Open Journal System Yapenas 21 Maros
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Education Level and Illness Perception in Parents of School-Aged Children with Thalassemia Major
No full textThe education level of parents shapes their mindset and perception of illness, significantly influencing their child’s illness perception, coping strategies, psychological well-being, medication adherence, and physical functioning. This study aimed to identify the relationship between the education level and illness perception of parents with children suffering from thalassemia major. This study used secondary data from previous research conducted within the institution that had not been published. It employed a descriptive analytical method with a cross-sectional approach. The sample was selected using purposive sampling, involving 90 parents as participants. Data were collected using demographic data and the Illness Perception Questionnaire-Revised (IPQ-R) instrument. Data analysis was performed using univariate and bivariate methods, with the chi-square test applied for the bivariate analysis. Among all subject, the majority (51,1%) had a secondary education level. A total of 53,3% of parents had a positive illness perception. The relationship between education level and illness perception was not statistically significant (p-value = 0,813). This study indicated that parents' education level did not have a significant impact on their illness perception. Formal education was not the primary factor influencing the illness perception of parents with school-age children with thalassemia major in Bandung
Music Intervention to Reduce Anxiety in High-Risk Group of Stroke in Puskesmas Banjar Serasan
No full textStroke is the second leading cause of death and a major source of disability worldwide. Hypertension and diabetes mellitus are major risk factors for stroke. Anxiety can worsen the condition of patients with hypertension and diabetes mellitus, which can increase the risk of stroke. Music intervention is one of the non-pharmacological measures that can reduce anxiety. This study aimed to analyze the effect of music intervention on anxiety in high risk stroke groups in the Banjar Serasan Health Center working area. The research design used was pretest posttest without control group. The population in this study consisted of patients with hypertension and diabetes mellitus at Banjar Serasan Health Center. The sample size was 30 subjects Hamilton Anxiety Rating Scale (HARS) instrument consisting of 14 statements was used to measure anxiety. Bivariate analysis was concted using a paired t-test. The results showed a p-value of 0,000 which indicated that there was an effect of music intervention on anxiety in the high risk stroke group. Music intervention affected anxiety in high risk stroke group. Patients with hypertension and diabetes mellitus as a high risk group for stroke are advised to keep doing music intervention independently to control anxiety
Salary Satisfaction, Workload, and Job Satisfaction with Turnover Intention of Health Workers
No full textOne option for community health services is the community health center (Puskesmas). Puskesmas can adaptably enhance health services by using the Regional Public Service Agency Financial Management Pattern (PPK-BLUD). However, it will affect health care by increasing the desire of health workers to leave if it is not backed by effective human resource management. The purpose of this study is to ascertain how health workers' intentions to leave their jobs relate to their workload, job satisfaction, and wage satisfaction. Using all 418 BLUD contract workers from 37 Puskesmas in Kediri Regency as the population, a cross-sectional design was employed. 204 participants who satisfied the inclusion criteria namely, having been employed as a contract employee at the Kediri Regency Health Center for more than six months were selected through the use of a straightforward random sample procedure. Data were gathered by a questionnaire in December 2023. Multiple linear regression was employed in the data analysis. The results showed that there was a significant relationship between workload (p-value = 0,001) and job satisfaction (p-value = 0,043) with turnover intention; however, salary satisfaction was not associated with turnover intention (p-value = 0,169). Long-term organizational success depends on effective planning as a method to enhance service quality. Puskesmas can hire BLUD contract workers based on employee payroll needs and strengths by implementing PPK-BLUD
Psychoeducation About Mental Health Problems on Family Emotional Support Patients After Schizophrenia Treatment
No full textTo achieve a better recovery rate, patients with schizophrenia needed family support to help them become better individuals. One important form of support was emotional support, which helped patients feel comfortable, loved, and cared for, enabling them to cope with problems more effectively. Psychoeducation was an effective approach to improving emotional support and understanding of mental health issues, including schizophrenia. The objective of this study was to determine the effect of psychoeducation about mental health problems on the emotional support of family members of patients after schizophrenia treatment. This study involved one group using a pre-test and post-test design with a quantitative methodology. Purposive sampling was used to select 34 subjects in the working area of Wonorejo Health Center, and a questionnaire was used for data collection. The data were analyzed using a paired t-test. The results showed that most of the subjects were aged 41–50 years (41,2%), the majority were male (52,9%), most had a junior high school education (41,2%), the average duration of illness was 1–5 years (64,7%), and all subjects lived with their families (100,0%). The test results showed a p-value of <0,001, indicating that there is an effect of psychoeducation about mental health issues on the emotional support of families of patients after schizophrenia treatment. In conclusion, psychoeducation about mental health problems was effective in improving the emotional support of family members of patients after schizophrenia treatment
Analysis of User Acceptance of Electronic Medical Record Systems Using the Technology Acceptance Model (TAM)
No full textUser acceptance is a key determinant of the successful implementation of Electronic Medical Records (EMR) in hospitals. This study aimed to analyze the factors influencing EMR acceptance at Bhayangkara Level III Hospital Kendari using the Technology Acceptance Model (TAM) approach. A cross-sectional study was conducted involving 114 healthcare workers selected through simple random sampling. Data were analyzed using Structural Equation Modeling based on Partial Least Squares (PLS-SEM) with SmartPLS version 4.0. Perceived ease of use had a significant effect on perceived usefulness (β = 0,760, p < 0.001) and user attitude (β = 0,464, p < 0,001). Perceived usefulness affected user attitude (β = 0,368, p < 0,001) and actual use (β = 0,534, p < 0.001), but had no direct effect on behavioral intention (p = 0,167). User attitude strongly influenced behavioral intention (β = 0,793, p < 0,001), which in turn affected actual use (β = 0,384, p < 0,001). Perceived usefulness acted as a partial mediator between ease of use and attitude, while attitude served as a full mediator between perceived usefulness and behavioral intention. Behavioral intention did not mediate the relationship between perceived usefulness and actual use. A user-friendly system design and demonstrable benefits are essential to foster positive user attitudes and encourage EMR adoption
Virgin Coconut Oil and Extra Virgin Olive Oil on Total Cholesterol and Triglyceride Levels in Hyperglycemic Obese White Rats
No full textThe increasing prevalence of obesity and metabolic disorders highlights the need for effective dietary interventions to improve lipid profiles and reduce cardiovascular risk. This study compares the effects of Virgin Coconut Oil (VCO) and Extra Virgin Olive Oil (EVOO) on lipid profiles, specifically total cholesterol and triglyceride levels, in hyperglycemic obese Wistar rats. Obesity and hyperglycemia are major risk factors for cardiovascular diseases and type 2 diabetes. A total of 24 male rats were divided into three groups: a negative control, a VCO group, and an EVOO group. Rats were placed on a high-fat diet for 14 days and administered 2 mL/kg body weight of either VCO or EVOO via oral gavage. Blood samples were collected at baseline, Day 7, and Day 14 for lipid profile analysis. Results revealed that both VCO and EVOO significantly reduced total cholesterol and triglyceride levels compared to the control group. Notably, EVOO resulted in a more substantial reduction in both total cholesterol (to 130,83 ± 24,807 mg/dL) and triglycerides (to 108,17 ± 17,612 mg/dL) by Day 14, surpassing the effects of VCO. These findings suggest that both oils are effective in improving lipid profiles in hyperglycemic obese rats, with EVOO demonstrating superior efficacy. This study provides valuable insights into the potential of VCO and EVOO as dietary interventions for managing obesity-related metabolic disorders, emphasizing EVOO’s greater effectiveness in lipid management
RISBILOR (Sweet Potato and Moringa Risol) in Increasing the Quantity of Breast Milk Production in Breastfeeding Mothers
No full textOptimal breast milk (BM) production is a crucial factor in the success of exclusive breastfeeding, yet many breastfeeding mothers still experience challenges related to low milk quantity. One of the factors influencing breast milk production is the adequacy of maternal nutrition during lactation. The utilization of local nutrient-rich foods with galactagogue properties offers a potential alternative to enhance breast milk production. This study aimed to examine the effect of sweet potato leaves and moringa leaves, processed into RISBILOR (Sweet Potato and Moringa Risoles), on increasing BM quantity and improving exclusive breastfeeding coverage in the working area of Kersanagara Community Health Center, Tasikmalaya City. A quasi-experimental design with a pretest–posttest control group was used. The study involved 40 breastfeeding mothers with infants aged 0–6 months, who received the intervention for 14 consecutive days. The results showed a significant difference in BM quantity between the intervention and control groups after RISBILOR administration, with a Wilcoxon test p-value of 0,032 (p-value <0,05). In conclusion, RISBILOR significantly increased breast milk production in mothers of infants aged 0–6 months, indicating that it can be used as a safe and beneficial local food-based functional food to support breast milk production and the success of exclusive breastfeeding programs
Progressive Muscle Relaxation on Depression Levels in Schizophrenia Patients Treated in Griya Medika
No full textPatients with schizophrenia often exhibited behaviors such as social withdrawal, hypervigilance, difficulty in management, and vulnerability to anxiety and depression. Progressive Muscle Relaxation (PMR), as a muscle relaxation technique, had been shown in stress management programs to alleviate symptoms of anxiety, depression, and insomnia. The purpose of this study was to examine the effect of Progressive Muscle Relaxation (PMR) on depression levels among patients with schizophrenia at Panti Griya Medika. This study employed a quasi-experimental design using a pretest–posttest without a control group approach. The sample consisted of 30 subjects, selected through purposive sampling. Data were collected using a demographic questionnaire and the Hamilton Depression Rating Scale (HDRS), which consists of 17 items to assess the severity of depression. Data analysis was conducted using the paired t-test. Clinically, there was a decrease in depression scores by 2.1 points following the administration of PMR. However, statistically, this reduction from 12.20 to 10.10 did not show a significant effect; therefore, the effectiveness of PMR therapy in reducing depression in schizophrenia patients could not be strongly validated through this study. It is therefore recommended that PMR be implemented regularly as a complementary non-pharmacological intervention in the management of depression among patients with schizophrenia
Free Sex Behavior in College Students Reviewed from Pathophysiological Mechanisms in HIV Patients: Scoping Review
No full textHIV/AIDS remains a major health concern among adolescents, with promiscuous sexual behavior identified as a key factor contributing to the rising number of cases. This study aims to examine the correlation between promiscuous sexual behavior and HIV transmission through a review of various scientific sources. A scoping review method was used, as it allows for broad and systematic mapping of the literature particularly on complex topics that have not been extensively studied. Articles were obtained from the Google Scholar, PubMed, and ScienceDirect databases, with publication years ranging from 2019 to 2025. The keywords used included “Pathophysiology,” “HIV,” “Free Sex,” and “Student.” A total of eight relevant articles were selected for analysis. The results showed that unprotected casual sex is the primary cause of HIV transmission, especially among university students. A lack of understanding about HIV and its modes of transmission contributes to high infection rates. In addition, students infected with HIV face significant psychosocial impacts. Therefore, education about the risks of promiscuous sexual behavior and the provision of psychosocial support are essential to reducing stigma and improving quality of life. Further research is needed to enhance understanding of the mechanisms of HIV transmission through risky sexual behavior
Overview of Patient Safety Culture Among Nurses in Providing Services at Hospital
No full textNurses play a vital role in maintaining patient safety as they are at the frontline of healthcare services. Patient safety culture needs to be measured as an indicator of service quality. This study aimed to describe the patient safety culture among nurses at the Research Partner Hospital. This study was conducted at a Type C General Hospital located in Sukoharjo, using a descriptive quantitative method and a cross-sectional design. The sample consisted of 167 nurses selected through purposive sampling, with data collected via the Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire. The results showed that the patient safety culture was categorized as "medium" (55,28%), reflecting a fairly good understanding however, it requires for safe services to meet a high expectation. Strong dimensions included teamwork within units (80,08%) and organizational learning, continuous improvement (83,63%). However, weak areas included open communication (47,70%), staffing (19,16%), patient handoffs (47,15%), and non-punitive responses to errors (26,74%). Therefore, the hospital needs to improve these weak aspects through training, enhanced communication, and stronger management support