Detail Journal Information: Journal Title in ISSN: Jurnal Ilmiah Kesehatan (JIKA) ROAD ISSN | LIPI ISSN DOI: prefix 10.36590 e-ISSN: 2686-2883 (Online) Editor-in-chief: Dr. Rahmawati, S.Gz, M.Si Language: Indonesian or English Frequency: Three issues per year | April, August, and December Management Style: Open Access Focus and scope: Medical and Clinical Research, Food and Nutrition research, Public Health Research, Obstetrics Management Research, Nursing Management Research, and Pharmacy Research | more info Publisher: Sarana Ilmu Indonesia (salnesia) Accreditation: SINTA 3 Indexing: SINTA, GARUDA, Dimensions, Google Scholar | more info Visitor Statistic: Unique Visits Journal History: more info Announcement: Urgent Information| more info Citation Analysis: Dimensions, Google Scholar Collaboration with: ASOSIASI PENGELOLA JURNAL INDONESIA;ASOSIASI RISET ILMU KESEHATAN INDONESIA (ARIKESI);IKATAN SARJANA GIZI (ISAGI)
Moringa Leaf Extract Cream (Moringa oleifera L.)for Incision Wound Healing in White Rats
The use of traditional medicinal plants is part of cultural heritage that holds great potential in supporting public health. Moringa leaves are known to accelerate the healing of incision wounds due to their bioactive compounds, including flavonoids, saponins, and terpenoids, which play a role in tissue recovery. This study aimed to evaluate the effectiveness of herbal cream containing Moringa leaf extract at concentrations of 2% w/w and 4% w/w in promoting the healing of incision wounds in white rats, assessed by wound closure length and histopathological examination of inflammatory cells. A true experimental design was applied in this research. The results showed that the Moringa leaf extract cream facilitated wound healing on the dorsal area of white rats within seven days and revealed a significant difference compared to the negative control group. Histopathological analysis demonstrated that treatment with 2% w/w and 4% w/w Moringa extract cream resulted in inflammatory cell counts of fewer than 50. In conclusion, herbal cream formulations containing 2% w/w and 4% w/w Moringa leaf extract are effective in healing incision wounds in white rats.
Copyright (c) 2025 Made Asmarani Dira, Lia Puspitasari https://creativecommons.org/licenses/by/4.0
Nutrition Status and Psychosocial Stimulation with the Development of Infants Aged 6-12 Months
One of the factors influencing growth and development is nutritional status. Growth and developmental disorders in infants may result in delays in neuromuscular development, speech ability, emotional regulation, socialization, auditory sensory function, and even autism. This study aimed to examine the relationship between nutritional status and psychosocial stimulation with the growth and development of infants aged 6–12 months in the working area of Tabaringan Health Center, Makassar. A cross-sectional design was employed. The sample consisted of 30 mothers with infants aged 6–12 months who met the inclusion criteria, selected using an accidental sampling technique. The collected data included maternal characteristics, nutritional status, and infant characteristics. Psychosocial stimulation data were obtained through interviews using the HOME questionnaire, consisting of 17 questions. Infant social-personal and language development was assessed using the Denver Developmental Screening Test II (DDST), which included 20 items. Data were analyzed using the Pearson correlation test (Chi-square). The results showed no significant relationship between psychosocial stimulation and both language and personal-social development. However, there was a significant relationship between nutritional status and personal-social development in infants, while no significant relationship was found with language development. Further research is recommended to explore other factors that may influence infant language and personal-social development.
Copyright (c) 2025 Septiyanti, Seniwati https://creativecommons.org/licenses/by/4.0
Combination of Progressive Muscle Relaxation and Cat Stretch Exercise on Adolescents' Hemoglobin
The menstrual period is one of the triggers for adolescents to experience anemia, characterized by a decrease in hemoglobin levels. This study aims to analyze the effectiveness of combining progressive muscle relaxation and cat stretch exercise in improving hemoglobin levels among adolescent girls, a population at high risk of anemia, particularly during menstruation. This study was quasi-experimental with a pretest-posttest design with two group designs in June-August 2023. Fifty adolescent girls meeting the inclusion criteria were selected using purposive sampling and proportionally divided into two groups, the progressive muscle relaxation and cat stretch exercise combination group, and the walking group. The Point of care testing (examinations carried out near the patient outside the laboratory) method measures adolescent hemoglobin and hemodynamic levels before and after the intervention. The intervention was given for 4 weeks with weekly monitoring. Data were analyzed using the paired t-test and Mann-Whitney test. The combination of progressive muscle relaxation and cat stretch exercise was effective in increasing hemoglobin levels in both groups with an average increase of 0.484 and 0.184 respectively, but there was no difference in average hemoglobin in the two groups after the intervention (p-value 0.011 and 0.004). Physical activity, such as either the combination of PMR and cat stretch exercise or walking, was proven effective in increasing hemoglobin levels. These findings suggest that both methods have the potential to serve as simple and affordable interventions for reducing anemia in adolescent girls during menstruation.
Copyright (c) 2025 Heni Wijayanti, Poppy Fransisca Amelia, Ni Nyoman Maryaningtyas Adinatha, Dwi Kustriyanti https://creativecommons.org/licenses/by/4.0
Psycometric Test of Indonesian version of The Self-rated Fall Risk Questionnaire in Elderly Community
Falls are common problem and often occur in the elderly due to decreased body abilities, so a valid and consistent Instrumen is needed to see how high the risk of falls is in the elderly with the Self-rated Fall Risk Questionnaire (SRFQ). So, the practical application of this questionnaire is to pay attention to the dangers of environmental conditions regarding falls in the elderly and support the family to avoid the risk of falls in the elderly which can occur due to decreased balance disorders and the need for physiotherapy. Determining the validity and reliability of the Self-rated Fall Risk Questionnaire’s Indonesian version was the goal of this study. This study was in the methodological study that conducted in September 2023 at Elderly Community Gonilan village, Sukoharjo. There were 58 subjects. Participation this study that choosen by purposive sampling. The SRFQ was given 2 times with an interval of 2 weeks. Between the two measurement sessions, the Indonesian version of the SRFQ test-retest reliability results were very good (ICC 0,989, p-value < 0,001, and 95% CI: 0,982-0,994). Good Internal Consistency was a Cronbach’s Alpha value was 0,829. Based on the content validity results shown, the corrected correlation item value was below 0,3. There were 3 items. Concluded was that the Indonesian version of the SRFQ is declared reliable, but the content validity of the 3 items needed to be retested.
Copyright (c) 2024 Dika Tiara Salsabila, Dwi Rosella Komalasari https://creativecommons.org/licenses/by/4.0
Clean Water Availability and Access to Health Services on Maternal and Child Health Status
Poor nutrition during pregnancy and childhood is a bad consequence. Stunting children will never reach their peak height or have the best brain development. These children start their lives poorly; they have trouble learning in school, earn less than adults, and face obstacles to being a part of society. This research is to see the relationship between the availability of clean water and access to health services on the health status of mothers and children. This research is quantitative research using analytical observation methods with a "Cross Sectional" approach. Sampling was taken using Cluster Random Sampling with the Chi-Square statistical correlative test with a significance level of 0,05 using SPSS 24. There is a relationship between the availability of clean water and the health status of mothers and children (p-value=0,000), while access to health services does not have a significant relationship with the health status of mothers and children (p-value=0,904). The availability of clean water shows good health status for mothers and children, while access to health services does not have a significant relationship.
Copyright (c) 2024 Ratna Mahmud, Aslinda, Zulfia Samiun, Musliha Mustary, Febriyanti Kai, Surianti https://creativecommons.org/licenses/by/4.0
Determinants of Low Birth Weight (LBW) in Majene Regency
Low birth weight (LBW) is an important health problem, particularly in developing countries with low socioeconomic conditions. This study aimed to analyze maternal factors associated with the incidence of LBW in Majene Regency in 2023. The study involved 90 subjects selected through total sampling, using a case–control design and chi-square analysis. The results showed that maternal anemia was significantly associated with LBW (p-value<0,05), whereas maternal age, height, MUAC, exposure to cigarette smoke, and education were not associated (p-value>0,05). These findings emphasize the importance of educating pregnant women to regularly consume iron (Fe) tablets correctly, such as taking them before bedtime and avoiding consumption together with tea or coffee.
Copyright (c) 2025 Novi Aryanti, Nurul Annisa, Nur Zakiah, Supyati https://creativecommons.org/licenses/by/4.0
Analysis of Neutrophil-Lymphocyte Ratio and Platelet-Lymphocyte Ratio in Dengue-Infected Patients
Dengue infection, caused by the dengue virus and transmitted by Aedes mosquitoes, remains a significant public health issue in Indonesia. The ability to identify reliable biomarkers for assessing disease severity is critical for improving clinical management. This study aimed to evaluate the relationship between the Neutrophil-to-Lymphocyte Ratio (NLR) and Platelet-to-Lymphocyte Ratio (PLR) as potential biomarkers of severity in dengue infection. An observational cross-sectional design was employed, analyzing 76 dengue cases at RSAU dr. Dody Sardjoto. Data were collected from medical records of patients during the critical fever period (days 4-7). The majority of patients were male and adult, with a higher incidence of Dengue Hemorrhagic Fever (DHF). Statistical analysis showed no significant correlation between NLR and PLR with disease severity (p-value >0,05), although a positive correlation between NLR and PLR was observed. However, neither NLR nor PLR effectively predicted hospitalization duration. These results suggest that while NLR and PLR reflect immune responses in dengue infection, they are not suitable biomarkers for assessing disease severity. Further research is needed to identify more reliable biomarkers for better management of dengue infection.
Copyright (c) 2025 Nurul Adha Sari, Sri Julyani, Muhammad Wirawan Harahap, Irmayanti Haidir Bima, Abdul Mubdi Ardiansar Arifuddin https://creativecommons.org/licenses/by/4.0
Virgin Coconut Oil and Extra Virgin Olive Oil on Total Cholesterol and Triglyceride Levels in Hyperglycemic Obese White Rats
The increasing prevalence of obesity and metabolic disorders highlights the need for effective dietary interventions to improve lipid profiles and reduce cardiovascular risk. This study compares the effects of Virgin Coconut Oil (VCO) and Extra Virgin Olive Oil (EVOO) on lipid profiles, specifically total cholesterol and triglyceride levels, in hyperglycemic obese Wistar rats. Obesity and hyperglycemia are major risk factors for cardiovascular diseases and type 2 diabetes. A total of 24 male rats were divided into three groups: a negative control, a VCO group, and an EVOO group. Rats were placed on a high-fat diet for 14 days and administered 2 mL/kg body weight of either VCO or EVOO via oral gavage. Blood samples were collected at baseline, Day 7, and Day 14 for lipid profile analysis. Results revealed that both VCO and EVOO significantly reduced total cholesterol and triglyceride levels compared to the control group. Notably, EVOO resulted in a more substantial reduction in both total cholesterol (to 130,83 ± 24,807 mg/dL) and triglycerides (to 108,17 ± 17,612 mg/dL) by Day 14, surpassing the effects of VCO. These findings suggest that both oils are effective in improving lipid profiles in hyperglycemic obese rats, with EVOO demonstrating superior efficacy. This study provides valuable insights into the potential of VCO and EVOO as dietary interventions for managing obesity-related metabolic disorders, emphasizing EVOO’s greater effectiveness in lipid management.
Copyright (c) 2025 Dwi Ashariyanti Hakim, Aryanti R. Bamahry, Hanna Aulia Namirah, Ida Royani, Rachmat Faisal Syamsu https://creativecommons.org/licenses/by/4.0
Analysis of User Acceptance of Electronic Medical Record Systems Using the Technology Acceptance Model (TAM)
User acceptance is a key determinant of the successful implementation of Electronic Medical Records (EMR) in hospitals. This study aimed to analyze the factors influencing EMR acceptance at Bhayangkara Level III Hospital Kendari using the Technology Acceptance Model (TAM) approach. A cross-sectional study was conducted involving 114 healthcare workers selected through simple random sampling. Data were analyzed using Structural Equation Modeling based on Partial Least Squares (PLS-SEM) with SmartPLS version 4.0. Perceived ease of use had a significant effect on perceived usefulness (β = 0,760, p < 0.001) and user attitude (β = 0,464, p < 0,001). Perceived usefulness affected user attitude (β = 0,368, p < 0,001) and actual use (β = 0,534, p < 0.001), but had no direct effect on behavioral intention (p = 0,167). User attitude strongly influenced behavioral intention (β = 0,793, p < 0,001), which in turn affected actual use (β = 0,384, p < 0,001). Perceived usefulness acted as a partial mediator between ease of use and attitude, while attitude served as a full mediator between perceived usefulness and behavioral intention. Behavioral intention did not mediate the relationship between perceived usefulness and actual use. A user-friendly system design and demonstrable benefits are essential to foster positive user attitudes and encourage EMR adoption.
Copyright (c) 2025 Meilany Amelia, Sri Susanty, Fikki Prasetya https://creativecommons.org/licenses/by/4.0
The "Gesit" E-Book on Improving Teenagers' Knowledge and Attitudes toward Obesity Management
Indonesia faces a triple burden of nutritional problems, including the rising prevalence of obesity among children and adolescents. Obesity cases among senior high school students in Tasikmalaya Regency were notably high in 2023, indicating the need to analyze factors contributing to obesity in the region. This study aimed to analyze the effect of an e-booklet on obesity management on the knowledge and attitudes of obese adolescents at SMK Singaparna and SMK Daaruddakwah. A quantitative pre-experimental method with a one-group pretest–posttest design was used, and hypothesis testing was conducted using the Wilcoxon test and paired t-test. The sample consisted of 42 obese adolescents selected through total sampling. The results showed an increase in knowledge (6,21 points) and attitudes (1,91 points) regarding obesity management, indicating a significant effect of the e-booklet on improving knowledge (p-value< 0,001) and attitudes (p-value = 0,011). It is recommended that the developed e-booklet be utilized as a health promotion medium for obesity management.
Copyright (c) 2025 Siti Novianti, Tahani Nisrina Nadhifah, Rian Arie Gustaman, Nur Lina https://creativecommons.org/licenses/by/4.0
Comparative Analysis Without and With Sensitivity Encoding (SENSE) on Signal to Noise Ratio (SNR) and Scan Time of Axial T2 Flair MRI Brain
T2 FLAIR has a long scanning time, because T2 FLAIR has additional TI (Time of Inversion) so patients feel uncomfortable. The SENSE produces image quality, namely contrast and spatial resolution, which is the same as standard image reconstruction, but the scan time required is only half of the standard scan time. This research aimed to determined the difference between SENSE and non-SENSE techniques in axial T2 FLAIR MRI Brain on SNR values and scan time. This study used 16 samples from all patients with T2 FLAIR axial MRI brain at Gambiran Hospital using SENSE and non-SENSE techniques. The results of the image were evaluated by quantitative method, by giving ROI (Region of Interest) to the cerebral cortex, basal ganglia, thalamus and noise background, then the signal intensity obtained from the organ image and the standard deviation (SD) of the background of the image was calculated by dividing the average signal of the measured area by SD at the noise to obtain the SNR value. The results of the SNR value were analyzed by the Paired T-Test and tested with the SPSS version 25. There was a difference between the SENSE and non-SENSE techniques in the axial T2 FLAIR MRI brain to the SNR value. This difference is because the T2 FLAIR non-SENSE does not experience the reduction in phase encoding lines needed to fill the image k-space on each coil element, a potential deficiency is met by the elimination of wrapping information that results in high image resolution spatial.
Copyright (c) 2024 Diah Ranu Etikasari, Muhaimin, Eunike Serfina Fajarini https://creativecommons.org/licenses/by/4.0
Comparison of Giving Mecobalamin Supplements to Improve the Severity of Painful Diabetic Neuropathy
Diabetic Painful Neuropathy (DPN) is caused by the progressive loss of nerve fibers due to hyperglycemia, oxidative stress, andhomocysteinemia. Mecobalamin supplementation has shown potential in improving peripheral neuropathy symptoms by enhancing nerve conduction and alleviating neuropathic pain. However, its efficacy data remains limited. This research to investigated the effect of mecobalamin supplementation on the severity of Painful Diabetic Neuropathy in type 2 diabetes mellitus patients. This research is a non-randomized clinical trial, 16 patients were given 500 ?g of intramuscular Mecobalamin 8 times over 30 days (n=8) and 5 times over 10 days (n=8). Subjects underwent measurements VAS, TSS, BDNC and ENMG before and after intervention. VAS (p-value=0,022), TSS (p-value=0,020) and BDC (p-value=0,003) was significant improved in 8 times administration group. VAS (p-value=0,045) dan BDC (p-value=0,014) was significant improved in 5 times administration group, where TSS improved but not significant. The 8 times administration group was better compared to the 5 times administration group in improvement of VAS (p-value=0,016). Based on this research, The addition of mecobalamin 8 times and over 5 times in the management of Diabetic Neuropathic Pain can be useful in reducing neuropathic pain.
Copyright (c) 2024 Andi Muhammad Irsyadat, Susi Aulina, Yudy Goysal, Andi Alfian Zainuddin, Mimi Lotisna, Muhammad Yunus Amran https://creativecommons.org/licenses/by/4.0
The Level of Knowledge and Participation of Lestari Waste Bank and Sugema Waste Bank
Lestari Waste Bank was founded in 2022 and started operating in January 2023, located in Tamanjaya Village, Tasikmalaya City and is not yet registered as an active waste bank. One of the waste banks that is active in Tasikmalaya City is the Sugema Waste Bank. The aim of this research was to analyze differences in the level of knowledge and participation among customers of Lestari Waste Bank and Sugema Waste Bank. This research used a cross sectional design. The population was all Lestari Waste Bank customers, totaling 44 people and all customers of Sugema Waste Bank, totaling 110 people. The sampling technique used total sampling for Lestari Waste Bank customers. Meanwhile, simple random sampling was used for Sugema Waste Bank customers, involving 95 people. The independent variable was the type of waste bank. The dependent variables were knowledge and level of customer participation. Data were collected through an interview process with a questionnaire instrument. Data analysis was carried out using univariate and bivariate analysis. Differences in mean of knowledge were analyzed using the Mann-Whitney test. Differences in customer participation levels were analyzed using the chi-square test. The results of the research showed that there was a difference in the mean knowledge of Sugema Waste Bank and Lestari Waste Bank customers (p value <0,05). There was a significant relationship between the type of waste bank and the level of customer participation (p-value <0,05). The conclusion obtained was that the knowledge and level of participation Sugema Waste Bank customers were better than Lestari Waste Bank customers.
Copyright (c) 2025 Nissa Noor Annashr, Andy Muharry, Dadan Yogaswara, Adzillah Himayati Rahim, Putri Maulidiani Ardaya, Useu Nifiyanti https://creativecommons.org/licenses/by/4.0
Analysis of Parenting Patterns and Nutritional Imbalance as Risk Factors for Stunting in Toddlers
Stunting is a chronic nutritional problem that has serious impacts on children's physical growth and cognitive development. In 2023, South Kalimantan Province recorded a stunting prevalence of 24,7%, higher than the national average of 21,5%. This study aimed to examine the feeding practices and nutritional intake balance among stunted children under five in the Sungai Ulin Community Health Center (Puskesmas) service area. The study employed a mixed-methods approach, consisting of a quantitative component using a cross-sectional design, and a qualitative component through in-depth interviews. The quantitative data sample included 66 stunted children aged ?1 year, while the qualitative data sample consisted of 15 mothers or caregivers of stunted children. Data collection and analysis were conducted from March to July 2024. The study findings indicated that 54,5% of the stunted children were under three years old, and 60,6% were male. Additionally, 57,6% of the children had a short stature nutritional status. Energy (51,5%), carbohydrate (63,6%), and iron (57,6%) intake deficits were identified as significant risk factors. The qualitative findings revealed that parental time availability nutritional knowledge, and improper complementary feeding practices contributed to the occurrence of stunting. Interventions promoting balanced diets and educating parents about appropriate feeding practices are essential steps in preventing stunting.
Copyright (c) 2025 Niken Widyastuti Hariati, Aprianti https://creativecommons.org/licenses/by/4.0
Determinants of Public Interest in Telemedicine Use with UTAUT and Social Cognitive Model Approaches
The current lack of public knowledge regarding telemedicine correlates with its low utilization as a remote health service. This is supported by Central Statistics Agency survey data, which indicates that 58,2% of subjects are unaware of telemedicine, compared to only 41,8% who are familiar with it. This research intended to analyze the determinants of public interest in utilizing telemedicine, employing the Unified Theory of Acceptance and Use of Technology or UTAUT model, and also social cognitive theory. Quantitative methodology was used, with data collected through a survey of subjects familiar with or using telemedicine. Structural Equation Modeling (SEM) was employed to investigate the correlation among many variables by assessing both the direct and indirect influences of exogenous variables on endogenous ones. The study was conducted in 2024, involving a total of 215 subjects from various regions, specifically Surakarta, Yogyakarta, and Kalimantan. The study revealed that social influence, self-efficacy, and performance expectancy were significant predictors of individuals' interest in adopting telemedicine. Conversely, effort expectancy, gender, age, and moderating variables did not show a significant effect. This study concludes that strategies focused on increasing self-efficacy, performance expectancy, and social influence need to be optimized to encourage wider adoption of telemedicine services in the community.
Copyright (c) 2025 Winda Azmi Meisari, Nannyk Widyaningrum, Muhlizardy, Retno Tri Utama, Salma Nur Aulia https://creativecommons.org/licenses/by/4.0
Iron and Vitamin A Intake with the Incidence of Anemia in Adolescent Girls
Iron is an essential micronutrient, particularly for blood formation and hemoglobin synthesis. Vitamin A contributes by mobilizing iron reserves in the body, thereby supporting hemoglobin production. This study aimed to examine the association between iron and vitamin A intake and the incidence of anemia among adolescent girls in Surakarta. A cross-sectional design with multistage random sampling was employed, involving 199 female students who met the inclusion and exclusion criteria. Hemoglobin levels were assessed using the cyanmethemoglobin method, while dietary intake of iron and vitamin A was measured through the Semi-Quantitative Food Frequency Questionnaire (SQ-FFQ) to evaluate dietary habits. Statistical analysis revealed a significant association between iron intake and anemia (p-value= <0,001), whereas vitamin A intake showed no significant relationship (p-value= 0,132). The findings indicate that inadequate iron intake contributes to anemia in adolescent girls. Further research with larger sample sizes and longitudinal approaches is strongly recommended to elucidate the role of vitamin A and to inform more effective anemia prevention strategies.
Copyright (c) 2025 Devanda Amelia Prihantika, Listyani Hidayati, Dyah Intan Puspitasari https://creativecommons.org/licenses/by/4.0
Coloring Play Therapy on Hospitalization Anxiety Levels in Preschool-Aged Children
Hospitalization can trigger a range of reactions, from mild to severe, that interfere with a child's care and potentially impede the recovery process. The prevalence of anxiety in children reaches 60-80% of the general population during hospitalization, thus requiring special attention from caregivers. This study aimed to identify the effect of coloring picture play therapy on the anxiety levels of preschool children during their stay at Madani Regional General Hospital, Palu. This quantitative study employed a pre-experimental method with a single-group pre-test-post-test design. The population consisted of 337 children hospitalized over the last three months. A sample of 53 participants who met the inclusion criteria was selected using cluster random sampling. Data on anxiety levels were collected before and after the coloring picture play therapy and were analyzed using Wilcoxon Signed-Rank Test at a significance level of p<0,05. The results showed that before the therapy, one child (1,9%) had mild anxiety, 10(18,9%) had moderate anxiety, 39(73,6%) had severe anxiety, and 3(5,7%) experienced panic. After the therapy, no subjects were found to have severe anxiety or panic; anxiety levels shifted to moderate for 32,1% and mild for 67,9% of the children. Based on the findings, which indicate a significant decrease in anxiety (p<0,05), it is concluded that coloring picture play therapy is effective in reducing hospitalization-induced anxiety in preschool children.
Copyright (c) 2025 Hayati Palesa, Fauzan, Andi Mariani, Fahrurezi https://creativecommons.org/licenses/by/4.0
Health Promotion Using the Lecture Method Effective in Preventing Bullying Behavior Among Junior High School Students
Bullying is a serious issue affecting adolescents globally, particularly those aged 13-15. It significantly contributes to mental health problems and increases the risk of suicide. However, bullying often goes unaddressed due to its subtle impact and underreporting by victims. Therefore, practical strategies are needed to encourage student involvement in preventing bullying. This study evaluated the effectiveness of using lectures with audiovisual media to prevent bullying among junior high school students in Makassar. A quasi-experimental design was used with a pretest-posttest and control group. The study involved 100 students divided into an intervention group (SMP Negeri 1 Makassar) and a control group (SMP Negeri 6 Makassar). Knowledge and attitude were assessed using questionnaires. Data analysis included frequency distribution and bivariate analysis using Mann-Whitney and Wilcoxon tests. Results showed a significant difference in knowledge scores between groups (p-value=0,027) and a significant improvement in attitudes toward bullying prevention (p-value=0,001). The study concludes that health promotion using lectures and audiovisual media effectively improves student knowledge and attitudes toward bullying prevention. It is recommended that schools conduct regular health promotion activities addressing social issues such as bullying.
Copyright (c) 2025 Putri Yanti, Asna Ampang Allo https://creativecommons.org/licenses/by/4.0
A Peer Group Education Approach on Increasing Knowledge and Attitude of Adolescents Regarding Sexual Violence
Sexual violence is defined as any act targeting an individual's sexuality or sexual organs without consent, often involving coercion or threats. It constitutes a global public health concern with significant mental health consequences, particularly among adolescents as a vulnerable population, including those in Makassar, Indonesia. This study aimed to examine the effect of a peer group education approach on adolescents’ knowledge and attitudes regarding sexual violence. A quasi-experimental design with a non-equivalent control group and a pretest–posttest method was employed, involving 50 participants in the intervention group and 50 in the control group. Data were analyzed using the Mann–Whitney U test. The results showed a statistically significant difference between the intervention and control groups following the intervention, with p-values of 0,007 for knowledge (p-value <0,05) and 0,004 for attitude (p-value<0,05). These findings suggest that peer group education is an effective strategy for improving knowledge and fostering positive attitudes toward sexual violence among adolescents.
Copyright (c) 2025 Musyahidah Mustakim, Ibnul Al Jauzi Amri https://creativecommons.org/licenses/by/4.0
Evaluating the Hepatoprotective Effects of Barley on Alloxan-Induced Liver Damage in Diabetic Male Wistar Rats
Type 2 diabetes mellitus often leads to non-alcoholic fatty liver disease, affecting 69-74% of patients. Barley (Hordeum vulgare) offers a potential therapeutic alternative with safer interventions. This study aimed to explore the effects of barley on liver histopathology in alloxan-induced male Wistar rats and compare it with metformin. The research was conducted using a laboratory experimental design with 36 male Wistar rats divided into six groups: normal control, negative control (alloxan induction without treatment), positive control (metformin), and three treatment groups with variations in barley administration. Treatment group 1 received barley before and after alloxan induction, treatment group 2 received barley and standard feed after alloxan induction, and treatment group 3 received standard feed mixed with barley after alloxan induction. Barley was administered for 28 days, and histopathological analysis was performed at the end of the study. Data were analyzed using the Kruskal-Wallis and Mann-Whitney tests. The results showed that barley was able to improve liver cell damage, although not as effectively as metformin. The positive control group with metformin showed an average liver damage score of 148,33 with 53,03% normal cells and 15,28% necrotic cells. In contrast, the barley treatment groups showed average liver damage scores of 169,67 and 159,67. Thus, barley can improve liver histopathology in alloxan-induced rats, highlighting its potential as a safe herbal therapy for preventing and managing liver damage caused by oxidative stress in diabetes mellitus.
Copyright (c) 2024 Erica Dinata, Meldawati, Yeni Halim https://creativecommons.org/licenses/by/4.0
Analysis of Supplement Consumption of Pregnant Women with Orofacial Cleft in Children at RSAB Harapan Kita Jakarta
Congenital abnormalities remain a leading cause of death in toddlers, with a global death rate of 8.7 per 1000 live births in 2016. Cleft lip, a congenital birth defect, has an incidence rate in Indonesia that increases by an average of 7,500 cases per year. One of the exogenous factors influencing the occurrence of orofacial clefts (OFC) is maternal supplement intake. This study aimed to assess the relationship between maternal supplement consumption and the incidence of OFC in children and identify the dominant factors in maternal supplement intake. The study employed an observational analytic method with a case-control approach, involving 70 maternal samples calculated using the Lemshow formula. Data for the case group were obtained from mothers who underwent treatment at RSAB Harapan Kita Jakarta. The sampling method used was non-probability convenience sampling, and the data were analyzed using univariate, bivariate, and multivariate methods. The results showed a tendency for supplement consumption and maternal zinc requirements to increase the risk of OFC in children. However, a significant relationship was found between the timing of supplement consumption and the adequacy of folic acid, Vitamin B6, and Vitamin B12 supplements. In the multivariate analysis, the dominant risk factors were the need for folic acid and zinc in mothers. Based on the study results, it is recommended that local government regulations consider these factors to optimize the management and prevention of non-syndromic OFC in children, especially in Jakarta.
Copyright (c) 2024 Shofiyyah Najihan Sani, Ikeu Tanziha, Ikeu Ekayanti, Muhammad Syafudin Hak https://creativecommons.org/licenses/by/4.0
Spinning Wheel Media in Increasing Knowledge and Attitudes on the Maturity of Marriage Age
Indonesia ranked eighth in the number of child marriages, with a total of 25.53 million cases. Bengkulu Province ranked sixth nationally and was the highest in Sumatra Island for child marriages among adolescents aged 10–14 years, with a prevalence of 14,33%. This study aimed to analyze the effectiveness of spinning wheel media in improving knowledge and attitudes regarding the maturity of marriage age (PUP) among adolescents in Bengkulu City. The research employed a quantitative approach with a quasi-experimental design, using a one-group pretest-posttest format. The sample consisted of 60 adolescents from SMPN 17 and SMPN 22 in Bengkulu City. Based on data analysis, after the implementation of the spinning wheel media, adolescents’ knowledge scores ranged from a minimum of 10 to a maximum of 15. The average knowledge score increased to 12,98 after the intervention. A positive change in attitudes was also observed, with a post-intervention average attitude score of 52. The spinning wheel media proved effective in increasing knowledge and promoting positive attitudes toward the maturity of marriage age. It can be utilized as an alternative educational tool in efforts to prevent child marriage.
Copyright (c) 2025 Elvi Destariyani, Yuniarti, Erlin Puspita, Nurhayati https://creativecommons.org/licenses/by/4.0
Occupational Therapy Drawing Activities and TAK Perceptual Stimulation on Hearing Hallucination Changes in Schizophrenia Patients
Hallucinations are one type of mental disorder in which the patient experiences changes in sensory perception, feeling false sensations in the form of sound, sight, taste, touch or smell. The most common hallucination is auditory hallucination, reachingapproximately 70%. The study aimed to determine the effectiveness of drawing activity occupational therapy as the intervention group and perceptual stimulation group activity therapy as the control group on changes in auditory hallucinations in schizophrenia patients at Aulia Rahma Clinic in 2024. This study design used a quantitative study with a Quasi-Experimental design, Two Group Pretest-Posttest approach. The number of samples was 38 (19 intervention groups and 19 control groups) with purposive sampling technique. This study was conducted by conducting pretest and posttest (Drawing Activity Occupational Therapy and Group Activity Therapy Session I-V). The data were analyzed using paired t-test and independent t-test with a significance level of 95% (p-value < 0,05). The result indicated that the significant effectiveness of both therapies in reducing symptoms of auditory hallucinations with p-value <0,001. Drawing activity occupational therapy showed significantly greater symptom reduction compared to group activity therapy. Both therapies are recommended to overcome auditory hallucinations in schizophrenia patients, with special consideration on the effectiveness of group activity therapy. It is suggested that Aulia Rahma Clinic develop a comprehensive occupational therapy program, with a focus on drawing activities.
Copyright (c) 2025 M Ghaulan Zakia, Hernida Warni, Miranti Deadora https://creativecommons.org/licenses/by/4.0
Massage Therapy on Weight Gain and Motor Development in Children at Risk of Stuntingat Muara Satu Health Center
Stunting is a growth and development disorder experienced by toddlers due to prolonged nutritional deficiencies, especially during the first 1,000 days of life. One effective method to address stunting is providing stimulation through infant massage therapy, which functions to promote growth and development. This study aimed to assess the extent to which infant massage therapy affected weight gain and motor development in children under two years old who were at risk of stunting in the working area of Muara Satu Public Health Center, Lhokseumawe City. The study used a quantitative method with a quasi-experimental design and a pretest-posttest control group approach, comparing the conditions before and after the massage therapy intervention. The findings showed that the average difference in infant weight between the intervention group and the control group after the treatment was 0,51 kg. The results of the Independent T-test showed a p-value of 0,196 (p-value >0,05), indicating no statistically significant difference in weight between the two groups after the intervention. Therefore, it was concluded that infant massage therapy did not have a significant effect on increasing the weight of children at risk of stunting. However, in terms of motor development, the Mann-Whitney test showed a p-value of 0,023 (p-value <0,05), indicating a statistically significant difference between the intervention and control groups at post-test. Thus, infant massage therapy was proven to be effective in improving motor development in children under two years at risk of stunting.
Copyright (c) 2025 Erlina, Rayana Iswani, Fatiyani https://creativecommons.org/licenses/by/4.0
Social Media Platforms with Adolescents' Knowledge and Attitudes towards Nutrition
Along with the development of technology, social media has become an integral part of adolescents' daily lives. This study is concerned with significant changes in the behavioral patterns of high school adolescents, particularly in terms of the consumption of information about nutrition. This study aimed to bridge the knowledge gap and understand the practical implications of the relationship between the use of social media platforms and knowledge and attitudes about nutrition among secondary school adolescents. This type of research is a cross-sectional study approach. This study was conducted in 2024 in the Buton district with a sample in the study of MAN 1 Buton students, using a purposive sampling technique of as many as 37 people. Data analysis used bivariate analysis to test the null hypothesis using the chi-square (X2) formula. This study showed a relationship between the use of social media with knowledge and attitudes about nutrition, with significant results on the frequency of length of use per day (p-value=0,05). In addition, there was also a significant relationship between the type of social media used and attitudes about nutrition (p-value=0,031). This study concludes that its findings have significant implications for health education, particularly in guiding the development of curricula that incorporate social media as an effective and contextually relevant platform for delivering nutrition education to adolescents.
Copyright (c) 2025 Muh. Siddik Ibrahim, Besse Dahlia, Juwitriani Alwi, Nur Hayati, Husna Saleh, Muhammad Ikhwan Mardin https://creativecommons.org/licenses/by/4.0
Level of Preference and Protein Analysis of Patin Dimsum Substituted with Red Bean Flour as Additional Food for Toddlers
The supplementary feeding program (PMT) is a crucial nutritional intervention aimed at improving toddlers' nutritional status and meeting their dietary needs. Patin fish, a local food commodity from Riau, has potential for development into attractive processed food, such as dim sum. This study aimed to evaluate the acceptability and protein content of patin fish dim sum with red bean flour substitution. A Completely Randomized Design (CRD) was used, comprising one control (100% patin) and three treatments with varying patin fish and red bean flour ratios: 95%:5%, 90%:10%, and 85%:15%. Sensory evaluation was conducted with 30 panelists and analyzed using the Kruskal-Wallis test, followed by the Mann-Whitney test if significant differences were found. The results showed a significant difference in color (p-value=0,002), while taste (p-value=0,445), aroma (p-value=0,694), and texture (p-value=0,341) showed no significant differences. The most preferred formulation was the control (without red bean flour). However, the formulation with 10% substitution (F2) had the highest protein content at 9.45%, equivalent to 9,45 grams per 100 grams of product. With this level of protein, the patin dim sum qualifies as a high-protein food product. This innovation highlights the potential of locally sourced, nutritious food for children and supports the success of supplementary feeding programs in regions like Riau that rely on local resources.
Copyright (c) 2025 Irma Susan Paramita, Hesti Atasasih, Dewi Rahayu https://creativecommons.org/licenses/by/4.0
Sorghum Feeding on the Nutritional Status of Body Fat Percentage in Patients with Type 2 Diabetes melitus
Dietary management is essential in treating diabetes melitus, with recommendations to limit carbohydrate intake and increase fiber consumption. Modifying both the amount and type of food supports blood glucose control. Sorghum, a local cereal with a low glycemic index of 41 and high fiber content, also contains antidiabetic phenolic compounds, including phenolic acids, flavonoids, and tannins. This study aimed to evaluate the impact of sorghum as an alternative staple food on body mass index (BMI) and body fat percentage in individuals with type 2 diabetes mellitus in Mulyorejo village, Malang City. The study also assessed the relationship between the order of fruit and vegetable consumption, sleep quality, blood glucose, and blood pressure in these patients. An experimental pre-post test control group design was used with 32 subjects. Statistical analysis employed the Wilcoxon difference test at a 95% confidence level (p-value < 0,05). Sorghum intervention significantly reduced BMI (p-value = 0,021 in both groups). For body fat percentage, the p-value was 0,377 in the control group and 0,026 in the treatment group. In summary, incorporating sorghum using the T model plate approach may help reduce BMI and body fat percentage.
Copyright (c) 2025 Hanifah Umi Zahra, Dwipajati, Fitria Dhenok Palupi https://creativecommons.org/licenses/by/4.0
Factors Relating to the Family’s Capability in Caring for Patients with Violent Behavior
One of the significant health problems in Indonesia and the world is mental health. The family is the closest unit for individuals who are facing health problems. The reason of this investigation was to decide whether there's an impact of variables related to the family’s capacity to care for patients with rough behavior at the outpatient clinic of Rs dr. H Marzoeki Mahdi, Bogor. This research used a quantitative method with a cross-sectional design. The research instrument used was the RSES questionnaire to measure knowledge, attitudes, and the family's capability. The testing procedure utilized was purposive inspecting with consideration and avoidance criteria. The sample consisted of 53 subjects. The measurable test utilized was the Chi-Square test. The comes about of this ponder demonstrated that families who were incapable to care for patients with rough behavior summed to 38 subjects (71,7%), which was more than the subjekts who were able to care for patients with violent behavior, which consisted of 15 subjects (28,3%). There's a critical relationship between family demeanors towards patients with savage behavior and the family's failure to care for patients with a p-value of 0,008 and 0,007. The majority of families have good attitudes and knowledge, but it turns out that many of them are lacking in their ability to care for families with problems of violence.
Copyright (c) 2025 Nita Sukamti, Toni Irawan, Nur Fajariyah https://creativecommons.org/licenses/by/4.0
Psychoeducation on Mental Health on the Self-Acceptance of Patients After Schizophrenia Treatment
Self-acceptance in patients with schizophrenia remains low, as many patients do not fully understand their condition. They often harbor negative prejudices toward others, including family and the community, who tend to stigmatize them. This negative self-stigma leads to low expectations, resulting in diminished self-esteem and self-efficacy, which directly affects the recovery process. This includes reduced self-awareness or insight into the illness, ultimately impacting the quality of life of patients with schizophrenia. This study aimed to determine the effect of psychoeducation about mental health issues on self-acceptance in post-treatment schizophrenia patients in the working area of Wonorejo Public Health Center. The research used a quantitative method with a quasi-experimental design, specifically a pre-test and post-test with a control group. The sampling technique used was random sampling, involving 34 participants-17 in the intervention group and 17 in the control group. Data were collected using a questionnaire and analyzed using univariate and bivariate analysis with paired t-test and Mann-Whitney test. The results showed that psychoeducation had a significant effect on the self-acceptance of post-treatment schizophrenia patients. It is recommended that families provide continuous support and attention to the mental health of schizophrenia patients
Copyright (c) 2025 Niken Alinda, Muhammad Bachtiar Safrudin https://creativecommons.org/licenses/by/4.0
The "I'm Healthy and Free of Anemia" Video in Improving Teenagers' Anemia Awareness
Anemia remains a major nutritional problem in developing countries, including Indonesia, largely due to adolescents’ limited nutritional knowledge. This study evaluated the effectiveness of the educational video “I’m Healthy and Free of Anemia” in improving adolescents’ knowledge and attitudes toward anemia. Using a quasi-experimental one-group pretest–posttest design, 140 students from SMA Muhammadiyah 1 Padang and SMA Muhammadiyah 2 Palembang were selected purposively. Data were collected through validated questionnaires and analyzed using the Wilcoxon Signed Rank Test. Results showed significant improvements in knowledge and attitudes after the intervention (p-value<0,001), with mean knowledge scores increasing from 70,11 to 81,14 and attitude scores from 76,14 to 82,73. The video was effective due to its engaging visual and audio elements, as well as practical examples. This study highlights the value of interactive educational media in enhancing adolescents’ awareness and understanding of anemia.
Copyright (c) 2025 Intan Kumalasari, Ayu Febri Wulanda, Hermita Bus Umar, Herawati Jaya https://creativecommons.org/licenses/by/4.0