SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat
Journal Title : Jurnal Ilmiah Kesehatan Masyarakat Language : Indonesia and English e-ISSN : 2809-9702 p-ISSN : 2810-0492 Frequency : 4 issues per year (January, April, July and October) Publisher : Yayasan Literasi Sains Indonesia DOI : doi.org/10.55123/sehatmas Citation Analysis : Google Scholar Editor-in-chief : Angelia Putriana Email : jurnal.sehatmas@gmail.com Jurnal Ilmiah Kesehatan Masyarakat yang disingkat SEHATMAS merupakan Jurnal yang diterbitkan 4 (empat) kali dalam setahun, yaitu pada bulan Januari, April, Juli dan Oktober oleh Yayasan Literasi Sains Indonesia. Jurnal ini merupakan jurnal yang dapat akses secara terbuka bagi para Peneliti, Mahasiswa dan Dosen yang ingin mempublikasikan hasil penelitiannya pada bidang kesehatan. Jurnal Ilmiah Kesehatan Masyarakat mempublikasikan artikel-artikel kajian empiris dan teoritis dalam bidang Gizi, Rekam medis dan Informasi Kesehatan, Keperawatan, Kebidanan, Obat-obatan, Psikologi Kesehatan dan bidang penelitian lain yang berkaitan dalam kesehatan masyarakat.
Hak cipta pada setiap artikel adalah milik penulis. Penulis mengakui bahwa SEHATMAS (Jurnal Ilmiah Kesehatan Masyarakat) sebagai publisher yang mempublikasikan pertama kali dengan lisensi Creative Commons Attribution 4.0 International License. Penulis dapat memasukan tulisan secara terpisah, mengatur distribusi non-ekskulif dari naskah yang telah terbit di jurnal ini kedalam versi yang lain, seperti: dikirim ke respository institusi penulis, publikasi kedalam buku, dan lain-lain. Dengan mengakui bahwa naskah telah terbit pertama kali pada SEHATMAS (Jurnal Ilmiah Kesehatan Masyarakat).
Literature Review : Peran Keluarga dalam Keberhasilan Pengobatan Tuberkulosis
Tuberculosis (TB) remains a major public health problem in Indonesia, with persistent challenges related to treatment adherence and completion due to the long duration of therapy. Non-adherence to TB treatment contributes to treatment failure, drug resistance, and continued transmission. Family involvement plays a crucial role in supporting TB patients throughout the prolonged treatment period and is considered an important component of patient-centered TB care. This study aimed to review the role of family support in the success of tuberculosis treatment through a structured literature review. A systematic literature search was conducted following PRISMA guidelines using Google Scholar, PubMed, and Garuda databases for articles published between 2015 and 2025. Eligible studies were analyzed using a narrative and thematic synthesis approach. The findings indicate that family support significantly contributes to improved treatment adherence, prevention of treatment default, reduction of stigma, and better overall treatment outcomes. Family roles identified include emotional support, instrumental assistance, provision of health information, and supervision of medication intake as treatment observers. However, several barriers were identified, including limited family knowledge about TB, persistent social stigma, and economic burden during treatment. Strengthening family-centered care through education, empowerment, and social support is essential to improve TB treatment success and achieve national TB control targets.
Copyright (c) 2026 Syahrizal, Nadhira https://creativecommons.org/licenses/by/4.0
Tinjauan Pelaksanaan Sikda Optima di Pelayanan Pendaftaran Rawat Jalan di Puskesmas Kecamatan Kebon Jeruk
The purpose of this study is to identify the Standard Operating Procedures (SOP) for outpatient registration, the menu items involved, the features of the Sikda Optima system, and the obstacles encountered in outpatient registration at the Kebon Jeruk District Health Center. This research uses a descriptive quantitative method, which involves the collection, processing, and interpretation of data in numerical form. The results indicate that the SOP for outpatient registration has been implemented since January 3, 2023, and that the features of Sikda Optima are complete, meet user needs, and are easy to use; however, several obstacles remain, particularly system failures or errors during operation. The study concludes that the SOP is designed to facilitate administrative processes and ensure effective healthcare services, while the registration items play an important role in ensuring a smooth registration process. Despite the use of the Sikda Optima application, challenges still occur, such as system failures lasting more than 10 minutes that cause the website to become inaccessible, and the lack of integration with the P-Care system, requiring staff to perform double data entry. Therefore, it is recommended that a responsive technician be available to monitor system connectivity during service hours and that system features be improved to enhance efficiency and effectiveness, as the SOP ultimately helps improve service quality, reduce queues, and ensure more accurate patient data recording.
Copyright (c) 2026 Khusnul khatimah https://creativecommons.org/licenses/by/4.0
Literature Review Faktor-Faktor yang Mempengaruhi Kejadian Stunting pada Balita
In Indonesia, stunting cases showed a decline in 2024, namely 19.8% from the previous 21.5% in 2023. This remains a critical issue because it does not meet the WHO target. Stunting is a form of long-term malnutrition that can disrupt physical balance, cognitive development, and motor skills. This article was compiled by conducting a literature review of various sources found through search engines, such as Google Scholar or PubMed from the past five years, which includes research conducted specifically on the toddler population in Indonesia. The review results indicate various influencing factors, such as birth characteristics. Through analysis of various sources, it was concluded that there are many risk factors for stunting in Indonesia, such as maternal, child, and environmental factors. Maternal factors include the mother's age during pregnancy, maternal mid-upper arm circumference during pregnancy, maternal height, provision of breast milk or complementary foods, early initiation of breastfeeding, and food quality during pregnancy. Child factors include a history of low birth weight (LBW) or premature birth, male gender, a history of neonatal illness, persistent diarrhea, a history of infectious diseases, and the child's lack of immunizations. Environmental factors such as low economic status, limited family education, particularly for the mother, low family income, open defecation or inadequate toilets, unsafe drinking water, and high exposure to pesticides also contribute to increased stunting. Providing good nutrition for infants and toddlers can help improve stunting. Mothers also need to consume nutritious foods, especially during pregnancy.
Copyright (c) 2026 Sevti Maharani https://creativecommons.org/licenses/by/4.0
Emotional Eating and Spicy Food Consumption Related to Dyspepsia in Female Adolescents: A Literature Review
Dyspepsia is a highly prevalent functional gastrointestinal disorder, particularly among adolescents, and Indonesia has one of the highest reported prevalence rates globally. Recent literature has highlighted the potential role of behavioral and dietary factors, such as emotional eating and spicy food consumption, in the development and exacerbation of dyspeptic symptoms. This review focuses on female adolescents, a population shown to be more vulnerable to emotional and hormonal fluctuations that may increase susceptibility to digestive disturbance. Peer-reviewed articles from the last decade were identified through Pubmed and Google Scholar, then selected based on relevance to the themes of emotional eating, spicy food intake, and dyspepsia. Thematic analysis of the included studies reveals consistent evidence of a link between emotional eating and high energy-dense and irritant food intake, including spicy foods, while frequent consumption of spicy food itself was significantly associated with dyspeptic symptoms such as epigastric pain, bloating, and early satiety. Furthermore, the co-occurrence of emotional and dietary stressors had synergistic effects on the risk of dyspepsia in female adolescents. Further robust, longitudinal, and controlled studies are needed to clarify the mechanism involved. Nevertheless, current evidence supports the inclusion of behavioral and dietary assessment in the early identification and management of dyspepsia in adolescent females.
Copyright (c) 2026 Salma Violita Pradana https://creativecommons.org/licenses/by/4.0
Analisis Pelaporan Sekolah Siaga Kependudukan melalui SIMONEV PENDUK di Jawa Timur
The Population Awareness School Program is an initiative of the National Population and Family Planning Board (BKKBN) aimed at improving population literacy and awareness within schools. Its implementation and reporting are monitored through the Sistem Monitoring dan Evaluasi Pendidikan Kependudukan (SIMONEV PENDUK). This study analyzes the reporting performance of SSK and identifies challenges in monitoring and evaluation implementation through SIMONEV PENDUK in East Java Province. A descriptive qualitative approach was employed using secondary data from SIMONEV PENDUK accessed on December 13, 2025, supported by in-depth interviews and field observations conducted during the internship period. The findings reveal disparities in reporting performance across districts and municipalities, with some areas demonstrating high reporting rates while others show minimal or no data input. Key challenges include staff turnover, high administrative workload, uneven understanding of the SSK program among schools, and low awareness of reporting as part of the monitoring and evaluation process. Strengthening institutional capacity, establishing clear reporting targets, and implementing continuous monitoring and feedback mechanisms are necessary to optimize SIMONEV PENDUK and promote equitable SSK implementation in East Java.
Copyright (c) 2026 Niken Putri Hariyati https://creativecommons.org/licenses/by/4.0
Pengukuran Kematangan Budaya Keselamatan Kerja dengan Metode Hudson Safety Culture Model dalam Upaya Menuju Zero Accident di PT XYZ Karawang Jawa Barat
Workplace safety culture is one of the key factors in preventing occupational accidents in industrial environments. Organizations with a higher level of safety culture maturity tend to demonstrate better safety performance. This study aims to measure the level of safety culture maturity at PT XYZ using the Hudson Safety Culture Model and to analyze the relationships among safety culture dimensions through Pearson correlation analysis.This research employed a quantitative method using a questionnaire instrument based on a 5-point Likert scale covering six dimensions of safety culture: Safety Leadership & Management Commitment, Safety Management System & Enforcement, Worker Participation & Safety Communication, Competency & Operational Safety Practice, Learning & Continuous Improvement, and Reporting & Just Culture. The survey was conducted at the end of 2025.The results show that the average safety culture maturity score reached 4.15, indicating that the organization has achieved the level of a Proactive Safety Culture. Pearson correlation analysis revealed strong positive relationships among the safety culture dimensions, with correlation coefficients ranging from 0.76 to 0.86. These findings indicate that improvements in one dimension of safety culture tend to reinforce other dimensions.This study concludes that strengthening safety culture through safety leadership, effective occupational safety management systems, and an open reporting culture is a critical factor in achieving the goal of zero accidents.
Copyright (c) 2026 Suhartono Talip https://creativecommons.org/licenses/by/4.0
Menganalisis Waktu Tunggu Pelayanan Rawat Jalan dengan Kepuasan Pasien di Rumah Sakit Santa Elisabeth Medan
Outpatient registration time service in a hospital is a phenomenon that refers to the actions or activities of a system within a hospital or health care facility that aims to maintain and improve health, prevent and treat diseases, and restore health. Patient waiting time in the outpatient registration section is a cause of patient dissatisfaction with the service. If the waiting time for service is long, it will reduce patient comfort and vice versa. The aim is to determine the relationship between outpatient registration service time and patient satisfaction at Santa Elisabeth Hospital Medan in November 2025. This type of analytical research uses a cross-sectional design. The research sample was 95 respondents with an accidental sampling technique. The instruments used were a patient satisfaction questionnaire and an observation sheet for registration service time. Data analysis used the Chi-square test. The results of this study obtained a patient satisfaction level of 82 people (86.3) and a fast outpatient registration service time of 51 people (53.6). The results of the Chi-Square statistical test obtained a p-value of 0.008 (p<0.05) indicating a relationship between outpatient registration service time and patient satisfaction at Santa Elisabeth Hospital Medan in November 2025. It is hoped that Santa Elisabeth Hospital Medan must continue to maintain good and friendly service times and increase outpatient service times for patients efficiently.
Copyright (c) 2026 Illene Annica Sarid Sarumaha https://creativecommons.org/licenses/by/4.0
Hubungan Pengetahuan dengan Tindakan Pencegahan Penyakit Tuberkulosis di Wilayah Kerja Puskesmas Lateri Kota Ambon
Tuberculosis (TB) remains a major public health problem in Indonesia, including in the working area of the Lateri Community Health Center in Ambon City. TB transmission occurs through airborne droplets and poses a high risk to family members living in the same household as patients due to frequent and close contact. Family knowledge plays a crucial role in determining preventive behaviors against TB transmission. This study aimed to analyze the relationship between the level of family knowledge and TB prevention practices. This research employed an analytical observational design with a cross-sectional approach. The population and sample consisted of 42 respondents who were family members of TB patients, selected using a total sampling technique. Data were collected through a structured questionnaire and analyzed using the chi-square test with a 95% confidence level (α = 0.05). The results showed that the majority of respondents had good knowledge (81%) and good prevention practices (81%). Bivariate analysis revealed that respondents with poor knowledge tended to have inadequate prevention practices (75%), while those with good knowledge were more likely to demonstrate good prevention practices (79.4%). The statistical test results indicated a p-value of 0.006 (p < 0.05), confirming a significant relationship between knowledge level and TB prevention practices. It can be concluded that higher levels of family knowledge are associated with better TB prevention practices. Therefore, continuous health education is essential to strengthen the role of families in preventing and controlling the transmission of tuberculosis.
Copyright (c) 2026 Pollan Versilia Wuritimur, Hery Jotlely, Trixie Leunupun, Delty Kainama, Jean Huwae, Ivy Lawalata https://creativecommons.org/licenses/by/4.0
Konsumsi Dark Chocolate Berpengaruh dalam Menurunkan Tingkat Kecemasan Atlet Taekwondo Bondowoso Sebelum Ujian Kenaikan Tingkat
Anxiety is a psychological condition frequently experienced by athletes when facing evaluative situations or competitive events. This condition can affect athletes’ focus, emotional stability, and mental readiness to perform at their best. One technique that is not pharmacological has the potential to lessen feelings of anxiety is the consumption of dark chocolate, which contains bioactive compounds such as flavonoids, tryptophan, and magnesium that play a role in mood regulation. This research sought to ascertain the impact of consuming 70% dark chocolate on the anxiety levels of taekwondo athletes in Bondowoso prior to participating in a belt promotion test. The study employed a randomized controlled trial design involving 60 athletes who were split up into an experimental group and a control group. The analysis results showed that the reduction in anxiety scores in the group consuming dark chocolate was greater than in the control group, with a mean difference of 7,43 in the experimental group and 2,90 in the control group (p = 0,000). These findings indicate that consumption of dark chocolate with 70% cocoa content has an effect on reducing anxiety levels among Bondowoso taekwondo athletes facing promotion tests.
Copyright (c) 2026 Fayza Wara Az Zahra, Cleonara Yanuar Dini https://creativecommons.org/licenses/by/4.0
Efektivitas Edukasi Berbasis Media PowerPoint dalam Pencegahan Penyalahgunaan Dextromethorphan pada Remaja di SMK Negeri 4 Bengkulu Selatan
The misuse of dextromethorphan among adolescents and young adults has become a health issue that is increasingly receiving global attention. Drug abuse remains a public health problem that requires serious attention in Indonesia. This issue not only involves the misuse of narcotic and psychotropic drugs, but has also expanded to include over-the-counter limited drugs that are easily obtained without a prescription, such as dextromethorphan. Adolescents are the group most vulnerable to drug abuse behavior. Several factors contribute to this problem, including peer influence, lack of knowledge about drugs and their effects, and the ease of obtaining limited over-the-counter medicines. In Bengkulu Province, the Indonesian Food and Drug Authority and Bengkulu Regional Police in 2023 confiscated thousands of bottles of cough medicines such as Samcodin and Komix that were proven to be misused by teenagers, including in South Bengkulu. This study used the accidental sampling method with a single variable. Data were collected through questionnaires before and after educational intervention involving 39 respondents to determine students' level of knowledge about the dangers of dextromethorphan abuse. The results showed that before the educational intervention, 11 respondents had good knowledge, 5 had moderate knowledge, and 23 had poor knowledge. After the intervention, all respondents (39 people or 100%) were categorized as having good knowledge. The Wilcoxon test result showed a p-value of 0.000 (p < 0.05), indicating that the educational intervention significantly improved adolescents' knowledge about the dangers of dextromethorphan abuse.
Copyright (c) 2026 Fiiska Nur Safitri, Oky Hermansyah, Marisadonna Asteri, Dwi Kurnia Putri, Rezqa Hasanah https://creativecommons.org/licenses/by/4.0
Pengaruh Edukasi Kesehatan Metode Demonstrasi dan Leaflet terhadap Kemampuan dan Pengetahuan Praktik SADARI pada Remaja Putri di SMAN 2 Banjarmasin
Adolescent girls are a group vulnerable to limited knowledge and practice ability of Breast Self-Examination (BSE), therefore effective health education is needed as an early detection effort for breast cancer. In 2023, Banjarmasin became the city with the highest number of breast cancer cases, totaling 36 cases. Leaflet media and demonstration methods are educational approaches that are easily applied in the school environment; however, their effectiveness in improving knowledge and practice ability of BSE needs to be scientifically proven. This study aimed to determine the effect of health education using leaflets and demonstration methods on the knowledge and practice ability of BSE among adolescent girls. This study employed a pre-experimental design with a one-group pretest–posttest approach. Data analysis was conducted using the Wilcoxon Signed Rank Test with a significance level of 0.05. The results showed an increase in knowledge and practice ability of BSE after health education was provided. The Wilcoxon test showed a significance value of p < 0.001, indicating a statistically significant difference in knowledge and practice ability of BSE before and after the intervention. In conclusion, health education using demonstration methods and leaflets has a significant effect on improving knowledge and practice ability of BSE among adolescent girls.
Copyright (c) 2026 Annisa Maryam, Yenny Okvitasari, Zaiyidah Fathony, Kristina Yuniarti https://creativecommons.org/licenses/by/4.0
Addressing Adolescent Constipation Through Functional Snack Innovation: Narrative Review on Eucheuma Cottonii and Pleurotus Ostreatus
Constipation is a common digestive disorder characterized by infrequent bowel movements, hard stools, and straining, and is particularly prevalent among adolescents due to low dietary fiber intake. Addressing this issue requires innovative approaches to improve fiber consumption through foods that are both familiar and acceptable to this age group. This narrative review explores the potential use of Eucheuma cottonii (seaweed) and Pleurotus ostreatus (white oyster mushroom) as high-fiber functional ingredients in adolescent-targeted food products. Evidence from recent studies indicates that both ingredients are rich in dietary fiber and can contribute to improved digestive health. When moderately substituted into popular food formulations such as dimsum mentai, they can enhance nutritional value while maintaining acceptable sensory characteristics. This review aims to explore the potential of these two ingredients by discussing their nutritional composition, functional roles, and sensory effects, highlighting their promise in the development of fiber-enriched snacks for constipation prevention and management in adolescents. These strategies are expected to support healthier dietary patterns and improve overall gastrointestinal well-being in this population.
Copyright (c) 2026 Rizka Indrieanie Hawarie https://creativecommons.org/licenses/by/4.0
Analisis Kendala Sistem Informasi Keluarga (SIGA) dalam Pencatatan dan Pelaporan Keluarga Berencana Pasca Persalinan (KBPP) di Provinsi Jawa Timur
Postpartum family planning (KBPP) is an important strategy to reduce the risk of closely spaced pregnancies and contributes to lowering maternal and infant mortality rates. The coverage of KBPP, as a key performance indicator of the Bangga Kencana Program, is influenced by the quality of recording and reporting through the Family Information System (SIGA). This study aimed to analyze the barriers in recording and reporting KBPP through SIGA in East Java Province. This study used a descriptive qualitative approach with secondary data from KBPP coverage in SIGA in 2025 and primary data obtained through online coordination discussions involving representatives from districts/cities. Data were analyzed through data reduction, coding, categorization, and the development of a cause-and-effect (fishbone) diagram, and interpreted using the Human-Organization-Technology Fit (HOT-Fit) framework. The results showed that KBPP coverage was 37.29%, which remained below the national target of 57%. Most districts/cities were categorized as moderate (19) and low (16), with only 3 regions classified as high. The identified barriers included technological issues, population data discrepancies, and organizational constraints, which potentially led to underreporting. It is concluded that improving system quality, strengthening human resource capacity, and enhancing data integration are necessary to support more accurate and targeted policy-making.
Copyright (c) 2026 Afifah Andriyani, Nurul Fitriyah, Sofyan Rizalanda https://creativecommons.org/licenses/by/4.0
Analisis Faktor Risiko Kejadian Anemia pada Remaja Putri di SMAN 1 Sampolawa Kecamatan Sampolawa Kabupaten Buton
Anemia is a nutritional problem among adolescent girls and remains a public health concern. This study aimed to analyze the risk factors for anemia among female students at SMAN 1 Sampolawa. This research employed a quantitative approach with a cross-sectional analytic design. The sample consisted of 78 female students selected using a stratified random sampling technique. The inclusion criteria were students in good health at the time of data collection, while the exclusion criteria were students who were menstruating during data collection. Data were collected through observation and interviews, and protein intake was assessed using a 24-hour food recall. Data analysis was performed using the Chi-Square test and multivariate analysis with a significance level of α = 0.05. The bivariate analysis showed no significant association between protein intake (p = 0.767) and nutritional status (p = 0.747) with the incidence of anemia. However, a significant association was found between menstrual cycle and anemia (p = 0.001). The multivariate analysis indicated that protein intake was not significantly associated with anemia (p = 0.767; OR = 0.80; 95% CI = 0.18–3.54), and nutritional status also showed no significant effect. In contrast, menstrual cycle was significantly associated with anemia (p = 0.001; OR = 49.00; 95% CI = 9.53–251.80), indicating that menstrual cycle is a strong risk factor for anemia among adolescent girls.
Copyright (c) 2026 Harleli Harleli, Muh Edihar https://creativecommons.org/licenses/by/4.0
Gingivektomi sebagai Terapi Korektif Kontur Gingiva pada Pasien dengan Malposisi Gigi (Laporan Kasus)
Background: Inflammatory gingival enlargement is a periodontal condition often associated with plaque accumulation and can be exacerbated by local factors such as tooth malposition. Chronic inflammatory changes can develop into a fibrotic component that does not fully regress after nonsurgical therapy, necessitating surgical intervention to restore physiological and aesthetic gingival contour. This case report aims to describe the management of gingivectomy as a corrective therapy for gingival contour in a patient with tooth malposition that did not show optimal resolution after initial therapy. Case: A 23-year-old woman presented with gingival enlargement in the anterior mandibular region accompanied by bleeding during toothbrushing. Examination revealed crowding of teeth 33–43, moderate OHI category, plaque index 32%, gingival index 1.2, and pseudopockets with an average depth of 4 mm. Initial therapy, including scaling and root planing and oral hygiene education, resulted in improvement in inflammation, but gingival enlargement persisted. Gingivectomy using the external bevel technique was performed in the area, followed by gingivoplasty and periodontal pack placement. Result: A two-week post-procedure evaluation revealed no gingival enlargement or bleeding on probing, a decrease in probing depth to an average of 2 mm, and significant improvements in hygiene and plaque index. Conclusion: Gingivectomy preceded by early-phase therapy effectively removes excess gingival tissue, reduces pseudopockets, and creates a more physiological gingival contour. Controlling etiologic factors and maintaining oral hygiene play a crucial role in successful therapy.
Copyright (c) 2026 Khoirunisa Ulayya Azizah, Ariyani Faizah https://creativecommons.org/licenses/by/4.0
Hubungan Pengetahuan dengan Sikap Masyarakat pada Penggunaan Antibiotik di Kelurahan Pondok Besi Kota Bengkulu
This study aims to analyze the relationship between the level of knowledge and attitudes of the community towards antibiotic use in Pondok Besi Village, Bengkulu City. This study used a quantitative method with an observational analytical design through a cross-sectional approach. The study sample consisted of 104 respondents obtained using proportional cluster random sampling technique. Data were collected through questionnaires that had been tested for validity and reliability, then analyzed using Univariate and Univariate analysis with the Chi-Square test. The results showed that the majority of respondents had a good level of knowledge (48.1%) and a good attitude (51.0%) towards antibiotic use. The Univariate analysis showed a significant relationship between knowledge and attitudes of the community, where respondents with better knowledge tended to have more positive attitudes towards antibiotic use. These findings indicate that knowledge plays an important role in shaping public attitudes towards the rational use of antibiotics. Therefore, continuous improvement of health education is essential to strengthen understanding and shape appropriate attitudes towards antibiotic use to prevent antimicrobial resistance at the community level.
Copyright (c) 2026 Miftahuljannah Miftahuljannah, Oky Hermansyah, Maria Eka Patri Yulianti, Tri Danang Kurniawan, Rose Intan Perma Sari https://creativecommons.org/licenses/by/4.0
Complementary Therapy Interventions for Sleep Disturbances in Chronic Kidney Disease Patients on Hemodialysis: A Systematic Review
Poor sleep quality is prevalent among chronic kidney disease (CKD) patients, particularly those undergoing hemodialysis, significantly impacting their quality of life, mental health, and mortality risk. Complementary therapies such as aromatherapy, guided imagery, music therapy, and progressive muscle relaxation have shown efficacy in reducing anxiety and improving sleep in chronic illness populations. This systematic review aimed to evaluate the effectiveness of various complementary therapies for managing sleep disturbances, anxiety, and quality of life in hemodialysis patients. Following PRISMA guidelines, we analyzed peer-reviewed English articles (2015–2025) sourced from Google Scholar, Scopus, Web of Science, and Crossref. Screening and data extraction were conducted by two independent reviewers to ensure rigor. The final synthesis of ten studies (six RCTs, two quasi-experimental, and two cross-sectional) indicates that non-pharmacological interventions, notably acupressure, offer a safe and holistic approach to enhancing sleep quality. These findings support Orem’s Self-Care Deficit Nursing Theory by emphasizing patient empowerment in symptom management.
Copyright (c) 2026 Tata Mahyuvi, Mardiyono Mardiyono, Arief Candra Permana, Muhamad Ridlo, Agus Purnama https://creativecommons.org/licenses/by/4.0
Hubungan Nyeri Dismenorea Dengan Tingkat Aktivitas Belajar Siswi di SMP Negeri 1 Depok, Sleman, Yogyakarta
Learning activity is the physical and mental involvement of female students in the learning process, which plays a crucial role in learning success and academic achievement. Learning activity can be influenced by physical health conditions. One of which is dysmenorrhea pain, which is often experienced by female adolescent during menstruation. Dysmenorrhea pain can cause discomfort and reduce concentration, motivation, and participation in school learning activities. The study aims to determine the correlation between dysmenorrhea pain and students' learning activity levels at SMPN (State Junior High School) 1 Depok, Sleman, Special Province of Yogyakarta in 2025. This study employed quantitative methods with an observational analytical design and a cross- sectional approach. The study population was all 83 eighth-grade female students who had menstruated and experienced dysmenorrhea, with a sample of 68 students selected using a purposive sampling technique. Dysmenorrhea pain was measured using the Numeric Rating Scale (NRS), while learning activity was measured using a questionnaire. Data analysis was performed using the Spearman Rank test. The results showed that the majority of respondents experienced mild dysmenorrhea pain (37 students, similar to 54.41%), and learning activity was severely disrupted (39 students, similar to 57.35%). The Spearman Rank test showed a p-value of 0.028 (p<0.05). Thus, it concludes that there is a relationship between dysmenorrhea pain and students' learning activity levels.
Copyright (c) 2026 Vinakurnia Lestari, Nurul Mahmudah https://creativecommons.org/licenses/by/4.0
Hubungan Asupan Serat dengan Kontrol Glikemik pada Pasien Diabetes Melitus Tipe 2: Tinjauan Literatur
Type 2 diabetes mellitus is a global health problem with increasing prevalence and a high risk of complications due to poor glycemic control. Dietary fiber intake plays an important role in maintaining blood glucose stability by slowing glucose absorption and improving insulin sensitivity. This study aims to analyze the relationship between fiber intake and glycemic control in patients with type 2 diabetes mellitus using a literature review approach. Articles were obtained from Google Scholar, PubMed, and ScienceDirect based on relevant keywords, with inclusion criteria including full-text research articles published within the last 10 years that examined fiber intake and glycemic control. The selected studies were analyzed descriptively. The findings indicate that most studies reported a significant relationship between higher fiber intake and better glycemic control, reflected in lower fasting blood glucose and HbA1c levels. Intervention studies also showed that increased consumption of fiber, particularly soluble fiber and vegetables, contributed to improved glycemic outcomes, although some studies reported no direct association due to variations in study design, sample size, type of fiber, and glycemic indicators used. Adequate fiber intake can therefore support glycemic control and should be considered as part of dietary management in patients with type 2 diabetes mellitus.
Copyright (c) 2026 Fitri Firdausil Ma'wah, Farapti Farapti https://creativecommons.org/licenses/by/4.0
Pengaruh Media Pendidikan Kesehatan Audiovisual Berbasis Self-Protection terhadap Tingkat Pengetahuan Siswa Kelas VII tentang Kekerasan Seksual di SMPN 10 Banjarmasin
Sexual violence against children and adolescents is a serious problem that affects physical, psychological, and social health. Early adolescents, particularly seventh-grade students, are in a vulnerable stage due to rapid developmental changes while still having limited knowledge of self-protection. A preliminary study at SMPN 10 Banjarmasin showed that most students did not adequately understand the definition and forms of sexual violence. Therefore, effective health education using media appropriate to adolescent characteristics is needed, one of which is self-protection-based audiovisual media. This study aimed to determine the effect of self-protection-based audiovisual health education media on the knowledge level of seventh-grade students about sexual violence at SMPN 10 Banjarmasin. This study used a quantitative method with a pre-experimental one-group pretest posttest design. The sample consisted of 61 seventh-grade students selected using purposive sampling. Data were collected using a questionnaire measuring knowledge of sexual violence before and after the intervention. Data analysis was conducted using univariate and bivariate analysis with the Wilcoxon Signed-Rank Test. The results showed an increase in students’ knowledge levels after receiving self-protection-based audiovisual health education, with a p-value < 0.001. Therefore, this media is recommended to be used as the health education methods in schools.
Copyright (c) 2026 Nazi Ratul Aulia, Suci Fitri Rahayu, Zaiyidah Fathony, Yurida Olviani https://creativecommons.org/licenses/by/4.0
Aktivitas Antibakteri Kombinasi Ekstrak Etanol Kulit Kopi Robusta dan Serai Wangi terhadap Escherichia coli
Antibacterial activity of a combination of 70% ethanol extracts of Robusta coffee peel (Coffea canephora) and citronella grass (Cymbopogon nardus) against Escherichia coli was evaluated using the disc diffusion (Kirby–Bauer) method. The extracts were obtained through maceration with 70% ethanol and combined in a 1:1 ratio at concentrations of 10%, 20%, 40%, 60%, and 80%. The parameter observed was the diameter of the inhibition zone formed around the discs. The results showed no antibacterial activity at concentrations of 10% and 20%. At 40%, the inhibition zone was 4.87 mm (weak category), increasing to 5.43 mm (moderate category) at 60% and 7.53 mm (moderate category) at 80%. The positive control (ciprofloxacin) exhibited an inhibition zone of 23.31 mm (very strong category), while the negative control (DMSO) showed no inhibition. Statistical analysis using One Way ANOVA indicated significant differences among treatments (p<0.05). In conclusion, the combination of 70% ethanol extracts of Robusta coffee peel and citronella grass demonstrated concentration-dependent antibacterial activity against Escherichia coli, although the activity remained in the weak to moderate category.
Copyright (c) 2026 Ibrahim Ayattulah, Suci Rahmawati, Dwi Kurnia Putri, Tri Danang Kurniawan, Rose Intan Perma Sari https://creativecommons.org/licenses/by/4.0
Literature Review: Pengaruh Konsumsi Fast Food terhadap Risiko Hipertensi pada Remaja
Hypertension in adolescents is a growing health problem that has the potential to persist into adulthood. One factor thought to play a role is the consumption of fast food, which is high in sodium, saturated fat and calories. This study aims to analyse the relationship between fast food consumption and the incidence of hypertension in adolescents using a literature review method. Data sources were obtained from Google Scholar and PubMed using the keywords “fast food”, “hypertension”, and “adolescents”. Inclusion criteria included full-text articles, original research, relevance to the topic, and publication between 2021 and 2026. Following the selection process, six journals were analysed. The review results showed that two journals (33.3%) found a significant association between fast food consumption and hypertension, whilst three journals (50%) found no significant association. Meanwhile, 1 journal (16.7%) indicated the presence of prehypertension in adolescents. These differing results suggest that hypertension in adolescents is multifactorial. It can be concluded that fast food consumption has the potential to increase the risk of hypertension, but this must be considered alongside other lifestyle factors.
Copyright (c) 2026 Sutanti Ira Cahyani https://creativecommons.org/licenses/by/4.0
Hubungan Antara Pola Makan, Aktivitas Fisik, Kualitas Tidur, Pengetahuan dan Pemberian Tablet Fe dengan Kejadian Anemia pada Remaja Putri di SMPN Baitussalam Aceh Besar
Anemia among adolescent girls is a public health concern that can affect academic performance, physical fitness, and reproductive health. Several factors are associated with anemia, including dietary patterns, physical activity, sleep quality, level of knowledge, and adherence to iron (Fe) tablet consumption. This study aimed to examine the relationship between these factors and the incidence of anemia among adolescent girls at SMPN 1 Baitussalam, Aceh Besar, in 2025. This study employed a cross-sectional design with a sample of 38 respondents selected using purposive sampling based on inclusion criteria. Primary data were collected using the Food Frequency Questionnaire (FFQ), Adolescent Physical Activity Recall Questionnaire (APARQ), Pittsburgh Sleep Quality Index (PSQI), a knowledge questionnaire, and a questionnaire on Fe tablet consumption. Data were analyzed using Fisher’s exact test with a significance level of 0.05. The results showed significant associations between dietary patterns, sleep quality, knowledge, and Fe tablet consumption with the incidence of anemia. In contrast, physical activity was not significantly associated with anemia. In conclusion, dietary patterns, sleep quality, knowledge, and adherence to Fe tablet consumption play important roles in preventing anemia among adolescent girls. Therefore, improving nutrition education, enhancing sleep quality, and strengthening Fe supplementation programs are recommended to reduce anemia prevalence.
Copyright (c) 2026 Latifah Zahra, Basri Aramico, Dedi Andria https://creativecommons.org/licenses/by/4.0
Faktor yang Berhubungan dengan Kejadian Penyakit Jantung Koroner (PJK) pada Penduduk di Wilayah Perkotaan dan Perdesaan: Analisis Data Survei Kesehatan Indonesia (SKI) 2023
Differences in socioeconomic and lifestyle characteristics between urban and rural populations may shape the distribution of CHD risk factors, but comparative evidence remains limited. This study examined factors associated with CHD among adults aged ≥35 years between urban and rural areas. A cross-sectional study was conducted using data from the 2023 Indonesian Health Survey, including 426,581 respondents aged ≥35 years. Data were analyzed using univariate, bivariate, and multivariable logistic regression. CHD prevalence was higher in urban than rural areas (2.3% vs. 1.1%). In urban areas, CHD was significantly associated with older age (adjusted prevalence odds ratio [aPOR] for ≥75 years: 7.11; 95% CI: 5.30–9.55), hypertension (aPOR: 4.83; 95% CI: 4.27–5.47), diabetes mellitus (aPOR: 2.67; 95% CI: 2.26–3.17), low physical activity (aPOR: 1.48; 95% CI: 1.25–1.76), sex (aPOR: 1.21; 95% CI: 1.08–1.37), and alcohol consumption (aPOR: 0.53; 95% CI: 0.36–0.78). In rural areas, significant factors included older age (aPOR for ≥75 years: 2.68; 95% CI: 1.69–4.23), hypertension (aPOR: 5.66; 95% CI: 4.62–6.93), diabetes mellitus (aPOR: 3.57; 95% CI: 2.67–4.77), low physical activity (aPOR: 1.70; 95% CI: 1.22–2.37), smoking (aPOR: 0.55; 95% CI: 0.42–0.73), sex (aPOR: 1.38; 95% CI: 1.10–1.73), and low vegetable consumption (aPOR: 2.57; 95% CI: 1.20–5.49). Hypertension was the strongest factor associated with CHD in both urban and rural areas. Targeted prevention strategies should prioritize hypertension control and context-specific healthy lifestyle interventions.
Copyright (c) 2026 Resti Evita Sari, Muhammad Syukri, Ashar Nuzulul Putra, Rd. Halim https://creativecommons.org/licenses/by/4.0
Pengaruh Kebisingan terhadap Stres Kerja Guru di Sekolah X Kabupaten Serdang Bedagai
This study was conducted to analyze the effect of noise on the level of work stress of teachers at School X, Serdang Bedagai Regency. The method used was a quantitative approach with a cross-sectional research design, involving 50 teachers as respondents selected through a total sampling technique. Data were collected through noise measurements using a Sound Level Meter and the distribution of work stress questionnaires referring to the Minister of Manpower Regulation Number 5 of 2018. The measurement results showed that the noise intensity at several points exceeded the safe threshold, which was 55 dBA. However, the results of a simple linear regression analysis showed that noise did not have a significant effect on teacher work stress, with a significance value (p) of 0.481 (p > 0.05) and a coefficient of determination (R²) of 0.010. These findings indicate that other factors outside of noise are more dominant in influencing teacher work stress levels. Therefore, it is recommended that efforts to manage teacher stress be focused on non-physical factors, such as workload management, organizational support, and developing teacher mental well-being, in addition to maintaining the quality of the school environment to be more conducive.
Copyright (c) 2026 Ad’dhan Dhita, Tri Niswati Utami https://creativecommons.org/licenses/by/4.0
Analisis Spasial Pneumonia Balita Berdasarkan Cakupan Imunisasi Dasar Lengkap (IDL) dan Prevalensi Balita Gizi Kurang di Provinsi Bali Tahun 2022-2024
Pneumonia is an acute infection of the pulmonary parenchyma encompassing the alveoli and interstitial tissue, caused by various pathogens such as viruses, fungi, or parasites, with the exception of Mycobacterium tuberculosis. Pneumonia is frequently encountered in children, affecting the lower respiratory tract, and its primary clinical manifestations include cough, fever, dyspnea, and reduced physical activity. This study was conducted using an analytic observational method with an ecological study design. Data were obtained from the Health Profile of the Bali Provincial Health Office for the years 2022–2024. The study sample comprised eight districts and one municipality located within Bali Province. The software utilized in this study included QGIS and GeoDa, employing Queen Contiguity matrix weighting. The Bivariate Local Indicators of Spatial Association (BiLISA) results indicated that complete basic immunization coverage yielded a p-value of 0.389 and a z-value of 0.2929, whereas the prevalence of undernutrition among children under five yielded a p-value of 0.175 and a z-value of 1.0016. Both variables shared an identical expected index value E(I) of −0.125. The study concluded that no statistically significant spatial association existed between complete basic immunization coverage and the prevalence of undernutrition with the incidence of pneumonia among children under five (p-value > 0.05), with the strength of association classified as weak.
Copyright (c) 2026 Putri Qanita Aulianur https://creativecommons.org/licenses/by/4.0