Jurnal Ilmu Kesehatan dan Gizi ; Bidang kajian dalam jurnal ini termasuk di bidang kesehatan dan Gizi kepada para praktisi di bidang gizi, baik yang bergerak di bidang pendidikan gizi maupun yang bergerak di bidang pelayanan gizi di rumah sakit dan puskesmas. Jurnal ini terbit 1 tahun 4 kali (Januari, April, Juli dan Oktober). Print ISSN : 2962-0325, Online ISSN : 2964-7819. 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 3 Tahun 2023 sampai Volume 6 Nomor 2 Tahun 2028.
Etnogastronomi Ayam Napinadar: Simbolisme dan Filosofi Kuliner Tradisional dalam Upacara Adat Masyarakat Batak Toba di Laguboti
This study aims to examine the gastronomy of the traditional culinary dish Ayam Napinadar as part of Batak cultural identity, covering aspects of history, ingredients, processing techniques, cultural values, and preservation challenges. The background of this research is based on the importance of maintaining the sustainability of traditional cuisine amid modernization and changes in consumption patterns. The method used is a qualitative approach through in-depth interviews with three informants, namely an MSME (Micro, Small, and Medium Eterprises) practitioner, a traditional leader, and a consumer. The results show that Ayam Napinadar has a unique characteristic in the use of andaliman and blood (gota) as its distinctive flavor. Traditionally, the cooking process involves grilling over firewood to produce a characteristic smoky aroma, although it has now shifted to more practical methods without altering the original recipe. From a cultural perspective, Ayam Napinadar holds symbolic meaning as an expression of prayers, blessings, and joy in various Batak traditional ceremonies. However, there are challenges in its preservation, such as the declining participation of younger generations in traditional activities and the increasing influence of modern foods. In conclusion, Ayam Napinadar functions not only as food but also as a medium for preserving cultural values and ethnic identity. This study provides benefits as a basis for developing gastronomic tourism and strategies for preserving traditional cuisine through education, collaboration, and the use of modern promotional media.
Copyright (c) 2026 Jurnal Ilmu Kesehatan dan Gizi https://creativecommons.org/licenses/by-sa/4.0
Hubungan Tingkat Pengetahuan Gizi dan Tingkat Kecukupan Asupan Zat Besi dengan Status Anemia Ibu Hamil di Puskesmas Brebes
Iron deficiency anemia remains a major public health problem among pregnant women in Indonesia, with a national prevalence of 37.1% and higher rates in regions such as Brebes Regency. Adequate nutritional knowledge and sufficient iron intake are expected to prevent decreases in hemoglobin (Hb) levels during the third trimester. This study aimed to analyze the relationship between nutritional knowledge, iron intake adequacy, and Hb levels among third-trimester pregnant women at Puskesmas Brebes. An analytic observational study with a cross-sectional design was conducted on 62 respondents using total sampling. Data were collected through a nutritional knowledge questionnaire, a Semi-Quantitative Food Frequency Questionnaire (SQ-FFQ) to assess iron intake based on the Recommended Dietary Allowance of 27 mg/day, and Hb measurement using a digital device. The prevalence of anemia was 32.3%, with a mean Hb level of 11.25 ± 1.74 g/dL. Most respondents had high nutritional knowledge (72.6%), but 79.0% had inadequate iron intake. Chi-Square analysis showed no significant relationship between nutritional knowledge and Hb levels (p=0.109) or between iron intake adequacy and Hb levels (p=0.426). Other factors, including iron absorption inhibitors, compliance with iron supplementation, nutritional status, and limited sample size, may have influenced the results.
Copyright (c) 2026 Aditya Hanif Permana, Yuniarti Dewi R, Rifatul Masrikhiyah, Diah Ratnasari https://creativecommons.org/licenses/by-sa/4.0
Faktor-Faktor yang Mempengaruhi Kualitas Hidup Anak Usia Sekolah dengan Thalasemia di RSAB Harapan Kita
Thalassemia is a chronic genetic disease that requires long-term treatment and affects children's quality of life physically, psychologically, socially, and academically due to chronic anemia and regular blood transfusion needs. This study aimed to determine factors influencing the quality of life of children with thalassemia at Rumah Sakit Anak dan Bunda Harapan Kita. A descriptive design with a cross sectional approach was used, involving 41 respondents through total sampling. Data were collected using the Pediatric Quality of Life Inventory (PedsQL 4.0 Generic Core Scale) and respondent characteristics including age, gender, socioeconomic status, parental education, and frequency of blood transfusions. Data were analyzed using univariate and bivariate analysis with the Chi-Square test. The results showed most respondents were under ten years old, female, from families with socioeconomic status below the minimum wage, had parents with high school or higher education, and received blood transfusions every three weeks. Bivariate analysis indicated only the frequency of blood transfusions was significantly associated with quality of life, while other variables were not. Thus, transfusion frequency is the main factor influencing quality of life in children with thalassemia.
Copyright (c) 2026 Nasya Prawesti Sugiarto, Ira Kusumawati, Rahayu Maharani https://creativecommons.org/licenses/by-sa/4.0
Efektivitas Manajemen Nyeri Farmakologi Pasca Bedah Laparotomi dengan Anestesi Umum: Systematic Literature Review
Laparotomy is a major surgical procedure associated with a high risk of acute postoperative pain. According to Gan (2017), if pain is not properly managed, it can progress to chronic pain. (Toro et al., 2018) reported that severe pain on the first postoperative day is still commonly found in laparotomy patients, while (Small & Laycock, 2020) indicated that moderate to severe pain within the first 24 hours following major surgery remains a significant clinical issue. This study aims to evaluate the effectiveness of pharmacological pain management following laparotomy under general anesthesia, specifically to identify the types of opioid analgesics used, analyze their effectiveness in reducing pain intensity, identify side effects, and examine administration techniques and routes. This study employed a Systematic Literature Review (SLR) method following the PRISMA guidelines. Literature searches were conducted in the PubMed, ScienceDirect, and SpringerLink databases covering the years 2015–2026. The included studies comprised randomized controlled trials (RCTs), cohort studies, and retrospective studies addressing opioid pharmacological pain management in adult patients following laparotomy under general anesthesia. Study quality assessment was performed using the Joanna Briggs Institute (JBI) instrument. A total of 11 studies met the inclusion criteria. The results of the systematic literature review indicate that opioids are effective in reducing postoperative pain following laparotomy under general anesthesia. The most commonly used opioids are morphine, fentanyl, and oxycodone. Of all the opioids reviewed, oxycodone provided the best pain control, while intrathecal morphine was most effective in reducing the need for supplemental opioids during the early postoperative period. Other opioids, such as extended-release dinalbuphine sebacate and tegileridine, are also effective, but the number of studies is still limited. The most common side effects are nausea, vomiting, pruritus, sedation, and dizziness. Pharmacological pain management using opioids is effective in reducing the intensity of postoperative pain following laparotomy under general anesthesia. Morphine, fentanyl, and oxycodone are the most commonly used opioids. Oxycodone and intrathecal morphine have shown good results in improving pain control and reducing the need for supplemental opioids. The selection of opioid type, dosage, and administration technique must be tailored to the patient’s clinical condition to achieve optimal analgesia with minimal side effects.
Copyright (c) 2026 Sabrina Rizqi Amelia, Made Suandika, Surtiningsih Surtiningsih https://creativecommons.org/licenses/by-sa/4.0
Penerapan Terapi Dzikir Asmaul Husna Terapi Parameter Hemodinamik Non Invasif Pasien Kritis di Ruang HCU Anggrek 2 RSUD Dr Moewardi
Critically ill patients are individuals with unstable health conditions who require close monitoring of hemodynamic parameters. The high mortality rate among critically ill patients treated in intensive care units reaches 36.5% of 33,148 patients. Hemodynamic instability in critically ill patients can be influenced by underlying diseases, medical interventions, as well as physical and psychological stress responses during treatment. Therefore, in addition to pharmacological therapy, non-pharmacological interventions such as Asmaul Husna dhikr therapy are needed, as they can provide a relaxation effect and help stabilize hemodynamic parameters in critically ill patients. To determine the outcomes of the implementation of Asmaul Husna dhikr therapy. This study used a descriptive case study method involving two critically ill patients with unstable non-invasive hemodynamic parameters. Changes in non-invasive hemodynamic parameters were observed in both respondents after the implementation of Asmaul Husna dhikr therapy. In respondent 1, the hemodynamic status was initially categorized as increased and became stable after the intervention. Similarly, in respondent 2, the hemodynamic status changed from increased before the intervention to stable after the intervention. The implementation of Asmaul Husna dhikr therapy can be used as a complementary therapy to help stabilize hemodynamic parameters in critically ill patients.
Copyright (c) 2026 Nur Rohmanni Yuliana, Bagas Biyanzah Drajad Pamukhti, Isti Wulandari https://creativecommons.org/licenses/by-sa/4.0
Penerapan Mobilisasi Progresif terhadap Kejadian Dekubitus pada Pasien dengan Penurunan Kesadaran di HCU Anggrek 2 Rumah Sakit Dr. Moewardi
Pressure ulcers are a common complication in patients with impaired consciousness due to prolonged immobilization. This condition can increase morbidity and prolong the length of stay, thus requiring effective preventive interventions such as progressive mobilization. To determine the outcomes of implementing progressive mobilization on the incidence of pressure ulcers in patients with impaired consciousness at the Anggrek 2 High Care Unit (HCU) of Dr. Moewardi General Hospital. This study employed a case study design involving two participants with impaired consciousness. The intervention, consisting of progressive mobilization, was conducted over 3 days with monitoring of skin condition and pressure ulcer risk. Findings: Following the implementation of progressive mobilization, both participants showed improvement in skin condition and a reduction in the risk of pressure ulcers, as evidenced by the absence of progression to more severe wounds and an increase in skin integrity. The application of progressive mobilization is effective in preventing and reducing the risk of pressure ulcers in patients with impaired consciousness. This intervention can serve as a safe and planned nursing intervention in the intensive care unit.
Copyright (c) 2026 Lailatul Salsabela, Bagas Biyanzah Drajad Pamukhti, Isti Wulandari https://creativecommons.org/licenses/by-sa/4.0
Analisis Efisiensi Ruang Perawatan Intensif dengan Menggunakan Model Data Envelopment Analysis (DEA)
The ICU is one of the largest clinical cost centers in hospitals due to its high demand for human resources, medical equipment, and operational costs. This situation emphasizes that intensive care unit efficiency is a multidimensional issue that cannot be assessed solely from a single aspect. This study aims to analyze the efficiency of the intensive care unit at Ciremai Hospital, Cirebon City, using the Data Envelopment Analysis (DEA) model to determine resource optimization. Analytical quantitative study with a cross-sectional design. The population in this study consisted of personnel in the ICU of Ciremai Hospital from 2023 to 2025, with total sampling applied. The input variables included the number of physicians, nurses, beds, monitors, and ventilators, while the output variables consisted of BOR, LOS, and recovered patients. The ICU input variables remained stable during the study period, while output variables fluctuated with a declining trend in BOR and LOS. The results of the Data Envelopment Analysis (DEA) indicated that all study periods achieved an efficiency score of 1.00 (efficient), with a slack value of 0.00 across all input variables.
Copyright (c) 2026 Mutia Rane, Maula Ismail Mohammad, Lina Khasanah, Bambang Karmanto https://creativecommons.org/licenses/by-sa/4.0
Penerapan Terapi Bermain Papan Kancing Terhadap Kemampuan Motorik Halus Mengancing Baju Anak Tunagrahita Sedang di SLB Bhakti Luhur Maumere
Children with intellectual disabilities experience limitations in intellectual functioning and adaptive abilities, which impact their independence in daily activities, including buttoning clothes. This skill requires fine motor coordination, concentration, and a proper understanding of task sequences. This case study aims to determine the effectiveness of button board play therapy in improving fine motor skills in children with intellectual disabilities. The method used was descriptive with a case study approach involving two children with moderate intellectual disabilities aged 8 and 9 years at SLB Bhakti Luhur Maumere. Data were collected through interviews, observations, and documentation. The intervention consisted of button board play therapy conducted for 6 days, with a duration of 15–30 minutes per day, implemented gradually and repeatedly. The results showed that before the intervention, both children were unable to button their clothes independently. After the intervention, there was an improvement in their ability, as the children began to button some buttons (2–3 buttons) with better motor coordination, although they still required assistance and supervision. In conclusion, button board play therapy is effective in gradually improving fine motor skills and independence in children with intellectual disabilities. It is recommended that the intervention be carried out consistently and involve parents to achieve optimal results.
Copyright (c) 2026 Theresia Nona Megi, Yosefina Nelista https://creativecommons.org/licenses/by-sa/4.0
Penerapan Kompres Daun Kubis Untuk Kenyamanan dan Kelancaran Pengeluaran Asi Pada Ibu Postpartum
The postpartum period is a vulnerable phase often accompanied by lactation problems, particularly ineffective breastfeeding and discomfort due to breast engorgement. These conditions may reduce maternal comfort, inhibit the let-down reflex, and increase the risk of failure in exclusive breastfeeding. Therefore, safe, practical, and comprehensive non-pharmacological nursing interventions are needed. This Final Nursing Project aims to describe the implementation of cabbage leaf compresses combined with breastfeeding education to improve maternal comfort and enhance breast milk flow in postpartum mothers. This study employed a case study method using a nursing care approach involving two postpartum mothers who experienced ineffective breastfeeding and discomfort due to breast engorgement. The interventions were provided for three days and included cabbage leaf compresses and education on breastfeeding techniques. Evaluation focused on breastfeeding ability, pain level, breast condition, maternal comfort, and milk production. The results showed improvement in breastfeeding ability, indicated by the mothers’ ability to correctly demonstrate proper positioning and latch-on techniques. Infants appeared calmer during feeding, and the duration of breastfeeding increased to approximately 10 minutes per breast. Pain scores decreased from 5 to 0–3, breast tension was reduced, and maternal comfort improved. It can be concluded that the application of cabbage leaf compresses combined with breastfeeding education is effective in improving breast milk flow and maternal comfort in postpartum mothers and can be recommended as an independent nursing intervention in maternity practice.
Copyright (c) 2026 Agestina Agestina, Bunga Nuansa Putri, Nouwlia Prameswari, Dewi Anggraini https://creativecommons.org/licenses/by-sa/4.0
Prototype Website Deteksi Dini Risiko Tumor Payudara dengan Metode Forward Chaining
Breast tumors are classified into two types, namely benign and malignant tumors, the latter commonly referred to as breast cancer. Breast cancer is one of the major health problems affecting women worldwide, including in Indonesia. According to WHO data in 2022, there were 2.3 million breast cancer cases with 685,000 deaths globally, while in Indonesia, 396,914 cases and 234,511 deaths were reported. The high incidence rate is exacerbated by low public awareness in recognizing early symptoms and performing early detection, resulting in 60–70% of cases being diagnosed at an advanced stage, supported by findings that 65.6% of female students still have a low level of knowledge. Female students were selected as research subjects because they are in a vulnerable reproductive age group and have an important role in increasing awareness of early detection, yet they still have limited knowledge. Based on this, this study aims to design a web-based early detection system for breast tumor risk using the Forward Chaining method, which functions as a tool to identify early symptoms, assess risk levels, and provide information on prevention and initial management. This study employed the method with the Expert System Development Life Cycle (ESDLC) model, consisting of the stages of assessment, knowledge acquisition, design, testing, and documentation, along with the Forward Chaining inference method.
Copyright (c) 2026 Farah Salsa Nabila, Yanto Haryanto, Bhakti Aryani, Fitria Dewi Rahmawati https://creativecommons.org/licenses/by-sa/4.0
Peran Caregiver dalam Pemenuhan Kepatuhan Minum Obat pada Pasien dengan Halusinasi
Schizophrenia is a severe mental disorder often accompanied by auditory hallucinations and has a significant impact on patients’ psychosocial functioning. This condition can reduce medication adherence, thereby increasing the risk of relapse. In this context, the role of caregivers is crucial in supporting treatment success. This study aims to describe psychiatric nursing care for patients with auditory hallucinations in improving medication adherence through caregiver involvement. The method used is a case study with a nursing process approach, including assessment, nursing diagnosis, planning, implementation, and evaluation. Interventions focus on hallucination management, psychoeducation, and caregiver involvement in care. The results show an increase in patients’ and families’ knowledge regarding the illness and its treatment, improved medication adherence, and enhanced patient ability to control responses to auditory hallucinations. Caregiver involvement has been shown to assist in supervision and providing support to patients. Therefore, comprehensive psychiatric nursing care through hallucination management, psychoeducation, and caregiver involvement is effective in improving medication adherence and controlling symptoms in patients with auditory hallucinations.
Copyright (c) 2026 Syifa Kamila Habibah, Halimatus Zahro, Muhamad Naufal, Slametiningsih Slametiningsih https://creativecommons.org/licenses/by-sa/4.0
Pemetaan Sebaran Kasus Demam Berdarah Dengue (DBD) Menggunakan Geographic Information System (GIS) di Puskesmas Karangsari Tahun 2025
Dengue Hemorrhagic Fever (DHF) remains a major public health problem in Indonesia, particularly in densely populated areas. Control efforts require accurate data and spatial analysis to understand disease distribution patterns. Geographic Information System (GIS) is an effective tool for visualizing case distribution and supporting surveillance and planning of control programs at the primary healthcare level. This study aims to describe the spatial distribution of Dengue cases based on medical record data and produce a geographic distribution map to support Dengue control efforts at the Puskesmas level. This study used a quantitative descriptive design with secondary data from medical records at Karangsari Health Center. The sample consisted of 255 DHF patients in 2025, selected using a total sampling technique. Data were processed through editing, geocoding patient addresses, and spatial analysis using QGIS software.The results showed 255 Dengue cases in 2025 with fluctuating monthly trends, peaking in April and lowest in December. Case distribution was uneven and tended to cluster. High-risk areas accounted for 15.7%–21.2%, moderate-risk areas 9.8%–15.7%, and low-risk areas 7.1%–9.8%. Megu Cilik Village had the highest proportion of cases, while other villages were categorized as moderate and low risk. This pattern indicates that Dengue incidence is influenced by environmental conditions, vector density, host factors, rainfall, and Aedes aegypti presence. GIS provides clearer spatial visualization, helping identify high-risk areas and supporting targeted public health interventions.
Copyright (c) 2026 Putri Amelia, Yanto Haryanto, Bhakti Aryani, Fitria Dewi Rahmawati https://creativecommons.org/licenses/by-sa/4.0
Faktor-Faktor yang Berhubungan dengan Kejadian Bayi Berat Lahir Rendah (BBLR)
Low Birth Weight (LBW) refers to infants born with a birth weight of less than 2,500 grams and remains an important issue in neonatal health due to its association with increased neonatal morbidity and mortality. To analyze the determinants of LBW based on primary studies published from 2021 to 2026. A literature review was conducted using the PRISMA approach. Article searches were performed through PubMed, Google Scholar, Scopus, ScienceDirect, and ProQuest using the keywords low birth weight, determinant factors, risk factors, BBLR, and faktor risiko with Boolean operators AND/OR. The inclusion criteria were primary studies, full-text availability, publication in Indonesian or English, and publication years from 2021 to 2026. A total of 20 articles were included, consisting of 15 international articles and 5 national sources. The review showed that LBW is influenced by interrelated maternal, nutritional, obstetric, and sociodemographic factors during pregnancy. The most dominant factors included multiple pregnancy with an adjusted OR of 21.74, maternal food insecurity with an AOR of 6.85, maternal hemoglobin level <11 g/dL with an AOR of 5.21, lack of iron-folic acid supplementation with an AOR of 4.17, maternal age ≤20 years with an AOR of 3.42, pregnancy interval <1 year with an adjusted OR of 2.92, missed antenatal care visits with an AOR of 2.74, smoking during pregnancy with an OR of 2.18, and maternal hypertension with an AOR of 1.94. LBW is influenced by multiple interrelated factors; therefore, efforts to reduce its incidence should focus on evidence-based interventions, particularly through optimizing antenatal care services, improving maternal nutritional status, and early detection of pregnancy.
Copyright (c) 2026 Nurul Azmi Eka Rinie, Fiky Jayanti, Puji Lestari, Ayi Hernani Putri, Rusni Masnina https://creativecommons.org/licenses/by-sa/4.0
Inovasi Pangan Fermentasi Tempe Gembus dengan Penambahan Jantung Pisang sebagai Sumber Probiotik untuk Meningkatkan Kesehatan Pencernaan pada Lansia
Health issues among the elderly are often related to declining bodily functions, digestive disorders, and specific nutritional needs for easily digestible foods. The 60-and-older age group is at high risk for gastrointestinal disorders due to low fiber intake. Therefore, alternative foods are needed that are soft in texture, neutral in taste, safe, and nutritious. One potential solution is the development of food products based on tempeh gembus with the addition of banana hearts, which are rich in fiber, soft in texture, and readily available. This study employed an experimental method using a Completely Randomized Design (CRD) to test three formulation variations (F1, F2, F3). The nutritional content of formulation F1 includes energy 111.575 kcal, carbohydrates 20.185 g, protein 6.91 g, fat 0.355 g, and fiber 6.67 g. Formula F2 contains 88.225 kcal of energy, 14.095 g of carbohydrates, 7.72 g of protein, 0.205 g of fat, 7.3 g of fiber, and 0.0015% flavonoids. Formula F3 has 107.015 kcal of energy, 7.995 g of protein, 0.295 g of fat, 6.88 g of fiber, and 0.0021% flavonoids. In conclusion, the best tempeh with added banana hearts is Formula F2, with its nutritional content, fiber, flavonoids, and BAL >10⁸ CFU/g, which has the potential to serve as a functional food and probiotic source to help improve digestive health in the elderly. Further testing is recommended directly on elderly groups, along with product shelf-life testing.
Copyright (c) 2026 Dwi Nurul Qomariah, Dea Amanda Caressa, Elita Endah Mawarni https://creativecommons.org/licenses/by-sa/4.0
Pengembangan Sereal Berbasis Tepung Ampas Tahu dan Tepung Kacang Hijau sebagai Camilan Tinggi Serat untuk Dewasa Overweight
Based on the 2023 Indonesian Health Survey, the prevalence of overweight among adults reached 23.4% nationally and 24.5% in East Java Province. This condition highlights the need for food innovation, particularly high-fiber snacks suitable for overweight adults. This study aimed to develop cereal based on okara (soy pulp) flour and mung bean flour as an alternative high-fiber food product. Organoleptic testing was conducted on 30 semi-trained panelists evaluating color, aroma, texture, and taste using hedonic and hedonic quality tests. Data were analyzed using the Kruskal–Wallis test followed by the Mann–Whitney test, while nutrient content analysis was analyzed using One Way ANOVA followed by Duncan’s post hoc test. The results showed that in the hedonic test, color, texture, and taste parameters were significantly different (p<0.05), while aroma was not significantly different (p>0.05). In the hedonic quality test, color and taste showed significant differences (p<0.05), whereas aroma and texture did not (p>0.05). Overall, formulation 922 was the most preferred by panelists. The nutritional content of the cereal ranged from 407–410 kcal for energy, 76.44–77.53% carbohydrates, 8.91–9.66% protein, 6.80–7.30% fat, 5.20–5.51% moisture, 1.26–1.41% ash, and 9.72–10.90% total dietary fiber. The developed cereal is classified as a high-fiber food and has potential as a healthy snack for overweight adults.
Copyright (c) 2026 Aisyah Nur Aini, Mulya Agustina, Dea Amanda Caressa https://creativecommons.org/licenses/by-sa/4.0
The Pengaruh Pemberian Kompres Dingin Perineum terhadap Intensitas Nyeri pada Ibu Postpartum Pervaginam dengan Episiotomi
Background: Perineal pain due to episiotomy is a common complaint experienced by postpartum mothers and can affect patient comfort, mobility, and recovery. Nonpharmacological pain management is needed to help reduce discomfort with minimal risk of side effects. Objective: This study aimed to determine the effectiveness of applying cold compresses using ice packs in reducing perineal pain intensity in postpartum mothers with episiotomy. Methods: The study used a descriptive case study design in three vaginal postpartum patients with episiotomy who were treated in the postpartum ward. The intervention involved applying cold compresses using ice packs to the perineal area for 10–15 minutes, as per nursing procedures. Pain was measured using the Numeric Rating Scale (NRS) before and after the intervention. Findings: The results showed a decrease in pain intensity in all patients after the application of cold compresses. Patient P1 experienced a decrease in pain score from 5 to 4, patient P2 from 6 to 5, and patient P3 from 5 to 4, with an average decrease of 1 point. Implications: Cold compresses using ice packs have the potential to be an effective non-pharmacological nursing intervention to help reduce perineal pain and improve the comfort of postpartum mothers with episiotomies during the care period.
Copyright (c) 2026 Fatia Isna Rahmadhani, Sri Sumaryani, Endang Jumiati https://creativecommons.org/licenses/by-sa/4.0
Hubungan Lama Paparan Bising terhadap Noise Induced Hearing Loss
Exposure to noise in industrial work environments can increase the risk of Noise-Induced Hearing Loss (NIHL) among workers. Prolonged exposure to continuous noise has the potential to cause hearing loss due to damage to the hair cells in the cochlea. This study employed an observational analytic method with a cross-sectional approach involving 36 employees of PT. Phapros Tbk. Data were collected via questionnaires and audiometric examinations, then analyzed using Spearman’s correlation test. The results showed that most respondents were exposed to moderate noise levels, and the majority had normal hearing. The Spearman test yielded a p-value of 0.079 with a correlation coefficient of 0.297, indicating no significant association between duration of noise exposure and hearing impairment.
Pengembangan Pregnancy Pillow Therapy Berbasis Serat Daun Nanas dengan Aromaterapi untuk Meningkatkan Kenyamanan Ibu Hamil
The physiological changes that occur during pregnancy, both physically and mentally, may be rather uncomfortable, particularly in the second and third trimesters. Pregnant women often report back discomfort, muscular aches, trouble sleeping, excessive exhaustion, and irregular sleep patterns. Mothers' physical and mental health as well as the health of their unborn children may be significantly impacted by inadequate sleep quality during pregnancy. To enhance comfort and the quality of sleep during pregnancy, one non-pharmacological technique is to use an aromatherapy maternity pillow. An ergonomic and ecologically sustainable invention to enhance mother comfort during pregnancy was the goal of this research, which intended to produce a Pregnancy Pillow Therapy product with pineapple leaf fiber and aromatherapy. A descriptive research design using a prototype creation technique was used in this study. The stages of the research included problem identification, literature review, product design, material selection, prototype manufacturing, and product evaluation. Data were collected through literature studies and observations related to sleep discomfort in pregnancy, maternity pillow utilization, aromatherapy therapy, and pineapple leaf fiber characteristics. The developed product was designed ergonomically to support the back, abdomen, waist, and legs of pregnant women. The addition of aromatherapy was intended to provide a relaxing effect and improve sleep quality. The use of pineapple leaf fiber also supports environmentally friendly product innovation through agricultural waste utilization. The results indicate that Pregnancy Pillow Therapy has the potential to become a supportive product for improving comfort and sleep quality among pregnant women. Further studies are recommended to evaluate product effectiveness directly among pregnant women.
Copyright (c) 2026 Dona Martilova, Muthia Fahira https://creativecommons.org/licenses/by-sa/4.0
Hubungan Asupan Kafein terhadap Gangguan Tidur dan Status Gizi pada Mahasiswa Tingkat Akhir Program Sarjana Universitas Dr. Soekardjo
Increased caffeine intake is commonly used by students to cope with academic demands, especially during examinations and the completion of final projects. Excessive caffeine consumption may affected sleep quality and potentially influence nutritional status. This study aimed to determine the correlation between caffeine intake, sleep disturbances, and nutritional status among final – year unsergarduated students at Dr. Soekardjo University. This study used quantitative approach with an observational analytic and cross-sectinal design. A total of 108 students participated in the study. Data were collected using questionnaires and analyzed using the Spearman Rank correlations test. The findings indicated that the most of respondents with low caffeine intake experienced mild sleep disturbances, totaling 56 respondents (80%). Meanwhile, respondents with moderate and high caffeine intake mostly experienced moderated sleep disturbances, with 13 respondents (61.9%) and 9 respondents (52.9%), respectively. The results showed a significant correlation between caffeine intake and sleep disturbances (p-value=0.000). In all categories of caffeine intake, most respondents had normal nutritional status. However, no significant relationship was found between caffeine intake and nutritional status (p-value=0.351). In conclusion, caffeine intake was associated with sleep disturbances but not with nutritional status among final-year undergraduate students.
Copyright (c) 2026 Siti Kayla Rulina Sausan, Dea Amanda Caressa, Agus Putra Murdani https://creativecommons.org/licenses/by-sa/4.0
Pengaruh Suplementasi terhadap Status Gizi dan Pertumbuhan Anak dengan Picky Eating: A Systematic Review
Picky eating is a problem that can lead to inadequate nutrient intake particularly calories, protein, vitamins, and minerals which can affect childern’s nutritional status. The aim of this study was to analyze the effect of nutritional supplementation on the nutritional status and growth of children with picky eating behaviors. The method used was a systematic review conducted in accordance with the PRISMA guidelines, with preschool children aged 24-72 months who exhibited picky eating as the subjects. The study results indicate that the use of Oral Nutritional Supplements (ONS) in preschool children with selective esating behaviors improves nutritional status indicators, particularly z-scores for weight-for-age, weight-for-height percentiles, and z-score for BMI-for-age. Various studies report significant increases in weight, BMI, and height in children receiving supplements compared to the control group. Supplements also increased appetite and ensured adequate micronutrient intake. However, the impact on linear growth was inconsistent across studies, likely due to the short duration of the intervention and the fact that height growth is influenced by many factors. In conclusion, oral nutritional supplementation can significantly improve nutritional status and support the growth of children with picky eating habits, particularly in terms of weight gain and ensuring adequate nutrition.
Copyright (c) 2026 Leona Emirda Khalidazia https://creativecommons.org/licenses/by-sa/4.0
Perbandingan Anestesi Epidural dengan Subarachnoid Block terhadap Kualitas Pemulihan Pasien Bedah Ortopedi
Fractures and orthopedic surgeries are common procedures that require optimal regional anesthesia techniques to support patient recovery. This study aims to compare the effectiveness of epidural anesthesia and subarachnoid block (SAB) on the quality of recovery in orthopedic surgery patients through a systematic literature review. The literature search was conducted in the PubMed, ScienceDirect, and Google Scholar databases for the period 2015–2025, using the PRISMA guidelines. A total of 6 studies that met the inclusion criteria were analyzed narratively. The results indicate that epidural techniques and spinal-epidural combinations such as CSEA, CSA, and SCSE tend to yield better recovery outcomes compared to SAB, particularly regarding hemodynamic stability, duration of analgesia, postoperative pain control, and early mobilization. Additionally, the incidence of hypotension, urinary retention, and back pain is lower with epidural or combination techniques. However, SAB remains superior in terms of rapid onset of action and ease of technique. In conclusion, epidural techniques better support multidimensional recovery quality in orthopedic patients compared to SAB.
Copyright (c) 2026 Adista Veradina, Made Suandika, Tophan Heri Wibowo https://creativecommons.org/licenses/by-sa/4.0
Deskripsi Pengetahuan, Sikap, dan Praktik Perawat tentang Manajemen Nyeri Prosedur Invasif pada Pasien Anak
Knowledge, attitudes, and practices of nurses on pediatric pain management of invasive procedures are important aspects of nursing competencies. Children are usually unable to express pain accurately, hence these competencies are vital to ensure pain in pediatric patients is addressed appropriately. However, there is still limited research on this topic. The aim of this study was to understand the knowledge, attitudes and practices of nurses about the pain management of invasive procedures in pediatric patients. This study employed a cross-sectional approach and conducted in two hospitals in Yogyakarta with a total sample of 63 pediatric nurses. Valid questionnaire with 12 demographic data questions, 12 nurse knowledge questionnaire questions, 13 nurse attitude questionnaire questions, and 10 nurse practice questions was used. Nurses' knowledge scores on pain management of invasive procedures in pediatric patients was relatively high with an average score of 10.11 (84%), the attitude score about the management of pain of invasive procedures in children was in the relatively in good category with an average score of 48.52 or (68.31%) and the nurse's practice on pain management of invasive procedures in children was still suboptimal with an average score of 38.87 or (72%). Nurses have relatively good knowledge in handling the pain of invasive procedures in pediatric patients, while the nurse’ attitudes and practices are still not optimal. Therefore, nurse’ competencies in this aspect should be imroved to ensure high quality of nursing care in pediatric pateints.
Copyright (c) 2026 Ferika Indarwati, Kinanti Kinanti, Dewi Caesaria Fitriani, Rahmah Rahmah https://creativecommons.org/licenses/by-sa/4.0
Case Study: Bronkopneumonia disertai Perimiokarditis pada Anak Usia 16 Bulan
Bronchopneumonia remains a major cause of morbidity and mortality in children, particularly in early life, and may be accompanied by cardiac complications such as perimyocarditis. This report describes the clinical presentation, diagnostic findings, management, and outcome of a 16 month old female child admitted with progressive shortness of breath, high fever, productive cough, and rhinorrhea. The patient presented with initial symptoms of lower respiratory tract infection with respiratory distress and suspected cardiac involvement as indicated by a heart murmur and gallop on auscultation. Chest radiography showed bilateral bronchopneumonia with cardiomegaly. During hospitalization, the patient developed rapid clinical deterioration with decreased consciousness, respiratory failure, and shock, requiring transfer to the Pediatric Intensive Care Unit. Further evaluation by echocardiography demonstrated left ventricular dilatation, global hypokinetic left ventricle, ejection fraction of 30%, moderate mitral regurgitation, and minimal pericardial effusion. Based on the clinical and supporting findings, the final diagnosis was perimyocarditis with bronchopneumonia. The patient's condition showed significant clinical improvement after being given oxygenation therapy, antibiotics and heart failure therapy. This case highlights the importance of early recognition of cardiac involvement in children with bronchopneumonia, especially in those with rapid deterioration and hemodynamic instability.
Copyright (c) 2026 Diyah Arum Setiasih, Lita Farlina, Kiki Rizki Maharani https://creativecommons.org/licenses/by-sa/4.0
The Relationship between Nutritional Literacy, Body Image, and Pocket Money with Sweet-Sugar Beverages (SSB) Consumption in Adolescents
The consumption pattern of sugar-sweetened beverages (SSBs) among adolescents has shown a worrying increase in recent years. It has been linked to various adverse health outcomes, such as an increased risk of obesity, diabetes-mellitus, and other metabolic disorders. Several factors may influence this consumption behaviour, including nutrition literacy, body image, and the amount of pocket money adolescents receive. This article aims to critically review and analyze scientific findings related to the relationship between nutrition literacy, body image, and pocket money and adolescents' consumption of SSBs. The method used in this article is a literature review of scientific articles obtained through PubMed, Elsevier, ScienceDirect, and Google Scholar, with inclusion criteria including international articles published within the last five years (2020–2025) relevant to the topic and peer-reviewed. The review findings indicate that higher nutrition literacy is associated with healthier dietary behaviours and reduced sugar- sweetened beverage (SSB) consumption. Body image has a significant role in emotional eating, including SSB intake. Additionally, greater pocket money is linked to higher consumption of SSBs. These three factors are interrelated and influence adolescent consumption patterns. Therefore, comprehensive interventions should be designed in cognitive, psychosocial, and economic aspects through sustainable, adolescent-centered nutrition education.
Copyright (c) 2026 Sekar Arum Kinasih https://creativecommons.org/licenses/by-sa/4.0
Studi Kasus: Penerapan Terapi Bermain Cotton Ball Hockey pada Anak Usia Sekolah dengan Bronkopneumonia di RSIJ Sukapura
Bronchopneumonia often causes respiratory distres in school-age children. Non-pharmacological, play-based interventions, such as cotton ball hockey, can be a child-friendly alternative to improve respiratory function. To evaluate the implementation of cotton ball hockey play therapy in improving respiratory status among school-age children with bronchopneumonia at Sukapura Islamic Hospital. A case study of two school-age children with bronchopneumonia. The cotton ball hockey play therapy intervention was conducted for 3 days, twice daily for 10-15 minutes. Evaluation included measuring respiratory rate, oxygen saturation, and clinical observations before and after therapy. Cotton ball hockey play therapy can improve respiratory status and increase oxygen saturation in children. Cotton ball hockey play therapy is a non-pharmacological nursing intervention that can improve respiratory status in school-age children with bronchopneumonia. This intervention is recommended for implementation in pediatric nursing practice.
Copyright (c) 2026 Khairunnisa Khairunnisa, Amanda Gita Dwi Hapsari, Arsyta Tiara Putri, Awaliah Awaliah https://creativecommons.org/licenses/by-sa/4.0
Hubungan Burnout dengan Kualitas Hidup Perawat yang Merawat Pasien Pasca Strokedi Kota Samarinda : Literature Review
The phenomenon of burnout syndrome among nurses has become a critical issue that requires serious attention, considering nurses' role as frontline healthcare providers. Job burnout is influenced not only by physical workload but also by psychological factors, work environment conditions, social support, and individual resilience. This study aims to examine the relationship between burnout syndrome and nurses’ quality of life, as well as its impact on clinical service quality, particularly in post-stroke patient care. The research employed a literature review method by analyzing studies obtained from Google Scholar published between 2022 and 2025. A total of 20 articles that met the inclusion criteria were systematically reviewed. The findings indicate that burnout syndrome is characterized by emotional exhaustion, depersonalization, and reduced personal accomplishment. A significant negative relationship was identified between the Quality of Nursing Work Life (QNWL) and burnout levels, indicating that poorer work-life quality increases the likelihood of burnout among nurses. Burnout was also found to negatively affect healthcare service standards, reduce empathy toward patients, and lower compliance with infection prevention and control protocols. Furthermore, the high prevalence of burnout contributes to increased turnover intentions among nurses. Psychological interventions, such as Mindfulness-Based Stress Reduction (MBSR) and psychoeducation, have been shown to effectively reduce burnout levels and improve emotional regulation. These findings highlight the importance of organizational strategies that support nurses’ well-being in order to enhance healthcare quality and patient safety.
Copyright (c) 2026 Winna Noor Cholifah, Suwaldi Pradana, Reylah Sepiah, Milkhatun Milkhatun https://creativecommons.org/licenses/by-sa/4.0
Moisturizers for Skin Barrier Repair: A Scoping Review of Transepidermal Water Loss and Stratum Corneum Hydration (2019-2026)
The skin barrier is the outermost protective layer of the skin that plays an important role in maintaining skin hydration and preventing excessive water loss. Damage to the skin barrier can increase transepidermal water loss (TEWL), causing the skin to become dry, sensitive, and prone to irritation. Moisturizers are used to improve skin barrier function by increasing skin hydration and reducing TEWL. This study aimed to conduct a scoping review of moisturizer formulations for skin barrier repair based on transepidermal water loss (TEWL) and stratum corneum hydration parameters. The research method used was a scoping review based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) guidelines. Literature searches were conducted through Google Scholar, PubMed, ScienceDirect, and Semantic Scholar databases using research articles published between 2019–2026 related to the study topic. A total of 20 articles met the inclusion criteria, consisting of experimental formulation studies and clinical studies. The review results showed that moisturizers are available in various topical dosage forms such as gels, creams, lotions, serums, emulgels, and cleansers with herbal and modern active ingredients such as ceramide, niacinamide, sodium hyaluronate, and Centella asiatica extracellular vesicles (Cica EVs). Gel preparations were the most commonly used formulations because they have a light texture, are comfortable to use, and are easy to apply to the skin. In experimental studies, emulgel containing limpasu fruit extract showed the most optimal physical characteristics based on viscosity and spreadability parameters. Meanwhile, in clinical studies, ceramide-based moisturizers showed the best effectiveness in increasing skin hydration and significantly reducing TEWL. The effectiveness of moisturizers was also influenced by the combination of humectants, emollients, occlusives, and gelling agents in the formulation. Overall, moisturizers have good potential in increasing skin hydration and improving skin barrier function through reducing TEWL and increasing stratum corneum hydration.
Copyright (c) 2026 Kanaya Shabrina Maharani, Ghaisani Zata Dini, Novia Putri Ixanty, Zarifa Ramadani Nurulhuda, Azmi Hendina Putra https://creativecommons.org/licenses/by-sa/4.0
Hubungan Kualitas Pelayanan Keperawatan dengan Kepuasan Pasien di RSUD M.M Dunda Limboto
Patient satisfaction has become an important indicator in assessing the quality of healthcare services, especially in the era of digitalization and information transparency, while good healthcare services provide effective, safe, and high-quality care supported by adequate resources. This study aimed to determine the relationship between the quality of nursing services and patient satisfaction. The research design used was quantitative. The population consisted of 302 patients, with a sample of 75 patients selected using the Slovin formula. Data analysis was conducted using the chi-square test. The results showed that the highest category of nursing service quality dimensions was classified as good, including reliability with 69 respondents, responsiveness with 68 respondents, assurance with 67 respondents, empathy with 68 respondents, and tangible evidence with 69 respondents. The statistical analysis showed a P-value of 0.033 for reliability, 0.010 for responsiveness, 0.022 for assurance, 0.001 for empathy, and 0.003 for tangible evidence toward patient satisfaction. The study concluded that there was a significant relationship between nursing service quality in terms of reliability, responsiveness, assurance, empathy, and tangible evidence and patient satisfaction at RSUD M.M Dunda Limboto. Hospitals and nurses are expected to continuously improve service quality in order to increase patient trust and satisfaction.
Copyright (c) 2026 febri abidju, Fifi Ishak, Rini Asnawati https://creativecommons.org/licenses/by-sa/4.0
A Review: Perbandingan Stabilitas Fisik Tablet Zat Aktif Sintesis dengan Ekstrak Tumbuhan
Tablets are one of the most widely used pharmaceutical dosage forms because they offer various advantages, such as accurate dosing, ease of use, practicality in storage and distribution, and good stability compared to other dosage forms. The physical stability of tablets is a critical factor in ensuring the quality, safety, and efficacy of medications. In the pharmaceutical industry, the active ingredients used in tablet formulations can be derived from synthetic compounds or natural sources, such as plant extracts. This study was conducted to compare the physical stability of tablets containing synthetic active ingredients and tablets containing plant extract active ingredients. This study employed a literature review method with a descriptive-comparative approach. The results showed that tablets formulated using the wet granulation method with synthetic active ingredients exhibited consistent values for hardness, friability, and disintegration time regarding physical stability. In contrast, tablets with a plant extract active ingredients showed more variable results because the characteristics of natural materials can affect the physical stability of the tablets. Therefore, tablets with synthetic active ingredients demonstrated better physical stability compared to herbal extract tablets because the properties of synthetic active substances are more homogeneous and easier to formulate using the wet granulation method.
Copyright (c) 2026 Fadil Priyangan, Yasmin Nurfitriyanti, Cantika Abelya Febrien Wijaya, Sulton Farrel Nuruddin, Najwa Trisari, Rifqi Muhammad Hajid, Ghefira Najwa Akmila https://creativecommons.org/licenses/by-sa/4.0
Uji Efek Nefroprotektif Ekstrak Buah Kersen (Muntingia calabura) terhadap Kadar Blood Urea Nitrogen (BUN), Albumin, dan Ureum pada Tikus Putih yang Diinduksi Gentamisin
The antibiotic gentamicin has the potential to harm the kidneys by raising levels of oxidative stress, which in turn affects serum albumin and Blood Urea Nitrogen (BUN). Some of the antioxidant and nephroprotective properties found in cherry fruit (Muntingia calabura L.) include flavonoids, phenols, saponins, alkaloids, and triterpenoids. In this research, the purpose was to examine the impact of an ethanolic cherry fruit extract on the levels of albumin and BUN in male Wistar rats that had been treated with gentamicin. Thirty white rats were split into five groups for this experimental investigation. For 8 days, the normal group did not receive any therapy, the induction group took 100 mg/kgBW of gentamicin, and the treatment groups took 100, 200, or 400 mg/kgBW of cherry fruit extract orally in addition to the gentamicin induction. We used enzymatic techniques with UV-Vis spectrophotometry to assess the levels of BUN and albumin. A decrease in kidney function, as shown by changes in albumin and BUN levels, was seen after gentamicin therapy. When compared to the gentamicin group, the kidney function of the cherry fruit extract group was shown to be somewhat improved at dosages of 100, 200, and 400 mg/kgBW. There were no statistically significant changes in albumin or BUN levels brought about by the extract, according to the study. Finally, although cherry fruit (Muntingia calabura L.) ethanolic extract showed promise in describing its effects on kidney function maintenance, it has failed to establish statistically significant efficacy as a nephroprotective drug.
Copyright (c) 2026 Juliana Hasan, Asyrun Alkhairi Lubis, Edy Fachrial https://creativecommons.org/licenses/by-sa/4.0