Portal Journals of Indonesian Public Health-Observer Information Forum (IPHORR)
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Hubungan persepsi beban kerja, motivasi, dan iklim kerja dengan kinerja tenaga kesehatan
Full text linkBackground: Healthcare worker performance is a key factor in ensuring optimal quality healthcare services. Performance is influenced by various internal and external factors, including perceived workload, motivation, and work climate. Understanding the relationship between these three factors is necessary to support increased healthcare worker effectiveness in primary care facilities.
Purpose: To determine the relationship between perceived workload, motivation, and work climate with healthcare worker performance.
Method: This quantitative study employed a survey design. Data were collected through a questionnaire that had been tested for validity and reliability. Data were analyzed using Spearman Rank bivariate correlation and multiple regression with robust standard errors. The study sample was obtained purposively from healthcare workers at the Batukliang Utara District Community Health Center.
Results: Bivariate analysis showed that work climate variables had a positive and significant correlation with performance, while perceived workload was not significant. Motivation had a strong and significant relationship with performance in both bivariate and multivariate tests. However, in multiple regression, work climate did not significantly affect performance.
Conclusion: Motivation was the dominant factor influencing healthcare worker performance, followed by a supportive work climate. Perception of workload does not directly affect performance.
Keywords: Healthcare Workers; Motivation; Performance; Workload; Work Climate.
Pendahuluan: Kinerja tenaga kesehatan merupakan faktor kunci dalam memastikan mutu pelayanan kesehatan yang optimal. Kinerja dipengaruhi oleh berbagai faktor internal dan eksternal, di antaranya persepsi terhadap beban kerja, motivasi, dan iklim kerja. Pemahaman mengenai hubungan ketiga faktor tersebut diperlukan untuk mendukung peningkatan efektivitas tenaga kesehatan di fasilitas pelayanan dasar.
Tujuan: Untuk mengetahui hubungan antara persepsi beban kerja, motivasi, dan iklim kerja dengan kinerja tenaga kesehatan.
Metode: Penelitian kuantitatif dengan desain survei. Data dikumpulkan melalui kuesioner yang telah diuji validitas dan reliabilitasnya. Analisis data menggunakan uji korelasi bivariat Spearman Rank serta regresi berganda dengan robust standard errors. Sampel penelitian diperoleh secara purposif dari tenaga kesehatan di Puskesmas Wilayah Kecamatan Batukliang Utara.
Hasil: Analisis bivariat menunjukkan variabel iklim kerja memiliki korelasi positif dan signifikan dengan kinerja, sedangkan persepsi beban kerja tidak signifikan. Motivasi memiliki hubungan kuat dan signifikan terhadap kinerja baik pada uji bivariat maupun multivariat. Namun, pada regresi berganda, iklim kerja tidak berpengaruh signifikan terhadap kinerja.
Simpulan: Motivasi merupakan faktor dominan yang memengaruhi kinerja tenaga kesehatan, diikuti dengan peran iklim kerja yang mendukung. Persepsi beban kerja tidak berpengaruh langsung terhadap kinerja.
Kata Kunci: Beban Kerja; Iklim Kerja; Kinerja; Motivasi; Tenaga Kesehatan
Inovasi penggunaan jahe lokal Lampung untuk meringankan ketidaknyamanan pada ibu hamil selama trimester pertama
Full text linkBackground: Increased Human Chorionic Gonadotropin (HCG) levels during early pregnancy often cause nausea and vomiting, affecting 60-80% of primigravidas and 40-60% of multigravidas. These symptoms can reduce quality of life, malnutrition, and disrupt pregnancy management. While anti-nausea medications like vitamin B6 are commonly used, they may cause side effects such as headaches and drowsiness. Ginger, rich in gingerol and shogaol, offers a safe, natural antiemetic alternative.
Purpose: To find out the benefits of using ginger to relieve discomfort in pregnant women during the first trimester.
Method: This study used a quasi-experimental design with a one-group pretest-posttest approach. A total of 60 first-trimester pregnant women were selected using consecutive sampling. Data were collected using the PUQE-24 questionnaire to assess the severity of nausea and vomiting. Univariate analysis was performed to calculate frequency distributions, while bivariate analysis utilized the paired sample t-test to examine changes in symptoms before and after the intervention
Results: The results of the study showed significant changes in the intensity of nausea and vomiting after the intervention, with 75% of the respondents experiencing a reduction in symptoms to the mild category, and no respondents remaining in the severe category. Statistical tests indicated a significant reduction with a p-value of 0.000 (p < 0.05), confirming the effectiveness of ginger as a safe non-pharmacological therapy for nausea and vomiting during pregnancy.
Conclusion: Ginger tea has been proven to be an effective and safe herbal therapy for alleviating nausea and vomiting during the first trimester of pregnancy. This natural alternative significantly reduces symptoms without side effects, offering a non-pharmacological treatment option that enhances the quality of life for pregnant women.
Keywords: Discomfort; First Trimester; Ginger; Pregnant Women.
Pendahuluan: Peningkatan kadar Human Chorionic Gonadotropin (HCG) selama kehamilan dini sering menyebabkan mual dan muntah, memengaruhi 60-80% primigravida dan 40-60% multigravida. Gejala-gejala ini dapat menurunkan kualitas hidup, menyebabkan kekurangan gizi, dan mengganggu pengelolaan kehamilan. Meskipun obat anti-mual seperti vitamin B6 umum digunakan, obat tersebut dapat menyebabkan efek samping seperti sakit kepala dan kantuk. Jahe sebagai tanaman obat yang kaya akan gingerol dan shogaol, menawarkan alternatif antiemetik alami yang aman.
Tujuan: Untuk mengetahui manfaat penggunaan jahe untuk meringankan ketidaknyamanan pada ibu hamil selama trimester pertama.
Metode: Penelitian ini menggunakan desain kuasi-eksperimental dengan pendekatan pretest-posttest satu kelompok. Sebanyak 60 wanita hamil trimester pertama dipilih menggunakan pengambilan sampel berurutan. Data dikumpulkan menggunakan kuesioner PUQE-24 untuk menilai tingkat keparahan mual dan muntah. Analisis univariat dilakukan untuk menghitung distribusi frekuensi, sedangkan analisis bivariat menggunakan uji t sampel berpasangan untuk memeriksa perubahan gejala sebelum dan sesudah intervensi.
Hasil: Perubahan signifikan pada intensitas mual dan muntah setelah intervensi, dengan 75% partisipan mengalami penurunan gejala ke kategori ringan, dan tidak ada partisipan yang tetap berada dalam kategori berat. Uji statistik menunjukkan penurunan yang signifikan dengan nilai p 0.000 (p < 0>05), yang menegaskan efektivitas jahe sebagai terapi non-farmakologis yang aman untuk mual dan muntah selama kehamilan.
Simpulan: Teh jahe telah terbukti sebagai terapi herbal yang efektif dan aman untuk meredakan mual dan muntah selama trimester pertama kehamilan. Alternatif alami ini secara signifikan mengurangi gejala tanpa efek samping, menawarkan pilihan pengobatan non-farmakologis yang meningkatkan kualitas hidup ibu hamil.
Kata Kunci: Ibu Hamil; Jahe; Ketidaknyamanan; Trimester Pertama
Edukasi self-management untuk meningkatkan self-care aktifitas fisik pada pasien diabetes melitus tipe 2
Full text linkBackground: Diabetes mellitus (DM) is a chronic disease characterized by high blood sugar levels resulting from insulin action, impaired insulin secretion, or both. It requires long-term treatment to reduce the risk of complications. DM cannot be cured, but blood sugar can be controlled through the four pillars of diabetes management: education, diet, exercise, and medication. Self-management is a crucial aspect in the management of type 2 diabetes mellitus (T2DM). However, patients with diabetes mellitus often fail to effectively manage themselves, resulting in macrovascular and microvascular complications.
Purpose: To provide knowledge about self-care and physical activity based on self-management in DM patients.
Method: This community service activity was carried out on December 15, 2025, at the Tanoh-Anou Village Community Health Center. Involving 51 people with DM as respondents. The target of this activity is the application of self-management for DM sufferers for self-care physical activity with a community-based approach. The intervention was carried out by delivering material related to the application of self-management in carrying out self-care physical activity, especially for DM sufferers, as well as an explanation of the benefits of physical activity for managing DM. Evaluation of the level of respondents' knowledge was measured using a questionnaire given before the educational activity (pre-test) and after the educational activity (post-test).
Results: Obtained respondents with an age range of 36-77 years and the average age of respondents was 58.9 years and most of the respondents were in the range of 56-65 years as many as 21 people (41.2%). The majority were female as many as 42 people (82.4%), most had elementary/junior high school education status as many as 49 people (96.1%), and employment status was not as a farmer or fisherman as many as 42 people (82.4%). While the marital status was married as many as 40 people (78.5%) and the majority of the duration of suffering from DM was >3 years as many as 48 people (94.2%). There was an increase in the average score of respondents' knowledge level before educational activities (pre-test) from 16.2 points to 26.4 after educational activities (post-test).
Conclusion: Self-management education activities covering diet management, physical activity, and foot care for people with diabetes mellitus significantly increased patients' knowledge of implementing physical activity self-care. This increased knowledge of self-management also positively contributed to psychological well-being and health motivation in diabetes patients.
Suggestion: Similar educational activities are expected to be conducted routinely and sustainably to encourage healthy behavior changes and as an effort to prevent complications of diabetes mellitus early in the community.
Keywords: Health education; Physical activity; Self-management; Type 2 diabetes mellitus
Pendahuluan: Diabetes melitus (DM) merupakan penyakit kronis yang ditandai dengan kadar gula darah tinggi yang terjadi akibat kerja insulin, gangguan sekresi insulin, atau keduanya, dan memerlukan pengobatan jangka panjang untuk mengurangi risiko komplikasi. DM tidak dapat disembuhkan, namun gula darah dapat dikontrol melalui empat pilar pengelolaan diabetes, yaitu edukasi, pola makan, olahraga, dan pengobatan. Self-management merupakan salah satu aspek yang memegang peranan penting dalam penatalaksanaan diabetes melitus tipe 2 (DMT2). Namun dalam pelaksanaannya pasien dengan diabetes melitus tidak melakukan self-management dengan baik yang mengakibatkan terjadinya komplikasi makrovaskular dan mikrovaskular.
Tujuan: Untuk memberikan pengetahuan tentang self-care aktifitas fisik berdasarkan self-management pada pasien DM.
Metode: Kegiatan pengabdian kepada masyarakat ini dilaksanakan pada tanggal 15 Desember 2025 di Balai Puskesmas Desa Tanoh-Anou. Melibatkan 51 orang dengan DM untuk menjadi responden. Sasaran dalam kegiatan ini adalah penerapan self-management bagi penderita DM untuk self-care aktifitas fisik dengan pendekatan community-based. Intervensi dilakukan dengan menyampaikan materi terkait penerapan self-management dalam menjalankan self-care aktifitas fisik khususnya bagi penderita DM serta penjelasan tentang manfaat aktifitas fisik terhadap pengelolaan penyakit DM. Evaluasi tingkat pengetahuan responden diukur menggunakan kuesioner yang diberikan sebelum kegiatan edukasi (pre-test) dan sesudah kegiatan edukasi (post-test).
Hasil: Mendapatkan responden dengan rentang usia 36-77 tahun dan rata-rata usia responden adalah 58.9 tahun dan sebagian besar usia responden dalam rentang 56-65 tahun sebanyak 21 orang (41.2%). Mayoritas berjenis kelamin perempuan sebanyak 42 orang (82.4%), sebagian besar memiliki status pendidikan SD/SMP sebanyak 49 orang (96.1%), dan status pekerjaan adalah bukan sebagai petani atau nelayan yaitu sebanyak 42 orang (82.4%). Sedangkan status pernikahan adalah menikah yaitu sebanyak 40 orang (78.5%) dan mayoritas lamanya menderita DM adalah >3 tahun yaitu sebanyak 48 orang (94.2%). Terdapat peningkatan rata-rata skor tingkat pengetahuan responden sebelum kegiatan edukasi (pre-test) dari 16.2 poin menjadi 26.4 sesudah kegiatan edukasi (post-test).
Simpulan: Kegiatan pemberian edukasi self-management yang mencakup manajemen diet, aktivitas fisik, dan perawatan kaki untuk penderita diabetes melitus memberikan peningkatan pengetahuan yang cukup signifikan pada pasien dalam menerapkan self-care aktifitas fisik. Peningkatan pengetahuan tentang self-management juga memberikan kontribusi positif secara psikologis dan motivasi kesehatan pada pasien diabetes.
Saran: Diharapkan kegiatan edukasi serupa untuk dilakukan secara rutin dan berkelanjutan agar mampu mendorong perubahan prilaku sehat dan sebagai upaya pencegahan komplikasi diabetes melitus sejak dini pada masyarakat
Deteksi dini masalah psikososial pada penyakit kardiovaskular berbasis kearifan lokal
Full text linkBackground: The incidence of cardiovascular disease remains a global threat and is expected to increase to 23.3 million by 2030. In Central Kalimantan, the Dayak people have unique dietary characteristics that potentially influence cardiovascular risk, such as consuming high-fat meat, high-salt processed foods, and fermented foods.
Purpose: To develop and evaluate a model for early detection of psychosocial problems in cardiovascular disease based on local wisdom.
Method: This study used a mixed-methods approach with an action research design. The study was conducted at the Sebangau Kuala District Polyclinic with a sample of 88 participants. The nursing module was tested in a single 15-20 minute session. Cardiovascular risk levels were measured using the Socio-Cultural Cardiovascular Risk Assessment (SCCR), measuring cholesterol and blood pressure levels before and after the intervention. The local wisdom studied included culture, patterns, and dietary habits.
Results: Based on the validity test, the 20 questions in the questionnaire were valid, with a calculated r value > r table (0.198). The correlation between each statement and the total score indicates a strong and significant relationship (p < 0.05), indicating that each item contributes to the construct being measured. Furthermore, the reliability test results showed a Cronbach's Alpha calculation of 0.988, indicating that the SCCR instrument has very high reliability (α > 0.9). The paired t-test results for the SCCR questionnaire showed a T-value of 10.154 with a probability of 0.001 (p < 0.001), a T-value of 9.795 for cholesterol levels with a probability of 0.001 (p < 0.001), and no significant changes in blood pressure with a T-value of -0.037 (p > 0.971).
Conclusion: Early detection of psychosocial issues in cardiovascular disease based on local wisdom is effective in reducing the risk of cardiovascular disease in the Dayak community in Central Kalimantan, particularly through the provision of educational modules and changes in cholesterol levels.
Suggestion: Healthcare institutions should integrate local cultural approaches into public health education programs.
Keywords: Cardiovascular Risk; Dayak Tribe; Early Detection; Local Wisdom.
Pendahuluan: Angka kejadian penyakit kardiovaskular masih menjadi ancaman di dunia dan diperkirakan semakin meningkat hingga 23.3 juta pada tahun 2030. Di wilayah Kalimantan Tengah, masyarakat suku Dayak memiliki karakteristik unik dalam pola makan mereka yang berpotensi memengaruhi risiko kardiovaskular, misalnya mengonsumsi daging tinggi lemak, olahan pakasem dan wadi yang tinggi garam, serta makanan berfermentasi.
Tujuan: Untuk mengembangkan dan mengevaluasi model deteksi dini masalah psikososial pada penyakit kardiovaskular berbasis kearifan lokal.
Metode: Penelitian ini menggunakan pendekatan mixed method dengan desain action research. Penelitian ini dilaksanakan di Poliklinik Kecamatan Sebangau Kuala dengan sample sebanyak 88 partisipan. Modul keperawatan diujikan dalam satu sesi dengan waktu 15-20 menit. Tingkat risiko kardiovaksular diukur menggunakan Socio-Cultural Cardiovascular Risk Assessment (SCCR), pengukuran kadar kolesterol serta tekanan darah sebelum dan sesudah intervensi. Kearifan lokal yang diteliti berupa culture, pola, dan kebiasaan makan.
Hasil: Berdasarkan uji validitas, 20 item pertanyaan dalam kuesioner valid dengan hasil r hitung > r table (0.198) hitung 0.198. Nilai korelasi antara masing-masing pernyataan dengan total skor menunjukkan hubungan yang kuat dan signifikan (p-value < 0.05), sehingga setiap item berkontribusi terhadap konstruksi yang diukur. Selanjutnya, hasil uji reliabilitas menunjukkan perhitungan Cronbach’s Alpha sebesar 0.988 menunjukkan bahwa instrumen SCCR memiliki reliabilitas yang sangat tinggi (α > 0.9). Hasil uji paired t-test kuesioner SCCR menunjukkan nilai T 10.154 dan probabilitas 0.001 (p<0.001), nilai T kadar kolesterol sebesar 9.795 dan probabilitas 0.001 (p<0.001), dan tidak terdapat perubahan signifikan pada tekanan darah dengan nilai T -0.037 dan (p>0.971).
Simpulan: Deteksi dini masalah psikososial pada penyakit kardiovaskular berbasis kearifan lokal efektif dalam menurunkan tingkat risiko penyakit kardiovaskular pada masyarakat suku Dayak di Kalimantan Tengah, terutama untuk pemberian edukasi menggunakan modul dan perubahan nilai kadar kolesterol.
Saran: Institusi pelayanan kesehatan, sebaiknya mengintegrasikan pendekatan budaya lokal dalam program edukasi kesehatan masyarakat.
Kata Kunci: Deteksi Dini; Kearifan Lokal; Risiko Kardiovaskular; Suku Dayak
Psiko-edukasi kesehatan reproduksi pada remaja melalui pemberdayaan influencer media sosial
Full text linkBackground: This reproductive health psychoeducation program, designed to enhance positive emotions and self-confidence among adolescents using social media influencers, is designed as a promotive-preventive effort to address the developmental challenges of adolescents who are vulnerable to misinformation about reproductive health. The program's background is based on the low reproductive health literacy among adolescents and the high influence of social media on the behavior and mindset of the younger generation.
Purpose: To increase adolescents' understanding of reproductive health, build awareness of the importance of self-care, and foster positive emotions and self-confidence through the empowerment of influencers and digital media.
Method: This activity was carried out in June 2025 at SMAN 2 Sidenreng Rappang with a population of 120 people while the sample size was 46 people. The material delivery technique was through lectures interspersed with ice breaking. The method of implementing this reproductive health psycho-education program used a social media-based educational approach with collaboration with influencers close to the youth segment. The first stage was conducting a needs analysis, followed by selecting influencers, then producing psycho-educational content, followed by implementation and digital interaction, then conducting program evaluation and analyzing digital engagement (number of views, likes, comments, and participation). This method is designed to be participatory, interactive, and relevant to the digital world of youth, so that psycho-educational messages can be optimally received.
Results: The majority of participants demonstrated a better understanding of basic reproductive health concepts, the risks of risky sexual behavior, and the importance of maintaining reproductive health. Positive emotions increased, including feelings of calmer, more motivated, and more optimistic about the physical and social changes they experienced. Adolescents demonstrated greater courage in expressing their opinions, rejecting calls to engage in risky behavior, and making healthy decisions. Participant engagement on social media increased, as evidenced by the high number of views, likes, comments, and participation in online discussions.
Conclusion: A social media-based reproductive health psychoeducation program involving influencers has proven to be an innovative and effective approach to improving health literacy, building positive emotions, and fostering self-confidence in adolescents. This activity increased adolescents' understanding, positive attitudes, and courage in making healthy decisions. It also contributes to the development of technology-based educational strategies that are relevant in the digital era and can be replicated across regions.
Suggestion: For the program's sustainability, it is recommended that psycho-educational content be continuously developed in more varied and creative formats to attract adolescents in the long term. It is hoped that this program will not be merely a temporary intervention, but can become a model for sustainable reproductive health education with broad impact, supporting the development of a healthy, confident, and psychologically well-being generation.
Keywords: Adolescents; Positive emotions; Reproductive health psycho-education; Social media influencers;
Self-confidence
Pendahuluan: Program psiko-edukasi kesehatan reproduksi untuk meningkatkan emosi positif dan kepercayaan diri remaja menggunakan peran influencer media sosial dirancang sebagai upaya promotif-preventif dalam menghadapi tantangan perkembangan remaja yang rentan terhadap informasi keliru mengenai kesehatan reproduksi. Latar belakang program ini didasari oleh rendahnya literasi kesehatan reproduksi pada remaja serta tingginya pengaruh media sosial terhadap perilaku dan pola pikir generasi muda.
Tujuan: Untuk meningkatkan pemahaman remaja tentang kesehatan reproduksi, membangun kesadaran akan pentingnya menjaga diri, menumbuhkan emosi positif dan rasa percaya diri melalui pemberdayaan influencer dan media digital.
Metode: Kegiatan ini dilaksanakan pada Juni 2025 yang bertempat di SMAN 2 Sidenreng Rappang dengan populasi sebesar 120 orang sementara jumlah sampel sebanyak 46 orang. Teknik penyampaian materi adalah dengan ceramah dan diselingi dengan ice breaking. Metode pelaksanaan program psiko-edukasi kesehatan reproduksi ini menggunakan pendekatan edukasi berbasis media sosial dengan kolaborasi influencer yang dekat dengan segmen remaja. Tahap pertama melakukan analisis kebutuhan selanjutnya melakukan pemilihan influencer kemudian produksi konten psiko-edukasi yang dilanjutkan dengan implementasi dan interaksi digital, kemudian melakukan evaluasi program serta analisis keterlibatan digital (jumlah views, likes, komentar, dan partisipasi). Metode ini dirancang agar bersifat partisipatif, interaktif, dan relevan dengan dunia digital remaja, sehingga pesan psiko-edukasi dapat diterima secara optimal.
Hasil: Mayoritas peserta menunjukkan pemahaman yang lebih baik mengenai konsep dasar kesehatan reproduksi, risiko perilaku seksual berisiko, serta pentingnya menjaga kesehatan organ reproduksi. Adanya peningkatan emosi positif berupa perasaan lebih tenang, termotivasi, serta lebih optimis dalam memandang perubahan fisik dan sosial yang mereka alami. Remaja menunjukkan keberanian yang lebih besar dalam menyampaikan pendapat, menolak ajakan berperilaku berisiko, serta mengambil keputusan sehat. Keterlibatan (engagement) peserta dalam media sosial meningkat, ditunjukkan oleh tingginya jumlah views, likes, komentar, serta partisipasi dalam diskusi online.
Simpulan: Program psiko-edukasi kesehatan reproduksi berbasis media sosial dengan melibatkan peran influencer terbukti menjadi pendekatan inovatif dan efektif dalam meningkatkan literasi kesehatan, membangun emosi positif, serta menumbuhkan kepercayaan diri remaja. Kegiatan ini memberikan peningkatan pemahaman, sikap positif, serta keberanian remaja dalam mengambil keputusan sehat dan juga memberikan kontribusi pada pengembangan strategi edukasi berbasis teknologi yang relevan di era digital serta dapat direplikasi di berbagai wilayah.
Saran: Untuk keberlanjutan program, disarankan agar konten psiko-edukasi terus dikembangkan dengan format yang lebih variatif dan kreatif, agar menarik minat remaja dalam jangka panjang. Diharapkan program ini tidak hanya menjadi intervensi sesaat, tetapi dapat menjadi model edukasi kesehatan reproduksi yang berkelanjutan, berdampak luas, serta mendukung terbentuknya generasi muda yang sehat, percaya diri, dan memiliki kesejahteraan psikologis yang lebih baik
Pengaruh terapi finger hold terhadap penurunan intensitas nyeri pada pasien dengan gangguan rasa nyaman nyeri post op fraktur tangan
Full text linkBackground: Fractures are a common health problem caused by trauma, particularly traffic accidents. Post-operative hand fracture patients commonly experience pain, which, if not properly managed, can interfere with the healing process. Pain management still focuses largely on analgesic medications, while non-pharmacological therapies such as finger holds can be an alternative.
Purpose: To determine the effect of finger hold therapy on reducing pain intensity in post-operative hand fracture patients.
Method: This quantitative study used a quasi-experimental one-group pretest and posttest design. A sample of 30 respondents was selected using purposive sampling technique according to inclusion criteria. The research instruments used an observation sheet and a Numeric Rating Scale (NRS). Data were analyzed using univariate and bivariate methods using the dependent t-test.
Results: The mean and SD of pain intensity before intervention was 6.17 ± 1.020, while after finger hold therapy it decreased to 3.70 ± 1.643. The dependent t-test showed a p-value = 0.000 (p < 0.05), indicating a significant difference in pain intensity before and after the intervention.
Conclusion: Finger hold therapy is effective in reducing pain intensity in post-operative hand fracture patients. This study suggests that finger hold therapy may be applied as a non-pharmacological intervention alongside analgesics in hospital pain management.
Results: The average pain intensity before finger-hold therapy was 6.17±1.020, and after the therapy, it decreased to 3.70±1.643. The dependent t-test yielded a p-value of 0.000<0.05, indicating a significant difference in pain intensity before and after the intervention.
Conclusion: Finger-hold therapy is effective in reducing pain intensity in post-hand fracture surgery patients. Therefore, it is recommended that finger-hold therapy be used as a non-pharmacological intervention alongside analgesics in pain management in hospitals.
Keywords: Finger-hold; Fracture; Pain Intensity; Post-Operative.
Pendahuluan: Fraktur merupakan masalah kesehatan yang banyak terjadi akibat trauma, khususnya kecelakaan lalu lintas. Pasien post operasi fraktur tangan umumnya mengalami nyeri yang jika tidak ditangani dengan baik dapat mengganggu proses penyembuhan. Penanganan nyeri masih banyak berfokus pada obat analgesik, sementara terapi non-farmakologis seperti finger hold dapat menjadi alternatif.
Tujuan: Untuk mengetahui pengaruh terapi finger hold terhadap penurunan intensitas nyeri pada pasien post operasi fraktur tangan.
Metode: Penelitian kuantitatif dengan desain quasi experimental one group pretest and posttest design. Sampel berjumlah 30 responden yang dipilih dengan teknik purposive sampling sesuai kriteria inklusi. Instrumen penelitian menggunakan lembar observasi dan Numeric Rating Scale (NRS). Analisis data dilakukan secara univariat dan bivariat dengan uji t-dependen.
Hasil: Nilai rata-rata intensitas nyeri sebelum diberikan terapi finger hold adalah 6.17±1.020 dan setelah diberikan terapi menurun menjadi 3.70±1.643. Hasil uji t-dependen diperoleh p-value 0.000<0.05 yang menunjukkan terdapat perbedaan signifikan intensitas nyeri sebelum dan sesudah intervensi.
Simpulan: Terapi finger hold berpengaruh dalam menurunkan intensitas nyeri pada pasien post operasi fraktur tangan sehingga disarankan agar terapi finger hold dapat dijadikan intervensi non-farmakologis pendamping analgesik dalam manajemen nyeri di rumah sakit.
Kata Kunci : Fraktur; Finger Hold; Intensitas Nyeri; Post Operasi.
Faktor yang mempengaruhi kepatuhan kemoterapi pada pasien kanker payudara: Literature review
Full text linkBackground: Breast cancer is the most common cancer in women worldwide, and chemotherapy is one of the primary methods of treatment. However, the severe side effects of cytotoxic drugs often lead to poor patient adherence, which directly impacts the likelihood of recurrence and mortality.
Purpose: To collect and analyze the latest scientific evidence from 2020 to 2025 to identify key factors influencing chemotherapy adherence in women with breast cancer.
Method: This study employed a literature review design following the PRISMA guidelines. Articles were searched through Google Scholar, Semantic Scholar, and PubMed databases using the keywords "factors," "breast cancer," "chemotherapy," and "adherence." Following a rigorous selection process, eight research articles were selected for analysis.
Results: The analysis findings indicate that chemotherapy adherence is influenced by a complex interaction between internal and external factors. Internal factors include knowledge and education, self-efficacy, adaptive coping mechanisms, anxiety levels, and perceptions of side effects.
Conclusion: Patient adherence is not solely determined by physical condition but is also significantly influenced by psychological preparedness (coping mechanisms and self-efficacy) and the strength of social support.
Keywords: Breast Cancer; Compliance; Chemotherapy; Factors.
Pendahuluan: Kanker payudara menduduki peringkat teratas sebagai jenis kanker yang paling sering dijumpai pada perempuan di seluruh dunia dan kemoterapi menjadi salah satu metode utama pengobatannya. Namun, efek samping dari obat sitostatika yang parah sering kali mengakibatkan masalah kepatuhan dari pasien yang berdampak langsung pada kemungkinan kekambuhan dan tingkat kematian.
Tujuan: Untuk mengumpulkan dan menganalisis bukti ilmiah terbaru dari tahun 2020-2025 dalam rangka mengidentifikasi berbagai faktor utama yang memengaruhi kepatuhan kemoterapi pada wanita dengan kanker payudara.
Metode: Kajian ini menerapkan desain Literature Review dengan mengikuti pedoman PRISMA. Pencarian artikel dilakukan melalui database Google Scholar, Semantic Scholar, dan PubMed dengan menggunakan kata kunci "faktor", "kanker payudara", "kemoterapi", dan "kepatuhan". Berdasarkan proses seleksi yang ketat, delapan artikel penelitian terpilih untuk dianalisis.
Hasil: Temuan analisis menunjukkan bahwa kepatuhan dalam kemoterapi dipengaruhi oleh interaksi rumit antara faktor internal dan eksternal. Faktor internal mencakup pengetahuan dan pendidikan, efikasi diri, mekanisme koping yang adaptif, tingkat kecemasan, serta pandangan terhadap efek samping.
Simpulan: Kepatuhan pasien tidak semata-mata ditentukan oleh keadaan fisik, melainkan juga sangat dipengaruhi oleh kesiapan psikologis (mekanisme koping dan efikasi diri) serta kekuatan dukungan sosial yang dimiliki.
Kata Kunci : Faktor; Kanker Payudara; Kemoterapi; Kepatuhan.
Gambaran pelaksanaan administrasi pelayanan kesehatan di Puskesmas
Full text linkBackground: Primary health care is the main foundation of the health system and requires effective administrative support to ensure continuity, quality, and efficiency of services. Community health centers (Puskesmas) as first-level health facilities have a strategic role in the provision of health services, including in the management of service administration. However, limited facilities, infrastructure, and information systems remain a challenge in the implementation of health service administration at the Puskesmas level.
Purpose: To describe the implementation of health service administration at Puskesmas and identify obstacles as an effort to support smooth service delivery.
Method: The study was conducted at the Mampang Community Health Center, South Labuhan Batu Regency on December 19, 2025. This study involved three administrative officers who met the criteria and had responsibilities as health service administrators at the Community Health Center. The sample was selected purposively by considering their experience and active involvement in the service administration process. This study applied a qualitative approach with a descriptive design to explain how health service administration is carried out at the Community Health Center. Information was collected through in-depth interviews using a semi-structured interview guide. The analysis process was carried out repeatedly to ensure that data interpretation remained consistent and in accordance with established guidelines. The results of the analysis are presented in the form of a narrative that describes the implementation of health service administration at the Mampang Community Health Center.
Results: Healthcare services include serving an average of 12 patients per day, preparing and administering medication, preparing referral letters, confirming and coordinating with referral providers. When the network is unstable, patients are asked to wait until the network returns to normal. Emergency patients are directed directly to the referral hospital, and staff continue to serve patients using manual recording to ensure uninterrupted service and input data after the system returns to normal. Administrative services include recording and documenting each stage of the activity, inputting data into a PC application, and archiving documents.
Conclusion: This activity illustrates that healthcare administration activities have been carried out in accordance with established procedures, from patient registration to medication distribution. However, various challenges remain in the implementation of healthcare administration, particularly related to administrative equipment, internet networks, and communication media, which contribute to speed and accuracy of service delivery, thus optimizing service administration.
Suggestion: The Mampang Community Health Center is expected to improve the facilities and infrastructure that support healthcare administration, particularly by adding computers and providing better internet connections. Furthermore, it is important to enhance the capabilities of human resources in the administrative field through training and skills development to ensure better and more efficient healthcare administration processes.
Keywords: Community health center; Healthcare administration; Health management; Primary healthcare
Pendahuluan: Pelayanan kesehatan primer merupakan fondasi utama dalam sistem kesehatan dan memerlukan dukungan administrasi pelayanan yang efektif untuk menjamin kesinambungan, mutu, dan efisiensi layanan. Puskesmas sebagai fasilitas kesehatan tingkat pertama memiliki peran strategis dalam penyelenggaraan pelayanan kesehatan, termasuk dalam pengelolaan administrasi pelayanan. Namun, keterbatasan sarana, prasarana, dan sistem informasi masih menjadi tantangan dalam pelaksanaan administrasi pelayanan kesehatan di tingkat Puskesmas.
Tujuan: Untuk menggambarkan pelaksanaan administrasi pelayanan kesehatan di Puskesmas dan mengidentifikasi kendalanya sebagai upaya mendukung kelancaran pelayanan.
Metode: Kegiatan dilaksanakan di Puskesmas Mampang, Kabupaten Labuhan Batu Selatan pada tanggal 19 Desember 2025. Studi ini melibatkan 3 petugas administrasi yang memenuhi kriteria dan memiliki tanggung jawab sebagai administrasi pelayanan kesehatan di Puskesmas. Sampel dipilih secara purposive dengan mempertimbangkan pengalaman serta keterlibatan aktif mereka dalam proses administrasi pelayanan. Studi ini menerapkan pendekatan kualitatif dengan desain deskriptif untuk menjelaskan bagaimana administrasi pelayanan kesehatan dilaksanakan di Puskesmas. Pengumpulan informasi dilakukan melalui wawancara mendalam dengan menggunakan panduan wawancara yang bersifat semi-terstruktur. Proses analisis dilakukan secara berulang untuk memastikan bahwa interpretasi data tetap konsisten dan sesuai dengan panduan yang telah ditetapkan. Hasil analisis disajikan dalam bentuk narasi yang menggambarkan pelaksanaan administrasi pelayanan kesehatan di Puskesmas Mampang.
Hasil: Kegiatan dalam pelayanan kesehatan meliputi melayani pasien rata-rata 12 orang per hari, menyiapkan dan memberikan obat kepada pasien, membuat surat rujukan, konfirmasi dan koordinasi dengan pihak rujukan. Tindakan ketika jaringan tidak stabil, pasien diminta menunggu hingga jaringan kembali normal, sedangkan pasien gawat darurat diarahkan langsung ke rumah sakit rujukan dan petugas tetap melayani pasien dengan pencatatan manual agar pelayanan tidak terhenti dan melakukan input data setelah sistem kembali normal. Sedangkan untuk pelayanan administrasi meliputi pencatatan dan dokumentasi setiap tahap kegiatan, menginput data ke aplikasi di PC, dan arsip dokumen
Simpulan: Kegiatan ini memberikan gambaran kegiatan administrasi pelayanan kesehatan telah dilakukan sesuai dengan prosedur yang telah ditetapkan, mulai dari pendaftaran pasien hingga distribusi obat. Meskipun demikian, berbagai tantangan masih dihadapi dalam implementasi administrasi pelayanan kesehatan, terutama terkait dengan masalah peralatan administrasi, jaringan internet dan media komunikasi untuk mendapatkan kecepatan dan akurasi pelayanan, sehingga administrasi pelayanan menjadi optimal.
Saran: Diharapkan kepada pihak Puskesmas Mampang untuk memperbaiki fasilitas dan infrastruktur yang mendukung administrasi layanan kesehatan, terutama dengan menambah perangkat komputer dan menyediakan koneksi internet yang lebih baik. Selain itu, penting untuk meningkatkan kapabilitas sumber daya manusia di bidang administrasi melalui pelatihan dan peningkatan keterampilan agar proses administrasi layanan kesehatan dapat berjalan dengan lebih baik dan efisien.
Psychological preparedness of adolescents for disasters
Full text linkBackground: Indonesia has diverse disaster potential based on its location and Lampung Regency, Lampung Province, recorded 31 disasters from January 1 to August 2023. The latest data for 2024 shows three tornadoes and 15 earthquakes. Adolescents are a vulnerable community when disasters occur. This situation must be anticipated by providing educational videos on tsunami mitigation.
Purpose: To determine psychological preparedness of adolescents for disasters.
Method: This research was quantitative, using a pre-experimental method with a one-group prctest-posttest approach. The population in this study was 81 adolescents aged 10-19 sampling. Data analysis used univariate and bivariate methods using dependent t-tests.
Results: The average knowledge of adolescents about tsunamis before being given educational digital video learming media was 8.3. The average knowledge of adolescents mean of 13.23. The results of data analysis indicate an effect of digital video leaning media on tsunamis on adolescents knowledge, with a mean of 4.700 and a p-value of 0.000<0.05.
Conclusion: There is an effect of digital video learning media on adolescents knowledge in can provide health education about the dangers of tsunamis, through educational videos or animated disaster response simulation videos.
Keywords: Adolescents Knowledge; Digital Media Video; Psychological Preparedness; Tsunami
The relationship between mother's employment status and the success rate of exclusive breastfeeding for infants aged 0-6 months
Full text linkBackground:Breast milk is mother's milk that contains many benefits for infant growth. Breastfeeding for 6 months is a requirement to be said to be Exclusive Breastfeeding. The success of Exclusive Breastfeeding is one of the benchmarks in fulfilling nutrition for infants. Global coverage of Exclusive Breastfeeding in 2024 reached 48% approaching the WHO target of 50% in 2025 but in 2030 WHO increased coverage to 60% exclusive breastfeeding coverage. Because the global target increased, in Indonesia the coverage of Exclusive Breastfeeding in 2024 became 66.4%. In the Province of DIY the coverage of exclusive breastfeeding was recorded at 76.3%, while in the Wonosari II Community Health Center in 2024 the success rate reached 89.78%. The success in providing exclusive breastfeeding depends on several factors, one of which is the mother's employment status. Working mothers and non-working mothers will have an impact on the provision of Exclusive Breastfeeding.
Purpose: To determine the relationship between maternal employment status and the success rate of exclusive breastfeeding.
Method: This research uses a quantitative method with a descriptive design.cross section,with a total of 78 mothers with babies aged 6-24 months. The data were analyzed usingwho is square.
Results:The results of the study showed that the characteristics of respondents were mothers of dominant reproductive age 20-35 years 65 (83.3%) with the employment status of unemployed mothers 17 (21.8%) and working mothers 61 (78.2%) respondents. The success of exclusive breastfeeding was 49 (62.8%) respondents and not exclusive breastfeeding was 29 (37.2%) respondents. The results of the chi square statistical test showed a p value = 0.008 <0.05.
Conclusion: so it can be concluded that there is a relationship between the mother's employment status and the success rate of exclusive breastfeeding