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The Impact of Snakes and Ladders on Motor and Cognitive Development in Children: A Systematic Literature Review
Get PDFIntroduction: Educational games are instrumental in supporting early childhood development, particularly in enhancing motor and cognitive abilities. Snakes and Ladders is a commonly used game that promotes strategic thinking, coordination, and social interaction.Objective: This study aims to systematically analyze and synthesize research findings related to the impact of Snakes and Ladders on children’s motor and cognitive development. Specifically, it evaluates outcomes in number comprehension, memory retention, strategic thinking, fine motor skills, and hand-eye coordination.
Methods: A systematic search was conducted in PubMed, ProQuest, Garuda, and JSTOR for studies published between 2020 and 2025. Eligible studies included children aged 4–6 years, utilized Snakes and Ladders as an intervention, and reported outcomes related to motor and cognitive development. Data extraction and quality assessment were independently performed by three reviewers using the PRISMA Flow Diagram and CAST Checklist.
Results: Six studies involving a total of 89 participants met the inclusion criteria. Findings indicate that Snakes and Ladders significantly improves both motor and cognitive outcomes in early childhood. Following two cycles of intervention, the proportion of children meeting motor development benchmarks increased from 37% to 86%. Cognitive development also improved, with average scores rising from 7.4 to 13 after four weeks. The percentage of children categorized as highly developed increased from 20% to 47%, and 72% achieved expected developmental milestones after six weeks.
Conclusion: The Snakes and Ladders game is an effective educational tool for enhancing motor and cognitive development in children aged 4–6 years. Integration of such games into early childhood education is recommended to support holistic development
Factors Associated with the Nutritional Status of Chronic Kidney Disease Patients at Depati Hamzah Hospital
Get PDFIntroduction: Chronic Kidney Disease (CKD) sering menyebabkan gangguan status gizi akibat penurunan fungsi ginjal dan efek samping hemodialisis seperti anoreksia dan keluhan gastrointestinal. Berbagai faktor, termasuk usia, jenis kelamin, pendidikan, pekerjaan, dan lama hemodialisis diduga berperan dalam perubahan status gizi pasien.
Objective: Impaired nutritional status is a side effect of long-term hemodialysis, as it can cause physiological disturbances, including gastrointestinal problems, that can lead to malnutrition. Several risk factors, such as age, gender, education, occupation, and duration of hemodialysis, are thought to contribute to this nutritional status. This study aims to determine the factors associated with the nutritional status of Chronic Kidney Disease (CKD) patients at Depati Hamzah Pangkalpinang Regional General Hospital in 2025
Method: The research method used is quantitative with a cross-sectional approach. The number of samples is 105 patients selected using quota sampling techniques. Data obtained through questionnaires and medical records, then analyzed univariately and bivariately using the Chi-square test with a confidence level of 95% (α = 0.05).
Result: The results of the study showed that there was a significant relationship between age (p = 0.006) having a POR value of 3.307, gender (p = 0.011) having a POR value of 3.025, education (p = 0.005) having a POR value of 3.446, occupation (p = 0.016) having a POR value of 2.896, and duration of hemodialysis (p = 0.001) having a POR value of 3.951 with nutritional status
Conclusion: The suggestion from this study is the need for early detection and management of related risk factors, such as regular nutritional status checks, controlling food intake, consulting with nutritionists, and health controls to monitor kidney conditions and detect complications early
Association Between Immunization Status and Complete Nutrition Provision with Wasting Incidence in Toddlers
Get PDFIntroduction : Wasting is a condition of acute malnutrition in toddlers, where body weight is below normal standards (z-score -3 SD to < -2 SD). This condition can occur due to lack of nutrition and incomplete immunization.
Objective : This study aims to determine the relationship between immunization status and provision of complementary foods to the incidence of wasting in toddlers at the Sidomulyo Health Center, Samarinda.
Research Method : This study used a quantitative correlational design with a cross-sectional approach.
Result : The sample consisted of 188 toddlers aged 2-5 years who were taken stratified. Data were collected using a questionnaire and analyzed using the Chi-Square test. The results obtained There is a significant relationship between immunization status and provision of complementary foods with the incidence of wasting (p-value < 0.05). Toddlers with incomplete immunization have a higher risk of wasting (OR = 0.3 2 ).
Conclusion : Toddlers who are given complementary foods <6 months also show a higher prevalence of wasting (OR = 8.94). Complete immunization status and provision of complementary foods on time are important factors in preventing wasting in toddlers
Efficacy of Guava Leaf Decoction in Lowering Blood Glucose in Diabetes Mellitus: A Systematic Review
Get PDFIntroduction: Diabetes mellitus is a chronic metabolic disorder characterized by elevated blood glucose levels due to insulin resistance or insufficient insulin secretion. The rising global prevalence of DM has led to increased interest in alternative therapies, including herbal remedies such as guava leaf decoction, which is believed to possess hypoglycemic properties.
Objective: This systematic review aims to evaluate the efficacy of guava leaf decoction in reducing blood glucose levels in patients with diabetes mellitus.
Methods: A comprehensive literature search was conducted across four databases—PubMed, ProQuest, Garuda, and JSTOR—for studies published between 2020 and 2024. Inclusion criteria were studies involving diabetic patients receiving guava leaf decoction as an intervention, with outcomes measured in terms of blood glucose levels using glucometers. The selection and quality appraisal of studies were independently performed by two to three reviewers, following the PRISMA guidelines. The CASP checklist was used for methodological quality assessment. Extracted data included study authors, intervention details, facilitators, setting, session frequency, duration, and delivery method.
Results: Eight eligible studies comprising a total of 229 participants were included. The findings consistently demonstrated that guava leaf decoction significantly reduced blood glucose levels. Effective regimens included twice-daily administration for 7 days or once daily (250 ml) for 14 days. Benefits were observed in both diabetic and obese individuals.
Conclusion: Guava leaf decoction shows potential as a complementary therapy in the management of diabetes mellitus by naturally lowering blood glucose levels. Further clinical trials are recommended to confirm its efficacy and safety
The Effects of Resistance Exercise on Blood Glucose Levels and Ankle-Brachial Index in Patients with Type 2 Diabetes Mellitus
Get PDFIntroduction: Type 2 diabetes mellitus (T2DM) is a chronic metabolic disorder marked by elevated blood glucose levels due to insulin resistance or impaired insulin secretion. The rising prevalence of T2DM in Indonesia, particularly in Bandar Lampung, highlights the need for effective interventions. While programs like Prolanis offer basic support, specific interventions to improve vascular health and prevent complications are still limited.
Objective: This study aimed to assess the effect of resistance exercise on blood sugar levels, foot sensitivity, and ankle-brachial index (ABI) values in patients with T2DM at Kedaton Health Center, Bandar Lampung.
Method: A quantitative quasi-experimental design with a one-group pretest-posttest model was used. Thirty-two individuals with T2DM were selected through purposive sampling. Participants underwent resistance exercise interventions involving repetitive limb movements. Blood sugar levels and ABI values were measured before and after the intervention.
Results: The results demonstrated a significant decrease in blood sugar levels and a notable improvement in ABI values after the intervention, with both outcomes showing a p-value of 0.000. These findings indicate that resistance exercise can enhance glycemic control and peripheral vascular function.
Conclusion: Resistance exercise significantly reduces blood sugar levels and improves ABI values in individuals with T2DM. This form of physical activity offers a promising non-pharmacological approach to managing diabetes and preventing complications. It is recommended that resistance exercise be integrated into routine diabetes care programs. Further research with varied methods and larger samples is encouraged to validate and expand these findings
Correlation Between Spirituality Levels and Anxiety Among First-Year Students in Health Science Programs
Get PDFIntroduction: Students have various academic demands that must be completed, especially often students must complete within a specified period of time. Anxiety can occur because of many things that need to be solved immediately caused by stressors. The purpose of this study is to determine the relationship between spiritual level and anxiety in new students in the health study program of the University of Muhammadiyah East Kalimantan.
Objective: The purpose of this study is to determine the relationship between spiritual level and anxiety in new students in the health study program of the University of Muhammadiyah East Kalimantan.
Research Method: This study was quantitative with a cross-sectional design, sampling technique using random sampling technique and a research sample size of 271 respondents. The research instruments used the Daily Spiritual Experience Scale (DSES) and Depression Anxiety and Stress Scale (DASS-21) questionnaires, while the statistical test used the Rank Spearman test.
Results: The study showed that most of the new students were in the category of high spiritual level, which was 160 respondents (59.0%), while the level of anxiety of students was mostly in the normal category, which was 123 respondents (45.4%). The results of the statistical test showed a correlation coefficient value of -0.429 and a p-value of 0.000 < 0,05.
Conclusion: So it means that there is a relationship between spiritual level and anxiety in new students in the health study program of the University of Muhammadiyah East Kalimantan. With the strength of moderate correlation and the direction of negative relationships, which means that the higher the level of spirituality, the lower the anxiety experienced by students
The Impact of Forest Bathing (Shinrin-Yoku) on Adolescent Mental Health: A Systematic Review of Existing Evidence
Get PDFIntroduction: Shinrin-yoku, or forest bathing, is a natural therapy method that involves direct interaction with the forest environment and is associated with various mental health benefits. This study aims to systematically evaluate the impact of forest bathing on adolescent mental health by analyzing the available scientific evidence.
Objective: This study aims to systematically analyze the impact of forest bathing (shinrin-yoku) on adolescent mental health.
Method: A systematic search was conducted in the PubMed, ProQuest, JSTOR, and Garuda databases from 2017 to 2024, focusing on adolescent populations experiencing mental health disorders such as anxiety, depression, and low self-esteem, without restrictions on gender, religion, or race.
Result: Seven studies involving a total of 245 participants were analyzed. Forest bathing (Shinrin-yoku) consistently demonstrated significant benefits in reducing symptoms of depression and anxiety while enhancing overall mental well-being. The intervention cycles ranged from one day to five months, with session durations varying between 40 minutes and four hours. These sessions included structured activities in forest environments, such as walking, meditation, and inhaling forest air, either dynamically or statically
Conclusion: Forest bathing (Shinrin-yoku) is effective in improving adolescent mental health by reducing anxiety and depression while enhancing psychological well-being. The clinical implications for nursing practice include integrating forest bathing as a non-pharmacological intervention in holistic care, particularly in community and school settings, to support stress management and prevent mental health issues among adolescents
Development of an Age-Specific Educational Application to Enhance Public Knowledge of Common Non-Communicable Diseases
Get PDFIntroduction: Indonesia has experienced a significant increase in non-communicable diseases (NCDs), including diabetes, hypertension, and cardiovascular disorders, affecting individuals across various age groups. These conditions often progress silently and require long-term management. Enhancing public knowledge and awareness is essential for early detection and effective prevention.
Objective: This study aimed to develop an interactive educational application tailored to different age groups to improve public understanding and awareness of common NCDs, focusing on their signs, symptoms, and preventive strategies.
Methods: A Research and Development (R&D) method was applied using the 4D model, consisting of four phases: Define, Design, Develop, and Disseminate. The development process included a needs analysis, application content and interface design, software development, and dissemination planning. Input from health professionals and target users was integrated to ensure the application’s content accuracy and usability.
Results: The final application features a secure login system and age-specific interactive menus that display relevant NCD information, including warning signs, symptoms, and prevention tips. Black-box testing confirmed its functional reliability, while usability testing indicated high user satisfaction. The application positively influenced users' health knowledge, particularly in identifying early symptoms and understanding preventive measures for NCDs.
Conclusion: Age-specific digital education tools are effective in increasing public knowledge about NCDs and fostering preventive health behaviors. Integrating such applications into community health initiatives can enhance health literacy and support early intervention strategies across diverse age demographics
The Relationship between Nursing Service Quality and Patient Satisfaction among Patients Covered by Indonesia’s National Health Insurance Scheme
Get PDFIntroduction: Nursing services are a key determinant of healthcare quality and significantly influence patient satisfaction, especially among BPJS (Indonesia’s National Health Insurance) users. Inadequate nursing care has been associated with low satisfaction levels, impacting service utilization and hospital performance.
Objective: This study aimed to examine the relationship between nursing services and patient satisfaction among BPJS users in the polyclinic of Dr. A. Dadi Tjokrodipo Regional General Hospital, Bandar Lampung.
Method: A quantitative approach with a cross-sectional design was employed. The population included all BPJS patients in the polyclinic room in 2024. A purposive sampling technique was used to select 99 respondents who met the inclusion criteria. Data were collected using a validated structured questionnaire and analyzed using univariate and bivariate statistical methods, including the Chi-square test.
Result: The majority of respondents rated the nursing services as good and expressed satisfaction with the services received. Among those who perceived nursing services as good, most reported being satisfied. Conversely, patients who perceived the services as not good tended to be dissatisfied. A significant relationship was found between nursing services and patient satisfaction (p-value = 0.000).
Conclusion: There is a significant association between the quality of nursing services and the level of patient satisfaction among BPJS users. Improving nursing care is essential to enhance patient experiences and promote service utilization. Future studies should explore other contributing factors such as patient feedback, infrastructure, and facility availability to provide a more comprehensive understanding of healthcare quality determinants
The Relationship Between Participation in Elderly Gymnastics and Hypertension Incidence at Kalirejo Public Health Center
Get PDFIntroduction: Elderly gymnastics is a structured physical activity designed to enhance the functional health of older adults. As hypertension remains a leading cause of outpatient visits at Kalirejo Health Center, Negeri Katon District, the effectiveness of elderly gymnastics as a preventive strategy warrants investigation.
Objective: This study aimed to examine the relationship between participation in elderly gymnastics and the incidence of hypertension among elderly individuals at the Kalirejo Health Center in 2024.
Method: This research used a quantitative approach with a descriptive correlational method and cross-sectional design. The sample consisted of 80 elderly respondents selected using the Slovin formula. study used an observation sheet as a data collection tool where the data collected was a recapitulation of the attendance list of elderly gymnastics participants and the Community Health Center medical records (patient visit records).Data were analyzed using a chi-square statistical test.
Result: Findings showed that most respondents who actively participated in elderly gymnastics did not have hypertension. Statistical analysis yielded a p-value of 0.020, indicating a significant relationship between the level of participation and the incidence of hypertension.
Conclusion: There is a significant relationship between elderly gymnastics participation and the incidence of hypertension. Active involvement in regular physical activity such as elderly gymnastics may help reduce hypertension risk. Future research should explore factors influencing elderly participation to enhance program effectiveness