Window of Health (WOH) : Jurnal Kesehatan
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The Effect Of Consumption Of Soy Milk And Tempeh In Women Aged 20-30 Years With Premenstrual Syndrome
No full textThere are 73.3% of women in Bekasi experiencing symptoms of premenstrual syndrome (PMS). Isoflavone can help with PMS symptoms. The aglycone form of isoflavones has high bioavailability. Analyze the consumption of tempeh and soy milk in reducing SPAF (Shortened Premenstrual Assessment Form) scores. The study used a quasi-experimental method with a pretest and posttest control group design. The intervention was giving soy milk and tempeh for 14 days before menstruation. The sampling technique was used purposive sampling as many as 30 women and divided into 3 groups. PMS symptom assessment using the SPAF questionnaire. The dependent variable in this study is PMS. The independent variables in this study were the consumption of soy milk and tempeh. And the cofounded variables in the study are physical activity, food intake, and stress factors. Data analysis will be carried out using paired t-tests, One-Way ANOVA, and ANCOVA. Consuming soy milk in the treatment group can reduce the SPAF score (p = 0.003). Meanwhile, there was no significant decrease in the group that consumed tempeh (p = 0.105). There was no significant difference in symptom reduction between tempeh and soy milk groups (p = 0.818). The influence of confounding variables (R = 0.560), namely physical activity (p = 0.042). Consumption of soy milk can significantly reduce SPAF scores, while the decrease in SPAF score on tempeh consumption is not significant. It is noted that there is another strong influence, namely high physical activity
Development of Midwifery Documentation System In Web-Based Pregnancy Care
Full text linkDocumentation of pregnancy care is very important to monitor the health of the mother and the fetus she is carrying; often, this documentation is still done manually and sometimes irregularly. There is a need for a midwifery documentation system that can assist students in recording data regularly and accurately. SOAP of Midwifery Documentation (MD-SOAP) is a web-based documentation system designed based on the needs in documenting pregnancy care, starting from a thorough assessment of the patient's basic data, diagnosis, care planning, implementation, and evaluation based on the Varney mindset with SOAP documentation that is written in narrative. The purpose of this study was to identify the need for midwifery documentation in pregnancy care and design a prototype of SOAP of Midwifery Documentation (MD-SOAP). This research method is Research and Development (R&D) to design a prototype of SOAP of Midwifery Documentation (MD-SOAP). The sample of this study was part of the Midwifery Study Program students of STIKes MERCUBAKTIJAYA Padang, as many as 88 students. Data collection techniques by filling out questionnaires. Analysis of this research is descriptive, quantitative, and qualitative. The results of this study are the need for web-based midwifery documentation, obtained 100% of students stated the need for web-based documentation. So far, they have used documentation by handwriting methods, 83% understand the use of computers, and 72.4% understand the use of the web. The features available in MD-SOAP cover all aspects needed in pregnancy care. MD-SOAP has also been validated by media experts and midwifery experts specializing in pregnancy care, all of whom stated that this web is suitable for use. The results of this study conclude that the MD-SOAP web is suitable for use by students in documenting pregnant women
Field Dynamics Faced by Community Health Workers During a Public Health Crisis: A Qualitative Study of Motivations and Challenges
Full text linkThe global shortage of healthcare professionals has intensified efforts to train more Community Health Workers (CHWs) to meet health and developmental needs. Amidst a global health crisis, such as the COVID-19 pandemic tragedy that occurred several years ago, CHWs have played a crucial role in controlling community-based outbreaks, thereby strengthening the public health emergency response while facing numerous challenges. This study explores the motivations and challenges CHWs face in managing health crises. Employing a descriptive phenomenological approach, this study conducted semi-structured in-depth interviews with 13 CHWs in Makassar City, selected through purposive sampling. Data were analyzed using thematic analysis via the Colaizzi method. Thematic analysis revealed three main themes and seven sub-themes, encapsulating factors of social needs and expanded health perspectives as motivational elements alongside challenges such as the prevailing negative paradigm regarding the health crisis. CHWs are instrumental in spearheading community-based activities to manage health crises. CHW training programs, facilitated by community nurses, can significantly improve their performance and impact within the community
The Association of Clean and Healthy Lifestyle Behaviors and Nutrient Intake With The Nutritional Status of Adolescents
Full text linkAdolescents represent a population group that is particularly vulnerable to various nutritional issues, including both undernutrition and overnutrition. With the rising number of adolescents in Indonesia, adolescent nutrition has become a public health concern due to its significant implications for physical growth and development, as well as its long-term impact on nutritional status into adulthood and later life. This research explored the association between Clean and Healthy Lifestyle Behaviors (CHLB) and dietary intake, with a focus on their impact on the nutritional status of adolescents. Utilizing a cross-sectional design, the study was conducted at SMPN 18 Mataram and included 60 student participants. Data were analyzed through Spearman’s rank-order correlation test. Findings indicated a significant correlation between CHLB and adolescents’ nutritional status (p=0.001, p<0.05). Similarly, macronutrient intake, including carbohydrates, proteins, and fats, was significantly related to nutritional status, with p-values of 0.000, 0.005, and 0.001, respectively (p<0.05). In contrast, no significant relationship was found between micronutrient intake (vitamin C and iron) and nutritional status, with p-values of 0.315 and 0.352, respectively (p>0.05). These findings suggest the need to enhance adolescents’ awareness and practices regarding clean and healthy lifestyle behaviors and to encourage the adequate consumption of both macro- and micronutrients in order to support optimal nutritional status.
 
Comparison of Hemodialysis Service Cost Effectiveness Using Activity-Based Cost Approach with Hospital Cost and Cost Recovery Rate in Regional Public Hospital IA Moeis Samarinda
No full textThe determination of service rates in hospitals is often not based on unit cost calculations, but rather on fixed rates used by other hospitals for practicality and ease of implementation. This leads to the problem of differences between INA-CBGs rates and hospital rates in the era of the National Health Insurance (JKN). The study aimed to determine the unit cost of Hemodialysis services using the Activity-Based Costing method, and compare with hospital rates and INA CBGs, and calculate the recovery rate cost.
This is a descriptive research study employing a case study approach. This research was conducted to describe the current condition of the hospital costing system, revealing the cost structure and calculation of service unit costs using the Activity-Based Costing method. The Hospital's financial transaction reports of 2023 were used as a data source. Data is grouped based on fixed costs, semi-variable costs, and variable costs, and then translated into direct costs and overhead costs to calculate the unit costs of hemodialysis. The results of the Hemodialysis unit cost calculation were compared with hospital rates and INA CBGs. The cost recovery rate was then calculated. The study results showed that the unit cost of Hemodialysis, calculated using the Activity-Based Costing method, was Rp1,364,257. The comparison result was that the unit cost was higher than the hospital rate (86%) and also than the INA CBGs rate (61%). The results of the cost recovery rate (CRR) calculation are still below 100%. Influencing factors include direct costs, overhead costs, and the number of actions
Diabetes Burnout Among the Elderly With Type 2 Diabetes
No full textDiabetes mellitus (DM) is one of the most prevalent chronic diseases among the elderly, often leading to complications, dependency, and psychosocial burdens. Globally, over 20% of adults aged ≥65 years live with DM, and in Indonesia, its prevalence among the elderly reaches 19.2%. Despite this high burden, limited studies have addressed diabetes burnout (DB) in elderly patients, particularly within cultural contexts where family caregivers play a central role. This study aimed to explore the level of burnout in the elderly with DM and identify contributing factors. A descriptive-analytical quantitative design was applied involving 176 elderly DM patients registered in the Prolanis program at Semarang Regency Health Center, selected using purposive sampling. Data were collected using the Diabetes Burnout Syndrome (DBS) questionnaire and analyzed with descriptive statistics, chi-square test, and logistic regression. Findings showed that most participants were female, had a high school education, and had lived with DM for less than five years. Gender and education had a significant influence on DBS scores (p < 0.005). Burnout was higher among women, patients with DM >5 years, and those with a bachelor’s degree. Education emerged as the most influential factor, with higher education levels associated with an 11.76-fold increased risk of burnout (p < 0.001). Conclusion: Education plays a dominant role in shaping burnout among the elderly with DM. Interventions tailored to demographic characteristics, disease duration, and employment status, supported by social support and health education, are crucial for reducing burnout and enhancing chronic care
The The Impact of Mental Health Training Interventions on Cadres' Ability to Detect Depression Among Rural Elderly
No full textDepression is a prevalent concern among the elderly population, potentially leading to suicidal ideation and behavior. Consequently, proactive measures are imperative to mitigate depression's impact. Community cadres, who offer voluntary assistance to healthcare professionals, play a crucial role in the early detection of depression. This study aims to evaluate the efficacy of a training program designed for cadres in identifying depression among elderly individuals residing in rural areas. This study utilized purposive random sampling to employ a pre-experimental design with a single-group pre-post intervention. 89 participants meeting the inclusion criteria—being mental health cadres and having completed comprehensive training—were randomly assigned. The intervention involved training participants in recognizing depression symptoms in the elderly. Data was collected using a personal information form and a questionnaire assessing the ability to detect early signs of depression in the elderly, administered before and after the intervention. Statistical analyses were conducted using SPSS-22, employing paired t-tests and Chi-square tests. The findings indicate a significant improvement in the cadres' ability to identify depression among rural elderly individuals following the intervention (p = 0.005). This study underscores the effectiveness of training programs in enhancing cadres' proficiency in recognizing depression among elderly rural residents. Consequently, we advocate for integrating regular mental health training sessions for community cadres within public health initiatives
The Role of Social Media and Parental Interpersonal Communication with Premarital Sexual Behavior in Adolescents
No full textThe phenomenon of premarital sexual behavior in Indonesia is increasingly prevalent among adolescents, including in the city of Baubau. One of the reasons is the easy access to pornography on social media. Therefore, the role of parents is needed in supervising and guiding adolescents. This study aimed to determine the role of social media and parents' interpersonal communication with premarital sexual behavior in adolescents in Baubau city. This study used a qualitative research method with a case study approach. Informants were selected by purposive sampling and snowball sampling, totaling 8 teenagers (5 male teenagers and 3 female teenagers) as a key informants. The results of this study show that both male and female adolescents admit that their sexual behavior is inspired or learned through the pornography they watch. However, exposure to pornography through social media is more dominant in contributing to the sexual behavior of female adolescents than male adolescents, because male adolescents prefer to watch pornography through online websites. Interpersonal communication generally went well, where there was empathy, support, and equality. However, the aspect of openness between adolescents and parents regarding sexuality issues does not seem to be fully explored. On the other hand, the positive attitude of parents who give too much freedom to children actually makes adolescents fall into bad sexual behavior. Other factors that influence premarital sexual behavior in adolescents are knowledge, attitudes, peers and level of religiosity. The conclusion in this study is that social media and parental interpersonal communication have a role in premarital sexual behavior in adolescents
Correlation of Ultra-processed Food Consumption with Nutritional Status and Blood Pressure in Adolescents
Full text linkAdolescents are nutritionally vulnerable, and their intake is crucial to avoid nutritional problems during growth. Adolescent food consumption can be obtained from various types of food, one of them ultra-processed food (UPF). This study aims to determine the relationship between ultra-processed food consumption patterns and nutritional status and blood pressure in Catholic Junior High School Sudiang adolescents and Christian Elim High School Makassar. Methods: This study is a quantitative descriptive study with a cross-sectional design. The sample was selected using a proportional random sampling technique of 195 adolescents aged 13-18. UPF consumption was collected using the Semi Quantitative Food Frequency Questionnaire (SQ-FFQ). The research results show adolescents are overweight at 25.6% and obese at 21%; elevated blood pressure (BP) is 14.4%, and state hypertension (HTN) is 8.2%. In addition, obese adolescents with state 1 HTN were 17.1% and elevated BP by 24.4%, while overweight adolescents with state 1 HTN were 8% and elevated BP by 14%. There is a correlation between the amount of UPF consumption and nutritional status (p-value = 0.047). At the same time, the results were negative between the frequency of UPF consumption and nutritional status (p-value = 0.312), the amount of UPF consumption and BP (p-value = 0.289), and the frequency of UPF consumption and BP (p-value = 0.059). The study concludes a significant correlation between the amount of ultra-processed food consumption and nutritional status in adolescents. Further research and public health interventions are recommended to address the impact of UPF on adolescent health
The Effect of Lawi-Lawi Grass (Caulerpa racemosa) on Blood Glucose Levels of Rattus norvegicus
Full text linkLawi-lawi seaweed (Caulerpa racemosa) contains fibre and antioxidants, which are the largest components that can inhibit blood clotting and reduce blood sugar levels by slowing the release of glucose into the blood. This study aimed to determine the effect of giving Lawi-lawi seaweed (Caulerpa racemosa) on the blood glucose levels of male Wistar strain Rattus norvegicus. This research is pure experimental research, using a posttest-only control group design. The sample consisted of 25 male white rats weighing 150-200 grams. All rats were coded and then induced with alloxan at a dose of 130 mg/kg BW, if the rat's blood glucose level was > 200 then the rat was said to be diabetic, then the rats were randomly divided into 5 groups, negative control, positive control, treatment 1 (1.87g), treatment 2 (3.75g) and treatment 3 (5.62g) groups. The results of the post hoc test on the average change in blood glucose levels of rats for 30 days of treatment generally showed a value of p = 0.000, where p <0.05 so that it could be interpreted that between the negative control group receiving standard feed treatment, the positive control group being given metformin, There were differences in changes in blood glucose levels in the treatment groups of seaweed at doses 1, 2 and 3 doses, meaning that there was an effect between the groups giving Lawi-lawi seaweed on reducing blood glucose levels of rats for 30 days of treatment