Citra Delima Scientific journal of Citra Internasional Institute
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Analisis Faktor Kejadian Stunting Pada Balita : Berbasis Transcultural Nursing
Nutritional problems in the toddler period with or without repeated illness will have an impact on the physical condition of the child\u27s body (stunting). Malnutrition in toddlers can occur due to cultural, habitual and social factors of society. The community in the operational area of Puskesmas Betungan is known as a patriarchal community that highly values culture as one of the determinants of behavior, especially health behavior related to food. The purpose of this study was to analyze the incidence of stunting factors in toddlers based on Transcultural Nursing. This study used a quantitative design with a cross-sectional approach. The population in this study was all mothers who had toddlers, samples were taken by simple random sampling technique. The collected data were analyzed univariately and bivariately. Results: There was an association between the incidence of stunting in toddlers with technology variables (p = 0.045), family and social support factors (p = 0.048), cultural and lifestyle values (p = 0.013), and economic factors (p = 0.034). Conclusion: Although there is no correlation between the characteristics of education and the occurrence of stunting, the level of education possessed by a woman is one of the fundamental components that contribute to nutritional problems, especially stunting.Masalah gizi pada periode balita dengan atau tanpa sakit yang berulang akan berdampak pada kondisi fisik tubuh anak (stunting). Malnutrisi pada balita dapat terjadi disebabkan oleh faktor budaya, kebiasaan dan sosial masyarakat. Masyarakat di wilayah operasional Puskesmas Betungan dikenal sebagai masyarakat patriarki yang sangat menghargai budaya sebagai salah satu penentu perilaku, khususnya perilaku kesehatan terkait makanan. Tujuan penelitian ini adalah menganalisis faktor kejadian stunting pada balita berbasis Transcultural Nursing. Studi ini menggunakan rancangan kuantitatif dengan pendekatan cross-sectional. Populasi dalam penelitian ini adalah seluruh ibu yang mempunyai balita, sampel diambil dengan teknik simple random sampling. Data yang terkumpul dianalisis univariat dan bivariat. Hasil : Terdapat hubungan antara kejadian stunting pada balita dengan variabel teknologi (p=0.045), faktor dukungan keluarga dan sosial (p=0.048), nilai budaya dan gaya hidup (p=0.013), serta faktor ekonomi ( p = 0,034). Kesimpulan : Meskipun tidak ada korelasi antara karakteristik pendidikan dengan terjadinya stunting, namun tingkat pendidikan yang dimiliki seorang perempuan merupakan salah satu komponen mendasar yang berkontribusi terhadap permasalahan gizi, khususnya stunting
Hubungan Depresi Dengan Kelelahan Pada Pasien Yang Menjalani Hemodialisa
The body\u27s digestive products are distributed and excreted by the kidneys. Reduced kidney function will disrupt the body\u27s balance, causing a buildup of waste products, especially urea (which causes uremia), fluid balance disorders, and excess fluid and electrolytes. Patients undergoing hemodialysis therapy can experience psychological and physical side effects. The aim of the study was to determine the relationship between depression and fatigue in patients undergoing hemodialysis. In this cross-sectional study, 43 participants were randomly selected. The questionnaire to measure the level of fatigue uses the Fatigue Severity Scale (FSS) and Beck Depression Inventory (BDI) to assess depressive symptoms. This research uses a non-parametric test with Spearman Rank. The results of the study explained that 14 respondents who underwent hemodialysis experienced mild depression and fatigue. From these results, a significance value of 0.005 was obtained and a sperm correlation value of 0.422. In conclusion, the data shows a positive correlation of moderate strength between the level of fatigue and depression experienced by hemodialysis patients. This shows that the more tired patients undergoing hemodialysis are, the more likely they are to experience depression. The results of this study are used as evidence-based in conducting interventions in treating patients with chronic kidney failure who experience fatigue and depression while undergoing hemodialysis.Produk pencernaan tubuh disalurkan dan dikeluarkan oleh ginjal. Berkurangnya fungsi ginjal akan mengganggu keseimbangan tubuh sehingga menyebabkan penumpukan produk limbah terutama urea (yang menyebabkan uremia), gangguan keseimbangan cairan, serta kelebihan cairan dan elektrolit. Pasien yang menjalani terapi hemodialisa dapat mengalami efek samping psikis dan fisik. Tujuan penelitian adalah untuk mengetahui hubungan depresi dengan kelelahan pada pasien yang menjalani hemodialisa. Dalam studi cross-sectional ini, 43 peserta dipilih secara acak. Kuesioner untuk mengukur tingkat kelelahan menggunakan Fatigue Severity Scale (FSS) dan Beck Depression Inventory (BDI) untuk menilai gejala depresi. Penelitian ini menggunakan uji non parametrik dengan Spearman Rank. Hasil penelitian menjelaskan bahwa 14 responden yang menjalani hemodialisis mengalami depresi ringan dan kelelahan. Dari hasil tersebut diperoleh nilai signifikansi sebesar 0,005 dan nilai korelasi Sperma sebesar 0,422. Kesimpulannya, data menunjukkan adanya korelasi positif dengan kekuatan sedang antara tingkat kelelahan dan depresi yang dialami pasien hemodialisa. Hal ini menunjukkan bahwa semakin pasien yang menjalani hemodialisa mengalami kelelahan, maka semakin besar pula kemungkinan mereka mengalami depresi. Hasil penelitian ini dijadikan evidence based dalam melakukan intervensi dalam menangani pasien dengan gagal ginjal kronik yang mengalami fatigue serta depresi pada saat menjalani hemodialisa
Hubungan Pola Asu Orang Tua dalam Pemberian Makana dengan Kejadian Stunting pada Anak Usia 24-59 Bulan
Stunting is a long-term nutritional problem in toddlers, characterized by a shorter height than other children of the same age. This study aims to determine the relationship between parenting styles in feeding and the incidence of stunting in children aged 24-59 months in North Bonde Village. This study uses a cross-sectional approach, a study that collects data on several research variables simultaneously. The sample in this study were 125 respondents. This research was conducted in North Bonde Village. The research instrument used was a questionnaire with 24 question items. The statistical test used is the mann-whitney test. The results of this study found that there was a relationship between parenting styles in feeding and the incidence of stunting in children aged 24-59 months in North Bonde village as evidenced by the value of ? (0.011) < ? (0.05). The conclusion of this study is that there is a relationship between parenting style in feeding and the incidence of stunting in children aged 24-59 months in Bonde Utara village, the type of parenting style in providing feeding and the incidence of stunting in children aged 24-59 months in North Bonde Village.Stunting merupakan masalah gizi jangka panjang pada balita, dengan tinggi badan yang lebih pendek dari seusianya. Tujuan penelitian ialah memahami hubungan polah asuh orang tua dalam pemberian makan dengan kejadian stunting pada anak usia 24-59 bulan di desa bonde utara. Penelitian ini menggunakan pendekatan cross-sectional, suatu penelitian yang mengumpulkan data pada beberapa variabel penelitian secara bersamaan. Sampel dalam penelitian ini ialah sebanyak 125 responden. Penelitian ini dilaksanakan di Desa Bonde Utara. Instrumen penelitian yang digunakan adalah kuesioner dengan 24 item pertanyaan. Uji statistik yang digunakan yaitu uji mann-whitney test. Hasil Penelitian ini didapatkan bahwa terdapat hubungan antara pola asuh orang tua dalam pemberian makan dengan kejadian stunting pada anak usia 24-59 bulan di desa bonde utara yang dibuktikan dengan nilai ? ( 0.011) < ? (0,05). Kesimpulan dari penelitian ini adalah ada Hubungan pola asuh orang tua dalam pemberian makan dengan kejadian stunting pada anak usia 24-59 bulan di desa bonde utara, Teridentifikasinya jenis pola asuh orang tua dalam pemberian makan dan teridentifikasinya kejadian stunting pada anak usia 24-59 bulan di Desa Bonde Utara
Pengaruh Pemberian Air Perasan Jeruk Nipis (Citrus aurantifolia) Dalam Mengurangi Emesis Gravidarum pada Ibu Hamil Trimester I
Nausea and vomiting (emesis gravidarum) is a common disorder experienced by 50% of pregnancy, and is usually most severe in the first trimester of pregnancy. Nausea and vomiting occur 60-80% primigravida and 40-60% multigravida. One of the herbal plants that can reduce nausea vomiting is lime juice. Lime contains flavonoids contained in lime can also trigger peristaltic movements in the stomach so that the stomach can easily digest. The purpose of this study was to determine the effect of giving lime juice (Citrus aurantifolia) on emesis gravidarum in pregnant women in the first trimester of pregnancy. The research design used Quasi Experiment with a Non-Randomized Control Group Pretest-Posttest Design. Respondents were given of lime juice for 3 days then measured the frequency of nausea vomiting on day 1 and day 4. Samples are taken by consecutive sampling. Data collection by observation method using PUQE-24 hour scoring system. Data analysis using the Mann-Whitney test and obtained p-value = 0.000. The conclusion of a statistically significant influence is used the level of meaning ? = 0.05 or p<0.05. It is expected that midwives in the practice area will provide nonpharmacological therapy for lime juice as an effort as to treat emesis gravidarum.Mual dan muntah (emesis gravidarum) merupakan gangguan yang umum dialami oleh 50% wanita hamil, dan biasanya paling parah pada trimester I kehamilan. Mual dan muntah terjadi 60-80% primigravida dan 40-60 % multigravida. Salah satu tanaman herbal yang bisa mengurangi mual muntah adalah sari jeruk nipis. Jeruk nipis mengandung flavonoid yang terkandung dalam jeruk nipis juga dapat memicu gerakan peristaltik dalam lambung sehingga lambung dapat dengan mudah mencerna. Tujuan penelitian ini untuk mengetahui pengaruh pemberian air perasan jeruk nipis (Citrus aurantifolia) terhadap emesis gravidarum pada ibu hamil trimester I. Desain penelitian yang digunakan Quasi Exsperiment dengan rancangan Non Randomized Control Group Pretest Posttest Design. Responden diberikan air perasan jeruk nipis selama 3 hari kemudian dilakukan pengukuran frekuensi mual muntah pada hari ke-1 dan hari ke-4. Sampel diambil dengan cara consecutive sampling. Pengumpulan data dengan metode observasi menggunakan PUQE-24 hour scoring system. Analisis data menggunakan uji Mann-Whitney dan diperoleh nilai p=0,000. Kesimpulan adanya pengaruh yang signifikan secara statistik digunakan tingkat kemaknaan ?=0,05 atau p<0,05. Diharapkan bidan di lahan praktik untuk memberikan terapi nonfarmakologis pemberian jeruk nipis sebagai upaya penanganan emesis gravidarum
Hubungan Status Anemia, Kadar FE Tablet Tambah Darah dan Kepatuhan Minum Tablet FE Dengan Kejadian Anemia pada Ibu Hamil
An indicator of the success of a country\u27s health services can be seen from the Maternal Mortality Rate (MMR). The bad effects of anemia in pregnancy for pregnant women include premature births, abortions and congenital defects, thereby increasing maternal and fetal mortality and morbidity. The aim of this research is to determine the prevalence rate of anemia and anemia status in pregnant women who consume blood supplement tablets, determine the iron/Fe levels in blood supplement tablets consumed by pregnant women, and determine the level of compliance with taking medication in pregnant women. This research method uses an analytical observational design, with a cross sectional design. The independent variables are the FE levels in blood supplement tablets and the mother\u27s level of compliance in consuming blood supplement tablets. The results of the relationship between the level of adherence to consuming blood supplement tablets and anemia status are (p=0.000), which shows a significant relationship with the incidence of anemia. The relationship between iron levels and anemia status obtained statistical results with Fe levels ? 60 mg (p=0.000), showing a significant relationship with the incidence of anemia. Based on the relationship between the characteristics of pregnant women and the incidence of anemia in the variable age (p=0.000), Upper Arm Circumference (p=0.000), there is a significant relationship and influences the incidence of anemia. Variables that did not have a significant relationship with the incidence of anemia were parity (p=0280) and education (p=0.640).Indikator keberhasilan layanan kesehatan suatu negara dapat diketahui dari Angka Kematian Ibu (AKI). Pengaruh buruk anemia dalam kehamilan bagi ibu hamil seperti bayi lahir premature, abortus dan cacat bawaan sehingga meningkatkan mortalitas dan morbiditas ibu dan janin. Tujuan penelitian ini ingin mengetahui angka prevalensi kejadian Anemia dan Status anemia pada ibu hamil yang mengkonsumsi tablet tambah darah, mengetahui Kadar besi/Fe pada tablet tambah darah yang dikonsumsi ibu hamil, dan mengetahui tingkat Kepatuhan minum obat pada ibu hamil. Metode penelitian ini menggunakan rancangan observasional analitik, dengan desain cross sectional. Variabel bebas yaitu kadar FE dalam tablet tambah darah dan tingkat kepatuhan ibu dalam mengkonsumsi tablet tambah darah. Hasil hubungan tingkat kepatuhan mengkonsumsi tablet tambah darah dengan status anemia adalah (p=0,000), yang menunjukkan hubungan yang bermakna terhadap kejadian Anemia. Hubungan kadar zat besi dengan status anemia memperoleh hasil secara statistik kadar Fe ? 60 mg adalah (p=0,000), memperlihatkan hubungan yang bermakna terhadap kejadian Anemia. Berdasarkan hubungan karakteristik ibu hamil dengan kejadian anemia pada variable usia (p=0,000), Lingkar Lengan Atas (p=0,000) terdapat hubungan yang bermakna dan berpengaruh terhadap kejadian Anemia. Variabel yang tidak ada hubungan signifikan dengan kejadian Anemia adalah Paritas (p=0280) dan pendidikan (p=0,640)
The Corralation between Knowledge and Satisfaction Level with the High Referral of Patients Participating in the National Health Insurance (NHI) at First Level Health Facilities (FLHF)
A health service that regulates the delegation of duties and responsibilities for health services that cannot be implemented at the basic (primary) service level due to limited infrastructure, medical personnel and the presence of anamnesis that requires patients to receive further health services such as specialist services. The still high number of patient referrals shows that community health centers are not yet able to provide optimal health services as gatekeepers of health services in the community. The aim of the research is to analyze factors related to patient referrals for National Health Insurance (JKN) participants at First Level Health Facilities (FKTP). The research design used was analytical survey research with a cross sectional approach. The sample was 109 patients participating in National Health Insurance (JKN) who received services at the Gerunggang Community Health Center, Pangkalpinang City. The research results show a relationship between Knowledge and Referrals from JKN Participant Patients, namely p value = 0.000 < ? = 0.05 and there is a relationship between Satisfaction Level and Referrals from JKN Participant Patients, namely p value = 0.018 < ? = 0.05. The research conclusion is that there is a relationship between knowledge and the level of patient satisfaction with patient referrals for JKN participants at the Gerunggang Community Health Center. It is hoped that health workers at Community Health Centers, both medical and non-medical personnel, will always improve services and prioritize patient needs, especially in providing referral information to patients.A health service that regulates the delegation of duties and responsibilities for health services that cannot be implemented at the basic (primary) service level due to limited infrastructure, medical personnel and the presence of anamnesis that requires patients to receive further health services such as specialist services. The still high number of patient referrals shows that community health centers are not yet able to provide optimal health services as gatekeepers of health services in the community. The aim of the research is to analyze factors related to patient referrals for National Health Insurance (JKN) participants at First Level Health Facilities (FKTP). The research design used was analytical survey research with a cross sectional approach. The sample was 109 patients participating in National Health Insurance (JKN) who received services at the Gerunggang Community Health Center, Pangkalpinang City. The research results show a relationship between Knowledge and Referrals from JKN Participant Patients, namely p value = 0.000 < ? = 0.05 and there is a relationship between Satisfaction Level and Referrals from JKN Participant Patients, namely p value = 0.018 < ? = 0.05. The research conclusion is that there is a relationship between knowledge and the level of patient satisfaction with patient referrals for JKN participants at the Gerunggang Community Health Center. It is hoped that health workers at Community Health Centers, both medical and non-medical personnel, will always improve services and prioritize patient needs, especially in providing referral information to patients
Analisis Faktor yang Berhubungan dengan Perilaku Deteksi Dini Kanker Serviks pada Akseptor KB
Cervical cancer can be prevented through early detection, but cancer is still one of the main causes of death worldwide. A number of factors may contribute to early detection of cervical cancer in women. The aim of this research was to determine the factors associated with early detection behavior of cervical cancer in women who use contraception. Method: This research is a cross-sectional study with a total of 43 participants using consecutive sampling. Women who come to the gynecology clinic were aged between 15 and >45 years at RSPAL Dr Ramelan Surabaya. Chi-square test to test the relationship between independent and dependent variables. Results: The majority of respondents were between 25-34 years old, 69.7%, with a screening rate of only 32.6%. Factors related to women carrying out early detection of cervical cancer are knowledge (0.009), attitude (0.017) and the role of health workers (0.002). Conclusion: There is a significant relationship with early detection behavior for cervical cancer which includes knowledge, attitudes and the role of health workers. Health workers have an important role as the main source of information about screening/early detection of cervical cancer. In this way, they can increase women\u27s knowledge and positive attitudes regarding early detection of cervical cancer in Indonesia.Kanker serviks dapat dicegah melalui deteksi dini, namun penyakit kanker masih menjadi salah satu penyebab utama kematian di seluruh dunia. Sejumlah faktor mungkin berkontribusi terhadap perilaku deteksi dini kanker serviks pada wanita. Tujuan dari penelitian ini adalah untuk mengetahui faktor yang berhubungan dengan perilaku deteksi dini kanker serviks pada Wanita dengan pengguna kontrasepsi. Metode: Penelitian ini merupakan cross-sectional study dengan jumlah partisipan sebanyak 43 orang dengan concecutive sampling. Wanita yang datang ke klinik ginekologi berusia antara 15 dan >45 tahun di RSPAL dr Ramelan Surabaya. Uji chi-square untuk menguji hubungan variable independent dan dependen. Hasil: Mayoritas umur responden diantara 25-34 tahun sebanyak 69,7%, Dengan tingkat skrining hanya 32,6%. Factor yang berhubungan Wanita melakukan deteksi dini kanker serviks yaitu pengetahuan (0,009), sikap (0,017) dan peran tenaga Kesehatan (0,002). Kesimpulan: Ada hubungan yang signifikan terhadap perilaku deteksi dini kanker serviks yang meliputi pengetahuan, sikap dan peran tenaga Kesehatan. Tenaga Kesehatan memiliki peran penting sebagai sumber informasi utama tentang skrining/deteksi dini kanker serviks. Dengan demikian, mereka dapat meningkatkan pengetahuan dan sikap positif perempuan mengenai deteksi dini kanker serviks di Indonesia
Psychological Well-Being Pada Pasien Diabetes Melitus Yang Menjalani Rawat Inap
Long-term treatment for diabetes mellitus (DM) patients makes it difficult to control blood sugar effectively, causing patients to experience biological, psychological, social, and spiritual imbalances. One of the psychological aspects of impact on patients with diabetes mellitus is Psychological Well Being (PWB). Psychological Well Being is a measure to see whether an individual can accept himself as a whole. DM patients who have a low PWB will have an impact on low levels of self-care. This study aims to determine the description of Psychological Well Being in diabetes mellitus patients who are hospitalized. This research method uses a quantitative descriptive survey with a cross-sectional approach. The sampling technique used non-probability sampling with a total sampling technique of 60 respondents. The results of the Psychological Well-Being study were low for 3 respondents (5.0%), medium for 54 respondents (90.0%), and high for 3 respondents (5.0%). Inpatient diabetes mellitus patients who have Psychological Well-Being in the moderate category still need to get more attention because other indicators might cause negative Psychological Well-Being.Pengobatan dengan jangka waktu panjang yang harus dilakukan pasien diabetes mellitus (DM) mengakibatkan sulitnya mengontrol gula darah secara efektif, sehingga membuat pasien mengalami ketidakseimbangan biologis, psikologis, sosial dan spiritual. Dampak aspek psikologi pada pasien dengan diabetes mellitus salah satunya adalah Psychological Well Being (PWB). Psychological Well Being merupakan suatu indikator untuk melihat apakah seorang individu mampu menerima dirinya sendiri secara keseluruhan. Pasien DM yang memiliki PWB yang rendah akan berdampak pada rendahnya tingkat perawatan diri (self care). Penelitian ini bertujuan untuk mengetahui gambaran Psychological Well Being pada pasien diabetes melitus yang menjalani rawat inap. Metode penelitian ini menggunakan kuantitatif deskriptif survei dengan pendekatan cross sectional. Teknik pengambilan sampel menggunakan Non-probability sampling dengan teknik Total sampling berjumlah 60 responden. Hasil penelitian Psychological Well-Being yang rendah 3 responden (5,0%), sedang 54 responden (90,0%) dan tinggi 3 responden (5,0%). Pasien diabetes melitus rawat inap yang memiliki Psychological Well Being dalam kategori sedang masih perlu mendapatkan perhatian lebih karena ada indikator lain yang memungkinkan menyebabkan terjadinya Psychological Well-Being negatif
Perbedaan Efek Madu Akasia dengan Madu Multiflora terhadap Peningkatan Kadar Hemoglobin Remaja Putri
Adolescent girls’ anemia due to iron deficiency results in decreased learning achievement. Food intake is needed high in iron such as vegetables, animal protein, vegetable protein and honey. Honey is known to contain complete nutrition and can overcome anemia. Objective: To determine the differences between the provision of acacia honey and multiflora honey on the increasing of hemoglobin levels of adolescent girls at Posyandu Remaja Cetar Nusa Jaya subdistrict, Tangerang City in 2023. Methodology: The research design is quasy experiment. This research had been conducted during November 2022 - January 2023 at Posyandu Remaja Cetar with a population of 49 adolescent girls who experienced anemia. The techniques of sampling is purposive sampling and 40 people were recruited. The intervention group was given acacia honey while the control group was given multiflora honey for 14 days at a dose of 2x10 ml and keep drinking fe tablets once a week. Results: the average hemoglobin levels before and after provision akasia honey was 11.5 mg/dl and 12.46 mg/dl respectively. The average hemoglobin level before and after the administration of multiflora honey was11.39 mg/dl and 12.46 mg/dl respectively. Mann Whitney test was used to see the differences and shows the p value was 0.567 thatv > 0.05, so there was no difference of hemoglobin levels of adolescent girls after between acacia honey group and multiflora honey group after test. Conclusion: There is no difference of the increasing of hemoglobin levels among adolescent girls.Anemia remaja putri karena defisiensi zat besi mengakibatkan menurunnya prestasi belajar. Dibutuhkan asupan makanan tinggi zat besi seperti sayuran, protein hewani, protein nabati dan madu. Madu diketahui mengandung nutrisi yang lengkap dan dapat mengatasi anemia. Tujuan: Mengetahui perbedaan pemberian madu Akasia dan madu Multiflora terhadap peningkatan kadar hemoglobin remaja putri. Metode: Desain penelitian quasi eksperimen dengan pre test dan post test dengan grup kontrol. Penelitian pada bulan November 2022 – Januari 2023 di Posyandu remaja dengan populasi 49 remaja putri yang menderita anemia. Sampel dengan teknik purposive sampling berjumlah 40 orang. Kelompok intervensi akan diberikan madu Akasia dan pada kelompok kontrol diberikan madu Multiflora selama 14 hari dengan dosis 2x10 ml dan tetap minum tablet tambah darah 1x seminggu. Hasil: Rerata kadar hemoglobin sebelum dan sesudah pemberian madu Aksia sebesar 11,5 mg/dl dan 12,46 mg/dl. Rerata kadar hemoglobin sebelum dan sesudah pemberian madu Multiflora sebesar 11,39 mg/dl dan 12,46 mg/dl. Hasil uji Mann Whitney untuk melihat perbedaan didapatkan p value 0,567 > 0,05, sehingga tidak ada perbedaan kenaikan kadar hemoglobin pada remaja putri sesudah pemberian madu Akasia dan madu Multiflora. Kesimpulan : Tidak ada perbedaan kenaikan kadar hemoglobin pada madu Akasia dan Multiflora, keduanya memiliki pengaruh signifikan untuk menaikkan kadar hemoglobin
Faktor-Faktor Yang Berhubungan dengan PHBS
The importance of raising awareness of Clean and Healthy Behavior (PHBS) in school-age children because schools have a strategic role and position in education and health promotion efforts. Efforts are needed to increase PHBS to prevent the risk of health problems at school. The purpose of this study was to find out the relationship between attitudes, actions, the role of peers, and the role of teachers towards PHBS in PKBM Sahabat Tahfizhul Quran. The research design is a quantitative analytic survey through a cross sectional approach. The population was 43 students in grades 3-6 elementary school. Sample is the total population. Data collection used a questionnaire and conducted interviews, then the data were analyzed using the Chi-square test. The results showed that most of the respondents had a bad attitude (72.1%), bad actions (69.8%), the role of peers was not good (51.2%), the role of the teacher was not good (55.8%), and PHBS is not good (72.1%). There is a relationship between attitude (p value 0.000, PR 7.750), action (p value 0.002, PR 4.615), the role of peers (p value 0.013, PR 5.328), and the teacher\u27s role (p value 0.029, PR 3.789) with PHBS. The conclusion from this study is that there is a relationship between attitudes, actions, the role of peers, and the role of teachers towards PHBS in PKBM Sahabat Tahfizhul Quran. The researchers suggest increasing health promotion regarding PHBS in schools, monitoring the interaction of students with their peers, and increasing stimulation for teachers.Pentingnya menumbuhkan kesadaran Perilaku Hidup Bersih dan Sehat (PHBS) pada anak usia sekolah karena sekolah mempunyai peranan dan kedudukan strategis dalam upaya pendidikan dan promosi kesehatan. Perlu upaya peningkatan PHBS untuk mencegah risiko masalah kesehatan di sekolah. Tujuan penelitian ini adalah diketahuinya hubungan sikap, tindakan, peran teman sebaya, dan peran guru terhadap PHBS di PKBM Sahabat Tahfizhul Quran. Desain penelitian ini adalah kuantitatif survei analitik melalui pendekatan cross sectional. Populasi adalah siswa/i kelas 3-6 SD yang berjumlah 43 siswa. Sampel adalah total populasi. Pengumpulan data menggunakan kuesioner dan dilakukan wawancara, kemudian data dianalisis menggunakan uji Chi-square. Hasil penelitian menunjukkan sebagian besar responden memiliki sikap kurang baik (72,1%), tindakan kurang baik (69,8%), peran teman sebaya kurang baik (51,2%), peran guru kurang baik (55,8%), dan PHBS kurang baik (72,1%). Ada hubungan sikap (nilai p 0,000, PR 7,750), tindakan (nilai p 0,002, PR 4,615), peran teman sebaya (nilai p 0,013, PR 5,328), dan peran guru (nilai p 0,029, PR 3,789) dengan PHBS. Kesimpulan dari penelitian ini adalah ada hubungan sikap, tindakan, peran teman sebaya, dan peran guru terhadap PHBS di PKBM Sahabat Tahfizhul Quran. Peneliti menyarankan untuk dilakukan peningkatan promosi kesehatan tentang PHBS di sekolah, pengawasan interaksi siswa dengan teman sebayanya, dan peningkatan stimulasi pada guru agar lebih berperan dalam meningkatkan PHBS di sekolah