Jurnal Kesehatan Kusuma Husada
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EFFECTIVENESS OF MIRROR THERAPY ON MUSCLE STRENGTH IMPROVEMENT AND ANXIETY REDUCTION IN STROKE PATIENTS: A QUASI-EXPERIMENTAL STUDY
Full text linkBackground: Stroke is a leading cause of long-term disability. Muscle weakness and anxiety can impede rehabilitation outcomes and diminish quality of life. Mirror therapy is a low-cost intervention increasingly used in stroke rehabilitation; however, evidence regarding its combined effects on motoric and psychological outcomes remains limited.Methods: This quasi-experimental study used a pretest–posttest control group design with 52 subacute stroke patients randomly allocated to an intervention group (n=26) and a control group (n=26). The study was conducted at a hospital-based stroke rehabilitation center in Central Java, Indonesia, from March to June 2025. The intervention group received mirror therapy for 30 minutes per session, five times weekly for four weeks, alongside standard rehabilitation, whereas the control group received standard rehabilitation only. Muscle strength was assessed using the Medical Research Council (MRC) Scale, and anxiety was measured using the Hospital Anxiety and Depression Scale (HADS). Paired and independent t-tests were used for within- and between-group analyses.Results: The intervention group demonstrated significant improvements in muscle strength and significant reductions in anxiety scores across both posttest measurements (p<0.001). In contrast, the control group showed no significant changes (p>0.05). Post-intervention comparisons indicated significantly higher muscle strength and lower anxiety levels in the intervention group compared to the control group (p≤0.001).Conclusion: Mirror therapy effectively enhances muscle strength and reduces anxiety in subacute stroke patients. Its simplicity, low cost, and non-invasive nature support its integration into stroke rehabilitation programs, particularly in resource-limited settings
THE ASSOCIATION BETWEEN KNOWLEDGE, ATTITUDES, AND TOXOPLASMOSIS PREVENTIVE PRACTICES AMONG FEMALE STUDENTS IN THE HEALTH EDUCATION CLUSTER
Full text linkBackground: Toxoplasmosis is an infectious disease resulting from exposure to the parasite Toxoplasma gondii. The prevalence of toxoplasmosis among women of reproductive age in Indonesia remains significant, attributed to factors such as individual behaviours, inadequate hygiene practices, and cultural traditions. Moreover, the prevalence of toxoplasmosis is elevated among populations with limited awareness of preventive measures, highlighting the importance of comprehensive education to decrease its incidence, particularly among women of reproductive age. Strengthening their comprehension, attitudes, and preventive behaviors is crucial as an initial strategy to reduce toxoplasmosis transmission. This study aimed to examine the association between knowledge, attitudes, and preventive practices regarding toxoplasmosis among female health education students at the University of Bengkulu.Methods: This study employed an observational, cross-sectional design. The research population comprised 925 individuals, from which 70 female students in the health education cluster at the University of Bengkulu were selected as study subjects through stratified random sampling. Data were gathered via questionnaires and analyzed using the Spearman rank correlation test.Results: The data indicated that 41 respondents (58.6%) demonstrated a high level of knowledge, 55 respondents (78.6%) maintained positive attitudes, and 59 respondents (84.3%) practiced effective preventive practices regarding toxoplasmosis. Statistical analysis revealed a significant association between knowledge level and preventive practices (p-value <0.001, r = 0.565), as well as between attitude and preventive practices (p-value <0.001, r = 0.705).Conclusion: A significant association exists between knowledge levels and attitudes regarding toxoplasmosis prevention practices
THE INFLUENCE OF ATTITUDE, SUBJECTIVE NORM, AND PERCEIVED BEHAVIORAL CONTROL ON ADOLESCENT MENTAL HEALTH HELP-SEEKING INTENTIONS
Full text linkBackground: This study aimed to analyze the influence of attitude, subjective norm, and perceived behavioral control (PBC) on adolescents\u27 mental health help-seeking intentions among high school students in North Sangatta. Methods: This study uses an observational, cross-sectional design. A sample of 551 respondents was collected via a structured questionnaire distributed via Google Forms to homeroom teachers and analyzed using multiple linear regression. Results: 43.9% of students with neutral attitude scores had high intentions to seek mental health help; 57.2% of students with high subjective norm scores had high intentions; and 43.9% of students with neutral perceived behavioral control (PBC) scores had high intentions. Parents were the source of health support for the majority of students, and the least accessed sources were online consultation services and through a boyfriend/girlfriend. The results of multiple linear regression tests showed that attitude (p-value: 0.015), subjective norm (p-value: 0.005), and PBC (p-value: 0.001) influenced the outcome, with a correlation coefficient of 7.4%. This means that the variables of attitude, subjective norm, and perceived behavioral control can explain 7.4% of the variation in mental health help-seeking. Conclusion: The findings reveal that PBC is the most influential variable in mental health help-seeking intention. Increasing mental health literacy for parents and teachers, community support, stigma reduction, and parent participation are necessary to enhance the values of attitude, subjective norm, and PBC among high school students in North Sangatta
EFFECTIVENESS OF EDUCATIONAL VIDEOS ON PREGNANT WOMEN’S AWARENESS OF EXCLUSIVE BREASTFEEDING
Full text linkBackground: Video health promotion media is essential for improving mothers’ knowledge about exclusive breastfeeding. A preliminary study conducted at Anugerah Pekalongan Hospital on December 26-27, 2024, revealed that midwives often fail to educate mothers due to high patient volumes and limited staff. Interviews with 15 pregnant women revealed that 80% had never received information about exclusive breastfeeding, and only 20% received information about exclusive breastfeeding from pregnancy classes, ANC sessions with midwives, and social media. This study aimed to assess the impact of video educational materials on mothers’ understanding of exclusive breastfeeding at Anugerah Pekalongan Hospital.Methods: A quantitative research employing a pre-experimental method and a design involving one group with pretests and posttests. The participants included primigravida pregnant women who attended and received ANC check-ups at Anugerah Pekalongan Hospital. A technique of random sampling was employed with 38 participants.Results: Video educational media successfully enhanced pregnant women\u27s understanding of exclusive breastfeeding at Anugerah Pekalongan Hospital. Data processing with SPSS confirmed this, yielding a p-value of 0.000, which is less than 0.05.Conclusion: Expectant mothers should use educational videos on exclusive breastfeeding to enhance their understanding of it, allowing them to exclusively breastfeed their infant
A LITERATURE REVIEW ON THE IMPACT OF PSYCHOEDUCATION ON MEDICATION ADHERENCE, EMOTIONAL STABILITY, AND QUALITY OF LIFE INBIPOLAR DISORDER
Full text linkBackground: Bipolar disorder (BD) is a chronic psychiatric condition characterized by recurrent mood episodes that significantly impair psychosocial functioning and quality of life. Alongside pharmacological treatment, psychoeducation is recognized as an essential non-pharmacological intervention that enhances illness awareness, supports self-management, improves medication adherence, and facilitates early detection of relapse warning signs.Aim: This literature review aims to examine the effectiveness of psychoeducational therapy in the management of bipolar disorder, focusing on relapse prevention, medication adherence, emotional stability, and quality of life.Methods: A literature review was conducted using studies published between 2020 and 2024 and retrieved from Google Scholar and PubMed databases. The search utilized keywords such as “psychoeducational non-pharmacological therapy” and “bipolar disorder.” Included studies comprised randomized controlled trials, quasi-experimental studies, cohort studies, and systematic reviews.Results: The findings indicate that psychoeducation plays a significant role in improving both clinical and psychosocial outcomes in individuals with BD. Psychoeducational interventions consistently reduced relapse rates, improved medication adherence, enhanced emotional stability, and strengthened patients’ and families’ coping abilities. Family-based and culturally adapted approaches further increased treatment engagement and reduced caregiver burden.Conclusion: Psychoeducation is a vital adjunct to pharmacological treatment in bipolar disorder management, contributing to sustained symptom control and improved quality of life
THE RELATIONSHIP BETWEEN SLEEP QUALITY AND QUALITY OF LIFE IN HEMODIALYSIS PATIENTS
Full text linkBackground: Hemodialysis therapy has physical and psychological effects that can affect patients\u27 sleep quality and quality of life and exacerbate their condition. Poor quality of life affects patients\u27 sleep quality, partly due to anxiety or stress. If hemodialysis patients experience many problems, it will affect their quality of life, including disruption to their daily activities. The purpose of this study is to determine the relationship between sleep quality and quality of life in hemodialysis patients. Methods: This study uses correlation and a cross-section. It uses PSQI and the European Quality of Life 5 Dimensions. We used purposive sampling. There were 42 hemodialysis patients. Data collection was conducted in October 2024 at the PMI Hospital in Bogor City.Results: A total of 34 (81%) hemodialysis patients experienced poor sleep quality, while 16 (38.1%) experienced a moderate quality of life, and 9 (21.4%) experienced a low quality of life. There was a relationship between sleep quality and quality of life in hemodialysis patients, with a p-value < 0.004 and a correlation of -.435**.Conclusion: This means that poor sleep quality in hemodialysis patients will have an impact on their moderate to low quality of life. Sleep quality plays an important role in improving the quality of life of hemodialysis patients. Hemodialysis patients can improve their sleep quality by creating a sleep schedule, exercising regularly, getting exposure to sunlight, and sleeping when they feel sleepy so that they do not feel tired
DEPRESSION AMONG NURSING STUDENTS IN INDONESIA: PREVALENCE AND ASSOCIATIONS WITH AGE AND LEVEL OF NURSING EDUCATION: NATIONAL SURVEY
Full text linkBackground: Depression is more prevalent among nursing students than in the general student population, largely due to academic demands and the pressures of clinical practice. In Indonesia, evidence on demographic factors associated with depression among nursing students, such as age and level of nursing education, remains limited. This study aimed to examine the associations between age and educational level and the occurrence of depression among nursing students in Indonesia.Methods: A cross-sectional study was conducted with 690 nursing students recruited from 30 provinces across Indonesia. Participants were selected using convenience and snowball sampling. Data were collected via an online questionnaire that included demographic characteristics and the Beck Depression Inventory (BDI), Indonesian version.Results: The findings revealed that 21.01% of nursing students experienced depressive symptoms. The mean age of the respondents was 21 years old, and the majority were enrolled in a Bachelor’s degree program in Nursing (61.5%). Statistical analysis indicated no significant association between age and depression status (p = 0.611), and a significant association was identified between educational level and depression (p = 0.023), with students enrolled in the regular Bachelor of Nursing program demonstrating a higher prevalence of depression.Conclusion: Depression remains a significant mental health problem among nursing students in Indonesia. Age was not associated with depressive symptoms, but education level emerged as a factor associated with depression. These findings highlight the need for increased psychological support and education-specific intervention strategies to prevent and reduce depression among nursing students
DEVELOPMENT OF DIGITAL POSTER SERIES MEDIA FOR CLEAN AND HEALTHY LIVING BEHAVIOR PROMOTION IN HIGH SCHOOL SETTINGS
Full text linkBackground: The persistent challenge of promoting Clean and Healthy Living Behavior (CHLB) among high school students, along with a critical gap in engaging, contextually relevant digital content for social media, underscores an urgent need for innovative interventions. This study aims to develop and evaluate a digital poster series for CHLB promotion, specifically designed for the Instagram platform.Methods: This Research and Development (R&D) study employed the ADDIE model (Analysis, Design, Development, Implementation, Evaluation). Participants included a purposive sample of 40 high school students from SMA Negeri 1 Simo, Boyolali, comprising 10 students for a small group trial and 30 for a large group trial, selected based on their willingness to participate and school enrollment. Data were collected using quantitative evaluation sheets (5-point Likert scale) and qualitative comment/suggestion forms.Results: The results demonstrated the high feasibility and effectiveness of the digital poster series. Expert validation yielded a 75% score in the first stage, leading to key revisions. Student trials showed overwhelmingly positive quantitative results, with average assessment scores ranging from 4.50 to 4.67 out of 5, translating to feasibility percentages of 90% to 93.33% across all assessed aspects. Qualitative feedback highlighted the media’s visual appeal, modern design, and relatable language, though students suggested increased interactivity.Conclusion: This study successfully developed and evaluated a series of highly feasible and effective digital posters for promoting healthy lifestyles among high school students.
OVERVIEW OF FAMILY SUPPORT AND KNOWLEDGE ABOUT THE DASH DIET IN HYPERTENSIVE PATIENTS
Full text linkBackground: Prolonged hypertension can slowly damage blood vessels and trigger heart attacks, strokes, and kidney failure. The American Heart Association recommends managing hypertension with the Dietary Approaches to Stop Hypertension (DASH) diet. Family support affects DASH diet adherence through four mechanisms: instrumental, informational, rewarding, and emotional. The study aimed to assess the level of family support and understanding of the DASH diet among hypertensive patients in Flamboyant Ward 8 at Dr. Moewardi Hospital.Methods: This study employed a quantitative observational design with a descriptive cross-sectional approach. The population of this study is the family of hypertension patients in the Flamboyant Ward 8 of Dr. Moewardi Hospital, with a sample size of 82 respondents, using accidental sampling. Data were collected using questionnaires. Results: The results of this study showed that the characteristics of the majority of respondents aged 36-45 years (late adults) amounted to 34 respondents (41.5%), female sex amounted to 45 respondents (54.9%), and SMK/SMA education level amounted to 32 respondents (39.0%). The level of family support for the majority of the good category was 46 respondents (56.1%), and the level of knowledge about the DASH diet among the majority of the good category was 37 respondents (45.1%).Conclusion: This study indicates that most families of hypertensive patients demonstrated strong family support, while knowledge of the DASH diet was comparatively low. These findings highlight the need to strengthen informational and educational interventions to complement existing family support and optimize non-pharmacological hypertension management
THE RELATIONSHIP OF EDUCATION BY ANIMATED VIDEOS AND LEAFLETS WITH MOTHERS’ KNOWLEDGE ABOUT ANEMIA IN PREGNANT WOMEN
Full text linkBackground: Anemia in pregnant women remains a significant public health issue in Indonesia, including in the working area of the UPTD Kereng Bangkirai Community Health Center in Palangka Raya City. Based on data from 2023 and 2024, there has been an increase in cases of anemia in pregnant women from 5 cases to 25 cases. This study aims to determine the relationship between pregnant women\u27s knowledge level and the incidence of anemia, and to evaluate the effectiveness of health education in improving their knowledge and awareness.Methods: The method used is a pre-experimental approach. The design used was a one-group pretest-posttest design with a sample consisting of 77 pregnant women at the UPTD Kereng Bangkirai Community Health Center in Palangka Raya City, selected using purposive sampling based on inclusion criteria. Education was provided through animated videos and leaflets, accompanied by pretest and posttest questionnaires.Results: The results showed a significant increase in knowledge after the education intervention (p=0.000). The results of this study indicate that education by animated videos and leaflets is effective in increasing mothers\u27 knowledge about anemia during pregnancy.Conclusion: There is a relationship between education by animated videos and leaflets and mothers\u27 knowledge about anemia in pregnant women. This is important in maternal health services at community health centers to reduce the rate of anemia and improve the quality of maternal health during pregnancy