Journal of Educational Innovation and Public Health
Journal of Educational Innovation and Public Health mencakup artikel di bidang Pendidikan, Manajemen Pelayanan Kesehatan, Manajemen Rumah Sakit, Kesehatan Reproduksi, Epidemiologi, Biostatistik, Pendidikan dan Promosi Kesehatan, Kesehatan Lingkungan, Kebijakan Kesehatan, Gizi Kesehatan Masyarakat, Kesehatan dan Keselamatan Kerja (K3). Jurnal ini terbit 1 tahun 4 kali (Januari, April, Juli dan Oktober). Print ISSN : 2964-6324, Online ISSN : 2963-0703. Jurnal ini terakreditasi SINTA 5 (SK Direktur Jenderal Pendidikan Tinggi, Riset, dan Teknologi Nomor 156/C/C3/KPT/2026 tanggal 7 April 2026, tentang Pemberitahuan Hasil Akreditasi Jurnal Ilmiah Periode 2 Tahun 2025), dimulai dari Volume 1 Nomor 2 Tahun 2023 sampai Volume 6 Nomor 1 Tahun 2028. Indexed by : Journal Sponsors and Partners :
Artikel Review: Penggunaan Bahan Berbahaya dalam Produk Kosmetik Pada Produk Body Lotion Pemutih dan Efek Toksiknya
Cosmetics are products used to care for and enhance the external appearance of the body. One widely used cosmetic product is Body Lotion, particularly whitening Body Lotion, which moisturizes and brightens the skin. However, body whitening cosmetics often contain hazardous substances such as mercury, hydroquinone and paraben, which remain a serious threat to public health. This study was conducted to identify the hazardous chemicals contained in whitening Body Lotion and evaluate their toxic impacts. Using a literature review, data was collected from various scientific databases such as PubMed, Google Scholar, and ScienceDirect, with publications within the last 5-10 years. The findings reveal that prolonged exposure to mercury can cause neurological damage and kidney disorders, while hydroquinone is associated with skin irritation and potential carcinogenic effects, and parabens are linked to endocrine disruption. These hazardous substances are frequently found in unregistered or illegally circulated cosmetic products. Regulatory agencies play a critical role in monitoring and enforcing cosmetic safety standards to protect consumers from potential health risks. This study is expected to broaden consumer education regarding cosmetic safety and serve as a reference for strengthening the supervision of beauty products.
Copyright (c) 2026 Amelia Defina Permatasari, Abigail Yemima Christie, Neza Ardelia Putri, Yola Asri Paramita, Hata Rianti Wasahua https://creativecommons.org/licenses/by-sa/4.0
Review Artikel: Pengaruh Jenis Eksipien terhadap Disolusi Tablet
This study aimed to analyze the effect of excipient variations on tablet dissolution profiles and the underlying mechanisms. The research method used was a literature review by examining scientific articles published between 2021 and 2026. Literature sources were obtained from Google Scholar, ResearchGate, and relevant national and international journals. The analysis was conducted descriptively and comparatively on the use of excipients such as binders, disintegrants, lubricants, and surfactants in tablet formulations and their effects on dissolution parameters. The review results showed that the type of excipient significantly affects the dissolution profile of tablets. Binders can improve the mechanical strength of tablets but may slow down dissolution, while disintegrants accelerate tablet disintegration and increase the dissolution rate. Lubricants such as magnesium stearate may inhibit liquid penetration due to their hydrophobic properties, whereas surfactants can enhance drug solubility and accelerate the dissolution process. In addition, the concentration and combination of excipients also influence porosity, tablet hardness, wettability, and drug release mechanisms. Therefore, the selection and optimization of excipients are crucial in developing tablet formulations with optimal dissolution profiles and therapeutic effectiveness.
Copyright (c) 2026 Najma Kamila Zahra, Intan Nova Kaesa, Elina Jatindria, Stella Reflya Pramudita, Dzikrina Adibah Salma https://creativecommons.org/licenses/by-sa/4.0
Pengaruh Terapi Isometric Handgrip terhadap Tekanan Darah pada Lansia di Wilayah Kerja Puskesmas Dungaliyo
Hypertension often does not cause obvious clinical symptoms, but the mortality rate caused by this condition, especially in the elderly, is quite high. Therefore, effective treatment strategies are needed, one of which is through the use of non-pharmacological isometric handgrip therapy. This study was conducted with the aim of analyzing the effect of isometric handgrip therapy on blood pressure in the elderly in the Dungaliyo Community Health Center Work Area. The type of research applied was quantitative with a pre-experimental design through a one-group pre-post test design approach. Sample selection was carried out using a purposive sampling technique involving 36 elderly respondents according to the inclusion criteria. The data collection instrument used an observation sheet to record the results of systolic and diastolic blood pressure measurements before and after. The intervention procedure was carried out routinely for five consecutive days. The study findings revealed that before therapy, the majority of respondents were in stage I hypertension. After the intervention, there was a decrease in average systolic blood pressure by 15.44 mmHg and diastolic by 11.30 mmHg, resulting in most respondents shifting to the high normal category. The Wilcoxon statistical test results confirmed a highly significant effect, with a p-value of 0.000 < 0.005. In conclusion, isometric handgrip therapy has been proven effective in lowering blood pressure and can be an appropriate non-pharmacological, preventive, and promotive approach for the elderly. It is recommended to optimize the regular implementation of this therapy and expand education regarding healthy lifestyle modifications and hypertension screening and management in the elderly.
Copyright (c) 2026 Dewi Anggraini Abas, Rona Febriyona, Andi Nur Aina Sudirman, Inne Ariane Gobel https://creativecommons.org/licenses/by-sa/4.0
Artikel Review: Perbandingan Sistem Matriks Hidrofilik dan Sistem Osmotik pada Tablet Lepas Terkendali
Controlled-release tablets are designed to release the active substance gradually in order to maintain stable drug plasma levels and reduce the frequency of drug administration. This study aims to compare hydrophilic matrix systems and osmotic systems in controlled-release tablet formulations using a literature review method. The results indicate that the hydrophilic matrix system operates through polymer hydration, diffusion, and matrix erosion mechanisms using polymers such as HPMC and Na CMC, though its release profile is influenced by gastrointestinal physiological conditions. The osmotic system produces a near zero-order release profile that is more consistent and independent of pH changes, despite requiring more complex manufacturing technology and higher production costs. Both systems demonstrate distinct advantages and limitations depending on the drug's solubility, dose uniformity requirements, and target release site. Furthermore, patient compliance and therapeutic efficacy are also key considerations in determining the most suitable formulation approach. Selection of the appropriate system should be tailored to the physicochemical properties of the active substance, therapeutic targets, and production efficiency considerations. A comprehensive understanding of these two systems is essential to support rational formulation decisions and to optimize therapeutic outcomes in pharmaceutical development.
Copyright (c) 2026 Abigail Yemima Christie, Amelia Defina Permatasari, Neza Ardelia Putri, Yola Asri Paramita, Hata Rianti Wasahua https://creativecommons.org/licenses/by-sa/4.0
Pengaruh Edukasi Kesehatan terhadap Kepatuhan Keluarga Mencegah Penyakit Tb Paru di Wilayah Kerja Puskesmas Limboto
TB transmission within the family environment is quite high, because family members have intense contact with sufferers. Therefore, efforts are needed to increase family compliance in TB prevention, one of which is through education. This study aims to determine the effect of health education on family compliance in preventing pulmonary TB. The quantitative method used was a pre-test-post-test approach with a control group design. The sample was selected through purposive sampling, with 76 respondents. Data analysis used the Wilcoxon signed-rank test with a significance level of <0.05. The results showed that before health education, the majority of respondents in the intervention and control groups had adequate compliance. After health education, the majority of respondents in the intervention group had good compliance, and in the control group, adequate compliance. The statistical value of Asymp. sig (2-tailed) p-value was 0.000 (≤0.05), indicating the effect of health education on family compliance in preventing pulmonary TB. Recommendations are needed for regular education to reduce the risk of transmission in families of TB sufferers.
Copyright (c) 2026 Siti Nurhayati S. Daud, Rona Febriyona, Inne Ariane Gobel, Gladys Maristela Rawung https://creativecommons.org/licenses/by-sa/4.0
Efektifitas Pemberian Aromaterapi Lavender dan Relaksasi Benson terhadap Penurunan Skala Nyeri Pasien Fraktur di Ruang Bedah RSUD Prof. Dr. H. Aloei Saboe
Introduction: Pain in fracture patients is a major problem that often occurs and can disrupt the physical and psychological condition of the patient. Pain management generally uses pharmacological therapy, but can cause side effects if used long-term. Therefore, non-pharmacological interventions such as lavender aromatherapy and Benson relaxation are needed, which are considered safe, easy to implement, and effective in reducing pain intensity and increasing patient comfort during treatment. Methods: This study used a quantitative method with a pre-experimental design through a pretest-posttest approach. A sample of 30 respondents was selected using a purposive sampling technique. Respondents were divided into two intervention groups, namely lavender aromatherapy and Benson relaxation. Pain scale measurements were carried out using the Numeric Rating Scale (NRS). Data analysis was carried out using the Wilcoxon Signed Rank Test to determine differences before and after the intervention. Results: The results showed that before the intervention, most respondents experienced severe pain. After the intervention, there was a decrease in the pain scale to moderate pain in both groups. The significance value for the lavender aromatherapy group was p = 0.001 and for the Benson relaxation group p = 0.000, indicating a significant effect on pain reduction. The average pain reduction in the lavender aromatherapy group was 2.67, while in the Benson relaxation group it was 2.80. Discussion: Lavender aromatherapy and Benson relaxation have been shown to be effective in reducing pain scales in fracture patients. Benson relaxation showed slightly superior results because it was able to provide a deeper relaxation effect through breathing regulation and the body's physiological responses. These two interventions can be alternatives in non-pharmacological pain management and support improving the quality of nursing care.
Copyright (c) 2026 Agnes Doki, Fadli Syamsuddin, Sabirin B. Syukur, Siti Qomaria Usu https://creativecommons.org/licenses/by-sa/4.0
Perbandingan Formulasi dan Uji Aktivitas Sun Protection Factor (SPF) Sediaan Lotion dari Berbagai Ekstrak Daun secara Spektrofotometri
This systematic literature review aims to evaluate the formulation characteristics and Sun Protection Factor (SPF) activity of lotions containing various plant leaf extracts, which were tested in vitro using UV-Vis spectrophotometry. Exposure to ultraviolet (UV) radiation can cause various skin disorders, such as redness, premature aging, and an increased risk of skin cancer. With the growing interest in natural cosmetics, plant extracts containing flavonoids, phenolics, and tannins are increasingly being developed as active ingredients in natural sunscreens. Used in the final formulation. The study results indicate that leaf extracts from several plants, such as Nephelium lappaceum, Muntingia calabura, Crassocephalum crepidioides, and Carica papaya, possess UV-absorbing capabilities that are influenced by the extract concentration in the formulation. The most commonly used lotion formulation is an oil-in-water (O/W) emulsion with a combination of emulsifiers such as stearic acid and triethanolamine, which play a role in maintaining the physical stability, pH, viscosity, spreadability, and homogeneity of the preparation. The resulting SPF values vary, with the highest value approaching 30 in the 10% rambutan leaf (Nephelium lappaceum) extract lotion, placing it in the ultra-protection category. The UV-protective activity of the leaf extract is believed to be related to its polyphenol content, which can absorb UV radiation and help reduce sunburn. Based on the study results, the leaf extract-based lotion has the potential to be developed as a natural sunscreen. However, further research is still needed, particularly in vivo testing, irritation testing, photostability testing, and long-term stability testing to ensure the safety, efficacy, and stability of the formulation.
Copyright (c) 2026 Elina Jatindria, Intan Nova Kaesa, Mutiara Eka Putri, Selvi Iswandari, Aldo Octavian Ramadhan Saputra https://creativecommons.org/licenses/by-sa/4.0
Hubungan Pengetahuan dengan Perilaku Pengelolaan Limbah Rumah Tangga Kelurahan Tipulu Tahun 2026
Household waste is solid waste generated from daily human activities and domestic processes within households. This study aims to analyze the relationship between community knowledge and household waste management behavior in Tipulu Village. The research applied a descriptive quantitative approach involving 30 respondents selected through simple random sampling. Data were collected using questionnaires and analyzed using the Chi-Square test. The findings showed a p value of 0.062, indicating that there was no significant relationship between community knowledge and household waste management behavior in Tipulu Village. Most respondents demonstrated good knowledge regarding waste management; however, their behavior in managing household waste remained only moderate. This condition was influenced by several factors, including habitual practices, limited waste management facilities, low motivation, and insufficient environmental support. The study highlights that knowledge alone is not enough to encourage proper waste management behavior. Therefore, increased environmental education, community awareness programs, and government support in providing adequate waste management facilities are necessary to create a clean, healthy, and sustainable environment.
Copyright (c) 2026 Siti Rabbani Karimuna, Alda Agresiya, Husnul Amalia, Inggi Pratiwi, Melinda Septiani, Mildah Mildah https://creativecommons.org/licenses/by-sa/4.0
Intervensi Penerapan Terapi Bermain dengan POP-IT untuk Mengurangi Kecemasan pada An. N dengan Bronkopneumonia di Ruang Aster RSUD Prof. Dr. Margono Soekarjo Purwokerto
Bronchopneumonia is one of the lower respiratory tract infections commonly found in children and may cause impaired gas exchange and psychological problems such as anxiety during hospitalization. Toddlers often experience fear of medical procedures, especially nebulizer therapy due to the sound and vapor produced by the device. Untreated anxiety may lead to uncooperative behavior and interfere with treatment. One non-pharmacological intervention to reduce anxiety in children is play therapy using POP-IT. This study aimed to determine the implementation of POP-IT play therapy in reducing anxiety among children with bronchopneumonia during nebulizer administration. This study used a descriptive case study design with a nursing care approach on a 2.5- year-old child diagnosed with bronchopneumonia in Aster Ward at RSUD Prof. Dr. Margono Soekarjo Purwokerto. The intervention was conducted for three days by providing POP-IT play therapy before and during nebulizer therapy. Evaluation was carried out using behavioral observation and the Visual Analog Scale (VAS). The results showed a decrease in anxiety level from a score of 7 (severe anxiety) on the first day to a score of 3 (mild anxiety) on the third day. The patient became more cooperative, no longer cried during procedures, appeared calmer, and was able to interact with nurses. Vital signs also improved with decreased body temperature, pulse rate, and respiratory rate. In conclusion, POP-IT play therapy is effective in reducing anxiety in children with bronchopneumonia during nebulizer administration.
Copyright (c) 2026 Melinda Agustin, Noor Yunida Triana https://creativecommons.org/licenses/by-sa/4.0
Pengaruh Keberadaan Tempat Sampah Terpilah terhadap Efektivitas Pemilahan Sampah di Area Kampus
Solid waste management is still a major issue in supporting environmental sustainability in higher education institutions. Campus activities produce various types of waste that should be sorted directly from the source to support more effective waste management. This study aimed to examine the effect of the availability of separated waste bins on the effectiveness of waste sorting in the university environment. This research used a quantitative approach with a survey design involving 53 students who had knowledge of or experience in using separated waste bin facilities on campus. The data were collected online and analyzed using IBM SPSS Statistics through validity, reliability, normality, linearity, and simple linear regression tests. The results showed that the research instruments were reliable, with Cronbach’s Alpha values of 0.867 for variable X and 0.934 for variable Y. The data were normally distributed and had a linear relationship. The simple linear regression test showed that the availability of separated waste bins had a positive and significant effect on waste sorting effectiveness, with a significance value of 0.000 and a regression coefficient of 0.670. These findings indicate that the provision of accessible, clearly labeled, and adequate separated waste bins, accompanied by continuous education, can encourage better waste sorting behavior in academic environments.
Copyright (c) 2026 Sitti Rabbani Karimuna, Ainun Muthmainnah, Wa Ode Hafiza Rahman, Astri Ivo, Manli Desri Helden, Fahrezi Ramadhan https://creativecommons.org/licenses/by-sa/4.0
Gambaran Gaya Hidup Sehat pada Pegawai BPJS Kesehatan Kantor Cabang Kupang
A healthy lifestyle is an important factor that can influence employees’ health and work productivity. Office employees tend to spend most of their working hours sitting for long periods, which increases the risk of low physical activity, unhealthy eating patterns, and inadequate rest. This study aimed to describe the healthy lifestyle among employees of BPJS Kesehatan Kupang Branch Office in 2025. This study used a descriptive quantitative design. The study population consisted of all 56 employees of BPJS Kesehatan Kupang Branch Office. Data were collected through interviews and observations. The data were analyzed using univariate analysis and presented in frequency distribution tables. The results showed that most respondents had poor exercise habits, with 39 respondents (69.64%). In the healthy dietary pattern variable, most respondents were in the moderate category, with 25 respondents (44.64%), and some respondents did not frequently consume fast food, namely 31 respondents (55.36%). Sleep duration was mostly in the poor category, with 38 respondents (67.86%) having sleep duration of less than 5 hours and 5–6 hours per day. Drinking water habits were in the moderate category, with 29 respondents (51.79%). Meanwhile, in the sedentary behavior variable, most respondents were in the high category, with 35 respondents (62.50%). The conclusion of this study shows that the healthy lifestyle among employees of BPJS Kesehatan Kupang Branch Office still needs improvement. Employees are encouraged to pay more attention to healthy lifestyle behaviors, and the office is expected to support workplace health promotion programs.
Copyright (c) 2026 Nangcy Meny Angelina Sortui, Noorce Christiani Berek, Luh Putu Ruliati https://creativecommons.org/licenses/by-sa/4.0
Penerapan Terapi Menggambar untuk Menurunkan Gejala Halusinasi Pada Pasien Skizofrenia di RSJD Dr. Arif Zainudin Surakarta
Background: Schizophrenia is a mental disorder with positive symptoms of hallucinations, patients hear voices and see things that do not exist. Patients with confusion and negative symptoms feel indifferent and often lose their emotions. Therefore, non-pharmacological therapy, such drawing therapy, a form of communication. Therefore the artistic media. Patients with hallucinations can express their feelings and thoughts through drawings, distracting them from unrealistic hallucinations. Objective: The general is to determine and evaluate hallucination symptoms after drawing therapy administered to schizophrenia patients at Dr. Arif Zainudin Mental Hospital, Surakarta. Method: A case study design was conducted on two schizophrenia patients with hallucinations, in the Bisma and Kresna Rooms of Dr. Arif Zainudin Mental Hospital, Surakarta, from February 28, 2026, to March 6, 2026. The intervention was drawing therapy. Data were collected using AHRS (pre-post test) questionnaire. Implementation Results: Both respondents experienced a decrease in hallucination levels. Respondent 1's hallucination score decreased from 32 (severe hallucinations) to 18 (moderate hallucinations). Respondent 2's hallucination score decreased from 33 (severe hallucinations) to 21 (moderate hallucinations).Conclusion: This study shows that drawing therapy reduces hallucination symptoms. Drawing activities improve patients' concentration and focus, allowing respondents to control their hallucinations.
Copyright (c) 2026 Aziizun Chaulian, Sitti Rahma Soleman, Tri Andri Pujiyanti https://creativecommons.org/licenses/by-sa/4.0
Pengalaman Ibu Primipara dalam Pelaksanaan IMD (Inisiasi Menyusu Dini) di Puskesmas Wonosobo 1
Background: Early Initiation of Breastfeeding (IMD) is the process of initiating breastfeeding within the first hour after birth and plays an important role in improving maternal and infant health. Although it is a priority health program supported by government policy, its implementation remains suboptimal. Primiparous mothers are a vulnerable group due to their lack of prior childbirth and breastfeeding experience, which often leads to difficulties in implementing IMD. Objective: This study aims to explore the experiences of primiparous mothers in implementing IMD. Method: A qualitative study with a phenomenological approach was conducted involving seven primiparous mothers selected through purposive sampling. Data were collected through face-to-face in-depth interviews, recorded, transcribed verbatim, and analyzed using thematic analysis. Results: Four main themes were identified: knowledge of IMD (including understanding, stages, and process), support from husbands, family, and midwives, barriers to IMD (such as stitching procedures, strong maternal attachment, and lack of experience), and emotional responses including happiness, fear, curiosity, and emotional reactions during implementation. Conclusion: Successful implementation of IMD requires optimal support from midwives, husbands, and families, covering biological, psychological, social, and spiritual aspects to minimize barriers among primiparous mothers.
Copyright (c) 2026 Avriana Faiza Shalma, Nency Agustia https://creativecommons.org/licenses/by-sa/4.0
Analisis Tingkat Kepuasan Pasien terhadap Kualitas Pelayanan Apotek Sidowaras 1 di Ambarawa
One key metric for evaluating the quality of pharmaceutical services provided by pharmacies is patient satisfaction. Patient trust, medication adherence, and therapeutic success can be improved with high-quality services. “Using the five characteristics of Service Quality (SERVQUAL) empathy, tangibles, responsiveness, reliability, and assurance this study sought to assess the level of patient satisfaction with the quality of pharmaceutical services at Sidowaras 1 Pharmacy in Ambarawa. This study employed a cross-sectional design and a survey method with a quantitative descriptive approach. A questionnaire that had undergone validity and reliability testing was used to collect data prospectively. This study involved 100 respondents who met the inclusion criteria. Reliability testing produced a Cronbach's Alpha score of 0.884, indicating a very high level of instrument reliability. While validity testing findings indicated that all statement items were valid with a calculated r value greater than the table r (0.361). The findings indicate that Sidowaras 1 Pharmacy's pharmaceutical services have an acceptable level of patient satisfaction. The average satisfaction scores were 58.75% for the empathy dimension, 37% for the physical dimension (very satisfied), 46% for the responsiveness dimension (satisfied), 36.5% for the reliability dimension (quite satisfied), and 43.6% for the assurance dimension. Overall, the pharmaceutical services offered have satisfied patients and met their expectations”. It is hoped that the findings of this study will be used as assessment data in initiatives to continuously improve pharmaceutical service standards.
Copyright (c) 2026 Filda Amalia Zahrifa, Gerson Musa Puaraty, Noviana Dwi Lestari, Niken Dyahariesti https://creativecommons.org/licenses/by-sa/4.0
Peer support is an important social factor that contributes to adolescents' psychological development. Insufficient peer support may increase the risk of mental health problems among adolescents. This study aimed to examine the correlation between peer support and adolescent mental health problems among students of SMP Negeri 1 Pandak, Bantul Regency, Special Region of Yogyakarta, Indonesia. This study employed a quantitative approach with a cross-sectional design. A total of 67 students were recruited using an accidental sampling technique. Data were collected using a peer support questionnaire and an adolescent mental health problems questionnaire. Data analysis was performed using Kendall's Tau correlation test. The results showed that the majority of respondents reported low peer support (56.7%) and very severe mental health problems (86.6%). Kendall's Tau analysis revealed a significant correlation between peer support and adolescent mental health problems (τ = -0.317; p = 0.004). The negative correlation coefficient indicates that higher levels of peer support were associated with lower levels of mental health problems among adolescents. These findings suggest that peer support plays an important protective role in maintaining adolescent mental health. Strengthening positive peer relationships may contribute to the prevention and reduction of mental health problems among adolescents.
Copyright (c) 2026 Evi Ni'matuzzakiyah https://creativecommons.org/licenses/by-sa/4.0
A Narrative Review : Hubungan Antara Tingkat Stress Akademik dan Konsumsi Makanan/Minuman Manis pada Mahasiswa
Background: Academic stress is a common problem among students, especially in final college students. Academic stress refers to feeling of pressure, both physically and emotionally, with a problem about academic. Objective: This research aims to analyze the relationship between academic stress level and consumption of sweet foods or drinks in college students. Method: This research used a literature review based on five articles retrieved from Google Scholar, Pubmed, and ScienceDirect, articles used were published between 2021 and 2025. Result: Based on the result of five articles, there is a relationship between stress and consumption of sweet foods or drinks. The research identified consistent patterns that stress often leads to increased consumption of high sugar as a coping mechanism. When stressed, someone tends to eat sweet foods or drinks, because they have a sense of calm and are able to restore energy quickly. Conclusion: There has been much research conducted related to the relationship between stress and consumption of sweet foods or drinks. Future research should prioritize interventional studies to develop strategies that support self-regulation, physical activity, and better diet quality for overall college student well-being.
Copyright (c) 2026 Jasmine Esfandiari Secondiva Siswadi https://creativecommons.org/licenses/by-sa/4.0
A Narrative Review: Hubungan Antara Kualitas Diet dan Prestasi Akademik pada Anak Sekolah
Academic performance in children can be influenced by various factors, including lifestyle behaviors such as diet. The quality of healthy and sustainable diets plays a crucial role in brain development and cognitive function among schoolchildren. Therefore, improving dietary habits to achieve optimal diet quality may be associated with better academic outcomes. This study aims to examine the association between diet quality and academic performance in a population of children. The research design was undertaken across four electronic databases, such as Google Scholar, PubMed, Scopus, and ScienceDirect, for studies published between 2015-2025. The inclusion criteria were studies conducted among school-aged children (5–13 years) that assessed and reported: (i) a measure of diet quality, (ii) a measure of academic performance, and (iii) the association between diet quality and academic performance. Most of the studies reviewed were cross-sectional in design (n = 7). The majority of the findings reported a positive association between diet quality and academic performance, with higher diet quality generally linked to better academic outcomes. However, one study found that this correlation was stronger in boys than in girls. These findings highlight a consistent relationship between diet quality and academic performance in children. It is recommended that schools implement nutrition education and provide healthy food programs to support children's academic performance.
Copyright (c) 2026 Zahroul Nur Khasanah https://creativecommons.org/licenses/by-sa/4.0
Hubungan Pengetahuan Keluarga Pasien dengan Kepatuhan Protokol Kesehatan di Ruang Rawat Inap RSD Idaman Banjarbaru
Compliance with health protocols in inpatient wards is an important measure to prevent the transmission of infections within hospital settings. One of the factors presumed to be associated with such compliance is the level of knowledge possessed by family caregivers regarding health protocols. This study aimed to analyze the relationship between family caregivers’ level of knowledge and their compliance with health protocols in the inpatient wards of RSD Idaman Banjarbaru. This study employed a quantitative method with a cross-sectional design. The population consisted of family caregivers accompanying patients in the inpatient wards of RSD Idaman Banjarbaru. A total of 94 respondents were selected using an accidental sampling technique. Data were collected using a valid and reliable questionnaire. Data analysis was conducted using univariate and bivariate analyses. The relationship between variables was tested using the Chi-Square test with a significance level of α = 0.05. The findings showed that 32 respondents (34%) had a good level of knowledge, while 31 respondents (33%) had a moderate level of knowledge and 31 respondents (33%) had a low level of knowledge. Regarding compliance with health protocols, 67 respondents (71.3%) were categorized as compliant, whereas 27 respondents (28.7%) were categorized as non-compliant. The Chi-Square test yielded a p-value of 0.005 (p < 0.05), indicating a statistically significant relationship between family caregivers’ level of knowledge and their compliance with health protocols in the inpatient wards of RSD Idaman Banjarbaru. There is a significant relationship between family caregivers’ level of knowledge and their compliance with health protocols in the inpatient wards of RSD Idaman Banjarbaru. Higher levels of knowledge are associated with greater compliance with health protocols
Copyright (c) 2026 Lisna Lisna, Chairunnisa Chairunnisa, Martini Nur Sukmawaty https://creativecommons.org/licenses/by-sa/4.0
Implementasi Praktik Inisiasi Menyusu Dini (IMD) pada Ibu Bersalin terhadap Keberhasilan ASI Eksklusif di Puskesmas Labuan Bajo 2026
Early Initiation of Breastfeeding is the process of breastfeeding a baby immediately after birth, where the baby is allowed to find his mother's nipple by himself, which is done at least one hour immediately after birth. Failure to implement early initiation of breastfeeding can have an impact on increasing the high mortality and morbidity rates. Therefore, an analysis is needed on the implementation of early initiation of breastfeeding practices on the success of Exclusive Breastfeeding. This study aims to explore the experience of implementing early breastfeeding initiation (IMD) practices in mothers in labor towards the success of exclusive breastfeeding at the Labuan Bajo Community Health Center. This research method is qualitative using a phenomenological approach with an exploratory design. Interviews were conducted with 7 informants with data analysis using Collaizi with the stages of transcribing the recording results in verbatim form, assessing the accuracy of the interview results, familiarizing the data, selecting keywords that will be used as subthemes and themes, writing all analysis results in narrative descriptive form from the research results, and rechecking (validating) the informants. The study found that mothers had both positive and negative perceptions regarding the benefits of early breastfeeding. They also received support from their husbands, families, and midwives. The barriers they encountered included access to healthcare facilities and a lack of knowledge about early initiation of breastfeeding. They also hoped that healthcare facilities would hold counseling sessions and classes for pregnant women.
Copyright (c) 2026 Hardiyanti Fitrah Awaliyah https://creativecommons.org/licenses/by-sa/4.0
Kontaminasi Staphylococcus aureus pada Telepon Seluler Mahasiswa Kedokteran
Mobile phones are widely used in daily life and may serve as reservoirs of microorganisms because of their frequent contact with hands, faces, and environmental surfaces. Staphylococcus aureus is one of the most commonly isolated bacteria from mobile phone surfaces and has the potential to cause various infections in humans. This study aimed to determine the prevalence of Staphylococcus aureus contamination on mobile phones used by medical students and to review hygiene practices and antiseptic use in the prevention of bacterial transmission. This study employed a descriptive cross-sectional design. A total of 60 mobile phones belonging to medical students at a private university in Indonesia were included. Samples were collected using a swab technique from phone screen surfaces and cultured on Mannitol Salt Agar (MSA). Data regarding hygiene practices were collected using questionnaires and analyzed descriptively using frequency and percentage distributions. Of the 60 mobile phones examined, 43 samples (71.7%) demonstrated colony growth interpreted as Staphylococcus aureus, while 17 samples (28.3%) showed no bacterial growth. Contamination was more frequently observed on phones owned by male students (58.1%) than female students (41.9%). Most respondents reported washing their hands with soap and water (66.7%), using antiseptic soap and water (28.3%), and cleaning their phone screens daily (66.7%). However, only 11.7% reported using disinfectants to clean their mobile phone screens. The prevalence of Staphylococcus aureus contamination on medical students’ mobile phones was high, indicating that mobile phones may serve as reservoirs and potential transmission media for bacteria. Although most respondents reported adequate hygiene practices, the use of disinfectants for mobile phone cleaning remained limited. Routine cleaning with alcohol-based antiseptics may represent a simple and effective strategy to reduce bacterial contamination and transmission.
Copyright (c) 2026 Ayu Suci Pratiwi, Erizka Rivani https://creativecommons.org/licenses/by-sa/4.0
Gambaran Kejadian Hipotensi Pasca Spinal Anestesi Pasien Sectio Caesarea di Rumah Sakit Emanuel Banjarnegara
Hypotension is a common complication following spinal anesthesia in cesarean section patients due to sympathetic blockade, which causes vasodilation and a decrease in blood pressure. This study aimed to describe the incidence of post-spinal anesthesia hypotension among cesarean section patients at Emanuel Hospital Banjarnegara.This study employed a quantitative method with a descriptive observational design and a cross-sectional approach. The sample consisted of 63 respondents selected using an accidental sampling technique. Data were collected through blood pressure monitoring every 3 minutes for 30 minutes following spinal anesthesia.The results showed that most respondents were aged 20–35 years (85.7%), had a fasting duration of ≤8 hours (79.4%), were classified as ASA II (100%), received fluid preloading of ≤500 mL (77.8%), were not administered vasopressors (68.3%), and had the highest level of spinal block at the L3–L4 intervertebral space (81%). Based on these characteristics, hypotension occurred most frequently among patients aged 20–35 years, with a fasting duration of ≤8 hours, ASA II status, fluid preloading of ≤500 mL, no vasopressor administration, and spinal block at the L3–L4 level.The mean systolic blood pressure before anesthesia was 130.35 mmHg and decreased to its lowest value of 111.68 mmHg at the third minute, then remained relatively stable until the 30th minute within the range of 115–120 mmHg. The mean diastolic blood pressure decreased from 81.73 mmHg to 67.14 mmHg at the third minute and remained stable within the range of 66–70 mmHg until the 30th minute.Of the 63 respondents, 37 patients (58.7%) experienced hypotension, while 26 patients (41.3%) did not. These findings indicate that post-spinal anesthesia hypotension remains a common occurrence among cesarean section patients. Therefore, strict hemodynamic monitoring is required, particularly during the early minutes after spinal anesthesia, along with appropriate consideration of fluid administration and vasopressor use.
Copyright (c) 2026 Jaylening Wintri Dao, Amin Susanto, Wilis Sukmaningtyas https://creativecommons.org/licenses/by-sa/4.0
Pengaruh Stigma Sosial terhadap Kepatuhan Pengobatan dan Luaran Klinis Pasien Kusta di Indonesia
Leprosy remains a significant public health problem in Indonesia, affecting not only physical health but also creating substantial social consequences through stigma. Social stigma may influence patients’ health behaviors, including treatment adherence and therapeutic outcomes. This study aimed to examine the influence of social stigma on treatment adherence and clinical outcomes among leprosy patients in Indonesia using a Systematic Literature Review (SLR) approach. Literature searches were conducted across several scientific databases, focusing on studies published between 2022 and 2026. The selection process followed predetermined inclusion and exclusion criteria, resulting in 30 eligible articles for analysis. The review found that social stigma contributes to poor treatment adherence, delayed health-seeking behavior, reduced quality of life, and increased risk of mental health problems among people affected by leprosy. Family support, community support, health education, self-care interventions, and healthcare worker involvement were identified as important factors in reducing stigma and improving treatment success. The findings highlight the need to integrate social and psychological interventions with medical services to enhance treatment adherence and clinical outcomes among leprosy patients in Indonesia.
Copyright (c) 2026 Monika Rai Islamiah https://creativecommons.org/licenses/by-sa/4.0
Restorasi Indirect Mahkota Jaket PFM dengan Pasak Fiber Pasca Perawatan Saluran Akar Tunggal
Secondary caries is a primary cause of restoration failure; if left untreated, it can progress to pulp necrosis and periapical lesions. For anterior teeth, treatment success depends not only on eliminating infection but also on restoring function and aesthetics through appropriate post-endodontic restoration. A patient presented with discoloration and structural damage to a previously restored maxillary lateral incisor. Clinical and radiographic examinations revealed secondary caries leading to pulp necrosis and a periapical lesion. Treatment involved root canal therapy using the step-back technique, irrigation with 2.5% sodium hypochlorite (NaOCl), and intracanal medication with calcium hydroxide. Once the root canal was asymptomatic, obturation was performed using the lateral condensation technique with gutta-percha and sealer. Post-endodontic restoration was achieved using a fiber post, core build-up, and a porcelain-fused-to-metal (PFM) crown. NaOCl and calcium hydroxide play a role in eliminating microorganisms and promoting periapical tissue healing. Fiber posts provide superior stress distribution, while PFM crowns effectively restore the strength and aesthetics of anterior teeth. The combination of root canal therapy, a fiber post, and a PFM crown successfully restored the tooth's function, aesthetics, and structural integrity, resulting in a favorable prognosis.
Copyright (c) 2026 Inneke Cahyani, Ferina Ayu Maharani Haibar https://creativecommons.org/licenses/by-sa/4.0
Waktu Skor Pemulihan Bromage 2 dengan Metode Enhanced Recovery After Caesarean Surgery (ERACS) dan Non ERACS di Rumah Sakit Emanuel
Cesarean section (CS) is an obstetric surgical procedure whose incidence continues to rise, making it necessary to optimize postoperative recovery to support early mobilization and prevent complications. Most CS procedures are performed under spinal anesthesia, making motor recovery an important indicator assessed using the Bromage score. The ERACS method was developed to accelerate recovery through a multimodal approach. Data from Emanuel Hospital show that out of 223 CS cases, 70 cases used ERACS and 153 cases were non-ERACS; however, data on the time to achieve a Bromage score of 2 for both methods are not yet available. This study aims to determine the profile of the time to achieve a Bromage score of 2 in post-SC patients using the ERACS and non-ERACS methods. This study employed a quantitative descriptive design with a cross-sectional approach involving 55 respondents selected via consecutive sampling. Data were collected through observation until patients reached a Bromage score of 2 and were analyzed using univariate analysis. The results showed that the mean time to achieve a Bromage score of 2 in the ERACS group was 39.00 minutes (15–75 minutes), and in the non-ERACS group, it was 67.50 minutes (30–90 minutes). Respondents were aged 19–43 years, with the majority having an ASA II physical status (96.4%), and the most commonly used anesthetics were bupivacaine (56.4%) and lidocaine-morphine as an adjuvant (43.6%). In conclusion, the ERACS method showed a trend toward faster motor recovery, thereby potentially supporting early mobilization and the development of perioperative care protocols. These findings reinforce the importance of implementing ERACS in anesthetic practice to support early mobilization, serve as a basis for the development of hospital protocols, and open opportunities for further research with analytical designs to strengthen the scientific evidence.
Copyright (c) 2026 Sulistyawati Geraldine Rambu Diki Ridja, Roro Lintang Suryani, Madyo Maryoto, Aris Rahmat https://creativecommons.org/licenses/by-sa/4.0
Gambaran Waktu Pulih Sadar pada Pasien Post General Anestesi di Rumah Sakit Umum Emanuel Banjarnegara
General anesthesia is a commonly used anesthetic technique in various surgical procedures. One indicator of the success of anesthesia is the patient's recovery time after surgery. Recovery time can be influenced by several factors such as age, body mass index (BMI), type of surgery, and duration of surgery. This study aims to describe the recovery time of post-general anesthesia patients at Emanuel General Hospital, Banjarnegara. This study used a quantitative method with a descriptive design. The study sample consisted of 94 respondents selected using total sampling technique according to the inclusion criteria. Data collection was carried out using observation sheets and analyzed using descriptive statistical analysis. The results showed that most patients had a fast recovery time (≤15 minutes) as many as 89 respondents (94.7%), while patients with a recovery time of more than 15 minutes were 5 respondents (5.3%). Factors affecting recovery time in this study included age, body mass index, type of surgery, and duration of surgery. The conclusion of this study shows that most post-general anesthesia patients at Emanuel General Hospital, Banjarnegara have a fast recovery time.
Copyright (c) 2026 Nofrysanti Lumba Ratu, Amin Susanto, Arlyana Hikmanti https://creativecommons.org/licenses/by-sa/4.0
Tingkat Kepuasan Pasien Terhadap Pelayanan Obat di Instalasi Farmasi Puskesmas Bergas
Patient satisfaction is a key indicator for assessing the quality of pharmaceutical services in primary healthcare facilities. High-quality pharmacy services can improve patient trust, medication adherence, and therapeutic outcomes. This study aimed to evaluate patient satisfaction with pharmaceutical services at the Pharmacy Installation of Bergas Public Health Center, Semarang Regency. A descriptive quantitative study with a prospective approach was conducted involving 93 outpatients selected through accidental sampling. Data were collected using a questionnaire based on the five SERVQUAL dimensions: tangibles, reliability, responsiveness, assurance, and empathy. Responses were analyzed descriptively using a Likert scale. The findings showed that the overall patient satisfaction level reached 78.76%, indicating that patients were generally satisfied with the services provided. The highest scores were obtained in the empathy (81.81%) and reliability (81.70%) dimensions. Meanwhile, tangibles (78.18%), assurance (77.06%), and responsiveness (75.09%) were categorized as satisfactory. These results suggest that pharmaceutical services at Bergas Public Health Center have largely met patient expectations, particularly regarding staff competence, communication, and attention to patient needs. However, improvements in responsiveness and supporting facilities are still necessary to further enhance service quality and patient satisfaction.
Copyright (c) 2026 Hubertus Silvia Anggrio Bili, Inge Mustika Aisah, Inanda Sofia Putri, Abdul Roni https://creativecommons.org/licenses/by-sa/4.0
Analisis Faktor-Faktor yang Berhubungan dengan Kejadian Hipertensi pada Usia 30-59 Tahun Puskesmas Kebomas
Hypertension is included in the group of non-communicable diseases and is a world health issue with a fairly high mortality rate. Individuals can be considered to have hypertension if their blood pressure rises above the standard limit, which is above 140/90 mmHg. The study was conducted to examine factors such as diet, physical activity, and family history with the incidence of hypertension at the age of 30-59 years at the Kebomas Health Center. The number of hypertensive patients in health centers is quite high and every year it increases so researchers want to conduct research to find out more about hypertension. The methods used are quantitative and cross-sectional design. The population and samples were taken from patients who visited the Kebomas Health Center within 3 days who met the criteria of 80 respondents. The sampling technique uses purposive sampling and chi square test to analyze the data. This study obtained a significant association with significant family history factors of <0.001, significant dietary level <0.001 and significant physical activity level 0.015 with the incidence of hypertension at the age of 30-59 years at the Kebomas Health Center, and hypertension patients are encouraged to check blood pressure consistently so that it can be controlled and do not cause other side effects and the health center is expected to be able to provide promotive and preventive services to patients hypertension.
Copyright (c) 2026 Zufra Inayah, Dini Setiyo Rini, Agnes Faiqotun Ni’mah https://creativecommons.org/licenses/by-sa/4.0
Faktor-Faktor yang Berhubungan dengan Perilaku Pengelolaan Sampah Rumah Tangga pada Ibu Rumah Tangga di Sekitar Tempat Pembuangan Akhir Rawa Kucing Kota Tangerang Tahun 2025
Background: Waste management remains one of the environmental issues requiring serious attention, particularly in the area surrounding the Rawa Kucing Final Disposal Site (TPA), Tangerang City. Although the Rawa Kucing Final Disposal Site has implemented a controlled landfill system, waste management practices in the surrounding residential areas remain far from optimal. Objective: This study aims to identify the factors associated with waste management among housewives living around the Rawa Kucing Final Disposal Site (TPA) in 2025. Methods: This study employed a cross-sectional design with univariate and bivariate analyses. Data were collected through questionnaires distributed to housewives residing around the Rawa Kucing Final Disposal Site. The variables examined included age, education, income, knowledge, attitudes, the availability of facilities and infrastructure, and the waste management behavior of housewives. Results: The findings revealed that age, education, knowledge, and attitudes significantly influenced the waste management behavior of housewives. Housewives with higher educational attainment, better knowledge, and more positive attitudes toward health tended to demonstrate better waste management behavior. Conclusion: Age, education, knowledge, and attitudes were found to significantly influence the waste management behavior of housewives.
Copyright (c) 2026 Ahda Ahda, Ernyasih Ernyasih, Andriyani Andriyani, Munaya fauziah https://creativecommons.org/licenses/by-sa/4.0
Pengaruh Story Telling terhadap Penurunan Tingkat Nyeri pada Ibu Hamil Trimester III
Pain in third-trimester pregnant women is a common complaint due to physiological changes, weight gain, uterine enlargement, and pressure on the musculoskeletal structure. This condition can cause discomfort, disrupt daily activities, and even affect the quality of life of pregnant women. One non-pharmacological intervention that can be used to help reduce pain levels is storytelling. This method provides cognitive distraction so that the mother's attention is diverted from the sensation of pain. This study aims to determine the effect of storytelling on reducing pain levels in third-trimester pregnant women. This study used a quantitative design with a comparative approach between the control group and the intervention group. The study sample consisted of 30 third-trimester pregnant women divided into two groups, each with 15 respondents. The sampling technique used total sampling. Data were analyzed using cross-tabulation to determine differences in pain levels between the two groups. The results showed that all respondents in the intervention group (100%) experienced mild pain after being given storytelling. Meanwhile, in the control group, the majority of respondents experienced severe pain (11 people (73.3%) and moderate pain (4 people (26.7%). Storytelling has an effect on reducing pain levels in third-trimester pregnant women. This intervention can be used as a non-pharmacological alternative that is safe, simple, and easy to implement in midwifery practice.
Copyright (c) 2026 Mufidah, Rani Safitri https://creativecommons.org/licenses/by-sa/4.0
Pengaruh Kombinasi Relaksasi Nafas Dalam dengan Aromaterapi Lavender terhadap Penurunan Nyeri Persalinan pada Kala 1 di Puskesmas Ampelgading Kabupaten Malang
Background: Labor pain during the first stage of labor is a physiological condition caused by uterine contractions, cervical dilation, and fetal head descent. Inadequate pain management may increase anxiety, stress, fatigue, and prolong the labor process. One non-pharmacological approach to reducing labor pain is the combination of deep breathing relaxation and lavender aromatherapy. Deep breathing relaxation helps relieve muscle tension and promotes physical relaxation, while lavender aromatherapy stimulates the limbic system to produce a calming effect and reduce pain perception. Objective: This study aimed to determine the effect of combining deep breathing relaxation with lavender aromatherapy on reducing first-stage labor pain at the Ampelgading Community Health Center, Malang Regency. Methods: A quantitative study with a comparative design was conducted involving 30 women in the first stage of labor, consisting of 15 participants in the intervention group and 15 in the control group selected through total sampling. Data were collected using observation sheets and labor pain questionnaires and analyzed with the Mann–Whitney test. Results: All respondents (100%) in the intervention group experienced mild pain after receiving the combined intervention, whereas most respondents in the control group continued to experience moderate pain. Statistical analysis showed a significant difference between the two groups (Asymp. Sig. (2-tailed) = 0.000; p < 0.05). Conclusion: The combination of deep breathing relaxation and lavender aromatherapy is effective in reducing pain during the first stage of labor and may serve as a safe, simple, and effective non-pharmacological intervention for labor pain management.
Copyright (c) 2026 Ita Agus Novia, Widia Shofa Ilmiah https://creativecommons.org/licenses/by-sa/4.0