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    Application of Orem\u27s Self-Care Theory in Lowering Blood Pressure in Hypertension Patients Grade 1 Through Resistance Band Exercise and Almond Chocolate Consumption

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    Self-care plays a critical role in the prevention and management of hypertension. This study aimed to evaluate the impact of Orem’s Self-Care Theory on blood pressure reduction through resistance band exercise and almond chocolate consumption in hypertension patients. A quasi-experimental pretest-posttest control group design was used. The study involved 76 respondents with hypertension grade 1, divided into intervention and control groups. The intervention group participated in resistance band exercises three times a week for 28 days and consumed almond chocolate, while the control group received standard antihypertensive treatment. Data analysis was conducted using the Wilcoxon and Mann-Whitney tests with α < 0.05. The results showed a significant reduction in both systolic (p = 0.000) and diastolic (p = 0.002) blood pressure in the intervention group. Resistance band exercises enhanced vascular endothelial function, while almond chocolate stimulated nitric oxide synthesis, leading to vasodilation. These intervention aligned with Orem’s Self-Care Theory, highlighting the importance of individual commitment to health. The innovative aspect of this study lies in its integrated approach, as it is among the first to combine Orem’s Self-Care Theory with both physical (resistance band exercise) and nutritional (almond chocolate consumption) interventions for hypertensive patients. The study concludes that applying Orem’s Self-Care Theory through exercise and dietary changes effectively reduces blood pressure in hypertensive patients. It is recommended that health practitioners incorporate these self-care practices alongside the Patient-Centered Care (PCC) concept to address individual needs. This integrated approach can enhance hypertension management, improve blood pressure control, and boost patient satisfaction, ultimately leading to better health outcomes

    Phytochemical Composition, Antioxidant Activity, and Bioactive Compound Profiling of Sargassum sp. Ethanol Extract: Potential for Antimalarial Application

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    Sargassum sp., a brown macroalga abundant in Indonesia\u27s coastal ecosystems, has garnered attention for its diverse bioactive compounds with pharmacological potential. However, its application as a natural antimalarial and antioxidant agent remains underexplored. This study aimed to investigate the secondary metabolites in ethanol extracts of Sargassum sp. and evaluate their antioxidant and potential antimalarial activities. Ethanol extraction was conducted using the maceration technique, followed by phytochemical screening, FT-IR, and GC-MS analyses to characterize the extract. The results revealed the presence of saponins, terpenoids, tannins, alkaloids, and flavonoids. FT-IR and GC-MS confirmed compounds associated with antioxidant and antimalarial properties. The extract exhibited notable antioxidant activity with an IC₅₀ value of 26.16 ppm. These findings highlight the potential of ethanol-extracted Sargassum sp. as a promising source for the development of safer, resistance-limiting antimalarial and antioxidant agents

    Application of The Family Support Model to Increase Elderly Independence

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    Elderly independence is essential for maintaining quality of life and functional ability. Family involvement has been shown to support this independence, but evidence from quasi-experimental studies in Indonesia remains limited. This study aimed to evaluate the effect of the Family Support Model on elderly independence in selected Public Health Center areas of Yogyakarta and Central Java. A quasi-experimental design with pre-post-test control group was conducted from March to October 2022. A total of 96 elderly participants without chronic illness were purposively assigned to experimental (n=48) and control groups (n=48). The intervention applied the Family Support Model, which included family education, structured assistance with daily activities, weekly follow-ups, and joint problem-solving involving families and health personnel. Independence was assessed using a validated questionnaire based on the Katz Index, covering both Basic (BADL) and Instrumental Activities of Daily Living (IADL). Measurements were conducted at baseline, and at one, two, and three months post-intervention. Results showed a significant increase in self-care independence in the experimental group from 0% to 97.8%, and a decrease in self-care deficit from 63% to 2.2%. In contrast, the control group showed modest improvements, with independence increasing from 0% to 32.6%, and deficit decreasing from 78.3% to 67.4%. Repeated measures ANOVA revealed significant differences between groups over time (p < 0.001). The conclusion is the Family Support Model is effective in enhancing elderly independence. It can be adopted as a practical, community-based intervention to sustain daily functioning and improve the quality of life among older adults

    Determinant Factors of Stunting Among Toddlers in Riverbank Areas: A Case-Control Study

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    Stunting remains a critical issue of chronic malnutrition, especially in regions with abundant food resources but poor sanitation and nutrition education. This study aims to analyze the determinants of stunting among toddlers in the riverbank areas of Aluh-Aluh District, Banjar Regency, South Kalimantan. A case-control design was used, involving 142 children (72 cases and 70 controls) selected randomly from two villages. Variables examined include the dietary patterns of children and pregnant women, maternal nutritional status (chronic energy deficiency), exclusive breastfeeding, a history of infections, drinking water sanitation, and household food expenditure. Multivariate logistic regression revealed six significant determinants of stunting: poor maternal diet (OR=5.404), maternal undernutrition (OR=11.546), lack of exclusive breastfeeding (OR=3.198), inadequate toddler diet (OR=2.600), unboiled tap water consumption (OR=2.767), and high household food expenditure (OR=6.111). Despite being a food-rich region, the high stunting prevalence reflects structural issues in maternal education, childcare practices, and sanitation access. These findings highlight the need for contextual, integrated, and community-based interventions targeting the First 1000 Days of Life. Stunting prevention efforts should prioritize maternal nutrition education, exclusive breastfeeding promotion, improved sanitation, and the utilization of local resources and village funding

    The Effect of Education with an Islamic Approach Addition in the Diffusion of Innovation for Oral Health Maintenance Using Siwak

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    The WHO states that tooth decay is the most common chronic disease experienced by people around the world. The result of the 2023 SKI shows that, on average, people aged ≥ 3 years in the last year complained of having dental and oral problems. One of the teachings of Islam regarding health is the Islamic recommendation on dental and oral health, and one of the things recommended by the Prophet Muhammad is to use a miswak. Islamic boarding schools are expected to educate their student in all aspects in accordance with Islamic values and norms, including aspects of dental and oral health. This study aims to analyze the differences in education with the addition of an Islamic approach in the diffusion of innovation in oral health maintenance using siwak. This approach is examined through five characteristics of innovation according to the theory of innovation diffusion, namely relative advantage, compatibility, complexity, triability, and observability. The research method used a quasi-experimental design with two treatment groups: education without the addition of an Islamic approach and education with the addition of an Islamic approach. The sampling technique used was purposive sampling, and the total number of respondents in this study was 60 students. The result shows that education with the addition of an Islamic approach showed a significant increase in the characteristics of triability and observability, and generally yielded higher scores compared to education without the addition of an Islamic approach. The Islamic approach was proven to be more effective in increasing respondents\u27 decisions to use siwak and had a strong influence on the persuasion stage in the innovation adoption process. The conclusion is that the integration of religious values into health education can strengthen public acceptance and intention toward innovations in dental care based on the Sunnah

    Improving Dental Health and Nutrition Awareness through the "SEGIGIKU" School Health Program

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    Indonesia faces serious challenges in dental and oral health and nutrition, with dental caries, stunting, and obesity remaining major public health problems among children. Schools play a crucial role in shaping children’s health behaviors through structured health education and interventions. The School Health Program model “SEGIGIKU” was developed to enhance the involvement of teachers, peers, and parents in improving oral health behavior and nutrition awareness as preventive measures against dental caries, stunting, and obesity in preschool children. This study aimed to develop and evaluate the “SEGIGIKU” School Health Program model as an effort to improve oral health behavior and nutrition awareness among preschool children. This research employed a research and development (R&D) design, consisting of stages of information gathering, program design, expert validation, product testing, and final product development. The results showed a consistent weekly increase in students’ weight and height. Statistical analysis using the Wilcoxon test demonstrated a highly significant improvement in dental hygiene, as indicated by the PHPM score (p = 0.000), and a significant reduction in dental caries, as reflected by the decay score (p = 0.002). In conclusion, the “SEGIGIKU” School Health Program model effectively improves oral health behavior and nutrition awareness, which are closely interconnected, and contributes to the prevention of dental caries, stunting, and obesity in preschool children

    Improving Self-Care and Self-Efficacy in Type 2 Diabetes Mellitus Patients by Online DSME Educational Videos

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    Approximately 39.2% of individuals diagnosed with diabetes experience complications. The most common complication reported is diabetic foot, affecting 43.4% of those with complications, followed by nephropathy at 29.5%. Diabetes Self-Management Education (DSME) is essential in type 2 diabetes care, as it equips patients with the skills and confidence needed to manage their condition effectively, thereby reducing complications, enhancing quality of life, and minimising healthcare costs. This study aimed to determine the effect of DSME online educational videos on self-care and self-efficacy of type 2 DM patients. A quasi-experimental study was conducted among 696 diabetic type 2 outpatients from February to March 2023. The patient was selected for purposive sampling from Tamansari Health Center Tasikmalaya Regency. The intervention group (n = 21) received 1 week of online videos about  DSME health education in every day. The control group (n = 21) received regular health education in Tamansari Health Centre as care services. Data were collected using The Summary of Diabetes Self-Care Activities (SDSCA) and Diabetes Management Self-Efficacy Scale (DMSES) questionnaires. Data were analysed using paired t-test and independent t-test analysis. There is an effect after being given online DSME educational videos on self-care and self-efficacy of type 2 DM patients with a significance value of self-care and self-efficacy p = 0.000 (p <0.05), it can be concluded that the use of online DSME educational videos affects increasing self-care and self-efficacy of type 2 DM patients.               

    Socioeconomic Disparities in Completed Antenatal Care: Evidence from Nigeria

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    The Maternal Mortality Rate is still high in Nigeria. Complete antenatal care (ANC) of eight visits during pregnancy is an important strategy to control this condition. This research analyzed the socioeconomic disparities in completed ANC in Nigeria. The study examined secondary data from the 2018 Nigerian Demographic and Health Survey. The study included 21,792 women aged 15 to 49 who had given birth in the previous five years. We looked at eight control factors in addition to completed ANC as an outcome variable and socioeconomic as an exposure variable: domicile, age, religion, marital status, education, occupation, and parity. Data were analyzed using binary logistic regression. The result showed the completed ANC proportion in Nigeria is 21.6%. Meanwhile, the poorer were 1.316 times more likely than the poorest to perform completed ANC (AOR 1.316; 95% CI 1.316-1.317). The middle was 1.994 times more likely to achieve completed ANC than the poorest (AOR 1.994; 95% CI 1.993-1.994). Meanwhile, the richer were 2.808 times more likely than the poorest to achieve completed ANC (AOR 2.808; 95% CI 2.807-2.808). Moreover, the richest were 4.112 times more likely to perform completed ANC than the poorest in Nigeria (AOR 4.112; 95% CI 4.112-4.113). The study revealed significant socioeconomic disparities in the completion of ANC in Nigeria, with wealthier women being more likely to achieve completed ANC compared to their less-wealthy counterparts

    Effectiveness of Purple Sweet Potato and Red Bean Cookies on Fasting Blood Glucose Levels in Patients with Type II Diabetes Mellitus

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    The worldwide prevalence of diabetes mellitus (DM) continues to climb yearly, with 1.5 million fatalities directly related to DM each year. The number of common instances of DM has been progressively growing during the last several decades. Poor dietary management in people with DM is one of the difficulties that commonly leads to uncontrolled blood glucose levels. Purple sweet potato and red bean cookies are utilized as an alternative treatment for persons with DM because purple sweet potatoes and red beans offer benefits in the form of a low glycemic index and high anthocyanin and fibre content. The goal of this research was to show the efficacy of purple sweet potato and red bean cookies on fasting blood glucose levels in individuals with type II diabetes mellitus. This research approach is a randomized control trial with a pretest-posttest design. Research includes 60 respondents split into 2 groups, utilizing a basic random selection approach. The research was performed for 21 days from 23 September to 13 October 2024 at the Sukamakmur health center region, Aceh Besar. This research employed a pre-test post-test difference test utilizing the Wilcoxon test, and the test across groups using the Mann-Whitney test. The findings of the pre-test average fasting blood sugar levels of intervention group respondents revealed results of 230.07 mg/dL to 152.10 mg/dL post-test (p 0.000), whereas the control group average pretest GDP 226.40 mg/dL to 186.60 mg/dL post-test (p 0.001). This research revealed significant changes in both the intervention and control groups before and after treatment. Statistical findings indicated that purple sweet potato and red bean cookies were more successful in decreasing blood glucose levels than purple sweet potato 104-gram cookies. Purple sweet potato and red bean cookies are excellent to be utilized as nutritious and practical snacks as a support system for persons with DM

    The Impact of Caesarean Section and Place of Delivery on Utilization of Postpartum Care in Bangladesh

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    Postpartum care is a critical component of maternal health, as it helps prevent complications and ensures the well-being of both mother and newborn. Despite global improvements in maternal healthcare, disparities in postpartum care utilization remain a significant public health concern, particularly in low- and middle-income countries such as Bangladesh. This study aimed to examine the impact of caesarean section and place of delivery on the utilization of postpartum care among women in Bangladesh. A cross-sectional study was conducted using nationally representative survey data, analyzing women who had delivered at health facilities. Univariate analysis described the distribution of sociodemographic characteristics and delivery-related factors, while bivariate analysis employed Chi-square tests to examine associations between independent variables and postpartum care utilization. Multivariate analysis using binary logistic regression assessed the adjusted impact of caesarean section, place of delivery, prenatal care, and household wealth on postpartum care uptake. The results revealed that women who delivered by non-caesarean section were 55% less likely to utilize postpartum care compared to those delivered via caesarean section. Women who delivered at private health facilities were 1.22 times more likely to utilize postpartum care than those at public facilities. Not receiving prenatal care decreased the probability of postpartum care by 55%, while women from the fourth wealth quintile and richest households were 1.58 and 2.60 times more likely, respectively, to access postpartum services compared to the poorest households. These findings underscore the importance of promoting equitable access to postpartum care, particularly for women delivering vaginally, at public facilities, or from lower-income households. Targeted policies that train providers in standardized postpartum care, strengthen follow-up through digital reminders and community health workers, and expand access in underserved areas can reduce disparities and improve maternal health outcomes in Bangladesh

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