebabkan efek samping. Penelitian ini bertujuan untuk menganalisis nutrisi dan kandungan fitokimia kulit buah salak pondoh untuk mengembangkan pengobatan obesitas. Jenis penelitian ini merupakan eksperimental laboratorium dengan 3 tahap: ekstraksi kulit luar salak pondoh, analisis nutrisi, dan analisis Gas Chromatography and Mass Spectrometry yang selanjutnya disebut GC-MS. Kulit buah salak pondoh diperoleh dari pusat agribisnis di Sleman, Yogyakarta. Kulit buah salak pondoh kering diekstraksi dengan etanol 70% menggunakan metode remaserasi. Kandungan nutrisi yang terdapat pada ekstrak etanol dianalisis di Laboratorium Teknologi Pangan, Fakultas Pertanian, Universitas Sebelas Maret, sedangkan analisis fitokimia dilakukan di Laboratorium Riset Terpadu dan Analisis Pengujian Universitas Gadjah Mada, dengan menggunakan metode Gas Chromatography and Mass Spectrometry (GC-MS). Ekstrak kulit buah salak pondoh (EPP) mengandung persentase karbohidrat (41,33%), mineral (28,37%), dan air (25,31%) yang lebih tinggi dibandingkan persentase serat kasar (3,68%), lemak (2,62%), protein (2,37%), dan vitamin C (0,88%). Hasil GC-MS mengidentifikasi adanya 75 fitokimia di mana dua dari lima senyawa dengan proporsi tertinggi adalah metil ester asam heksadekanoat dan asam n-heksadekanoat. Kandungan fitokimia tersebut memiliki aktivitas biologis yang berpotensi untuk pengembangan terapi obesitas. Perlu dilakukan penelitian lanjutan secara in vitro dan in vivo untuk mengevaluasi sifat anti- obesitas EPP tersebut.

PENGARUH SOCIAL SUPPORT TERHADAP TINGKAT RESILIENCE PADA PERAWAT DENGAN SELF EFFICACY SEBAGAI VARIABEL MEDIASI

Siti Nadira Aisyah — 2025-06-02

Stress is high in the ER, thus nurses must have the resilience to be able to survive and recover from stressful conditions. Self-efficacy and social support are two factors that may influence resilience. This research examined the link between social support and resilience among ER nurses at RSUD Koja, utilizing self-efficacy as a mediator. This was a quantitative descriptive research utilizing path analysis. A questionnaire adapted from the Connor-Davidson Resilience Scale (CD-RISC), General Self-Efficacy Scale (GSE), and social support questionnaire was used. This research included 59 RSUD Koja’s ER nurses. The sampling method was saturated (total population sampling). The study found a significant positive correlation between social support, self-efficacy, and resilience (p<0.05). Self-efficacy partially mediated the relationship between social support and resilience (p<0.05). Social support mediated by self-efficacy may increase resilience by improving nurses' well-being and confidence in handling obstacles and improving performance, turnover, and hospital image.

FACTORS AFFECTING NURSE WORKLOAD IN PROVIDING NURSING CARE IN INPATIENT WARDS; A LITERATURE REVIEW

Gustian Satria Pratama — 2025-06-03

Beban kerja perawat yang tinggi menjadi faktor penurunan kinerja unit keperawatan. Penelitian ini menggunakan metode kualitatif dengan tinjauan pustaka berdasarkan Arksey dan O’Malley. Tujuannya adalah menganalisis faktor yang memengaruhi beban kerja perawat di ruang rawat inap. Data diperoleh dari 1404 dokumen literatur Scopus (2020-2024), menggunakan kata kunci “beban kerja perawat,” dan dianalisis dengan VOSViewer. Hasil menunjukkan adanya faktor internal dan eksternal. Faktor internal mencakup jumlah pasien yang meningkat, jam kerja panjang, kerja shift, infrastruktur tidak memadai, serta kekurangan staf, yang terkait dengan manajemen rumah sakit dan sumber daya manusia. Faktor eksternal meliputi kendala anggaran dan kebijakan kesehatan nasional yang berdampak pada rumah sakit. Beban kerja fisik terlihat dari ketidakseimbangan rasio perawat-pasien dan tugas tambahan. Beban kerja mental muncul dari perbedaan volume pekerjaan antar shift, dengan shift pagi lebih berat dibanding shift lainnya. Beban kerja sosial berkaitan dengan konflik rekan kerja di satu ruangan. Penggunaan teknologi menjadi kunci untuk mengurangi beban kerja perawat. Implikasi penelitian ini menyoroti pentingnya pendekatan strategis untuk meningkatkan kualitas pelayanan, mengoptimalkan kinerja, dan memastikan kepuasan pasien terhadap asuhan keperawatan.

THE EFFECTIVENESS OF THE ROLE OF HOSPITALS IN ADDRESSING STUNTING PROBLEMS; A BIBLIOMETRIC ANALYSIS

Rendy Yoga Ardian — 2025-06-03

Permasalahan stunting menjadi perhatian yang signifikan tidak hanya di Indonesia namun juga secara global. Karena itu. Penelitian tersebut bertujuan untuk mengetahui peran rumah sakit dalam penanganan stunting. Desain penelitian ini digunakan tinjauan pustaka kualitatif dengan menganalisis tren jumlah publikasi dari waktu ke waktu, mengidentifikasi penulis yang memiliki kontribusi paling signifikan dalam bidang tertentu, dan melihat kontribusi negara dan lembaga di kawasan tertentu. Memanfaatkan database Scopus, tinjauan pustaka ini mengkaji dokumen-dokumen tahun 2014 hingga 2023 tentang “stunting” dan “rumah sakit” per 19 Januari 2024. Penelusuran menghasilkan 317 dokumen berbahasa Inggris di berbagai bidang, antara lain keperawatan, psikologi, profesi kesehatan, multidisiplin. studi, dan kedokteran gigi. Para peneliti menggunakan analisis pencarian Scopus, VOSviewer, dan software RStudio untuk menganalisis data bibliometrik. Penelitian kami menunjukkan peningkatan signifikan dalam penelitian seputar peran rumah sakit dalam mengatasi stunting pada tahun 2022. Kontributor paling produktif dalam bidang studi ini adalah Amerika Serikat (59), Inggris (39), dan India (38). Studi ini mengidentifikasi intervensi berbasis rumah sakit, seperti terapi nutrisi dan program multidisiplin dengan pendekatan pendidikan, penelitian, dan layanan yang melibatkan bidang keahlian yang bekerja sama untuk memecahkan masalah dan mencapai tujuan dalam bidang kesehatan. Namun efektivitasnya seringkali terhambat oleh terbatasnya sumber daya, kurangnya koordinasi yang optimal dengan layanan kesehatan primer, dan aksesibilitas yang tidak merata. Untuk mengatasi kendala tersebut, perlu dilakukan penguatan kapasitas rumah sakit, kerjasama lintas sektor, dan pemanfaatan rumah sakit sebagai pusat edukasi masyarakat.

LOCAL HERBAL INTERACTIVE MEDIA AS A BEHAVIORAL INTERVENTION FOR ANEMIA PREVENTION IN PREGNANCY

Rr. Nindya Mayangsari — 2025-06-03

Anemia pada wanita hamil merupakan masalah kesehatan masyarakat yang signifikan dan dapat memengaruhi hasil kehamilan ibu dan janin. Salah satu pendekatan efektif untuk mencegah anemia adalah melalui intervensi edukasi yang tepat. Penelitian ini bertujuan untuk mengevaluasi pengaruh media interaktif berbasis herbal lokal terhadap perilaku pencegahan anemia pada ibu hamil. Desain penelitian kuasi-eksperimental dengan pendekatan kelompok kontrol pretest-posttest dilakukan di Puskesmas Sempaja pada 1 Januari hingga 30 Maret 2025. Sebanyak 60 ibu hamil pada trimester kedua dan ketiga dipilih menggunakan purposive sampling dan dibagi menjadi kelompok intervensi dan kontrol. Kelompok intervensi menerima edukasi menggunakan media interaktif tentang herbal lokal, termasuk modul digital, infografis, dan video edukasi mengenai daun kelor, bayam, dan kereklama. Pendidikan menggunakan media interaktif berbasis herbal lokal selama tiga sesi dalam satu minggu, dengan durasi 30-45 menit per sesi yang disampaikan secara tatap muka oleh peneliti. Kelompok kontrol menerima konseling tentang anemia pada ibu hamil sesuai dengan standar pelayanan dari puskesmas sejumlah satu sesi dengan durasi 30 menit secara tatap muka tanpa media interaktif. Data dikumpulkan menggunakan kuesioner yang divalidasi untuk mengukur perilaku pencegahan anemia, yang mencakup pengetahuan, sikap, dan praktik. Analisis data dilakukan dengan uji-t berpasangan dan uji-t independen (p < 0,05). Hasil menunjukkan bahwa kelompok intervensi mengalami peningkatan perilaku pencegahan anemia yang signifikan (p = 0,000), sedangkan kelompok kontrol tidak mengalami perubahan yang signifikan (p = 0,083). Kesimpulannya, media interaktif berbasis herbal lokal efektif dalam meningkatkan perilaku pencegahan anemia pada ibu hamil dan dapat menjadi alternatif pendidikan kesehatan yang inovatif serta relevan secara budaya.

MODEL STRUKTURAL SISTEM INFORMASI MANAJEMEN RUMAH SAKIT BERDASARKAN FRAMEWORK HOT-FIT MODEL

Rotua Novita Sinaga — 2025-06-03

Hospital Management Information Sistem (HMIS) aims to enhance operational efficiency and healthcare service quality through the integration of patient data, electronic medical records, and resource management. However, its implementation in many hospitals is still hindered by infrastructure limitations, human resource readiness, and sistem interoperability, preventing optimal functionality. Strengthening policies, enhancing human resource capacity, and technological support are essential for effective HMIS implementation. This study aims to develop a structural model of HMIS based on the HOT-fit framework. A quantitative research approach with a cross-sectional design was employed. The study population comprised professionals (doctors, nurses, administrative staff) whose involvement with HMIS met the inclusion criteria, totaling 56 participants. The questionnaire used was validated for reliability and validity. Data were analyzed using SEM-PLS4 for students. The results indicate that service and technology quality significantly impact HMIS effectiveness, providing a basis for hospital management to improve human resource training and technological investment. The HOT-fit framework integrates Human, Organization, and Technology elements to assess the alignment of information sistems with organizational needs. Indirect effects were found, showing that the relationship between human and organizational factors on benefits is mediated by technology. The structural model of HMIS, based on the HOT-fit framework, achieved an SRMR value of 0.073 (<0.08), indicating a good model fit. The study concludes that the structural model of HMIS based on the HOT-fit framework provides a validated approach to improving sistem implementation in hospitals. Future research could focus on evaluating this model across various hospital settings to ensure broader applicability

KETERLIBATAN SUAMI YANG AKTIF SELAMA KEHAMILAN

Mutmainah Wisesa — 2025-06-04

One important factor influencing moms' and babies' health is the husband's engagement throughout pregnancy. Numerous studies have demonstrated that spouses' active involvement can enhance mothers' physical and mental well-being and solidify family ties.Cultural conventions that view pregnancy as the responsibility of women and spouses' ignorance of pregnancy health frequently hinder this involvement.Reviewing the role of husbands in helping wives throughout pregnancy and identifying the obstacles they encounter are the goals of the study, and the study's ramifications include the necessity of methods to boost husband participation in pregnancy support, including social interventions, health policies, and education.It is anticipated that this will strengthen family ties and enhance the health of mothers and babies.There are inclusion and exclusion criteria, 16 references from 2019–2024, and a narrative review design for the literature study that supports the idea that having a husband during pregnancy benefits both the mother and the fetus.The analysis is presented narratively using data collection methods from the PubMed and Google Scholar databases.The husband's engagement in the pregnancy and the variables influencing it are the primary subjects of discussion.The findings demonstrated that spouses who were physically and emotionally involved throughout pregnancy improved the health of both the mother and the unborn child and improved family ties.Obstacles include societal expectations and husbands' ignorance of pregnancy health issues continue to be problems. This study highlights the value of social interventions and health education for husbands to promote their involvement during pregnancy. Improved maternal and child well-being outcomes are anticipated with increased involvement.

PENGARUH EKSTRAK DAUN PEPAYA (CARICA PAPAYA L.) TERHADAP KADAR HEMOGLOBIN DAN HEMATOKRIT PADA REMAJA PUTRI ANEMIA

Salsabila Nur Faridah — 2025-06-05

Adolescent girls often experience anemia, a condition in which red blood cell count or hemoglobin concentration falls below normal levels, especially during puberty. Globally, anemia affects 40% of children aged 6–59 months, 37% of pregnant women, and 30% of women aged 15–49 years. California papaya leaves (Carica papaya L.) are a nutritious vegetable that may help accelerate anemia reduction efforts. This study aimed to prove that administering papaya leaf extract at a dose of 800 mg/day affects hemoglobin and hematocrit levels in anemic adolescent girls. This true experimental study used a randomized pretest-posttest control group design. Conducted from December 1–20, 2024, at Junior High School 2 Balong, Ponorogo, Indonesia, it involved 46 anemic adolescent respondents who met the inclusion and exclusion criteria. They were divided into two groups: 23 participants in the intervention group, who received 800 mg of papaya leaf extract along with 60 mg of iron tablets, and 23 in the control group, who received only 60 mg of iron tablets for 14 days. Data processing was conducted using SPSS version 27, with statistical analysis performed using the parametric dependent T-Test and independent T-Test. The results showed that the intervention group experienced an average increase in hemoglobin levels of 0.444 g/dL and hematocrit levels of 0.39. In conclusion, administering 800 mg of papaya leaf extract significantly affects hemoglobin and hematocrit levels in anemic adolescent girls, supporting efforts to reduce anemia prevalence.

WEDANG KACANG MERAH MENINGKATKAN HEMOGLOBIN, HEMATOKRIT, DAN ERITROSIT IBU HAMIL DENGAN KASUS ANEMIA

Wahyu Handayani — 2025-06-05

Effective nutritional management is needed because anemia during pregnancy has a major impact on the mother and fetus. Iron, folic acid, and vitamin B are abundant in red beans and play a role in erythrocytes, hemoglobin, and hematocrit production. Vitamin B and folic acid promote the development of red blood cells to increase the levels of hemoglobin, hematocrit, and erythrocytes in pregnant women.Researchers created a red bean drink.This study aimed to determine the effect of red bean drink on hemoglobin, hematocrit, and erythrocyte levels in pregnant women.This study used a quasi-experimental design with pretest-posttest with control group design,consisting of 2 groups.The population was 33 pregnant women who experience anemia in the Garung Health Center Working Area taken by purposive sampling.The data collected are hemoglobin, hematocrit, and erythrocyte levels. The intervention was the consumption of 100 g of red bean drink for 14 days.Analysis used Wilcoxon and Paired Sample Test. The average hemoglobin before and after intervention in the intervention group was 10.14 and 11.62, and in the control group,10.64 and 11.05.The average hematocrit of the intervention group was 29.11 and 30.38, and in control group, it was 32.92 and 33.08.The average erythrocytes before and after intervention in intervention group were 3.38 and 3.81,and in the control group,3.72 and 3.95. There was a significant effect of red bean drink on increasing hemoglobin (p=0.040), hematocrit (p=0.000), and erythrocytes (p=0.007). Consuming 100 grams of red bean drink for 14 days effectively increased hemoglobin, hematocrit, and erythrocyte levels in pregnant women with anemia.

PERSPEKTIF DAN TANTANGAN PELAYANAN PRAKONSEPSI: STUDI KUALITATIF PADA BIDAN DAN PEMANGKU KEPENTINGAN DI KOTA BANDUNG

Kurniaty Ulfah — 2025-06-10

Indonesia continues to face major challenges in reducing maternal mortality, as many women begin pregnancy in poor health due to conditions such as anemia, hypertension, and chronic energy deficiency (CED). These health issues increase maternal risk and contribute to adverse birth outcomes like low birth weight and stunting. Although preconception care plays a crucial role in addressing these problems, it remains underutilized, particularly at the primary healthcare level. This study explored the perspectives and experiences of midwives and stakeholders regarding the challenges and strategies in delivering preconception care in Bandung City. A qualitative exploratory study was conducted from July to November 2024, involving in-depth interviews with 18 participants from two primary healthcare centers and the Bandung City Health Office. Data were analyzed thematically using Braun and Clarke’s approach, with triangulation through interviews, field observations, and member checking to ensure credibility. Two main themes emerged: midwives' views and experiences of preconception services, and stakeholders’ insights into implementation challenges. While midwives acknowledged the importance of preconception care in preventing complications, implementation was limited, hindered by the lack of operational policies, limited resources, low public awareness, and insufficient training. Stakeholders emphasized the need for community and family-based education, policy advocacy, and capacity strengthening of healthcare workers. In conclusion, preconception care has strong potential to prevent pregnancy complications and improve maternal and child health. Enhancing its impact within reproductive health services requires stronger policy backing, sufficient resource allocation, and integrated, sustainable implementation, including broader public education and ongoing health provider training.

ANALYSIS OF SECONDARY METABOLITE LEVELS AND ANTIOXIDANT ACTIVITY OF THE COMBINED EXTRACT OF RAJA BANANA PEEL AND PONTIANAK SWEET ORANGE PEEL

Wahyu Aulia Hasibuan — 2025-06-11

Ekstrak kulit pisang raja dan ekstrak kulit jeruk manis Pontianak mengandung senyawa bioaktif, seperti flavonoid dan antosianin, yang berpotensi sebagai sumber senyawa bioaktif dengan aktivitas antioksidan. Kombinasi ekstrak kedua bahan ini belum pernah dianalisis sebelumnya. Penelitian ini bertujuan untuk menganalisis kadar total flavonoid, antosianin, aktivitas antioksidan, fenol dan tanin pada ekstrak kombinasi kulit pisang raja dan kulit jeruk manis. Metode penelitian ini menggunakan pendekatan eksperimen, yang dilakukan di Laboratorium Setia Budi pada bulan Juli tahun 2024, dengan menggunakan pelarut etanol 80 % dengan perbandingan 1:10 melalui remaserasi sebanyak lima kali untuk meningkatkan rendemen dan kualitas senyawa yang dihasilkan. Formulasi ekstrak yang digunakan terdiri dari F1 (15:85%), F2 (25:75%), F3 (50:50%), F4 (75:25%). Kadar flavonoid dan tanin dianalisis dengan spektrofotometri, antosianin dengan metode pH diferensial, serta aktivitas antioksidan dan fenol dengan metode DPPH. Hasil penelitian menunjukkan bahwa formula F1 memiliki kadar flavonoid tertinggi (59,53 mgQE/g), F4 menunjukkan aktivitas antioksidan terbaik (91,47% inhibisi), dan F1 mengandung antosianin (361,45 ppm), fenol (1,80%), dan tanin (0,84%) tertinggi. Penambahan kulit jeruk manis meningkatkan kadar antosianin, fenol, dan tanin dalam ekstrak, sedangkan penambahan ekstrak kulit pisang raja meningkatkan aktivitas antioksidan. Penelitian lebih lanjut diperlukan untuk mengeksplorasi senyawa fitokimia lainnya dan potensi kesehatan dari kombinasi ekstrak ini.

KORELASI KEPATUHAN IBU HAMIL MENGONSUMSI TABLET FE BERBASIS APLIKASI DENGAN KADAR HB BERDASARKAN KARAKTERISTIK DEMOGRAFIS

Ari Indra Susanti — 2025-06-12

Non-compliance of pregnant women in consuming iron (Fe) tablets can lead to low hemoglobin (Hb) levels, increasing the risk of anemia. Some mothers attempt to use mobile phone alarms as reminders; however, this method is less effective as it does not record the number of tablets consumed. Therefore, a reminder in the form of an alarm through the iPosyandu Keluarga application is needed to help mothers consistently take Fe tablets. This study aims to analyze the correlation between pregnant women's compliance in consuming Fe tablets using the iPosyandu Keluarga application and Hb levels based on demographic characteristics. This research employed an analytical cross-sectional design conducted in February 2024 in the working area of the Margajaya Health Center, involving 58 pregnant women selected through purposive sampling. Characteristic data were obtained from the back-end system of the iPosyandu Keluarga application, and Hb levels were measured after 30 days of Fe tablet consumption. Data analysis was performed using the Spearman test. The results of this study showed a strong correlation between the compliance of pregnant women based on the iPosyandu keluarga application and Hb levels (p-value <0.05; r value = 0.60-0.799). However, there was no correlation between the compliance of pregnant women in consuming Fe tablets and characteristics (p-value> 0.05; r value = 0.00-0.199). The conclusion of this study shows that the use of the iPosyandu keluarga application is related to the compliance of pregnant women in consuming Fe tablets with Hb levels, without any relation to demographic characteristics.

FAMILY AND PEER SUPPORT ARE RELATED TO THE PERCENTAGE OF MACRONUTRIENT INTAKE IN OVERWEIGHT ADOLESCENTS

Khristine Saputri — 2025-06-12

Overweight pada remaja merupakan permasalahan kesehatan yang dipengaruhi oleh berbagai faktor, termasuk dukungan sosial dari keluarga dan teman sebaya. Pola konsumsi makronutrien seperti karbohidrat, lemak, dan protein memiliki peran penting dalam kejadian overweight. Namun, pengaruh dukungan sosial terhadap asupan makronutrien masih belum banyak diteliti. Penelitian ini bertujuan untuk menganalisis hubungan antara dukungan keluarga dan teman sebaya dengan asupan makronutrien pada remaja overweight. Penelitian ini menggunakan desain cross-sectional dan dilakukan pada bulan Januari hingga Februari 2025 di Kota Surabaya. Sampel diambil di wilayah puskesmas dengan prevalensi overweight remaja tertinggi berdasarkan data Dinas Kesehatan Kota Surabaya. Pemilihan sampel dilakukan secara acak sesuai kriteria inklusi dan eksklusi hingga mencapai 110 remaja overweight berusia 13-15 tahun. Data dikumpulkan melalui kuesioner dukungan sosial dan formulir Semi Quantitative-Food Frequency Questionainnaire (SQ-FFQ) untuk mengukur jumlah asupan makronutrien. Analisis hubungan dilakukan menggunakan uji korelasi Pearson. Hasil analisis menunjukkan bahwa dukungan keluarga memiliki hubungan negatif signifikan dengan asupan karbohidrat (r = -0,208; p = 0,030), tetapi tidak berhubungan secara signifikan dengan asupan lemak (p = 0,059) dan protein (p = 0,327). Sementara itu, dukungan teman sebaya memiliki korelasi negatif signifikan dengan asupan karbohidrat (r = -0,616; p = 0,023), lemak (r = -0,79; p = 0,042), dan protein (r = -0,216; p = 0,023). Simpulan dari penelitian ini adalah dukungan teman sebaya memiliki pengaruh yang lebih kuat terhadap pola konsumsi makronutrien dibandingkan dukungan keluarga. Oleh karena itu, intervensi gizi untuk remaja overweight sebaiknya mempertimbangkan lingkungan sosial, terutama dengan melibatkan teman sebaya dalam pembentukan kebiasaan makan yang lebih sehat.

EDUKASI DAN PENDAMPINGAN DAPAT MENINGKATKAN PENGETAHUAN IBU HAMIL TENTANG SELF-CARE

Kamsatun Kamsatun — 2025-06-12

Limited access to health services, such as minimal prenatal class programs, often increases health risks due to lack of adequate monitoring. In addition, low support from health workers can cause various problems, both physical and psychological, for pregnant women. Poor physical health and high levels of anxiety can have a negative impact on the health of the mother and fetus, even risking the baby being neglected and lacking breast milk. Therefore, when health worker resources are limited, empowering pregnant women becomes very important. The study aimed to analyze the effectiveness of education and assistance in increasing pregnant women's knowledge about self-care in pregnancy. This study used a quasi-experiment with a pre-posttest two group design. The population was pregnant women and the sampling technique was a purposive sampling technique. The number of samples was 60 people divided into two groups. Education and assistance were carried out for approximately 30 minutes, twice with a time span of one week. The media used was a Module. The pre-test was conducted to determine knowledge using a questionnaire. The post-test was conducted in the same way, after intervention was given to both the treatment and control groups. To see the effect of education and assistance, an independent T test was used. The results of the study showed that education and assistance were effective in increasing pregnant women's knowledge about self-care during pregnancy with a p-value of 0.000. The conclusion is that education and assistance are effective in increasing knowledge about self-care during pregnancy.

PEMBERIAN NUGGET IKAN TENGGIRI YANG DIFORTIFIKASI TEPUNG DAUN KELOR TERHADAP NILAI Z-SCORE TB/U dan BB/U PADA ANAK BALITA STUNTING

Diah Sekar Haruni — 2025-06-13

Stunting is a nutritional problem caused by prolonged malnutrition. Mackerel and Moringa leaves are considered to have many health benefits on children growth. The study aimed to determine the effect of giving mackerel nuggets fortified with moringa flour on the nutritional status of stunted toddlers. The study took place in February and March of 2024, had a pre-post control group. The samples comprised 52 stunted children in West Nias, ranging in age from 24 to 59 months; toddlers with chronic illnesses and those with gluten and seafood allergies were excluded. Four groups were created from the samples: two control groups and two treatment groups. The treatment group received 100 grams of nuggets daily for 60 days, along with the collection of anthropometric data, including height and weight. Height-for-Age (HAZ) data was analyzed using Wilcoxon and Kruskal Wallis test while Weight-for-Age (WAZ) data used Paired T-test and One Way ANOVA test, then followed by a Post Hoc test. There was no significant difference in the increase in HAZ between treatments (p=0.741), but there was an effect of giving nuggets with the addition of moringa leaves at 3% (p=0.046) and 7% (p=0.007) on HAZ at 0,010 and 0,016 respectively. Weight-for-Age (WAZ) value increased differently for each treatment (p=0.001), with the most significant difference in the giving of nuggets fortified with 7% moringa leaves, namely 0,206. The conclusion of this study was that giving mackerel nuggets fortified with moringa flour increased HAZ and WAZ of stunted toddlers.

STUNTING PREVENTION THROUGH STRENGTHENING MOTHER’S KNOWLEDGE AND SELF-EFFICACY WITH HEALTH COACHING BASED ON FAMILY EMPOWERMENT

Arsita Eka Prasetyawati — 2025-06-13

Stunting merupakan masalah kesehatan serius di Indonesia, khususnya di Surakarta, Jawa Tengah, dengan angka 20,7% pada tahun 2023, seringkali disebabkan oleh kurangnya pengetahuan dan efikasi diri. Penelitian ini bertujuan untuk mengetahui peran pembinaan kesehatan berbasis pemberdayaan keluarga dalam meningkatkan pengetahuan dan efikasi diri ibu serta menggali persepsi ibu terhadap stunting. Penelitian dilakukan di wilayah kerja Puskesmas Gilingan Surakarta. Metode penelitian adalah mixed method, penelitian quasi eksperimental dan deskriptif kualitatif untuk menggali persepsi ibu terhadap stunting. Subyek penelitian kuasi eksperimen adalah 84 orang ibu yang memiliki balita usia 24-59 bulan yang ditentukan dengan menggunakan purposive sampling. Subjek mendapatkan intervensi penyuluhan tentang ruang lingkup stunting dan pentingnya dukungan keluarga dalam pengasuhan anak. Sedangkan penelitian kualitatif melibatkan dua orang ibu yang memiliki balita stunting, dua orang ibu yang memiliki balita non stunting, satu orang kader kesehatan masyarakat, dan satu orang koordinator program penanganan stunting. Instrumen yang digunakan adalah kuesioner pengetahuan mandiri dan efikasi diri. Data kualitatif diperoleh dengan cara wawancara mendalam dengan seluruh responden. Analisis data menggunakan uji Wilcoxon dan analisis tematik, memastikan pemeriksaan data yang teliti dan menyeluruh. Hasil penelitian menunjukkan bahwa pembinaan kesehatan berbasis pemberdayaan keluarga secara signifikan meningkatkan pengetahuan dan efikasi diri ibu (p<0,05), serta terdapat hubungan yang kuat antara pembelajaran dengan efikasi diri dalam upaya pencegahan stunting, persepsi ibu terhadap faktor kerentanan, pola asuh, dan tantangan menghindari stunting. Pengetahuan dan efikasi diri yang baik terbukti berkontribusi signifikan dalam mencegah stunting. Diperlukan upaya pencegahan stunting berbasis pemberdayaan keluarga yang komprehensif dan kolaboratif untuk meningkatkan pengetahuan dan diri ibu.

PENGEMBANGAN PANDUAN PRAKTIK KEPERAWATAN BERDASARKAN PEKA BUDAYA DAN FORMULIR ASESMEN KEPERAWATAN PASIEN MENJELANG AKHIR KEHIDUPAN

Eva Winda Sarma — 2025-06-13

Culturally congruent care practices are essential for providing holistic and meaningful care, particularly for multicultural populations and the end-of-life patients. However, national policies have not been fully implemented within hospital internal policies. This study aimed to develop a culturally congruent care practices guideline and a nursing assessment form for the end-of-life patient. A case study employing the Eight-Step Kotter Change Model was used to develop, implement, and evaluate the guideline and form at Hospital X Jakarta. Socialization was conducted with ICU nursing staff and nurse managers. Nineteen out of forty-one study participants were purposively selected to participate in the evaluation. The results demonstrated that the development of the guideline and form successfully improved nurses’ knowledge related to culturally sensitive nursing, with 80% of the evaluation questions showing increased scores. Subsequently, the guideline and form were integrated into hospital policies and electronic medical records to ensure sustainability. A systematic approach using Kotter’s Model effectively facilitated the development of culturally congruent care practices. Leadership support and ongoing competency development are necessary to sustain these changes and enhance the quality of care.

MENGGALI KETERKAITAN BUDAYA ORGANISASI DENGAN TINGKAT STRES DAN KELELAHAN PERAWAT DI RUMAH SAKIT: SYSTEMATIC REVIEW

Grace Irma Gorean — 2025-06-13

Organizational culture is summary of shared values, beliefs, or perceptions held by employees in organization or organizational unit and can influence staff attitudes and behaviors. This has impact the quality of life of nurses, including health, emotional exhaustion, job satisfaction, work stress. . The purpose this study to explore relationship between organizational culture and levels of stress and burnout among nurses in hospitals, provide more objective and comprehensive description of the existing evidence, identify knowledge gaps, and provide recommendations based on consistent findings.This research method is detailed analysis using the PRISMA flow diagram, Literature search in several databases, namely Proquest, Science Direct, Taylor & Francis Online, PubMed, Sage, Whiley and Scopus which are published. Article quality assessment using the JBI Joanna Briggs Institute Critical Appraisal Checklist for Analytical Cross Sectional Studies. Eleven articles were identified and analyzed that met the inclusion criteria; articles have abstract and full text, search type in the database with journal articles, published in English, articles published in the last 10 years 2014 - 2024, articles discussing organizational culture; positive organizational culture consisting of; open and transparent communication, strong social support, good teamwork, trust and appreciation for nurses, safe and comfortable work environment, articles discussing stress levels and burnout of nurses in hospitals. Exclusion criteria: articles cannot be accessed as full text, books, are literature reviews, theses, books. The results of the synthesis show a positive organizational culture is less likely to indicate stress levels and burnout in nurses.

POTENSI AROMATERAPI DAN AKUPRESUR SEBAGAI INTERVENSI NON-FARMAKOLOGIS UNTUK MEREDUKSI KECEMASAN PADA IBU HAMIL: TINJAUAN LITERATUR SISTEMATIS TERHADAP STUDI KLINIS TERKINI

Yulizawati Yulizawati — 2025-06-16

Anxiety during pregnancy is a prevalent global health concern affecting 15–23% of pregnant women and is associated with adverse outcomes such as preterm birth and impaired fetal development. Non-pharmacological therapies, including aromatherapy and acupressure, have gained popularity due to their low risk of side effects and cost-effectiveness compared to pharmacological interventions. This study aimed to systematically review recent clinical evidence on the efficacy and safety of these therapies in reducing anxiety among pregnant women. This systematic literature review adhered to PRISMA guidelines, with searches conducted across Wiley Online Library, Google Scholar, PubMed, Science Direct, and Taylor & Francis databases from 2014 to 2024. Keywords included “aromatherapy,” “acupressure,” “anxiety,” and “pregnancy.” Out of 1,614 identified articles, 12 studies met inclusion criteria based on PICOS framework. Study quality was assessed using AMSTAR and the Cochrane Risk of Bias Tool. Aromatherapy significantly reduced anxiety levels through modulation of the limbic system and increased serotonin release. Acupressure applied at specific points was also effective by stimulating endorphin release. Both therapies demonstrated a favorable safety profile without serious adverse effects. Clinical studies conducted in Indonesia further support the feasibility of implementing these interventions within local midwifery care settings. However, protocol heterogeneity and small sample sizes warrant further standardized, large-scale research. Aromatherapy and acupressure are effective, safe, and affordable non-pharmacological interventions for reducing anxiety in pregnant women. Their integration into maternal and child health services requires development of standardized operational procedures, healthcare provider training, and further research to validate long-term efficacy.

KORELASI HIGIENE DAN SANITASI LINGKUNGAN TERHADAP INFEKSI PROTOZOA USUS PADA ANAK BALITA

Gina As-Syifa — 2025-06-18

Intestinal protozoa infections are medical problems closely related to environmental hygiene and sanitation, which are sources of infection. This study aims to analyze the correlation between hygiene, environmental sanitation, and intestinal protozoan infections in toddlers residing in the Bantargebang TPST area of Bekasi City. The study is an observational analytical cross-sectional study conducted from March to May 2024 with 50 infant respondents accompanied by their parents, using purposive sampling. Data were collected from observations, interviews, and examinations of intestinal protozoan infections in fecal samples using the direct method. Data analysis was performed using the chi-squared test. The examination results showed that 28% were positive for intestinal protozoan infections, 44% had poor personal hygiene, and 48% had poor environmental sanitation. The Chi-Square test results indicated that there was no significant correlation between hygiene and intestinal protozoan infection in infants (P = 0.243) and no significant correlation between environmental sanitation and intestinal protozoan infection in infants (P = 0.420). The researchers concluded that there was no significant correlation between hygiene and environmental sanitation and intestinal protozoan infections experienced by toddlers around the Bantargebang TPST in Bekasi City. The researchers suggested finding research locations with high prevalence and researching other factors that may influence intestinal protozoan infections.

EVALUASI PELAKSANAAN PROGRAM KESEHATAN REPRODUKSI DAN SEKSUAL CALON PENGANTIN

Darmayanti Yatim — 2025-06-20

Reproductive and sexual health services for brides-to-be are not evenly distributed at global, national,and regional levels. There are still problems of disparity, quality, and accessibility. The unavailability of policies that regulate the implementation of services is the main obstacle to program implementation.This service is important to reduce the risk of sexually transmitted diseases and pregnancy complications. The government has made efforts to address this through reproductive and sexual health services for cats by improving quality standards and accessibility of services. The study aimed to analyze the implementation of the Reproductive and Sexual Health KIE program for Brides-to-be. This study was a qualitative phenomenological research with the evaluation of the Stuflebeam model program that describes the effectiveness and efficiency of the program holistically. A sample of 16 people was taken by purposive sampling. The data was analyzed with SWOT analysis which became the subject of discussion by the panelists in the decision-making strategy. This research found an important theme,namely the absence of policies that significantly affect the implementation of the program. The results of the SWOT analysis are known to place the organization's position in quadrant 1, a strategy taken by the growth oriented strategy through the innovative model of Catin Sehat Bahagia, Generasi Hebat, Indonesia Maju which supports the pillar of primary service transformation to strengthen preventive promotive activities. Reproductive health services are in a favorable situation,local governments need to develop clear and structured regulations to strengthen the KIE program. Supportive policies will improve access to reproductive health information research.

EFEKTIVITAS BERBAGAI MEDIA EDUKASI KESEHATAN REPRODUKSI DALAM MENINGKATKAN PEMAHAMAN PENCEGAHAN KEHAMILAN REMAJA: (STUDI LITERATUR)

Minarni Hardianti — 2025-06-21

The high rate of teenage pregnancy is a serious public health issue caused by limited reproductive health knowledge. Inadequate education makes adolescents vulnerable to risky behaviors, emphasizing the need for appropriate approaches, such as audio-visual media, to enhance understanding. This study comprehensively reviews research on reproductive health education for teenage pregnancy prevention. This study employs a literature review method. Data was collected from PubMed, Google Scholar, Semantic Scholar, and Science Direct using adolescent reproductive health and teenage pregnancy from September to October 2024. Inclusion criteria included studies in Indonesian or English, empirical studies on reproductive health education interventions, adolescents aged 10–19 years who had never been pregnant, full-text availability, and publications from 2019 to 2024. Of 854 identified articles, 7 met the inclusion criteria and were analyzed using a narrative synthesis approach. Findings indicate that reproductive health education improves adolescents' knowledge and attitudes toward pregnancy prevention. Educational interventions using media such as audio-visual content, comics, and videos are highly effective. Adolescents with previously limited awareness showed significant improvement after receiving reproductive health education. These findings highlight the importance of developing tailored educational strategies, particularly media-based programs, to effectively reduce teenage pregnancy rates

FAKTOR KARAKTERISTIK INDIVIDU DAN LINGKUNGAN KERJA TERHADAP KELELAHAN PEKERJA

Ati Nurhayati — 2025-06-23

PT. X is a manufacturing industry located in Cimahi City. The working environment at PT. X has a fairly hot air temperature caused by the production process. Hot temperatures are one of the work environment factors that pose a risk to workers' health. Hot temperatures are one of the work environment factors that have a risk to the health of workers such as workers experiencing fatigue. The study aimed to determine the relation of individual characteristics and environmental factors on worker fatigue at PT.X. This research was analytical with cross-sectional design. While environmental factor variables consist of noise levels and lighting levels in the environment around workers during work. The sample wass PT.X workers in the production department as many as 32 people. Sampling was done by purposive sampling. Research data were obtained through interviews and measurements. Interviews were conducted to obtain individual characteristic data. Measurements were conducted to obtain data on the level of disturbance, level of disturbance, heat stress and worker fatigue variables.The results showed that out of 32 respondents, 17 people (53.1%) experienced fatigue. The results of the Chi-square test obtained a p-value of 0.014 on the heat stress variable indicating the influence of heat stress on worker fatigue at PT.X. Workers exposed to heat stress and experiencing fatigue were 14 people (73.3%). Worker fatigue affects productivity and if not immediately addressed can cause work accidents so that the company must pay more attention to the safety and health of its workers from exposure to environmental factors.

PENGEMBANGAN PANDUAN MELATIH BODY AWARENESS BERBASIS ANDROID UNTUK ANAK AUTIS

Al Um Aniswatun Khasanah — 2025-06-23

Children with autism often face challenges in recognizing and controlling their own bodies, a condition referred to as body awareness. Deficits in body awareness can significantly affect motor skills, nonverbal communication, and social interaction. Despite the importance of this developmental domain, interactive training media tailored to the sensory and cognitive needs of children with autism remain limited. This study aims to develop an Android-based application to enhance body awareness in children with autism through the integration of music, video, and mirror game activities. The research utilized the ADDIE (Analysis, Design, Development, Implementation, Evaluation) development model. Instruments included expert validation questionnaires for both content and media, as well as user response surveys and comprehension tests administered to 30 children with autism in Metro City. Validation results indicated high feasibility, with ratings of 88.75% from media design experts and 90.00% from content experts. Effectiveness testing revealed a statistically significant improvement in body awareness, with a 20-point gain between pre-test and post-test scores (t = 13.70; p < 0.001; 95% CI: 16.70–23.30). These results suggest that the developed application is a practical, engaging, and effective tool for supporting body awareness development in children with autism, and it may serve as a valuable resource for educators, therapists, and parents.

PENGEMBANGAN MEDIA PSIKOEDUKASI BERBASIS VIDEO ANIMASI UNTUK PENCEGAHAN POSTPARTUM BLUES IBU POST SECTIO CAESAREA (SC)

Ina Handayani — 2025-06-23

Childbirth with Sectio Caesarea (SC) has risks, namely slower recovery due to wounds and pain so that the mother cannot care for her baby properly. This condition reduces the mother's confidence in carrying out her role, disrupts the natural attachment process and increases the occurrence of postpartum blues. Psychoeducation is important to prevent this from happening. Effective and easy to understand media regarding psychoeducation for postpartum mothers can be provided through animated videos. Information through animated videos is easier to understand and easier to store in memory for a longer period of time. The aim of this research was to produce animated video-based psychoeducational media. The research uses research and development research methods. The development procedure is carried out through: 1) Preliminary study stage, 2) Media development stage which is divided into 3 parts, namely a) compiling material, b) creating a script and preparing storyboards, c) making and editing videos. Next, validate the assessment by 1 media expert, 2 material experts and 5 post SC mothers in a limited trial to assess the suitability of the educational media created. The research results showed that animated video-based psychoeducation media had a feasibility level of 96 based on media expert assessment, while material expert assessment had a value of 90 and the result of limited trials had a value of 98. Animated video-based psychoeducation media for post-SC mothers is in the very feasible and positif category. Midwives can provide psychoeducation through animated videos.