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Effect of Guava Leaf Infusion on Diarrhea Frequency at Kalirejo Public Health Center
Get PDFIntroduction: Diarrhea remains a major public health concern in Indonesia, particularly in rural areas. It is commonly caused by consuming food or drinks contaminated with microorganisms. While conventional treatments such as oral rehydration solutions and zinc are widely used, traditional herbal remedies like guava leaves (Psidium guajava) are increasingly gaining attention due to their antidiarrheal properties.
Objective: This study aimed to examine the effect of guava leaf infusion on reducing the frequency of diarrhea among patients at Kalirejo Public Health Center, Negeri Katon District, in 2024.
Method: A quasi-experimental study was conducted with two groups: an intervention group receiving guava leaf infusion and a control group receiving standard care. Thirty diarrhea patients were selected using accidental sampling and divided equally into both groups. The frequency of diarrhea was recorded before and after treatment.
Result: The intervention group showed a greater reduction in diarrhea frequency, from a mean of 7.33 to 5.47 episodes per day (mean reduction of 1.87). The control group experienced a smaller decrease from 7.07 to 6.20 episodes per day (mean reduction of 0.80). Statistical analysis revealed a significant difference between groups (ρ = 0.001), indicating the effectiveness of guava leaf infusion.
Conclusion: Guava leaf infusion significantly reduces the frequency of diarrhea, supporting its use as an effective complementary therapy. It offers a natural, accessible, and low-cost treatment option, especially in areas with abundant guava plants. Further research is recommended to explore additional herbal remedies and underlying causes of diarrhea in similar settings
Foot Massage and Quranic Recitation for Pain Relief in Post-Cesarean Section Patients
Get PDFIntroduction: Post-cesarean section pain is a common complication that may hinder maternal recovery, delay mobility, and disrupt early breastfeeding. While pharmacological treatments are available, non-pharmacological interventions such as foot massage and Quranic recitation have shown individual effectiveness in reducing pain.
Objective: This study aimed to explore the combined effect of foot massage therapy and Quranic recitation (Surah Ar-Rahman) on the pain levels of post-cesarean section patients.
Methods: A qualitative descriptive case study was conducted at RSUD Tidar Magelang from April 30 to May 7, 2025. Three primiparous Muslim women aged 20–35 years were selected through purposive sampling. Each participant received a 10–20-minute foot massage while simultaneously listening to Quranic recitation via headphones. Pain intensity was assessed using the Numeric Rating Scale (NRS) before and after the intervention over two consecutive days.
Results: All participants initially reported moderate pain levels (NRS score of 5). After the intervention, pain levels decreased to mild (NRS score 2–3). Patients reported feeling calmer and more comfortable, attributing the relief to the synchronization of massage with spiritual recitation. These results align with existing literature supporting the effectiveness of both interventions individually.
Conclusion: The combined application of foot massage and Quranic recitation effectively reduced postoperative pain in cesarean section patients. This culturally sensitive, non-pharmacological approach shows promise for holistic postpartum care, particularly in Muslim-majority settings. Further research with larger samples and control groups is needed to confirm its broader applicability and clinical significance
Determinants of Patient Satisfaction with Health Services
Get PDFIntroduction: Health services play a crucial role in improving public health, particularly through primary healthcare centers. Patient satisfaction serves as a key indicator of service quality and is influenced by several factors, including performance, facilities, and communication. However, dissatisfaction remains an issue in many healthcare settings.
Objective: This study aimed to identify the factors associated with patient satisfaction at the Tiuh Tohou Health Center, Tulang Bawang Regency in 2024.
Method: A quantitative analytical survey with a cross-sectional design was used. The population included all patients treated at the health center in 2024 (n=310), from which 175 were selected using purposive sampling. Data were analyzed using the chi-square test to determine relationships between variables.
Result: The results showed that performance, facilities, and communication were significantly associated with patient satisfaction. Poor performance increased dissatisfaction likelihood by 48 times (p=0.000; OR=48.417), poor facilities by 2.5 times (p=0.004; OR=2.577), and poor communication by 20 times (p=0.000; OR=20.063). Most patients were over 35 years old, male, had a high school education, were self-employed, and reported dissatisfaction with services received.
Conclusion: Patient dissatisfaction at the Tiuh Tohou Health Center is significantly influenced by poor staff performance, inadequate facilities, and ineffective communication. These findings highlight the need for targeted improvements in health worker performance, infrastructure, and patient-provider communication to enhance satisfaction levels and service quality
The Impact of Slow Stroke Back Massage on Blood Pressure among Hypertensive Patients
Get PDFIntroduction: Hypertension is a prevalent non-communicable disease that contributes to serious health complications such as stroke, heart disease, and kidney failure. While pharmacological treatments are widely used, they may lead to drug-related problems, making non-pharmacological alternatives, such as Slow Stroke Back Massage (SSBM), increasingly relevant.
Objective: This study aimed to determine the effect of Slow Stroke Back Massage therapy on reducing blood pressure in hypertensive patients.
Method: A quantitative approach with a quasi-experimental, one-group pretest-posttest design was employed. The study was conducted at Dr. A. Dadi Tjokrodipo Hospital in Bandar Lampung from December 2024 to February 2025. A total of 21 hypertensive patients participated in the intervention, receiving SSBM therapy. Blood pressure measurements were taken before and after the intervention, and statistical analyses were performed to assess significance.
Result: The mean systolic blood pressure decreased from 146.71 mmHg to 132.14 mmHg, and diastolic pressure also showed a reduction. The intervention resulted in statistically significant changes, with p-values of 0.000 for systolic and 0.003 for diastolic pressure, indicating the effectiveness of SSBM therapy.
Conclusion: SSBM therapy significantly reduces both systolic and diastolic blood pressure in hypertensive patients. This intervention enhances relaxation, promotes vasodilation, and reduces sympathetic nervous activity. It is recommended that healthcare professionals consider integrating SSBM as a complementary therapy alongside pharmacological treatment for holistic hypertension management
The Roles of Nurses in Health Coaching to Improve Self-Care Management among People with Type 2 Diabetes Mellitus: A Scoping Review
Get PDFIntroduction: Type 2 diabetes mellitus (T2DM) is a global health concern requiring long-term self-care management. Health coaching has emerged as a behavioral intervention to support individuals with T2DM, yet the specific roles of nurses within this context remain underexplored.
Objective: This scoping review aims to map existing literature regarding the roles of nurses in health coaching interventions designed to enhance self-care management among individuals with T2DM.
Method: The review followed the Joanna Briggs Institute (JBI) methodology for scoping reviews. A systematic search was conducted across databases including PubMed, ScienceDirect, Wiley Online, and ProQuest, targeting peer-reviewed studies published between 2009 and 2019. Articles were selected based on predefined inclusion criteria and underwent thematic analysis to identify recurring roles of nurses.
Results: Thirteen studies met the inclusion criteria. Four primary nursing roles emerged in health coaching for T2DM patients: educator, supporter, advocate, and care coordinator. Nurses provided individualized and group education, emotional and informational support, facilitated communication with healthcare providers, and ensured continuity of care through coordination. Three models of care coordination were identified, with nurses acting as intermediaries, collaborators, or lead coaches.
Conclusion: Nurses play multifaceted roles in health coaching to enhance self-care management in individuals with T2DM. Among the identified roles, the integration of educational and supportive functions showed the greatest impact on improving patient outcomes. These findings underscore the importance of integrating nurse-led health coaching into diabetes care strategies to empower patients and improve glycemic control
Factors Associated with Neuropathy Incidence based on 10 g Monofilament Examination in Type 2 Diabetes Mellitus Patients
Get PDFIntroduction: Diabetic neuropathy is damage caused by excessive blood sugar levels. Neuropathy can be defined by certain signs or specific symptoms that are usually experienced by people with diabetes. Neuropathy causes nerve disorders resulting in pain or numbness, especially in the extremities.
Objective: This study aims to determine the factors associated with the occurrence of neuropathy through 10 gr monofilament examination in Type 2 diabetes patients at Sejiran Setason Hospital, West Bangka in 2024.
Method: This research design uses a cross-sectional approach to determine the relationship between the variables studied at a certain time. The population of this study was patients with type 2 diabetes mellitus at Sejiran Setason Hospital West Bangka from January to December in 2024. The number of research samples was 166 people. The collected data were then analyzed univariately and bivariately using the chi-square test at 95% dk (α=0.05).
Result: The results of this study prove that there is a relationship between age (p-value = 0.013, POR = 3.820), duration of suffering (p-value = 0.006, POR = 3.290), and physical activity (p-value = 0.000, POR = 5.413) with the incidence of neuropathy at Sejiran Setason Regional Hospital, West Bangka in 2024. The most dominant factor in relation to the incidence of neuropathy is physical activity (POR = 5.413).
Conclusion: The recommendation from this study is that Type 2 DM patients need to do physical activity for at least 30 minutes a day, 3-5 times a week, recognize and monitor body changes regularly and carry out routine screening examinations for diabetes mellitus risk factors to detect diabetes mellitus risk factors early
The Use of the Picture Exchange Communication System to Improve Expressive Language Skills in Non-Verbal Children with Autism: A Systematic Literature Review
Get PDFIntroduction: Children with non-verbal autism often experience barriers in developing expressive language skills, which impact their ability to communicate and engage in social interactions. The Picture Exchange Communication System (PECS) has been developed as an alternative intervention strategy aimed at enhancing functional communication in individuals with verbal limitations, including children with autism.
Objective: Children with non-verbal autism often experience barriers in developing expressive language skills, which impact their ability to communicate and engage in social interactions. The PECS has been developed as an alternative intervention strategy aimed at enhancing functional communication in individuals with verbal limitations, including children with autism.
Method: This study is a systematic review that explored seven journal databases, PubMed, ProQuest, JSTOR, Garuda, ScienceDirect, CNKI, and Wiley, from 2010 to 2024, with a population of non-verbal children with autism aged 3–12 years who received PECS intervention. The measured parameters included the number of spoken words, picture exchange ability, and functional communication. Three independent reviewers conducted screening using the PRISMA flowchart, quality assessment with the CASP Checklist, and data extraction based on author, intervention, facilitator, setting, sessions, methods, and research topics.
Result: Based on 12 articles involving 158 participants, PECS was found to be effective in enhancing expressive communication in children with non-verbal autism and contributed to improvements in the use of short phrases, comprehension of instructions, as well as the reduction of non-adaptive and aggressive behaviors. PECS therapy with a duration of 30–60 minutes across 129 sessions over 23 weeks proved to be optimal, supported by RCT studies demonstrating its effectiveness in improving individuals’ expressive language abilities.
Conclusion: PECS is an effective intervention for improving expressive language skills in children with non-verbal autism. This study emphasizes the importance of assessing a child’s developmental progress prior to implementing PECS, in order to tailor the intervention to individual needs. Furthermore, the active involvement of parents and educators is essential to ensure that PECS is implemented consistently and effectively across various settings
Screen Time and Emotional-Behavioral Problems in School-Aged Children: A Cross Sectional Study
Get PDFBackground: The rapid development of digital technology has led to increased screen time among children, raising concerns about its potential impact on emotional and behavioral development. Excessive screen exposure is suspected to contribute to psychosocial issues in school-aged children.
Objective: This study aims to analyze the relationship between screen time and emotional and behavioral problems in school-age children.
Method: A cross-sectional quantitative design was employed. A total of 92 parents of students at a private elementary school in Tahuna, North Sulawesi, were selected using proportionate stratified random sampling. Data were collected using a validated screen time questionnaire and the Pediatric Symptom Checklist-17 (PSC-17). Statistical analysis was performed to assess the relationship between screen time and emotional and behavioral problems.
Result: Findings showed that 83.7% of children had screen time exceeding WHO recommendations, and 84.8% exhibited signs of emotional and behavioral problems. A statistically significant relationship was found between excessive screen time and emotional and behavioral issues (p < 0.05).
Conclusion: Excessive screen time is significantly associated with an increase in emotional and behavioral problems among school-aged children. Interventions aimed at monitoring and reducing screen exposure are strongly recommended to support children's psychosocial well-being
Impact of Husband Support on the Success of Early Initiation of Breastfeeding: A Systematic Review
Get PDFIntroduction: Early Initiation of Breastfeeding defined as breastfeeding within the first hour after birth, is crucial for infant health and long-term breastfeeding success. Husband support plays a vital role in facilitating this process.
Objective: This study aimed to evaluate the influence of husband support on the success of Early Initiation of Breastfeeding among postpartum mothers.
Methods: A systematic review was conducted by searching scientific databases including PubMed, ProQuest, Garuda, and JSTOR, covering publications from January 2014 to December 2024. The population included postpartum mothers regardless of delivery method. Husband support was assessed through questionnaires, in-depth interviews, and observation sheets. Three independent reviewers conducted article selection following the PRISMA flowchart, data extraction, and quality assessment using the CASP checklist. Extracted data comprised author details, interventions, settings, facilitators, session number and duration, methods or media used, and topics addressed.
Results: Nine studies with a total of 752 participants were reviewed. The success rate of EIB with husband support ranged from 3.7% to 85.71%. Husband support involved encouragement, creating a comfortable breastfeeding environment, and jointly seeking information on EIB. Maternal knowledge and healthcare professional support were also important contributors.
Conclusion: Husband support significantly influences the success of Early Initiation of Breastfeeding in postpartum mothers. Incorporating husband involvement through emotional, informational, and practical support in prenatal education programs is recommended to improve EIB outcomes
Factors Influencing Work Shift-related Fatigue among Nurses: A Cross-Sectional Study
Get PDFIntroduction: Human Resource Management (HRM) in hospital settings is a comprehensive process that includes recruitment, placement, and employee development to ensure optimal healthcare service delivery. A prevalent HRM issue in hospitals is nurse work fatigue, which negatively affects performance, patient safety, and service quality. Shift work, a core aspect of hospital operations, is a major contributor to fatigue due to its impact on physical and psychological well-being.
Objective: This study aimed to examine the relationship between work shift factors—specifically length of work shifts, shift changes, and shift rotations—and the level of work fatigue among nurses at Dr. H. Abdul Moeloek Regional Hospital in Bandar Lampung.
Method: A quantitative, cross-sectional study was conducted with a sample of 142 nurses selected using proportional stratified random sampling. Data were collected through structured questionnaires and analyzed using statistical tests to assess the significance of associations between work shift variables and nurse fatigue levels.
Result: The findings revealed significant associations between all three work shift variables and nurse fatigue. The length of work shifts (p = 0.039), shift changes (p = 0.028), and shift rotations (p = 0.049) were all significantly related to fatigue levels. Nurses with sufficient shift arrangements experienced lower fatigue than those with poor shift conditions.
Conclusion: Work shift management significantly influences nurse fatigue levels. Irregular rotations and extended work hours contribute to higher fatigue, potentially compromising nurse performance and patient care. Improved shift scheduling, adequate rest, and supportive health and stress management strategies are essential to reduce fatigue and enhance nurse well-being in shift-based work environments