Jurnal Kesmas Prima Indonesia

DETERMINATION OF OBESITY INCIDENCE IN STUDENTS OF THE FACULTY OF MEDICINE AND HEALTH SCIENCES, UNIVERSITY OF JAMBI

Nouval Ramadhan — 2025-08-07

Obesity a condition of excessive body weight, is a major nutritional issue and a known risk factor for degenerative diseases. Based on the 2023 Indonesian Health Survey, the prevalence of obesity among adults over 18 years old reached 23.4%. A preliminary survey of 10 students at the Faculty of Medicine and Health Sciences, University of Jambi, found 3 students to be obese. This study aims to analyze the factors associated with obesity among students at the faculty. This quantitative study used an analytical design with a cross-sectional approach and involved 136 respondents selected through proportionate stratified random sampling. Data collection utilized instruments such as the Stunkard Figure Rating Scale, PSQI, IPAQ-SF, PSS, and FFQ, along with direct measurements of body weight and height. The study found that 21% of the students were obese. There were significant associations between obesity and sex (p=0.017), parental body shape (p=0.025), sleep quality (p=0.005), and physical activity (p=0.005). However, no significant association was found with stress (p=0.361), consumption of high-risk foods (p=0.277), or fruit and vegetable intake (p=0.070). Sleep quality was identified as the most dominant factor (Adj PR 12.788). Sex was a protective factor, while parental body shape, poor sleep quality, and low physical activity were risk factors for obesity.

Keywords: Obesity, College Students, Parental Stature, Stress, Sleep Quality, Consumption Patterns

Red Ginger Reduced Pain Due to Primary Dysminorrhoea in Adolescent Girls

Ulfa Nur Hidayati — 2025-08-02

Primary dysmenorrhea is common among adolescent girls and affects their quality of life and daily activities. Therefore,
effective and safe treatments are needed. This study aims to evaluate the effectiveness of red ginger consumption in reducing the intensity of primary dysmenorrhea pain in adolescent girls. The research design used was a pre-experimental design with a one-group pretest-posttest design. The study was conducted at SMK "P" Batu City from September to December 2024, involving 32 adolescent female participants selected through a total sampling technique. The independent variable was the consumption of red ginger, 200 ml, twice daily (morning and evening), and the dependent variable was the intensity of dysmenorrhea pain. Pain levels were measured before and after the intervention using direct observation instruments. Data analysis was performed by calculating the frequency distribution and the Wilcoxon statistical test. The results showed that before the intervention, most respondents experienced moderate pain (59.4%) and severe pain (21.9%). After red ginger consumption, there was a significant decrease in pain intensity. On the first day of intervention, 68.6% had mild pain, and 25% had moderate pain. On the second day, 46.8% reported no pain, and 40.6% experienced only mild pain. Wilcoxon test results revealed a significant difference in pain intensity between the pre-intervention and post-intervention periods (p < 0.001). Thus, red ginger consumption is proven to be significantly effective in reducing primary dysmenorrhea pain intensity in adolescent girls.

Improving the Knowledge and Attitudes of Premenopausal Women in Facing Physical Changes during Menopause through Audiovisual Media Health Education

Nanik Susanti — 2025-08-01

Lack of understanding about premenopause can affect women's attitude and readiness to face it. Education through audiovisual media increases knowledge and forms positive attitudes more effectively. This study assessed the effect of audiovisual education on the knowledge and attitudes of premenopausal women in dealing with physical changes during menopause. The research design used was pre-experimental with a one-group pretest-posttest design. The research was conducted at Kauman Husada Clinic in Malang. The research was conducted in November - December 2024. The study population was all premenopausal women aged 40-50, with 50 people obtained by a total sampling technique. The dependent variables of this study are knowledge and attitude. The independent variable is health education with audiovisual media. This study's intervention was providing health education through audiovisual media. Data was collected directly by giving knowledge and attitude questionnaires before and after the intervention. The stages of data analysis began with calculating the frequency distribution of knowledge and attitudes before and after the intervention, using the t-Wilcoxon test. The results showed differences in respondents' knowledge before and after audiovisual media education (p = <0.001). There is a difference in the attitude of respondents before and after being given audiovisual media education (p = <0.001). The conclusion is that providing education using audiovisual media significantly affects the increase in knowledge and attitudes of respondents.

Analysis of Increasing Trends in Hemodialysis Patients and Its Implications for National Health Financing Burden in Indonesia: Literature Study

Vira Zul Fahny — 2025-07-07

The number of chronic kidney disease (CKD) patients undergoing hemodialysis in Indonesia continues to increase, putting great pressure on the national health financing system, especially the National Health Insurance (JKN). This study is a literature review that analyzes five scientific articles published between 2021 and 2024. Articles were selected through targeted searches in Google Scholar and PubMed, then synthesized narratively to describe trends and financing implications. The synthesis results show a significant increase in the number of hemodialysis patients each year, with therapy costs reaching trillions of rupiah. Payment rates set in the INA-CBGs system are often not in accordance with real costs in hospitals, risking a deficit in health facilities and BPJS Kesehatan. The increasing trend of hemodialysis patients places a large economic burden on the national health system. Cost control strategies are needed through primary prevention, early detection of CKD, adjustment of INA-CBGs rates, and development of alternative therapies to maintain service sustainability.

Relationship of Knowledge to SBAR Communication Attitude During Patient Handover in Recovery Room in Anesthesiology Nursing Students of Aisyiyah University Yogyakarta

Zahara Febria Azva — 2025-07-07

Communication failure can lead to malpractice, misunderstanding, delayed diagnosis, service, additional costs, incomplete information, patient and family dissatisfaction and can even cause death, so effective communication with the SBAR method is needed during patient handover in the recovery room. This study aims to determine the relationship between the level of knowledge and the attitude of SBAR communication during patient handover in the recovery room in Anesthesiology Nursing students at 'Aisyiyah University of Yogyakarta. This research method uses quantitative correlation with a cross-sectional design. Sampling with random sampling totaling 67 respondents. Data were collected using a questionnaire with Spearman rank analysis. The results of the Spearman Rank correlation test obtained a p-value of 0.000 <0.005 and a correlation value of 0.758 (strong), meaning that there is a relationship between knowledge and the attitude of SBAR communication during patient handover in the recovery room in Anesthesiology Nursing students at 'Aisyiyah University of Yogyakarta. The majority of respondents had good knowledge of 35 respondents (52.5%) and good attitudes of 37 respondents (55.2%).

Analysis of the Level of Service Satisfaction of BPJS Patients at the Primary Outpatient Clinic of UIN North Sumatra Using the Servqual Method

Dewi Syahfitri — 2025-07-07

Service quality is closely related to customer satisfaction because service quality can create a good relationship with the company and tell the company how to meet consumer needs. This study aims to determine the level of patient satisfaction with the services provided by the Primary Outpatient Clinic of UIN North Sumatra. The method in this study uses a quantitative approach, and the research design is carried out in a cross-sectional manner. The research sample of 50 respondents was selected through the purposive sampling method in accordance with the criteria of patients who received BPJS and had reading and writing skills. The results showed that all dimensions of SERVQUAL had a positive gap, with responsiveness as the highest dimension (0.49), followed by tangibles (0.36), assurance (0.35), reliability (0.32), and empathy (0.31). The CSI value of 82.61% indicates that patient satisfaction is in the very satisfied category. The conclusion of this study shows that the level of satisfaction of BPJS patients with the services at the Primary Outpatient Clinic of UIN North Sumatra is in the category of very satisfied. The responsiveness and tangibles dimensions received the highest ratings, while the empathy and a dimensions still needed improvement to be able to meet patient expectations more optimally and sustainably.

The Relationship Between Field Clinical Practice Experience And Work Readiness Of Final Level Anesthesiology Nursing Students In Yogyakarta

Gita Latifah Wahyuaji — 2025-07-08

Field Clinical Practice (PKL) is an important stage in Anesthesiology Nursing education to equip students with technical skills and work readiness. Students are required to have competence in anesthesia management. However, students' work readiness after undergoing PKL is still a question, so this research needs to be carried out. This study aims to determine the relationship between PKL experience and work readiness of Anesthesiology Nursing students in Yogyakarta. This research uses quantitative methods with a correlational design and approach cross-sectional. The research population was final year Anesthesiology Nursing students at UNISA and the Yogyakarta Ministry of Health Polytechnic. The sampling technique uses stratified random sampling, with a total of 60 respondents. Data analysis was carried out using a correlation test Spearman Rank. Based on the results of statistical analysis, the results showed that 50 students (83.3%) had PKL experience in the good category, with 52 students (86.7%) in the ready category for work readiness. Correlation test results Spearman Rank The value obtained was 0.825** and the Sig (2-tailed) value between the PKL Experience and Work Readiness variables was 0.000 (p<0,05). There is a very strong relationship between PKL experience and job readiness of final year Anesthesiology Nursing students in Yogyakarta.

The Role of Technology in Primary Health Care Management Strategy : Literature Study

Sumi Fitri Winanti — 2025-07-08

Primary health care is a very important first-level service in the health system, especially in remote and low-income areas. The development of digital technology has great potential to improve the effectiveness and efficiency of primary health care through integration in management strategies. This article is a literature study that aims to explore the role of technology in primary health care management strategies based on the results of recent research. Data were obtained from various national and international scientific journals between 2021 and 2025 through searches on databases such as Google Scholar, PubMed, Scopus, and ScienceDirect. The results of the analysis show that the use of technology such as electronic medical records, telemedicine, and mobile health applications can improve access, service quality, and managerial efficiency. However, challenges such as limited infrastructure, digital literacy, and human resource readiness are still major obstacles. This study recommends the need for contextual adaptive strategies to optimize the use of technology in primary health care, especially in developing countries like Indonesia.

Analysis of Factors of Utilization of JKN Program Services in Pancur Batu District

Rizka Fauziah Salsabila — 2025-07-08

The JKN program in Pancur Batu District, Deli Serdang Regency, has not been running optimally, with a low number of participants utilizing health services. This is due to various factors, including access, service quality, and public understanding. This study aims to identify the relationship between factors that influence the utilization of health services in the area. The method used is a quantitative approach with a cross-sectional design, involving 97 respondents selected by simple random sampling. Data were collected through questionnaires and analyzed using chi-square analysis. The results showed a significant correlation between the use of JKN services and education level (p = 0.015), availability of facilities and infrastructure (p = 0.009), accessibility (p = 0.002), and complaints of illness (p = 0.011). In contrast, no significant correlation was found between employment status (p = 0.805) and salary (p = 0.622) with service utilization. The conclusion of this study is that increasing the utilization of the JKN program requires a holistic approach, which includes improving access to health facilities, improving service quality, and educating the public about the benefits of the JKN program.

The Relationship Between Family Support And Anxiety Levels In Children Aged 5–18 Years With Chronic Kidney Disease At Haji Adam Malik Hospital Medan

Rani Kawati Damanik — 2025-07-10

Anxiety is a problem characterized by refusing to be given nursing care, sleep disturbances, restlessness, worry, fear, crying easily, decreased appetite. The presence of family support can reduce the patient's anxiety level and influence the level of support they receive. The aim of this research is to identify the relationship between family support and the anxiety level of children suffering from chronic kidney failure aged 5-18 years at Haji Adam Malik Hospital. This type of research is correlation analysis with a Cross Sectional approach. The population in this study were families and children with GGK, the sample in this study was 73 people using a total sampling technique. The tool used to measure family support and the anxiety level of children with chronic kidney failure aged 5-18 years is a questionnaire. From the data, 18 people (24.7%) had good family support with anxiety in children, 10 people (13.7%) in the non-anxious category, 6 people in the mild anxiety category (8.2%), 2 people in the moderate anxiety category (2.7%). Of the 37 people (50.7%) who have sufficient family support, 5 people (6.8%) are not anxious in the child's anxiety category, 22 people are in the mild anxiety category (30.1%), 10 people are in the moderate anxiety category (13.7%). Of the 18 people (24.7%) who had less family support with anxiety in children in the non-anxious category, 3 people (4.1%), in the mild anxiety category, 5 people. It was concluded that there was a relationship between family support and the level of anxiety in children with CKD aged 5-18 years at Haji Adam Malik Hospital (p value = 0.005). It is hoped that the suggestions in this study can increase family support in reducing anxiety in children by providing religious education to children, always accompanying children in the treatment of chronic kidney failure.

Keywords: Family Support, Anxiety for CKD Children

The Impact of Educational Videos and Leaflets on the Use of PPE Among Welding Workshop Employees

Marshall Jeremia Nadapdap — 2025-07-10

Welding workers are vulnerable to various accident risks, such as electric shock, fire, and explosion, which can result in serious injury and even death. One of the main causes of work accidents is failure to use personal protective equipment (PPE). This study aimed to analyze the effectiveness of video and leaflet-based counseling methods in improving knowledge, attitudes, and actions related to the use of PPE among welding workshop workers. A quasi-experimental study with a non-randomized pretest-posttest control group design was conducted in Tanjung Gusta Village, Medan, involving 36 welding workshop workers who were divided into intervention (video) and control (leaflet) groups. The results showed that both extension methods significantly improved workers' knowledge, attitude, and action scores (p<0.05). However, video counseling showed a greater advantage, with a higher mean score increase and a significantly higher N-Gain value (61.8) compared to leaflet (43.3) (p<0.001). Mann-Whitney analysis confirmed that the intervention group using the video showed a significant increase in mean knowledge, attitude and action scores compared to the control group. This study concludes that video education is more effective than leaflets in improving PPE use among welding workshop workers. Integration of video-based education into occupational health programs is recommended to improve worker safety behavior.

Analysis Of Satisfaction And Performance Levels At Community Health Center X, Jayapura City

Novita Medyati — 2025-07-11

The implementation of accreditation in a community health center can have a positive impact with the existence of legal security related to the quality of services provided by the community health center. Therefore, it is important to measure several indicators for assessing the implementation of accreditation such as measuring satisfaction and performance in the community health center. The purpose of this study was to analyze the level of satisfaction and performance of the community health center at Community Health Center X, Jayapura City. This type of research is descriptive quantitative conducted in August 2024 with the research location at Community Health Center X in Jayapura City. The research subjects were patients visiting Community Health Center X. The sampling technique used accident sampling with a sample size of 72 respondents. Data analysis was descriptive and presented in the form of a frequency distribution. The results of the study found that the highest level of satisfaction of respondents was in the Satisfied category with an average value of 37.6 (52.2%), while the performance of health services at the Community Health Center was in the Good category. Based on the results of the study, it shows good quality services at Community Health Center X based on indicators of the level of satisfaction of service users and performance. To determine the extent of the contribution of accreditation to service quality, further research is needed.

Kata kunci: Akreditasi, Kepuasan, Kinerja, Puskesmas.

Analysis of Factors Related to Nurse Performance in Inpatient Wards Citra Medika General Hospital

Dwiana Kartika Putri — 2025-07-11

Introduction:A hospital is a health service organization that is very important for the community. One of the most important resources in determining the success of hospital services is the health workforce. Nurses are one of the professional health workers who provide nursing care to patients whose performance greatly affects the quality of services provided. The performance of a health worker is greatly influenced by several factors that influence a person to continue to improve, direct and maintain their behavior both directly and indirectly with the work environment. Purpose: This study aims to analyze factors related to nurse performance. Method: This research method is quantitative withThe analytical survey research design uses a cross-sectional approach, namely research that tries to explore how and why the phenomenon occurs and then carries out a dynamic analysis of the correlation between the phenomena, both between the independent variables and the dependent variables., the population was 53 nurses in the inpatient room and the sample used was a total sampling of 53 nurses in the inpatient room. The data collection technique used a measuring instrument in the form of a questionnaire. Results: The results of the study showed that the variables of job promotion with a ρ value (0.033), the work itself with a ρ value (0.030) and awards with a ρ value (0.005) had a relationship with nurse performance because the valueρ value< 0.05. Conclusion: Promotion, the work itself, and rewards are related to nurse performance at Citra Medika Hospital.

The Effect of Childbirth Planning and Complication Prevention Program Education on the Knowledge and Attitudes of Pregnant Women

Chintia Kartikaningtias — 2025-07-11

The high maternal mortality rate (MMR) and infant mortality rate (IMR) are the main drivers for the implementation of the Childbirth Planning and Complication Prevention Program (P4K). The P4K program plays an essential role in helping pregnant women prepare for labor and detect potential complications. The success of this program is highly dependent on the knowledge and attitude of pregnant women towards childbirth planning and the complication prevention program itself. The purpose of this study was to determine the Education of childbirth planning programs and prevention of complications on the knowledge and attitudes of pregnant women. The research design used was a quasi-experiment with a one-group pretest-posttest design. The research was conducted at the Praktik Mandiri Bidan of Parangargo Village, Wagir District, Malang Regency in April 2024. The subjects of this study were all pregnant women who underwent antenatal care examination, a many of 30 people, with a purposive sampling technique. Data collection was done by distributing questionnaires to pregnant women. The intervention was provided in the form of a childbirth planning and complication prevention program to measure the knowledge and attitudes of pregnant women before and after the intervention. Analysis of research data using the Wilcoxon test. The results showed that there was an effect of providing the P4K program on increasing the knowledge and attitudes of pregnant women through the P4K program.

Analysis Of Nursing Service Quality On Inpatient Satisfaction At Madani General Hospital, Medan

Rustiani Rustiani — 2025-07-11

Patient satisfaction is one of the important indicators that must be considered in nursing services. Patient satisfaction is the result of patient assessment of nursing services by comparing what is expected with the reality of nursing services received in a hospital. The purpose of the study was to analyze the quality of nursing services on the satisfaction of inpatients at RSU. Madani Medan. The type of research used in this study is quantitative using an observational approach. The research design used is cross-sectional. The population in this study includes inpatients at RSU. Madani Medan in January 2025 to February 2025 as many as 300 people. The number of samples to be studied according to Slovin was 175 people. Data analysis was carried out using univariate, bivariate and multivariate analysis. The statistical tests used were the chi square test and logistic regression. The results of the chi square test showed a significant relationship between Direct Evidence, Reliability, Responsiveness, Assurance and Empathy of nursing services on inpatient satisfaction at RSU. Madani Medan, where the p-value = 0.000. From the results of the multivariate analysis, the most influential variables in this study were the Assurance variable with an OR value of 66.738, and the Empathy variable with an OR value of 22.142. Conclusion of the study; the majority of patients with respondent characteristics aged 27-38 years, female gender, high school education level, housewife occupation. The quality of nursing services Direct Evidence, Reliability, Responsiveness, Assurance and Empathy can be seen from the attitudes of nurses in providing nursing services carried out for the satisfaction of inpatients at RSU. Madani Medan.

Prevalence and Associated Risk Factors of Dehydration Among Construction Workers

Kartika Sari Rizki — 2025-07-11

Dehydration poses a significant health risk to construction workers due to heavy physical work and exposure to hot working conditions. This study aimed to determine the prevalence of dehydration and identify associated risk factors among construction workers. A cross-section study was conducted involving 32 construction workers in a construction project for the construction of a wheat flour and soybean mill owned by PT. Agri First which operates at KIM 2 Medan. Data were collected using questionnaires, fingertip pulse oximeters, urine refractometers, and observation sheets. Dehydration is categorized based on the level of urine specific gravity (ultrasound). The data was statistically tested using the Fisher Exact test (α=0.05). The majority of workers (75%) were dehydrated. There was no significant relationship between dehydration and age. However, workers with more than 3 years of experience were more likely to be dehydrated compared to workers with less than 3 years of experience (OR = 8,333, 95% CI: 1,392-49,872). Workers with moderate workloads were also more likely to be dehydrated compared to workers with light workloads (OR = 18,333). There was a significant association between water intake and dehydration (p = 0.000). All workers who did not drink enough water were dehydrated, while only 66.7% of those who drank enough water were dehydrated. Workers with more than 3 years of experience, moderate workload, and inadequate water intake have a higher risk of becoming dehydrated. Interventions to improve hydration among construction workers are urgently needed.

The Effect of Rosa Damasecana Aromatherapy on the Level of Anxiety During the First Active Phase of Labor

Elvina Sari Sinaga — 2025-07-16

Anxiety can weaken uterine contractions or reduce maternal pushing power (power), thereby inhibiting labor progress and potentially leading to prolonged labor. Many pregnant women experience anxiety during childbirth. Aromatherapy can help relax the body, improve mood, and refresh the mind. Rose essential oil has been shown to reduce relative sympathetic nerve activity by 40% and decrease plasma adrenaline concentrations. This study used a quasi-experimental design with a one-group pretest-posttest with control group. The population and sample included all mothers who gave birth at the Lena Barus Binjai Clinic between October and December 2024, totaling 20 individuals, divided into intervention and control groups. The result of the t-test showed a p-value of 0.000 (<0.05), indicating a significant effect of Rosa damascena aromatherapy on reducing anxiety levels during the first stage of active labor. The mean ranks for the control and intervention groups were 5.70 and 15.30, respectively, with sum ranks of 57.00 and 153.00.

Optimizing menarche readiness through video and leaflet health education interventions among primary school girls

Erin Padilla Siregar — 2025-07-17

The counseling process requires engaging media to effectively enhance understanding and promote behavioral change within the target population. This study aimed to evaluate the impact of health counseling delivered through video and leaflet media on adolescents’ readiness to face menarche. A quasi-experimental design with a nonequivalent control group was employed. The study population consisted of students in grades 4 to 6 at SDN 101816, totaling 136 individuals. From this population, 60 respondents were selected and divided equally into two groups: one group (n = 30) received counseling via video media, while the other group (n = 30) received counseling through leaflets. Results indicated that adolescents' readiness to face menarche increased following health counseling with video media, with mean scores rising from 26.47 pre-intervention to 31.20 post-intervention, representing an improvement of 4.73 points. Statistical analysis confirmed a significant effect of video-based counseling on readiness (p < 0.001). Similarly, counseling using leaflet media resulted in an increase in readiness, with mean scores improving from 24.73 before intervention to 27.10 after, an increase of 2.34 points, also statistically significant (p < 0.001). Furthermore, comparison between the two groups revealed a significant difference in the effectiveness of video versus leaflet counseling approaches, favoring video media (p = 0.002). These findings suggest that health workers should prioritize the use of engaging media, such as videos, in health promotion efforts aimed at preparing adolescents for menarche.

High Complaints of Lower Back Pain Related to Length of Service Among Workers at the Ud. Berkah Gemilang Magetan Bread Factory

Pipid Ari Wibowo — 2025-07-21

Low back pain (LBP) is a musculoskeletal disorder frequently experienced by workers, primarily due to ergonomic factors and work duration. This study aims to analyze the relationship between work duration and low back pain complaints among workers at the UD. Berkah Gemilang Magetan bakery. The study design used a quantitative approach with a cross-sectional design. The study sample consisted of 35 workers, selected using a simple random sampling technique. Data were collected through the Nordic Body Map (NBM) questionnaire and analyzed using the Kendall Tau-b correlation test. The results showed that the majority of workers had a work period of ≥ 3 years (54.3%) and experienced low back pain complaints in the moderate risk category. Statistical analysis showed a significant relationship between work duration and low back pain complaints (ρ = 0.003; CC = 0.491). The longer the work period, the higher the risk of workers experiencing low back pain complaints, especially in the thighs, knees, and feet. The conclusion is that a longer work period increases the risk of low back pain in workers. Suggestions include the application of ergonomic principles, training in correct work postures, and regular health checks to prevent and reduce these risks.

Kata kunci: Nyeri punggung bawah, masa kerja, ergonomi, pekerja pabrik

Analysis of Logistics Management Strategy in Increasing Drug Availability at Dalu Sepuluh Tanjung Morawa Community Health Center

Sri Rahayu — 2025-07-23

Drug logistics management is a crucial aspect in ensuring drug availability in primary healthcare facilities. This study aims to analyze logistics management strategies to improve drug availability at the Dalu Sepuluh Tanjung Morawa Community Health Center. The research method used was descriptive qualitative, with data collection techniques through in-depth interviews with two key informants and direct observation. The results showed that all stages of logistics management—planning, procurement, storage, distribution, and disposal—have been implemented in accordance with applicable standard operating procedures (SOPs) and regulations. Planning was carried out using LPLPO and referring to DOEN. Drug storage applies the FIFO and FEFO principles, but storage space is still limited. Distribution is carried out routinely every two months, although delays are often encountered by the district pharmacy installation. Stock monitoring is still predominantly manual, despite the availability of applications such as SIMPUS and SIODANG. The process of eliminating expired drugs has not been routinely scheduled due to limited funds and space. In conclusion, the logistics strategy has been implemented comprehensively, but improvements are still needed in technology integration, storage capacity, human resource training, and drug disposal management to ensure optimal and sustainable availability.

Analysis Of Factors Of Occupational Fatigue In Outpatient Nurses At Siaga Medika Hospital, Banyumas

Muhamad Heriyono — 2025-07-24

One factor that can cause workplace accidents is work fatigue. In addition to reducing productivity, work fatigue can also complicate tasks. This study aims to determine the characteristics of participants and determine the factors influencing work fatigue among outpatient nurses at Siaga Medika Banyumas Hospital in 2023. This study used a case study approach with qualitative methodology. The research sample consisted of five people selected using a purposive sampling strategy. Primary and secondary data were obtained through interviews using the Nur Indah Rintonga questionnaire in 2016 and supported by a grounded theory data analysis methodology. The findings of this study are presented in the form of respondent characteristics, namely the identities of respondents who work as three orthopedic nurses and two internal medicine nurses. Age and health conditions are examples of internal factors influencing work fatigue, while workload is an example of an external factor. Based on the feelings of fatigue experienced by respondents, 3 out of 5 respondents said they often felt work fatigue, while the other 2 only occasionally. Based on the interview results, all respondents confirmed that the main cause of their fatigue was due to excessive workload, supported by factors such as age and health status. Based on the results of the research conducted, it is recommended that the work organizer, namely the hospital, re-evaluate the real workload in the field by implementing work policies in the hospital.

Kata kunci : kelelahan kerja, umur, status kesehatan, beban kerja

Effect of Chest Physiotherapy on Respiratory Effectiveness in Children with Pneumonia

Lisnawati Lubis — 2025-07-25

Pneumonia remains a leading cause of morbidity and mortality in children, especially those with weakened immunity due to factors such as insufficient breast milk, malnutrition, HIV or measles infection, premature birth, or incomplete immunizations. Environmental exposures—including dust, cigarette smoke, and air pollution further elevate the risk. This study aimed to systematically review literature (2019–2024) on the effectiveness of chest physiotherapy in improving clinical outcomes, specifically respiratory rate, oxygen saturation, length of hospital stay, and symptomatic recovery in children with pneumonia. We conducted electronic searches on Google Scholar, NCBI, and accredited Indonesian journals using the keywords “chest physiotherapy” and “pneumonia in children.” From approximately 60 initially identified articles, eight met our inclusion criteria and were reviewed in full. Most studies were quasi‑experimental; one was a randomized controlled trial. Study populations ranged from infants (0–5 years) to older children (6–12 years). Interventions comprised postural drainage, clapping, vibration, percussion, deep‑breathing exercises, and effective coughing techniques. Results from eight studies indicated modest improvements in oxygen saturation and reductions in respiratory rate in some small trials. However, findings were inconsistent, with substantial heterogeneity in methodology, intervention protocols, and outcome reporting. Overall evidence quality was low to moderate. Chest physiotherapy may offer potential benefits in terms of oxygenation and respiratory rate in pediatric pneumonia patients. Nevertheless, current evidence remains limited and heterogeneous. High‑quality randomized controlled trials using standardized protocols are needed to establish stronger recommendations

The Effect Of Asmaul Husna Dhikr On Blood Pressure In Hypertension Patients Pre-Anesthesia At Yogyakarta Islamic Hospital PDHI

Hana Az Zahra — 2025-07-30

Increased blood pressure during pre-anesthesia if not treated will cause bleeding both intra and post-operatively.Furthermore, it also increases the anesthetic dose, which prolongs the patient's recovery period after anesthesia. One therapy that can lower blood pressure is the recitation of the Asmaul Husana (Asmaul Husana) because it has a relaxing effect on the body.This study aims to determine the effect of dhikr Asmaul Husana on blood pressure in pre-anesthesia hypertension patients at the Yogyakarta Islamic Hospital PDHI..This research method used a pre-experimental design with a one-group pretest-posttest design with the Wilcoxon test. The sample in this study were 54 pre-anesthesia patients with accidental sampling. The results of data processing using the Wilcoxon test obtained a p-value of 0.000 (p <0.05), which means Ha is accepted. These results indicate that there is an effect of dhikr Asmaul Husana on blood pressure in pre-anesthesia hypertensive patients at the Yogyakarta Islamic Hospital PDHI.

Kata kunci: Dzikir Asmaul Husna, Tekanan Darah, Pre Anestesi