Jurnal Kesehatan Kusuma Husada
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EFFECTIVENESS OF THE MODULE ON KNOWLEDGE AND MOTIVATION REGARDING PAP SMEAR EXAMINATION AMONG WOMEN OF REPRODUCTIVE AGE
Full text linkBackground: Screening is central to global cervical cancer control; however, no district/city in East Java has yet reached the screening target. Participation in Pap smear screening is influenced by multiple determinants, particularly behavioral factors linked to women’s knowledge and motivation; therefore, health education is expected to promote positive behavior change.Methods: This study used a quasi-experimental, one-group pretest–posttest design in Lumajang Regency, East Java, Indonesia, conducted from August 2024 to January 2025. Purposive sampling recruited 63 women from a local community group. The intervention consisted of a structured educational module provided to all respondents. Knowledge and motivation were measured before and after the module using validated questionnaires. Results: The statistical analysis applied to this research was the Wilcoxon signed-rank test for non-normally distributed variables, with α = 0.05. Mean knowledge increased from 8.60 (min 5; max 10) at pretest to 9.57 (min 9; max 10) at posttest. Motivation to undergo Pap smear screening also improved, with mean scores increasing from 23.15 at pretest to 43.95 after the intervention. Shapiro–Wilk tests indicated non-normality for both knowledge and motivation (p < 0.05); thus, Wilcoxon tests were used. Significant differences were observed for knowledge (p < 0.001) and motivation (p < 0.001). Conclusion: These findings suggest that module-based health education effectively strengthens women’s knowledge and motivation to participate in Pap smear screening in settings where overall screening coverage remains below the target
ASSOCIATION BETWEEN PHYSICAL ACTIVITY AND SOCIODEMOGRAPHIC FACTORS WITH OBESITY AMONG ADULTS IN JAKARTA: ANALYSIS OF THE 2023 INDONESIAN HEALTH SURVEY
Full text linkBackground: Obesity is a global public health problem that carries an elevated risk of noncommunicable diseases. Behavioral factors that may be modifiable should be assessed to design effective preventive programs. This study aimed to determine the association of physical activity, sociodemographic factors, and obesity among adults in Jakarta.Methods: This study employed a quantitative, analytical, cross-sectional design. Data collected by the second wave of the 2023 Indonesian Health Survey. We analyzed 7.163 adult participants. Statistical analyses used chi-square and survey-adjusted logistic regression, and risk was measured as Prevalence Ratios (PR) with 95% Confidence Intervals (CI).Results: The prevalence of obesity in this study was 49.67%. Logistic regression analysis showed a significant relationship between obesity and physical activity (p=0.045; PR=1.126), age 30-44 years (p=0.000; PR=2.213), age 45-59 years (p=0.000; OR=2.352), gender (p=0.000; OR=1.713), employment status (p=0.000; OR=1.653), and marital status (p=0.000; OR=2.437). Conversely, educational level did not show a statistically significant relationship with obesity (p>0.05). Moreover, levels of physical activity, marital status, sex, and employment status accounted for the factors that increased the likelihood of adult obesity. Conclusion: Adult obesity in Jakarta is significantly associated with sex, age, sex, physical activity level, employment status, and marital status. These findings indicate the need to address targeted behavior changes, especially increasing levels of physical activity and exercise to encourage cognitive dissonance of increasing the likelihood of obesity through healthy weight and obese adults, particularly in middle-aged and women
PERCEIVED INSUFFICIENT MILK SUPPLY (PIMS) AND THE RISK OF NON-EXCLUSIVE BREASTFEEDING PRACTICES: A SYSTEMATIC REVIEW AND META-ANALYSIS
Full text linkBackground: PIMS, or what is usually called insufficient breast milk supply, is one of the reasons why breastfeeding fails. There are still a few mothers who know about the perception of insufficient breast milk supply and how this has an impact on breastfeeding practices. This study aimed to examine the association between perceived insufficient milk supply (PIMS) and the risk of non-exclusive breastfeeding during the first six months postpartum.Methods: This review was conducted following the PRISMA guidelines to select articles in this study and based on PICO (Population, Intervention, Comparison, Outcome). We searched for relevant articles in five databases, such as PubMed, ScienceDirect, Springer Link, ProQuest, and SAGE journals, from January 2014 to August 2024. Then, they carried out a meta-analysis of the collected data and analyzed the Odds Ratio (OR) using Review Manager 5.3. Overall, 6 studies were appropriate in this review. Results: Six studies were included in the meta-analysis. The forest plot demonstrated a consistent inverse association between perceived insufficient milk supply (PIMS) and exclusive breastfeeding across all included studies. Using a random-effects model, mothers with PIMS had significantly lower odds of exclusive breastfeeding during the first six months postpartum (pooled OR = 0.10; 95% CI: 0.04–0.24; p < 0.00001), indicating a substantially increased risk of non-exclusive breastfeeding. Conclusion: Perceived insufficient milk supply (PIMS) has a relationship with the incidence of failure to provide exclusive breastfeeding.
LOW BIRTH WEIGHT AS A KEY DETERMINANT OF CHILDHOOD STUNTING: A MATERNAL–NEONATALRISK FACTORS ANALYSIS INA STUNTING LOCUS AREA
Full text linkBackground: Many studies have examined the effects of inadequate nutritional intake, showing an increased risk of infectious diseases, death, and obstacles to children\u27s growth and development. According to the results of SSGI 2024, the prevalence of stunting among children under five was 19.8%; this figure remains far from the medium-term national target. This research aims to determine the determinants of stunting in a stunting-affected area.Methods: A quantitative analytical study with a case-control approach was used in this study. The research was conducted in Buker Village, one of the stunting loci in Sampang Regency. The research subjects consisted of 35 stunted toddlers in the case group and 40 toddlers with normal nutritional status in the control group. Data analysis in this study included univariate analysis using frequency distributions, bivariate analysis using the chi-square test, and multivariate analysis using multiple logistic regression.Results: The results showed that the most dominant factor associated with stunting was a history of low birth weight (LBW) OR 24,1 (95% CI: 2,573 – 226,647), which means that toddlers who were born with LBW had a 24,1 times higher chance of stunting.Conclusion: This study identifies low birth weight as a key determinant of stunting, as affected infants face developmental vulnerabilities. Strengthening maternal nutrition, infection prevention, and postnatal growth monitoring is essential to mitigate long-term growth deficits. These findings emphasize the importance of integrating maternal nutrition programs with neonatal monitoring, particularly in high-burden settings, to effectively improve child growth outcomes
THE POTENTIAL OF COMBINED ETHANOL EXTRACTS OF SAGA AND SEMBUKAN LEAVES IN REDUCING CHOLESTEROL LEVELS IN HYPERCHOLESTEROLEMIC MICE
Full text linkBackground: To date, no research has explored the synergistic potential between saga leaves (Adenanthera pavonina L.) and sembukan leaves (Paederia foetida L.) in increasing the effectiveness of lowering cholesterol levels. This study aims to evaluate the potential of the combination of saga leaf ethanol extract and sembukan leaf in lowering cholesterol levels in hypercholesterolemia mice.Methods: The study used 36 mice divided into six treatment groups, including a negative control group, a positive control, a drug control, and a treatment group with different doses of a combination of ethanol extract of Saga leaves and Sembukan leaves. The spectrophotometer measured lipid levels on days 0, 21, and 24. Data analysis was done using the one-way ANOVA test to determine group differences.Results: The analysis showed that the combination of ethanol extract of saga leaves and sembukan leaves significantly reduced the cholesterol levels of hypercholesterolemia mice (p=0.000). The best dose for cholesterol reduction is 56 mg/20 g body weight (BW) with a 66% reduction.Conclusion: Combining ethanol extract of saga leaves and sembukan leaves at a dose of 56 mg/20 g body weight (BW) effectively reduced cholesterol levels in hypercholesterolemia mice. This research may contribute to developing alternative natural therapies to lower cholesterol levels and prevent cardiovascular disease
EFFECTIVENESS OF YOGA CHILD POSE ON ALLEVIATING MENSTRUAL PAININ FEMALE ADOLESCENTS
Full text linkBackground: Menstrual pain, or dysmenorrhea, arises from heightened prostaglandin production, leading to uterine cramps. This discomfort can interfere with daily activities. One recommended non-pharmacological approach to relieve this condition is practising the child\u27s pose in yoga. This study aims to assess the effectiveness of this pose in reducing menstrual discomfort among students. Methods: The research was conducted at SMPN 2 Pamulihan during the period of July through August. This study employed a pre-experimental design with a one-group pretest-posttest approach. The participants were 7th and 8th grade junior high school students experiencing primary dysmenorrhea who met the inclusion and exclusion criteria. Pain assessment was conducted using the Numeric Rating Scale (NRS), a validated and widely accepted instrument for evaluating pain levels. The yoga intervention was implemented based on established Standard Operating Procedures (SOP) to ensure consistency and adherence to protocol. Data were analysed using univariate and bivariate analyses, with the Wilcoxon test applied to assess the differences between pretest and posttest results. Results: Prior to the intervention, 25 participants (69.4%) experienced mild pain. Following the yoga sessions, 26 students (72.2%) reported mild pain. Statistical analysis revealed a significant difference before and after the intervention (p = 0.000 < 0.05), indicating the potential of child\u27s pose yoga as a non-pharmacological method for easing dysmenorrhea. Conclusion: The child\u27s pose yoga technique shows promise in managing menstrual discomfort among adolescents, serving as a viable non-pharmacological alternative
THE RELATIONSHIP BETWEEN SELF-EFFICACY AND STRESS IN ELDERLY HYPERTENSION PATIENTS
Full text linkBackground: Elderly individuals with hypertension often face high stress levels, which can worsen their physical and psychological health. Self-efficacy, the belief in one\u27s ability to manage challenges, plays a crucial role in coping with chronic illness. Research suggests that higher self-efficacy is linked to better stress management and improved health outcomes. In hypertensive elderly, strong self-efficacy may help reduce stress by promoting confidence in handling daily tasks and medical routines. Understanding this relationship is essential for developing effective interventions to support elderly patients and enhance their quality of life. The purpose of this study was to determine the relationship between self-efficacy and stress levels in elderly people with hypertension. Methods: This research design is correlational analytic using a cross-sectional approach; the instruments in this study were the Self-efficacy to Manage Hypertension-Five Item Scale and the Perceived Stress Scale (PSS). The sample in this study consists of 65 respondents, all of whom are elderly individuals diagnosed with hypertensionResults: 12 (18,5%) elderly experienced low self-efficacy, and 5 (7,7%) elderly had severe stress. There is a negative relationship between self-efficacy and stress in the elderly, with a p value <0.000 (<0.05), with a correlation of -.580**. Conclusion: This means that the higher the self-efficacy possessed by the elderly, the lower the stress that arises. Self-efficacy plays an important role in reducing stress in the elderly, especially those who suffer from hypertension. The elderly are recommended to increase their self-efficacy through several complementary therapies
THE RELATIONSHIP BETWEEN PREFERRED ANATOMY LEARNING MEDIA (ANATOMAGE AND CADAVER) AND STUDENTS\u27 PRACTICAL SCORES
Full text linkAnatomical knowledge is essential for science and clinical skills. Learning outcomes can be influenced by the choice of learning media, such as the computer-based Anatomage and Cadaver-based methods. This study examines the relationship between students\u27 preferred anatomy learning media and their practical exam scores. A correlative analytic method with a retrospective cohort approach was used, involving 372 medical students from the Faculty of Medicine, Muslim University of Indonesia, selected through purposive sampling. Inclusion criteria included students who had completed anatomy courses and participated in practical exams. Bivariate analysis using the Chi-Square test showed a significant relationship between preferred media and exam scores (p-value < 0.05). Students with a strong preference for Anatomage achieved a higher pass rate (95%) and demonstrated better comprehension of anatomical structures compared to those favoring cadaver-based learning. These findings emphasize the effectiveness of Anatomage as a learning tool in enhancing anatomy education. In conclusion, the choice of learning media significantly impacts practical exam performance, with Anatomage proving to be a highly effective medium
WORK MOTIVATION AND WORKLOAD ON NURSES’ CARING BEHAVIOR IN EMERGENCY ROOM
Full text linkIndonesia has a high accumulation of patient visits to the Emergency Room (ER), thus caring in the ER requires more attention to produce better quality nursing services. This study aims to see the effect of nurses\u27 motivation and workload on caring behavior in the ER. The research method used is quantitative, with a correlation analytic research design and a cross-sectional approach. The sample consisted of 37 nurse and patient respondents using accidental sampling techniques. The instrument used was the Gadar Caring Scale (GCS-46) questionnaire with frequency distribution data analysis and the Spearman Rank statistical test. The results showed that more than half of the nurses\u27 motivation (56,76%) was in a good category and almost half of the nurses\u27 workload was in the heavy category (40.54%). On the other hand, the level of nurses\u27 caring was almost entirely in the moderate category (94.59%). In addition, there was a correlation between nurse’s motivation and caring as indicated by the correlation coefficient (r) and p-value of 0.55 and 0.0237, respectively. Meanwhile, the results of the analysis between nurses\u27 workload and caring gave r and p-values ​​of 0.11 and 0.5121, respectively, indicating that there was no relationship between nurses\u27 workload and nurses\u27 caring in the ER
THE EFFECT OF REMINISCENCE THERAPY ON IMPROVING THE COGNITIVE VALUES OF THE ELDERLY AT RISK OF DEMENTIA
Full text linkElderly is a process that a person goes through in which gradual physical and psychological decline occurs, one of which is a decline in cognitive function. Cognitive decline will cause problems in fulfilling basic needs in the elderly. One non-pharmacological intervention that can be given to elderly people with cognitive impairment is reminiscence therapy. The aim of this research is to determine the increase in the cognitive value of the elderly after being given reminiscence therapy. The method used in this research was quasi-experimental with one group pretest and posttest design. The number of subjects in this study were 25 elderly people who would be given reminiscence therapy and their cognitive scores would be measured using the Mini Mental State Examination questionnaire before and after being given the intervention.
The results of the analysis showed that there was an increase in the cognitive scores of 16 samples (64%) from 0-17 (severe cognitive impairment category) to 18 - 23 (mild cognitive impairment category) and 12 samples (36%) with an increase in the average total cognitive score - average 2 (still category of severe cognitive impairment). The difference in average score is 2.9 in the pre-test and post-test scores. Conclusion: Reminiscence therapy can improve cognitive values ​​in the elderly. It is suggested that there is a need for comparative interventions to assess the effectiveness of therapy for elderly people with dementia